COPLEY MEMORIAL HOSPITAL INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- COPLEY MEMORIAL HOSPITAL INC (EIN 36-2170840)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-11
- IRS object ID
- 201741319349300309
- Schema version
- 2015v3.0
- 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 | 2017-05-11T06:12:48-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | 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 | 2015-07-01 | 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 | 2017-05-10 | 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 | 2015 | 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 | $340,490,039 | 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 | 360 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,298,770 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,579,443 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $290,263,450 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $299,653,923 | CYProgramServiceRevenueAmt |
| PY Investment Income | $11,171,382 | PYInvestmentIncomeAmt |
| CY Investment Income | $11,100,528 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,946,784 | PYOtherRevenueAmt |
| CY Other Revenue | $6,793,944 | CYOtherRevenueAmt |
| PY Total Revenue | $310,680,386 | PYTotalRevenueAmt |
| CY Total Revenue | $320,127,838 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $54,863 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $50,474 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $130,954,530 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $140,740,086 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $132,805,142 | PYOtherExpensesAmt |
| CY Other Expenses | $135,060,609 | CYOtherExpensesAmt |
| PY Total Expenses | $263,814,535 | PYTotalExpensesAmt |
| CY Total Expenses | $275,851,169 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $46,865,851 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $44,276,669 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $464,071,482 | TotalAssetsBOYAmt |
| Total Assets EOY | $519,972,246 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $242,506,219 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $270,245,737 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $221,565,263 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $249,726,509 | 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 | $221,729,762 | ExpenseAmt |
| Grant | $50,474 | GrantAmt |
| Revenue | $306,483,024 | 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 FY2016, 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 28,900 and 2,800 emails respectfully. Additionally, Cancer Care News, targeted at Cancer Care patients and their family and care givers, was sent to approximately 1,200 email addresses and an average of 900 Family Residency patients received Healthy eNews.During FY2016, 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 speaker's bureau to community-based groups and routinely participates and sponsors 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.Charity Care -- It is an inherent part of the Hospital's mission to provide necessary medical care free of charge, or at a discount, to individuals without insurance or other means of paying for such care. As the amounts determined to qualify for charity care are not pursued for collection, they are not reported as net patient service revenue. Patients who would otherwise qualify for charity care but who do not provide adequate information would be characterized as bad debt and included in the provision for uncollectible accounts. The Hospital also incurs losses related to the unreimbursed costs of providing services to Medicaid patients.The Hospital has an established charity care policy and maintains records to identify and monitor the level of charity care it provides. The Hospital provides free care to all patients who apply and support income and asset levels of less than 200% of the current-year poverty level and a 30% discount to all uninsured patients regardless of ability to pay, and discounts balances to patients under 600% of the poverty level. Patients up to 600% of the Federal poverty level, with an approved application, are eligible for a discount equal to the Amounts Generally Billed for emergency or medically necessary services. Interest-free payment plans are also provided. These charity care records include the estimated cost of unreimbursed services provided and supplies furnished under its charity care policy and the excess of cost over reimbursement for Medicaid patients. The estimated cost of charity care provided is determined using a ratio of cost to gross charges and multiplying that ratio by the gross unreimbursed charges associated with providing care to charity patients. The Hospital also monitors the unreimbursed cost of patient bad debts. | Desc |
| Total Program Service Expenses | $221,729,762 | 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 | 0 | 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 | 197 | 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 | 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 VanWyhe | 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 |
|---|---|---|---|---|---|---|---|---|---|
| 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 | |||
| Alice Daniele MD | |||||||||
