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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-11T22:36:02+00:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 S 6TH STREET SUITE 2800 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 554021844 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362170840 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Copley Memorial Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COPL | BusinessNameControlTxt |
| Phone | 6309786200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Ogden Avenue | AddressLine1Txt |
| City | Aurora | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 605044206 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN DIEDERICH | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 6309784941 | PhoneNum |
| Signature | 2023-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | BRENDA | PersonFirstNm |
| Person Last | VAN WYHE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANNA KOLAKALURI | PreparerPersonNm |
| PTIN | P01275237 | PTIN |
| Phone | 6123974000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | co Rush Copley Medical Center | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN DIEDERICH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Ogden Avenue | AddressLine1Txt |
| City | Aurora | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 605044206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $640,609,942 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.RUSHCOPLEY.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1886 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF RUSH COPLEY IS TO PROVIDE ADVANCED MEDICINE WITH QUALITY OUTCOMES AND EXTRAORDINARY CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 2743 | TotalEmployeeCnt |
| Total Volunteers | 170 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $20,536,656 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,294,712 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $376,386,724 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $377,387,341 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,754,688 | PYInvestmentIncomeAmt |
| CY Investment Income | $19,028,974 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,756,528 | PYOtherRevenueAmt |
| CY Other Revenue | $7,413,907 | CYOtherRevenueAmt |
| PY Total Revenue | $407,434,596 | PYTotalRevenueAmt |
| CY Total Revenue | $407,124,934 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $168,590,696 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $178,107,474 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $177,283,966 | PYOtherExpensesAmt |
| CY Other Expenses | $182,457,578 | CYOtherExpensesAmt |
| PY Total Expenses | $345,874,662 | PYTotalExpensesAmt |
| CY Total Expenses | $360,565,552 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $61,559,934 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $46,559,382 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $974,963,685 | TotalAssetsBOYAmt |
| Total Assets EOY | $954,609,869 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $440,241,277 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $362,556,402 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $534,722,408 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $592,053,467 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF RUSH COPLEY IS TO PROVIDE ADVANCED MEDICINE WITH QUALITY OUTCOMES AND EXTRAORDINARY CARE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $291,436,943 | ExpenseAmt |
| Grant | $500 | GrantAmt |
| Revenue | $383,365,737 | RevenueAmt |
| Desc | THE 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 | $291,436,943 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 236 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2743 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRENDA VAN WYHE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6309786200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 OGDEN AVENUE | AddressLine1Txt |
| City | AURORA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60504 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Bruce W Dienst | ||||||||||
| CHAIRMAN OF THE BOARD/DIRECTOR | 1.0 | 3.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Christine Sobek | ||||||||||
| VICE CHAIR OF THE BOARD/DIRECTOR | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| John Diederich MA MBA FACHE | ||||||||||
| President & CEO/Director | 40.0 | 4.0 | Yes (X) | Yes (X) | $993,593 | $0 | $367,158 | |||
| Andrew VanEekeren | ||||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Catherine Cederoth | ||||||||||
| DIRECTOR | 1.0 | 3.0 | Yes (X) | $0 | $0 | $0 | ||||
| Dave Mead | ||||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Garrett Katula DO | ||||||||||
| PHYSICIAN/DIRECTOR | 40.0 | 2.0 | Yes (X) | $369,006 | $0 | $30,737 | ||||
| Herbert Knight | ||||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Jae B Joo MD | ||||||||||
| VICE CHIEF OF STAFF/DIRECTOR | 40.0 | 2.0 | Yes (X) | $731,346 | $0 | $38,960 | ||||
| James Baka | ||||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Luis Perez | ||||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Mark C Metzger | ||||||||||
| DIRECTOR | 1.0 | 3.0 | Yes (X) | $0 | $0 | $0 | ||||
| Maryanne Locklin | ||||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Maureen Strobl | ||||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Patrick Carmody | ||||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Richard Edelman | ||||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Ronald Hem | ||||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Syed Zaidi MD | ||||||||||
