COPLEY MEMORIAL HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: COPLEY MEMORIAL HOSPITAL INC (EIN 36-2170840)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-14
IRS object ID: 201421349349303482
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-14T12:36:16-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	861065772	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Deloitte Tax LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 South Wacker Drive	AddressLine1
City	Chicago	City
State	IL	State
ZIP Code	60606	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	362170840	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Copley Memorial Hospital Inc	BusinessNameLine1
Business Name Line2	c/o Rush-Copley Medical Ctr	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	COPL	NameControl
Phone	6309786200	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2000 Ogden Avenue	AddressLine1
City	Aurora	City
State	IL	State
ZIP Code	605044206	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Brenda VanWyhe	Name
Title	CFO	Title
Phone	6309786200	Phone
Date Signed	2014-05-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Laura Gillespie	Name
PTIN	P00855604	PTIN
Phone	3124861000	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Barry Finn	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2000 Ogden Avenue	AddressLine1
City	Aurora	City
State	IL	State
ZIP Code	605044206	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	373333955	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.rushcopley.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1886	YearFormation
State Legal Domicile	IL	StateLegalDomicile
Activity Or Mission Description	To provide advanced medicine with quality outcomes and extraordinary care.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	15	NbrIndependentVotingMembers
Total Nbr Employees	2027	TotalNbrEmployees
Total Nbr Volunteers	250	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1233078	ContributionsGrantsPriorYear
Contributions Grants Current Year	893313	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	259634483	ProgramServiceRevenuePriorYear
Program Service Revenue CY	273284274	ProgramServiceRevenueCY
Investment Income Prior Year	9412271	InvestmentIncomePriorYear
Investment Income Current Year	15780198	InvestmentIncomeCurrentYear
Other Revenue Prior Year	684692	OtherRevenuePriorYear
Other Revenue Current Year	6484366	OtherRevenueCurrentYear
Total Revenue Prior Year	270964524	TotalRevenuePriorYear
Total Revenue Current Year	296442151	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	20545	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	31010	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	116659646	SalariesEtcPriorYear
Salaries Etc Current Year	125217858	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	117710952	OtherExpensePriorYear
Other Expenses Current Year	128759262	OtherExpensesCurrentYear
Total Expenses Prior Year	234391143	TotalExpensesPriorYear
Total Expenses Current Year	254008130	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	36573381	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	42434021	RevenuesLessExpensesCY
Total Assets BOY	367178403	TotalAssetsBOY
Total Assets EOY	423189731	TotalAssetsEOY
Total Liabilities BOY	213125243	TotalLiabilitiesBOY
Total Liabilities EOY	233916155	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	154053160	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	189273576	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	The mission of Rush-Copley is to provide advanced medicine with quality outcome and extraordinary care.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	193476500	Expense
Grants	31010	Grants
Revenue	278596449	Revenue
Description	Copley Memorial Hospital's mission is to provide advanced medicine with quality outcomes and extraordinary care. The focus on advanced medicine is concentrated in Copley Memorial Hospital's centers of excellence or "Institutes". Institutes represent the major service lines of the medical center: Cancer Care; Emergency Services; Heart & Vascular; Neuroscience; and Women's Health. The designation of Institutes allows the organization to prioritize among diverse opportunities and focus resources on these service lines. To that end, the medical center seeks to serve the community in ways that engage, educate and empower. In 2012, 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 bimonthly newsletter is published and highlights health information and calendar of events info to 80,000+ 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.Highlighted Health Programming includes:During 2012, Copley Memorial Hospital ("The 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 LossFour programs aimed at providing sound nutrition advice and weight loss strategies were held during the year. Topics included women and weight loss, strength training, and one pot meals. 54 people attended.Diabetes Presentations about diabetes and related screenings were conducted throughout the year at various community locations. Fasting glucose and blood pressure screenings were provided to over 560 community members.Smoking CessationThe Freedom from Smoking class was offered four times with a total of 19 participants. This free eight-week program provides support and the skills needed to quit smoking.Cancer Awareness and InformationFour classes and programs focusing on cancer were held in the community with over 300 participants. Programs offered included a course on survivorship, an ongoing yoga series and a special celebration of National Cancer Survivors Day.Latina Talks (Platicas Para Mujeres)Latina Talks (Platicas Para Mujeres) is an educational series geared toward the healthcare needs of Latina women. Latina Talks is offered nine times a year from September through May targeting Latina women in the Fox Valley area. Topics presented by professional healthcare providers include: A Healthy Weight, Breast Health, Layman's