| Chief of Staff/Director | 1.00 | 2.00 | Yes (X) | $15,500 | $0 | $0 | |||
| Bruce Dienst | |||||||||
| Vice Chairman of the 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 | |||
| Stephen Kelanic MD | |||||||||
| Vice Chief of Staff/Director | 1.00 | 2.00 | Yes (X) | $378,639 | $0 | $41,229 | |||
| 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 Chairman of the 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 | |||
| Suresh VelagapudiMDEnd 1215 | |||||||||
| Past Chief of Staff/Director | 1.00 | 2.00 | Yes (X) | $1,250 | $0 | $0 | |||
| Barry Finn | |||||||||
| President & CEO/Director | 40.00 | 3.00 | Yes (X) | $1,042,276 | $0 | $474,450 | Yes (X) | ||
| Ryan Asmus | |||||||||
| VP General Counsel/Secretary | 40.00 | 3.00 | $346,439 | $0 | $80,169 | Yes (X) | |||
| Lynn Scott | |||||||||
| Assistant Secretary | 40.00 | 3.00 | $82,231 | $0 | $21,930 | Yes (X) | |||
| Brenda VanWyhe | |||||||||
| Sr. VP, Finance & CFO/Treasurer | 40.00 | 3.00 | $413,291 | $0 | $80,960 | Yes (X) | |||
| Gail Bumgarner | |||||||||
| Sr. VP, Strategy | 40.00 | 0.00 | $409,377 | $0 | $20,420 | Yes (X) | |||
| Dennis DeMasie | |||||||||
| VP, Information Technology & CIO | 40.00 | 0.00 | $325,692 | $0 | $70,182 | Yes (X) | |||
| John Diederich | |||||||||
| Sr. VP, Operations & COO | 40.00 | 1.00 | $536,878 | $0 | $156,767 | Yes (X) | |||
| Brenda Fann MD | |||||||||
| Assistant VP, MedAffairs | 40.00 | 0.00 | $333,927 | $0 | $44,026 | Yes (X) | |||
| Diane Homan MD | |||||||||
| VP, Quality & PSO | 40.00 | 0.00 | $773,054 | $0 | $35,132 | Yes (X) | |||
| Steve Lowenthal MD | |||||||||
| Sr. VP, Medical Affairs & CMO | 40.00 | 0.00 | $667,761 | $0 | $32,625 | Yes (X) | |||
| Mary Shilkaitis | |||||||||
| VP, Patient Care Services & CNO | 40.00 | 0.00 | $326,065 | $0 | $81,726 | Yes (X) | |||
| David Petasnick | |||||||||
| Assistant VP, Ancillary Services | 40.00 | 0.00 | $208,178 | $0 | $37,864 | Yes (X) | |||
| Alex Pope | |||||||||
| VP, Philanthropy & CDO | 40.00 | 1.00 | $271,091 | $0 | $62,436 | Yes (X) | |||
| Suzanne Sterchi | |||||||||
| Assistant VP, Patient Care | 40.00 | 0.00 | $221,254 | $0 | $43,075 | Yes (X) | |||
| Teressa Alexander MD | |||||||||
| Physician | 40.00 | 0.00 | $644,344 | $0 | $48,927 | Yes (X) | |||
| Santosh Gill MD | |||||||||
| Physician | 40.00 | 0.00 | $624,350 | $0 | $41,992 | Yes (X) | |||
| Edward Lipman MD | |||||||||
| Physician | 40.00 | 0.00 | $564,234 | $0 | $43,725 | Yes (X) | |||
| Dimitry Ruban MD | |||||||||
| Physician | 40.00 | 0.00 | $1,000,568 | $0 | $44,448 | Yes (X) | |||
| Sepehr Sani MD End 915 | |||||||||
| Physician | 40.00 | 0.00 | $627,901 | $0 | $32,519 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,814,300 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,494,602 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 284 | 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 |
|---|---|---|---|---|---|
| Leopardo Companies | |||||
| 5200 Prairie Stone Pkwy | Hoffman Estates | IL | 60192 | Construction | $3,947,099 |
| Anthelio | |||||
| One Lincoln Drive Suite 200 5400 | Dallas | TX | 75240 | Medical Records Management | $3,720,929 |
| Sodexo | |||||
| 4880 Paysphere Circle | Chicago | IL | 60674 | Food and Cleaning Service Management | $3,671,055 |
| Ruddy Brothers Inc | |||||
| 721 Airport Rd | North Aurora | IL | 60542 | Construction | $3,410,729 |
| Anderson Mikos Architects | |||||
| 1420 Kensington Road Suite 306 | Oak Brook | IL | 60523 | Architects | $1,401,546 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 32 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,579,443 | RelatedOrganizationsAmt |
| Total Contributions | $2,579,443 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Svc Rev | 621110 | $279,276,183 | $279,276,183 |
| Medicaid Tax Revenue | 621110 | $22,349,152 | $22,349,152 |
| Other Program Revenue | 900099 | -$1,971,412 | -$1,971,412 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $299,653,923 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,775,901 | TotalRevenueColumnAmt |
| Exclusion | $6,775,901 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $984,609 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,529,582 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$544,973 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$544,973 | TotalRevenueColumnAmt |
| Exclusion | -$544,973 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,617,649 | SecuritiesAmt |
| Other | $1,539,597 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $18,832,312 | SecuritiesAmt |
| Other | $307 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,785,337 | SecuritiesAmt |
| Other | $1,539,290 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,324,627 | TotalRevenueColumnAmt |
| Exclusion | $4,324,627 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Outside Service Rev. | 621990 | $6,829,101 | $6,829,101 | |
| Cafeteria Revenue | 621990 | $268,667 | $268,667 | |
| Gift Shop Revenue | 453220 | $228,583 | $228,583 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,566 | TotalRevenueColumnAmt |
| Exclusion | $12,566 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,338,917 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $320,127,838 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $306,483,024 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,065,371 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,474 | TotalAmt |