| CHIEF OF STAFF/DIRECTOR | 40.0 | 2.0 | Yes (X) | $551,356 | $0 | $31,286 | ||||
| Trish Anen | ||||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| William Skoglund | ||||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Brenda Van Wyhe | ||||||||||
| SR. VP FINANCE & CFO/TREASURER | 40.0 | 3.0 | Yes (X) | $655,663 | $0 | $78,019 | ||||
| Ryan Asmus | ||||||||||
| VP GENERAL COUNSEL/SECRETARY | 40.0 | 3.0 | Yes (X) | $488,894 | $0 | $41,307 | ||||
| Alex Pope | ||||||||||
| VP. PHILANTHROPY & CDO | 1.0 | 40.0 | $416,451 | $0 | $57,084 | Yes (X) | ||||
| Brenda K Fann MD | ||||||||||
| ASSISTANT VP. MEDICAL AFFAIRS | 40.0 | 0 | $412,833 | $0 | $22,725 | Yes (X) | ||||
| David Petasnick | ||||||||||
| ASSISTANT VP, ANCILLARY SVCS | 40.0 | 0 | $329,839 | $0 | $54,968 | Yes (X) | ||||
| Hornbogen Abigail | ||||||||||
| VP. PATIENT CARE & CNO | 40.0 | 0 | $369,931 | $0 | $35,328 | Yes (X) | ||||
| Mary F Shilkaitis | ||||||||||
| SR VP Operations & COO | 40.0 | 1.0 | $552,428 | $0 | $69,491 | Yes (X) | ||||
| Steve B Lowenthal MD | ||||||||||
| SR. VP MEDICAL AFFAIRS & CMO | 40.0 | 0 | $875,993 | $0 | $27,338 | Yes (X) | ||||
| Arif Saleem MD | ||||||||||
| PHYSICIAN | 40.0 | 0 | $907,185 | $0 | $28,991 | Yes (X) | ||||
| Dmitry S Ruban MD | ||||||||||
| PHYSICIAN | 40.0 | 0 | $920,019 | $0 | $35,630 | Yes (X) | ||||
| Jonathan L Tueting MD | ||||||||||
| PHYSICIAN | 40.0 | 0 | $1,484,796 | $0 | $37,184 | Yes (X) | ||||
| Kevin V Kelly MD | ||||||||||
| PHYSICIAN | 40.0 | 0 | $930,665 | $0 | $27,921 | Yes (X) | ||||
| Mark F Sharp-Schinsky MD | ||||||||||
| PHYSICIAN | 40.0 | 0 | $1,217,363 | $0 | $14,305 | Yes (X) | ||||
| Barry C Finn | ||||||||||
| Former President & CEO/Director | 0.0 | 0.0 | $368,652 | $0 | $0 | Yes (X) | ||||
| Dennis L Demasie | ||||||||||
| FORMER VP, INFORMATION TECH, & CIO | 0.0 | 0 | $279,866 | $0 | $0 | Yes (X) | ||||
| Homan Diane MD | ||||||||||
| FORMER VO, QUALITY & PSO | 0.0 | 0 | $377,000 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $13,232,879 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $998,432 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 347 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| SODEXO | ||||||
| PO BOX 536922 | ATLANTA | GA | 303536922 | FOOD AND CLEANING SERVICES | $3,832,196 | |
| TRIMEDX LLC | ||||||
| PO BOX 636129 | CINCINNATI | OH | 452636129 | EQUIPMENT MAINTENANCE | $3,536,629 | |
| ATOS | ||||||
| DEPT - 772066 | DETROIT | MI | 482781177 | MEDICAL BILLING | $2,676,198 | PO BOX 78000 |
| OMNICELL INC | ||||||
| PO BOX 787521 | PHILADELPHIA | PA | 191787521 | MEDICATION MANAGEMENT | $984,921 | |
| DIVERSIFIED CLINICAL SERVICES | ||||||
| PO BOX 636981 | CINCINNATI | OH | 452636981 | WOUND CENTER MANAGEMENT | $813,609 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 29 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $431,190 | RelatedOrganizationsAmt |
| Government Grants | $2,863,522 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $3,294,712 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SVC REV | 621110 | $341,212,109 | $341,212,109 |
| MEDICAID TAX REVENUE | 621110 | $35,786,961 | $35,786,961 |
| OTHER PROGRAM REVENUE | 900009 | $388,271 | $388,271 |
| $0 | $0 | ||
| $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $377,387,341 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,949,281 | TotalRevenueColumnAmt |
| Exclusion | $9,949,281 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,570,479 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $664,802 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $905,677 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $905,677 | TotalRevenueColumnAmt |
| Exclusion | $905,677 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $241,845,966 | SecuritiesAmt |
| Other | $53,933 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $232,817,713 | SecuritiesAmt |
| Other | $2,493 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,028,253 | SecuritiesAmt |
| Other | $51,440 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,079,693 | TotalRevenueColumnAmt |
| Exclusion | $9,079,693 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| OUTSIDE SERVICE REV | 621990 | $5,978,396 | $5,978,396 | |
| GIFT SHOP REVENUE | 453220 | $518,309 | $518,309 | |
| CAFETERIA REVENUE | 621990 | $11,525 | $11,525 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,508,230 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $407,124,934 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $383,365,737 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $20,464,485 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $500 | TotalAmt |
| Program Services | $500 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,357,320 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $8,357,320 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $507,641 | TotalAmt |
| Management And General | $507,641 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,282,901 | TotalAmt |
| Program Services | $101,400,402 | ProgramServicesAmt |
| Management And General | $33,882,499 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,514,344 | TotalAmt |
| Program Services | $2,635,758 | ProgramServicesAmt |
| Management And General | $878,586 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,440,156 | TotalAmt |
| Program Services | $13,830,117 | ProgramServicesAmt |
| Management And General | $4,610,039 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,005,112 | TotalAmt |
| Program Services | $9,003,834 | ProgramServicesAmt |
