COPLEY MEMORIAL HOSPITAL INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: COPLEY MEMORIAL HOSPITAL INC (EIN 36-2170840)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-15
IRS object ID: 201831359349314373
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-15T20:01:37-05:00	ReturnTs
Tax Period End	2017-06-30	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	2016-07-01	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	2018-05-15	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	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	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	$352,990,921	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	18	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	2305	TotalEmployeeCnt
Total Volunteers	364	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,579,443	PYContributionsGrantsAmt
CY Contributions Grants	$1,184,698	CYContributionsGrantsAmt
PY Program Service Revenue	$299,653,923	PYProgramServiceRevenueAmt
CY Program Service Revenue	$305,721,600	CYProgramServiceRevenueAmt
PY Investment Income	$11,100,528	PYInvestmentIncomeAmt
CY Investment Income	$11,311,285	CYInvestmentIncomeAmt
PY Other Revenue	$6,793,944	PYOtherRevenueAmt
CY Other Revenue	$3,263,860	CYOtherRevenueAmt
PY Total Revenue	$320,127,838	PYTotalRevenueAmt
CY Total Revenue	$321,481,443	CYTotalRevenueAmt
PY Grants And Similar Paid	$50,474	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$37,187	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$140,740,086	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$141,773,145	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$135,060,609	PYOtherExpensesAmt
CY Other Expenses	$140,580,195	CYOtherExpensesAmt
PY Total Expenses	$275,851,169	PYTotalExpensesAmt
CY Total Expenses	$282,390,527	CYTotalExpensesAmt
PY Revenues Less Expenses	$44,276,669	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$39,090,916	CYRevenuesLessExpensesAmt
Total Assets BOY	$519,972,246	TotalAssetsBOYAmt
Total Assets EOY	$582,894,855	TotalAssetsEOYAmt
Total Liabilities BOY	$270,245,737	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$266,830,962	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$249,726,509	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$316,063,893	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	$222,627,409	ExpenseAmt
Grant	$37,187	GrantAmt
Revenue	$308,904,649	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 FY2017, 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 EDUCATIONAL PROGRAMS RANGING FROM HAND HYGIENE EDUCATION AIMED AT PRESCHOOL AND PRIMARY GRADE SCHOOL AGED CHILDREN TO ANNUAL SEMINARS EDUCATING ADULTS ABOUT DIABETES, HEART HEALTH, CANCER PREVENTION, WEIGHT CONTROL, SMOKING CESSATION AND MORE.A COMMUNITY NEWSLETTER IS PUBLISHED AND HIGHLIGHTS HEALTH INFORMATION AND CALENDAR OF EVENTS INFO TO 90,000+ HOUSEHOLDS THROUGHOUT THE HOSPITAL SERVICE AREA. FREE AND REDUCED COST HEALTH SCREENINGS ARE REGULARLY OFFERED INCLUDING FREE BLOOD PRESSURE MONITORING ON A WALK-IN BASIS.ELECTRONIC NEWSLETTERS ALSO HIGHLIGHTING HEALTH INFORMATION, NEWS AND EVENTS ARE EMAILED MONTHLY: HEALTHY EUPDATE AND FITNOTES. THESE NEWSLETTERS AVERAGE 50,000 AND 4,900 EMAILS RESPECTIVELY. ADDITIONALLY, CANCER CARE NEWS, TARGETED AT CANCER CARE PATIENTS AND THEIR FAMILY AND CARE GIVERS, WAS SENT TO APPROXIMATELY 2,300 EMAIL ADDRESSES AND AN AVERAGE OF 2,500 FAMILY RESIDENCY PATIENTS RECEIVED HEALTHY ENEWS.	Desc
Total Program Service Expenses	$222,627,409	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	229	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2305	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
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	15	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	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BRENDA VAN WYHE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6309786200	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2000 OGDEN AVENUE	AddressLine1Txt
City	AURORA	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60504	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
THOMAS ALEXANDER
DIRECTOR	1.00	2.00	Yes (X)	$0	$0	$0
TRISH ANEN
DIRECTOR	1.00	2.00	Yes (X)	$0	$0	$0
JAMES BAKA
DIRECTOR	1.00	2.00	Yes (X)	$0	$0	$0
CATI CEDEROTH
DIRECTOR	1.00	2.00	Yes (X)	$0	$0	$0
BRUCE DIENST
VICE CHAIR OF BOARD/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
VICE CHIEF OF STAFF/DIRECTOR	41.00	2.00	Yes (X)	$330,553	$0	$38,803
STEPHEN KELANIC MD
VICE CHIEF OF STAFF/DIRECTOR	41.00	2.00	Yes (X)	$395,710	$0	$36,243
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
CHAIRMAN OF THE BOARD/DIRECTOR	1.00	2.00	Yes (X)	$0	$0	$0
AVERY MILLER
DIRECTOR	1.00	2.00	Yes (X)	$0	$0	$0
WILLIAM SKOGLUND
VICE CHAIR BOARD/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)	$4,755,526	$0	$39,579	Yes (X)
RYAN ASMUS
VP GENERAL COUNSEL/SECRETARY	40.00	3.00		$390,007	$0	$77,490	Yes (X)
BRENDA VAN WYHE
SR. VP FINANCE & CFO/TREASURER	40.00	3.00		$460,794	$0	$81,193	Yes (X)
GAIL BUMGARNER
SR. VP, STRATEGY	40.00	0.00		$453,081	$0	$20,179		Yes (X)
DENNIS DEMASIE
VP, INFORMATION TECH & CIO	40.00	0.00		$349,342	$0	$68,426		Yes (X)
JOHN DIEDERICH
SR. VP, OPERATIONS & COO	40.00	1.00		$583,173	$0	$153,834		Yes (X)
BRENDA FANN MD
ASSISTANT VP, MEDAFFAIRS	40.00	0.00		$351,140	$0	$25,106		Yes (X)
DIANE HOMAN MD
VP, QUALITY & PSO	40.00	0.00		$540,950	$0	$40,350		Yes (X)
STEVE LOWENTHAL MD
SR. VP, MEDICAL AFFAIRS & CMO	40.00	0.00		$736,197	$0	$19,638		Yes (X)
DAVID PETASNICK
ASSISTANT VP, ANCILLARY SVCS	40.00	0.00		$225,076	$0	$30,632		Yes (X)
ALEX POPE
VP, PHILANTHROPY & CDO	40.00	1.00		$279,789	$0	$59,362		Yes (X)
MARY SHILKAITIS
VP PATIENT CARE SRVCS & CNO	40.00	0.00		$360,941	$0	$79,102		Yes (X)
SUSAN STERCHI
ASSISTANT VP, PATIENT CARE	40.00	0.00		$235,327	$0	$35,596		Yes (X)
SANTOSH GILL MD