| Program Services | $50,474 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,619,144 | TotalAmt |
| Management And General | $7,619,144 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,834,819 | TotalAmt |
| Program Services | $77,126,114 | ProgramServicesAmt |
| Management And General | $25,708,705 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,109,495 | TotalAmt |
| Program Services | $3,082,121 | ProgramServicesAmt |
| Management And General | $1,027,374 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,836,879 | TotalAmt |
| Program Services | $12,627,659 | ProgramServicesAmt |
| Management And General | $4,209,220 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,339,749 | TotalAmt |
| Program Services | $7,004,812 | ProgramServicesAmt |
| Management And General | $2,334,937 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,836,076 | TotalAmt |
| Program Services | $5,127,057 | ProgramServicesAmt |
| Management And General | $1,709,019 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $423,241 | TotalAmt |
| Management And General | $423,241 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $221,731 | TotalAmt |
| Management And General | $221,731 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,383 | TotalAmt |
| Management And General | $44,383 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,159 | TotalAmt |
| Management And General | $59,159 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,860,628 | TotalAmt |
| Program Services | $4,395,471 | ProgramServicesAmt |
| Management And General | $1,465,157 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $910,025 | TotalAmt |
| Program Services | $910,025 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,826,101 | TotalAmt |
| Program Services | $11,119,576 | ProgramServicesAmt |
| Management And General | $3,706,525 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,807,735 | TotalAmt |
| Program Services | $10,355,801 | ProgramServicesAmt |
| Management And General | $3,451,934 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,334,540 | TotalAmt |
| Program Services | $5,500,905 | ProgramServicesAmt |
| Management And General | $1,833,635 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,556 | TotalAmt |
| Program Services | $96,417 | ProgramServicesAmt |
| Management And General | $32,139 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,312 | TotalAmt |
| Program Services | $52,734 | ProgramServicesAmt |
| Management And General | $17,578 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,311,396 | TotalAmt |
| Program Services | $4,311,396 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,002,607 | TotalAmt |
| Program Services | $17,002,607 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,030,103 | TotalAmt |
| Program Services | $772,577 | ProgramServicesAmt |
| Management And General | $257,526 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Medical Supplies | $48,992,075 | $48,992,075 |
| Medicaid Provider Tax | $10,990,428 | $10,990,428 |
| Laundry | $930,082 | $930,082 |
| Consulting | $672,260 | $672,260 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $609,171 | TotalAmt |
| Program Services | $609,171 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $275,851,169 | TotalAmt |
| Program Services | $221,729,762 | ProgramServicesAmt |
| Management And General | $54,121,407 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,093,073 | BOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,379,679 | BOYAmt |
| EOY | $19,770,549 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,613,785 | BOYAmt |
| EOY | $50,121,411 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,866,214 | BOYAmt |
| EOY | $5,185,900 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,686,033 | BOYAmt |
| EOY | $7,908,846 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $358,780,865 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $205,270,164 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,543,566 | BOYAmt |
| EOY | $153,510,701 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,440,896 | BOYAmt |
| EOY | $259,224,374 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,974,135 | BOYAmt |
| EOY | $3,628,249 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,474,101 | BOYAmt |
| EOY | $20,622,216 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $464,071,482 | BOYAmt |
| EOY | $519,972,246 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,017,505 | BOYAmt |
| EOY | $138,498,059 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,163,568 | BOYAmt |
| EOY | $103,120,730 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,325,146 | BOYAmt |
| EOY | $28,626,948 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $242,506,219 | BOYAmt |
| EOY | $270,245,737 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $216,735,015 | BOYAmt |
| EOY | $246,811,368 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,830,248 | 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 | $221,565,263 | BOYAmt |
| EOY | $249,726,509 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $464,071,482 | BOYAmt |
