STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

COPLEY MEMORIAL HOSPITAL INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
COPLEY MEMORIAL HOSPITAL INC (EIN 36-2170840)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-14
IRS object ID
201601359349300010
Schema version
2014v6.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-14T06:59:13-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 South Wacker DriveAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362170840EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Copley Memorial Hospital IncBusinessNameLine1Txt
Business Name Line2c/o Rush-Copley Medical CtrBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCOPLBusinessNameControlTxt
Phone6309786200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 Ogden AvenueAddressLine1Txt
CityAuroraCityNm
State AbbreviationILStateAbbreviationCd
ZIP605044206ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBrenda VanWyhePersonNm
Person TitleCFOPersonTitleTxt
Phone6309786200PhoneNum
Signature2016-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLaura GillespiePreparerPersonNm
PTINP00855604PTIN
Phone3124861000PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBarry FinnPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 Ogden AvenueAddressLine1Txt
CityAuroraCityNm
State AbbreviationILStateAbbreviationCd
ZIP605044206ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$389,201,223GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.rushcopley.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1886FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTo provide advanced medicine with quality outcomes and extraordinary care.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee2143TotalEmployeeCnt
Total Volunteers217TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$548,821PYContributionsGrantsAmt
CY Contributions Grants$1,298,770CYContributionsGrantsAmt
PY Program Service Revenue$291,634,837PYProgramServiceRevenueAmt
CY Program Service Revenue$290,263,450CYProgramServiceRevenueAmt
PY Investment Income$12,073,736PYInvestmentIncomeAmt
CY Investment Income$11,171,382CYInvestmentIncomeAmt
PY Other Revenue$7,092,206PYOtherRevenueAmt
CY Other Revenue$7,946,784CYOtherRevenueAmt
PY Total Revenue$311,349,600PYTotalRevenueAmt
CY Total Revenue$310,680,386CYTotalRevenueAmt
PY Grants And Similar Paid$50,133PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$54,863CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$132,863,510PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$130,954,530CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$144,418,502PYOtherExpensesAmt
CY Other Expenses$132,805,142CYOtherExpensesAmt
PY Total Expenses$277,332,145PYTotalExpensesAmt
CY Total Expenses$263,814,535CYTotalExpensesAmt
PY Revenues Less Expenses$34,017,455PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$46,865,851CYRevenuesLessExpensesAmt
Total Assets BOY$458,989,462TotalAssetsBOYAmt
Total Assets EOY$464,071,482TotalAssetsEOYAmt
Total Liabilities BOY$233,857,390TotalLiabilitiesBOYAmt
Total Liabilities EOY$242,506,219TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$225,132,072NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$221,565,263NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe mission of Rush-Copley is to provide advanced medicine with quality outcomes and extraordinary care.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$202,004,869ExpenseAmt
Grant$54,863GrantAmt
Revenue$297,917,089RevenueAmt
DescCopley 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. In 2015, Copley Memorial Hospital, Inc. proudly collaborated with dozens of civic and community groups to impact the knowledge, health and well being of the community. Copley Memorial Hospital, Inc. 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 13,500 and 3,300 emails respectfully.Desc
Total Program Service Expenses$202,004,869TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document164IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2143EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Brenda VanWyheBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6309786200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 Ogden AvenueAddressLine1Txt
CityAuroraCityNm
State AbbreviationILStateAbbreviationCd
ZIP60504ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Thomas Alexander
Director1.002.00Yes (X)$0$0$0
Trish Anen
Director1.002.00Yes (X)$0$0$0
James Baka
Director1.002.00Yes (X)$0$0$0
Cati Cederoth
Director1.002.00Yes (X)$0$0$0
Alice Daniele MD
Chief of Staff/Director1.002.00Yes (X)$0$0$0
Bruce Dienst
Vice Chairman of the Board/Director1.002.00Yes (X)$0$0$0
Richard Edelman
Director1.002.00Yes (X)$0$0$0
Ronald Hem
Director1.002.00Yes (X)$0$0$0
Dennis Keane MD End 1214
Past Chief of Staff/Dir1.002.00Yes (X)$0$0$0
Stephen Kelanic MD Beg 115
Vice Chief of Staff/Director1.002.00Yes (X)$378,639$0$34,087
Herbert Knight
Director1.002.00Yes (X)$0$0$0
Maryanne Locklin
Director1.002.00Yes (X)$0$0$0
Dave Mead
Director1.002.00Yes (X)$0$0$0
Mark Metzger
Chairman of the Board/Director1.002.00Yes (X)$0$0$0
Avery Miller
Director1.002.00Yes (X)$0$0$0
Jerome Roberts End 1014
Director1.002.00Yes (X)$0$0$0
William Skoglund
Vice Chairman of the Board/Director1.002.00Yes (X)$0$0$0
Christine Sobek
Director1.002.00Yes (X)$0$0$0
Andrew VanEekeren
Director1.002.00Yes (X)$0$0$0
Suresh Velagapudi MD
Past Chief of Staff/Dir1.002.00Yes (X)$15,000$0$0
Barry Finn
President & CEO/Director40.003.00Yes (X)$844,572$0$423,018Yes (X)
Ryan Asmus