| Management And General | $3,001,278 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,860,368 | TotalAmt |
| Program Services | $5,145,276 | ProgramServicesAmt |
| Management And General | $1,715,092 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,207 | TotalAmt |
| Management And General | $78,207 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,874 | TotalAmt |
| Management And General | $80,874 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,864 | TotalAmt |
| Management And General | $42,864 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $838,251 | TotalAmt |
| Management And General | $838,251 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,251,589 | TotalAmt |
| Program Services | $7,688,692 | ProgramServicesAmt |
| Management And General | $2,562,897 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $737,702 | TotalAmt |
| Program Services | $737,702 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,590,989 | TotalAmt |
| Program Services | $7,943,242 | ProgramServicesAmt |
| Management And General | $2,647,747 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,416,007 | TotalAmt |
| Program Services | $9,312,005 | ProgramServicesAmt |
| Management And General | $3,104,002 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,415,087 | TotalAmt |
| Program Services | $4,061,315 | ProgramServicesAmt |
| Management And General | $1,353,772 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,588 | TotalAmt |
| Program Services | $63,441 | ProgramServicesAmt |
| Management And General | $21,147 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,721 | TotalAmt |
| Program Services | $80,041 | ProgramServicesAmt |
| Management And General | $26,680 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,862,276 | TotalAmt |
| Program Services | $4,862,276 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,886,619 | TotalAmt |
| Program Services | $25,886,619 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,131,107 | TotalAmt |
| Program Services | $4,598,330 | ProgramServicesAmt |
| Management And General | $1,532,777 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,210,312 | TotalAmt |
| Program Services | $2,210,312 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $360,565,552 | TotalAmt |
| Program Services | $291,436,943 | ProgramServicesAmt |
| Management And General | $69,128,609 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,265,783 | BOYAmt |
| EOY | $27,382,395 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,744,544 | BOYAmt |
| EOY | $54,826,702 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,196,280 | BOYAmt |
| EOY | $7,093,925 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,681,880 | BOYAmt |
| EOY | $1,632,377 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $478,187,620 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $285,127,760 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $195,992,753 | BOYAmt |
| EOY | $193,059,860 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $383,371,362 | BOYAmt |
| EOY | $332,739,710 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,395,425 | BOYAmt |
| EOY | $4,317,836 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $271,315,658 | BOYAmt |
| EOY | $333,557,064 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $974,963,685 | BOYAmt |
| EOY | $954,609,869 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $124,212,952 | BOYAmt |
| EOY | $117,052,674 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,291,589 | BOYAmt |
| EOY | $123,693,488 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $188,736,736 | BOYAmt |
| EOY | $121,810,240 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $440,241,277 | BOYAmt |
| EOY | $362,556,402 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $528,122,501 | BOYAmt |
| EOY | $585,519,008 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,599,907 | BOYAmt |
| EOY | $6,534,459 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $534,722,408 | BOYAmt |
| EOY | $592,053,467 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $974,963,685 | BOYAmt |
| EOY | $954,609,869 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $46,559,382 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$74,284,444 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $85,056,121 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $42,864 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $42,864 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | COPLEY MEMORIAL HOSPITAL, INC. IS A MEMBER OF VARIOUS ORGANIZATIONS THAT ADVOCATE ON LEGAL AND POLICY ISSUES THAT AFFECT HEATLHCARE. A PORTION OF THE ANNUAL MEMBERSHIP DUES PAID BY COPLEY MEMORIAL HOSPITAL, INC. TO THESE ORGANIZATIONS IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,582,486 | BeginningYearBalanceAmt |
| Contributions | $3,116,324 | ContributionsAmt |
| Investment Earnings Or Losses | -$2,444,977 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,407,482 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $15,846,351 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,390,581 | BeginningYearBalanceAmt |
| Contributions | $843,098 | ContributionsAmt |
| Investment Earnings Or Losses | $3,086,208 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $737,401 | OtherExpendituresAmt |
| End Year Balance | $16,582,486 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,022,428 | BeginningYearBalanceAmt |
| Contributions | $1,342,373 | ContributionsAmt |
| Investment Earnings Or Losses | $326,685 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,300,905 | OtherExpendituresAmt |
