COPLEY MEMORIAL HOSPITAL INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- COPLEY MEMORIAL HOSPITAL INC (EIN 36-2170840)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-17
- IRS object ID
- 202141379349307054
- Schema version
- 2019v5.2
- 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 | 2021-05-17T14:41:28-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | 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 | 2019-07-01 | 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 |
| Business Name Line2 | C/O RUSH COPLEY MEDICAL CENTER | BusinessNameLine2Txt |
| 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 | BRENDA VAN WYHE | PersonNm |
| Person Title | SENIOR VP OF FINANCE AND CFO | PersonTitleTxt |
| Phone | 6309786200 | PhoneNum |
| Signature | 2021-05-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KRISTINA RASMUSSEN | PreparerPersonNm |
| PTIN | P00143920 | PTIN |
| Phone | 6123974000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN DIEDERICH | PrincipalOfficerNm |
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 | $1,453,070,352 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | 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 | COPLEY MEMORIAL HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND DIVERSE COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 2445 | TotalEmployeeCnt |
| Total Volunteers | 41 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,057,724 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,046,698 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $328,422,368 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $313,765,634 | CYProgramServiceRevenueAmt |
| PY Investment Income | $19,253,770 | PYInvestmentIncomeAmt |
| CY Investment Income | $52,568,203 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,550,530 | PYOtherRevenueAmt |
| CY Other Revenue | $2,943,877 | CYOtherRevenueAmt |
| PY Total Revenue | $350,284,392 | PYTotalRevenueAmt |
| CY Total Revenue | $376,324,412 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $15,213 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $10,286 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $148,762,196 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $155,228,223 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $161,805,048 | PYOtherExpensesAmt |
| CY Other Expenses | $167,221,304 | CYOtherExpensesAmt |
| PY Total Expenses | $310,582,457 | PYTotalExpensesAmt |
| CY Total Expenses | $322,459,813 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $39,701,935 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $53,864,599 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $692,363,212 | TotalAssetsBOYAmt |
| Total Assets EOY | $768,309,028 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $294,544,243 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $359,349,940 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $397,818,969 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $408,959,088 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | COPLEY MEMORIAL HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND DIVERSE COMMUNITIES WE SERVE THROUGH THE INTEGRATION OF OUTSTANDING PATIENT CARE, EDUCATION, RESEARCH AND COMMUNITY PARTNERSHIPS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $262,814,066 | ExpenseAmt |
| Grant | $10,286 | GrantAmt |
| Revenue | $315,805,440 | RevenueAmt |
| Desc | COPLEY MEMORIAL HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND DIVERSE COMMUNITIES WE SERVE THROUGH THE INTEGRATION OF OUTSTANDING PATIENT CARE, EDUCATION, RESEARCH AND COMMUNITY PARTNERSHIPS. TO THAT END, THE MEDICAL CENTER SEEKS TO SERVE THE COMMUNITY IN WAYS THAT ENGAGE, EDUCATE AND EMPOWER. IN FY2020, 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 PROGRAMS RANGING FROM DIABETES, HEART HEALTH, CANCER PREVENTION, WEIGHT CONTROL, SMOKING CESSATION, CHRONIC HEALTH, CHILDBIRTH EDUCATION AND MORE.A COMMUNITY NEWSLETTER IS PUBLISHED AND HIGHLIGHTS HEALTH INFORMATION AND FREE HEALTH EDUCATION EVENTS INFORMATION TO 70,000+ HOUSEHOLDS THROUGHOUT THE HOSPITAL SERVICE AREA. ELECTRONIC NEWSLETTERS ALSO HIGHLIGHTING HEALTH INFORMATION, NEWS AND EVENTS ARE EMAILED MONTHLY: HEALTHY EUPDATE AND FITNOTES. THESE NEWSLETTERS AVERAGE 72,600 AND 51,300 EMAILS RESPECTFULLY. ADDITIONALLY, WATERFORD PLACE NEWS, TARGETED TOWARDS ANYONE IMPACTED BY A CANCER DIAGNOSIS, THEIR FAMILY AND CARE GIVERS, WAS SENT TO APPROXIMATELY 1,200 INDIVIDUALS.DURING FY2020, COPLEY MEMORIAL HOSPITAL SPONSORED, PARTNERED OR PARTICIPATED IN NEARLY 500 COMMUNITY-BASED PROGRAMS AND EVENTS, SPECIFICALLY GROUPS AIMED AT IMPROVING THE LIVES OF CHILDREN AND ADULTS. PROGRAMMING HIGHLIGHTS INCLUDES CAR SEAT SAFETY CHECKS, NUTRITION AND WEIGHT LOSS INFORMATION, HEART HEALTH ADVICE, CANCER SURVIVORSHIP AND MORE. BEGINNING IN MARCH 2020, CLASSES WERE OFFERED VIRTUALLY IN RESPONSE TO THE COVID-19 PANDEMIC.COPLEY MEMORIAL HOSPITAL OFFERS A FREE PHYSICIAN REFERRAL SERVICE, PROVIDES A FREE SPEAKER'S BUREAU TO COMMUNITY-BASED GROUPS AND ROUTINELY PARTICIPATES AND SPONSORS OR DONATES TO HEALTH FAIRS AIMED AT MINORITY POPULATIONS INCLUDING THE YEARLY AFRICAN AMERICAN HEALTH FAIR AND THE ANNUAL LATINO COMMUNITY HEALTH FESTIVAL.COPLEY MEMORIAL HOSPITAL'S WEBSITE, WITH TRANSLATION INTO DOZENS OF LANGUAGES, OFFERS FREE HEALTH INFORMATION AND ONLINE RESOURCES.TOGETHER, THESE INITIATIVES PROVIDED A POSITIVE INFLUENCE FOR THOUSANDS OF RESIDENTS IN THE COMMUNITIES SERVED BY COPLEY MEMORIAL HOSPITAL. | Desc |
| Total Program Service Expenses | $262,814,066 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 175 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2445 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | 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 | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| TRISH ANEN | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES BAKA | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| PATRICK CARMODY | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CATHERINE CEDEROTH | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD EDELMAN | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| RONALD HEM | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| GARRETT KATULA DO | |||||||||
| CHIEF OF STAFF/DIRECTOR | 40.00 | 2.00 | Yes (X) | $338,661 | $0 | $49,647 | |||
