COPLEY MEMORIAL HOSPITAL INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: COPLEY MEMORIAL HOSPITAL INC (EIN 36-2170840)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-05-15
IRS object ID: 202041369349304034
Schema version: 2018v3.1
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	2020-05-15T17:23:43-05:00	ReturnTs
Tax Period End	2019-06-30	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	2018-07-01	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 CTR	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 VANWYHE	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6309786200	PhoneNum
Signature	2020-05-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
PTIN	P00143920	PTIN
Phone	6123974000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	67.171.79.95	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-05-15	IPDt
IP Tm	10:35:54	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	92426507D63AB8DCB9F8A2EED31D9394E8F3722B	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	BARRY FINN	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	$392,296,208	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	TO PROVIDE ADVANCED MEDICINE WITH QUALITY OUTCOMES AND EXTRAORDINARY CARE.	ActivityOrMissionDesc
Voting Members Governing Body	20	VotingMembersGoverningBodyCnt
Voting Members Independent	17	VotingMembersIndependentCnt
Total Employee	2352	TotalEmployeeCnt
Total Volunteers	309	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$940,320	PYContributionsGrantsAmt
CY Contributions Grants	$1,057,724	CYContributionsGrantsAmt
PY Program Service Revenue	$305,059,403	PYProgramServiceRevenueAmt
CY Program Service Revenue	$328,422,368	CYProgramServiceRevenueAmt
PY Investment Income	$9,835,156	PYInvestmentIncomeAmt
CY Investment Income	$19,253,770	CYInvestmentIncomeAmt
PY Other Revenue	$1,457,569	PYOtherRevenueAmt
CY Other Revenue	$1,550,530	CYOtherRevenueAmt
PY Total Revenue	$317,292,448	PYTotalRevenueAmt
CY Total Revenue	$350,284,392	CYTotalRevenueAmt
PY Grants And Similar Paid	$20,551	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$15,213	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$142,023,489	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$148,762,196	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$141,021,217	PYOtherExpensesAmt
CY Other Expenses	$161,805,048	CYOtherExpensesAmt
PY Total Expenses	$283,065,257	PYTotalExpensesAmt
CY Total Expenses	$310,582,457	CYTotalExpensesAmt
PY Revenues Less Expenses	$34,227,191	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$39,701,935	CYRevenuesLessExpensesAmt
Total Assets BOY	$636,915,894	TotalAssetsBOYAmt
Total Assets EOY	$692,363,212	TotalAssetsEOYAmt
Total Liabilities BOY	$275,843,333	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$294,544,243	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$361,072,561	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$397,818,969	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF RUSH COPLEY IS TO PROVIDE ADVANCED MEDICINE WITH QUALITY OUTCOMES AND EXTRAORDINARY CARE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$257,400,629	ExpenseAmt
Grant	$15,213	GrantAmt
Revenue	$329,722,643	RevenueAmt
Desc	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. IN FY2019, 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 63,900 AND 6,400 EMAILS RESPECTFULLY. ADDITIONALLY, WATERFORD PLACE NEWS, TARGETED TOWARDS ANYONE IMPACTED BY A CANCER DIAGNOSIS, THEIR FAMILY AND CARE GIVERS, WAS SENT TO APPROXIMATELY 910.DURING FY2019, COPLEY MEMORIAL HOSPITAL SPONSORED, PARTNERED OR PARTICIPATED IN OVER 600 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.COPLEY MEMORIAL HOSPITAL OFFERS A FREE PHYSICIAN REFERRAL SERVICE, PROVIDES A FREE SPEAKERS 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	$257,400,629	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
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	Yes (1)	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 With Officer Ent	0	BusinessRlnWithOfficerEntInd
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	2352	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	20	GoverningBodyVotingMembersCnt
Independent Voting Member	17	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	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 (37 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
CATI CEDEROTH
DIRECTOR	1.00	2.00	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	41.00	2.00	Yes (X)	$323,036	$0	$51,733
STEPHEN KELANIC MD
IMMEDIATE PAST CHIEF OF STAFF/DIRECTOR	41.00	2.00	Yes (X)	$472,911	$0	$50,233
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 METZGER
DIRECTOR	1.00	2.00	Yes (X)	$0	$0	$0
AVERY MILLER
DIRECTOR	1.00	2.00	Yes (X)	$0	$0	$0
MICHAEL NUYLES DO
VICE CHIEF OF STAFF/DIR (BEG 1/19)	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	2.00	Yes (X)	$0	$0	$0
ANDREW VANEEKEREN
DIRECTOR	1.00	2.00	Yes (X)	$0	$0	$0
BARRY FINN
PRESIDENT & CEO/DIRECTOR	40.00	3.00	Yes (X)	$1,678,745	$0	$79,203	Yes (X)
BRUCE DIENST
CHAIRMAN OF THE BOARD/DIRECTOR	1.00	2.00	Yes (X)	$0	$0	$0	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		$369,659	$0	$109,220	Yes (X)
BRENDA VAN WYHE
SR. VP FINANCE & CFO/TREASURER	40.00	3.00		$456,643	$0	$97,735	Yes (X)
GAIL BUMGARNER
SR. VP, STRATEGY	40.00	0.00		$411,178	$0	$52,447		Yes (X)
DENNIS DEMASIE
VP, INFORMATION TECH & CIO	40.00	0.00		$359,670	$0	$29,708		Yes (X)
JOHN DIEDERICH
SR. VP, OPERATIONS & COO	40.00	1.00		$552,132	$0	$193,571		Yes (X)
BRENDA FANN MD
ASSISTANT VP, MEDAFFAIRS	40.00	0.00		$338,125	$0	$66,355		Yes (X)
DIANE HOMAN MD
VP, QUALITY & PSO	40.00	0.00		$505,839	$0	$68,262		Yes (X)
STEVE LOWENTHAL MD
SR. VP, MEDICAL AFFAIRS & CMO	40.00	0.00		$674,295	$0	$51,847		Yes (X)
DAVID PETASNICK
ASSISTANT VP, ANCILLARY SVCS	40.00	0.00		$212,445	$0	$39,471		Yes (X)
ALEX POPE
VP. PHILATHROPY & CDO	1.00	40.00		$292,905	$0	$63,245		Yes (X)
MARY SHILKAITIS
VP PATIENT CARE SRVCS & CNO	40.00	0.00		$325,499	$0	$116,376		Yes (X)
SUZANNE STERCHI
ASSISTANT VP, PATIENT CARE	40.00	0.00		$225,835	$0	$65,873		Yes (X)
MARK SHARP-SCHINSKY MD
PHYSICIAN	40.00	0.00		$1,248,063	$0	$73,013			Yes (X)
DIMITRI RUBAN MD
PHYSICIAN	40.00	0.00		$962,276	$0	$47,520			Yes (X)
KEVIN KELLY MD
PHYSICIAN	40.00	0.00		$913,708	$0	$49,733			Yes (X)
ARIF SALEEM MD
PHYSICIAN	40.00	0.00		$832,095	$0	$68,733			Yes (X)
TERESA L ALEXANDER MD
PHYSICIAN	40.00	0.00		$728,686	$0	$72,912			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,883,745	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,447,190	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	230	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
4880 PAYSPHERE CIRCLE	CHICAGO	IL	60674	FOOD AND CLEANING SERVICE MANAGEMENT	$4,367,713
ATOS
DEPT - 772066 PO BOX 78000	DETROIT	MI	782781177	HEALTHCARE INFORMATION AND MANAGEMENT SY	$3,444,378
SHIMADZU PRECISION INSTRUMENTS
20101 S VERMONT AVE	TORRANCE	CA	90502	EQUIPMENT MAINTENANCE	$765,947
DIVERSIFIED CLINICAL SERVICES
PO BOX 636981	CINCINNATI	OH	452636981	WOUND CENTER MANAGEMENT	$672,763
INTUITIVE SURGICAL INC
1020 KIFER ROAD	SUNNYVALE	CA	94086	MEDICAL EQUIPMENT REPAIR AND SERVICING	$632,378