VP General Counsel/Secretary40.003.00$279,915$0$64,518Yes (X)
Lynn Scott
Assistant Secretary40.003.00$77,142$0$14,519Yes (X)
Brenda VanWyhe
Sr. VP, Finance & CFO/Treasurer40.003.00$352,920$0$70,306Yes (X)
Gail Bumgarner
Sr. VP, Strategy40.000.00$501,048$0$18,924Yes (X)
Dennis DeMasie
VP, Information Technology & CIO40.000.00$272,584$0$65,008Yes (X)
John Diederich
Sr. VP, Operations & COO40.001.00$415,264$0$132,368Yes (X)
Brenda Fann MD
Assistant VP, MedAffairs40.000.00$277,209$0$40,498Yes (X)
Diane Homan MD
VP, Quality & PSO40.000.00$372,480$0$79,427Yes (X)
Steve Lowenthal MD
Sr. VP, Medical Affairs & CMO40.000.00$594,067$0$34,491Yes (X)
David Petasnick
Assistant VP, Ancillary Services40.000.00$183,251$0$31,345Yes (X)
Alex Pope
VP, Philanthropy & CDO40.001.00$222,101$0$57,890Yes (X)
Mary Shilkaitis
VP, Patient Care Services & CNO40.000.00$271,663$0$67,754Yes (X)
Suzanne Sterchi
Assistant VP, Patient Care40.000.00$188,496$0$34,574Yes (X)
Teressa Alexander MD
Physician40.000.00$606,949$0$38,572Yes (X)
Todd Guynn MD
Physician40.000.00$976,804$0$44,791Yes (X)
Edward Lipman MD
Physician40.000.00$527,802$0$36,423Yes (X)
Dimitry Ruban MD
Physician40.000.00$926,259$0$36,647Yes (X)
Sepehr Sani MD
Physician40.000.00$848,167$0$28,022Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,132,332TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,353,182TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K240IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Sodexo
4880 Paysphere CircleChicagoIL60674Food and Cleaning Service Management$3,709,030
Pepper Contruction
18505 West Creek DriveTinley ParkIL60477Construction$3,079,250
Anthelio
One Lincoln Drive Suite 200 5400DallasTX75240Medical Records Management$2,536,836
Anderson Mikos Architects
1420 Kensington Road Suite 306Oak BrookIL60523Architects$779,515
Critical Care Physicians of Illinios LL
PO Box 645037CincinnatiOH452645037Medical Services$753,017
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K26CntrctRcvdGreaterThan100KCnt
Related Organizations$1,298,770RelatedOrganizationsAmt
Noncash Contributions$276,006NoncashContributionsAmt
Total Contributions$1,298,770TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Re621110$269,790,098$269,790,098
Medicaid Tax Revenue621110$22,361,103$22,361,103
Other Program Revenue900099-$1,887,751-$1,887,751
FieldValueIRS element (for citing)
Total Program Service Revenue$290,263,450TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,335,974TotalRevenueColumnAmt
Exclusion$7,335,974ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$78,708TotalRevenueColumnAmt
Exclusion$78,708ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,287,652RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,492,950RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$205,298RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$205,298TotalRevenueColumnAmt
Exclusion-$205,298ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$79,223,476SecuritiesAmt
Other$1,561,111OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$76,981,057SecuritiesAmt
Other$46,830OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,242,419SecuritiesAmt
Other$1,514,281OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,756,700TotalRevenueColumnAmt
Exclusion$3,756,700ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Outside Service Rev.621990$7,653,639$7,653,639
Cafeteria Revenue621990$259,516$259,516
Gift Shop Revenue453220$226,440$226,440

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,487TotalRevenueColumnAmt
Exclusion$12,487ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$8,152,082OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$310,680,386TotalRevenueColumnAmt
Related Or Exempt Func Income$297,917,089RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$11,464,527ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$54,863TotalAmt
Program Services$54,863ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,400,078TotalAmt
Management And General$6,400,078ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$98,155,953TotalAmt
Program Services$73,616,965ProgramServicesAmt
Management And General$24,538,988ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,608,953TotalAmt
Program Services$1,956,715ProgramServicesAmt
Management And General$652,238ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$14,945,467TotalAmt
Program Services$11,209,100ProgramServicesAmt
Management And General$3,736,367ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,844,079TotalAmt
Program Services$6,633,059ProgramServicesAmt
Management And General$2,211,020ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$6,501,745TotalAmt
Program Services$4,876,309ProgramServicesAmt
Management And General$1,625,436ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$284,827TotalAmt
Management And General$284,827ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$204,408TotalAmt
Management And General$204,408ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$48,217TotalAmt
Management And General$48,217ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$37,795TotalAmt
Program Services$28,346ProgramServicesAmt
Management And General$9,449ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,043,497TotalAmt
Program Services$3,782,623ProgramServicesAmt
Management And General$1,260,874ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,046,535TotalAmt
Program Services$1,046,535ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$60,059,367TotalAmt
Program Services$45,044,525ProgramServicesAmt