| STEPHEN KELANIC MD | |||||||||
| IMMEDIATE PAST CHIEF OF STAFF/DIRECTOR | 40.00 | 2.00 | Yes (X) | $474,251 | $0 | $53,291 | |||
| HERBERT KNIGHT | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MARYANNE LOCKLIN | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVE MEAD | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK C METZGER | |||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL NUYLES DO | |||||||||
| VICE CHIEF OF STAFF/DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| LUIS PEREZ | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTINE SOBEK | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANDREW VANEEKEREN | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN DIEDERICH | |||||||||
| PRESIDENT & CEO (BEG 11/19)/DIRECTOR | 40.00 | 3.00 | Yes (X) | $474,489 | $0 | $71,940 | Yes (X) | ||
| BRUCE W DIENST | |||||||||
| CHAIRMAN OF THE BOARD | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| BARRY FINN | |||||||||
| PRESIDENT & CEO/DIRECTOR (END 11/19) | 40.00 | 4.00 | Yes (X) | $1,399,755 | $0 | $72,094 | Yes (X) | ||
| WILLIAM SKOGLUND | |||||||||
| VICE CHAIRMAN OF THE BOARD | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| RYAN ASMUS | |||||||||
| VP GENERAL COUNSEL/SECRETARY | 40.00 | 3.00 | $308,072 | $0 | $74,239 | Yes (X) | |||
| BRENDA VAN WYHE | |||||||||
| SR. VP, FINANCE & CFO/TREASURER | 40.00 | 3.00 | $389,525 | $0 | $51,718 | Yes (X) | |||
| GAIL BUMGARNER | |||||||||
| SR. VP, STRATEGY (END 9/19) | 40.00 | 0.00 | $280,816 | $0 | $61,399 | Yes (X) | |||
| DENNIS DEMASIE | |||||||||
| VP, INFORMATION TECH & CIO | 40.00 | 0.00 | $319,929 | $0 | $27,650 | Yes (X) | |||
| BRENDA FANN MD | |||||||||
| ASSISTANT VP, MEDAFFAIRS | 40.00 | 0.00 | $320,077 | $0 | $64,963 | Yes (X) | |||
| DIANE HOMAN MD | |||||||||
| VP, QUALITY & PSO | 40.00 | 0.00 | $421,404 | $0 | $91,805 | Yes (X) | |||
| STEVE LOWENTHAL MD | |||||||||
| SR. VP, MEDICAL AFFAIRS & CMO | 40.00 | 0.00 | $573,534 | $0 | $72,572 | Yes (X) | |||
| DAVID PETASNICK | |||||||||
| ASSISTANT VP, ANCILLARY SVCS | 40.00 | 0.00 | $198,971 | $0 | $40,352 | Yes (X) | |||
| ALEX POPE | |||||||||
| VP. PHILATHROPY & CDO | 1.00 | 40.00 | $265,449 | $0 | $32,939 | Yes (X) | |||
| MARY SHILKAITIS | |||||||||
| SENIOR VP, OPERATIONS & COO | 40.00 | 0.00 | $277,098 | $0 | $80,611 | Yes (X) | |||
| SUZANNE STERCHI | |||||||||
| ASSISTANT VP, PATIENT CARE | 40.00 | 0.00 | $202,043 | $0 | $77,567 | Yes (X) | |||
| MARK SHARP-SCHINSKY MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,254,999 | $0 | $57,714 | Yes (X) | |||
| JONATHAN L TUETING MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,059,893 | $0 | $78,291 | Yes (X) | |||
| DIMITRI RUBAN MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $942,251 | $0 | $49,043 | Yes (X) | |||
| KEVIN KELLY MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $909,574 | $0 | $52,792 | Yes (X) | |||
| ARIF SALEEM MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $815,814 | $0 | $72,291 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $11,226,605 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,232,918 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 252 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SODEXO | |||||
| PO BOX 536922 | ATLANTA | GA | 303536922 | FOOD AND CLEANING SERVICE MANAGEMENT | $3,966,847 |
| TRIMEDX | |||||
| PO BOX 636129 | CINCINNATI | OH | 452636129 | EQUIPMENT MAINTENANCE | $3,827,109 |
| ATOS | |||||
| DEPT - 772066 PO BOX 78000 | DETROTT | MI | 482781177 | MEDICAL BILLING | $2,612,328 |
| DIVERSIFIED CLINICAL SERVICES | |||||
| PO BOX 636981 | CINCINNATI | OH | 452636981 | WOUND CENTER MANAGEMENT | $1,046,152 |
| INTUITIVE SURGICAL INC | |||||
| 1020 KIFER ROAD | SUNNYVALE | CA | 94086 | EQUIPMENT MAINTENANCE | $852,045 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 25 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $945,510 | RelatedOrganizationsAmt |
| Government Grants | $6,101,188 | GovernmentGrantsAmt |
| Total Contributions | $7,046,698 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SVC REV | 621110 | $286,985,653 | $286,985,653 |
| MEDICAID TAX REVENUE | 621110 | $30,894,202 | $30,894,202 |
| OTHER PROGRAM REVENUE | 900009 | -$4,114,221 | -$4,114,221 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $313,765,634 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,203,087 | TotalRevenueColumnAmt |
| Exclusion | $6,203,087 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,186,617 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $746,318 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $440,299 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $440,299 | TotalRevenueColumnAmt |
| Exclusion | $440,299 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,122,311,653 | SecuritiesAmt |
| Other | $53,085 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,075,607,610 | SecuritiesAmt |
| Other | $392,012 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $46,704,043 | SecuritiesAmt |
| Other | -$338,927 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $46,365,116 | TotalRevenueColumnAmt |
| Exclusion | $46,365,116 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| OUTSIDE SERVICE REV. | 621990 | $2,039,806 | $2,039,806 | |
| GIFT SHOP REVENUE | 453220 | $428,427 | $428,427 | |
| CAFETERIA REVENUE | 621990 | $35,345 | $35,345 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,503,578 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $376,324,412 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $315,805,440 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $53,472,274 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,286 | TotalAmt |
| Program Services | $10,286 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,072,608 | TotalAmt |
| Management And General | $6,072,608 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,598,452 | TotalAmt |
| Program Services | $87,448,839 | ProgramServicesAmt |
| Management And General | $29,149,613 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,696,375 | TotalAmt |
| Program Services | $2,772,281 | ProgramServicesAmt |
| Management And General | $924,094 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,290,213 | TotalAmt |
| Program Services | $13,717,660 | ProgramServicesAmt |