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	20	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,057,724	RelatedOrganizationsAmt
Total Contributions	$1,057,724	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SVC REV	621110	$299,615,348	$299,615,348
MEDICAID TAX REVENUE	621110	$31,096,443	$31,096,443
OTHER PROGRAM REVENUE	900099	-$2,289,423	-$2,289,423

Field	Value	IRS element (for citing)
Total Program Service Revenue	$328,422,368	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,671,669	TotalRevenueColumnAmt
Exclusion	$6,671,669	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$978,439	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,330,166	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$351,727	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$351,727	TotalRevenueColumnAmt
Exclusion	-$351,727	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$51,726,903	SecuritiesAmt
Other	$1,536,848	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$40,660,770	SecuritiesAmt
Other	$20,880	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$11,066,133	SecuritiesAmt
Other	$1,515,968	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,582,101	TotalRevenueColumnAmt
Exclusion	$12,582,101	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
OUTSIDE SERVICE REV.	621990	$1,300,203	$1,300,203
GIFT SHOP REVENUE	453220	$450,861		$450,861
CAFETERIA REVENUE	621990	$151,121		$151,121

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$72	TotalRevenueColumnAmt
Related Or Exempt Func Income	$72	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,902,257	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$350,284,392	TotalRevenueColumnAmt
Related Or Exempt Func Income	$329,722,643	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$19,504,025	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$15,213	TotalAmt
Program Services	$15,213	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,496,812	TotalAmt
Management And General	$7,496,812	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$107,164,923	TotalAmt
Program Services	$85,996,301	ProgramServicesAmt
Management And General	$21,168,622	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,942,149	TotalAmt
Program Services	$2,956,612	ProgramServicesAmt
Management And General	$985,537	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$19,986,199	TotalAmt
Program Services	$14,989,649	ProgramServicesAmt
Management And General	$4,996,550	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,172,113	TotalAmt
Program Services	$7,629,085	ProgramServicesAmt
Management And General	$2,543,028	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$7,185,833	TotalAmt
Program Services	$5,389,375	ProgramServicesAmt
Management And General	$1,796,458	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$128,036	TotalAmt
Management And General	$128,036	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$237,194	TotalAmt
Management And General	$237,194	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$33,576	TotalAmt
Management And General	$33,576	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$203,957	TotalAmt
Management And General	$203,957	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$9,215,780	TotalAmt
Program Services	$6,911,835	ProgramServicesAmt
Management And General	$2,303,945	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$691,808	TotalAmt
Program Services	$691,808	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,993,915	TotalAmt
Program Services	$11,995,436	ProgramServicesAmt
Management And General	$3,998,479	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,913,794	TotalAmt
Program Services	$8,185,345	ProgramServicesAmt
Management And General	$2,728,449	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,647,901	TotalAmt
Program Services	$5,735,926	ProgramServicesAmt
Management And General	$1,911,975	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$134,323	TotalAmt
Program Services	$100,742	ProgramServicesAmt
Management And General	$33,581	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$72,572	TotalAmt
Program Services	$54,429	ProgramServicesAmt
Management And General	$18,143	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,044,813	TotalAmt
Program Services	$5,044,813	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$19,925,124	TotalAmt
Program Services	$19,925,124	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,576,595	TotalAmt
Program Services	$3,432,446	ProgramServicesAmt
Management And General	$1,144,149	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$53,438,559	$53,438,559
MEDICAID PROVIDER TAX	$19,096,687	$19,096,687
REPAIRS AND MAINTENANCE	$930,190	$930,190
COLLECTION FEES	$521,042	$521,042