PHYSICIAN	40.00	0.00		$823,049	$0	$27,899			Yes (X)
KEVIN KELLY MD
PHYSICIAN	40.00	0.00		$924,304	$0	$34,405			Yes (X)
TARIQ RAHIM MD
PHYSICIAN	40.00	0.00		$769,914	$0	$37,701			Yes (X)
DIMITRY RUBAN MD
PHYSICIAN	40.00	0.00		$954,123	$0	$34,402			Yes (X)
VIJAY SHAH MD
PHYSICIAN	40.00	0.00		$737,066	$0	$36,501			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$14,656,062	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$976,441	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	247	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
ANTHELIO HEALTHCARE SOLUTIONS
1 LINCOLN DR STE 200 5400 LBJ FRW	DALLAS	TX	75240	MEDICAL RECORDS MANAGEMENT	$4,106,676
SODEXO
4880 PAYSPHERE CIRCLE	CHICAGO	IL	60674	FOOD AND CLEANING SERVICE MANAGEMENT	$3,727,938
INTUITIVE SURGICAL INC
1020 KIFER ROAD	SUNNYVALE	CA	94086	MEDICAL EQUIPMENT REPAIR AND SERVICING	$2,243,758
FOX VALLEY ACUTE DIALYSIS
1300 WATERFORD DRIVE	AURORA	IL	60504	DIALYSIS SERVICES	$920,988
ADVOCATE MEDICAL GROUP
2311 WEST 22ND STREET	OAK BROOK	IL	60523	PHYSICIAN SERVICES	$840,065

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	30	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,184,698	RelatedOrganizationsAmt
Total Contributions	$1,184,698	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SVC REV	621110	$279,740,746	$279,740,746
MEDICAID TAX REVENUE	621110	$28,298,104	$28,298,104
OTHER PROGRAM REVENUE	900099	-$2,317,250	-$2,317,250

Field	Value	IRS element (for citing)
Total Program Service Revenue	$305,721,600	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,057,198	TotalRevenueColumnAmt
Exclusion	$6,057,198	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,000,903	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,511,537	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$510,634	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$510,634	TotalRevenueColumnAmt
Exclusion	-$510,634	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$33,746,536	SecuritiesAmt
Other	$1,505,492	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$29,995,717	SecuritiesAmt
Other	$2,224	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,750,819	SecuritiesAmt
Other	$1,503,268	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,254,087	TotalRevenueColumnAmt
Exclusion	$5,254,087	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
OUTSIDE SERVICE REV.	621990	$3,183,049	$3,183,049
CAFETERIA REVENUE	621990	$309,513		$309,513
GIFT SHOP REVENUE	453220	$278,140		$278,140

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,792	TotalRevenueColumnAmt
Exclusion	$3,792	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,774,494	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$321,481,443	TotalRevenueColumnAmt
Related Or Exempt Func Income	$308,904,649	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$11,392,096	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$37,187	TotalAmt
Program Services	$37,187	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$10,546,299	TotalAmt
Management And General	$10,546,299	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$102,247,610	TotalAmt
Program Services	$74,020,614	ProgramServicesAmt
Management And General	$28,226,996	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,900,629	TotalAmt
Program Services	$2,175,472	ProgramServicesAmt
Management And General	$725,157	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,098,829	TotalAmt
Program Services	$12,074,122	ProgramServicesAmt
Management And General	$4,024,707	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,979,778	TotalAmt
Program Services	$7,484,834	ProgramServicesAmt
Management And General	$2,494,944	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$7,103,244	TotalAmt
Program Services	$5,327,433	ProgramServicesAmt
Management And General	$1,775,811	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$666,859	TotalAmt
Management And General	$666,859	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$250,348	TotalAmt
Management And General	$250,348	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$47,681	TotalAmt
Management And General	$47,681	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$50,419	TotalAmt
Program Services	$37,814	ProgramServicesAmt
Management And General	$12,605	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,876,439	TotalAmt
Program Services	$5,157,329	ProgramServicesAmt
Management And General	$1,719,110	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$961,146	TotalAmt
Program Services	$961,146	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,403,068	TotalAmt
Program Services	$11,552,301	ProgramServicesAmt
Management And General	$3,850,767	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$15,489,904	TotalAmt
Program Services	$11,617,428	ProgramServicesAmt
Management And General	$3,872,476	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,011,328	TotalAmt
Program Services	$5,258,496	ProgramServicesAmt
Management And General	$1,752,832	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$137,631	TotalAmt
Program Services	$103,223	ProgramServicesAmt
Management And General	$34,408	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$92,563	TotalAmt
Program Services	$69,422	ProgramServicesAmt
Management And General	$23,141	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,887,781	TotalAmt
Program Services	$3,887,781	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$18,018,038	TotalAmt
Program Services	$18,018,038	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	-$1,086,109	TotalAmt
Program Services	-$814,582	ProgramServicesAmt
Management And General	-$271,527	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$50,616,251	$50,616,251
MEDICAID PROVIDER TAX	$12,711,948	$12,711,948
LAUNDRY	$1,043,786	$1,043,786
CONSULTING	$756,390	$756,390