| Management And General | $4,572,553 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,570,575 | TotalAmt |
| Program Services | $7,927,931 | ProgramServicesAmt |
| Management And General | $2,642,644 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,930,179 | TotalAmt |
| Program Services | $5,197,634 | ProgramServicesAmt |
| Management And General | $1,732,545 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $231,060 | TotalAmt |
| Management And General | $231,060 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $302,732 | TotalAmt |
| Management And General | $302,732 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,623 | TotalAmt |
| Management And General | $31,623 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $415,192 | TotalAmt |
| Management And General | $415,192 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,212,240 | TotalAmt |
| Program Services | $6,909,180 | ProgramServicesAmt |
| Management And General | $2,303,060 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $675,962 | TotalAmt |
| Program Services | $675,962 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,907,625 | TotalAmt |
| Program Services | $12,680,719 | ProgramServicesAmt |
| Management And General | $4,226,906 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,589,320 | TotalAmt |
| Program Services | $7,191,990 | ProgramServicesAmt |
| Management And General | $2,397,330 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,572,918 | TotalAmt |
| Program Services | $3,429,689 | ProgramServicesAmt |
| Management And General | $1,143,229 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,425 | TotalAmt |
| Program Services | $71,569 | ProgramServicesAmt |
| Management And General | $23,856 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,536 | TotalAmt |
| Program Services | $37,902 | ProgramServicesAmt |
| Management And General | $12,634 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,835,257 | TotalAmt |
| Program Services | $4,835,257 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,276,053 | TotalAmt |
| Program Services | $25,276,053 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,900,263 | TotalAmt |
| Program Services | $5,175,197 | ProgramServicesAmt |
| Management And General | $1,725,066 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL SUPPLIES | $53,497,466 | $53,497,466 |
| MEDICAID PROVIDER TAX | $19,023,050 | $19,023,050 |
| REPAIRS AND MAINTENANCE | $948,207 | $948,207 |
| COLLECTION FEES | $770,188 | $770,188 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,956,008 | TotalAmt |
| Program Services | $5,217,006 | ProgramServicesAmt |
| Management And General | $1,739,002 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,459,813 | TotalAmt |
| Program Services | $262,814,066 | ProgramServicesAmt |
| Management And General | $59,645,747 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,237,946 | BOYAmt |
| EOY | $68,736,370 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,226,305 | BOYAmt |
| EOY | $49,109,312 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,094,971 | BOYAmt |
| EOY | $6,504,979 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,360,529 | BOYAmt |
| EOY | $3,627,600 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $480,967,629 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $271,102,080 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,792,547 | BOYAmt |
| EOY | $209,865,549 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $284,053,077 | BOYAmt |
| EOY | $244,398,267 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,150,456 | BOYAmt |
| EOY | $3,109,951 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,447,381 | BOYAmt |
| EOY | $182,957,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $692,363,212 | BOYAmt |
| EOY | $768,309,028 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,213,240 | BOYAmt |
| EOY | $142,142,511 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,655,064 | BOYAmt |
| EOY | $130,846,997 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,675,939 | BOYAmt |
| EOY | $86,360,432 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $294,544,243 | BOYAmt |
| EOY | $359,349,940 | 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 | $393,151,933 | BOYAmt |
| EOY | $404,194,874 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,667,036 | BOYAmt |
| EOY | $4,764,214 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $397,818,969 | BOYAmt |
| EOY | $408,959,088 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $692,363,212 | BOYAmt |
| EOY | $768,309,028 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $53,864,599 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$44,393,172 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,668,692 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | 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 | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $31,623 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $31,623 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | 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 | $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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,975,986 | BeginningYearBalanceAmt |
| Contributions | $2,004,750 | ContributionsAmt |
| Investment Earnings Or Losses | $512,030 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,801,561 | OtherExpendituresAmt |
| End Year Balance | $11,691,205 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,538,872 | BeginningYearBalanceAmt |
| Contributions | $1,093,070 | ContributionsAmt |
| Investment Earnings Or Losses | $104,565 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,760,521 | OtherExpendituresAmt |
| End Year Balance | $10,975,986 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.25400 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.63300 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.11300 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,691,675 | OtherCostOrOtherBasisAmt |
| Book Value | $19,691,675 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $263,414,046 | OtherCostOrOtherBasisAmt |
| Depreciation | $137,945,089 | DepreciationAmt |