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,813,349	TotalAmt
Program Services	$4,360,012	ProgramServicesAmt
Management And General	$1,453,337	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$310,582,457	TotalAmt
Program Services	$257,400,629	ProgramServicesAmt
Management And General	$53,181,828	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$21,141,985	BOYAmt
EOY	$18,237,946	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$48,943,347	BOYAmt
EOY	$44,226,305	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,846,586	BOYAmt
EOY	$6,094,971	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,868,524	BOYAmt
EOY	$5,360,529	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$453,585,731	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$249,793,184	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$172,407,994	BOYAmt
EOY	$203,792,547	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$287,617,692	BOYAmt
EOY	$284,053,077	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,190,961	BOYAmt
EOY	$3,150,456	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$91,898,805	BOYAmt
EOY	$127,447,381	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$636,915,894	BOYAmt
EOY	$692,363,212	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$134,171,486	BOYAmt
EOY	$143,213,240	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$99,162,939	BOYAmt
EOY	$96,655,064	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$42,508,908	BOYAmt
EOY	$54,675,939	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$275,843,333	BOYAmt
EOY	$294,544,243	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$357,208,458	BOYAmt
EOY	$393,151,933	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,864,103	BOYAmt
EOY	$4,667,036	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$361,072,561	BOYAmt
EOY	$397,818,969	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$636,915,894	BOYAmt
EOY	$692,363,212	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$39,701,935	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,504,073	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,451,454	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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	0	FederalGrantAuditRequiredInd

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	$33,576	OtherActivitiesAmt
Total Lobbying Expenditures	$33,576	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,931,067	BeginningYearBalanceAmt
Contributions	$2,373,022	ContributionsAmt
Investment Earnings Or Losses	$204,733	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,969,950	OtherExpendituresAmt
End Year Balance	$12,538,872	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.24000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.64000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.12000	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	$19,347,996	OtherCostOrOtherBasisAmt
Book Value	$19,347,996	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$243,904,880	OtherCostOrOtherBasisAmt
Depreciation	$129,953,686	DepreciationAmt
Book Value	$113,951,194	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,743,627	OtherCostOrOtherBasisAmt
Depreciation	$3,162,573	DepreciationAmt
Book Value	$581,054	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$173,449,545	OtherCostOrOtherBasisAmt
Depreciation	$116,676,925	DepreciationAmt
Book Value	$56,772,620	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,139,683	OtherCostOrOtherBasisAmt
Book Value	$13,139,683	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$203,792,547	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM RELATED PARTIES	$124,555,207
OTHER ASSETS	$49,929
INVESTMENT IN AFFILIATES	$939,292
MALPRACTICE GROSS UP	$1,902,953

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$127,447,381	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
LONG TERM DEFERRED RENT OBLIGATION	$436,564
DEFERRED GAIN ON SALE LONG TERM	$3,247,392
LONG TERM SERP	$2,985,284
LONG TERM MARKET ADJUSTMENT SWAP LIABILITY	$8,826,072
DUE TO RELATED PARTY	$39,780,028
UNAMORTIZED BOND DISCOUNT	-$599,401

Field	Value	IRS element (for citing)
Total Liability	$54,675,939	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

RUSH COPLEY FOUNDATION HOLDS THE VORIS (INCOME FOR CMH CANCER CARE), KOBISK (BOARD RESTRICTED INCOME TO CMH), COPLEY (INCOME UNRESTRICTED), DOBBINS (INCOME FOR CMH WOMEN'S HEALTH), AND MOVEMENT DISORDER (INCOME FOR CMH MOVEMENT DISORDER PROGAM) 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), WATERFORD PLACE (INCOME FOR CMH CANCER RESOURCE CENTER) AND COPLEY (INCOME FROM THE COPLEY ENDOWMENT). THESE FUNDS ARE HELD FOR THE BENEFIT OF COPLEY MEMORIAL HOSPITAL, INC.

PART X, LINE 2:

THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE CORPORATION, THE HOSPITAL, VENTURES AND THE FOUNDATION ARE QUALIFIED AS TAX-EXEMPT ORGANIZATIONS UNDER INTERNAL REVENUE CODE SECTION 501(C)(3); ACCORDINGLY, INCOME TAXES ARE NOT PROVIDED FOR IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE MEDICAL GROUP OPERATES AS A TAXABLE CORPORATION AND ACCOUNTS FOR INCOME TAXES UNDER FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740. NO PROVISION FOR INCOME TAXES WAS RECORDED FOR 2019 AND 2018 DUE TO OPERATING LOSSES. AS OF JUNE 30, 2019, THE MEDICAL GROUP HAD NET OPERATING LOSS CARRYFORWARDS OF APPROXIMATELY $117,480,000 FOR INCOME TAX PURPOSES THAT ARE AVAILABLE TO OFFSET FUTURE TAXABLE INCOME. THESE CARRYFORWARDS HAVE NOT BEEN UTILIZED AND BEGAN EXPIRING IN 2019. BASED ON THE UNCERTAIN REALIZATION OF THESE CARRYFORWARDS, A VALUATION ALLOWANCE HAS BEEN RECORDED TO FULLY RESERVE THESE CARRYFORWARDS.