Guide to Mental Health, Over the Counter Medications, A Healthy Heart, Yoga & Meditation, Obesity: Causes & Consequences, Women's Health & Screenings and more. Typically, between 10 and 25 women attend the monthly sessions. In addition, Rush-Copley partners with Aurora University nursing students to provide daycare. Over 150 women have benefited from the presentations in the last year.Older Adult EducationEducational and interactive talks designed to provide seniors with health information and education are presented regularly at the Beecher Community Center in Yorkville. This program reaches approximately 300 seniors annually and provides healthcare presentations and with question and answer sessions.The Breakfast Club is a program offered to the senior community at large and takes place at Sunnymere, an assisted living facility. Bi-monthly presentations are attended by annually by 150 seniors.Pregnancy and ChildbirthPrenatal education classes are offered to couples who are pregnant or considering having a baby. Class topics include New Advances in Infertility, Thinking about Having a Baby, Breastfeeding, Bringing Home Baby and Child Safety. Tours of the Family Birth Center are also provided. Over 2,100 people participated in 2012.VascularSeveral PVD screenings took place through the year as well as programs that discussed healthy legs and veins. Over 200 people benefited from these activities. Movement DisordersFour community programs were offered to people who were experiencing or care for a person experiencing a movement disorder. 222 people attended these programs.WomenOver 200 women attended programs aimed specifically for them. Topics in the Women to Women series included mammography, heart, and breast and GI health. Other program topics included Financial Freedom and Continence. Physician Referral LineCopley 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 13,500 people used this service in 2012.WebsiteCopley Memorial Hospital's website, www.rushcopley.com, with translation available into dozens of languages, offers access to free health information, a health encyclopedia, and a symptom checker. In 2012, there were over 890,000 visits to rushcopley.com. Copley Memorial Hospital 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 Latina Health Festival.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 patient service revenue. 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 300% of the current-year poverty level and discounts balances to patients under 600% of the poverty level. 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.	Description
Total Program Service Expense	193476500	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	174	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2027	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	15	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	IL	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Brenda VanWyhe	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6309786200	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2000 Ogden Avenue	AddressLine1
City	Aurora	City
State	IL	State
ZIP Code	60504	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Mark Metzger
Board Chairman	1.00	1.00	X	0	0	0
William Skoglund
Board Vice Chairman	1.00	1.00	X	0	0	0
Trish Anen
Director	1.00	1.00	X	0	0	0
Cati Cederoth
Director	1.00	1.00	X	0	0	0
Alice Daniele MD Beg 213
Vice Chief of Staff/Director	1.00	1.00	X	0	0	0
Bruce Dienst
Director	1.00	1.00	X	0	0	0
Richard Edelman
Director	1.00	1.00	X	0	0	0
Tom Fisher end 213
Director	1.00	1.00	X	0	0	0
Santosh Gill MD end 213
Past Chief of Staff/Director	40.00	1.00	X	580383	0	55452
Ronald Hem
Director	1.00	1.00	X	0	0	0
Dennis Keane MD
Past Chief of Staff/Director	1.00	1.00	X	15000	0	0
Herbert Knight
Director	1.00	1.00	X	0	0	0
John Lies end 213
Director	1.00	1.00	X	0	0	0
Maryanne Locklin
Director	1.00	1.00	X	0	0	0
Dave Mead
Director	1.00	1.00	X	0	0	0
Avery Miller
Director	1.00	1.00	X	0	0	0
Jerome Roberts
Director	1.00	1.00	X	0	0	0
Christine Sobek
Director	1.00	1.00	X	0	0	0
Suresh Velagapudi MD
Chief of Staff/Director	1.00	1.00	X	0	0	0
Barry Finn
President & CEO/Director	40.00	3.00	X	986985	0	385113	X
Brenda VanWyhe
Sr. VP, Finance & CFO/Treasurer	40.00	3.00		373260	0	90053	X
Ryan Asmus
VP, General Counsel/Secretary	40.00	3.00		287071	0	72281	X
Lynn Scott
Assistant Secretary	40.00	2.00		75262	0	16684	X
Steve Lowenthal MD
Sr. VP, Medical Affairs & CMO	40.00	0.00		937151	0	44989		X
John Diederich
Sr. VP, Operations & COO	40.00	1.00		498899	0	126224		X
Diane Homan MD
VP, Quality & PSO	40.00	0.00		434115	0	102459		X
Dennis DeMasie
VP, Information Technology & CIO	40.00	0.00		314743	0	83842		X
Mary Shilkaitis
VP, Patient Care Services & CNO	40.00	0.00		323779	0	82613		X
Gail Bumgarner
Sr. VP, Strategy	40.00	0.00		363371	0	68063		X
David Petasnick
Assistant VP, Ancillary Services	40.00	0.00		197672	0	27267		X
Suzanne Sterchi
Assistant VP, Patient Care	40.00	0.00		195702	0	31366		X
Sepehr Sani MD
Physician	40.00	0.00		1025874	0	25800			X
Dimitry Ruban MD
Physician	40.00	0.00		988873	0	47086			X
Todd Guynn MD
Physician	40.00	0.00		770915	0	59102			X
Teressa Alexander MD
Physician	40.00	0.00		623134	0	52396			X
Edward Lipman MD
Physician	40.00	0.00		608175	0	47121			X
Barbara Graham
VP, Philanthropy & CDO	0.00	0.00		156148	0	10398				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	9756512	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1428309	TotalOtherCompensation
Number Individuals GT100 K	182	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Sodexo
4880 Paysphere Circle	Chicago	IL	60674	Food and Cleaning Service	3496152
Anthelio
One Lincoln Center Suite 200 5400	Dallas	TX	75240	Medical Records Management	2060000
Advocate Medical Group
1875 Dempster Suite 325	Park Ridge	IL	60068	Medical Services	1131587
Fox Valley Acute Dialysis
1300 Waterford Drive Lower Level	Aurora	IL	60504	Dialysis	700185
Quest Diagnostics Inc
PO Box 64922	Baltimore	MD	21264	Laboratory Services	587559