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$541,480	TotalAmt
Program Services	$530,976	ProgramServicesAmt
Management And General	$10,504	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$282,390,527	TotalAmt
Program Services	$222,627,409	ProgramServicesAmt
Management And General	$59,763,118	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$19,770,549	BOYAmt
EOY	$14,069,478	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$50,121,411	BOYAmt
EOY	$47,096,725	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,185,900	BOYAmt
EOY	$5,293,019	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,908,846	BOYAmt
EOY	$12,924,563	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$391,281,805	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$216,825,360	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$153,510,701	BOYAmt
EOY	$174,456,445	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$259,224,374	BOYAmt
EOY	$269,805,003	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,628,249	BOYAmt
EOY	$3,282,363	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$20,622,216	BOYAmt
EOY	$55,967,259	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$519,972,246	BOYAmt
EOY	$582,894,855	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$138,498,059	BOYAmt
EOY	$132,461,230	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$103,120,730	BOYAmt
EOY	$101,622,859	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$28,626,948	BOYAmt
EOY	$32,746,873	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$270,245,737	BOYAmt
EOY	$266,830,962	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$246,811,368	BOYAmt
EOY	$313,148,752	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,915,141	BOYAmt
EOY	$2,915,141	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$249,726,509	BOYAmt
EOY	$316,063,893	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$519,972,246	BOYAmt
EOY	$582,894,855	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$39,090,916	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$22,976,629	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$4,269,839	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	$47,681	OtherActivitiesAmt
Total Lobbying Expenditures	$47,681	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 HEALTHCARE. 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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,161,160	BeginningYearBalanceAmt
Contributions	$1,178,338	ContributionsAmt
Investment Earnings Or Losses	$1,068,336	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,476,767	OtherExpendituresAmt
End Year Balance	$11,931,067	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,131,204	BeginningYearBalanceAmt
Contributions	$980,802	ContributionsAmt
Investment Earnings Or Losses	$712,783	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,663,629	OtherExpendituresAmt
End Year Balance	$11,161,160	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.16880	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.69180	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.13940	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	$18,795,905	OtherCostOrOtherBasisAmt
Book Value	$18,795,905	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$226,244,341	OtherCostOrOtherBasisAmt
Depreciation	$115,163,102	DepreciationAmt
Book Value	$111,081,239	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,743,627	OtherCostOrOtherBasisAmt
Depreciation	$2,617,519	DepreciationAmt
Book Value	$1,126,108	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$134,186,529	OtherCostOrOtherBasisAmt
Depreciation	$99,044,739	DepreciationAmt
Book Value	$35,141,790	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,311,403	OtherCostOrOtherBasisAmt
Book Value	$8,311,403	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$174,456,445	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$48,004,865
INVESTMENTS IN JOINT VENTURES	$7,937,394
OTHER	$25,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$55,967,259	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
LONG TERM DEFERRED RENT OBLIGATION	$725,346
DEFERRED GAIN ON SALE LONG TERM	$5,934,889
LONG TERM SERP	$2,568,760
LONG TERM MARKET ADJUSTMENT SWAP LIABILITY	$8,465,612
DUE TO RELATED PARTY	$15,752,363
UNAMORTIZED BOND DISCOUNT	-$700,097

Field	Value	IRS element (for citing)
Total Liability	$32,746,873	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 2017 AND 2016 DUE TO OPERATING LOSSES. AS OF JUNE 30, 2017, THE MEDICAL GROUP HAD NET OPERATING LOSS CARRYFORWARDS OF APPROXIMATELY $87,168,000 FOR INCOME TAX PURPOSES THAT ARE AVAILABLE TO OFFSET FUTURE TAXABLE INCOME. IF NOT UTILIZED, THESE CARRYFORWARDS WILL BEGIN TO EXPIRE 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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	200.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
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	$4,965,373	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,965,373	NetCommunityBenefitExpnsAmt
Total Expense	0.01760	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,139,126	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,749,257	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,389,869	NetCommunityBenefitExpnsAmt
Total Expense	0.05450	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,104,499	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,749,257	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,355,242	NetCommunityBenefitExpnsAmt
Total Expense	0.07210	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,120	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$53,120	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,917,414	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$562,750	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,354,664	NetCommunityBenefitExpnsAmt