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	$4,109,708	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,109,708	NetCommunityBenefitExpnsAmt
Total Expense	0.01440	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$77,886,105	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,870,431	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,015,674	NetCommunityBenefitExpnsAmt
Total Expense	0.07360	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$81,995,813	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,870,431	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,125,382	NetCommunityBenefitExpnsAmt
Total Expense	0.08800	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,164	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$39,164	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,111,989	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,014,843	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,097,146	NetCommunityBenefitExpnsAmt
Total Expense	0.01090	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,441	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,441	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,166,594	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,014,843	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,151,751	NetCommunityBenefitExpnsAmt
Total Expense	0.01110	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$86,162,407	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$57,885,274	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,277,133	NetCommunityBenefitExpnsAmt
Total Expense	0.09910	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$25,147,692	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,514,769	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$94,854,724	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$121,577,527	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$26,722,803	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 Room Other	Yes (X)	EmergencyRoomOtherInd

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 HEALTH 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: HTTP://WWW.RUSHCOPLEY.COM/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT/
COPLEY MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6A: THE KANE COUNTY HEALTH DEPARTMENT, RUSH COPLEY MEDICAL CENTER, NORTHWESTERN DELNOR HOSPITAL, AMITA MERCY MEDICALCENTER, 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 COMPLETED A NEW COMMUNITY HEALTH NEEDS ASSESSMENT IN FY19 AND ADOPTED A NEW IMPLEMENTATION STRATEGY TO ADDRESS THOSE NEEDS THROUGH FY22. THE TOP HEALTH NEEDS IDENTIFIED ARE: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 2. MENTAL AND BEHAVIOURAL HEALTH, FOCUSING ON REDUCING THE MISUSE OF OPIODS AND OPIOD-RELATED DEATHS 3. 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. DURING FY19 RUSH COPLEY ALSO CONTINUED WORKING ON THE IMPLEMENTATION OF STRATEGIES IDENTIFIED IN THE FY17-FY19 STRATEGY IMPLEMENTATION PLAN FOR THE THREE HEALTH NEED PRIORITIES IDENTIFIED IN THE PRIOR FY16 CHNA. KEY ACCOMPLISHMENT HIGHLIGHTS IN ADDRESSING ALL OF THESE NEEDS DURING THE YEAR ENDED JUNE 30, 2019 INCLUDE THE FOLLOWING: - CONTINUED TO ACTIVELY PARTICIPATE IN THE KANE HEALTH COUNTS CHRONIC DISEASE COMMITTEE, INCLUDING PROMOTION OF KANE COUNTY'S SEASONAL WORKSITE HEALTH CHALLENGES. PROMOTION OCCURRED THROUGH RCMC INSIDER OF THE COMMITTEE'S FRUIT AND VEGETABLE HEALTH EATING CHALLENGE WITH A TOTAL OF 46 PARTICIPANTS WHO CONSUMED 1,700 SERVINGS OF FRUITS AND VEGGIES.- CONTINUED TO ACTIVELY PARTICIPATE IN KANE COUNTY FIT FOR KIDS PROGRAM. - ACTIVELY PARTICIPATED IN THE DEVELOPMENT OF THE KANE HEALTH COUNTS COMMUNITY HEALTH SYMPOSIUM THAT PROVIDED AN UPDATE ON THE PROGRESS OF KEY ACHIEVEMENTS TO DATE FOR THE TOP HEALTH NEEDS IDENTIFIED IN KANE COUNTY HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT.- CMH RAN 7 EDUCATION PROGRAMS IN THE COMMUNITY RELATED TO ACHIEVING AND MAINTAINING A HEALTHY WEIGHT. - CMH AND KANE COUNTY WERE AWARDED $50,000 TELLIGEN GRANT AND IMPLEMENTED THE PILOT FOOD PRESCRIPTION PROGRAM. ENROLLED 50 PATIENTS OF WHICH 26 OF THEM COMPLETED THE 9 EDUCATIONAL SESSIONS AND FOOD DELIVERIES.- USING $3,700 IN LEFTOVER FUNDS FROM THE TELLIGEN GRANT, CMH GAVE THIRTEEN $10 VOUCHERS TO EACH OF APPROXIMATELY 20 PATIENTS TO SPEND AT KELLER FARMSTANDS. THE PATIENTS WERE EITHER FOOD INSECURE OR HAVE A CHRONIC DISEASE THAT COULD BE MANAGED BY EATING MORE FRESH FRUITS AND VEGETABLES.- CONTINUED AND ENHANCED THE DEVELOPMENT OF ESTABLISHED RUSH COPLEY COMPREHENSIVE HEALTHY WEIGHT PROGRAMS.- CONTINUED TO OFFER YOUFIT PROGRAM, WHICH RAN TWICE IN FY2019 (10 TOTAL PARTICIPANTS).- CONTINUED TO OFFER THE FAMILIA SALUDABLE PROGRAM, AT NO COST TO PARTICIPANTS.- CMH CONTINUED TO SCHEDULE POST DISCHARGE FOLLOW-UP APPOINTMENTS FOR HIGH-RISK CHRONIC DISEASE PATIENTS BEFORE THEY ARE DISCHARGED FROM INPATIENT CARE. THE CARE MANAGEMENT TEAM ACTIVELY WORKED WITH THIS PATIENT POPULATION, AND IT IS ESTIMATED THAT THERE WAS APPROXIMATELY 95% COMPLIANCE WITH SCHEDULING POST-DISCHARGE FOLLOW-UP APPOINTMENTS FOR THESE PATIENTS.- IMPLEMENTED THE CHRONIC DISEASE COMMUNITY EDUCATION SERIES, AT NO COST TO PARTICIPANTS, WHICH INCLUDED FOUR IN-PERSON EDUCATION SESSIONS WITH 42 TOTAL ATTENDEES. TOPICS INCLUDED: WHAT IS CHRONIC DISEASE, PREVENTION & CARE, MEDICATION MANAGEMENT, AND RESOURCES FOR COPING & SUPPORT. - DEVELOPED AND IMPLEMENTED NEW, ORGANIZATIONALLY ALIGNED EDUCATION MATERIALS REGARDING APPROPRIATE CARE SETTINGS. - CMH ALSO DEVELOPED AND IMPLEMENTED A NEW WEBPAGE AND CORRESPONDING EDUCATION MATERIAL TO HELP PATIENTS AND THE COMMUNITY BETTER UNDERSTAND APPROPRIATE CARE SETTINGS.- CMH AQUIRED AND IMPLEMENTED RESOURCES AND MATERIALS TO EDUCATE ON AND PROMOTE THE 211 CALL LINE TO PATIENTS AND THE COMMUNITY.THERE ARE NO NEEDS LISTED IN THE MOST RECENT CHNA THAT ARE NOT BEING ADDRESSED BY COPLEY MEMORIAL HOSPITAL.
PART V, SECTION B, LINE 7A	HTTPS://WWW.RUSHCOPLEY.COM/APP/FILES/PUBLIC/4588/FY2019-CHNA-ASSESSMENT.PDF
PART V, SECTION B, LINE 16A	HTTPS://WWW.RUSHCOPLEY.COM/APP/FILES/PUBLIC/4528/FINANCIAL-ASSISTANCE-CHARITY-CARE-POLICY.PDF
PART V, SECTION B, LINE 16B	HTTPS://WWW.RUSHCOPLEY.COM/APP/FILES/PUBLIC/1242/PDF-FINANCIAL_ASSISTANCE_FORM.PDF
PART V, SECTION B, LINE 16C	HTTPS://WWW.RUSHCOPLEY.COM/APP/FILES/PUBLIC/4530/PLAIN-LANGUAGE-SUMMARY.PDF