| Book Value | $125,468,957 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,743,627 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,302,174 | DepreciationAmt |
| Book Value | $441,453 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $191,266,816 | OtherCostOrOtherBasisAmt |
| Depreciation | $129,854,817 | DepreciationAmt |
| Book Value | $61,411,999 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,851,465 | OtherCostOrOtherBasisAmt |
| Book Value | $2,851,465 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $209,865,549 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM RELATED PARTIES | $168,381,781 |
| INVESTMENT IN AFFILIATES | -$3,174,929 |
| MALPRACTICE GROSS UP | $2,285,624 |
| RIGHT OF USE ASSET | $15,464,524 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $182,957,000 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| LONG TERM SERP | $3,563,853 |
| LONG TERM MARKET ADJUSTMENT SWAP LIABILITY | $11,845,699 |
| DUE TO RELATED PARTY | $56,034,375 |
| UNAMORTIZED BOND DISCOUNT | -$778,416 |
| SHORT TERM/LONG TERM LEASE LIABILITY | $15,694,921 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $86,360,432 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | 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), 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 (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,113,463 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,113,463 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01590 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $78,018,397 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $55,519,817 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,498,580 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06980 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $83,131,860 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $55,519,817 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,612,043 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08570 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $47,854 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $47,854 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,853,932 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $899,163 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,954,769 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00920 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $78,479 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $78,479 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,286 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,286 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,990,551 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $899,163 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,091,388 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00950 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $87,122,411 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $56,418,980 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,703,431 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09520 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $35,162,486 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,516,249 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $96,441,121 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $121,708,645 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$25,267,524 | 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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | 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 | 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 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | 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 (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, PAGE 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 8 | 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 (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | 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 (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| COPLEY MEMORIAL HOSPITAL | PART V, SECTION B, LINE 5: IN CONDUCTING THE COMMUNITY NEEDS ASSESSMENT, THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED. THIS INCLUDED COMMUNITY RESIDENTS AND EXPERTS IN A RANGE OF AREAS INCLUDING PUBLIC HEALTH, MINORITY POPULATIONS, DISPARITIES IN HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH, AND HEALTH & SOCIAL SERVICES. PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED INCLUDED: BOARD OF DIRECTORS, HOSPITAL ADMINISTRATION, COMMUNITY HEALTH NEEDS COMMITTEE, PARTNERSHIPS WITH KANE COUNTY, PARTNERSHIPS WITH KENDALL COUNTY, COMMUNITY HEALTH SURVEY, FOCUS GROUPS, AND SECONDARY DATA ANALYSIS. FOR COMPLETE DETAILS ABOUT HOW THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED, THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE ACCESSED AT: HTTPS://WWW.RUSH.EDU/ABOUT-US/RUSH-COMMUNITY/CHNACHIP-REPORTS-AND-CBR/RUSH-COPLEY-CHNA-REPORT |
| COPLEY MEMORIAL HOSPITAL | PART V, SECTION B, LINE 6A: 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. |
| COPLEY MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: RUSH COPLEY IDENTIFIED THE FOLLOWING AS THE TOP HEALTH NEEDS IN THE COMMUNITY TO BE ADDRESSED IN THE IMPLEMENTATION STRATEGY:1. 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 RESOURCES2. MENTAL AND BEHAVIORAL HEALTH, FOCUSING ON REDUCING THE MISUSE OF OPIOIDS AND OPIOID-RELATED DEATHS3. PREVENT AND REDUCE CHRONIC DISEASE BY FOCUSING ON RISK FACTORS, SPECIFICALLY REDUCING TOBACCO USAGE (INCLUDING SMOKING AND VAPING)EXECUTION OF THE IMPLEMENTATION STRATEGIES TO ADDRESS THESE NEEDS BEGAN AT THE END OF FY19. KEY ACCOMPLISHMENT HIGHLIGHTS IN ADDRESSING ALL OF THESE NEEDS DURING THE YEAR ENDED JUNE 30, 2020 INCLUDE THE FOLLOWING:1. 