Management And General$15,014,842ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$12,121,992TotalAmt
Program Services$9,091,494ProgramServicesAmt
Management And General$3,030,498ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,035,992TotalAmt
Program Services$5,276,994ProgramServicesAmt
Management And General$1,758,998ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$115,071TotalAmt
Program Services$86,303ProgramServicesAmt
Management And General$28,768ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$69,339TotalAmt
Program Services$52,004ProgramServicesAmt
Management And General$17,335ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,383,597TotalAmt
Program Services$6,383,597ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,335,716TotalAmt
Program Services$16,335,716ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,782,157TotalAmt
Program Services$2,086,618ProgramServicesAmt
Management And General$695,539ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medicaid Provider Tax$11,242,189$11,242,189$0$0
Laundry$895,274$895,274$0$0
Consulting$800,889$800,889$0$0
Collection Fees$629,400$629,400$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,167,135TotalAmt
Program Services$875,351ProgramServicesAmt
Management And General$291,784ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$263,814,535TotalAmt
Program Services$202,004,869ProgramServicesAmt
Management And General$61,809,666ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$213,480BOYAmt
EOY$3,093,073EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$19,157,212BOYAmt
EOY$12,379,679EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$40,320,674BOYAmt
EOY$43,613,785EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,606,762BOYAmt
EOY$4,866,214EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,803,680BOYAmt
EOY$8,686,033EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$343,062,855LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$204,519,289LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$130,241,216BOYAmt
EOY$138,543,566EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$237,158,566BOYAmt
EOY$246,440,896EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$3,974,135EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$18,487,872BOYAmt
EOY$2,474,101EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$458,989,462BOYAmt
EOY$464,071,482EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$121,505,916BOYAmt
EOY$114,017,505EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$89,609,546BOYAmt
EOY$105,163,568EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,741,928BOYAmt
EOY$23,325,146EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$233,857,390BOYAmt
EOY$242,506,219EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$219,954,035BOYAmt
EOY$216,735,015EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,178,037BOYAmt
EOY$4,830,248EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$225,132,072BOYAmt
EOY$221,565,263EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$458,989,462BOYAmt
EOY$464,071,482EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$46,865,851ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$4,467,193NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$45,965,467OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$48,217OtherActivitiesAmt
Total Lobbying Expenditures$48,217TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationCopley 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

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,648,390BeginningYearBalanceAmt
Contributions$1,409,175ContributionsAmt
Investment Earnings Or Losses$364,134InvestmentEarningsOrLossesAmt
Other Expenditures$1,290,495OtherExpendituresAmt
End Year Balance$11,131,204EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,770,170BeginningYearBalanceAmt
Contributions$878,220ContributionsAmt
Investment Earnings Or Losses$1,349,773InvestmentEarningsOrLossesAmt
Other Expenditures$1,349,773OtherExpendituresAmt
End Year Balance$10,648,390EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.06260BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.61480PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.32260TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,295,699OtherCostOrOtherBasisAmt
Book Value$18,295,699BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$192,218,340OtherCostOrOtherBasisAmt
Depreciation$110,703,916DepreciationAmt
Book Value$81,514,424BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$126,279,740OtherCostOrOtherBasisAmt
Depreciation$93,815,373DepreciationAmt
Book Value$32,464,367BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,269,076OtherCostOrOtherBasisAmt
Book Value$6,269,076BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$138,543,566TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Long Term Deferred Rent Obligation$624,276
Deferred Gain on Sale Long Term$8,844,853
Long Term SERP$5,439,115
Long Term Market Adjustment Swap Liability$8,416,902
FieldValueIRS element (for citing)
Total Liability$23,325,146TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 2015 and 2014 due to operating losses.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,393,509TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,393,509NetCommunityBenefitExpnsAmt
Total Expense0.01670TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$66,805,300TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$49,697,183DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,108,117NetCommunityBenefitExpnsAmt