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
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
2000 OGDEN AVENUE	AURORA	IL	605044206	CARDIOVASCULAR SERVICES
5 - MIDWEST CENTER FOR ADVANCED IMAGING
4355 MONTGOMERY ROAD	NAPERVILLE	IL	60564	RADIOLOGY SERVICES

Supplemental Information Detail SupplementalInformationDetail (10 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 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 MANAGEMENTS 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
PART V, SECTION B, LINE 20A	THE FOLLOWING DISCLOSURE IS IN ACCORDANCE WITH REV. PROC 2015-21 SECTION 7 IN REGARDS TO SCHEDULE H, PART V, LINE 20A: DURING PART OF THE TAX YEAR, COPLEY MEMORIAL HOSPITAL (CMH) DID NOT PROVIDE A PLAIN LANGUAGE SUMMARY OF THE FAP WITH THE WRITTEN NOTICE ABOUT UPCOMING ECAS PROVIDED TO PATIENTS AT LEAST 30 DAYS BEFORE INITIATING THOSE ECAS. CMH PROVIDED BILLING COMMUNICATIONS THAT INCLUDED COMMENTS ON THE FINANCIAL ASSISTANCE AVAILABLE TO PATIENTS, BUT DID NOT TECHNICALLY PROVIDE THE PLAIN LANGUAGE SUMMARY WITHIN THE WRITTEN NOTIFICATION. THIS WAS DISCOVERED IN APRIL 2019 AS CMH WORKED WITH TAX CONSULTANTS ON THE FY18 SCHEDULE H. CMH ESTIMATES THIS AFFECTED AN ESTIMATED 10,000 TO 12,000 CMH PATIENTS WHO RECEIVED THE WRITTEN NOTICE ABOUT UPCOMING ECAS WITHOUT THE PLAIN LANGUAGE SUMMARY. CMH HAS SINCE IMPLEMENTED PROCEDURES TO ENSURE COMPLIANCE WITH THIS REQUIREMENT GOING FORWARD. AS OF 4/12/2019, CMH BEGAN INCLUDING THE PLAIN LANGUAGE SUMMARY WHEN MAILING A PREANNOUNCEMENT TO THE PATIENT THAT ECA WILL BE TAKEN. THE ANNOUNCEMENT IS MAILED A MINIMUM OF 30 DAYS PRIOR TO ANY ECA BEING TAKEN AND WILL NOW INCLUDE THE PLAIN LANGUAGE SUMMARY. THIS WILL ENSURE THAT ALL PATIENTS THAT COULD POTENTIALLY RECEIVE AN ECA IN THE EVENT OF NON-PAYMENT WILL HAVE RECEIVED THE PLAIN LANGUAGE SUMMARY AT LEAST 30 DAYS IN ADVANCE. ADDITIONALLY, CMH MAKES EFFORTS TO NOTIFY ALL PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ORALLY THROUGHOUT THE BILLING PROCESS IN COMMUNICATIONS PRIOR TO INITIATING ANY ECAS.