Total Expense	0.01540	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,854	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$38,854	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,009,388	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$562,750	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,446,638	NetCommunityBenefitExpnsAmt
Total Expense	0.01570	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$78,113,887	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,312,007	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,801,880	NetCommunityBenefitExpnsAmt
Total Expense	0.08780	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$32,419,554	BadDebtExpenseAmt
Bad Debt Expense Attributable	$3,241,955	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$85,781,543	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$105,345,555	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$19,564,012	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
CHNA Conducted	15	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	HTTPS://WWW.RUSHCOPLEY.COM/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.RUSHCOPLEY.COM/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT/	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	HTTPS://RUSHCOPLEY.PATIENTCOMPASS.COM/HC/GUARANTOR/PREPAREBILLINGOPTION2.DO	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://WWW.RUSHCOPLEY.COM/APP/FILES/PUBLIC/1242/PDF-FINANCIAL_ASSISTANCE_FO	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://RUSHCOPLEY.PATIENTCOMPASS.COM/HC/MEDIA/PLAIN-LANGUAGE-SUMMARY.PDF	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 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
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, CADENCE HEALTH DELNOR HOSPITAL, PRESENCE MERCY MEDICAL CENTER, PRESENCE 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 6B: THE KANE COUNTY HEALTH DEPARTMENT, RUSH-COPLEY MEDICAL CENTER, CADENCE HEALTH DELNOR HOSPITAL, PRESENCE MERCY MEDICAL CENTER, PRESENCE 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: IMPLEMENTATION STRATEGY TO MEET SIGNIFICANT HEALTH NEEDS IDENTIFIED IN CHNA:RUSH COPLEY COMPLETED THE IMPLEMENTATION OF STRATEGIES IDENTIFIED IN THE FY13-FY16 STRATEGY IMPLEMENTATION PLAN FOR THE THREE HEALTH NEED PRIORITIES. KEY ACCOMPLISHMENT HIGHLIGHTS INCLUDE: - DEVELOPED AND IMPLEMENTED A HEALTHY WEIGHT WEB PAGE AND ADDITIONAL SHARED COMMUNITY RESOURCES. - DEVELOPED AND IMPLEMENTED A HEALTHY WEIGHT PROGRAM, WHICH WAS DEVELOPED BY RUSH-COPLEY STAFF, PHYSICIANS, DIETICIANS, AND HEALTHPLEX PERSONAL TRAINERS. - DEVELOPED AND PILOTED A FAMILY-BASED HEALTHY WEIGHT/LIFESTYLE PROGRAM, WHICH WAS DEVELOPED BY RUSH-COPLEY STAFF, PHYSICIANS, DIETICIANS, AND HEALTHPLEX PERSONAL TRAINERS. - DEVELOPED AND IMPLEMENTED A COMMUNITY WALKING CLUB, WHICH INCLUDED COMMUNITY PRESENTATIONS, RESOURCES, AND PEDOMETERS FOR ALL PARTICIPANTS. - DEVELOPED AND IMPLEMENTED A COMMUNITY TOOLKIT AND RESOURCES FOR RESIDENTS TO START THEIR OWN COUCH TO 5K CLUB. - ENHANCED RELATIONSHIPS WITH COMMUNITY PARTNERS, INCLUDING THE KANE COUNTY HEALTH DEPARTMENT AND THE KENDALL COUNTY HEALTH DEPARTMENTS. THESE PARTNERSHIPS HAVE LEAD TO NEW HEALTH-RELATED COLLABORATIONS INCLUDING SEEKING COMMUNITY GRANT FUNDING FOR NEW PROGRAMS AND PROVIDING RESOURCES FOR NEW HEALTH TOOLS/DASHBOARDS. - WORKED WITH COMMUNITY LEADERS TO DEVELOP A STANDARD EVIDENCE BASED APPROACH FOR DIABETES FOLLOW-UP CARE. - DEVELOPED A PLAN FOR AND ACHIEVED ADVANCED INPATIENT DIABETES CARE CERTIFICATION THROUGH THE JOINT COMMISSION (ONE OF SIX PROGRAMS IN THE STATE OF ILLINOIS). - PROVIDED DIABETES SCREENINGS AND EDUCATION AT A NUMBER OF COMMUNITY EVENTS. - DEVELOPED A FUNDING PROGRAM AND PARTNERSHIP WITH WALGREENS TO PROVIDE MEDICATION ASSISTANCE TO THOSE IN NEED. - PARTNERED WITH WALGREENS TO IMPLEMENT THE WELL TRANSITIONS PROGRAM TO ENSURE CHRONIC DISEASE PATIENTS UNDERSTAND THEIR HOME MEDICATION AND HAVE AN AVAILABLE RESOURCE TO ASK QUESTIONS ONCE DISCHARGED. - CREATED AND IMPLEMENTED A WEB BASED INVENTORY OF UNIVERSAL MEDICATION ASSISTANCE PROGRAM. FOR ADDITIONAL DETAIL, INCLUDING INFORMATION REGARDING NEEDS THAT ARE NOT BEING ADDRESSED, PLEASE SEE THE HOSPITAL'S IMPLEMENTATION STRATEGY, WHICH CAN BE ACCESSED AT: HTTPS://WWW.RUSHCOPLEY.COM/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORTS/.ADDITIONALLY, RUSH-COPLEY IS CURRENTLY WORKING ON THE IMPLEMENTATION OF STRATEGIES IDENTIFIED IN THE FY17-FY19 STRATEGY IMPLEMENTATION PLAN FOR THE THREE HEALTH NEED PRIORITIES IDENTIFIED IN THE FY2016 CHNA. KEY ACCOMPLISHMENT HIGHLIGHTS TO DATE INCLUDE THE FOLLOWING: - DEVELOPED AND IMPLEMENTED A HEALTHY FAMILY PROGRAM FOR THE HISPANIC/LATINO COMMUNITY - DEVELOPED AND IMPLEMENTED A HEALTHY EATING EDUCATION PROGRAM AT THREE OF THE LOCAL FOOD PANTRIES - BEGAN THE DEVELOPMENT OF A COLLABORATIVE COOKING DEMONSTRATION SERIES WITH THE CITY OF AURORA. - BEGAN PARTNERSHIP AND PROGRAM DEVELOPMENT WITH KANE COUNTY'S FOOD HUB FOR A PILOT FOOD PRESCRIPTION PROGRAM - CONTINUED FACILITATION OF COMMUNITY WALKING CLUB EDUCATION - DEVELOPED PROCESS AND BEGAN IMPLEMENTATION FOR SCHEDULING POST-DISCHARGE FOLLOW-UP APPOINTMENTS WITH PRIMARY CARE PHYSICIAN FOR HIGH RISK CHRONIC DISEASE PATIENTS TREATED IN EMERGENCY DEPARTMENT FOR THEIR CHRONIC DISEASE - DEVELOPED PROCESS AND BEGAN IMPLEMENTATION FOR SCHEDULING POST-DISCHARGE FOLLOW-UP APPOINTMENTS FOR THE FOLLOWING HIGH-RISK CHRONIC DISEASE INPATIENTS: STROKE, HEART FAILURE, DIABETES/ESRD, AND COPD. - IMPLEMENTED A PROCESS FOR EMERGENCY DEPARTMENT PATIENTS WHO NEED A PRIMARY CARE PHYSICIAN REFERRAL TO BE SEEN BY A CARE MANAGER BEFORE DISCHARGE - DEVELOPED AND IMPLEMENTED A "MEDICATION BAG" PILOT PROGRAM FOR HIGH RISK CARDIAC PATIENTS TO REVIEW AND RECONCILE PRESCRIPTION MEDICATIONS TO IMPOVE ADHERENACE AND CHRONIC DISEASE OUTCOMES.