| End Year Balance | $13,390,581 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,969,298 | BeginningYearBalanceAmt |
| Contributions | $1,771,314 | ContributionsAmt |
| Investment Earnings Or Losses | $806,653 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,524,837 | OtherExpendituresAmt |
| End Year Balance | $13,022,428 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,691,205 | BeginningYearBalanceAmt |
| Contributions | $1,193,365 | ContributionsAmt |
| Investment Earnings Or Losses | $662,110 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,577,382 | OtherExpendituresAmt |
| End Year Balance | $11,969,298 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.341 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.543 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.116 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,881,433 | OtherCostOrOtherBasisAmt |
| Book Value | $18,881,433 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $264,072,845 | OtherCostOrOtherBasisAmt |
| Depreciation | $149,174,138 | DepreciationAmt |
| Book Value | $114,898,707 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,743,627 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,581,377 | DepreciationAmt |
| Book Value | $162,250 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $188,263,720 | OtherCostOrOtherBasisAmt |
| Depreciation | $132,372,245 | DepreciationAmt |
| Book Value | $55,891,475 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,225,995 | OtherCostOrOtherBasisAmt |
| Book Value | $3,225,995 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $193,059,860 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $333,557,064 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $121,810,240 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part V, Line 4 Intended uses of endowment funds | FormAndLineReferenceDesc |
| Explanation | RUSH COPLEY FOUNDATION HOLDS THE VORIS (INCOME FOR CMH CANCER CARE), KOBISK (BOARD RESTRICTED INCOME TO CMH), COPLEY (INCOME RESTRICTED TO HOSPITAL OPERATIONS), DOBBINS (INCOME FOR CMH WOMEN'S HEALTH), AND MOVEMENT DISORDER (INCOME FOR CMH MOVEMENT DISORDER PROGRAM) ENDOWMENTS. RUSH COPLEY FOUNDATION ALSO HOLDS THE FOLLOWING QUASI ENDOWMENTS: NURSING (INCOME FOR CMH FUTURE OF NURSING SCHOLARSHIPS). FOX VALLEY HEART (INCOME FOR THE HEART INSTITUTE), PROMISE FUND (INCOME FOR EMPLOYEE HARDSHIPS), PART V, LINE 4: C/O RUSH COPLEY MEDICAL CENTER 36-2170840 COPLEY MEMORIAL HOSPITAL, INC. AND WATERFORD PLACE (INCOME FOR CMH CANCER RESOURCE CENTER) ENDOWMENTS. THESE FUNDS ARE HELD FOR THE BENEFIT OF COPLEY MEMORIAL HOSPITAL. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,495,352 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,495,352 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0125 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $86,275,773 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $71,360,600 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,915,173 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0414 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $90,771,125 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $71,360,600 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,410,525 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0538 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $73,637 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $73,637 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3081 | PersonsServedCnt |
| Total Community Benefit Expns | $6,022,937 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,301,939 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,720,998 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0131 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,637,426 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $335,168 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,302,258 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0452 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $85,521 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $85,521 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 3081 | PersonsServedCnt |
| Total Community Benefit Expns | $22,819,521 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,637,107 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,182,414 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0587 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 3081 | PersonsServedCnt |
| Total Community Benefit Expns | $113,590,646 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $72,997,707 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $40,592,939 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1126 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 5 | PersonsServedCnt |
| Total Community Benefit Expns | $1,814 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,814 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 5 | PersonsServedCnt |
| Total Community Benefit Expns | $1,814 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,814 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $32,431,370 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,243,137 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $58,093,530 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $85,785,776 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$27,692,246 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COPLEY MEMORIAL HOSPITAL Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 OGDEN AVENUE | AddressLine1Txt |
