FURP.ORG / PUBLIC DATA EXPLORER

COPLEY VENTURES INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
COPLEY VENTURES INC (EIN 36-3370216)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-14
IRS object ID
202401359349303720
Schema version
2022v5.0
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)
Return2024-05-14T13:09:35+00:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

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 Line150 S 6th St Suite 2800AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554021844ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363370216EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Copley Ventures Inc co RUSH COPLEY MEDICAL CENTERBusinessNameLine1Txt
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)
PersonJOHN DIEDERICHPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone6309784941PhoneNum
Signature2024-05-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstBRENDA VANPersonFirstNm
Person LastWYHEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAnna KolakaluriPreparerPersonNm
PTINP01275237PTIN
Phone6123974000PhoneNum
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN DIEDERICHBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 OGDEN AVENUEAddressLine1Txt
CityAURORACityNm
State AbbreviationILStateAbbreviationCd
ZIP605044206ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,746,372GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RUSHCOPLEY.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1985FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH OF THE INDIVIDUALS AND DIVERSE COMMUNITIES WE SERVE THROUGH THE INTEGRATION OF OUTSTANDING PATIENT CARE, EDUCATION, RESEARCH AND COMMUNITY PARTNERSHIPS.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee143TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$1,715TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$5,039,588PYProgramServiceRevenueAmt
CY Program Service Revenue$4,681,028CYProgramServiceRevenueAmt
PY Investment Income$25PYInvestmentIncomeAmt
CY Investment Income$62CYInvestmentIncomeAmt
PY Other Revenue-$190,987PYOtherRevenueAmt
CY Other Revenue-$214,538CYOtherRevenueAmt
PY Total Revenue$4,848,626PYTotalRevenueAmt
CY Total Revenue$4,466,552CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,830,717PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,972,805CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,357,988PYOtherExpensesAmt
CY Other Expenses$2,446,218CYOtherExpensesAmt
PY Total Expenses$5,188,705PYTotalExpensesAmt
CY Total Expenses$4,419,023CYTotalExpensesAmt
PY Revenues Less Expenses-$340,079PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$47,529CYRevenuesLessExpensesAmt
Total Assets BOY$35,992,348TotalAssetsBOYAmt
Total Assets EOY$37,427,317TotalAssetsEOYAmt
Total Liabilities BOY$51,268,527TotalLiabilitiesBOYAmt
Total Liabilities EOY$52,655,967TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$15,276,179NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$15,228,650NetAssetsOrFundBalancesEOYAmt
MissionTO IMPROVE THE HEALTH OF THE INDIVIDUALS AND DIVERSE COMMUNITIES WE SERVE THROUGH THE INTEGRATION OF OUTSTANDING PATIENT CARE, EDUCATION, RESEARCH AND COMMUNITY PARTNERSHIPS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$3,802,155ExpenseAmt
Revenue$4,679,313RevenueAmt