PART V, SECTION B, LINE 7A	HTTPS://WWW.RUSHCOPLEY.COM/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORTS/
PART V, SECTION B, LINE 16I	THE FOLLOWING DISCLOSURE IS IN ACCORDANCE WITH REV. PROC 2015-21 SECTION 7 IN REGARDS TO SCHEDULE H, PART V, SECTION B, LINE 16I:FOR THE FISCAL YEAR ENDED 6/30/17, COPLEY MEMORIAL HOSPITAL, INC. (CMH) PROVIDED SPANISH TRANSLATIONS OF THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, AND FINANCIAL ASSISTANCE APPLICATION. ADDITIONALLY, CMH PROVIDES LANGUAGE ASSISTANCE FREE OF CHARGE FOR MANY OTHER LANGUAGES (SEE HTTPS://WWW.RUSHCOPLEY.COM/ABOUT/LANGUAGE-ASSISTANCE/). HOWEVER, DURING THE TAX YEAR, (CMH) DID NOT HAVE THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, AND FINANCIAL ASSISTANCE APPLICATION TRANSLATED INTO EACH OF THE PRIMARY LANGUAGES SPOKEN BY LIMITED ENGLISH PROFICIENCY (LEP) POPULATIONS. DUE TO THE AVAILABILITY OF TRANSLATION ASSISTANCE, CMH IS NOT AWARE OF ANY INDIVIDUALS WHO WERE ADVERSELY IMPACTED BY THIS MINOR OVERSIGHT. CMH WILL HAVE THE TRANSLATIONS COMPLETE AND AVAILABLE ON THE WEBSITE ON OR BEFORE JULY 31, 2018. CMH HAS ALSO IMPLEMENTED PROCEDURES TO ENSURE COMPLIANCE WITH THIS REQUIREMENT IN THE FUTURE BY ANNUALLY REVIEWING THE LEP POPULATIONS AND ADDING ADDITIONAL TRANSLATIONS AS NEEDED AND UPDATING THE TRANSLATIONS SHOULD THERE BE CHANGES TO THE DOCUMENTS.
PART V, SECTION B, LINE 22B	THE FOLLOWING DISCLOSURE IS IN ACCORDANCE WITH REV. PROC 2015-21 SECTION 7 IN REGARDS TO SCHEDULE H, PART V, SECTION B, LINE 22B:DURING THE TAX YEAR, COPLEY MEMORIAL HOSPITAL, INC. (CMH) CORRECTLY COMPLETED THE AGB CALCULATION AND APPLIED IT TO PATIENT ACCOUNTS. HOWEVER, CMH DID NOT INCLUDE IN ITS FINANCIAL ASSISTANCE POLICY THE CALCULATION OF AMOUNTS GENERALLY BILLED (AGB). CMH'S AGB CALCULATION USES THE LOOK-BACK METHOD BASED ON CLAIMS ALLOWED BY MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE HEALTH INSURERS THAT PAY CLAIMS TO THE HOSPITAL FACILITY DURING A PRIOR 12-MONTH PERIOD. CMH WILL UPDATE THE FINANCIAL ASSISTANCE POLICY TO INCLUDE THE CALCULATION OF AGB BEFORE JUNE 30, 2018. THIS OVERSIGHT DID NOT CAUSE ANY PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE TO BE CHARGED GREATER THAN AGB AS THE PERCENTAGE WAS CORRECTLY CALCULATED AND APPLIED TO PATIENT ACCOUNTS. CMH HAS ALSO IMPLEMENTED PROCEDURES TO ENSURE ANNUAL COMPLIANCE WITH THIS REQUIREMENT IN THE FUTURE.

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 - RIVER WEST RADIATION CENTER LLC
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	FREE STANDING EMERGENCY CARE, RADIOLOGY, LAB, AND OCCUPATIONAL HEALTH SERVIC
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

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2 WAS USED TO CALCULATE THE AMOUNTS REPORTED IN TABLE A. 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 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 8:	COSTS OF TREATING MEDICARE PATIENTS ARE CALCULATED USING THE IRS CALCULATED PERCENTAGE.
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 DETERMINED 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 APPROXIMATELY SOUTHERN KANE COUNTY AND KENDALL COUNTY, ILLINOIS LOCATED 45 TO 55 MILES SOUTHWEST OF CHICAGO. KANE COUNTY HAS A POPULATION OF 527,000 PEOPLE AND IS PREDOMINANTLY URBAN AND SUBURBAN. NEARLY 32% OF THE POPULATION IS OF HISPANIC OR LATINO ORIGIN. PERSONS OVER THE AGE OF 65 COMPRISE 11.6% OF THE POPULATION, AND THE POVERTY RATE IS 11.1%. AURORA, THE SECOND LARGEST CITY IN ILLINOIS, DOMINATES THE COUNTY. HISTORICALLY AN INDUSTRIAL CITY, AURORA HAS EXPERIENCED A CONSIDERABLE LOSS OF MANUFACTURING JOBS AND IS TRANSITIONING ITS ECONOMY. KENDALL COUNTY, TO THE SOUTH OF KANE, HAS A POPULATION OF 121,000. PERSONS OVER THE AGE OF 65 COMPRISE 9.0% OF THE POPULATION, AND THE POVERTY RATE IS 4.8%. THE NORTHWEST SECTION OF THE COUNTY IS SUBURBAN WHILE THE REMAINDER IS RURAL.
