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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-05-14T12:54:02+00:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 S 6TH STREET SUITE 2800 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 554021844 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362170840 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Copley Memorial Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COPL | BusinessNameControlTxt |
| Phone | 6309786200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Ogden Avenue | AddressLine1Txt |
| City | Aurora | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 605044206 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN DIEDERICH | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 6309784941 | PhoneNum |
| Signature | 2024-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | BRENDA | PersonFirstNm |
| Person Last | WYHE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANNA KOLAKALURI | PreparerPersonNm |
| PTIN | P01275237 | PTIN |
| Phone | 6123974000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | co Rush Copley Medical Center | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN DIEDERICH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Ogden Avenue | AddressLine1Txt |
| City | Aurora | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 605044206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $547,252,566 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.RUSHCOPLEY.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1886 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF RUSH COPLEY IS TO PROVIDE ADVANCED MEDICINE WITH QUALITY OUTCOMES AND EXTRAORDINARY CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 2652 | TotalEmployeeCnt |
| Total Volunteers | 183 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,294,712 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,006,880 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $377,387,341 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $382,790,518 | CYProgramServiceRevenueAmt |
| PY Investment Income | $19,028,974 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,069,389 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,413,907 | PYOtherRevenueAmt |
| CY Other Revenue | $5,306,727 | CYOtherRevenueAmt |
| PY Total Revenue | $407,124,934 | PYTotalRevenueAmt |
| CY Total Revenue | $399,173,514 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $500 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $178,107,474 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $184,885,111 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $182,457,578 | PYOtherExpensesAmt |
| CY Other Expenses | $186,287,214 | CYOtherExpensesAmt |
| PY Total Expenses | $360,565,552 | PYTotalExpensesAmt |
| CY Total Expenses | $371,172,325 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $46,559,382 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $28,001,189 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $954,609,869 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,041,905,826 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $362,556,402 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $389,348,515 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $592,053,467 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $652,557,311 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF RUSH COPLEY IS TO PROVIDE ADVANCED MEDICINE WITH QUALITY OUTCOMES AND EXTRAORDINARY CARE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $300,091,175 | ExpenseAmt |
| Revenue | $386,480,975 | RevenueAmt |
| Desc | THE 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 | $300,091,175 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 238 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2652 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (true) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRENDA VAN WYHE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6309786200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 OGDEN AVENUE | AddressLine1Txt |
| City | AURORA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60504 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Bruce W Dienst | |||||||||
| CHAIRMAN OF THE BOARD/DIRECTOR | 1.0 | 3.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Christine Sobek | |||||||||
| VICE CHAIR OF THE BOARD/DIRECTOR | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| John Diederich MA MBA FACHE | |||||||||
| President & CEO/Director | 40.0 | 4.0 | Yes (X) | Yes (X) | $3,634,635 | $0 | $42,791 | ||
| Andrew VanEekeren | |||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Catherine Cederoth | |||||||||
| DIRECTOR | 1.0 | 3.0 | Yes (X) | $0 | $0 | $0 | |||
| Dave Mead | |||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Garrett Katula DO (END 1222) | |||||||||
| PHYSICIAN/DIRECTOR | 40.0 | 2.0 | Yes (X) | $415,826 | $0 | $39,377 | |||
| Herbert Knight | |||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Jae B Joo MD | |||||||||