DescCOPLEY VENTURES, INC. ("CV") HOLDS TITLE TO PROPERTY FOR RENTAL PURPOSES. CV LEASES AND OPERATES OUTPATIENT CLINICS AND MEDICAL OFFICE BUILDINGS. CV OWNS THE RUSH-COPLEY HEALTHPLEX ("HEALTHPLEX"), WHICH IS A HEALTH AND FITNESS CENTER PROVIDING PREVENTIVE MEDICINE AND WELLNESS EDUCATION TO THE GENERAL PUBLIC. THE HEALTHPLEX OFFERS THE LATEST IN EXERCISE EQUIPMENT AND A STAFF OF CERTIFIED AND DEGREED PROFESSIONALS. THE HEALTHPLEX IS EQUIPPED WITH A THERAPY POOL AND EXERCISE EQUIPMENT TO REHABILITATE PATIENTS RANGING FROM CARDIAC PATIENTS TO PATIENTS WHO HAVE SPORTS INJURIES. THE HEALTHPLEX OFFERS A WIDE VARIETY OF ACTIVITIES TO MEMBERS OF ALL AGES AND ALL FITNESS LEVELS. THE HEALTHPLEX HAS DEVELOPED WELLNESS PROGRAMS AND SUPPORT GROUPS TO HELP MEMBERS ADJUST BOTH MENTALLY AND PHYSICALLY TO DIFFERENT HEALTH PROBLEMS. THE FOLLOWING IS A SAMPLE OF PROGRAMS OFFERED AT THE HEALTHPLEX: PRE AND POST NATAL EXERCISE CLASSES ARE PROVIDED TO EDUCATE THE COMMUNITY AND MAKE THEM AWARE OF OTHER SERVICES PROVIDED BY RUSH COPLEY MEDICAL CENTER AND AFFILIATED ORGANIZATIONS. WELLNESS PROGRAMS ENCOURAGE PARTICIPANTS TO IMPROVE THEIR HEALTH THROUGH EDUCATION AND ACTIVITIES. RECENT OFFERINGS INCLUDE: CPR, ARTHRITIS FOUNDATION AQUATIC PROGRAM, WATER EXERCISES, EXERCISE FOR THE BUSINESS & VACATION TRAVELER, AND INJURY PREVENTION FOR THE ATHLETE. THE HEALTHPLEX HAS ALSO ESTABLISHED YOUTH PROGRAMS TO HELP CHILDREN DEVELOP MOTOR SKILLS, WHILE INTRODUCING THEM TO NUTRITION AND INTERDISCIPLINARY STUDIES. THESE PROGRAMS ENCOURAGE DEVELOPMENT OF PERSONAL, SOCIAL, HEALTH, AND WELLNESS SKILLS THAT WILL LEAD TO LIFE-LONG PHYSICAL ACTIVITY. RECENT OFFERINGS INCLUDE: KIDS CARDIO, KIDS FITNESS CLASS, EXERCISE YOUR HEART, HEALTHY OPPORTUNITIES TOGETHER, AND KIDS POWER.Desc
Total Program Service Expenses$3,802,155TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee143EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
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 VAN WYHEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6309786200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 OGDEN AVENUEAddressLine1Txt
CityAURORACityNm
State AbbreviationILStateAbbreviationCd
ZIP605044206ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Brenda Van Wyhe
SR. VP FINANCE & CFO/TREASURER1.042.0Yes (X)Yes (X)$0$625,127$106,279
John Diederich MA MBA FACHE
President & CEO/Director1.043.0Yes (X)Yes (X)$0$3,634,635$42,791
Mary F Shilkaitis
SR VP Operations & COO1.040.0Yes (X)Yes (X)$0$1,371,600$30,769
Ryan Asmus
VP, GENERAL COUNSEL/SECRETARY1.042.0Yes (X)Yes (X)$0$449,693$59,039
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,081,055TotReportableCompRltdOrgAmt
Total Other Compensation$238,878TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
HEALTHPLEX REVENUE713940$4,285,536$4,283,821$1,715
AFFILIATE RENTAL REV.531120$395,492$395,492

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$4,681,028TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$62TotalRevenueColumnAmt
Exclusion$62ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$65,282RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$279,820RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$214,538RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$214,538TotalRevenueColumnAmt
Exclusion-$214,538ExclusionAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,466,552TotalRevenueColumnAmt
Related Or Exempt Func Income$4,679,313RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,715UnrelatedBusinessRevenueAmt
Exclusion-$214,476ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,730,475TotalAmt
Program Services$1,468,771ProgramServicesAmt
Management And General$261,704ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$242,330TotalAmt
Program Services$195,450ProgramServicesAmt