| City | AURORA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 605044206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.RUSHCOPLEY.COM | WebsiteAddressTxt |
| State License | 2150791 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COPLEY MEMORIAL HOSPITAL Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.rush.edu/sites/default/files/media-documents/RCMC_2025-22_CHNA_CHIP_report.pdf | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.rush.edu/sites/default/files/media-documents/RCMC_2025-22_CHNA_CHIP_report.pdf | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://www.rush.edu/patients-visitors/financial-assistance | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.rush.edu/patients-visitors/financial-assistance | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.rush.edu/patients-visitors/financial-assistance | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - COPLEY MEMORIAL HOSPITAL Inc. THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED. THIS INCLUDED COMMUNITY RESIDENTS AND EXPERTS IN A RANGE OF AREAS INCLUDING PUBLIC HEALTH, MINORITY POPULATIONS, DISPARITIES IN HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH, AND HEALTH & SOCIAL SERVICES. PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED INCLUDED: BOARD OF DIRECTORS, HOSPITAL ADMINISTRATION, COMMUNITY HEALTH NEEDS COMMITTEE, PARTNERSHIPS WITH KANE COUNTY, PARTNERSHIPS WITH KENDALL COUNTY, COMMUNITY HEALTH SURVEY, FOCUS GROUPS, AND SECONDARY DATA ANALYSIS. FOR COMPLETE DETAILS ABOUT HOW THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED, THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE ACCESSED AT: https://www.rush.edu/sites/default/files/media-documents/RCMC_2025-22_CHNA_CHIP_report.pdf |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 1 - COPLEY MEMORIAL HOSPITAL Inc. Rush Copley identified the following as the top health needs in the community to be addressed in the 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 , 2 | Facility , 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) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| RADIATION THERAPY CENTER AT RIVERWEST | ||||
| 1221 N HIGHLAND AVENUE | AURORA | IL | 605044206 | JV ONCOLOGY |
| CASTLE SURGICENTER | ||||
| 2111 OGDEN AVE | AURORA | IL | 60504 | AMBULATORY SURGERY CENTER |
| RUSH COPLEY HEALTHCARE CENTER | ||||
| 1100 WEST VETERANS PARKWAY | YORKVILLE | IL | 60560 | OUTPATIENT SERVICES |
| MIDWEST CENTER FOR ADVANCED IMAGING | ||||
| 4355 MONTGOMERY ROAD | NAPERVILLE | IL | 60564 | RADIOLOGY SERVICES |
| HEALTHPLEX OUTPATIENT REHABILITATION | ||||
| 1900 OGDEN AVENUE | AURORA | IL | 60504 | OUTPATIENT REHABILITATION SERVICES |
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c | DETAILS ARE IDENTIFIED UNDER THE FINANCIAL ASSISTANCE POLICY, PATIENTS MUST COMPLETE AN APPLICATION, MEET THE QUALIFICATIONS AND RESPONSE WITH THE REQUESTED DOCUMENTATION UNDER THE POLICY TO DETERMINE THE DISCOUNT AMOUNT, IF ANY, THAT WOULD APPLY TO THEIR HOSPITAL BILL. |
| Schedule H, Part I, Line 7g Subsidized Health Services | Reported $16,302,258 costs from physician clinics |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | A COST ACCOUNTING SYSTEM WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. A COST TO CHARGE RATIO WAS UTILIZED. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS (INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED AND SELF PAY). |
| Schedule H, Part II Community Building Activities | Local high school students come to the hospital to observe various areas of the hospital to get an understand of the work performed in each area and how patients are cared for and treated. Hopefully this encourages some of the students to persue healthcare careers. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | BAD DEBT EXPENSE IS CALCULATED BASED ON ACTUAL WRITE OFF'S DURING THE YEAR AND APPLYING HISTORICAL UNCOLLECTED PERCENTAGES TO CURRENT OUTSTANDING BALANCES. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS 10% OF THE ORGANIZATION'S BAD DEBT EXPENSE REPORTED ON PART III, LINE 2. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM THIRD PARTY PAYORS, PATIENTS, AND OTHERS FOR SERVICES RENDERED. RCMC HAS AGREEMENTS WITH THIRD PARTY PAYORS THAT PROVIDE FOR PAYMENT AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, PER DIEM PAYMENTS, AND DISCOUNTED CHARGES, INCLUDING ESTIMATED RETROACTIVE SETTLEMENTS UNDER PAYMENT AGREEMENTS WITH THIRD PARTY PAYORS. RCMC RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENT WHO HAVE THIRD PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR SERVICES RENDERED. PROVISIONS FOR ADJUSTMENTS TO NET PATIENT SERVICE REVENUE ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED TO FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, RCMC RECOGNIZES REVENUE BASED ON ITS DISCOUNTED RATES. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OR RCMC'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED. THUS, RCMC RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. PATIENT ACCOUNTS RECEIVABLE ARE BASED ON GROSS CHARGES AND STATED AT NET REALIZABLE VALUE. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS, BASED ON EXPECTED PAYMENT RATES FROM PAYORS UNDER CURRENT REIMBURSEMENT METHODOLOGIES, AND ALSO BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, RCMC ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), RCMC RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE DISCOUNTED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED UNCOLLECTIBLE. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | ALL 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 assistance | IT IS OUR POLICY NOT TO PURSUE COLLECTION PRACTICES AGAINST PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE. IN CERTAIN CASES IT MAY NOT BE EASILY DETERMINE WHETHER OR NOT A PATIENT QUALIFIES FOR CHARITY CARE OR FINANCIAL ASSISTANCE. HOWEVER, IF AFTER COLLECTION PRACTICES HAVE BEGUN, IT BECOMES KNOWN THE PATIENT QUALIFIES, THE COLLECTION EFFORTS CEASE. |