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	0	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	$217,273	$0	$104,759	$0	$1,004	$0	$18,500	$0	$33,233	$0	$374,769	$0	$0	$0
STEPHEN KELANIC MD
IMMEDIATE PAST CHIEF OF STAFF/DIRECT	$334,271	$0	$137,122	$0	$1,518	$0	$18,500	$0	$31,733	$0	$523,144	$0	$0	$0
BARRY FINN
PRESIDENT & CEO/DIRECTOR	$777,491	$0	$254,232	$0	$647,022	$0	$43,000	$0	$36,203	$0	$1,757,948	$0	$0	$0
RYAN ASMUS
VP GENERAL COUNSEL/SECRETARY	$287,461	$0	$80,126	$0	$2,072	$0	$81,304	$0	$27,916	$0	$478,879	$0	$0	$0
BRENDA VAN WYHE
SR. VP FINANCE & CFO/TREASURER	$361,517	$0	$91,020	$0	$4,106	$0	$76,629	$0	$21,106	$0	$554,378	$0	$0	$0
GAIL BUMGARNER
SR. VP, STRATEGY	$291,818	$0	$72,201	$0	$47,159	$0	$43,000	$0	$9,447	$0	$463,625	$0	$0	$0
DENNIS DEMASIE
VP, INFORMATION TECH & CIO	$265,726	$0	$52,380	$0	$41,564	$0	$18,500	$0	$11,208	$0	$389,378	$0	$0	$0
JOHN DIEDERICH
SR. VP, OPERATIONS & COO	$417,504	$0	$132,600	$0	$2,028	$0	$164,955	$0	$28,616	$0	$745,703	$0	$0	$0
BRENDA FANN MD
ASSISTANT VP, MEDAFFAIRS	$292,290	$0	$43,475	$0	$2,360	$0	$43,000	$0	$23,355	$0	$404,480	$0	$0	$0
DIANE HOMAN MD
VP, QUALITY & PSO	$347,453	$0	$97,052	$0	$61,334	$0	$43,000	$0	$25,262	$0	$574,101	$0	$0	$0
STEVE LOWENTHAL MD
SR. VP, MEDICAL AFFAIRS & CMO	$458,473	$0	$125,034	$0	$90,788	$0	$43,000	$0	$8,847	$0	$726,142	$0	$0	$0
DAVID PETASNICK
ASSISTANT VP, ANCILLARY SVCS	$190,348	$0	$20,686	$0	$1,411	$0	$11,555	$0	$27,916	$0	$251,916	$0	$0	$0
ALEX POPE
VP. PHILATHROPY & CDO	$240,247	$0	$51,412	$0	$1,246	$0	$32,679	$0	$30,566	$0	$356,150	$0	$0	$0
MARY SHILKAITIS
VP PATIENT CARE SRVCS & CNO	$250,565	$0	$71,799	$0	$3,135	$0	$80,673	$0	$35,703	$0	$441,875	$0	$0	$0
SUZANNE STERCHI
ASSISTANT VP, PATIENT CARE	$191,701	$0	$30,809	$0	$3,325	$0	$43,000	$0	$22,873	$0	$291,708	$0	$0	$0
MARK SHARP-SCHINSKY MD
PHYSICIAN	$996,267	$0	$250,276	$0	$1,520	$0	$37,000	$0	$36,013	$0	$1,321,076	$0	$0	$0
DIMITRI RUBAN MD
PHYSICIAN	$956,920	$0	$4,762	$0	$594	$0	$17,800	$0	$29,720	$0	$1,009,796	$0	$0	$0
KEVIN KELLY MD
PHYSICIAN	$907,956	$0	$4,762	$0	$990	$0	$18,500	$0	$31,233	$0	$963,441	$0	$0	$0
ARIF SALEEM MD
PHYSICIAN	$638,300	$0	$192,805	$0	$990	$0	$37,000	$0	$31,733	$0	$900,828	$0	$0	$0
TERESA L ALEXANDER MD
PHYSICIAN	$569,368	$0	$157,200	$0	$2,118	$0	$42,596	$0	$30,316	$0	$801,598	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 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 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 2018 WERE AS FOLLOWS: BARRY FINN - $641,520, DENNIS DEMAISE - $37,666, DIANE HOMAN - $55,462, GAIL BUMGARNER - $42,134, STEVE LOWENTHAL - $77,693.
PART I, LINE 7	INCENTIVE BONUS PLAN BASED ON A SERIES OF APPROVED STRATEGIC ACCOMPLISHMENTS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	ILLINOIS FINANCE AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	861091967	BondIssuerEIN
CUSIP	45203HS45	CUSIPNum
Bond Issued	2015-02-11	BondIssuedDt
Issue Price	$105,601,668	IssuePriceAmt
Purpose	REFUND BONDS ISSUED 5/28/2008, 2/10/2009, AND 7/29/2009	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$4,635,000	RetiredAmt
Total Proceeds	$105,601,668	TotalProceedsAmt
Issuance Costs From Proceeds	$824,030	IssuanceCostsFromProceedsAmt
Working Capital Expenditures	$145	WorkingCapitalExpendituresAmt
Other Spent Proceeds	$104,777,493	OtherSpentProceedsAmt
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (1)	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	0	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	0	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV, LINE 6, COLUMN A:	FormAndLineReferenceDesc
Explanation	THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	SUMMARY OF FY19 HEALTH PROGRAMMING DURING FY19, COPLEY MEMORIAL HOSPITAL SPONSORED, PARTNERED OR PARTICIPATED IN OVER 600 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 HELD ONE 12-WEEK SESSION WITH A TOTAL OF 4 PARTICIPANTS ENROLLED IN THE PROGRAM. PARTICIPANTS LEARNED FROM A VARIETY OF EXPERTS INCLUDING RUSH COPLEY PHYSICIANS, HEALTHPLEX PERSONAL TRAINERS AND REGISTERED DIETICIANS. FAMILIA SALUDABLE - A SIX-SESSION, ONCE A MONTH FAMILY FOCUSED COMMUNITY NUTRITION AND FITNESS BASED HEALTHY LIFESTYLE PROGRAM EDUCATED 10 FAMILIES AND A TOTAL OF 23 PARTICIPANTS. THE NUTRITION PORTION OF THE PROGRAM WAS CONDUCTED IN ENGLISH WITH SPANISH INTERPRETATION. THE EXERCISE PORTION WAS CONDUCTED IN SPANISH. EACH FAMILY WAS PROVIDED WITH A BINDER THAT INCLUDED THE PRESENTATION AS WELL AS TOOLS SUCH AS ACTIVITY CALENDAR AND RECIPES. EACH FAMILY ALSO RECEIVED PORTION PLATES, STRETCH BANDS AND OTHER ITEMS TO CONTINUE THEIR HEALTHY LIFESTYLE JOURNEY. COMMUNITY WALKING CLUB - RUSH COPLEY CONTINUES TO OFFER THE COMMUNITY THE TOOLS AND RESOURCES TO START THEIR OWN WALKING CLUB ON THE RUSH COPLEY WEBSITE. THE PRESENTATION WAS PROVIDED AT THE AURORA PUBLIC LIBRARY FOR THEIR STAFF DEVELOPMENT DAY. 35 EMPLOYEES ATTENDED THE PRESENTATION. DIABETES FREE FASTING GLUCOSE SCREENINGS WERE PROVIDED TO APPROXIMATELY 70 COMMUNITY MEMBERS. 