| CHIEF OF STAFF/DIRECTOR | 40.0 | 2.0 | Yes (X) | $650,257 | $0 | $40,226 | |||
| James Baka | |||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Kalpesh Patel MD | |||||||||
| VICE CHIEF OF STAFF/DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Luis Perez | |||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Mark C Metzger | |||||||||
| DIRECTOR | 1.0 | 3.0 | Yes (X) | $0 | $0 | $0 | |||
| Maryanne Locklin | |||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Maureen Strobl | |||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Patrick Carmody | |||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Richard Edelman | |||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Ronald Hem | |||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Santosh Gill MD | |||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Syed Zaidi MD | |||||||||
| IMMEDIATE PAST CHIEF OF STAFF/DIRECTOR | 40.0 | 2.0 | Yes (X) | $694,419 | $0 | $24,771 | |||
| Trish Anen | |||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| William Skoglund (END 0922) | |||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Brenda Van Wyhe | |||||||||
| SR. VP FINANCE & CFO/TREASURER | 40.0 | 3.0 | Yes (X) | $625,127 | $0 | $106,279 | |||
| Ryan Asmus | |||||||||
| VP GENERAL COUNSEL/SECRETARY | 40.0 | 3.0 | Yes (X) | $449,693 | $0 | $59,039 | |||
| Abigail Hornbogen | |||||||||
| VP. PATIENT CARE & CNO | 40.0 | 0 | $343,040 | $0 | $74,193 | Yes (X) | |||
| Alex Pope | |||||||||
| VP. PHILANTHROPY & CDO | 1.0 | 40.0 | $373,569 | $0 | $72,324 | Yes (X) | |||
| Brenda K Fann MD (END 1222) | |||||||||
| ASSISTANT VP. MEDICAL AFFAIRS | 40.0 | 0 | $397,109 | $0 | $206,785 | Yes (X) | |||
| David Petasnick | |||||||||
| ASSISTANT VP, ANCILLARY SVCS | 40.0 | 0 | $312,693 | $0 | $66,771 | Yes (X) | |||
| Mary F Shilkaitis | |||||||||
| SR VP Operations & COO | 40.0 | 1.0 | $1,371,600 | $0 | $30,769 | Yes (X) | |||
| Steve B Lowenthal MD | |||||||||
| SR. VP MEDICAL AFFAIRS & CMO | 40.0 | 0 | $834,178 | $0 | $28,010 | Yes (X) | |||
| Arif Saleem MD | |||||||||
| PHYSICIAN | 40.0 | 0 | $954,331 | $0 | $29,748 | Yes (X) | |||
| Dmitry S Ruban MD | |||||||||
| PHYSICIAN | 40.0 | 0 | $935,979 | $0 | $37,818 | Yes (X) | |||
| Jonathan L Tueting MD | |||||||||
| PHYSICIAN | 40.0 | 0 | $1,265,464 | $0 | $35,919 | Yes (X) | |||
| Kevin V Kelly MD | |||||||||
| PHYSICIAN | 40.0 | 0 | $934,652 | $0 | $28,517 | Yes (X) | |||
| Sarabjeet Singh MD | |||||||||
| PHYSICIAN | 40.0 | 0 | $895,662 | $0 | $25,272 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $15,088,234 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $948,609 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 365 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| TRIMEDX LLC | ||||||
| PO BOX 636129 | CINCINNATI | OH | 452636129 | EQUIPMENT MAINTENANCE | $4,091,253 | |
| SODEXO | ||||||
| PO BOX 536922 | ATLANTA | GA | 303536922 | FOOD AND CLEANING SERVICES | $3,912,882 | |
| GUARDIAN ANESTHESIA ASSOC | ||||||
| 1690 DUNLAWTON AVE | PORT ORANGE | FL | 32127 | ANESTHESIA SERVICES | $3,147,524 | |
| VAYA WORKFORCE SOLUTIONS LLC | ||||||
| 5930 CORNERSTONE COURT WEST | SAN DIEGO | CA | 92121 | TEMPORARY LABOR | $2,236,006 | |
| ATOS | ||||||
| DEPT - 772066 | DETROIT | MI | 482781177 | MEDICAL BILLING | $1,383,570 | PO BOX 78000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,234,218 | RelatedOrganizationsAmt |
| Government Grants | $3,772,662 | GovernmentGrantsAmt |
| Total Contributions | $5,006,880 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SVC REV | 621110 | $347,971,125 | $347,971,125 |
| MEDICAID TAX REVENUE | 621110 | $33,895,387 | $33,895,387 |
| OTHER PROGRAM REVENUE | 900009 | $924,006 | $924,006 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $382,790,518 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,758,392 | TotalRevenueColumnAmt |
| Exclusion | $8,758,392 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,593,096 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $617,933 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $975,163 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $975,163 | TotalRevenueColumnAmt |
| Exclusion | $975,163 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $144,450,992 | SecuritiesAmt |
| Other | $321,124 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $147,148,990 | SecuritiesAmt |
| Other | $312,129 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$2,697,998 | SecuritiesAmt |
| Other | $8,995 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,689,003 | TotalRevenueColumnAmt |
| Exclusion | -$2,689,003 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| OUTSIDE SERVICE REV | 621990 | $3,690,457 | $3,690,457 | |
| GIFT SHOP REVENUE | 453220 | $626,164 | $626,164 | |
| CAFETERIA REVENUE | 621990 | $14,943 | $14,943 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,331,564 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $399,173,514 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $386,480,975 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,685,659 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,104,118 | TotalAmt |