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- IN COLLABORATION WITH RUSH UNIVERSITY, IMPLEMENTED A SCREENING TOOL FOR RCMC AT-RISK/VULNERABLE PATIENTS THAT WILL BE USED TO HELP IDENTIFY THE SOCIAL, ECONOMIC AND STRUCTURAL DETERMINANTS OF HEALTH THAT COULD BE AFFECTING PATIENT'S HEALTH- ENHANCED AND EXPAND THE USE OF COMMUNITY CARE MANAGERS IN RCMG PCP PRACTICES TO BETTER IDENTIFY AND ADDRESS THE SOCIAL DETERMINANT NEEDS OF THE PATIENT POPULATION- DEVELOPING A METRICS TRACKER- RN EDUCATION FOR SDOH DEVELOPED AND LAUNCHED - SDOH NURSING RESEARCH STUDY RESULTS OBTAINED IN YEAR ONE. DISSEMINATED RESULTS AND NURSING EDUCATION- SDOH PHYSICIAN EDUCATION AND CME PRESENTED- GENDER AFFIRMING CARE MODULES NOW AVAILABLE IN CME PORTAL- SEXUAL ORIENTATION AND GENDER IDENTITY (SOGI) MODULE ACTIVATED IN EPIC. MORE STAFF EDUCATION BEGUN- LEADERSHIP PARTICIPATION IN KANE AND KENDALL COUNTY HEALTH DEPARTMENT2. MENTAL AND BEHAVIORAL HEALTH, FOCUSING ON REDUCING THE MISUSE OF OPIOIDS AND OPIOID-RELATED DEATHS- ORDER SETS WERE UPDATED WITH EPIC AND CONTINUE TO BE OPTIMIZED. THESE INCLUDE NON-OPIOIDS FOR LOWER PAIN SCORES, DEFAULT DURATIONS REMOVED, AND PMP ACCESS LINKS IN EPIC- OPIOID DASHBOARD HAS BEEN CREATED IN EPIC- CLINIC STAFF EDUCATIONAL PROGRAMMING IMPLEMENTED- OPTIMIZATION OF HYDROMORPHONE USE IN THE ED TO REDUCE OPIOID ORDERS AND PRESCRIPTIONS IN ED- IMPLEMENTATION OF LOW DOSE KETAMINE PROTOCOL/POLICY IN ED TO REDUCE USE OF OPIOIDS FOR ACUTE PAIN- PATIENT DISCHARGE EDUCATIONAL MATERIAL NOW INCLUDES INFORMATION ON HOW TO CORRECTLY TAKE OPIOIDS AND DISPOSE OF THEM.- PRODUCTION OF AN EDUCATIONAL VIDEO ON THE RUSH UNIVERSITY MEDICAL CENTER YOUTUBE CHANNEL OFFERING ADVICE FOR PLAYING IT SAFE WITH PRESCRIPTION OPIOIDS- LEADERSHIP PARTICIPATION ON THE KANE COUNTY OPIOID TASK FORCE- LEADERSHIP PARTICIPATION ON THE KANE COUNTY BEHAVIORAL HEALTH COUNCIL- LEADERSHIP PARTICIPATION ON THE RUSH UNIVERSITY SYSTEM FOR HEALTH OPIOID WORKFORCE- ACTIVE SUPPORT OF PATH TO RECOVERY FOUNDATION - A COMMUNITY SUPPORT GROUP FOR FAMILIES DEALING WITH OPIOID USE DISORDER- COLLABORATION WITH KENDALL COUNTY LAW ENFORCEMENT AGENCIES IN AN ONGOING PROGRAM TO EXCHANGE FIRST RESPONDER NALOXONE SUPPLY3. PREVENT AND REDUCE CHRONIC DISEASE BY FOCUSING ON RISK FACTORS, SPECIFICALLY REDUCING TOBACCO USAGE (INCLUDING SMOKING AND VAPING)- DEVELOPED/ENHANCED AND IMPLEMENTED EDUCATION, RESOURCES, AND/OR PROGRAMS TO HELP THE COMMUNITY QUIT SMOKING- CONTINUE 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- IMPLEMENT PROMOTION AND UTILIZATION OF PRO-CHANGE FOR RCMC/RCMG PATIENTS AND EMPLOYEES (WEB-BASED DIGITAL COACHING FOR SMOKING CESSATION)- HOST SPANISH FREEDOM FROM SMOKING (FFS) PROGRAMS IN THE COMMUNITY- PROVIDE 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- PARTICIPATED IN KANE COUNTY HEALTH DEPARTMENT TOBACCO COALITION INITIAL DEVELOPMENT OF CREATING A UNIVERSAL PRESENTATION TO BE UTILIZED ACROSS THE COUNTY FOR PRESENTATIONS ON VAPING/E-CIGARETTE- RCMG NURSES AND MEDICAL ASSISTANTS WERE EDUCATED ON TOBACCO DOCUMENTATION WHICH INCLUDES VAPING- ADDITIONALLY, INCORPORATED EDUCATION ON TOBACCO CESSATION SMART SET DURING EPIC EDUCATION TRAINING- LEADERSHIP PARTICIPATION ON THE KANE COUNTY TOBACCO COALITION- LEADERSHIP PARTICIPATION ON THE MONTHLY RUSH SYSTEM TOBACCO OVERSIGHT COMMITTEE- PARTNERED IN SUPPORTING TOBACCO 21 IN IL AND IN 2019, AND TOBACCO 21 WAS SIGNED INTO LAW BY IL GOVERNOR, WHICH WENT INTO EFFECT JULY 1, 2019.THERE ARE NO NEEDS LISTED IN THE MOST RECENT CHNA THAT ARE NOT BEING ADDRESSED BY COPLEY MEMORIAL HOSPITAL. |
| PART V, SECTION B, LINE 16A | HTTPS://WWW.RUSH.EDU/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE |
| PART V, SECTION B, LINE 16B | HTTPS://WWW.RUSH.EDU/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE |
| PART V, SECTION B, LINE 16C | HTTPS://WWW.RUSH.EDU/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE |
| PART V, SECTION B, LINE 7A | HTTPS://WWW.RUSH.EDU/ABOUT-US/RUSH-COMMUNITY/CHNACHIP-REPORTS-AND-CBR/RUSH-COPLEY-CHNA-REPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - RADIATION THERAPY CENTER AT RIVERWEST | ||||
| 1221 N HIGHLAND AVENUE | AURORA | IL | 605044206 | JV ONCOLOGY |
| 2 - CASTLE SURGICENTER | ||||
| 2111 OGDEN AVE | AURORA | IL | 60504 | AMBULATORY SURGERY CENTER |
| 3 - RUSH COPLEY HEALTHCARE CENTER | ||||
| 1100 WEST VETERANS PARKWAY | YORKVILLE | IL | 60560 | OUTPATIENT SERVICES |
| 4 - RUSH COPLEY CARDIOVASCULAR CONSULTANTS | ||||
| 2000 OGDEN AVENUE | AURORA | IL | 605044206 | CARDIOVASCULAR SERVICES |
| 5 - MIDWEST CENTER FOR ADVANCED IMAGING | ||||
| 4355 MONTGOMERY ROAD | NAPERVILLE | IL | 60564 | RADIOLOGY SERVICES |
| 6 - HEALTHPLEX OUTPATIENT REHABILITATION | ||||
| 1900 OGDEN AVENUE | AURORA | IL | 60504 | OUTPATIENT REHABILITATION SERVICES |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | 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). |
| PART I, LINE 7: | COPLEY MEMORIAL HOSPITAL RECEIVED $6,101,188 IN FUNDING FROM APRIL 2020 THROUGH JUNE 30, 2020 FROM THE CORONAVIRUS RESPONSE AND RELIEF SUPPLEMENTAL APPROPRIATIONS ACT (CARES ACT). THESE PAYMENTS WERE DISTRIBUTED BY HRSA THROUGH THE PROVIDER RELIEF FUND (PRF) PROGRAM TO REIMBURSE ELIGIBLE HEALTHCARE PROVIDERS FOR HEALTHCARE RELATED EXPENSES OR LOST REVENUES ATTRIBUTABLE TO CORONAVIRUS. ALL RECIPIENTS WILL BE REQUIRED TO REPORT THEIR USE OF ALL PRF PAYMENTS RECEIVED DURING 2020 CALENDAR YEAR, ON A DATE STILL TO BE DETERMINED BY HRSA, BY SUBMITTING THE FOLLOWING INFORMATION:1. HEALTHCARE RELATED EXPENSES ATTRIBUTABLE TO CORONAVIRUS THAT ANOTHER SOURCE HAS NOT REIMBURSED AND IS NOT OBLIGATED TO REIMBURSE, WHICH INCLUDES GENERAL AND ADMINISTRATIVE (G&A) AND/OR OTHER HEALTHCARE RELATED EXPENSES.2. PRF PAYMENT AMOUNTS NOT FULLY EXPENDED ON HEALTHCARE RELATED EXPENSES ATTRIBUTABLE TO CORONAVIRUS ARE THEN APPLIED TO PATIENT CARE LOST REVENUES. DOCUMENTATION REQUIREMENTS FOR THESE CALCULATIONS HAVE BEEN PUBLISHED IN THE POST-PAYMENT NOTICE OF REPORTING REQUIREMENTS DATED JANUARY 15, 2021.COPLEY MEMORIAL HOSPITAL HAS PERFORMED CALCULATIONS BASED ON THE JANUARY 15TH GUIDELINES AND DETERMINED THAT THE TOTAL OF HEALTHCARE RELATED EXPENSES ATTRIBUTABLE TO CORONAVIRUS AND LOST PATIENT CARE REVENUES FROM JANUARY 2020 THROUGH JUNE 2020, AS PUBLISHED IN THE APRIL 1, 2021 HHS PROVIDER RELIEF GUIDELINES AS TO HOW THE PROVIDER RELIEF FUNDS CAN BE SPENT, EXCEEDED THE PRF FUNDS RECEIVED PRIOR TO JUNE 30, 2020. |
| PART III, LINE 2: | BAD DEBT EXPENSE IS CALCULATED BASED ON ACTUAL WRITE OFF'S DURING THE YEAR AND APPLYING HISTORICAL UNCOLLECTED PERCENTAGES TO CURRENT OUTSTANDING BALANCES. |
| PART III, LINE 3: | 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. |
| PART III, LINE 4: | 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. |
| PART III, LINE 8: | 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. |
| PART III, LINE 9B: | 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. |
