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COPLEY MEMORIAL HOSPITAL INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
COPLEY MEMORIAL HOSPITAL INC (EIN 36-2170840)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-11
IRS object ID
202301319349307550
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-05-11T22:36:02+00:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line150 S 6TH STREET SUITE 2800AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554021844ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362170840EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN DIEDERICHPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone6309784941PhoneNum
Signature2023-05-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstBRENDAPersonFirstNm
Person LastVAN WYHEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANNA KOLAKALURIPreparerPersonNm
PTINP01275237PTIN
Phone6123974000PhoneNum
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN DIEDERICHBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 Ogden AvenueAddressLine1Txt
CityAuroraCityNm
State AbbreviationILStateAbbreviationCd
ZIP605044206ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$640,609,942GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RUSHCOPLEY.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1886FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTHE MISSION OF RUSH COPLEY IS TO PROVIDE ADVANCED MEDICINE WITH QUALITY OUTCOMES AND EXTRAORDINARY CARE.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee2743TotalEmployeeCnt
Total Volunteers170TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$20,536,656PYContributionsGrantsAmt
CY Contributions Grants$3,294,712CYContributionsGrantsAmt
PY Program Service Revenue$376,386,724PYProgramServiceRevenueAmt
CY Program Service Revenue$377,387,341CYProgramServiceRevenueAmt
PY Investment Income$6,754,688PYInvestmentIncomeAmt
CY Investment Income$19,028,974CYInvestmentIncomeAmt
PY Other Revenue$3,756,528PYOtherRevenueAmt
CY Other Revenue$7,413,907CYOtherRevenueAmt
PY Total Revenue$407,434,596PYTotalRevenueAmt
CY Total Revenue$407,124,934CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$168,590,696PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$178,107,474CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$177,283,966PYOtherExpensesAmt
CY Other Expenses$182,457,578CYOtherExpensesAmt
PY Total Expenses$345,874,662PYTotalExpensesAmt
CY Total Expenses$360,565,552CYTotalExpensesAmt
PY Revenues Less Expenses$61,559,934PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$46,559,382CYRevenuesLessExpensesAmt
Total Assets BOY$974,963,685TotalAssetsBOYAmt
Total Assets EOY$954,609,869TotalAssetsEOYAmt
Total Liabilities BOY$440,241,277TotalLiabilitiesBOYAmt
Total Liabilities EOY$362,556,402TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$534,722,408NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$592,053,467NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF RUSH COPLEY IS TO PROVIDE ADVANCED MEDICINE WITH QUALITY OUTCOMES AND EXTRAORDINARY CARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$291,436,943ExpenseAmt
Grant$500GrantAmt
Revenue$383,365,737RevenueAmt
DescTHE MISSION OF RUSH COPLEY IS TO PROVIDE ADVANCED MEDICINE WITH QUALITY OUTCOMES AND EXTRAORDINARY CARE. IN FY2022, 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 FY22 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 FY22, 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 FY22, FREE FASTING GLUCOSE SCREENINGS AND EDUCATION WERE PROVIDED TO APPROXIMATELY 228 UNIQUE COMMUNITY MEMBERS SERVED WITH 419 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. IN MAY OF 2022 RUSH COPLEY MEDICAL CENTER PARTNERED 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 FY22 THE RUSH COPLEY PROMISE PANTRY PROVIDED 717 PROMISE PANTRY BAGS, THIS IS EQUIVALENT TO 4,302 MEALS. ADDITIONALLY, THE COOK BOOK, "EAT 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. OVER 400 COOK BOOKS WERE PROVIDED TO PATIENTS AND FAMILIES IN FY22. COMMUNITY FOOD DISTRIBUTION RUSH COPLEY MEDICAL CENTER PARTNERSHIP WITH TOP BOX, AMERICAN DIABETES ASSOCIATION, BLUE CROSS AND BLUE SHIELD OF ILLINOIS AND TOP BOX FOODS TO HOST A COMMUNITY FOOD DISTRIBUTION AT WATERFORD PLACE CANCER RESOURCES CENTER. COMMUNITY MEMBERS RECEIVED A BOX OF FRESH PRODUCE AND HEALTH PROTEINS, A TOTAL OF 250 BOXES WERE DISTRIBUTED IN FY22. 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. NEARLY 1,500 PEOPLE PARTICIPATED IN FY22. 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 FY22, THE PROGRAM EDUCATED MORE THAN 5,000 CITIZENS ON TRAFFIC SAFETY, PEDESTRIAN SAFETY, MOTORCYCLE SAFETY, OLDER DRIVERS, AND BICYCLE SAFETY IN COOK AND COLLAR COUNTIES. 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 FY22, 100 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 FY22, AND INCLUDED MONTHLY SUPPORT GROUPS FOR PARTICIPANTS AND CARE PARTNERS/CAREGIVERS, EXERCISE CLASSES, AND MUSIC THERAPY TO MORE THAN 150 PARTICIPANTS. CANCER RESOURCE CENTER WATERFORD PLACE CANCER RESOURCE CENTER OFFERED 40 PROGRAMS PER MONTH IN FY22 IN-PERSON OR HYBRID. PROGRAMS INCLUDED WELLNESS, EXERCISE, SALON AND SPA, AND EDUCATION PROGRAMS REACHING 445 UNIQUE PARTICIPANTS WITH A TOTAL OF 3,110 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. OVER 8,000 PEOPLE USED THIS SERVICE IN FY22. HEALTH TALK HEALTH TALKS IS A SERIES OF FREE COMMUNITY HEALTH PROGRAMS HOSTED IN PERSON AND VIRTUALLY DURING FY22 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 200 PARTICIPANTS ATTENDED IN PERSON OR VIRTUALLY. COMMUNITY HEALTH EVENTS RUSH COPLEY PARTICIPATED IN PLANNING AND IMPLEMENTATION FOR THE COMPANEROS EN SALUD HEALTH FESTIVAL TARGETED TOWARDS THE HISPANIC/LATINX COMMUNITY IN AURORA, AURORA AFRICAN AMERICAN HEALTH FAIR WHICH FOCUSED ON HEALTH AND WELLBEING OF THE AFRICAN AMERICAN/BLACK COMMUNITY, COMMUNITY COVID-19 VACCINATION EVENTS FOCUSED ON LOW VACCINATION RATE NEIGHBORHOODS. OVER 300 COMMUNITY MEMBERS PARTICIPATED IN THE EVENT. WEBSITE COPLEY MEMORIAL HOSPITAL'S WEBSITE, RUSHCOPLEY.COM, WITH TRANSLATION AVAILABLE INTO DOZENS OF LANGUAGES, OFFERS ACCESS TO FREE HEALTH INFORMATION. IN FY22, WWW.RUSH.EDU/RUSHCOPLEY HAD MORE THAN 1 MILLION SESSIONS.Desc
Total Program Service Expenses$291,436,943TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document236IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2743EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Bruce W Dienst
CHAIRMAN OF THE BOARD/DIRECTOR1.03.0Yes (X)Yes (X)$0$0$0
Christine Sobek
VICE CHAIR OF THE BOARD/DIRECTOR1.02.0Yes (X)Yes (X)$0$0$0
John Diederich MA MBA FACHE
President & CEO/Director40.04.0Yes (X)Yes (X)$993,593$0$367,158
Andrew VanEekeren
DIRECTOR1.02.0Yes (X)$0$0$0
Catherine Cederoth
DIRECTOR1.03.0Yes (X)$0$0$0
Dave Mead
DIRECTOR1.02.0Yes (X)$0$0$0
Garrett Katula DO
PHYSICIAN/DIRECTOR40.02.0Yes (X)$369,006$0$30,737
Herbert Knight
DIRECTOR1.02.0Yes (X)$0$0$0
Jae B Joo MD
VICE CHIEF OF STAFF/DIRECTOR40.02.0Yes (X)$731,346$0$38,960
James Baka
DIRECTOR1.02.0Yes (X)$0$0$0
Luis Perez
DIRECTOR1.02.0Yes (X)$0$0$0
Mark C Metzger
DIRECTOR1.03.0Yes (X)$0$0$0
Maryanne Locklin
DIRECTOR1.02.0Yes (X)$0$0$0
Maureen Strobl
DIRECTOR1.02.0Yes (X)$0$0$0
Patrick Carmody
DIRECTOR1.02.0Yes (X)$0$0$0
Richard Edelman
DIRECTOR1.02.0Yes (X)$0$0$0
Ronald Hem
DIRECTOR1.02.0Yes (X)$0$0$0
Syed Zaidi MD
CHIEF OF STAFF/DIRECTOR40.02.0Yes (X)$551,356$0$31,286
Trish Anen
DIRECTOR1.02.0Yes (X)$0$0$0
William Skoglund
DIRECTOR1.02.0Yes (X)$0$0$0
Brenda Van Wyhe
SR. VP FINANCE & CFO/TREASURER40.03.0Yes (X)$655,663$0$78,019
Ryan Asmus
VP GENERAL COUNSEL/SECRETARY40.03.0Yes (X)$488,894$0$41,307
Alex Pope
VP. PHILANTHROPY & CDO1.040.0$416,451$0$57,084Yes (X)
Brenda K Fann MD
ASSISTANT VP. MEDICAL AFFAIRS40.00$412,833$0$22,725Yes (X)
David Petasnick
ASSISTANT VP, ANCILLARY SVCS40.00$329,839$0$54,968Yes (X)
Hornbogen Abigail
VP. PATIENT CARE & CNO40.00$369,931$0$35,328Yes (X)
Mary F Shilkaitis
SR VP Operations & COO40.01.0$552,428$0$69,491Yes (X)