Total Expense0.06480TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$71,198,809TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$49,697,183DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,501,626NetCommunityBenefitExpnsAmt
Total Expense0.08150TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$70,283TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$70,283NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,884,246TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$579,335DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,304,911NetCommunityBenefitExpnsAmt
Total Expense0.01630TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$56,709TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$56,709NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,011,238TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$579,335DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,431,903NetCommunityBenefitExpnsAmt
Total Expense0.01680TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$76,210,047TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$50,276,518DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,933,529NetCommunityBenefitExpnsAmt
Total Expense0.09830TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$33,986,963BadDebtExpenseAmt
Bad Debt Expense Attributable$3,398,696BadDebtExpenseAttributableAmt
Reimbursed By Medicare$84,646,270ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$88,764,042CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$4,117,772MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Copley Memorial HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 Ogden AvenueAddressLine1Txt
CityAuroraCityNm
State AbbreviationILStateAbbreviationCd
ZIP605044206ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.rushcopley.comWebsiteAddressTxt
State License2150791StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Copley Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.rushcopley.com/about/community-health-needs-assessment-reports/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt12ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.rushcopley.com/about/community-health-needs-assessment-reports/StrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care600.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://rushcopley.patientcompass.com/hc/guarantor/prepareBillingOption2.doFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://www.rushcopley.com/app/files/public/1242/pdf-financial_assistance_foFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://rushcopley.patientcompass.com/hc/guarantor/prepareBillingOption2.doFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Copley Memorial HospitalPart 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 HospitalPart V, Section B, Line 6a: Rush-Copley Medical Center, Cadence Health Delnor Hospital, Presence Mercy Medical Center, Presence St. Joseph Hospital (Elgin), and Advocate Sherman Hospital worked together 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 HospitalPart V, Section B, Line 6b: The Kane County Health Department along with the INC Board and Fox Valley & Elgin United Ways worked together 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 the hospital's Community Health Needs Assessments.
Copley Memorial HospitalPart 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 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. - Worked with community leaders to develop a standard evidence based approach for diabetes follow-up care. - Developed a plan for and in the process of achieving Advanced Inpatient Diabetes Care Certification through the Joint Commission - 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.
Copley Memorial HospitalPart 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 HospitalPart V, Section B, Line 22d: Self Pay discount of 30% applied to the same total charges billed to all patients.
Part V, Section B, Line 16Financial Assistance Policy Website Availability
Copley Memorial Hospital Part V, Section B, line 16a website:https://rushcopley.patientcompass.com/hc/guarantor/prepareBillingOption2.do
Copley Memorial Hospital Part V, Section B, line 16b website:http://www.rushcopley.com/app/files/public/1242/pdf-financial_assistance_fo
Copley Memorial Hospital Part V, Section B, line 16c website:https://rushcopley.patientcompass.com/hc/guarantor/prepareBillingOption2.do
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
River West Radiation Center LLC
1221 N Highland AvenueAuroraIL605044206JV Oncology
Community Alliance Home Health
4050 Healthway DriveAuroraIL605044206JV Home Health
Rush-Copley Healthcare Center
1100 West Veterans ParkwayYorkvilleIL60560Free Standing Emergency Care, Radiology, Lab, and Occupational Health Servic
Rush-Copley Cardiovascular Consultants
2000 Ogden AvenueAuroraIL605044206Cardiovascular Services
Midwest Center for Advanced Imaging
4355 Montgomery RoadNapervilleIL60564Radiology Services
Midwest Center for Advanced Imaging
963 129th Infantry Drive Suite 140JolietIL60431Radiology Services

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.RCMC's allowance for doubtful accounts increased from 23.9% of gross accounts receivable less contractual allowances at June 30, 2014 to 23.1% of gross accounts receivable less contractual allowances at June 30, 2015. The increase in the allowance as a percentage of gross accounts receivable less contractual allowances was due to higher self-pay volumes and lower accounts receivable from third-party payors.