Management And General$46,880ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$262,138TotalAmt
Management And General$262,138ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,050,138TotalAmt
Program Services$1,048,197ProgramServicesAmt
Management And General$1,941ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$485,990TotalAmt
Program Services$483,997ProgramServicesAmt
Management And General$1,993ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$40,000TotalAmt
Management And General$40,000ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCHASED SERVICES$513,009$510,905$2,104
OTHER OPERATING EXPENSE$94,835$94,835
EMPLOYEE RELATIONS$108$108

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,419,023TotalAmt
Program Services$3,802,155ProgramServicesAmt
Management And General$616,868ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,124,361BOYAmt
EOY$74,554EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$50,002BOYAmt
EOY$50,007EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$17,519BOYAmt
EOY$9,976EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,688BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$77,296BOYAmt
EOY$93,085EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$37,121,961LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,736,675LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$20,932,055BOYAmt
EOY$20,385,286EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$13,787,427BOYAmt
EOY$16,814,409EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$35,992,348BOYAmt
EOY$37,427,317EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$627,803BOYAmt
EOY$572,516EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$129,069BOYAmt
EOY$213,132EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$50,511,655BOYAmt
EOY$51,870,319EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$51,268,527BOYAmt
EOY$52,655,967EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$15,276,179BOYAmt
EOY-$15,228,650EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$15,276,179BOYAmt
EOY-$15,228,650EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$35,992,348BOYAmt
EOY$37,427,317EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$47,529ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$0PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$0TotalSupportAmt
Gross Receipts Rltd Activities$0GrossReceiptsRltdActivitiesAmt
Public Support CY1700PublicSupportCY170Pct
Public Support PY1700.0PublicSupportPY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$0PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090PublicSupportCY509Pct
Public Support PY5090.0PublicSupportPY509Pct
Investment Income CY0InvestmentIncomeCYPct
Investment Income PY0.0InvestmentIncomePYPct
Private Foundation509Yes (X)PrivateFoundation509Ind

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
CY Adj Net Income Distributable$0CYAdjNetIncomeDistributableAmt
CY Pct85 Adjusted Net Income$0CYPct85AdjustedNetIncomeAmt
CY Total Min Ast Distributable$0CYTotalMinAstDistributableAmt
CY Greater Adjusted Minimum$0CYGreaterAdjustedMinimumAmt
CY Income Tax Imposed PY$0CYIncomeTaxImposedPYAmt
CY Distributable As Adjusted$0CYDistributableAsAdjustedAmt

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part I, Line 3 PUBLIC CHARITY STATUSFormAndLineReferenceDesc
ExplanationCOPLEY VENTURES, INC. IS EXEMPT AS A HOSPITAL UNDER INTERNAL REVENUE CODE SECTION 170(B)(1)(A)(III); HOWEVER, IT IS NOT A HOSPITAL AS DEFINED BY FORM 990, SCHEDULE H INSTRUCTIONS.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,796,177OtherCostOrOtherBasisAmt