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 11 PARTICIPANTS. CANCER AWARENESS AND INFORMATION RUSH COPLEY CANCER CARE CENTER'S PHYSICIANS PRESENTED AT FOUR INFORMATIONAL AND EDUCATIONAL PROGRAMS AT WATERFORD PLACE CANCER RESOURCE CENTER THAT HAD 73 ATTENDEES. RUSH COPLEY MEDICAL CENTER PARTNERED WITH THE FOX RIVER VALLEY DENTAL SOCIETY TO HOST "THE HPV VACCINE: THE DENTAL COMMUNITY'S ROLE" PROGRAM IN APRIL OF 2019 AND HAD 60 ATTENDEES WHICH INCLUDED DENTISTS AND DENTAL HYGIENISTS. THE SPEAKERS FOR THIS PROGRAM INCLUDED RACHEL N. CASKEY, MD, MPP FROM UI HEALTH AND DR. MARK LINGEN, DDS, PHD, FRCPATH FROM UNIVERSITY OF CHICAGO. THE COMMUNITY HEALTH OUTREACH COORDINATOR HOSTED FIVE EDUCATIONAL PRESENTATIONS, EARLY DETECTION IS KEY: BREAST CANCER TO A TOTAL OF 48 PARENTS AT LOCAL ELEMENTARY SCHOOLS IN AURORA, IL. RUSH COPLEY MEDICAL CENTER AND THE AMERICAN LUNG ASSOCIATION HOSTED TWO EDUCATIONAL PROGRAMS IN THE COMMUNITY ON LUNG CANCER SCREENING AND THE BENEFITS OF MULTI-HOUSING UNITS GOING SOME FREE. THERE WERE 23 ATTENDEES. THE COMMUNITY HEALTH OUTREACH COORDINATOR ALONG WITH THE AMERICAN CANCER SOCIETY HOSPITAL SYSTEMS MANAGER PRESENTED THE VAPING PRESENTATION TO 34 OF WEST AURORA SCHOOL DISTRICTS NURSING AND HEALTHCARE STAFF IN MAY, 2019. COMMUNITY HEALTH TALKS COMMUNITY HEALTH TALKS IS AN EDUCATIONAL SERIES GEARED TOWARD THE HEALTHCARE NEEDS OF THE LATINO POPULATION. COMMUNITY HEALTH TALKS IS OFFERED SEVEN TIMES A YEAR FROM SEPTEMBER THROUGH APRIL 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: ADVANCED DIRECTIVES FOR HEALTHCARE, STRENGTHENING PARENT CHILD RELATIONSHIPS, HOW TO MANAGE DIABETES DURING THE WINTER MONTHS, THE IMPORTANCE OF CANCER SCREENINGS, HOW TO PREVENT/REVERSE CARDIAC DISEASE, THE AGING BRAIN AND HOW TO MANAGE CHRONIC DISEASE. TYPICALLY, BETWEEN 10 AND 25 WOMEN AND MEN ATTEND THE MONTHLY SESSIONS. CLOSE TO 90 PARTICIPANTS ATTENDED AND BENEFITTED FROM THE PRESENTATIONS IN FY19. 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 USDAS 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 SCITECH 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. PLAY IT SAFE PLAY IT SAFE IS A FUN AND INTERACTIVE FAMILY EVENT THAT EDUCATES PEOPLE OF ALL AGES ABOUT IMPORTANT HEALTH TOPICS AND INJURY PREVENTION. IT IS AN ANNUAL EVENT HOSTED BY RUSH COPLEY EMERGENCY SERVICES AND RUSH COPLEY HEALTHPLEX. MORE THAN 350 PEOPLE ATTEND THIS ANNUAL EVENT WITH OVER 53 COMMUNITY AND HOSPITAL EXHIBITORS. OLDER ADULT EDUCATION RUSH COPLEY, IN COLLABORATION WITH THE OSWEGO SENIOR CENTER, THE UNIVERSITY OF ILLINOIS EXTENSION AND THE KENDALL COUNTY HEALTH DEPARTMENT, IS HOSTING AN ONGOING WORKSHOP AND CHALLENGE SERIES FOR SENIORS IN KENDALL COUNTY TO COMBAT OBESITY. KNOWN AS HEALTHY HABITS FOR SUCCESSFUL LIVING, THIS IS A 4-WEEK PROGRAM DESIGNED FOR SENIORS WHO WANT TO BE HEALTHIER - PARTICIPANTS ARE ENCOURAGED TO MAKE SUSTAINABLE LIFE CHANGES TO MEET THEIR HEALTH GOALS. RUSH COPLEY HEALTHPLEX FITNESS TRAINERS PROVIDE EXERCISE DEMONSTRATIONS FOR PARTICIPANTS TO ENCOURAGE AN ACTIVE LIFESTYLE. 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, 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 1,700 PEOPLE PARTICIPATED IN FY19. HEART SURVIVOR WALK THE HEART SURVIVOR WALK AND BREAKFAST AT BLACKBERRY FARM HAD 62 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 DRS. GILL, ALWARSHETTY AND NUYLES 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. STROKE NINE PROGRAMS ON STROKE EDUCATION WERE HELD IN FY19 WITH MORE THAN 370 COMMUNITY MEMBERS IN ATTENDANCE. PROGRAMS WERE HELD THROUGHOUT RUSH COPLEY'S SERVICE AREA AND IN PARTNERSHIP WITH GROUPS SUCH AS PARKINSON'S SUPPORT GROUP, VFW AND TRIAD. STROKE EDUCATION WAS ALSO HELD IN COLLABORATION WITH SEVERAL LOCAL LIBRARIES. 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 PERSONS 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 9,000 PEOPLE USED THIS SERVICE IN FY19. WEBSITE COPLEY MEMORIAL HOSPITALS WEBSITE, RUSHCOPLEY.COM, WITH TRANSLATION AVAILABLE INTO DOZENS OF LANGUAGES, OFFERS ACCESS TO FREE HEALTH INFORMATION. IN FY19, RUSHCOPLEY.COM HAD OVER 764,000 USER SESSIONS AND NEARLY 1,720,000 PAGE VIEWS.
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 THEIR EMPLOYMENT AND/OR SITTING ON RELATED RUSH COPLEY MEDICAL CENTER ENTITY BOARDS.
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:	CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 802,933. SWAP VALUE ADJUSTMENT -2,254,387.
FORM 990, PART XII, LINES 2A & 2B:	ALTHOUGH THE ORGANIZATION DOES NOT RECEIVE STAND ALONE GAAP FINANCIAL STATEMENTS IT DOES RECEIVE ON AN ANNUAL BASIS FROM INDEPENDENT AUDITORS CONSOLIDATED ENTITY GAAP FINANCIAL STATEMENTS (AUDITED) FOR ITSELF AND ITS AFFILIATES.
FORM 990, PART III, LINE 4A	SUMMARY OF FY19 HEALTH PROGRAMMING (CONTINUED FROM ABOVE) HEALTH TALKS STARTING IN 2019, HEALTH TALKS IS A SERIES OF FREE COMMUNITY HEALTH PROGRAMS HOSTED THROUGHOUT THE YEAR ON A VARIETY OF TOPICS DESIGNED TO HELP IMPROVE WELL-BEING. RESPECTED RUSH EXPERTS SHARE INSIGHTS AND TIPS FOR HEALTHY LIVING. TOPICS INCLUDED: HEART HEALTH, BRAIN HEALTH, ORTHOPAEDICS, IMMUNIZATIONS, VAPING/SMOKING CESSATION, AND DIGESTIVE HEALTH. A TOTAL OF 146 PARTICIPANTS ATTENDED. HEART HEALTH SERIES RUSH COPLEY HOSTED FOUR PROGRAMS BY DR. LOME WITH 146 ATTENDEES. THE TOPICS WERE HOW TO LIVE TO BE 100, HOW TO LOWER YOUR CHOLESTEROL WITHOUT MEDICATION AND HOW NOT TO DIET. HOW TO PREVENT AND REVERSE HEART DISEASE WAS HOSTED BY ALDEN WITH 28 ATTENDEES. EVENTS RUSH COPLEY HAD A BOOTH WITH A RUSH COPLEY REPRESENTATIVE PROVIDING INFORMATION ON TOPICS SUCH AS CONCUSSION MANAGEMENT, STOP THE BLEED AND BASIC FIRST AID FOR CHILDREN. RUSH COPLEY HAD A PANELIST ADDRESS OBSERVATION VS. READMISSION AT A MEDICARE FORUM FOR SENIORS. MORE THAN 430 COMMUNITY MEMBERS WERE IN ATTENDANCE AT THE EVENTS.