| EOY | $519,972,246 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $44,276,669 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$6,020,403 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$10,095,020 | 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 | $44,383 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $44,383 | 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 organziations 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 | $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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,648,390 | BeginningYearBalanceAmt |
| Contributions | $1,409,175 | ContributionsAmt |
| Investment Earnings Or Losses | $364,134 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,290,495 | OtherExpendituresAmt |
| End Year Balance | $11,131,204 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.09000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.73000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.18000 | 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 | $18,568,340 | OtherCostOrOtherBasisAmt |
| Book Value | $18,568,340 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $191,776,680 | OtherCostOrOtherBasisAmt |
| Depreciation | $110,710,856 | DepreciationAmt |
| Book Value | $81,065,824 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $129,841,004 | OtherCostOrOtherBasisAmt |
| Depreciation | $94,559,308 | DepreciationAmt |
| Book Value | $35,281,696 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,594,841 | OtherCostOrOtherBasisAmt |
| Book Value | $18,594,841 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $153,510,701 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Long Term Deferred Rent Obligation | $696,521 |
| Deferred Gain on Sale Long Term | $7,344,069 |
| Long Term SERP | $5,618,530 |
| Long Term Market Adjustment Swap Liability | $11,879,897 |
| Due to Related Parties | $3,087,931 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $28,626,948 | 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), and Waterford Place (income for CMH Cancer Resource Center Endowments. 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 (formerly, FASB Statement No. 109, Accounting for Income Taxes). No provision for income taxes was recorded for 2016 and 2015 due to operating losses. |
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 | 300.000000000000 | 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 | $4,548,664 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,548,664 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01650 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $67,440,159 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $48,988,006 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,452,153 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06690 | 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 | $71,988,823 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $48,988,006 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,000,817 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08340 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $55,062 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $55,062 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,037,651 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $583,539 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,454,112 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01610 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $51,947 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $51,947 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,144,660 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $583,539 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,561,121 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01650 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $77,133,483 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $49,571,545 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,561,938 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09990 | 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 | $31,327,510 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,132,751 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $87,792,789 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $97,966,188 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$10,173,399 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Copley Memorial Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Ogden Avenue | AddressLine1Txt |
| City | Aurora | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 605044206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.rushcopley.com | WebsiteAddressTxt |
| State License | 2150791 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Copley Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| 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-reports/ | 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-reports/ | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| 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 | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| 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- Partnershhips with Kendall County- Communtiy Health Survey- Focus Groups- Secondary Data AnalysisFor 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 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 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 is continuing progress on the implementation of strategies identified in the FY13-FY16 strategy implementation plan for the three health need priorities. Key progress and accomplishment highlights include: - Developed and implemented a healthy weight web page and shared community resources. - Developed and implemented a healthy weight program, which was developed by Rush-Copley staff, physicians, dieticians, and personal trainers. - Developed 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: http://www.rushcopley.com/about/community-health-needs-assessment-report/. Also, 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 will be included with the FY2017 tax filing. |