Book Value$8,796,177BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,726,218OtherCostOrOtherBasisAmt
Depreciation$9,017,145DepreciationAmt
Book Value$6,709,073BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,389,253OtherCostOrOtherBasisAmt
Depreciation$457,484DepreciationAmt
Book Value$931,769BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,487,813OtherCostOrOtherBasisAmt
Depreciation$1,272,243DepreciationAmt
Book Value$215,570BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,722,500OtherCostOrOtherBasisAmt
Depreciation$5,989,803DepreciationAmt
Book Value$3,732,697BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$20,385,286TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
RIGHT OF USE ASSET$118,807
DUE FROM RELATED PARTIES$16,695,602
FieldValueIRS element (for citing)
Total Book Value Other Assets$16,814,409TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO AFFILIATES$51,775,661
LONG TERM DEFERRED RENT OBLIGATION$94,658
FieldValueIRS element (for citing)
Total Liability$51,870,319TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 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
Ryan Asmus
VP, GENERAL COUNSEL/SECRETARY$0$317,250$0$108,245$0$24,198$0$58,790$0$249$0$508,732$0$0
John Diederich MA MBA FACHE
President & CEO/Director$0$692,650$0$296,561$0$2,645,424$0$10,237$0$32,554$0$3,677,426$0$648,480
Mary F Shilkaitis
SR VP Operations & COO$0$369,134$0$150,400$0$852,066$0$6,833$0$23,936$0$1,402,369$0$77,770
Brenda Van Wyhe
SR. VP FINANCE & CFO/TREASURER$0$419,725$0$178,200$0$27,202$0$85,639$0$20,640$0$731,406$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationCOPLEY MEMORIAL HOSPITAL, A RELATED ORGANIZATION OF COPLEY VENTURES, USED THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planCMH OFFERS A SUPPLEMENTAL RETUREMENT PLAN TO CERTAIN EMPLOYEES WHO PARTICIPATE IN THE EXECUTIVE BENEFITS PROGRAM. THERE IS NO CONSTRUCTIVE RECEIPT OF THESE AMOUNTS BY THE INDIVIDUALS UNTIL THEY ARE PAID OUT AS THEY ARE SUBJECT TO A SUBSTANDTIAL RISK OF FORFEITURE UNTIL INDIVIDUALS MEET THE REQUIRED VESTING PERIOD. ONCE VESTED, PAYOUTS WOULD BE INCLUDED AS REPOSTABLE COMPENSATION ON THE RECIPIENTS ANNUAL FORM W-2. THE AMOUNTS PAID OUT OF THIS PLAN IN 2022 WERE AS FOLLOWS: JOHN DIEDERICH - $2,619,860, MARY SHILKAITIS - $821,975

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 15 PART VI, LINE 15THE CEO/VPS OF THE ORGANIZATION AND KEY SENIOR MANAGEMENT ARE COMPENSATED BY COPLEY MEMORIAL HOSPITAL. COPLEY MEMORIAL HOSPITAL FOLLOWS A COMPENSATION APPROVAL PROCEDURE ANNUALLY THAT INVOLVES APPROVAL OF PROPOSED AND FINAL COMPENSATION ARRANGEMENTS BY ITS COMPENSATION COMMITTEE AND FULL BOARD OF DIRECTORS USING COMPARABILITY DATA, AS WELL AS CONTEMPORANEOUS DOCUMENTATION OF COMPENSATION DECISIONS IN MINUTES.
Form 990, Part VI, Line 2 Family/business relationships amongst interested personsMANY OF THE PERSONS LISTED ON PART VII HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF THEIR EMPLOYMENT AND/OR SITTING ON RELATED RUSH COPLEY MEDICAL CENTER ENTITY BOARDS - Business relationship
Form 990, Part VI, Line 3 Delegation of management dutiesRESERVED POWERS OVER CERTAIN MANAGEMENT DUTIES HAVE BEEN DELEGATED TO RUSH UNIVERSITY SYSTEM FOR HEALTH ("RSH") AS THE PARENT ENTITY FOR THE RUSH SYSTEM. THESE DUTIES INCLUDE APPROVING VARIOUS RCMC ACTIONS, INCLUDING RCMC'S OPERATING BUDGET AND CERTAIN TRANSACTIONS, APPOINTMENT OF CERTAIN RCMC EXECUTIVES, APPOINTMENT OF RCMC'S BOARD MEMBERS, ETC.