Steve B Lowenthal MD
SR. VP MEDICAL AFFAIRS & CMO40.00$875,993$0$27,338Yes (X)
Arif Saleem MD
PHYSICIAN40.00$907,185$0$28,991Yes (X)
Dmitry S Ruban MD
PHYSICIAN40.00$920,019$0$35,630Yes (X)
Jonathan L Tueting MD
PHYSICIAN40.00$1,484,796$0$37,184Yes (X)
Kevin V Kelly MD
PHYSICIAN40.00$930,665$0$27,921Yes (X)
Mark F Sharp-Schinsky MD
PHYSICIAN40.00$1,217,363$0$14,305Yes (X)
Barry C Finn
Former President & CEO/Director0.00.0$368,652$0$0Yes (X)
Dennis L Demasie
FORMER VP, INFORMATION TECH, & CIO0.00$279,866$0$0Yes (X)
Homan Diane MD
FORMER VO, QUALITY & PSO0.00$377,000$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$13,232,879TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$998,432TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K347IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
SODEXO
PO BOX 536922ATLANTAGA303536922FOOD AND CLEANING SERVICES$3,832,196
TRIMEDX LLC
PO BOX 636129CINCINNATIOH452636129EQUIPMENT MAINTENANCE$3,536,629
ATOS
DEPT - 772066DETROITMI482781177MEDICAL BILLING$2,676,198PO BOX 78000
OMNICELL INC
PO BOX 787521PHILADELPHIAPA191787521MEDICATION MANAGEMENT$984,921
DIVERSIFIED CLINICAL SERVICES
PO BOX 636981CINCINNATIOH452636981WOUND CENTER MANAGEMENT$813,609
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K29CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$431,190RelatedOrganizationsAmt
Government Grants$2,863,522GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$3,294,712TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SVC REV621110$341,212,109$341,212,109
MEDICAID TAX REVENUE621110$35,786,961$35,786,961
OTHER PROGRAM REVENUE900009$388,271$388,271
$0$0
$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$377,387,341TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,949,281TotalRevenueColumnAmt
Exclusion$9,949,281ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,570,479RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$664,802RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$905,677RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$905,677TotalRevenueColumnAmt
Exclusion$905,677ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$241,845,966SecuritiesAmt
Other$53,933OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$232,817,713SecuritiesAmt
Other$2,493OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$9,028,253SecuritiesAmt
Other$51,440OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,079,693TotalRevenueColumnAmt
Exclusion$9,079,693ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
OUTSIDE SERVICE REV621990$5,978,396$5,978,396
GIFT SHOP REVENUE453220$518,309$518,309
CAFETERIA REVENUE621990$11,525$11,525

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,508,230OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$407,124,934TotalRevenueColumnAmt
Related Or Exempt Func Income$383,365,737RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$20,464,485ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$500TotalAmt
Program Services$500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$8,357,320TotalAmt
Program Services$0ProgramServicesAmt
Management And General$8,357,320ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$507,641TotalAmt
Management And General$507,641ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$135,282,901TotalAmt
Program Services$101,400,402ProgramServicesAmt
Management And General$33,882,499ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,514,344TotalAmt
Program Services$2,635,758ProgramServicesAmt
Management And General$878,586ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$18,440,156TotalAmt
Program Services$13,830,117ProgramServicesAmt
Management And General$4,610,039ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,005,112TotalAmt
Program Services$9,003,834ProgramServicesAmt
Management And General$3,001,278ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$6,860,368TotalAmt
Program Services$5,145,276ProgramServicesAmt
Management And General$1,715,092ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$78,207TotalAmt
Management And General$78,207ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$80,874TotalAmt
Management And General$80,874ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$42,864TotalAmt
Management And General$42,864ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$838,251TotalAmt
Management And General$838,251ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,251,589TotalAmt
Program Services$7,688,692ProgramServicesAmt
Management And General$2,562,897ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$737,702TotalAmt
Program Services$737,702ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,590,989TotalAmt
Program Services$7,943,242ProgramServicesAmt
Management And General$2,647,747ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$12,416,007TotalAmt
Program Services$9,312,005ProgramServicesAmt
Management And General$3,104,002ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,415,087TotalAmt
Program Services$4,061,315ProgramServicesAmt
Management And General$1,353,772ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$84,588TotalAmt
Program Services$63,441ProgramServicesAmt
Management And General$21,147ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$106,721TotalAmt
Program Services$80,041ProgramServicesAmt
Management And General$26,680ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,862,276TotalAmt
Program Services$4,862,276ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$25,886,619TotalAmt
Program Services$25,886,619ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,131,107TotalAmt
Program Services$4,598,330ProgramServicesAmt
Management And General$1,532,777ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$59,209,416$59,209,416
MEDICAID PROVIDER TAX$19,915,670$19,915,670
PURCHASED SERVICES$15,547,747$11,660,811$3,886,936
COLLECTION FEES$1,191,184$1,191,184

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,210,312TotalAmt
Program Services$2,210,312ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$360,565,552TotalAmt
Program Services$291,436,943ProgramServicesAmt
Management And General$69,128,609ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$60,265,783BOYAmt
EOY$27,382,395EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$50,744,544BOYAmt
EOY$54,826,702EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,196,280BOYAmt
EOY$7,093,925EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,681,880BOYAmt
EOY$1,632,377EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$478,187,620LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$285,127,760LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$195,992,753BOYAmt
EOY$193,059,860EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$383,371,362BOYAmt
EOY$332,739,710EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$4,395,425BOYAmt
EOY$4,317,836EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$271,315,658BOYAmt
EOY$333,557,064EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$974,963,685BOYAmt
EOY$954,609,869EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$124,212,952BOYAmt
EOY$117,052,674EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$127,291,589BOYAmt
EOY$123,693,488EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$188,736,736BOYAmt
EOY$121,810,240EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$440,241,277BOYAmt
EOY$362,556,402EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$528,122,501BOYAmt
EOY$585,519,008EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,599,907BOYAmt
EOY$6,534,459EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$534,722,408BOYAmt
EOY$592,053,467EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$974,963,685BOYAmt
EOY$954,609,869EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$46,559,382ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$74,284,444NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$85,056,121OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$42,864OtherActivitiesAmt