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	24	NumberOfContractorsGT100K
Related Organizations	893313	RelatedOrganizations
Total Contributions	893313	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Revenue	621110	261577797	261577797
Medicaid Tax Revenue	621110	12995128	12995128
Other Program Revenue	900099	-1288651	-1288651

Field	Value	IRS element (for citing)
Total Program Service Revenue	273284274	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5588046	TotalRevenueColumn
Exclusion	$5,588,046	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	94485	TotalRevenueColumn
Exclusion	$94,485	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1375354	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	575212	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	800142	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	800142	TotalRevenueColumn
Exclusion	$800,142	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	74334943	Securities
Other	12079316	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	73091459	Securities
Other	3225133	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1243484	Securities
Other	8854183	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	10097667	TotalRevenueColumn
Exclusion	$10,097,667	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
Outside Service Rev.	621990	5312175	5312175
Gift Shop Revenue	453220	211823		$211,823
Cafeteria Revenue	621990	147398		$147,398

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	12828	TotalRevenueColumn
Exclusion	$12,828	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	5684224	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	296442151	TotalRevenueColumn
Related Or Exempt Function Income	278596449	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$16,952,389	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	31010	Total
Program Services	31010	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	6863384	Total
Management And General	6863384	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	93275427	Total
Program Services	69956570	ProgramServices
Management And General	23318857	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3828332	Total
Program Services	2871249	ProgramServices
Management And General	957083	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	13196948	Total
Program Services	9897711	ProgramServices
Management And General	3299237	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	8053767	Total
Program Services	6040325	ProgramServices
Management And General	2013442	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	5415139	Total
Program Services	4061354	ProgramServices
Management And General	1353785	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	425660	Total
Management And General	425660	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	206801	Total
Management And General	206801	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	23353	Total
Program Services	17515	ProgramServices
Management And General	5838	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	4372731	Total
Program Services	3279548	ProgramServices
Management And General	1093183	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1326812	Total
Program Services	1326812	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	57282175	Total
Program Services	42961631	ProgramServices
Management And General	14320544	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	7972901	Total
Program Services	5979676	ProgramServices
Management And General	1993225	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	6533131	Total
Program Services	4899848	ProgramServices
Management And General	1633283	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	156130	Total
Program Services	117098	ProgramServices
Management And General	39032	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	113279	Total
Program Services	84959	ProgramServices
Management And General	28320	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	7234141	Total
Program Services	7234141	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	16912316	Total
Program Services	16912316	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	10872940	Total
Program Services	8154705	ProgramServices
Management And General	2718235	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
Medicaid Provider Tax	7125304	7125304
Consulting	902159	902159
Laundry	837404	837404