| Copley Memorial Hospital | Part V, Section B, Line 16i: Our financial assistance policy is listed on our website. Also we have a spot on the bills that we send to the patients that states we have a financial assistance policy. In addition, our patient financial staff will discuss the policy with the patients if they see that a need for assistance might exist. |
| Copley Memorial Hospital | Part V, Section B, Line 22d: Total charges before discounts are the same for all patients. Discounts are then applied to total charges to determine amounts billed to patients. At a minimum, patients with income less than or equal to 300% of the Federal Poverty Level (FPL) will be eligible for 100% charity care write off of charges for services that havebeen provided to them. Also, at a minimum, patients with incomes above 300% of the FPL but not exceeding 600% of the FPL will receive a discount on the services provided to them. Additionally, for any pure self pay patient (someone presenting with no insurance regardless of income), there is a 30% uninsured discount automatically applied against total charges. |
| Part V, Section B, Line 7a | https://www.rushcopley.com/about/community-health-needs-assessment-reports/ |
| 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 - Community Alliance Home Health | ||||
| 4050 Healthway Drive | Aurora | IL | 605044206 | JV Home Health |
| 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: | A cost accounting system was used to calculate the amounts reported in the table and 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 payments 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 patients who have third-party payor coverage on the basis of contractual rates for the 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 in 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 of RCMC's uninsured patients will be unable or unwilling to pay for the 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, RCMC 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 reported in line 7 should be treated as community benefit because if we did not provide the service, the burden of the costs would fall on the government. 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 later 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 program availability. 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 Inc.'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, Inc. 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, support groups (stroke, Parkinson's and heart disease), movement disorders programming and child safety seat checks, as well as many other programs. Copley Memorial Hospital, Inc. 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 related 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 6: | Copley Memorial Hospital, Inc. has an affiliation with Rush University Medical Center that covers governance and other organizational relationships. Both organizations are parties to a master trust indenture that established an obligated group for purposes of issuing long-term debt. |
| 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 (19 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Stephen Kelanic MD | ||||||||||||||
| Vice Chief of Staff/Director | $255,649 | $0 | $115,303 | $0 | $7,687 | $0 | $10,600 | $0 | $30,629 | $0 | $419,868 | $0 | $0 | $0 |
| Barry Finn | ||||||||||||||
| President & CEO/Director | $712,612 | $0 | $311,448 | $0 | $18,216 | $0 | $434,066 | $0 | $40,384 | $0 | $1,516,726 | $0 | $0 | $0 |
| Ryan Asmus | ||||||||||||||
| VP General Counsel/Secretary | $247,329 | $0 | $90,160 | $0 | $8,950 | $0 | $46,477 | $0 | $33,692 | $0 | $426,608 | $0 | $0 | $0 |
| Brenda VanWyhe | ||||||||||||||
| Sr. VP, Finance & CFO/Treasurer | $311,314 | $0 | $93,330 | $0 | $8,647 | $0 | $57,014 | $0 | $23,946 | $0 | $494,251 | $0 | $0 | $0 |
| Gail Bumgarner | ||||||||||||||
| Sr. VP, Strategy | $264,610 | $0 | $101,652 | $0 | $43,115 | $0 | $10,600 | $0 | $9,820 | $0 | $429,797 | $0 | $0 | $0 |
| Dennis DeMasie | ||||||||||||||
| VP, Information Technology & CIO | $242,514 | $0 | $73,746 | $0 | $9,432 | $0 | $45,760 | $0 | $24,422 | $0 | $395,874 | $0 | $0 | $0 |
| John Diederich | ||||||||||||||
| Sr. VP, Operations & COO | $380,036 | $0 | $146,250 | $0 | $10,592 | $0 | $120,813 | $0 | $35,954 | $0 | $693,645 | $0 | $0 | $0 |
| Brenda Fann MD | ||||||||||||||
| Assistant VP, MedAffairs | $269,345 | $0 | $55,342 | $0 | $9,240 | $0 | $10,600 | $0 | $33,426 | $0 | $377,953 | $0 | $0 | $0 |
| Diane Homan MD | ||||||||||||||
| VP, Quality & PSO | $311,167 | $0 | $105,028 | $0 | $356,859 | $0 | $10,600 | $0 | $24,532 | $0 | $808,186 | $0 | $0 | $0 |
| Steve Lowenthal MD | ||||||||||||||