| Management And General | $9,104,118 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,220,985 | TotalAmt |
| Program Services | $107,415,739 | ProgramServicesAmt |
| Management And General | $35,805,246 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,587,661 | TotalAmt |
| Program Services | $2,690,746 | ProgramServicesAmt |
| Management And General | $896,915 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,646,556 | TotalAmt |
| Program Services | $13,234,917 | ProgramServicesAmt |
| Management And General | $4,411,639 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,325,791 | TotalAmt |
| Program Services | $8,494,343 | ProgramServicesAmt |
| Management And General | $2,831,448 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,080,355 | TotalAmt |
| Program Services | $5,310,266 | ProgramServicesAmt |
| Management And General | $1,770,089 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,409 | TotalAmt |
| Management And General | $118,409 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,320 | TotalAmt |
| Management And General | $159,320 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,983 | TotalAmt |
| Management And General | $30,983 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $639,912 | TotalAmt |
| Management And General | $639,912 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,356,960 | TotalAmt |
| Program Services | $12,267,720 | ProgramServicesAmt |
| Management And General | $4,089,240 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $781,141 | TotalAmt |
| Program Services | $781,141 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,636,527 | TotalAmt |
| Program Services | $7,227,395 | ProgramServicesAmt |
| Management And General | $2,409,132 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,162,671 | TotalAmt |
| Program Services | $7,622,003 | ProgramServicesAmt |
| Management And General | $2,540,668 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,286,728 | TotalAmt |
| Program Services | $3,215,046 | ProgramServicesAmt |
| Management And General | $1,071,682 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,925 | TotalAmt |
| Program Services | $47,194 | ProgramServicesAmt |
| Management And General | $15,731 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,108 | TotalAmt |
| Program Services | $82,581 | ProgramServicesAmt |
| Management And General | $27,527 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,678,557 | TotalAmt |
| Program Services | $3,678,557 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,519,716 | TotalAmt |
| Program Services | $22,519,716 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,833,065 | TotalAmt |
| Program Services | $4,374,799 | ProgramServicesAmt |
| Management And General | $1,458,266 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,093,401 | TotalAmt |
| Program Services | $2,093,401 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $371,172,325 | TotalAmt |
| Program Services | $300,091,175 | ProgramServicesAmt |
| Management And General | $71,081,150 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,382,395 | BOYAmt |
| EOY | $27,455,783 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,826,702 | BOYAmt |
| EOY | $68,266,031 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,093,925 | BOYAmt |
| EOY | $7,354,360 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,632,377 | BOYAmt |
| EOY | $2,347,954 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $498,640,936 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $288,987,040 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $193,059,860 | BOYAmt |
| EOY | $209,653,896 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $332,739,710 | BOYAmt |
| EOY | $342,346,836 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,317,836 | BOYAmt |
| EOY | $4,300,885 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $333,557,064 | BOYAmt |
| EOY | $380,180,081 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $954,609,869 | BOYAmt |
| EOY | $1,041,905,826 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,052,674 | BOYAmt |
| EOY | $124,978,095 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,693,488 | BOYAmt |
| EOY | $120,048,234 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,810,240 | BOYAmt |
| EOY | $144,322,186 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $362,556,402 | BOYAmt |
| EOY | $389,348,515 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $585,519,008 | BOYAmt |
| EOY | $642,528,125 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,534,459 | BOYAmt |
| EOY | $10,029,186 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $592,053,467 | BOYAmt |
| EOY | $652,557,311 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $954,609,869 | BOYAmt |
| EOY | $1,041,905,826 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $28,001,189 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $27,244,536 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $5,258,119 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $30,983 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $30,983 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | COPLEY 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,852,351 | BeginningYearBalanceAmt |