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1046886	Total
Program Services	785165	ProgramServices
Management And General	261721	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	254008130	Total
Program Services	193476500	ProgramServices
Management And General	60531630	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	32064640	BOY
EOY	201623	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
EOY	20000117	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	44464193	BOY
EOY	34476997	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4474935	BOY
EOY	4710289	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	9839546	BOY
EOY	8183012	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	306493648	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	174997301	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	136065277	BOY
EOY	131496347	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	115889739	BOY
EOY	199247683	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	24380073	BOY
EOY	24873663	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	367178403	BOY
EOY	423189731	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	108752898	BOY
EOY	121151507	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	90552297	BOY
EOY	89816495	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	13820048	BOY
EOY	22948153	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	213125243	BOY
EOY	233916155	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	149675080	BOY
EOY	184865539	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4378080	BOY
EOY	4408037	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	154053160	BOY
EOY	189273576	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	367178403	BOY
EOY	423189731	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	42434021	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	3894647	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-11108252	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Both	X	FinancialStatementBoth

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$41,734	OtherActivitiesAmount
Total Lobbying Expenditures IIB	41734	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1:	ReturnReference
Explanation	Copley Memorial Hospital is a member of various organizations that advocate on legal and policy issues that affect healthcare. A portion of the annual membership dues paid by Copley Memorial Hospital to these organizations is attributable to lobbying activities.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	11131204	BeginningOfYearBalance
Contributions	980802	Contributions
Investment Earnings Or Losses	712783	InvestmentEarningsOrLosses
Other Expenditures	1663629	OtherExpenditures
End Of Year Balance	11161160	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	10648390	BeginningOfYearBalance
Contributions	1409175	Contributions
Investment Earnings Or Losses	364134	InvestmentEarningsOrLosses
Other Expenditures	1290495	OtherExpenditures
End Of Year Balance	11131204	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	9770170	BeginningOfYearBalance
Contributions	878220	Contributions
Investment Earnings Or Losses	1349773	InvestmentEarningsOrLosses
Other Expenditures	1349773	OtherExpenditures
End Of Year Balance	10648390	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	9053445	BeginningOfYearBalance
Contributions	716725	Contributions
Investment Earnings Or Losses	613671	InvestmentEarningsOrLosses
Other Expenditures	613671	OtherExpenditures
End Of Year Balance	9770170	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	8795988	BeginningOfYearBalance
Contributions	257457	Contributions
Investment Earnings Or Losses	-747024	InvestmentEarningsOrLosses
Other Expenditures	-747024	OtherExpenditures
End Of Year Balance	9053445	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.60510	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.39490	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16906848	OtherCostOrOtherBasis
Book Value	16906848	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	182061150	OtherCostOrOtherBasis
Depreciation	97661879	Depreciation
Book Value	84399271	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	104320344	OtherCostOrOtherBasis
Depreciation	77335422	Depreciation
Book Value	26984922	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3205306	OtherCostOrOtherBasis
Book Value	3205306	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	131496347	TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescription	Book ValueBookValue
Long Term Malpractice AR Gross-Up	18121878
Intangible Assets	4834455
Unamortized Financing Costs	2186054
Invest Riverwest Oncology	1852754
Invest Home Health	462552
Invest Rush Copley Cardiovascular	-2592030
Other	8000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	24873663	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
Deferred Gain on Sale Long Term	$11,846,421
Long Term Market Adjustment Swap Liability	$7,133,363
Long Term SERP	$3,601,664
Long Term Deferred Rent Obligation	$366,705