| Sr. VP, Medical Affairs & CMO | $427,923 | $0 | $156,792 | $0 | $83,046 | $0 | $10,600 | $0 | $22,025 | $0 | $700,386 | $0 | $0 | $0 |
| Mary Shilkaitis | ||||||||||||||
| VP, Patient Care Services & CNO | $234,958 | $0 | $80,306 | $0 | $10,801 | $0 | $45,055 | $0 | $36,671 | $0 | $407,791 | $0 | $0 | $0 |
| David Petasnick | ||||||||||||||
| Assistant VP, Ancillary Services | $176,880 | $0 | $23,815 | $0 | $7,483 | $0 | $7,328 | $0 | $30,536 | $0 | $246,042 | $0 | $0 | $0 |
| Alex Pope | ||||||||||||||
| VP, Philanthropy & CDO | $191,235 | $0 | $70,840 | $0 | $9,016 | $0 | $28,650 | $0 | $33,786 | $0 | $333,527 | $0 | $0 | $0 |
| Suzanne Sterchi | ||||||||||||||
| Assistant VP, Patient Care | $175,162 | $0 | $34,703 | $0 | $11,389 | $0 | $7,954 | $0 | $35,121 | $0 | $264,329 | $0 | $0 | $0 |
| Teressa Alexander MD | ||||||||||||||
| Physician | $444,935 | $0 | $184,887 | $0 | $14,522 | $0 | $10,600 | $0 | $38,327 | $0 | $693,271 | $0 | $0 | $0 |
| Santosh Gill MD | ||||||||||||||
| Physician | $411,680 | $0 | $193,428 | $0 | $19,242 | $0 | $10,600 | $0 | $31,392 | $0 | $666,342 | $0 | $0 | $0 |
| Edward Lipman MD | ||||||||||||||
| Physician | $364,058 | $0 | $190,547 | $0 | $9,629 | $0 | $10,600 | $0 | $33,125 | $0 | $607,959 | $0 | $0 | $0 |
| Dimitry Ruban MD | ||||||||||||||
| Physician | $987,986 | $0 | $5,125 | $0 | $7,457 | $0 | $10,600 | $0 | $33,848 | $0 | $1,045,016 | $0 | $0 | $0 |
| Sepehr Sani MD End 915 | ||||||||||||||
| Physician | $498,140 | $0 | $124,092 | $0 | $5,669 | $0 | $10,600 | $0 | $21,919 | $0 | $660,420 | $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): Barry Finn $423,466, Mary Shilkaitis $34,738, John Diederich $110,213, Steve Lowenthal $0, Dennis DeMasie $35,790, Diane Homan $0, Brenda VanWyhe $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. Steve Lowenthal received payments in 2015 of $65,078, Diane Homan received payments in 2015 of $343,437 and Gail Bumgarner received payments in 2015 of $34,167. |
| 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 | $205,000 | RetiredAmt |
| Total Proceeds | $105,601,668 | TotalProceedsAmt |
| Refunding Escrow | $97,050,511 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $824,030 | IssuanceCostsFromProceedsAmt |
| Working Capital Expenditures | $145 | WorkingCapitalExpendituresAmt |
| Other Spent Proceeds | $9,267,221 | 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 FY16 Health Programming During FY16, 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 Two programs aimed at providing nutrition advice were held during the year with a total of 29 people attending. YouFit held four 12-week sessions with a total of 37 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. 38 new community members were added to the community walking club. Rush-Copley collaborated with VNA Health Care to assist them with their Step by Step program by meeting with them to share the community walking program model and provided the materials to get their program started. Diabetes Free fasting glucose screenings were provided to over 101 community members. Smoking Cessation The Freedom from Smoking class was offered four times with a total of 20 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 Dr. Joo presented a program Get the Scoop on the Scope to 20 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 200 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. Over 100 participants attended and benefitted from the presentations in FY16. Continuing the collaboration with the Aurora Public Library, nine participants attended the presentation on The Benefits of Fruits and Vegetables presented by the University of Illinois Extension. 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 now participates in First Fridays, a venue in the downtown that provides arts and culture to the community and draws 100 300 community members and visitors to the museum for the five hour event most months of the year. Older Adult Education 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, and is attended annually by 100 seniors. 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. Thirteen seniors enrolled and participated in the session held February through April 2016. In FY16, Rush-Copley provided speakers for three out of twelve scheduled presentations at the Caregiver Education Series hosted by the Oswego Senior Center. This monthly series incorporates informative presentations, along with lunch or dinner, to caregivers who are supporting loved ones with chronic health issues. Thirty-five seniors attended these three programs. Pregnancy and Childbirth Prenatal education classes are offered to couples who are pregnant or considering having a baby. Class topics include Childbirth Education, Baby Care Basics, Breastfeeding, Becoming a Grandparent, Boot Camp, C-Section, Bringing Home Baby and Child Safety. Tours of the Family Birth Center are also provided. Over 2,300 people participated in FY16. Vascular Presentations on the causes, symptoms and treatments for varicose veins had 46 participants. Attendees receive a free vein screening. The Heart Disease Survivor breakfast and walk had 116 participants. Movement Disorders Three community programs were offered to people who were experiencing or care for a person experiencing a movement disorder. Nearly 440 people attended these programs which include Living Well with Parkinson's, Managing