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 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, etc. 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. Copley Memorial Hospital is one part of Rush Copley Medical Center along with Rush Copley Medical Group, Rush Copley Foundation, and Copley Ventures.
Part VI, Line 7, Reports Filed With StatesIL

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation Required0SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Stephen Kelanic MD Beg 115
Vice Chief of Staff/Director$290,613$0$81,158$0$6,868$0$5,200$0$28,887$0$412,726$0$0$0
Barry Finn
President & CEO/Director$663,885$0$165,660$0$15,027$0$387,685$0$35,333$0$1,267,590$0$0$0
Ryan Asmus
VP General Counsel/Secretary$218,688$0$53,100$0$8,127$0$34,310$0$30,208$0$344,433$0$0$0
Brenda VanWyhe
Sr. VP, Finance & CFO/Treasurer$277,807$0$67,260$0$7,853$0$46,150$0$24,156$0$423,226$0$0$0
Gail Bumgarner
Sr. VP, Strategy$248,211$0$52,605$0$200,232$0$5,200$0$13,724$0$519,972$0$0$0
Dennis DeMasie
VP, Information Technology & CIO$228,991$0$34,866$0$8,727$0$34,916$0$30,092$0$337,592$0$0$0
John Diederich
Sr. VP, Operations & COO$351,494$0$54,000$0$9,770$0$98,951$0$33,417$0$547,632$0$0$0
Brenda Fann MD
Assistant VP, MedAffairs$264,700$0$4,050$0$8,459$0$5,200$0$35,298$0$317,707$0$0$0
Diane Homan MD
VP, Quality & PSO$290,378$0$70,564$0$11,538$0$50,628$0$28,799$0$451,907$0$0$0
Steve Lowenthal MD
Sr. VP, Medical Affairs & CMO$400,667$0$95,580$0$97,820$0$5,200$0$29,291$0$628,558$0$0$0
David Petasnick
Assistant VP, Ancillary Services$166,103$0$11,132$0$6,016$0$3,425$0$27,920$0$214,596$0$0$0
Alex Pope
VP, Philanthropy & CDO$179,512$0$34,408$0$8,181$0$26,431$0$31,459$0$279,991$0$0$0
Mary Shilkaitis
VP, Patient Care Services & CNO$219,619$0$42,044$0$10,000$0$35,100$0$32,654$0$339,417$0$0$0
Suzanne Sterchi
Assistant VP, Patient Care$164,434$0$16,415$0$7,647$0$3,456$0$31,118$0$223,070$0$0$0
Teressa Alexander MD
Physician$441,642$0$151,563$0$13,744$0$5,200$0$33,372$0$645,521$0$0$0
Todd Guynn MD
Physician$613,882$0$355,057$0$7,865$0$5,200$0$39,591$0$1,021,595$0$0$0
Edward Lipman MD
Physician$343,650$0$175,268$0$8,884$0$5,200$0$31,223$0$564,225$0$0$0
Dimitry Ruban MD
Physician$920,121$0$0$0$6,138$0$5,200$0$31,447$0$962,906$0$0$0
Sepehr Sani MD
Physician$840,613$0$0$0$7,554$0$5,200$0$22,822$0$876,189$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aThe 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 4bSERP PLAN of CMH (Accruals): Barry Finn $382,485, Mary Shilkaitis $30,530, John Diederich $93,751, Steve Lowenthal $0, Dennis DeMasie $30,236, Diane Homan $45,428, Brenda VanWyhe $40,950, Alex Pope $22,691, Gail Bumgarner $0, and Ryan Asmus $29,810. 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 2014 of $78,642 and Gail Bumgarner received payments in 2014 of $191,857.