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, 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	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
VICE CHIEF OF STAFF/DIRECTOR	$231,535	$0	$96,504	$0	$2,514	$0	$10,600	$0	$28,203	$0	$369,356	$0	$0	$0
STEPHEN KELANIC MD
VICE CHIEF OF STAFF/DIRECTOR	$269,032	$0	$123,993	$0	$2,685	$0	$10,600	$0	$25,643	$0	$431,953	$0	$0	$0
BARRY FINN
PRESIDENT & CEO/DIRECTOR	$705,318	$0	$424,775	$0	$3,625,433	$0	$10,600	$0	$28,979	$0	$4,795,105	$0	$3,574,174	$0
RYAN ASMUS
VP GENERAL COUNSEL/SECRETARY	$243,000	$0	$125,710	$0	$21,297	$0	$51,671	$0	$25,819	$0	$467,497	$0	$0	$0
BRENDA VAN WYHE
SR. VP FINANCE & CFO/TREASURER	$321,808	$0	$133,748	$0	$5,238	$0	$63,812	$0	$17,381	$0	$541,987	$0	$0	$0
GAIL BUMGARNER
SR. VP, STRATEGY	$252,827	$0	$133,466	$0	$66,788	$0	$10,600	$0	$9,579	$0	$473,260	$0	$0	$0
DENNIS DEMASIE
VP, INFORMATION TECH & CIO	$243,217	$0	$100,144	$0	$5,981	$0	$49,647	$0	$18,779	$0	$417,768	$0	$0	$0
JOHN DIEDERICH
SR. VP, OPERATIONS & COO	$378,358	$0	$194,054	$0	$10,761	$0	$125,403	$0	$28,431	$0	$737,007	$0	$0	$0
BRENDA FANN MD
ASSISTANT VP, MEDAFFAIRS	$262,014	$0	$66,926	$0	$22,200	$0	$0	$0	$25,106	$0	$376,246	$0	$0	$0
DIANE HOMAN MD
VP, QUALITY & PSO	$300,206	$0	$159,709	$0	$81,035	$0	$10,600	$0	$29,750	$0	$581,300	$0	$0	$0
STEVE LOWENTHAL MD
SR. VP, MEDICAL AFFAIRS & CMO	$429,783	$0	$210,495	$0	$95,919	$0	$10,600	$0	$9,038	$0	$755,835	$0	$0	$0
DAVID PETASNICK
ASSISTANT VP, ANCILLARY SVCS	$179,974	$0	$41,991	$0	$3,111	$0	$7,289	$0	$23,343	$0	$255,708	$0	$0	$0
ALEX POPE
VP, PHILANTHROPY & CDO	$193,498	$0	$82,260	$0	$4,031	$0	$33,166	$0	$26,196	$0	$339,151	$0	$0	$0
MARY SHILKAITIS
VP PATIENT CARE SRVCS & CNO	$217,808	$0	$119,125	$0	$24,008	$0	$50,802	$0	$28,300	$0	$440,043	$0	$0	$0
SUSAN STERCHI
ASSISTANT VP, PATIENT CARE	$158,798	$0	$51,705	$0	$24,824	$0	$7,444	$0	$28,152	$0	$270,923	$0	$0	$0
SANTOSH GILL MD
PHYSICIAN	$408,139	$0	$382,943	$0	$31,967	$0	$10,600	$0	$17,299	$0	$850,948	$0	$0	$0
KEVIN KELLY MD
PHYSICIAN	$917,920	$0	$3,600	$0	$2,784	$0	$8,762	$0	$25,643	$0	$958,709	$0	$0	$0
TARIQ RAHIM MD
PHYSICIAN	$501,362	$0	$260,200	$0	$8,352	$0	$10,600	$0	$27,101	$0	$807,615	$0	$0	$0
DIMITRY RUBAN MD
PHYSICIAN	$926,491	$0	$7,244	$0	$20,388	$0	$10,600	$0	$23,802	$0	$988,525	$0	$0	$0
VIJAY SHAH MD
PHYSICIAN	$382,530	$0	$320,815	$0	$33,721	$0	$10,600	$0	$25,901	$0	$773,567	$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	SERP PLAN OF CMH (ACCRUALS): MARY SHILKAITIS $34,738, JOHN DIEDERICH $110,213, STEVE LOWENTHAL $0, DENNIS DEMASIE $35,790, DIANE HOMAN $0, BRENDA VAN WYHE $46,414, ALEX POPE $23,652, GAIL BUMGARNER $0, AND RYAN ASMUS $35,877. PLEASE NOTE THAT THESE AMOUNTS ARE INCLUDED IN THE AMOUNTS LISTED ON SCHEDULE J, PART II, COLUMN C. 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 FORFEITURE. ANY INDIVIDUAL PAYOUTS WOULD BE INCLUDED AS REPORTABLE COMPENSATION ON THE RECIPIENT'S ANNUAL W2 FORM. BARRY FINN RECEIVED PAYMENTS IN 2016 OF $3,594,452, STEVE LOWENTHAL RECEIVED PAYMENTS IN 2016 OF $76,688, DIANE HOMAN RECEIVED PAYMENTS IN 2016 OF $52,038 AND GAIL BUMGARNER RECEIVED PAYMENTS IN 2016 OF $41,390.