| PART VI, LINE 2: | 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. |
| PART VI, LINE 3: | 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. |
| PART VI, LINE 4: | 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 11%. 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 5.4%. THE PRIMARY SERVICE AREA HAS A POPULATION OF OVER 381,000 RESIDENTS. APPROXIMATELY 32% OF THE POPULATION IS OF HISPANIC OR LATINO ORIGIN. THE AVERAGE AGE OF THE COMMUNITY IS 35.2 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. |
| PART VI, LINE 5: | 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. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | 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 (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | 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 (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GARRETT KATULA DO | ||||||||||||||
| CHIEF OF STAFF/DIRECTOR | $260,514 | $0 | $75,832 | $0 | $2,315 | $0 | $25,000 | $0 | $24,647 | $0 | $388,308 | $0 | $0 | $0 |
| STEPHEN KELANIC MD | ||||||||||||||
| IMMEDIATE PAST CHIEF OF STAFF/DIRECT | $389,296 | $0 | $83,437 | $0 | $1,518 | $0 | $19,000 | $0 | $34,291 | $0 | $527,542 | $0 | $0 | $0 |
| JOHN DIEDERICH | ||||||||||||||
| PRESIDENT & CEO (BEG 11/19)/DIRECTOR | $472,077 | $0 | $0 | $0 | $2,412 | $0 | $40,200 | $0 | $31,740 | $0 | $546,429 | $0 | $0 | $0 |
| BARRY FINN | ||||||||||||||
| PRESIDENT & CEO/DIRECTOR (END 11/19) | $697,817 | $0 | $0 | $0 | $701,938 | $0 | $43,000 | $0 | $29,094 | $0 | $1,471,849 | $0 | $0 | $0 |
| RYAN ASMUS | ||||||||||||||
| VP GENERAL COUNSEL/SECRETARY | $304,037 | $0 | $0 | $0 | $4,035 | $0 | $44,000 | $0 | $30,239 | $0 | $382,311 | $0 | $0 | $0 |
| BRENDA VAN WYHE | ||||||||||||||
| SR. VP, FINANCE & CFO/TREASURER | $384,495 | $0 | $0 | $0 | $5,030 | $0 | $27,750 | $0 | $23,968 | $0 | $441,243 | $0 | $0 | $0 |
| GAIL BUMGARNER | ||||||||||||||
| SR. VP, STRATEGY (END 9/19) | $231,311 | $0 | $0 | $0 | $49,505 | $0 | $53,500 | $0 | $7,899 | $0 | $342,215 | $0 | $0 | $0 |
| DENNIS DEMASIE | ||||||||||||||
| VP, INFORMATION TECH & CIO | $279,892 | $0 | $0 | $0 | $40,037 | $0 | $25,000 | $0 | $2,650 | $0 | $347,579 | $0 | $0 | $0 |
| BRENDA FANN MD | ||||||||||||||
| ASSISTANT VP, MEDAFFAIRS | $305,529 | $0 | $12,983 | $0 | $1,565 | $0 | $44,000 | $0 | $20,963 | $0 | $385,040 | $0 | $0 | $0 |
| DIANE HOMAN MD | ||||||||||||||
| VP, QUALITY & PSO | $361,067 | $0 | $0 | $0 | $60,337 | $0 | $63,000 | $0 | $28,805 | $0 | $513,209 | $0 | $0 | $0 |
| STEVE LOWENTHAL MD | ||||||||||||||
| SR. VP, MEDICAL AFFAIRS & CMO | $483,419 | $0 | $0 | $0 | $90,115 | $0 | $63,000 | $0 | $9,572 | $0 | $646,106 | $0 | $0 | $0 |
| DAVID PETASNICK | ||||||||||||||
| ASSISTANT VP, ANCILLARY SVCS | $198,281 | $0 | $0 | $0 | $690 | $0 | $10,113 | $0 | $30,239 | $0 | $239,323 | $0 | $0 | $0 |
| ALEX POPE | ||||||||||||||
| VP. PHILATHROPY & CDO | $264,093 | $0 | $0 | $0 | $1,356 | $0 | $0 | $0 | $32,939 | $0 | $298,388 | $0 | $0 | $0 |
| MARY SHILKAITIS | ||||||||||||||
| SENIOR VP, OPERATIONS & COO | $273,505 | $0 | $0 | $0 | $3,593 | $0 | $44,000 | $0 | $36,611 | $0 | $357,709 | $0 | $0 | $0 |
| SUZANNE STERCHI | ||||||||||||||
| ASSISTANT VP, PATIENT CARE | $199,199 | $0 | $0 | $0 | $2,844 | $0 | $44,000 | $0 | $33,567 | $0 | $279,610 | $0 | $0 | $0 |
| MARK SHARP-SCHINSKY MD | ||||||||||||||
| PHYSICIAN | $962,680 | $0 | $291,658 | $0 | $661 | $0 | $19,000 | $0 | $38,714 | $0 | $1,312,713 | $0 | $0 | $0 |
| JONATHAN L TUETING MD | ||||||||||||||
| PHYSICIAN | $694,740 | $0 | $365,153 | $0 | $0 | $0 | $44,000 | $0 | $34,291 | $0 | $1,138,184 | $0 | $0 | $0 |
| DIMITRI RUBAN MD | ||||||||||||||
| PHYSICIAN | $933,191 | $0 | $5,700 | $0 | $3,360 | $0 | $19,000 | $0 | $30,043 | $0 | $991,294 | $0 | $0 | $0 |
| KEVIN KELLY MD | ||||||||||||||
| PHYSICIAN | $902,884 | $0 | $5,700 | $0 | $990 | $0 | $19,000 | $0 | $33,792 | $0 | $962,366 | $0 | $0 | $0 |
| ARIF SALEEM MD | ||||||||||||||
| PHYSICIAN | $642,399 | $0 | $172,425 | $0 | $990 | $0 | $38,000 | $0 | $34,291 | $0 | $888,105 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE ORGANIZATION PROVIDES TO ALL EMPLOYEES THE USE OF AN ATHLETIC FACILITY THAT IS OWNED AND OPERATED BY A RELATED TAX EXEMPT ORGANIZATION. |
| PART I, LINE 7 | INCENTIVE BONUS PLAN BASED ON A SERIES OF APPROVED STRATEGIC ACCOMPLISHMENTS. |
| PART I, LINE 4A: | BARRY FINN RECEIVED A SEVERANCE PAYMENT OF $39,220 IN 2019. |
| PART I, LINE 4B: | CMH OFFERS A SUPPLEMENTAL RETIREMENT PLAN TO CERTAIN EMPLOYEES WHO PARTICIPATE IN THE EXECUTIVE BENEFITS PROGRAM. THERE IS NO CONSTRUCTIVE RECEIPT OF THESE AMOUNTS BY THE INDIVIDUALS UNTIL THEY ARE PAID OUT AS THEY ARE SUBJECT TO A SUBSTANTIAL RISK OF FOREFEITURE UNTIL INDIVIDUALS MEET THE REQUIRED VESTING PERIOD. ONCE VESTED, PAYOUTS WOULD BE INCLUDED AS REPORTABLE COMPENSATION ON THE RECIPIENTS ANNUAL FORM W-2. THE AMOUNTS PAID OUT OF THIS PLAN IN 2019 WERE AS FOLLOWS: BARRY FINN - $618,988, DENNIS DEMAISE - $35,998, DIANE HOMAN - $54,928, GAIL BUMGARNER - $40,733, STEVE LOWENTHAL - $76,616. |
| PART III: | VOLUNTARY LEADERSHIP PAY REDUCTIONS IN AN EFFORT TO PRESERVE RUSH'S FINANCIAL VIABILITY AMID THE UNPARALLELED FINANCIAL CHALLENGES RESULTING FROM THE SIGNIFICANT REDUCTION OF NON-EMERGENT SURGERY AND THE COSTS OF HANDLING THE COVID-19 PANDEMIC, RUSH TOOK A MEASURED AND BALANCED APPROACH IN IMPLEMENTING COST CONTAINMENT INITIATIVES AND SOLUTIONS ACROSS THE SYSTEM. IN APRIL OF 2020, SOME OF THE LEADERSHIP OF THE RUSH COPLEY MEDICAL CENTER TOOK VOLUNTARY PAY REDUCTIONS. |
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 | 0 | 0 | 0 |
| ILLINOIS FINANCE AUTHORITY | ||||||||
| B | 861091967 | 000000000 | 2019-08-29 | $36,752,000 | BUILDINGS AND EQUIPMENT | 0 | 0 | 0 |
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 | $6,255,000 | $105,601,668 | $824,030 | $145 | $104,777,493 | 0 | Yes (1) | Yes (1) | Yes (1) | ||
| B | $36,752,000 | $252,000 | 0 | 0 | Yes (1) | Yes (1) | $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 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
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 | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 |
| B | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DATE REBATE COMPUTATION PERFORMED | ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/06/2020 |