Part I, Line 7Incentive bonus plan based on a series of approved strategic accomplishments.
Part II, Column (B)(ii):Physician Bonus & incentive compensation: Physician bonuses were paid based on individual productivity goals

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Illinois Finance AuthorityBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN861091967BondIssuerEIN
CUSIP45203HS45CUSIPNum
Bond Issued2015-02-11BondIssuedDt
Issue Price$105,601,668IssuePriceAmt
PurposeRefund bonds issued 5/28/2008, 2/10/2009, and 7/29/2009PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$105,601,668TotalProceedsAmt
Issuance Costs From Proceeds$824,030IssuanceCostsFromProceedsAmt
Working Capital Expenditures$145WorkingCapitalExpendituresAmt
Other Spent Proceeds$104,777,638OtherSpentProceedsAmt
Current Refunding0CurrentRefundingInd
Advance RefundingYes (1)AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart IV, Line 6, Column A:FormAndLineReferenceDesc
ExplanationThis question is being answered without regard to a yield-restricted advance refunding escrow financed with proceeds of the bonds.ExplanationTxt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Med Supplies1$200,000FMV
Yes (X)Mannequin1$68,804FMV
Yes (X)Lighting1$7,202FMV
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4a:Summary of 2014 Health Programming During 2014, Copley Memorial Hospital, Inc. 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 Nine programs aimed at providing sound nutrition advice and weight loss strategies were held during the year with a total of 76 people attending. YouFit was launched in 2015. YouFit is a program focusing on the importance of combining physical activity and nutritional guidance. Participants learn from a variety of experts including Rush-Copley physicians, Healthplex personal trainers and registered dieticians. Four sessions were held and a total of 33 participants benefited from the 12-week program. Community Walking Club Rush-Copley offers 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. 192 community members are part of the walking club. Diabetes Free fasting glucose screenings were provided to over 130 community members. A Diabetes Open House event was held with 107 community members in attendance. Smoking Cessation The Freedom from Smoking class was offered five times with a total of 15 participants. This free eight-week program provides the support and the skills needed to quit smoking. Four sessions were conducted in English and one session was conducted in Spanish. Cancer Awareness and Information The Help for You program on breast cancer education was provided at the Latina Health Fair, African American Health Fair, and Communities in School's Back to School Fair. Educational materials were provided to over 400 participants. Dr. Zaidi presented a program "Get the Scoop on the Scope" to 19 participants and Dr. Zhang presented "To Screen or not to Screen" to 20 participants. The Caring Forward Cancer Survivorship program was provided on a quarterly basis with at total of 40 attendees. Additional venues where information to 150 participants was provided on cancer and sun safety include Play it Safe, church health fairs and the Health and Wellness Symposium. At the annual celebration of National Cancer Survivors Day, there were more than 400 participants in attendance. Latina Talks (Platicas Para Mujeres) and Community Talks Latina Talks (Platicas Para Mujeres) is an educational series geared toward the healthcare needs of Latina women. Latina Talks is offered eight times a year from September through April targeting Latina women in the Fox Valley area. Topics presented by professional healthcare providers include: Abnormal Bleeding, Breast Health, Yoga Demonstration, Heart Disease in Women, Alzheimer's and a demonstration on making a healthy salad and smoothie and more. Typically, between 10 and 25 women attend the monthly sessions. In addition, Rush-Copley partners with Aurora University nursing students to provide free child care. The student nurses also provide a healthy snack and provide education on topics such as healthy eating and exercise to the children. Over 150 women have benefited from the presentations in the last year and over 100 children have attended child care which takes place in the preschool classroom of the Prisco Community Center. Expanding on the Latina Talks program, Rush-Copley in collaboration with the Aurora Public Library offered three Community Talks for both men and women, in Spanish. Topics included an interactive session on Effective Parenting, Heart Attack: Prevention, Causes and Treatment and Nutrition: Organic, Local or Natural. More than 50 community members participated in the Community Talks series. Health Exhibits at Sci-Tech Hands on Museum Rush-Copley Medical Center and Sci-Tech Hands On Museum collaborated to produce a multi-part exhibit targeting children in the 5-16 age range. The exhibits are displayed in the lunch room and adjacent corridor of the museum. One exhibit will 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. 