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	$1,600,000	RetiredAmt
Total Proceeds	$105,601,668	TotalProceedsAmt
Refunding Escrow	$91,458,250	RefundingEscrowAmt
Issuance Costs From Proceeds	$824,030	IssuanceCostsFromProceedsAmt
Working Capital Expenditures	$145	WorkingCapitalExpendituresAmt
Other Spent Proceeds	$15,799,417	OtherSpentProceedsAmt
Current Refunding	0	CurrentRefundingInd
Advance Refunding	Yes (1)	AdvanceRefundingInd
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 (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A:	SUMMARY OF FY17 HEALTH PROGRAMMING DURING FY17, 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 THREE 12-WEEK SESSIONS WITH A TOTAL OF 13 PARTICIPANTS ENROLLED IN THE PROGRAM. PARTICIPANTS LEARNED FROM A VARIETY OF EXPERTS INCLUDING RUSH COPLEY PHYSICIANS, HEALTHPLEX PERSONAL TRAINERS AND REGISTERED DIETICIANS. COMMUNITY WALKING CLUB RUSH COPLEY CONTINUES TO OFFER THE COMMUNITY THE TOOLS AND RESOURCES TO START THEIR OWN WALKING CLUB. PRESENTATIONS ARE PROVIDED TO ORGANIZATIONS SUCH AS SCHOOLS, PARK DISTRICTS AND ANYONE INTERESTED IN WALKING THEIR WAY TO HEALTH. A PRE AND POST TEST IS GIVEN TO THE PARTICIPANTS TO OBSERVE THEIR PROGRESS AND PEDOMETERS AND WALKING LOGS ARE PROVIDED TO KEEP THEM MOTIVATED. 30 NEW COMMUNITY MEMBERS WERE ADDED TO THE COMMUNITY WALKING CLUB. DIABETES FREE FASTING GLUCOSE SCREENINGS WERE PROVIDED TO OVER 72 COMMUNITY MEMBERS. SMOKING CESSATION THE FREEDOM FROM SMOKING CLASS WAS OFFERED FOUR TIMES WITH A TOTAL OF 14 PARTICIPANTS. THIS FREE EIGHT-WEEK PROGRAM PROVIDES SUPPORT AND THE SKILLS NEEDED TO QUIT SMOKING. THREE SESSIONS WERE CONDUCTED IN ENGLISH AND ONE SESSION WAS CONDUCTED IN SPANISH. CANCER AWARENESS AND INFORMATION RUSH COPLEY GASTROENTEROLOGISTS PRESENTED GET THE SCOOP ON THE SCOPE TWO TIMES WITH A TOTAL OF 64 PARTICIPANTS AND DR. ZHANG PRESENTED TO SCREEN OR NOT TO SCREEN TO 22 PARTICIPANTS. [FIVE SESSIONS OF THE CARING FORWARD CANCER SURVIVORSHIP PROGRAM WERE PROVIDED WITH AT TOTAL OF 37 ATTENDEES.] AT THE ANNUAL CELEBRATION OF NATIONAL CANCER SURVIVORS DAY, THERE WERE MORE THAN 150 PARTICIPANTS IN ATTENDANCE. DR. BERGEN AND KELLER PRESENTED ON HPV CANCER WITH FIVE PARTICIPANTS IN ATTENDANCE. 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 FOX VALLEY AREA. SOME OF THE TOPICS PRESENTED BY PROFESSIONAL HEALTHCARE PROVIDERS INCLUDE: A HEALTHY DIGESTIVE SYSTEM, YOGA SESSION, PLANT-BASED NUTRITION, HEALTHY RELATIONSHIPS AND RADON. TYPICALLY, BETWEEN 10 AND 25 WOMEN, MEN AND CHILDREN OVER THE AGE OF 12 ATTEND THE MONTHLY SESSIONS. CLOSE TO 100 PARTICIPANTS ATTENDED AND BENEFITTED FROM THE PRESENTATIONS IN FY17. 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 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. HEALTHY HANDS TO HELP SCHOOL-AGED CHILDREN UNDERSTAND THE IMPORTANCE OF HAND WASHING, RUSH COPLEY MEDICAL CENTER OFFERS A FUN AND EDUCATIONAL PROGRAM FOR SCHOOLS AND COMMUNITY GROUPS CALLED HEALTHY HANDS. THE PROGRAM PROVIDES AN EXPLANATION OF GERMS AND HOW THEY SPREAD. AN INTERACTIVE PRESENTATION INCLUDES THE USE OF "GLOW" GERMS USING A GEL AND THE USE OF A BLACK LIGHT TO SHOW "GERMS." IF THE PARTICIPANTS WASH THEIR HANDS CORRECTLY AND FOR THE PROPER AMOUNT OF TIME USING ANTIBACTERIAL HAND GEL, THEIR HANDS SHOULD NOT SHOW THE "GLOW" GERMS WHEN THEY ARE PLACED UNDER THE BLACK LIGHT A SECOND TIME. THE CHILDREN ARE GIVEN A BOOK MARK THAT SHOWS HOW TO PROPERLY WASH THEIR HANDS. IN FY17 A TOTAL OF 210 CHILDREN PARTICIPATED IN THE HEALTHY HANDS DEMONSTRATION. OLDER ADULT EDUCATION EDUCATIONAL AND INTERACTIVE TALKS DESIGNED TO PROVIDE SENIORS WITH HEALTH INFORMATION AND EDUCATION ARE PRESENTED REGULARLY AT THE BEECHER COMMUNITY CENTER IN YORKVILLE IN COLLABORATION WITH SENIOR SERVICES ASSOCIATES, INC. THIS PROGRAM CALLED WELLNESS IS A WAY OF LIFE, REACHES OVER 200 SENIORS ANNUALLY. THE BREAKFAST CLUB, A PROGRAM THAT TARGETS THE SENIOR COMMUNITY AT LARGE, PROVIDES PRESENTATIONS THAT INCLUDE QUESTION AND ANSWER SESSIONS ON HEALTHCARE TOPICS. THE PROGRAM TAKES PLACE AT SUNNYMERE, AN ASSISTED LIVING FACILITY IN AURORA. RUSH COPLEY PARTNERED WITH THIS PROGRAM TO PRESENT TO A 20 MEMBER AUDIENCE ON THE TOPIC OF BACK SURGERY. 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 9-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. TEN SENIORS ENROLLED AND PARTICIPATED IN THE SESSION HELD FEBRUARY THROUGH APRIL 2017. IN FY17, RUSH COPLEY PROVIDED SPEAKERS FOR TEN SCHEDULED PRESENTATIONS IN THE DOCTOR'S NOTES SERIES HELD AT THE OSWEGO SENIOR CENTER. THIS SERIES EDUCATES SENIORS ON VARIED HEALTH TOPICS RELATED TO AGING. OVER 100 SENIORS ATTENDED. ADDITIONAL PROGRAMS SCHEDULED FOR SENIORS WERE HELD AT VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY AND INCLUDED TOPICS SUCH AS HEART HEALTH, DIABETES EDUCATION, STROKE AWARENESS, ADVANCED CARE PLANNING, HOW TO USE AN AED, AND JOINT REPLACEMENT.