| Contributions | $4,031,948 | ContributionsAmt |
| Investment Earnings Or Losses | $1,693,594 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,471,485 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $20,106,408 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,582,486 | BeginningYearBalanceAmt |
| Contributions | $3,122,324 | ContributionsAmt |
| Investment Earnings Or Losses | -$2,444,977 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,407,482 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $15,852,351 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,390,581 | BeginningYearBalanceAmt |
| Contributions | $843,098 | ContributionsAmt |
| Investment Earnings Or Losses | $3,086,208 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $737,401 | OtherExpendituresAmt |
| End Year Balance | $16,582,486 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,022,428 | BeginningYearBalanceAmt |
| Contributions | $1,342,373 | ContributionsAmt |
| Investment Earnings Or Losses | $326,685 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,300,905 | OtherExpendituresAmt |
| End Year Balance | $13,390,581 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,969,298 | BeginningYearBalanceAmt |
| Contributions | $1,771,314 | ContributionsAmt |
| Investment Earnings Or Losses | $806,653 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,524,837 | OtherExpendituresAmt |
| End Year Balance | $13,022,428 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.333 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.43 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.237 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,189,750 | OtherCostOrOtherBasisAmt |
| Book Value | $19,189,750 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $268,794,490 | OtherCostOrOtherBasisAmt |
| Depreciation | $156,593,251 | DepreciationAmt |
| Book Value | $112,201,239 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,375,905 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,083,498 | DepreciationAmt |
| Book Value | $292,407 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $183,710,387 | OtherCostOrOtherBasisAmt |
| Depreciation | $128,310,291 | DepreciationAmt |
| Book Value | $55,400,096 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,570,404 | OtherCostOrOtherBasisAmt |
| Book Value | $22,570,404 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $209,653,896 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $380,180,081 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $144,322,186 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part V, Line 4 Intended uses of endowment funds | FormAndLineReferenceDesc |
| Explanation | RUSH 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,831,080 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,831,080 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0103 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $102,371,908 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $65,626,020 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $36,745,888 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0990 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $106,202,988 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $65,626,020 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $40,576,968 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1093 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,528 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,697 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,831 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,377,377 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,245,791 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,131,586 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0138 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,127,023 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $503,848 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,623,175 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0529 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $77,145 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $77,145 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $26,620,073 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,768,336 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,851,737 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0670 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $132,823,061 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $67,394,356 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $65,428,705 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1763 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,793 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,793 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $147,954 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $132,954 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0004 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $166,747 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $151,747 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0004 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $23,751,386 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,375,139 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $56,907,826 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $74,020,288 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$17,112,462 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COPLEY MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 OGDEN AVE | AddressLine1Txt |