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 approximately 300 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 150 seniors. Rush-Copley, in collaboration with the Oswego Senior Center, Northeastern Illinois Area Agency on Aging, Oswegoland Park District, University of Illinois Extension Program and the Kendall County Health Department, is hosting an ongoing, Healthy Habits Workshop and Challenge Series for Senior Citizens in Kendall County to combat obesity. Each workshop is offered as an 8 week course. Rush-Copley is providing health education, screenings, and fitness demonstrations for participants. Rush-Copley also provides health education programming for 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. 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 2,160 people participated in 2015. Vascular Presentations on the causes, symptoms and treatments for varicose veins had 52 participants. Attendees receive a free vein screening. Movement Disorders Four community programs were offered to people who were experiencing or care for a person experiencing a movement disorder. Nearly 250 people attended these programs. Ongoing programs include land exercises, water exercises, art therapy, Parkinson's disease and essential tremor support with over 100 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, Cracking the Teen Code, Kid Friendly, Parent Approved and Osteoporosis. Other program topics included Financial Freedom and Continence. Physician Referral and Service Line Copley Memorial Hospital, Inc. 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 11,500 people used this service in 2015. Website Copley Memorial Hospital Inc.'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 2015, there were over 1 million visits to rushcopley.com and online resources.
Form 990, Part VI, Section A, line 2Many 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, RCF President & CEO/Director, and William Skoglund, RCF 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 6Rush-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 7aCMH'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 7bThe 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 11The 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 12cAnnually, 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 15With 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 19Form 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 VII, Section BAmounts paid to Pepper Construction represent amounts paid for services and materials. These amounts cannot be separated.
Form 990, Part XI, line 9:Net assets released from restriction used for capital 276,006. Transfer of assets to affiliates-net -18,512,650. Change in interest in net assets of Foundation -347,789. Swap value adjustment -1,104,301. Transfer of assets from Rush Copley Foundation -1,298,771. Loss on Early Extinguishment of Debt -24,773,384. Other -204,578.
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/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Rush Copley Medical Center Inc
2000 Ogden AvenueAuroraIL60504363193787Parent CompanyILSection 501(c)(3)Schedule A, Line 11aN/A0
Rush Copley Health Care System Inc
2000 Ogden AvenueAuroraIL60504363584043Bridge Board RCMC & RUMCILSection 501(c)(3)Schedule A, Line 11aN/A0
Rush-Copley Foundation
2000 Ogden AvenueAuroraIL60504363093877Grants to Charitable OrganizationsILSection 501(c)(3)Schedule A, Line 7Yes (1)Rush-Copley Medical Center Inc
Copley Ventures Inc
2000 Ogden AvenueAuroraIL60504363370216Rental Prop., Infirmary Care, and Healthplex Fitness CenterILSection 501(c)(3)Schedule A, Line 3Yes (1)Rush-Copley Medical Center Inc
Rush University Medical Center
1700 West Van Buren StreetChicagoIL60612362174823HospitalsILSection 501(c)(3)Schedule A, Line 3N/A0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Yorkville Physical Therapy & Sports Medicine Center LLC
2000 Ogden AvenueAuroraIL60504364236345Physical Therapy & Sports MedicineILN/A
Rush Copley Cardiovascular Consultants LLC
2000 Ogden AvenueAuroraIL60504273234201Cardiovascular MedicineILRush-Copley Medical Center IncRelated-$2,208,393$3,090,132000.99000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Rush Copley Medical Group NFPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 Ogden AvenueAddressLine1Txt
CityAuroraCityNm
State AbbreviationILStateAbbreviationCd
ZIP60504ZIPCd
FieldValueIRS element (for citing)
EIN363235315EIN
Primary ActivitiesPhysician PracticesPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (1)AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Rush-Copley Foundation
C$1,298,770Fair Market Value
Rush Copley Medical Group
A$609,987Fair Market Value
Rush-Copley Foundation
I$276,006Fair Market Value
Rush-Copley Foundation
Q$1,022,764Fair Market Value
Rush Copley Medical Center Inc
I$18,512,650Fair Market Value
Copley Ventures Inc
K$680,045Fair Market Value
Copley Ventures Inc
R$468,000Fair Market Value