Total Lobbying Expenditures$42,864TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,582,486BeginningYearBalanceAmt
Contributions$3,116,324ContributionsAmt
Investment Earnings Or Losses-$2,444,977InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$1,407,482OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$15,846,351EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,969,298BeginningYearBalanceAmt
Contributions$1,771,314ContributionsAmt
Investment Earnings Or Losses$806,653InvestmentEarningsOrLossesAmt
Other Expenditures$1,524,837OtherExpendituresAmt
End Year Balance$13,022,428EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,691,205BeginningYearBalanceAmt
Contributions$1,193,365ContributionsAmt
Investment Earnings Or Losses$662,110InvestmentEarningsOrLossesAmt
Other Expenditures$1,577,382OtherExpendituresAmt
End Year Balance$11,969,298EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.341BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.543PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.116TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,881,433OtherCostOrOtherBasisAmt
Book Value$18,881,433BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$264,072,845OtherCostOrOtherBasisAmt
Depreciation$149,174,138DepreciationAmt
Book Value$114,898,707BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,743,627OtherCostOrOtherBasisAmt
Depreciation$3,581,377DepreciationAmt
Book Value$162,250BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$188,263,720OtherCostOrOtherBasisAmt
Depreciation$132,372,245DepreciationAmt
Book Value$55,891,475BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,225,995OtherCostOrOtherBasisAmt
Book Value$3,225,995BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$193,059,860TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
DUE FROM RELATED PARTIES$298,988,115
INVESTMENT IN AFFILIATES$21,840,934
MALPRACTICE GROSS UP$2,598,378
RIGHT OF USE ASSET$9,754,463
OTHER RECEIVABLES$375,174
FieldValueIRS element (for citing)
Total Book Value Other Assets$333,557,064TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
LONG TERM SERP$1,486,869
LONG TERM MARKET ADJUST SWAP LIABILITY$4,790,478
DUE TO RELATED PARTY$96,593,910
UNAMORTIZED BOND DISCOUNT-$628,125
SHORT TERM/LONG TERM LEASE LIABILITY$10,131,141
COVID-19 MEDICARE ADVANCE$9,553,735
LONG TERM DEFERRED RENT OBLIGATION-$117,768
FieldValueIRS element (for citing)
Total Liability$121,810,240TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,495,352TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,495,352NetCommunityBenefitExpnsAmt
Total Expense0.0125TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$86,275,773TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$71,360,600DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,915,173NetCommunityBenefitExpnsAmt
Total Expense0.0414TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$90,771,125TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$71,360,600DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,410,525NetCommunityBenefitExpnsAmt
Total Expense0.0538TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$73,637TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$73,637NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served3081PersonsServedCnt
Total Community Benefit Expns$6,022,937TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,301,939DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,720,998NetCommunityBenefitExpnsAmt
Total Expense0.0131TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,637,426TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$335,168DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,302,258NetCommunityBenefitExpnsAmt
Total Expense0.0452TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$85,521TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$85,521NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served3081PersonsServedCnt
Total Community Benefit Expns$22,819,521TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,637,107DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,182,414NetCommunityBenefitExpnsAmt
Total Expense0.0587TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served3081PersonsServedCnt
Total Community Benefit Expns$113,590,646TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$72,997,707DirectOffsettingRevenueAmt
Net Community Benefit Expns$40,592,939NetCommunityBenefitExpnsAmt
Total Expense0.1126TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Persons Served5PersonsServedCnt
Total Community Benefit Expns$1,814TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,814NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served5PersonsServedCnt
Total Community Benefit Expns$1,814TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,814NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$32,431,370BadDebtExpenseAmt
Bad Debt Expense Attributable$3,243,137BadDebtExpenseAttributableAmt
Reimbursed By Medicare$58,093,530ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$85,785,776CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$27,692,246MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COPLEY MEMORIAL HOSPITAL IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 OGDEN AVENUEAddressLine1Txt
CityAURORACityNm
State AbbreviationILStateAbbreviationCd
ZIP605044206ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.RUSHCOPLEY.COMWebsiteAddressTxt
State License2150791StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1COPLEY MEMORIAL HOSPITAL IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.rush.edu/sites/default/files/media-documents/RCMC_2025-22_CHNA_CHIP_report.pdfOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.rush.edu/sites/default/files/media-documents/RCMC_2025-22_CHNA_CHIP_report.pdfStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care600.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.rush.edu/patients-visitors/financial-assistanceFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.rush.edu/patients-visitors/financial-assistanceFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.rush.edu/patients-visitors/financial-assistanceFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - COPLEY MEMORIAL HOSPITAL Inc. THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED. THIS INCLUDED COMMUNITY RESIDENTS AND EXPERTS IN A RANGE OF AREAS INCLUDING PUBLIC HEALTH, MINORITY POPULATIONS, DISPARITIES IN HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH, AND HEALTH & SOCIAL SERVICES. PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED INCLUDED: BOARD OF DIRECTORS, HOSPITAL ADMINISTRATION, COMMUNITY HEALTH NEEDS COMMITTEE, PARTNERSHIPS WITH KANE COUNTY, PARTNERSHIPS WITH KENDALL COUNTY, COMMUNITY HEALTH SURVEY, FOCUS GROUPS, AND SECONDARY DATA ANALYSIS. FOR COMPLETE DETAILS ABOUT HOW THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED, THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE ACCESSED AT: https://www.rush.edu/sites/default/files/media-documents/RCMC_2025-22_CHNA_CHIP_report.pdf