Field	Value	IRS element (for citing)
Total Of Amounts	22948153	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	309634720	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	3894646	NetUnrealizedGainsInvestments
Other Revenues	10191236	OtherRevenues
Revenue Not Rptd F990	14085882	RevenueNotRptdF990
Revenue Subtotal	295548838	RevenueSubtotal
Other Revenues Not Included	893313	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	893313	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	296442151	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	260872559	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	6864429	OtherExpensesIncluded
Expenses Not Rptd F990	6864429	ExpensesNotRptdF990
Expenses Subtotal	254008130	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	254008130	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Intended Use of Endowment Funds:	Part V, Line 4:	Rush Copley Foundation holds the Voris (income for CMH Cancer Care), Kobisk (Board restricted income to CMH), Copley (income unrestricted) and Dobbins (income for CMH Women's Health) Endowments. These funds are held for the benefit of Copley Memorial Hospital.
Part XI, Line 2d - Other Adjustments:		RCCC revenue to reconcile to CMH corporate not consolidated 4,156,447. RCCC revenue elimination to reconcile to CMH corporate not consolidated 2,150,770. Swap value adjustment 3,326,807. Rental expenses-2020 Ogden POB1 & 1100 W Veterans Pkwy Yorkville POB 557,212.
Part XI, Line 4b - Other Adjustments:		Contributions not reported on Line 1 included in income 893,313.
Part XII, Line 2d - Other Adjustments:		RCCC expenses to reconcile to CMH corporate not consolidated 6,307,217. Rental expenses-2020 Ogden POB1 & 1100 W Veterans Pkwy Yorkville POB 557,212.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	300.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	600.000000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7472927	TotalCommunityBenefitExpense
Net Community Benefit Expense	7472927	NetCommunityBenefitExpense
Percent Of Total Expense	0.02940	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	49861912	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32946446	DirectOffsettingRevenue
Net Community Benefit Expense	16915466	NetCommunityBenefitExpense
Percent Of Total Expense	0.06660	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	57334839	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32946446	DirectOffsettingRevenue
Net Community Benefit Expense	24388393	NetCommunityBenefitExpense
Percent Of Total Expense	0.09600	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	73054	TotalCommunityBenefitExpense
Net Community Benefit Expense	73054	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6751984	TotalCommunityBenefitExpense
Direct Offsetting Revenue	565838	DirectOffsettingRevenue
Net Community Benefit Expense	6186146	NetCommunityBenefitExpense
Percent Of Total Expense	0.02430	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	41600	TotalCommunityBenefitExpense
Net Community Benefit Expense	41600	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6866638	TotalCommunityBenefitExpense
Direct Offsetting Revenue	565838	DirectOffsettingRevenue
Net Community Benefit Expense	6300800	NetCommunityBenefitExpense
Percent Of Total Expense	0.02480	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	64201477	TotalCommunityBenefitExpense
Direct Offsetting Revenue	33512284	DirectOffsettingRevenue
Net Community Benefit Expense	30689193	NetCommunityBenefitExpense
Percent Of Total Expense	0.12080	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$29,481,332	BadDebtExpenseAmount
Amount Attributable To	2948133	AmountAttributableTo
Amount Reimbursed By Medicare	70210060	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	76831644	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-6621584	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Copley Memorial Hospital	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	2000 Ogden Avenue	AddressLine1
City	Aurora	City
State	IL	State
ZIP Code	605044206	ZIPCode

Field	Value	IRS element (for citing)
Website Address	www.rushcopley.com	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Copley Memorial Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	1	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	0	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	300.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	600.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	6	NumberOfOtherFacilities

Other Facilities OtherFacilities (6 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
River West Radiation Center LLC
1221 N Highland Avenue	Aurora	IL	605044206	JV Oncology
Community Alliance Home Health
4050 Healthway Drive	Aurora	IL	605044206	JV Home Health
Rush-Copley Healthcare Center
1100 West Veterans Parkway	Yorkville	IL	60560	Convenient Care
Rush-Copley Cardiovascular Consultants
2000 Ogden Avenue	Aurora	IL	605044206	Cardiovascular Services
Midwest Center for Advanced Imaging
4355 Montgomery Road	Naperville	IL	60564	Radiology Services
Midwest Center for Advanced Imaging
963 129th Infantry Dr Suite 140	Joliet	IL	60431	Radiology Services