Advancing Parkinson's Disease and Physical Rehabilitation for Parkinson's Disease. Ongoing programs include land exercises, water exercises, art therapy, Parkinson's disease and essential tremor support with over 200 participants. Women Over 300 women attended programs aimed specifically for them. Topics in the Women to Women series included Beyond Babies, Bladder, Bone & Breast Health for Women, Your Health and the "S" Factor: Sleep, Stress & Sitting and Nine Health Trends to Try (or skip) in FY16. Rush-Copley partnered with the national organization, Red Hot Mamas, to host a support group for women experiencing menopause. Five sessions were held with a total of 85 participants. Stroke A program on Stroke education was held with nine participants in attendance. Physician Referral and Service Line Copley Memorial Hospital offers a free physician and information referral telephone service to the community. This service allows community members to talk with a call advisor to match a person's health needs and preferences with the physician of their choice or link callers to services provided by the medical center. Over 9,300 people used this service in FY16. Website Copley Memorial Hospital's website, rushcopley.com, with translation available into dozens of languages, offers access to free health information, a health encyclopedia, and a symptom checker. In FY16, there were over 1.2 million sessions at rushcopley.com and its online resources. |
| 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 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 11 | The Form 990 tax return is prepared by our external tax advisor with data provided by our organization. A draft of the Form 990 is provided to management for review and comment. The Board of Directors is provided with an approved copy of the Form 990 before it is filed. |
| Form 990, Part VI, Section B, line 12c | Annually, Officers, Directors, Key Employees, Management Team (Department Directors and Managers), and Billing Office personnel of Copley Memorial Hospital, Inc. are required to disclose interests that could give rise to conflicts. The conflict of interest statements are submitted and reviewed by the Chief Compliance Officer and the Audit and Corporate Integrity Committee of the Board. Those key personnel with conflicts are advised to recuse themselves from participating in decision-making related to the conflict. |
| Form 990, Part VI, Section B, line 15 | With respect to the CEO/VPs of the organization and key senior management, the organization follows a compensation approval procedure annually that involves approval of proposed and final compensation arrangements by the organization's Compensation Committee and full board of Directors using comparability data, as well as contemporaneous documentation of compensation decisions in minutes. |
| Form 990, Part VI, Section C, line 19 | Form 990 available upon request. The organization does not make its governing documents or conflict of interest policy available to the public. Copies of the financial statements (whether or not audited) are provided upon reasonable request such as for a bank loan or to a bond rating agency. The financial statements are available on the Attorney General's website. |
| Form 990, Part XI, line 9: | Transfer of assets to affiliates-net -4,288,056. Change in interest in net assets of Foundation -1,915,107. Swap value adjustment -3,462,995. Other -428,862. |
| Form 990, Part XII, Lines 2a & b: | 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 (5 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 | Section 501(c)(3) | Schedule A, Line 11a | N/A | 0 | |
| RushCopley Health Care System Inc | |||||||||||
| 2000 Ogden Avenue | Aurora | IL | 60504 | 363584043 | Bridge Board RCMC & RUMC | IL | Section 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 | Section 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 | Section 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 | Hospitals | IL | Section 501(c)(3) | Schedule A, Line 3 | N/A | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | -$1,961,139 | $6,154,709 | 0 | 0 | 0.99000 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rush Copley Medical Group NFP | BusinessNameLine1Txt |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363235315 | EIN |
| Primary Activities | Physician Practices | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| 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 | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (11 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Rush Copley Medical Group | ||
| A | $630,188 | Fair Market Value |
| Rush-Copley Foundation | ||
| C | $2,579,443 | Fair Market Value |
| Rush-Copley Foundation | ||
| Q | $240,760 | Fair Market Value |
| Rush-Copley Foundation | ||
| S | $725,840 | Fair Market Value |
| Rush Copley Medical Center Inc | ||
| I | $4,288,056 | Fair Market Value |
| Copley Ventures Inc | ||
| K | $753,953 | Fair Market Value |
| Copley Ventures Inc | ||
| R | $468,000 | Fair Market Value |
| Rush Copley Cardiovascular Consultants | ||
| A | $26,112 | Fair Market Value |
| Rush University Medical Center | ||
| A | $24,570 | Fair Market Value |
| Rush University Medical Center | ||
| P | $462,337 | Fair Market Value |
| Rush University Medical Center | ||
| R | $1,087,042 | Fair Market Value |