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - NORTHWESTERN DELNOR HOSPITAL, AMITA MERCY MEDICAL CENTER, AMITA ST. JOSEPH HOSPITAL, AND ADVOCATE SHERMAN HOSPITAL. THE KANE COUNTY HEALTH DEPARTMENT, RUSH COPLEY MEDICAL CENTER, NORTHWESTERN DELNOR HOSPITAL, AMITA MERCY MEDICAL CENTER, AMITA ST. JOSEPH HOSPITAL (ELGIN), AND ADVOCATE SHERMAN HOSPITAL WORKED TOGETHER ALONG WITH THE INC BOARD TO DEVELOP THE COUNTY'S IPLAN (ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEEDS). THE IPLAN IS A COMMUNITY HEALTH ASSESSMENT AND PLANNING PROCESS THAT IS CONDUCTED EVERY THREE TO FIVE YEARS BY LOCAL HEALTH JURISDICTIONS IN ILLINOIS. THE COLLABORATIVE PARTICIPATION IN THE PLANNING PROCESS, PLAN DEVELOPMENT, AND IDENTIFICATION OF THE HEALTH NEEDS FOR THE COUNTY SERVED AS A FOUNDATION FOR THE DEVELOPMENT OF EACH OF THE HOSPITAL'S RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENTS.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - THE KANE COUNTY HEALTH DEPARTMENT. THE KANE COUNTY HEALTH DEPARTMENT, RUSH COPLEY MEDICAL CENTER, NORTHWESTERN DELNOR HOSPITAL, AMITA MERCY MEDICAL CENTER, AMITA ST. JOSEPH HOSPITAL (ELGIN), AND ADVOCATE SHERMAN HOSPITAL WORKED TOGETHER ALONG WITH THE INC BOARD TO DEVELOP THE COUNTY'S IPLAN (ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEEDS). THE IPLAN IS A COMMUNITY HEALTH ASSESSMENT AND PLANNING PROCESS THAT IS CONDUCTED EVERY THREE TO FIVE YEARS BY LOCAL HEALTH JURISDICTIONS IN ILLINOIS. THE COLLABORATIVE PARTICIPATION IN THE PLANNING PROCESS, PLAN DEVELOPMENT, AND IDENTIFICATION OF THE HEALTH NEEDS FOR THE COUNTY SERVED AS A FOUNDATION FOR THE DEVELOPMENT OF EACH OF THE HOSPITAL'S RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENTS.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - COPLEY MEMORIAL HOSPITAL Inc. Rush Copley identified the following as the top health needs in the community to be addressed in the 2019 Community Health Needs Assessment, FY22 is the last year of the community health improvement plan for the identified needs: 1. Inequities in vulnerable populations: reduce inequities caused by the social, economic, and structural determinants of health 2. Mental and behavioral health, focusing on reducing the misuse of opioids and opioid-related deaths 3. Prevent and reduce chronic disease by focusing on risk factors, specifically reducing tobacco usage (including smoking and vaping) Rush Copley has implemented strategies to address all of these health needs, including the following: 1. Reduce inequities- through improved identification and connection of patients in need to available community resources Strategy 1: Identify, measure and mitigate the social determinants of health among those at greatest risk through improving the connection between vulnerable populations and needed socioeconomic resources * In collaboration with Rush University Medical Center, implemented a screening tool for RCMC inpatients and select ambulatory area patients that is now used to help identify the social, economic and structural determinants of health that could be affecting patient's health. * As patient needs are identified through the screening, increased and improved the referral process to resources that can help reduce inequities (NowPow). * Leveraged use of the EPIC medical record throughout the process * Rush Copley Promise Pantry established in March of 2021 to address food insecurity among Rush Copley patients, family members and caregivers and in May of 2022 partnered with Loaves and Fishes Community Services, a local food pantry to provide the pantry bags for the Promise Pantry. * All in-patient departments, Emergency Department, Cancer Care Center, Diabetes Center, Pediatric Offices, Outpatient Rehabilitation Therapy Center, and Waterford Place Cancer Resource Center * FY22 provided 717 (4,302 meals) Promise Pantry bags to patients and caregivers * In total the Promise Pantry has provided 1,562 (8,527 meals provided) Promise Pantry Bags since March of 2021 * Collaboration with Aurora Are Interfaith Food Pantry and Top Box Foods * Summer 2020, Two pop up pantries hosted that served 93 cancer care patients and caregivers * Summer 2021, One pop up pantry hosted that served 250 community members Strategy 2: Provide staff and physician education focused on the unique needs of vulnerable populations * Developed and implemented an education plan regarding social determinants of health to increase knowledge and awareness among care providers * Developed and implement care provider education focused on the unique needs of vulnerable populations. Gender affirming care modules made available to medical staff * Sexual orientation and gender identity screening incorporated in to patient profile to best meet the needs of each person. Strategy 3: Participate in local community health improvement collaborative(s) Participated in and partnered with city and county agencies, health systems, and community organizations, including but not limited to: * The Kane Health Counts Executive Committee and action team focused on access to health services. * Oswego Senior Center committee for Senior/dementia-friendly community * FUSE (Frequent Users System Engagement) initiative with the City of Aurora 2. Mental and Behavioral Health: Reduce the misuse of opioids and opioid-related deaths in the community Strategy 1: Reduce the number of opioid prescriptions and quantity prescribed * Incorporated intelligent design through the EPIC build and implementation processes that serves as a tool in the efforts to reduce opioid prescriptions/quantity prescribed. Included the following: * Updated order sets to optimize pain management while reducing the use of opioids * Implemented dose warnings for high morphine equivalent per day doses and prescribing advice of Narcan (naloxone) antidote * Developed opioid dashboards and reports to track and benchmark opioid use * Removed default durations in orders for opioid prescriptions * In partnership with Rush Copley Medical Group, implemented EPIC enhancements with Best Practice * Advisories with MME (Morphine Equivalents) * Developed and implemented provider education programs regarding the opioid crisis and ways to optimize pain management * System wide continuing education program rolled out around opioid ordering and using alternatives, which produced the following positive results. * Realized a 42% decrease in opioid prescriptions written for greater than 7 days * Realized a 60% decrease in opioid prescription written for greater than 90 Morphine * Milligram Equivalents (MME) per day. These dose levels have the highest risk of overdoses. * Realized a 49% decrease in opioid prescriptions written for greater than 50 MME per day Strategy 2: Reduce the number of opioids already existing in the community * Assessed the feasibility of implementing a prescription drop-off box on site and/or pharmaceutical disposal via mail * Additionally, disseminated information to providers, patients, and community on opioid take back locations * Assessed the feasibility of distributing Dispose Rx (or similar material) with opioid prescriptions Strategy 3: Develop and implement community, patient, and care provider education * Developed and implemented community and healthcare provider education programs regarding: * How to manage pain without medications * Education to consumers and providers regarding opioid use * How to properly dispose of unused medications * Improve discharge instructions and education through EPIC regarding opioid use Strategy 4: Participate in local community health improvement collaborative(s) Participated in and partnered with city and county agencies, health systems, and community organizations, including but not limited to: * Kane Health Counts Executive Committee * Kane County Opioid Task Force * Kane County Behavioral Health Council * Rush University System for Health Opioid Workforce * Kendall County to teach Narcan (naloxone) administration to the community 3. Prevent and Reduce Chronic Disease: Reducing tobacco usage in the community (including smoking and vaping) Strategy 1: Develop/enhance and implement education and resources to help patients and the community quit smoking/vaping * Developed/enhanced and implemented education, resources, and/or programs to help the community quit smoking * Continued to improve awareness through creating or utilizing materials in both English and * Spanish as well as having access to additional resources in other native languages for the patient population at Rush Copley * Implemented promotion and utilization of Pro-Change for Rush Copley and Rush Copley Medical Group patients and employees (web-based digital coaching for smoking cessation) * Hosted Spanish language Freedom from Smoking (FFS) programs in the community * Provided the FFS flyer to community partners to distribute among their population that are current smokers * Partnered with local school districts and health departments to discuss efforts around vaping/e-cigarette prevention and education for pre-teens, adolescents, and parents. * Community Education at schools with parents, students, school nurses and at after school program Strategy 2: Leverage the use of the EMR to improve documentation and reduce tobacco usage * Improved the assessment and documentation of patients' smoking history by implementing tools in the EPIC EMR to quantify the number of patients that smoke, as well as calculate and document their smoking history (pack year history) * Developed and implemented a tobacco smart set in the EPIC EMR for both the hospital and RCMG that will: * Track provider referrals for Freedom From Smoking program * Track provider referrals to the Illinois Tobacco Quitline * Participated in the pilot program for the Automation Referral for the Illinois Tobacco Quitline * Enhanced patient discharge instructions in the EPIC EMR system so that it incorporated and provided tobacco cessation resources for patients (state, local and Rush System resources)