| City | AURORA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 605044206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.RUSHCOPLEY.COM | WebsiteAddressTxt |
| State License | 2150791 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COPLEY MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.rush.edu/about-us/rush-community/chnachip-reports-and-cbr/rush-copley-chna-report | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.rush.edu/about-us/rush-community/chnachip-reports-and-cbr/rush-copley-chna-report | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://www.rush.edu/patients-visitors/financial-assistance | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.rush.edu/patients-visitors/financial-assistance | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.rush.edu/patients-visitors/financial-assistance | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 2 | Facility , 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| RADIATION THERAPY CENTER AT RIVERWEST | ||||
| 1221 N HIGHLAND AVENUE | AURORA | IL | 605044206 | JV ONCOLOGY |
| CASTLE SURGICENTER | ||||
| 2111 OGDEN AVE | AURORA | IL | 60504 | AMBULATORY SURGERY CENTER |
| RUSH COPLEY HEALTHCARE CENTER | ||||
| 1100 WEST VETERANS PARKWAY | YORKVILLE | IL | 60560 | OUTPATIENT SERVICES |
| MIDWEST CENTER FOR ADVANCED IMAGING | ||||
| 4355 MONTGOMERY ROAD | NAPERVILLE | IL | 60564 | RADIOLOGY SERVICES |
| HEALTHPLEX OUTPATIENT REHABILITATION | ||||
| 1900 OGDEN AVENUE | AURORA | IL | 60504 | OUTPATIENT REHABILITATION SERVICES |
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c | DETAILS 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 Services | Reported $19,623,175 costs from physician clinics |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | A 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 Activities | Local 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 amount | BAD 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 Methodology | THE 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 footnote | NET 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 costs | THE 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 assistance | IT 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 assessment | COMMUNITY 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 assistance | AT 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 information | COPLEY 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 health | COPLEY 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 system | RUSH 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 report | IL |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | false | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a Health or social club dues or initiation fees | THE 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 payment | BRENDA 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 plan | CMH 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 payments | INCENTIVE BONUS PLAN BASED ON A SERIES OF APPROVED STRATEGIC ACCOMPLISHMENTS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| ILLINOIS FINANCE AUTHORITY | ||||||||
| A | 861091967 | 45203HS45 | 2015-02-11 | $105,601,668 | REFUND BONDS ISSUED 5/28/2008, 2/10/2009, AND 7/29/2009 | false | false | false |
| ILLINOIS FINANCE AUTHORITY | ||||||||
| B | 861091967 | 000000000 | 2019-08-29 | $36,752,000 | BUILDINGS AND EQUIPMENT | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $11,495,000 | $105,601,668 | $824,030 | $145 | $104,777,493 | false | Yes (true) | Yes (true) | Yes (true) | ||
| B | $2,853,000 | $36,752,000 | $252,000 | false | false | Yes (true) | Yes (true) | $36,500,000 | 2019 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | false | 0.0 | 0.0 | 0.0 | false | false | false |
| B | false | false | Yes (true) | Yes (true) | false | 0.0 | 0.0 | 0.0 | false | false | false |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | Yes (true) | false | false | false | false | false |
| B | false | Yes (true) | false | false | Yes (true) | false | false | false | false |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | false |