| Schedule H, Part V, Section B, Line 16a FAP website | - COPLEY MEMORIAL HOSPITAL Inc: Line 16a URL: https://www.rush.edu/patients-visitors/financial-assistance; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - COPLEY MEMORIAL HOSPITAL Inc: Line 16b URL: https://www.rush.edu/patients-visitors/financial-assistance; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - COPLEY MEMORIAL HOSPITAL Inc: Line 16c URL: https://www.rush.edu/patients-visitors/financial-assistance; |
| Schedule H, Part VI, Line 2 Needs assessment | COMMUNITY NEED IS ASSESSED THROUGH REVIEW OF COMMUNITY AND HOSPITAL DATA, PERIODIC ASSESSMENTS WITH PHYSICIAN AND CLINICIANS, AND REPORTING OF INFORMATION FROM HOSPITAL COMMITTEES. FURTHER INPUT FROM THE COMMUNITY ARISES FROM THE COMMUNITY BASED BOARD OF DIRECTORS, VARIOUS FORMS OF PATIENT INPUT, AND HOSPITAL INVOLVEMENT WITH GOVERNMENT, HEALTH INDUSTRY, AND COMMUNITY AGENCIES. THE HOSPITAL ALSO ACTIVELY PARTICIPATES IN FORMAL NEEDS ASSESSMENTS CONDUCTED BY GOVERNMENT AND COMMUNITY AGENCIES. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | AT THE TIME OF SERVICE, COPLEY MEMORIAL HOSPITAL, INC. PATIENTS ARE GIVEN A BILLING BROCHURE, WHICH DESCRIBES THE FINANCIAL ASSISTANCE/CHARITY CARE PROGRAMS AVAILABLE. THIS INFORMATION IS ALSO POSTED AT THE REGISTRATION CHECK-IN DESKS, IN AN INPATIENT GUIDE, AND ON THE RUSH COPLEY WEBSITE. FINANCIAL COUNSELORS ARE AVAILABLE TO EXPLAIN THE PROGRAM IN DETAIL TO PATIENTS WHO ARE SEEN WITHOUT INSURANCE COVERAGE. ALL PATIENT BILLING STATEMENTS ADVISE THE PATIENTS TO CALL AND INQUIRE ON THE DETAILS AS NEEDED. |
| Schedule H, Part VI, Line 4 Community information | COPLEY MEMORIAL HOSPITAL INC.'S PRIMARY SERVICE AREA IS LOCATED 45 TO 55 MILES SOUTHWEST OF CHICAGO 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 health | COPLEY MEMORIAL HOSPITAL'S MISSION IS TO PROVIDE ADVANCED MEDICINE WITH QUALITY OUTCOMES AND EXTRAORDINARY CARE. TO THAT END, THE MEDICAL CENTER SEEKS TO SERVE THE COMMUNITY IN WAYS THAT ENGAGE, EDUCATE AND EMPOWER. COPLEY MEMORIAL HOSPITAL SERVES ALL PATIENTS WHO PRESENT FOR CARE AND SERVES THE SURROUNDING COMMUNITY ALONG WITH A BOARD OF DIRECTORS WITH A STRONG COMMUNITY BASE. THE BOARD MEMBERS ARE INDEPENDENT COMMUNITY LEADERS AND ARE SELECTED BASED UPON THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS OF BENEFIT TO THE ORGANIZATION AND THEIR ROLE AS BOARD MEMBERS WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT OUR MISSION. BOARD MEMBERS ARE NOT COMPENSATED FOR THEIR SERVICE. AS A CHARITABLE ORGANIZATION, ALL SURPLUS FUNDS ARE USED TO FURTHER OUR CHARITABLE PURPOSE, MISSION AND TO SERVE THE COMMUNITY. SOME OF OUR PRIMARY PROGRAMS ARE: COMMUNITY HEALTH FAIRS, BREASTFEEDING EDUCATION CLASSES, CHILD CARE CLASSES, FREE AND REDUCED COST HEALTH SCREENINGS, LANGUAGE ASSISTANCE SERVICES, ETC. COPLEY MEMORIAL HOSPITAL PROVIDES ACCESS TO PHYSICIAN, ACUTE CARE, DIAGNOSTIC, AND REHABILITATIVE SERVICES TO PEOPLE, REGARDLESS OF ABILITY TO PAY, THROUGH A NUMBER OF FACILITIES AND SERVICES LOCATED THROUGHOUT THE SERVICE AREA. IT PROVIDES PROGRAMMING RELATING TO HEALTH EDUCATION, PREVENTION, AND SUPPORT TARGETED TO SPECIFIC POPULATIONS. MEDICAL EDUCATION EXTENDS TO CLINICAL SETTINGS FOR NURSING EDUCATION AND A FAMILY PRACTICE RESIDENCY. EMPLOYEES FILL BOARD AND COMMITTEE LEADERSHIP POSITIONS FOR A NUMBER OF ECONOMIC DEVELOPMENT AND SOCIAL SERVICE AGENCIES IN COMMUNITIES THROUGHOUT THE SERVICE AREA. |
| Schedule H, Part VI, Line 6 Affiliated health care system | RUSH SYSTEM FOR HEALTH ("RUSH"), IS A MULTIHOSPITAL HEALTH SYSTEM WITH OPERATIONS THAT CONSIST OF SEVERAL DIVERSE ACTIVITIES WITH A SHARED MISSION OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. RUSH CONSISTS OF AN ACADEMIC MEDICAL CENTER, RUSH UNIVERSITY MEDICAL CENTER ("RUMC"), TWO COMMUNITY HOSPITALS, RUSH COPLEY MEDICAL CENTER ("RCMC") AND RUSH OAK PARK HOSPITAL ("RPPH"), THAT EACH SERVE DISTINCT MARKETS IN CHICAGO, ILLINOIS, METROPOLITAN AREA AND RUSH HEALTH, A PHYSICIAN HOSPITAL ORGANIZATION AND CLINICALLY INTEGRATED NETWORK. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | IL |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | false | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| John Diederich MA MBA FACHE | ||||||||||||||
| President & CEO/Director | $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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a Health or social club dues or initiation fees | THE ORGANIZATION PROVIDES TO ALL EMPLOYEES THE USE OF AN ATHLETIC FACILITY THAT IS OWNED AND OPERATED BY A RELATED TAX EXEMPT ORGANIZATION. THESE AMOUNTS ARE NON-TAXABLE. |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | BARRY 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 plan | CMH 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 payments | INCENTIVE BONUS PLAN BASED ON A SERIES OF APPROVED STRATEGIC ACCOMPLISHMENTS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| ILLINOIS FINANCE AUTHORITY | ||||||||
| A | 861091967 | 45203HS45 | 2015-02-11 | $105,601,668 | REFUND BONDS ISSUED 5/28/2008, 2/10/2009, AND 7/29/2009 | false | false | false |
| ILLINOIS FINANCE AUTHORITY | ||||||||