Schedule H, Part V, Section B, Line 11 Facility , 2Facility , 2 - COPLEY MEMORIAL HOSPITAL Inc. Strategy 3: Develop/enhance care provider education to increase engagement of tobacco cessation and assessment of willingness to quit * Strategically developed staff and physician education around engagement of tobacco cessation and addressing patients' willingness to quit smoking (among current smokers) * Began with education among RCMG practices and then transitioned into RCMC department education * Assessed and determined the best teaching methods for each department in order to engage their respective patient population(s) in tobacco cessation discussions and assessment of willingness to quit, which translated into a positive patient experience vs. a negative experience * Educated clinical staff regarding utilization of the Illinois Tobacco Quitline Referral Forms on Policy & Procedures Portal * Tobacco Cessation Resources SmartSet has been completed among clinical and non-clinical staff Vaping and Marijuana CME Strategy 4: Participate in local community and Rush System health improvement collaborative(s) Participated in and partnered with city and county agencies, health systems, and community organizations, including but not limited to: * Kane Health Counts Executive Committee * Kane County Tobacco Coalition * Rush University's Tobacco Oversight Committee 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, focusing on reducing inequities in vulnerable populations through improved identification and connection of patients in need to available community resources. 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)
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

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

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3cDETAILS ARE IDENTIFIED UNDER THE FINANCIAL ASSISTANCE POLICY, PATIENTS MUST COMPLETE AN APPLICATION, MEET THE QUALIFICATIONS AND RESPONSE WITH THE REQUESTED DOCUMENTATION UNDER THE POLICY TO DETERMINE THE DISCOUNT AMOUNT, IF ANY, THAT WOULD APPLY TO THEIR HOSPITAL BILL.
Schedule H, Part I, Line 7g Subsidized Health ServicesReported $16,302,258 costs from physician clinics
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceA COST ACCOUNTING SYSTEM WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. A COST TO CHARGE RATIO WAS UTILIZED. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS (INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED AND SELF PAY).
Schedule H, Part II Community Building ActivitiesLocal high school students come to the hospital to observe various areas of the hospital to get an understand of the work performed in each area and how patients are cared for and treated. Hopefully this encourages some of the students to persue healthcare careers.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountBAD DEBT EXPENSE IS CALCULATED BASED ON ACTUAL WRITE OFF'S DURING THE YEAR AND APPLYING HISTORICAL UNCOLLECTED PERCENTAGES TO CURRENT OUTSTANDING BALANCES.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyTHE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS 10% OF THE ORGANIZATION'S BAD DEBT EXPENSE REPORTED ON PART III, LINE 2.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteNET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM THIRD PARTY PAYORS, PATIENTS, AND OTHERS FOR SERVICES RENDERED. RCMC HAS AGREEMENTS WITH THIRD PARTY PAYORS THAT PROVIDE FOR PAYMENT AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, PER DIEM PAYMENTS, AND DISCOUNTED CHARGES, INCLUDING ESTIMATED RETROACTIVE SETTLEMENTS UNDER PAYMENT AGREEMENTS WITH THIRD PARTY PAYORS. RCMC RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENT WHO HAVE THIRD PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR SERVICES RENDERED. PROVISIONS FOR ADJUSTMENTS TO NET PATIENT SERVICE REVENUE ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED TO FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, RCMC RECOGNIZES REVENUE BASED ON ITS DISCOUNTED RATES. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OR RCMC'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED. THUS, RCMC RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. PATIENT ACCOUNTS RECEIVABLE ARE BASED ON GROSS CHARGES AND STATED AT NET REALIZABLE VALUE. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS, BASED ON EXPECTED PAYMENT RATES FROM PAYORS UNDER CURRENT REIMBURSEMENT METHODOLOGIES, AND ALSO BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, RCMC ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), RCMC RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE DISCOUNTED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED UNCOLLECTIBLE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsALL OF THE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE IF WE DID NOT PROVIDE THE SERVICE, THE BURDEN OF THE COSTS WOULD FALL ON THE GOVERNMENT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceIT IS OUR POLICY NOT TO PURSUE COLLECTION PRACTICES AGAINST PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE. IN CERTAIN CASES IT MAY NOT BE EASILY DETERMINE WHETHER OR NOT A PATIENT QUALIFIES FOR CHARITY CARE OR FINANCIAL ASSISTANCE. HOWEVER, IF AFTER COLLECTION PRACTICES HAVE BEGUN, IT BECOMES KNOWN THE PATIENT QUALIFIES, THE COLLECTION EFFORTS CEASE.
Schedule H, Part V, Section B, Line 16a FAP website- COPLEY MEMORIAL HOSPITAL Inc: Line 16a URL: https://www.rush.edu/patients-visitors/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website- COPLEY MEMORIAL HOSPITAL Inc: Line 16b URL: https://www.rush.edu/patients-visitors/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- COPLEY MEMORIAL HOSPITAL Inc: Line 16c URL: https://www.rush.edu/patients-visitors/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessmentCOMMUNITY NEED IS ASSESSED THROUGH REVIEW OF COMMUNITY AND HOSPITAL DATA, PERIODIC ASSESSMENTS WITH PHYSICIAN AND CLINICIANS, AND REPORTING OF INFORMATION FROM HOSPITAL COMMITTEES. FURTHER INPUT FROM THE COMMUNITY ARISES FROM THE COMMUNITY BASED BOARD OF DIRECTORS, VARIOUS FORMS OF PATIENT INPUT, AND HOSPITAL INVOLVEMENT WITH GOVERNMENT, HEALTH INDUSTRY, AND COMMUNITY AGENCIES. THE HOSPITAL ALSO ACTIVELY PARTICIPATES IN FORMAL NEEDS ASSESSMENTS CONDUCTED BY GOVERNMENT AND COMMUNITY AGENCIES.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceAT THE TIME OF SERVICE, COPLEY MEMORIAL HOSPITAL, INC. PATIENTS ARE GIVEN A BILLING BROCHURE, WHICH DESCRIBES THE FINANCIAL ASSISTANCE/CHARITY CARE PROGRAMS AVAILABLE. THIS INFORMATION IS ALSO POSTED AT THE REGISTRATION CHECK-IN DESKS, IN AN INPATIENT GUIDE, AND ON THE RUSH COPLEY WEBSITE. FINANCIAL COUNSELORS ARE AVAILABLE TO EXPLAIN THE PROGRAM IN DETAIL TO PATIENTS WHO ARE SEEN WITHOUT INSURANCE COVERAGE. ALL PATIENT BILLING STATEMENTS ADVISE THE PATIENTS TO CALL AND INQUIRE ON THE DETAILS AS NEEDED.