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
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. The Hospital 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.The Hospital 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, the Hospital recognizes revenue based on its discounted rates. On the basis of historical experience, a significant portion of the Hospital's uninsured patients will be unable or unwilling to pay for the services provided. Thus, the Hospital records a significant provision for uncollectible accounts related to uninsured patients in the period the services are provided. Patient service revenue, net of contractual allowances and discounts (but before the provision for uncollectible accounts), recognized in the period from these major payor sources, is as follows:Patient Service Revenue (Net of Contractual Allowances and Discounts) Third-Party PayorsFiscal year 2013 - $282,202 Fiscal year 2012 - $265,679 Self-Pay Fiscal year 2013 - $25,213Fiscal year 2012 - $22,180Total All PayorsFiscal year 2013 - $307,415Fiscal year 2012 - $287,859Patient accounts receivable are based on gross charges and stated at net realizable value. Accounts receivable are reduced by an allowance for contractual adjustments, based on expected payment rates from payors under current reimbursement methodologies, and also by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate appropriate allowance for doubtful accounts and provision for uncollectible accounts based upon management's assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage, and other collection indicators. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for contractual adjustments and allowance for doubtful accounts.For receivables associated with services provided to patients who have third-party coverage, the Hospital 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), the Hospital 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.The Hospital's allowance for doubtful accounts increased from 12.8% of gross accounts receivable less contractual allowances at June 30, 2012 to 14.5% of gross accounts receivable less contractual allowances at June 30, 2013. 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 V, Section B, Line 3: In conducting the Community Health Needs Assessment, the hospital took into account input from persons who represent the broad interested 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 interested the community served included:- Board of Directors- Hospital Administration- Community Health Needs Committee- Kane County Health Department- Kendall County Health Department- Communtiy Health Survey Participants- Focus Group Participants- Secondary Data SourcesFor complete details about how the hospital took into account input from persons who represent the broad interested 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 4: 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 other community partners 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 hospitals' respective Community Health Needs Assessments.	Copley Memorial Hospital
Part V, Section B, Line 7: The following identified communtiy health needs were not addressed:Infant MortalityRush-Copley Medical Center is already addressing this health need through a number of on-going initiatives, including:- Participation in the Perinatal Network with Rush University and providing Neonatal Intensive Care Services- Active participation in the Kane County Breastfeeding Coalition- Hired Breastfeeding Peer Counselors to support Lactation services- Monthly communication with The Circle of Wise Women - a group of African American community women committed to acting together to reduce infant mortality- Partner with Federally Qualified Health Care Centers to promote prenatal education classes- Preventing elective deliveries before 39 weeks gestation, without medical justification- In collaboration with IDOT, hosts car seat safety checks- "Text 4 Baby" initiative- Working closely with the Kane County Health Department's Perinatal Committee toward preventing infant mortality as well as reducing health disparitiesRush-Copley Medical Center will continue to focus on this need and be an active community partner in the development and implementation of new strategies and initiatives.Communicable DiseasesThe reduction of communicable diseases in the community is a public health issue for which the local health departments acknowledge primary responsibility and leadership oversight. Rush-Copley Medical Center continues to be a collaborative partner that provides on-going supportive services to the local health departments regarding this health issue.Mental and Behavioral HealthAs identified during the prioritization exercise, Rush-Copley does not provide mental or behavioral health services and it would not be feasible for the hospital to develop this type of program. Therefore, the hospital would not be able to have a measurable impact on this need. There are a great number of organizations in the community already addressing this need (as listed in the CHNA). The hospital currently works closely with area mental and behavioral health programs in the community in order to assist patients in accessing care.Housing ConditionsHousing conditions are societal factors that are outside the health care system, therefore the hospital is not in a position to directly impact these needs. However, the hospital will continue to collaborate with other agencies and support initiatives for these health issues, including working with the Kendall County Health Department to develop a distribution program for home radon detection kits through the medical group practice as well as through the hospital's car seat safety check program.	Copley Memorial Hospital
Part V, Section B, Line 14g: A summary of the FAP policy is available on the website and at the hospital emergency room and admissions areas.Part V, Section B, Line 20d: Self Pay discount of 30% applied to the sametotal charges billed to all patients.	Copley Memorial Hospital
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 patients are given a billing brochure, which describes the financial assistance/charity 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'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 512,000 people and is predominantly urban and suburban. Nearly 29% of the population is of Hispanic or Latino origin. Persons over the age of 65 comprise 8.6% of the population, and the poverty rate is 9.0%. 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 105,000. Persons over the age of 65 comprise 6.7% of the population and the poverty rate is 3.4%. The northwest section of the county is suburban while the remainder is rural.
Part VI, Line 5: Copley Memorial Hospital's mission is to provide advanced medicine with quality outcomes and extraordinary care. To that end, the Medical Center seeks to serve the community in ways that engage, educate and empower. Copley Memorial Hospital serves all patients who present for care and serves the surrounding community along with a Board of Directors with a strong community base. The Board Members are independent community leaders and are selected based upon their expertise and experience in a variety of areas of benefit to the organization and their role as Board Members who direct and guide management in carrying out our mission. Board Members are not compensated for their service. As a charitable organization, all surplus funds are used to further our charitable purpose, mission and to serve the community. Some of our primary programs are: community health fairs, breastfeeding education classes, child care classes, etc. Copley Memorial Hospital provides access to physician, acute care, diagnostic, and rehabilitative services to people, regardless of ability to pay, through a number of facilities and services located throughout the service area. It provides programming relating to health education, prevention, and support targeted to specific populations. Medical education extends to clinical settings for nursing education and a family practice residency. Employees fill board and committee leadership positions for a number of economic development and social service agencies in communities throughout the service area.
Part VI, Line 6: Copley Memorial Hospital 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.
IL	Reports Filed With States	Part VI, Line 7