| 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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A | SUMMARY OF FY20 HEALTH PROGRAMMING DURING FY20, COPLEY MEMORIAL HOSPITAL SPONSORED, PARTNERED OR PARTICIPATED IN NEARLY 500 COMMUNITY-BASED PROGRAMS AND EVENTS WITH SPECIAL EMPHASIS ON IMPROVING THE HEALTH AND WELLNESS OF ADULTS, CHILDREN AND UNDERSERVED POPULATIONS. NUTRITION AND WEIGHT LOSS YOUFIT MORE HELD ONE 12-CLASS PROGRAM WITH A TOTAL OF 3 PARTICIPANTS. THIS SMALL GROUP-BASED PROGRAM LED BY PERSONAL TRAINERS, FOCUSED ON CHALLENGING STRENGTH, CARDIO AND FLEXIBILITY WORKOUTS ON A POINTS-DRIVEN SYSTEM. DIABETES FREE FASTING GLUCOSE SCREENINGS WERE PROVIDED TO APPROXIMATELY 46 COMMUNITY MEMBERS. FREEDOM FROM SMOKING FREEDOM FROM SMOKING IS A SEVEN-WEEK, EIGHT-SESSION TOBACCO CESSATION PROGRAM SPONSORED BY THE AMERICAN LUNG ASSOCIATION AND HOSTED BY RUSH COPLEY MEDICAL CENTER. SESSIONS ARE LED BY A CERTIFIED FACILITATOR. FOUR PROGRAM SESSIONS WERE HOSTED WITH A TOTAL OF 8 PARTICIPANTS. COMMUNITY HEALTH TALKS COMMUNITY HEALTH TALKS IS AN EDUCATIONAL SERIES GEARED TOWARD THE HEALTH CARE NEEDS OF THE LATINO POPULATION. COMMUNITY HEALTH TALKS HELD THREE SESSIONS (TWO CANCELLED DUE TO COVID-19) SEPTEMBER THROUGH FEBRUARY AND TARGETS WOMEN, MEN AND CHILDREN OVER THE AGE OF 12 IN THE AURORA AREA. SOME OF THE TOPICS PRESENTED BY PROFESSIONAL HEALTHCARE PROVIDERS INCLUDE: LIVING WITH CANCER, HEALTHY HOME (RADON), MEDICAL RISKS OF MARIJUANA, VAPING AND ADOLESCENTS AND CHOLESTEROL. TYPICALLY, BETWEEN 10 AND 25 WOMEN AND MEN ATTEND THE MONTHLY SESSIONS. CLOSE TO 60 PARTICIPANTS ATTENDED AND BENEFITTED FROM THE PRESENTATIONS IN FY20. HEALTH EXHIBITS AT SCI-TECH HANDS ON MUSEUM EXHIBITS CONTINUE TO BE DISPLAYED IN THE LUNCH ROOM AND ADJACENT CORRIDOR OF THE MUSEUM TARGETING VISITORS IN THE 5-16 AGE RANGE. THE EXHIBITS ENABLE VISITORS TO MEASURE THEIR HEART RATE AFTER EXERCISING AND MAKE THE LINK BETWEEN EXERCISE AND HEART HEALTH. ANOTHER TESTS VISITORS' KNOWLEDGE ABOUT THE AMOUNT OF SUGAR IN POPULAR BEVERAGES AND EDUCATES THEM ABOUT DIABETES. SMALLER EXHIBITS ON THE LUNCH ROOM PILLARS DISPLAY THE USDA'S "MY PLATE" GRAPHIC, THE "5-4-3-2-1-GO!" PROGRAM, "EAT-THIS-NOT-THAT" INFORMATION, AND OTHER KID-FRIENDLY INFORMATION ABOUT NUTRITION AND HEALTH. A HAND-WASHING EXHIBIT TO DEMONSTRATE THE IMPORTANCE OF EFFECTIVE HAND-WASHING TECHNIQUES WAS PLACED IN THE LUNCHROOM AT SCI-TECH TO ENSURE THAT THE MESSAGE REACHES CHILDREN AT A TIME WHEN THEY CAN APPLY THE LESSONS LEARNED DIRECTLY TO THEIR OWN EATING HABITS FOR IMMEDIATE REINFORCEMENT. CHILDREN PLACE THEIR HANDS IN THE SINK TO START AN INTERACTIVE VIDEO THAT SHOWS THE RIGHT TECHNIQUE AND LENGTH OF TIME NEEDED TO REMOVE DIRT AND GERMS. PINK LIGHTS SHINE ON THEIR HANDS, SIMULATING GERMS, UNTIL THE RIGHT AMOUNT OF TIME AND ACTIVITY HAS ELAPSED. IN ADDITION TO THE DAILY VISITORS THE MUSEUM HOSTS DAILY (75,000 VISITORS A YEAR), SCI-TECH HANDS ON MUSEUM CONTINUES TO PARTICIPATE IN FIRST FRIDAYS, A VENUE IN THE DOWNTOWN THAT PROVIDES ARTS AND CULTURE TO THE COMMUNITY AND DRAWS 100-300 COMMUNITY MEMBERS AND VISITORS TO THE MUSEUM FOR THE FIVE HOUR EVENT MOST MONTHS OF THE YEAR. OLDER ADULT EDUCATION RUSH COPLEY, IN COLLABORATION WITH THE OSWEGO SENIOR CENTER, HOSTED A PROGRAM ON OSTEOPOROSIS. 15 INDIVIDUALS PARTICIPATED IN THIS PROGRAM DURING FY20. 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 FY20. 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 FY20, 132 GIRLS AND THEIR FEMALE CAREGIVERS ATTENDED. HEART SURVIVOR WALK THE HEART SURVIVOR WALK AND BREAKFAST AT BLACKBERRY FARM HAD 136 PARTICIPANTS. THE EVENT INCLUDED IN A ONE MILE WALK AND COMPLIMENTARY BREAKFAST. AWARDS WERE GIVEN FOR THE OLDEST SURVIVOR, YOUNGEST SURVIVOR AND SUPER SURVIVOR. PARTICIPANTS AND THEIR GUESTS WERE EDUCATED BY RUSH COPLEY CARDIOLOGISTS ABOUT THE IMPORTANCE OF RECOGNIZING SIGNS AND SYMPTOMS OF A HEART ATTACK, THE IMPORTANCE OF CALLING 911 AND LEADING A HEART HEALTHY LIFESTYLE. MOVEMENT DISORDERS RUSH COPLEY'S MOVEMENT DISORDERS PROGRAM PROVIDES SUPPORT AND MANAGEMENT OF PARKINSON'S DISEASE, ESSENTIAL TREMOR, DYSTONIA AND ATAXIA TO HELP PATIENTS MAXIMIZE THEIR MOBILITY, COORDINATION, AND QUALITY OF LIFE. PROGRAM OFFERINGS INCLUDE SUPPORT GROUPS, EXERCISE CLASSES BOTH ON LAND AND WATER, GROUP BOXING, ART AND MUSIC THERAPY, MONTHLY MIND/BODY CLASSES AS WELL AS SPECIAL EVENTS WITH GUEST SPEAKERS TO MORE THAN 200 PARTICIPANTS. BONE AND JOINT RUSH COPLEY'S JOINT RECONSTRUCTION AND REPLACEMENT CENTER HOSTED DINNER WITH THE DOCS. THIS PROGRAM FOCUSED ON KNEE AND HIP REPLACEMENT EDUCATION PRESENTED BY ORTHOPEDIC SURGEONS. CANCER AWARENESS AND INFORMATION RUSH CANCER CARE CENTER'S PHYSICIANS PRESENTED AT FIVE INFORMATIONAL AND EDUCATIONAL PROGRAMS AT WATERFORD PLACE CANCER RESOURCE CENTER. PROGRAMS INCLUDED ADVANCED TREATMENTS FOR LUNG CANCER, BLOOD CANCER AND PROSTATE CANCER, A SURVIVORSHIP SYMPOSIUM AND A BREAST CANCER SYMPOSIUM. WATERFORD PLACE ALSO BEGAN OFFERING VIRTUAL WELLNESS, EXERCISE, SALON AND SPA, AND EDUCATION PROGRAMS REACHING HUNDREDS OF PEOPLE ONLINE. 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 FY20. HEALTH TALKS HEALTH TALKS IS A SERIES OF FREE COMMUNITY HEALTH PROGRAMS HOSTED IN PERSON AND VIRTUALLY DURING FY20 ON A VARIETY OF TOPICS DESIGNED TO HELP IMPROVE WELL-BEING. RESPECTED RUSH EXPERTS SHARE INSIGHTS AND TIPS FOR HEALTHY LIVING. TOPICS INCLUDED: ABCS OF HEALTH, CRACKING THE TEEN CODE, DIGESTIVE HEALTH DURING THE HOLIDAYS, LEARNING TO BREAK BAD HABITS, EXPLORING COSMETIC PROCEDURES, MARIJUANA AND VAPING, AND PARENTING DURING A PANDEMIC (ENGLISH AND SPANISH). A TOTAL OF 220 PARTICIPANTS ATTENDED. |
| FORM 990, PART III, LINE 4A | SUMMARY OF FY20 HEALTH PROGRAMMING (CONTINUED FROM ABOVE) WEBSITE COPLEY MEMORIAL HOSPITAL'S WEBSITE, RUSHCOPLEY.COM, WITH TRANSLATION AVAILABLE INTO DOZENS OF LANGUAGES, OFFERS ACCESS TO FREE HEALTH INFORMATION. IN FY20, RUSHCOPLEY.COM HAD OVER 886,700 SESSIONS. EVENTS RUSH COPLEY PARTICIPATED IN COMMUNITIES IN SCHOOLS BACK TO SCHOOL FAIR, OPEN DOOR HEALTH CENTER AED DEMONSTRATION, OSWEGO HOMETOWN EXPO AND FOX VALLEY FLEA MARKET. WATERFORD PLACE HOSTED AN OSWEGO CHAMBER TOUR AND COMMUNITY RELATIONS PRESENTED TO THE EMERGING LEADER DEVELOPMENT PROGRAM. |
| FORM 990, PART VI, SECTION A, LINE 2 | 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. |