Schedule H, Part VI, Line 4 Community informationCOPLEY MEMORIAL HOSPITAL INC.'S PRIMARY SERVICE AREA IS LOCATED 45 TO 55 MILES SOUTHWEST OF CHICAGO AND INCLUDES ALL OF AURORA AND MOST OF SOUTHERN KANE COUNTY AND KENDALL COUNTY, ILLINOIS. KANE COUNTY IS PREDOMINANTLY URBAN AND SUBURBAN, AND THE POVERTY RATE IS 10%. KENDALL COUNTY, TO THE SOUTH OF KANE, IS MOSTLY RURAL WHILE THE NORTHWEST SECTION OF THE COUNTY IS SUBURBAN, AND THE POVERTY RATE IN THE COUNTY IS 5.3%. THE PRIMARY SERVICE AREA HAS A POPULATION OF OVER 383,000 RESIDENTS. APPROXIMATELY 33.5% OF THE POPULATION IS OF HISPANIC OR LATINO ORIGIN. THE MEDIAN AGE OF THE COMMUNITY IS 34.3 YEARS. THE COMMUNITY CONTINUES TO RECOVER FROM THE ECONOMIC DOWNTOWN AND HAS SHOWN SIGNIFICANT IMPROVEMENT IN A NUMBER OF AREAS SINCE 2015, INCLUDING AN INCREASE IN MEDIAN HOUSING VALUES, MEDIAN HOUSEHOLD INCOME, AND IMPROVEMENT IN FORECLOSURE RATES, UNEMPLOYMENT RATES, AND ATTAINMENT OF HIGHER EDUCATION.
Schedule H, Part VI, Line 5 Promotion of community healthCOPLEY MEMORIAL HOSPITAL'S MISSION IS TO PROVIDE ADVANCED MEDICINE WITH QUALITY OUTCOMES AND EXTRAORDINARY CARE. TO THAT END, THE MEDICAL CENTER SEEKS TO SERVE THE COMMUNITY IN WAYS THAT ENGAGE, EDUCATE AND EMPOWER. COPLEY MEMORIAL HOSPITAL SERVES ALL PATIENTS WHO PRESENT FOR CARE AND SERVES THE SURROUNDING COMMUNITY ALONG WITH A BOARD OF DIRECTORS WITH A STRONG COMMUNITY BASE. THE BOARD MEMBERS ARE INDEPENDENT COMMUNITY LEADERS AND ARE SELECTED BASED UPON THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS OF BENEFIT TO THE ORGANIZATION AND THEIR ROLE AS BOARD MEMBERS WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT OUR MISSION. BOARD MEMBERS ARE NOT COMPENSATED FOR THEIR SERVICE. AS A CHARITABLE ORGANIZATION, ALL SURPLUS FUNDS ARE USED TO FURTHER OUR CHARITABLE PURPOSE, MISSION AND TO SERVE THE COMMUNITY. SOME OF OUR PRIMARY PROGRAMS ARE: COMMUNITY HEALTH FAIRS, BREASTFEEDING EDUCATION CLASSES, CHILD CARE CLASSES, FREE AND REDUCED COST HEALTH SCREENINGS, LANGUAGE ASSISTANCE SERVICES, ETC. COPLEY MEMORIAL HOSPITAL PROVIDES ACCESS TO PHYSICIAN, ACUTE CARE, DIAGNOSTIC, AND REHABILITATIVE SERVICES TO PEOPLE, REGARDLESS OF ABILITY TO PAY, THROUGH A NUMBER OF FACILITIES AND SERVICES LOCATED THROUGHOUT THE SERVICE AREA. IT PROVIDES PROGRAMMING RELATING TO HEALTH EDUCATION, PREVENTION, AND SUPPORT TARGETED TO SPECIFIC POPULATIONS. MEDICAL EDUCATION EXTENDS TO CLINICAL SETTINGS FOR NURSING EDUCATION AND A FAMILY PRACTICE RESIDENCY. EMPLOYEES FILL BOARD AND COMMITTEE LEADERSHIP POSITIONS FOR A NUMBER OF ECONOMIC DEVELOPMENT AND SOCIAL SERVICE AGENCIES IN COMMUNITIES THROUGHOUT THE SERVICE AREA.
Schedule H, Part VI, Line 6 Affiliated health care systemRUSH SYSTEM FOR HEALTH ("RUSH"), IS A MULTIHOSPITAL HEALTH SYSTEM WITH OPERATIONS THAT CONSIST OF SEVERAL DIVERSE ACTIVITIES WITH A SHARED MISSION OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. RUSH CONSISTS OF AN ACADEMIC MEDICAL CENTER, RUSH UNIVERSITY MEDICAL CENTER ("RUMC"), TWO COMMUNITY HOSPITALS, RUSH COPLEY MEDICAL CENTER ("RCMC") AND RUSH OAK PARK HOSPITAL ("RPPH"), THAT EACH SERVE DISTINCT MARKETS IN CHICAGO, ILLINOIS, METROPOLITAN AREA AND RUSH HEALTH, A PHYSICIAN HOSPITAL ORGANIZATION AND CLINICALLY INTEGRATED NETWORK.