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	0	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Santosh Gill MD end 213
Past Chief of Staff/Director	344983	0	171062	0	64338	0	14197	0	41255	0	635835	0	0	0
Barry Finn
President & CEO/Director	604554	0	367740	0	14691	0	344918	0	40195	0	1372098	0	0	0
Brenda VanWyhe
Sr. VP, Finance & CFO/Treasurer	238620	0	127523	0	7117	0	57077	0	32976	0	463313	0	0	0
Ryan Asmus
VP, General Counsel/Secretary	183989	0	95565	0	7517	0	39923	0	32358	0	359352	0	0	0
Steve Lowenthal MD
Sr. VP, Medical Affairs & CMO	379911	0	199923	0	357317	0	14197	0	30792	0	982140	0	230699	0
John Diederich
Sr. VP, Operations & COO	312424	0	177540	0	8935	0	92401	0	33823	0	625123	0	0	0
Diane Homan MD
VP, Quality & PSO	274663	0	145753	0	13699	0	66489	0	35970	0	536574	0	0	0
Dennis DeMasie
VP, Information Technology & CIO	212515	0	92022	0	10206	0	47233	0	36609	0	398585	0	0	0
Mary Shilkaitis
VP, Patient Care Services & CNO	206791	0	107878	0	9110	0	48027	0	34586	0	406392	0	0	0
Gail Bumgarner
Sr. VP, Strategy	233669	0	122826	0	6876	0	53599	0	14464	0	431434	0	0	0
David Petasnick
Assistant VP, Ancillary Services	157771	0	39768	0	133	0	7949	0	19318	0	224939	0	0	0
Suzanne Sterchi
Assistant VP, Patient Care	153380	0	41739	0	583	0	8007	0	23359	0	227068	0	0	0
Sepehr Sani MD
Physician	724979	0	230200	0	70695	0	14197	0	11603	0	1051674	0	0	0
Dimitry Ruban MD
Physician	560387	0	382718	0	45768	0	14197	0	32889	0	1035959	0	0	0
Todd Guynn MD
Physician	683399	0	59600	0	27916	0	14197	0	44905	0	830017	0	0	0
Teressa Alexander MD
Physician	413526	0	175682	0	33926	0	14197	0	38199	0	675530	0	0	0
Edward Lipman MD
Physician	343983	0	255645	0	8547	0	14197	0	32924	0	655296	0	0	0
Barbara Graham
VP, Philanthropy & CDO	27672	0	0	0	128476	0	0	0	10398	0	166546	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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 III	Part I, Line 4a: Barbara Graham received a severance payment of $123,984 in calendar year 2012 from Copley Memorial Hospital pursuant to her severance agreement.	Supplemental Information
Part III	Part I, Line 4b: SERP PLAN of CMH (Accruals): Barry Finn $330,721, Mary Shilkaitis $36,234, John Diederich $78,204, Steve Lowenthal $0, Dennis DeMasie $35,094, Diane Homan $52,292, Brenda VanWyhe $43,179, Gail Bumgarner $40,242 and Ryan Asmus $30,057. 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 Form W-2. Steve Lowenthal received payments in 2012 of $338,687.	Supplemental Information
Part III	Part I, Line 7: Incentive bonus plan based on a series of approved strategic accomplishments.	Supplemental Information
Part III	Part II, Column (B)(ii), Physician Bonus & incentive compensation: Physician bonuses were paid based on individual productivity goals	Supplemental Information

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
Illinois Finance Authority
A	861091967	45200FHN2	2008-05-28	34772005	See Part VI	0	0	0
Illinois Finance Authority
B	861091967	45200FTZ2	2009-02-10	34075527	Construction of Replace Hosp & ICU addition	0	0	0
Illinois Finance Authority
C	861091967	45200FYT0	2009-07-29	25912180	New Construction Hospital Campus	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Other Spent ProceedsOtherSpentProceeds	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion
A	34772005	3085855	540878	34231127	1	1	1
B	34075527	3397043	498260		0	1	1	32745950	2009
C	25912180	2581171	401472		0	1	1	22919490	2009