| FORM 990, PART VI, SECTION A, LINE 4 | BYLAWS WERE UPDATED TO CLARIFY THAT THE CEO OF THE CORPORATION IS APPOINTED BY THE MEMBER. ADDITIONALLY, THE UPDATED BYLAWS REQUIRE THAT ANY NEW OFFICER OR EXECUTIVE LEVEL POSITION MUST BE APPOINTED BY THE MEMBER, WITH A SPECIFIC BUSINESS JUSTIFICATION FOR THE APPOINTMENT. THE UPDATED BYLAWS ALSO CLARIFY THAT CORPORATE OFFICERS MUST BE APPROVED ANNUALLY BY THE BOARD, SUBJECT TO THE APPROVAL OF THE MEMBER. DUTIES FOR THE CEO HAVE BEEN UPDATED TO REQUIRE THAT THE CEO MAINTAIN A CORPORATE ORGANIZATIONAL CHART IDENTIFYING OFFICERS, EXECUTIVES AND DEPARTMENTS OF THE CORPORATION. ADDITIONALLY, THE CEO MAY APPOINT SUCH NUMBER OF ASSOCIATE AND ASSISTANT VICE-PRESIDENTS AS HE OR SHE SHALL FROM TIME TO TIME CONSIDER REASONABLE AND NECESSARY. THE UPDATED BYLAWS REMOVE THE REQUIREMENT THAT THERE BE A PRESIDENT IN ADDITION TO THE CEO, AND REMOVE THE REQUIREMENT FOR A TREASURER, ASSISTANT TREASURER, AND ASSISTANT SECRETARY POSITION. |
| FORM 990, PART VI, SECTION A, LINE 6 | RUSH COPLEY MEDICAL CENTER, INC. ("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, SECTION A, LINE 7A | 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, SECTION A, LINE 7B | 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, SECTION B, LINE 11B | THE FORM 990 TAX RETURN IS PREPARED BY OUR EXTERNAL TAX ADVISOR WITH DATA PROVIDED BY OUR ORGANIZATION. 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, SECTION B, LINE 12C | ANNUALLY, OFFICERS, DIRECTORS, KEY EMPLOYEES, MANAGEMENT TEAM (DEPARTMENT DIRECTORS AND MANAGERS), AND BILLING OFFICE PERSONNEL OF COPLEY MEMORIAL HOSPITAL, INC. ARE REQUIRED TO DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED AND REVIEWED BY THE CHIEF COMPLIANCE OFFICER AND THE AUDIT AND CORPORATE INTEGRITY COMMITTEE OF THE BOARD. THOSE KEY PERSONNEL WITH CONFLICTS ARE ADVISED TO RECUSE THEMSELVES FROM PARTICIPATING IN DECISION-MAKING RELATED TO THE CONFLICT. |
| FORM 990, PART VI, SECTION B, 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, SECTION C, LINE 19 | FORM 990 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: | TRANSFER OF ASSETS TO AFFILIATES-NET CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 97,179. SWAP VALUE ADJUSTMENT -3,019,627. RECOGNITION OF DEFERRED GAIN 4,591,140. |
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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| RUSH COPLEY MEDICAL CENTER INC | |||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 363193787 | PARENT COMP | IL | 501(C)(3) | LINE 12B, II | RUSH SYSTEM FOR HEALTH | Yes (1) | |
| RUSH COPLEY FOUNDATION | |||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 363093877 | GRANTS TO CHARITABLE ORGANIZATIONS | IL | 501(C)(3) | LINE 7 | RUSH COPLEY MEDICAL CENTER INC | Yes (1) | |
| COPLEY VENTURES INC | |||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 363370216 | RENTAL PROP., INFIRMARY CARE, AND HEALTHPLEX FITNESS CENTER | IL | 501(C)(3) | LINE 3 | RUSH COPLEY MEDICAL CENTER INC | Yes (1) | |
| RUSH UNIVERSITY MEDICAL CENTER | |||||||||||
| 1700 WEST VAN BUREN STREET | CHICAGO | IL | 60612 | 362174823 | HEALTHCARE | IL | 501(C)(3) | LINE 3 | RUSH SYSTEM FOR HEALTH | Yes (1) | |
| RUSH SYSTEM FOR HEALTH | |||||||||||
| 1725 W HARRISON STREET | CHICAGO | IL | 60612 | 364046278 | HOSPITAL | IL | 501(C)(3) | LINE 12C, III-FI | 0 | N/A | |
| RUSH OAK PARK HOSPITAL INC | |||||||||||
| 520 S MAPLE AVE | OAK PARK | IL | 60304 | 362183812 | HOSPITAL | IL | 501(C)(3) | LINE 3 | RUSH UNIVERSITY MEDICAL CENTER INC | Yes (1) | |
| AMENDED & RESTATED GENERAL MALPRACTICE & WORKER'S COMP | |||||||||||
| 1700 WEST VAN BUREN | CHICAGO | IL | 60612 | 366673233 | HEALTHCARE INSURANCE | IL | 501(C)(3) | LINE 12C, III-FI | RUSH UNIVERSITY MEDICAL CENTER INC | Yes (1) | |
| AUXILIARY OF RUSH OAK PARK HOSPITAL | |||||||||||
| 520 S MAPLE AVE | OAK PARK | IL | 60304 | 362255350 | HOSPITAL SUPPORT | IL | 501(C)(3) | LINE 12A, I | RUSH OAK PARK HOSPITAL | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CIRCLE IMAGING PARTNERS LP | ||||||||||||||
| 1725 W HARRISON STREET | CHICAGO | IL | 60612 | 363539382 | OPERATING IMAGING | IL | N/A | |||||||
| RUSH SURGICENTER AT THE PROFESSIONAL BUILDING LP | ||||||||||||||
| 1725 W HARRISON STREET | CHICAGO | IL | 60612 | 363853026 | SURGERY CENTER | IL | N/A | |||||||
| RUSH COPLEY CARDIOVASCULAR CONSULTANTS LLC | ||||||||||||||
| 2000 OGDEN AVENUE | AURORA | ID | 60504 | 273234201 | CARDIOVASCULAR MEDICINE | IL | COPLEY MEMORIAL HOSPITAL INC | RELATED | -$2,977,051 | $22,640,919 | 0 | 0 | 0.99000 | |
| RUSH COPLEY HOSPITALISTS LLC | ||||||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 611787188 | MEDICAL SERVICES | IL | COPLEY MEMORIAL HOSPITAL INC | RELATED | -$839,701 | $4,028,627 | 0 | 0 | 0.99000 | |
| RUSH COPLEY ORTHOPEDICS LLC | ||||||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 611801175 | MEDICAL SERVICES | IL | N/A | |||||||
| RUSH COPLEY SURGICENTER | ||||||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 384012268 | MEDICAL SERVICES | IL | COPLEY MEMORIAL HOSPITAL INC | RELATED | -$792,875 | $30,110,134 | 0 | Yes (1) | 0.99000 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RUSH UNIVERSITY MEDICAL CENTER INSURANCE | |||||||||||||
| PO BOX 1051 | GRAND CAYMAN | CJ | INSURANCE | CJ | N/A | C | 0 | ||||||
| RUSH COPLEY MEDICAL GROUP NFP | |||||||||||||
| PHYSICIAN PRACTICES | N/A | C | 0 | 2000 OGDEN AVENUE | AURORA | IL | 60504 | 363235315 | IL | ||||
| ROOM FIVE HUNDRED | |||||||||||||
| DINING ROOM | N/A | C | 0 | 1725 W HARRISON STREET | CHICAGO | IL | 60612 | 237139832 | IL | ||||
| RUSH UNIVERSITY MEDICAL CENTER MASTER RETIREMENT TRUST | |||||||||||||
| PENSION TRUST | N/A | T | 0 | 1700 W VAN BUREN STREET | CHICAGO | IL | 60612 | 912043520 | IL | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| RUSH COPLEY MEDICAL GROUP NFP | ||
| A | $613,712 | FAIR MARKET VALUE |
| RUSH COPLEY FOUNDATION | ||
| C | $945,510 | FAIR MARKET VALUE |
| COPLEY VENTURES INC | ||
| M | $570,000 | FAIR MARKET VALUE |
| RUSH SYSTEM FOR HEALTH | ||
| M | $1,008,562 | FAIR MARKET VALUE |
| COPLEY VENTURES INC | ||
| R | $1,135,847 | FAIR MARKET VALUE |
| RUSH UNIVERSITY MEDICAL CENTER | ||
| P | $10,667,588 | FAIR MARKET VALUE |
| RUSH COPLEY FOUNDATION | ||
| Q | $567,714 | FAIR MARKET VALUE |