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		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 STREET	CHICAGO	IL	60612	366673233	HEALTHCARE INSURANCE	IL	501(C)(3)	LINE 12C	RUSH UNIVERSITY MEDICAL CENTER INC	Yes (1)
AUXILIARY OF RUSH OAK PARK HOSPITAL
520 S MAPLE AVE	CHICAGO	IL	60304	362255350	HOSPITAL SUPPORT	IL	501(C)(3)	LINE 12A	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 LLC
2000 OGDEN AVENUE	AURORA	IL	60504	273234201	CARDIOVASCULAR MEDICINE	IL		COPLEY MEMORIAL HOSPITAL INC	RELATED	$4,487,950	$16,185,804	0	0	0.99000
RUSH COPLEY HOSPITALISTS LLC
2000 OGDEN AVENUE	AURORA	IL	60504	611787188	MEDICAL SERVICES	IL		COPLEY MEMORIAL HOSPITAL INC	RELATED	$1,207,399	$2,747,225	0	0	0.99000
RUSH COPLEY ORTHOPEDICS LLC
2000 OGDEN AVENUE	AURORA	IL	60504	611801175	MEDICAL SERVICES	IL	N/A
RUSH COPLEY SURGICENTER LLC
2000 OGDEN AVENUE	AURORA	IL	60504	384012268	MEDICAL SERVICES	IL		COPLEY MEMORIAL HOSPITAL INC	RELATED	$3,115,835	$25,863,687	0	0	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 CO LTD
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	Yes (1)	AssetExchangeInd
Rental Of Facilities To Oth Org	0	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 (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
RUSH COPLEY MEDICAL GROUP NFP
A	$654,474	FAIR MARKET VALUE
RUSH COPLEY FOUNDATION
C	$1,057,724	FAIR MARKET VALUE
COPLEY VENTURES INC
M	$1,068,361	FAIR MARKET VALUE
COPLEY VENTURES INC
R	$570,000	FAIR MARKET VALUE
RUSH UNIVERSITY MEDICAL CENTER
P	$13,324,818	FAIR MARKET VALUE
RUSH COPLEY FOUNDATION
Q	$922,036	FAIR MARKET VALUE