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs	Engage Bond Counsel ContractsEngageBondCounselContracts
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	0
C	0	0	1	0	0.00000	0.00000	0.00000	0	0	0	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYet	No Rebate DueNoRebateDue
A	0	1
B	1	0
C	1	0

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	0
B	0
C	0

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

ExplanationExplanation

Schedule K, Part I, Bond Issues: (a) Issuer Name: Illinois Finance Authority (f) Description of Purpose: Construction of Replace Hosp & ICU addition. Schedule K, Part I, line A, column (e):Issue Price of bonds of $34,772,005 does not tie to Form 8038 Part III Line 21(b) of $98,278,724. This is because the $34,772,005 is Copley Memorial Hospital's 35.38% prorata share of the $98,278,724 Obligated Group amount issued.

Schedule K, Part I, line A, column (f): The Series 2006B Fixed Rate bonds currently refunded (as a reissuance) the Series 2006B Auction Rate bonds issued 8/17/2006, which were issued to refund pre-2003 bond issues. Schedule K, Part IV, Line 2c, Column A: The Series 2006B Fixed Rate bonds' rebate calculation that concluded that there was no liability (and hence no Form 8038-T to file) was completed on May 28, 2013.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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's compensation committee and has recused himself from any discussions or votes that involves 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 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 CMH's real property or the creation of a security interest in CMH'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; (2) any voluntary dissolution, merger, consolidation, sale or transfer of any of CMH's assets which exceeds one percent (1%) of CMH's total assets or any creation of a subsidiary or affiliate of CMH; (3) 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; (4) approval of all annual and long-term capital and operational budgets; (5) any amendment to the Articles of Incorporation or Bylaws of CMH; (6) any agreement or transaction, either of which is of a material nature, with another corporation controlled by or affiliated with CMH's sole corporate member, RCMC, or which is a subsidiary of RCMC; (7) approval of any new or changes to existing long-term or master strategic plan; and (8) sale of any of CMH's real property or interest therein or purchases of any additional real estate.
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/VP's of the organization and key senior management, the organization follows a compensation approval procedure annually that involves approval of proposed and final compensation arragements 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 -14,055,883. Change in interest in net assets of Foundation -379,176. Swap value adjustment 3,326,807.	Changes in Net Assets or Fund Balances:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Rush Copley Medical Center Inc
2000 Ogden Avenue	Aurora	IL	60504	363193787	Parent Company	IL	501(c)(3)	11A	N/A	0
Rush Copley Health Care System Inc
2000 Ogden Avenue	Aurora	IL	60504	363584043	Bridge Board RCMC & RUMC	IL	501(c)(3)	11A	N/A	0
Rush-Copley Foundation
2000 Ogden Avenue	Aurora	IL	60504	363093877	Grants to Charitable Organizations	IL	501(c)(3)	7		1	Rush-Copley Medical Center Inc
Copley Ventures Inc
2000 Ogden Avenue	Aurora	IL	60504	363370216	Rental Prop., Infirmary Care, and Healthplex Fitness Center	IL	501(c)(3)	3		1	Rush-Copley Medical Center Inc
Rush University Medical Center
1700 West Van Buren Street	Chicago	IL	60612	362174823	Hospitals	IL	501(c)(3)	3	N/A	0

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
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		Copley Medical Center Inc	Related	-2166245	3248177	0	0	0.99000

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Rush Copley Medical Group NFP	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2000 Ogden Avenue	AddressLine1
City	Aurora	City
State	IL	State
ZIP Code	60504	ZIPCode

Field	Value	IRS element (for citing)
EIN	363235315	EIN
Primary Activity	Physician Practices	PrimaryActivity
Legal Domicile State	IL	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Type Of Entity	C	TypeOfEntity
Controlled Org	0	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	1	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Rush Copley Medical Group NFP
A	771828	Fair Market Value
Rush Copley Foundation
C	893313	Fair Market Value
Rush Copley Foundation
I	210704	Fair Market Value
Rush Copley Foundation
Q	682609	Fair Market Value
Rush Copley Medical Center Inc
I	14055883	Fair Market Value
Copley Ventures Inc
K	577435	Fair Market Value
Copley Ventures Inc
R	468000	Fair Market Value