Schedule H, Part VI, Line 7 State filing of community benefit reportIL

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
John Diederich MA MBA FACHE
President & CEO/Director$605,503$0$382,806$0$5,284$0$340,230$0$26,928$0$1,360,751$0$0$0
Jae B Joo MD
VICE CHIEF OF STAFF/DIRECTOR$499,580$0$220,882$0$10,884$0$9,599$0$29,361$0$770,306$0$0$0
Garrett Katula DO
PHYSICIAN/DIRECTOR$268,474$0$96,338$0$4,194$0$9,750$0$20,987$0$399,743$0$0$0
Syed Zaidi MD
CHIEF OF STAFF/DIRECTOR$489,521$0$15,319$0$46,516$0$6,997$0$24,289$0$582,642$0$0$0
Barry C Finn
Former President & CEO/Director$0$0$0$0$368,652$0$0$0$0$0$368,652$0$0$0
Ryan Asmus
VP GENERAL COUNSEL/SECRETARY$326,398$0$158,794$0$3,702$0$41,307$0$0$0$530,201$0$0$0
Brenda Van Wyhe
SR. VP FINANCE & CFO/TREASURER$413,835$0$235,355$0$6,473$0$56,313$0$21,706$0$733,682$0$0$0
Dennis L Demasie
FORMER VP, INFORMATION TECH, & CIO$0$0$0$0$279,866$0$0$0$0$0$279,866$0$0$0
Homan Diane MD
FORMER VO, QUALITY & PSO$0$0$0$0$377,000$0$0$0$0$0$377,000$0$0$0
Hornbogen Abigail
VP. PATIENT CARE & CNO$244,702$0$122,817$0$2,412$0$8,350$0$26,978$0$405,259$0$0$0
Brenda K Fann MD
ASSISTANT VP. MEDICAL AFFAIRS$317,920$0$90,207$0$4,706$0$6,500$0$16,225$0$435,558$0$0$0
Steve B Lowenthal MD
SR. VP MEDICAL AFFAIRS & CMO$505,854$0$283,560$0$86,579$0$10,141$0$17,197$0$903,331$0$0$0
David Petasnick
ASSISTANT VP, ANCILLARY SVCS$218,853$0$109,171$0$1,815$0$28,050$0$26,918$0$384,807$0$0$0
Alex Pope
VP. PHILANTHROPY & CDO$275,264$0$137,952$0$3,235$0$28,356$0$28,728$0$473,535$0$0$0
Mary F Shilkaitis
SR VP Operations & COO$346,794$0$198,492$0$7,142$0$46,319$0$23,172$0$621,919$0$0$0
Kevin V Kelly MD
PHYSICIAN$922,717$0$3,763$0$4,185$0$1,560$0$26,361$0$958,586$0$0$0
Dmitry S Ruban MD
PHYSICIAN$915,546$0$3,763$0$710$0$9,750$0$25,880$0$955,649$0$0$0
Arif Saleem MD
PHYSICIAN$604,707$0$290,952$0$11,526$0$2,380$0$26,611$0$936,176$0$0$0
Mark F Sharp-Schinsky MD
PHYSICIAN$756,504$0$378,752$0$82,107$0$3,120$0$11,185$0$1,231,668$0$0$0
Jonathan L Tueting MD
PHYSICIAN$749,755$0$720,909$0$14,132$0$7,823$0$29,361$0$1,521,980$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Health or social club dues or initiation feesTHE ORGANIZATION PROVIDES TO ALL EMPLOYEES THE USE OF AN ATHLETIC FACILITY THAT IS OWNED AND OPERATED BY A RELATED TAX EXEMPT ORGANIZATION. THESE AMOUNTS ARE NON-TAXABLE.
Schedule J, Part I, Line 4a Severance or change-of-control paymentBARRY FINN, FORMER PRESIDENT & CEO AND DIRECTOR, WAS PAID $368,652 IN 2021 PURSUANT TO HIS SEVERANCE AGREEMENT. DENNIS DEMASIE, FORMER VP, INFORMATION TECH & CIO, WAS PAID $279,866 IN 2021 PURSUANT TO HIS SEVERANCE AGREEMENT. DIANE HOMAN, FORMER VP, QUALITY & PSO, WAS PAID $377,000 IN 2021 PURSUANT TO HER SEVERANCE AGREEMENT.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planCMH OFFERS A SUPPLEMENTAL RETIREMENT PLAN TO CERTAIN EMPLOYEES WHO RECEIPT OF THESE AMOUNTS BY THE INDIVIDUALS UNTIL THEY ARE PAID OUT AS MEET THE REQUIRED VESTING PERIOD. ONCE VESTED, PAYOUTS WOULD BE THE AMOUNTS PAID OUT OF THIS PLAN IN 2020 WERE AS FOLLOWS: STEVE PARTICIPATE IN THE EXECUTIVE BENEFITS PROGRAM. THERE IS NO CONSTRUCTIVE THEY ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE UNTIL INDIVIDUALS INCLUDED AS REPORTABLE COMPENSATION ON THE RECIPIENTS ANNUAL FORM W-2. STEVE LOWENTHAL - $66,300
Schedule J, Part I, Line 7 Non-fixed paymentsINCENTIVE BONUS PLAN BASED ON A SERIES OF APPROVED STRATEGIC ACCOMPLISHMENTS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYr
A$9,700,000$105,601,668$824,030$145$104,777,493falseYes (true)Yes (true)Yes (true)
B$1,885,000$36,752,000$252,000falsefalseYes (true)Yes (true)$36,500,0002019

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
Afalse
Bfalse

Supplemental Information Detail SupplementalInformationDetail (3 entries)

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 15WITH RESPECT TO THE CEO/VPS OF THE ORGANIZATION AND KEY SENIOR MANAGEMENT, THE ORGANIZATION FOLLOWS A COMPENSATION APPROVAL PROCEDURE ANNUALLY THAT INVOLVES APPROVAL OF PROPOSED AND FINAL COMPENSATION ARRANGEMENTS BY THE ORGANIZATION'S COMPENSATION COMMITTEE AND FULL BOARD OF DIRECTORS USING COMPARABILITY DATA, AS WELL AS CONTEMPORANEOUS DOCUMENTATION OF COMPENSATION DECISIONS IN MINUTES.
Form 990, Part VI, Line 2 Family/business relationships amongst interested personsALL OF THE PERSONS LISTED ON PART VII HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON RELATED RUSH COPLEY MEDICAL CENTER ENTITY BOARDS. - Business relationship
Form 990, Part VI, Line 3 Delegation of management dutiesRESERVED POWERS OVER CERTAIN MANAGEMENT DUTIES HAVE BEEN DELEGATED TO RUSH SYSTEM FOR HEALTH ("RSH") AS THE PARENT ENTITY FOR THE RUSH SYSTEM. THESE DUTIES INCLUDE APPROVING VARIOUS RCMC ACTIONS, INCLUDING RCMC'S OPERATING BUDGET AND CERTAIN TRANSACTIONS, APPOINTMENT OF CERTAIN RCMC EXECUTIVES, APPOINTMENT OF RCMC'S BOARD MEMBERS, ETC.
Form 990, Part VI, Line 6 Classes of members or stockholdersRUSH COPLEY MEDICAL CENTER ("RCMC") IS THE SOLE CORPORATE MEMBER OF COPLEY MEMORIAL HOSPITAL, INC. ("CMH"), RUSH COPLEY MEDICAL GROUP, NFP ("RCMG"), COPLEY VENTURES, INC. ("CV"), AND RUSH COPLEY FOUNDATION ("RCF").