| B | false |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 A | THIS 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 A | Issuer 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 15 | WITH 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 persons | ALL 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 duties | RESERVED 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 stockholders | RUSH 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 body | CMH'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 stockholders | THE 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 body | THE 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 policy | ANNUALLY, 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 public | FORM 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 balances | CHANGE 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| RUSH COPLEY MEDICAL CENTER | ||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 363193787 | PARENT COMPANY | IL | 501(c)(3) | Type II | RUSH UNIVERSITY SYSTEM FOR HEALTH | Yes (true) |
| RUSH COPLEY FOUNDATION | ||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 363093877 | GRANTS TO CHARITABLE ORGANIZATIONS | IL | 501(c)(3) | 7 | RUSH COPLEY MEDICAL CENTER | Yes (true) |
| COPLEY VENTURES INC | ||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 363370216 | RENTAL PROP., INFIRMARY CARE, AND HEALTHPLEX FITNESS CENTER | IL | 501(c)(3) | 3 | RUSH COPLEY MEDICAL CENTER | Yes (true) |
| RUSH UNIVERSITY MEDICAL CENTER | ||||||||||
| 1700 WEST VAN BUREN STREET | CHICAGO | IL | 60612 | 362174823 | HEALTHCARE | IL | 501(c)(3) | 3 | RUSH UNIVERSITY SYSTEM FOR HEALTH | Yes (true) |
| RUSH UNIVERSITY SYSTEM FOR HEALTH | ||||||||||
| 1725 W HARRISON STREET | CHICAGO | IL | 60612 | 364046278 | HOSPITAL | IL | 501(c)(3) | Type III-FI | NA | false |
| RUSH OAK PARK HOSPITAL INC | ||||||||||
| 520 S MAPLE AVENUE | OAK PARK | IL | 60304 | 362183812 | HOSPITAL | IL | 501(c)(3) | 3 | RUSH UNIVERSITY MEDICAL CENTER INC | Yes (true) |
| AMENDED & RESTATED GENERAL MALPRACTICE & WORKER'S COMP | ||||||||||
| 1700 WEST VAN BUREN | CHICAGO | IL | 60612 | 366673233 | HEALTHCARE INSURANCE | IL | 501(c)(3) | Type III-FI | RUSH UNIVERSITY MEDICAL CENTER INC | Yes (true) |
| AUXILIARY OF RUSH OAK PARK HOSPITAL - | ||||||||||
| 520 S MAPLE AVE | OAK PARK | IL | 60304 | 362255350 | HOSPITAL SUPPORT | IL | 501(c)(3) | Type I | RUSH OAK PARK HOSPITAL | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RUSH SURGICENTER AT THE PROFESSIONAL BUILDING LP | |||||||||||||
| 1725 W HARRISON STREET | CHICAGO | IL | 60612 | 363853026 | SURGERY CENTER | IL | NA | N/A | false | false | |||
| RUSH COPLEY ORTHOPEDICS LLC | |||||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 611801175 | MEDICAL SERVICES | IL | NA | N/A | false | false | |||
| RUSH COPLEY SURGICENTER | |||||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 384012268 | MEDICAL SERVICES | IL | COPLEY MEMORIAL HOSPITAL INC CO RUSH | Related | false | Yes (true) | $180,739 | $15,640,391 | 0.99 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RUSH UNIVERSITY MEDICAL CENTER INSURANCE | ||||||||||||||
| PO BOX 1051 | GRAND CAYMAN | CJ | INSURANCE | CJ | NA | C Corporation | Yes (true) | |||||||
| RUSH COPLEY MEDICAL GROUP NFP | ||||||||||||||
| PHYSICIAN PRACTICES | NA | C Corporation | Yes (true) | 2000 OGDEN AVENUE | AURORA | IL | 60504 | 363235315 | IL | |||||
| ROOM FIVE HUNDRED | ||||||||||||||
| DINING ROOM | NA | C Corporation | Yes (true) | 1725 W HARRISON STREET | CHICAGO | IL | 60612 | 237139832 | IL | |||||
| RUSH UNIVERSITY MEDICAL CENTER MASTER RETIREMENT TRUST | ||||||||||||||
| PENSION TRUST | NA | Trust | Yes (true) | 1700 W VAN BUREN STREET | CHICAGO | IL | 60612 | 912043520 | IL | SUITE 501 | ||||
| RUSH HEALTH | ||||||||||||||
| CLINICALLY INTEGRATED NETWORK | NA | C Corporation | Yes (true) | 1645 WEST JACKSON BLVD | CHICAGO | IL | 60612 | 363972171 | IL | SUITE 501 | ||||
| RUSH HEALTH ACO INC | ||||||||||||||
| ACO | NA | C Corporation | Yes (true) | 1645 WEST JACKSON BLVD | CHICAGO | IL | 60612 | 821632136 | IL | SUITE 501 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| RUSH COPLEY MEDICAL GROUP NFP | ||
| A | $613,959 | FAIR MARKET VALUE |
| RUSH COPLEY FOUNDATION | ||
| C | $1,234,218 | FAIR MARKET VALUE |
| COPLEY VENTURES INC | ||
| M | $575,000 | FAIR MARKET VALUE |
| COPLEY VENTURES INC | ||
| R | $126,104 | FMV - RENTS |
| RUSH UNIVERSITY MEDICAL CENTER | ||
| J | $400,132 | FAIR MARKET VALUE |
| RUSH UNIVERSITY MEDICAL CENTER | ||
| P | $8,032,123 | FAIR MARKET VALUE |
| RUSH COPLEY FOUNDATION | ||
| S | $780,072 | FAIR MARKET VALUE |
| RUSH HEALTH | ||
| M | $1,707,165 | FAIR MARKET VALUE |
| RUSH HEALTH | ||
| P | $440,086 | FAIR MARKET VALUE |
| RUSH HEALTH | ||
| P | $45,441 | FAIR MARKET VALUE |
| RUSH HEALTH | ||
| S | $3,791,648 | FAIR MARKET VALUE |
| RUSH UNIVERSITY SYSTEM FOR HEALTH | ||
| M | $320,062 | FAIR MARKET VALUE |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part III IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS PARTNERSHIP | FormAndLineReferenceDesc |
| Explanation | NAME OF RELATED ORGANIZATION: RUSH COPLEY SURGICENTER DIRECT CONTROLLING ENTITY: COPLEY MEMORIAL HOSPITAL, INC. C/O RUSH COPLEY MEDICAL CENTER | ExplanationTxt |