| B | 861091967 | 000000000 | 2019-08-29 | $36,752,000 | BUILDINGS AND EQUIPMENT | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $9,700,000 | $105,601,668 | $824,030 | $145 | $104,777,493 | false | Yes (true) | Yes (true) | Yes (true) | ||
| B | $1,885,000 | $36,752,000 | $252,000 | false | false | Yes (true) | Yes (true) | $36,500,000 | 2019 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | false | 0.0 | 0.0 | 0.0 | false | false | false |
| B | false | false | Yes (true) | Yes (true) | false | 0.0 | 0.0 | 0.0 | false | false | false |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | Yes (true) | false | false | false | false | false |
| B | false | Yes (true) | false | false | Yes (true) | false | false | false | false |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | false |
| B | false |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part I Bond Issues | (A) ISSUER NAME: ILLINOIS FINANCE AUTHORITY (F) DESCRIPTION OF PURPOSE: REFUND BONDS ISSUED 5/28/2008, 2/10/2009, AND 7/29/2009 |
| Schedule K, Part IV, Line 6 Column A | THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS. |
| Schedule K, Part IV, Line 2c COLUMN A | Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 03/06/2020 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 15 | WITH RESPECT TO THE CEO/VPS OF THE ORGANIZATION AND KEY SENIOR MANAGEMENT, THE ORGANIZATION FOLLOWS A COMPENSATION APPROVAL PROCEDURE ANNUALLY THAT INVOLVES APPROVAL OF PROPOSED AND FINAL COMPENSATION ARRANGEMENTS BY THE ORGANIZATION'S COMPENSATION COMMITTEE AND FULL BOARD OF DIRECTORS USING COMPARABILITY DATA, AS WELL AS CONTEMPORANEOUS DOCUMENTATION OF COMPENSATION DECISIONS IN MINUTES. |
| Form 990, Part VI, Line 2 Family/business relationships amongst interested persons | ALL OF THE PERSONS LISTED ON PART VII HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON RELATED RUSH COPLEY MEDICAL CENTER ENTITY BOARDS. - Business relationship |
| Form 990, Part VI, Line 3 Delegation of management duties | RESERVED POWERS OVER CERTAIN MANAGEMENT DUTIES HAVE BEEN DELEGATED TO RUSH SYSTEM FOR HEALTH ("RSH") AS THE PARENT ENTITY FOR THE RUSH SYSTEM. THESE DUTIES INCLUDE APPROVING VARIOUS RCMC ACTIONS, INCLUDING RCMC'S OPERATING BUDGET AND CERTAIN TRANSACTIONS, APPOINTMENT OF CERTAIN RCMC EXECUTIVES, APPOINTMENT OF RCMC'S BOARD MEMBERS, ETC. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | RUSH COPLEY MEDICAL CENTER ("RCMC") IS THE SOLE CORPORATE MEMBER OF COPLEY MEMORIAL HOSPITAL, INC. ("CMH"), RUSH COPLEY MEDICAL GROUP, NFP ("RCMG"), COPLEY VENTURES, INC. ("CV"), AND RUSH COPLEY FOUNDATION ("RCF"). |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | CMH'S BOARD OF DIRECTORS INCLUDES AT LEAST NINE (9) INDIVIDUALS ELECTED BY THE SOLE CORPORATE MEMBER, RCMC. EACH OF THESE ELECTED DIRECTORS IS ALSO A MEMBER OF THE GOVERNING BOARD OF CMH'S SOLE CORPORATE MEMBER, RCMC. THE ELECTION AND RE-ELECTION OF ALL CMH DIRECTORS IS AT THE DIRECTION OF RCMC AT THE ANNUAL GOVERNING BOARD MEETING. VACANCIES ON THE CMH BOARD OF DIRECTORS ARE FILLED BY CMH'S SOLE CORPORATE MEMBER, RCMC. IN ACCORDANCE WITH CERTAIN PROCEDURAL REQUIREMENTS STATED IN THE BYLAWS, ELECTED DIRECTORS MAY BE REMOVED BY THE AFFIRMATIVE VOTE OF TWO-THIRDS OF THE BOARD OF DIRECTORS OF CMH'S SOLE CORPORATE MEMBER, RCMC. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | THE BOARD OF DIRECTORS OF CMH'S SOLE CORPORATE MEMBER, RCMC, HAS THE FOLLOWING EXCLUSIVE POWERS OVER CMH: (1) THE ELECTION OF THE BOARD OF DIRECTORS; (2) ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THIS CORPORATION (3) THE BORROWING OF ANY SUM, THE PRINCIPAL OF WHICH EXCEEDS $500,000.00, OR WHICH HAS A STATED TERM OF GREATER THAN ONE YEAR, OR WHICH IS SECURED BY A MORTGAGE OF ALL OR ANY PORTION OF THE CORPORATION'S REAL PROPERTY OR THE CREATION OF A SECURITY INTEREST IN THE CORPORATION'S ASSETS, INCLUDING PERSONAL PROPERTY AND REVENUES, FOR THE BENEFIT OF THE LENDER, LESSOR OR VENDOR, OR THE DEFEASANCE, ADVANCE PAYMENT OR CANCELLATION OF ANY OUTSTANDING DEBT OF THE CATEGORY DESCRIBED HEREIN; (4) ANY VOLUNTARY DISSOLUTION, MERGER, CONSOLIDATION, SALE OR TRANSFER OF ANY OF THE CORPORATION'S ASSETS (ABOVE A MATERIAL DOLLAR THRESHOLD AS A PERCENTAGE OF THE CORPORATION'S ASSETS AS DETERMINED IN CONJUNCTION WITH THE CORPORATE MEMBER) OR ANY CREATION OF A SUBSIDIARY OR AFFILIATE OF THIS CORPORATION; (5) APPLICATION TO THE ILLINOIS HEALTH FACILITIES PLANNING BOARD OR ANY SUCCESSOR FOR A PERMIT OR CERTIFICATE OF NEED FOR A PROPOSED ACTIVITY, WHETHER OR NOT INVOLVING A CAPITAL EXPENDITURE; (6) APPROVAL OF ALL NEW OR CHANGES TO EXISTING ANNUAL AND LONG-TERM CAPITAL AND OPERATIONAL BUDGETS OR LONG-TERM OR MASTER STRATEGIC PLANS; (7) ANY AGREEMENT OR TRANSACTION, EITHER OF WHICH IS OF A MATERIAL NATURE, WITH ANOTHER CORPORATION CONTROLLED BY OR AFFILIATED WITH THE CORPORATE MEMBER OR WHICH IS A SUBSIDIARY OF THE CORPORATE MEMBERS; (8) SALE OF ANY OF THE CORPORATION'S REAL PROPERTY OR INTEREST THEREIN OR PURCHASES OF ANY ADDITIONAL REAL ESTATE; (9) THE AUDITED FINANCIAL STATEMENTS AND BOND DISCLOSURES OF THE CORPORATION; (10) SELECTION AND ANNUAL EVALUATION OF THE PRESIDENT; AND (11) THE ANNUAL AUDITED FINANCIAL STATEMENTS AND BOND DISCLOSURES OF THE CORPORATION. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FORM 990 TAX RETURN IS PREPARED BY OUR ORGANIZATION AND REVIEWED BY OUR EXTERNAL TAX ADVISOR. A DRAFT OF THE FORM 990 IS PROVIDED TO MANAGEMENT FOR REVIEW AND COMMENT. THE BOARD OF DIRECTORS IS PROVIDED WITH AN APPROVED COPY OF THE FORM 990 BEFORE IT IS FILED. |