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyCMH'S BOARD OF DIRECTORS INCLUDES AT LEAST NINE (9) INDIVIDUALS ELECTED BY THE SOLE CORPORATE MEMBER, RCMC. EACH OF THESE ELECTED DIRECTORS IS ALSO A MEMBER OF THE GOVERNING BOARD OF CMH'S SOLE CORPORATE MEMBER, RCMC. THE ELECTION AND RE-ELECTION OF ALL CMH DIRECTORS IS AT THE DIRECTION OF RCMC AT THE ANNUAL GOVERNING BOARD MEETING. VACANCIES ON THE CMH BOARD OF DIRECTORS ARE FILLED BY CMH'S SOLE CORPORATE MEMBER, RCMC. IN ACCORDANCE WITH CERTAIN PROCEDURAL REQUIREMENTS STATED IN THE BYLAWS, ELECTED DIRECTORS MAY BE REMOVED BY THE AFFIRMATIVE VOTE OF TWO-THIRDS OF THE BOARD OF DIRECTORS OF CMH'S SOLE CORPORATE MEMBER, RCMC.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersTHE BOARD OF DIRECTORS OF CMH'S SOLE CORPORATE MEMBER, RCMC, HAS THE FOLLOWING EXCLUSIVE POWERS OVER CMH: (1) THE ELECTION OF THE BOARD OF DIRECTORS; (2) ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THIS CORPORATION (3) THE BORROWING OF ANY SUM, THE PRINCIPAL OF WHICH EXCEEDS $500,000.00, OR WHICH HAS A STATED TERM OF GREATER THAN ONE YEAR, OR WHICH IS SECURED BY A MORTGAGE OF ALL OR ANY PORTION OF THE CORPORATION'S REAL PROPERTY OR THE CREATION OF A SECURITY INTEREST IN THE CORPORATION'S ASSETS, INCLUDING PERSONAL PROPERTY AND REVENUES, FOR THE BENEFIT OF THE LENDER, LESSOR OR VENDOR, OR THE DEFEASANCE, ADVANCE PAYMENT OR CANCELLATION OF ANY OUTSTANDING DEBT OF THE CATEGORY DESCRIBED HEREIN; (4) ANY VOLUNTARY DISSOLUTION, MERGER, CONSOLIDATION, SALE OR TRANSFER OF ANY OF THE CORPORATION'S ASSETS (ABOVE A MATERIAL DOLLAR THRESHOLD AS A PERCENTAGE OF THE CORPORATION'S ASSETS AS DETERMINED IN CONJUNCTION WITH THE CORPORATE MEMBER) OR ANY CREATION OF A SUBSIDIARY OR AFFILIATE OF THIS CORPORATION; (5) APPLICATION TO THE ILLINOIS HEALTH FACILITIES PLANNING BOARD OR ANY SUCCESSOR FOR A PERMIT OR CERTIFICATE OF NEED FOR A PROPOSED ACTIVITY, WHETHER OR NOT INVOLVING A CAPITAL EXPENDITURE; (6) APPROVAL OF ALL NEW OR CHANGES TO EXISTING ANNUAL AND LONG-TERM CAPITAL AND OPERATIONAL BUDGETS OR LONG-TERM OR MASTER STRATEGIC PLANS; (7) ANY AGREEMENT OR TRANSACTION, EITHER OF WHICH IS OF A MATERIAL NATURE, WITH ANOTHER CORPORATION CONTROLLED BY OR AFFILIATED WITH THE CORPORATE MEMBER OR WHICH IS A SUBSIDIARY OF THE CORPORATE MEMBERS; (8) SALE OF ANY OF THE CORPORATION'S REAL PROPERTY OR INTEREST THEREIN OR PURCHASES OF ANY ADDITIONAL REAL ESTATE; (9) THE AUDITED FINANCIAL STATEMENTS AND BOND DISCLOSURES OF THE CORPORATION; (10) SELECTION AND ANNUAL EVALUATION OF THE PRESIDENT; AND (11) THE ANNUAL AUDITED FINANCIAL STATEMENTS AND BOND DISCLOSURES OF THE CORPORATION.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE FORM 990 TAX RETURN IS PREPARED BY OUR ORGANIZATION AND REVIEWED BY OUR EXTERNAL TAX ADVISOR. A DRAFT OF THE FORM 990 IS PROVIDED TO MANAGEMENT FOR REVIEW AND COMMENT. THE BOARD OF DIRECTORS IS PROVIDED WITH AN APPROVED COPY OF THE FORM 990 BEFORE IT IS FILED.
Form 990, Part VI, Line 12c Conflict of interest policyANNUALLY, BOARD MEMBERS, DIRECTORS, MANAGEMENT TEAM (ADMINISTRATION, DIRECTORS AND MANAGERS) AND OTHER KEY EMPLOYEES OF RUSH COPLEY MEDICAL CENTER AND SUBSIDIARIES ("RCMC") ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT TO DISCLOSE ANY PERSONAL OR BUSINESS INTERESTS THAT MAY GIVE RISE TO A CONFLICT WITH THE WORK THEY DO FOR RCMC. THE DISCLOSURES ARE SUBMITTED AND REVIEWED BY THE CORPORATE INTEGRITY OFFICER, WHO IS AN EMPLOYEE OF COPLEY MEMORIAL HOSPITAL BUT REPRESENTS RUSH COPLEY MEDICAL CENTER AND SUBSIDIARIES, AND A REPORT IS SUBMITTED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF RCMC. THOSE KEY PERSONNEL WITH CONFLICTS ARE ADVISED TO RECUSE THEMSELVES FROM PARTICIPATING IN DECISION-MAKING RELATED TO THE CONFLICT.
Form 990, Part VI, Line 19 Required documents available to the publicFORM 990 IS AVAILABLE UPON REQUEST. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. COPIES OF THE FINANCIAL STATEMENTS (WHETHER OR NOT AUDITED) ARE PROVIDED UPON REASONABLE REQUEST SUCH AS FOR A BANK LOAN OR TO A BOND RATING AGENCY. THE FINANCIAL STATEMENTS ARE AVAILABLE ON THE ATTORNEY GENERAL'S WEBSITE.
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesCHANGE IN INTEREST IN NET ASSETS OF FOUNDATION - -65448; SWAP VALUE ADJUSTMENT - 4348914; OTHER CHANGE IN NET ASSETS - 80772655;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
RUSH SURGICENTER AT THE PROFESSIONAL BUILDING LP
1725 W HARRISON STREETCHICAGOIL60612363853026SURGERY CENTERILNAN/Afalsefalse
RUSH COPLEY ORTHOPEDICS LLC
2000 OGDEN AVENUEAURORAIL60504611801175MEDICAL SERVICESILNAN/Afalsefalse
RUSH COPLEY SURGICENTER
2000 OGDEN AVENUEAURORAIL60504384012268MEDICAL SERVICESILCOPLEY MEMORIAL HOSPITAL INC CO RUSHRelatedfalseYes (true)$31,075$15,459,6520.99

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

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

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
RUSH COPLEY MEDICAL GROUP NFP
A$617,454FAIR MARKET VALUE
RUSH COPLEY FOUNDATION
C$423,488FAIR MARKET VALUE
COPLEY VENTURES INC
M$605,000FAIR MARKET VALUE
COPLEY VENTURES INC
R$1,139,202FMV - RENTS
RUSH UNIVERSITY MEDICAL CENTER
J$369,000FAIR MARKET VALUE
RUSH UNIVERSITY MEDICAL CENTER
P$8,028,092FAIR MARKET VALUE
RUSH COPLEY FOUNDATION
Q$994,985FAIR MARKET VALUE
RUSH HEALTH
M$1,647,970FAIR MARKET VALUE
RUSH HEALTH
P$516,430FAIR MARKET VALUE
RUSH HEALTH
P$55,448FAIR MARKET VALUE
RUSH HEALTH
S$2,295,058FAIR MARKET VALUE
RUSH SYSTEM FOR HEALTH
M$337,612FAIR MARKET VALUE

Supplemental Information Detail SupplementalInformationDetail

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