FORM 990, PART VI, SECTION A, LINE 2	MANY 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. BARRY FINN, CMH PRESIDENT & CEO/DIRECTOR, AND WILLIAM SKOGLUND, CMH VICE CHAIRMAN OF THE BOARD/DIRECTOR, HAVE A BUSINESS RELATIONSHIP. BARRY FINN IS A BOARD MEMBER AT OLD SECOND NATIONAL BANK AND WILLIAM SKOGLUND IS THE FORMER CHAIRMAN AND CEO AT OLD SECOND NATIONAL BANK. MR. SKOGLUND DOES NOT SERVE ON COPLEY MEMORIAL HOSPITAL, INC.'S COMPENSATION COMMITTEE AND HAS RECUSED HIMSELF FROM ANY DISCUSSIONS OR VOTES THAT INVOLVE MR. FINN'S SALARY.
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 IS AVAILABLE UPON REQUEST. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. COPIES OF THE FINANCIAL STATEMENTS (WHETHER OR NOT AUDITED) ARE PROVIDED UPON REASONABLE REQUEST SUCH AS FOR A BANK LOAN OR TO A BOND RATING AGENCY. THE FINANCIAL STATEMENTS ARE AVAILABLE ON THE ATTORNEY GENERAL'S WEBSITE.
FORM 990, PART XI, LINE 9:	TRANSFER OF ASSETS TO AFFILIATES-NET CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 848,943. SWAP VALUE ADJUSTMENT 3,414,285. OTHER 6,611.
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 IT AND ITS AFFILIATES.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
RUSH COPLEY MEDICAL CENTER INC
2000 OGDEN AVENUE	AURORA	IL	60504	363193787	PARENT COMPANY	IL	501(C)(3)	LINE 12A, I	N/A	0
RUSHCOPLEY HEALTH CARE SYSTEM INC
2000 OGDEN AVENUE	AURORA	IL	60504	363584043	BRIDGE BOARD RCMC & RUMC	IL	501(C)(3)	SCHEDULE A, LINE 11A	N/A	0
RUSH-COPLEY FOUNDATION
2000 OGDEN AVENUE	AURORA	IL	60504	363093877	GRANTS TO CHARITABLE ORGANIZATIONS	IL	501(C)(3)	SCHEDULE A, LINE 7		Yes (1)	RUSH-COPLEY MEDICAL CENTER INC
COPLEY VENTURES INC
2000 OGDEN AVENUE	AURORA	IL	60504	363370216	RENTAL PROP., INFIRMARY CARE, AND HEALTHPLEX FITNESS CENTER	IL	501(C)(3)	SCHEDULE A, LINE 3		Yes (1)	RUSH-COPLEY MEDICAL CENTER INC
RUSH UNIVERSITY MEDICAL CENTER
1700 WEST VAN BUREN STREET	CHICAGO	IL	60612	362174823	HEALTHCARE	IL	501(C)(3)	SCHEDULE A, LINE 3		0	RUSH SYSTEM FOR HEALTH
RUSH SYSTEM FOR HEALTH
1725 W HARRISON STREET	CHICAGO	IL	60612	364046278	HOSPITAL	IL	501(C)(3)	SCHEDULE A, LINE 12C	N/A	0
RUSH OAK PARK HOSPITAL INC
520 S MAPLE AVE	OAK PARK	IL	60304	362183812	HOSPITAL	IL	501(C)(3)	SCHEDULE A, LINE 3		Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 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	OPERATION IMAGING	IL	N/A
RUSH SURGICENTER AT THE PROFESSIONAL BUILDING LP
1725 W HARRISON STREET	CHICAGO	IL	60612	363853026	SURGERY CENTER	IL	N/A
GUARDIAN HEALTH TECHNOLOGIES LLC
1653 W CONGRESS PARKWAY	CHICAGO	IL	60612	362174823	ANALYTICS SOFTWARE LICENSE HOLDER	IL	N/A
YORKVILLE PHYSICAL THERAPY & SPORTS MEDICINE CENTER LLC
2000 OGDEN AVENUE	AURORA	IL	60504	364236345	PHYSICAL THERAPY & SPORTS MEDICINE	IL	N/A
RUSH COPLEY CARDIOVASCULAR CONSULTANTS LLC
2000 OGDEN AVENUE	AURORA	IL	60504	273234201	CARDIOVASCULAR MEDICINE	IL		RUSH-COPLEY MEDICAL CENTER INC	RELATED	-$3,092,777	$8,791,801	0	0	0.99000
RUSH-COPLEY HOSPITALISTS LLC
2000 OGDEN AVENUE	AURORA	IL	60504	611787188	MEDICAL SERVICES	IL		RUSH-COPLEY MEDICAL CENTER INC	RELATED	-$976,996	$768,240	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	$583,657	$17,016,964	0	0	0.99000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 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

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	Yes (1)	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	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
RUSH COPLEY MEDICAL GROUP NFP
A	$645,163	FAIR MARKET VALUE
RUSH COPLEY CARDIOVASCULAR CONSULTANTS LLC
A	$26,898	FAIR MARKET VALUE
RUSH UNIVERSITY MEDICAL CENTER
A	$35,896	FAIR MARKET VALUE
RUSH-COPLEY FOUNDATION
C	$1,184,698	FAIR MARKET VALUE
COPLEY VENTURES INC
K	$969,452	FAIR MARKET VALUE
COPLEY VENTURES INC
R	$554,400	FAIR MARKET VALUE
RUSH UNIVERSITY MEDICAL CENTER
P	$2,449,164	FAIR MARKET VALUE
RUSH UNIVERSITY MEDICAL CENTER
R	$840,387	FAIR MARKET VALUE