| Form 990, Part VI, Line 12c Conflict of interest policy | ANNUALLY, BOARD MEMBERS, DIRECTORS, MANAGEMENT TEAM (ADMINISTRATION, DIRECTORS AND MANAGERS) AND OTHER KEY EMPLOYEES OF RUSH COPLEY MEDICAL CENTER AND SUBSIDIARIES ("RCMC") ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT TO DISCLOSE ANY PERSONAL OR BUSINESS INTERESTS THAT MAY GIVE RISE TO A CONFLICT WITH THE WORK THEY DO FOR RCMC. THE DISCLOSURES ARE SUBMITTED AND REVIEWED BY THE CORPORATE INTEGRITY OFFICER, WHO IS AN EMPLOYEE OF COPLEY MEMORIAL HOSPITAL BUT REPRESENTS RUSH COPLEY MEDICAL CENTER AND SUBSIDIARIES, AND A REPORT IS SUBMITTED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF RCMC. THOSE KEY PERSONNEL WITH CONFLICTS ARE ADVISED TO RECUSE THEMSELVES FROM PARTICIPATING IN DECISION-MAKING RELATED TO THE CONFLICT. |
| Form 990, Part VI, Line 19 Required documents available to the public | FORM 990 IS AVAILABLE UPON REQUEST. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. COPIES OF THE FINANCIAL STATEMENTS (WHETHER OR NOT AUDITED) ARE PROVIDED UPON REASONABLE REQUEST SUCH AS FOR A BANK LOAN OR TO A BOND RATING AGENCY. THE FINANCIAL STATEMENTS ARE AVAILABLE ON THE ATTORNEY GENERAL'S WEBSITE. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION - -65448; SWAP VALUE ADJUSTMENT - 4348914; OTHER CHANGE IN NET ASSETS - 80772655; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| RUSH COPLEY MEDICAL CENTER | ||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 363193787 | PARENT COMPANY | IL | 501(c)(3) | Type II | RUSH SYSTEM FOR HEALTH | Yes (true) |
| RUSH COPLEY FOUNDATION | ||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 363093877 | GRANTS TO CHARITABLE ORGANIZATIONS | IL | 501(c)(3) | 7 | RUSH COPLEY MEDICAL CENTER | Yes (true) |
| COPLEY VENTURES INC | ||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 363370216 | RENTAL PROP., INFIRMARY CARE, AND HEALTHPLEX FITNESS CENTER | IL | 501(c)(3) | 3 | RUSH COPLEY MEDICAL CENTER | Yes (true) |
| RUSH UNIVERSITY MEDICAL CENTER | ||||||||||
| 1700 WEST VAN BUREN STREET | CHICAGO | IL | 60612 | 362174823 | HEALTHCARE | IL | 501(c)(3) | 3 | RUSH SYSTEM FOR HEALTH | Yes (true) |
| RUSH SYSTEM FOR HEALTH | ||||||||||
| 1725 W HARRISON STREET | CHICAGO | IL | 60612 | 364046278 | HOSPITAL | IL | 501(c)(3) | Type III-FI | NA | false |
| RUSH OAK PARK HOSPITAL INC | ||||||||||
| 520 S MAPLE AVENUE | OAK PARK | IL | 60304 | 362183812 | HOSPITAL | IL | 501(c)(3) | 3 | RUSH UNIVERSITY MEDICAL CENTER INC | Yes (true) |
| AMENDED & RESTATED GENERAL MALPRACTICE & WORKER'S COMP | ||||||||||
| 1700 WEST VAN BUREN | CHICAGO | IL | 60612 | 366673233 | HEALTHCARE INSURANCE | IL | 501(c)(3) | Type III-FI | RUSH UNIVERSITY MEDICAL CENTER INC | Yes (true) |
| AUXILIARY OF RUSH OAK PARK HOSPITAL - | ||||||||||
| 520 S MAPLE AVE | OAK PARK | IL | 60304 | 362255350 | HOSPITAL SUPPORT | IL | 501(c)(3) | Type I | RUSH OAK PARK HOSPITAL | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RUSH SURGICENTER AT THE PROFESSIONAL BUILDING LP | |||||||||||||
| 1725 W HARRISON STREET | CHICAGO | IL | 60612 | 363853026 | SURGERY CENTER | IL | NA | N/A | false | false | |||
| RUSH COPLEY ORTHOPEDICS LLC | |||||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 611801175 | MEDICAL SERVICES | IL | NA | N/A | false | false | |||
| RUSH COPLEY SURGICENTER | |||||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 384012268 | MEDICAL SERVICES | IL | COPLEY MEMORIAL HOSPITAL INC CO RUSH | Related | false | Yes (true) | $31,075 | $15,459,652 | 0.99 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RUSH UNIVERSITY MEDICAL CENTER INSURANCE | ||||||||||||||
| PO BOX 1051 | GRAND CAYMAN | CJ | INSURANCE | CJ | NA | C Corporation | Yes (true) | |||||||
| RUSH COPLEY MEDICAL GROUP NFP | ||||||||||||||
| PHYSICIAN PRACTICES | NA | C Corporation | Yes (true) | 2000 OGDEN AVENUE | AURORA | IL | 60504 | 363235315 | IL | |||||
| ROOM FIVE HUNDRED | ||||||||||||||
| DINING ROOM | NA | C Corporation | Yes (true) | 1725 W HARRISON STREET | CHICAGO | IL | 60612 | 237139832 | IL | |||||
| RUSH UNIVERSITY MEDICAL CENTER MASTER RETIREMENT TRUST | ||||||||||||||
| PENSION TRUST | NA | Trust | Yes (true) | 1700 W VAN BUREN STREET | CHICAGO | IL | 60612 | 912043520 | IL | SUITE 501 | ||||
| RUSH HEALTH | ||||||||||||||
| CLINICALLY INTEGRATED NETWORK | NA | C Corporation | Yes (true) | 1645 WEST JACKSON BLVD | CHICAGO | IL | 60612 | 363972171 | IL | SUITE 501 | ||||
| RUSH HEALTH ACO INC | ||||||||||||||
| ACO | NA | C Corporation | Yes (true) | 1645 WEST JACKSON BLVD | CHICAGO | IL | 60612 | 821632136 | IL | SUITE 501 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| RUSH COPLEY MEDICAL GROUP NFP | ||
| A | $617,454 | FAIR MARKET VALUE |
| RUSH COPLEY FOUNDATION | ||
| C | $423,488 | FAIR MARKET VALUE |
| COPLEY VENTURES INC | ||
| M | $605,000 | FAIR MARKET VALUE |
| COPLEY VENTURES INC | ||
| R | $1,139,202 | FMV - RENTS |
| RUSH UNIVERSITY MEDICAL CENTER | ||
| J | $369,000 | FAIR MARKET VALUE |
| RUSH UNIVERSITY MEDICAL CENTER | ||
| P | $8,028,092 | FAIR MARKET VALUE |
| RUSH COPLEY FOUNDATION | ||
| Q | $994,985 | FAIR MARKET VALUE |
| RUSH HEALTH | ||
| M | $1,647,970 | FAIR MARKET VALUE |
| RUSH HEALTH | ||
| P | $516,430 | FAIR MARKET VALUE |
| RUSH HEALTH | ||
| P | $55,448 | FAIR MARKET VALUE |
| RUSH HEALTH | ||
| S | $2,295,058 | FAIR MARKET VALUE |
| RUSH SYSTEM FOR HEALTH | ||
| M | $337,612 | FAIR MARKET VALUE |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part III IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS PARTNERSHIP | FormAndLineReferenceDesc |
| Explanation | NAME OF RELATED ORGANIZATION: RUSH COPLEY SURGICENTER DIRECT CONTROLLING ENTITY: COPLEY MEMORIAL HOSPITAL, INC. C/O RUSH COPLEY MEDICAL CENTER | ExplanationTxt |