Form 990, Part VI, Line 6 Classes of members or stockholdersRUSH COPLEY MEDICAL CENTER ("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, Line 7a Members or stockholders electing members of governing bodyCOPLEY VENTURES, INC.'S BOARD OF DIRECTORS ARE ELECTED BY THE GOVERNING BOARD OF COPLEY VENTURES, INC.'S SOLE CORPORATE MEMBER, RUSH COPLEY MEDICAL CENTER, AT THE ANNUAL MEETING OF THE GOVERNING BOARD OF RUSH COPLEY MEDICAL CENTER, INC.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersTHE PRESIDENT OF COPLEY VENTURES, INC. IS THE CEO OF COPLEY VENTURES, INC.'S SOLE CORPORATE MEMBER, RUSH COPLEY MEDICAL CENTER, AND HAS THE NECESSARY AUTHORITY AND RESPONSIBILITY FOR THE ADMINISTRATION OF THE AFFAIRS OF COPLEY VENTURES, INC. ANY REPEAL OR AMENDMENTS TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF COPLEY VENTURES, INC. REQUIRES APPROVAL OF COPLEY VENTURES, INC.'S SOLE CORPORATE MEMBER, RUSH COPLEY MEDICAL CENTER.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE FORM 990 TAX RETURN IS PREPARED BY OUR ORGANIZATION AND REVIEWED BY OUR EXTERNAL TAX ADVISOR. 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, Line 12c Conflict of interest policyANNUALLY, BOARD MEMBERS, DIRECTORS, MANAGEMENT TEAM (ADMINISTRATION, DIRECTORS AND MANAGERS) AND OTHER KEY EMPLOYEES OF RUSH COPLEY MEDICAL CENTER AND SUBSIDIARIES ("RCMC") ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT TO DISCLOSE ANY PERSONAL OR BUSINESS INTERESTS THAT MAY GIVE RISE TO A CONFLICT WITH THE WORK THEY DO FOR RCMC. THE DISCLOSURES ARE SUBMITTED AND REVIEWED BY THE CORPORATE INTEGRITY OFFICER, WHO IS AN EMPLOYEE OF COPLEY MEMORIAL HOSPITAL BUT REPRESENTS RUSH COPLEY MEDICAL CENTER AND SUBSIDIARIES, AND A REPORT IS SUBMITTED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF RCMC. THOSE KEY PERSONNEL WITH CONFLICTS ARE ADVISED TO RECUSE THEMSELVES FROM PARTICIPATING IN DECISION-MAKING RELATED TO THE CONFLICT.
Form 990, Part VI, Line 19 Required documents available to the publicFORM 990 IS AVAILABLE UPON REQUEST. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. COPIES OF THE FINANCIAL STATEMENTS (WHETHER OR NOT AUDITED) ARE PROVIDED UPON REASONABLE REQUEST SUCH AS FOR A BANK LOAN OR TO A BOND RATING AGENCY.
Form 990, Part XII, Line 2a PART XII, LINE 2A & BALTHOUGH THE ORGANIZATION DOES NOT RECEIVE STAND ALONE GAAP FINANCIAL STATEMENTS IT DOES RECEIVE ON AN ANNUAL BASIS FROM INDEPENDENT AUDITORS CONSOLIDATED ENTITY GAAP FINANCIAL STATEMENTS (AUDITED) FOR ITSELF AND ITS AFFILIATES.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1RUSH COPLEY HEALTHPLEX LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 OGDEN AVENUEAddressLine1Txt
CityAURORACityNm
State AbbreviationILStateAbbreviationCd
ZIP60504ZIPCd
FieldValueIRS element (for citing)
EIN363275998EIN
Primary ActivitiesCOMMUNITY HEALTH AND FITNESSPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Total Income$443,293TotalIncomeAmt
End Of Year Assets$11,840,863EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1COPLEY VENTURES INCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
COPLEY MEMORIAL HOSPITAL INC
2000 OGDEN AVENUEAURORAIL60504362170840HOSPITALIL501(c)(3)3RUSH COPLEY MEDICAL CENTERYes (true)
RUSH COPLEY MEDICAL CENTER
2000 OGDEN AVENUEAURORAIL60504363193787PARENT COMPANYIL501(c)(3)Type IRUSH UNIVERSITY SYSTEM FOR HEALTHYes (true)
RUSH COPLEY FOUNDATION
2000 OGDEN AVENUEAURORAIL60504363093877GRANTS OTHER CHARITABLE ORGANIZATIONSIL501(c)(3)7RUSH COPLEY MEDICAL CENTERYes (true)
RUSH UNIVERSITY MEDICAL CENTER
1700 WEST VAN BUREN STREETCHICAGOIL60612362174823HEALTHCAREIL501(c)(3)3RUSH UNIVERSITY SYSTEM FOR HEALTHYes (true)
RUSH UNIVERSITY SYSTEM FOR HEALTH
1725 W HARRISON STREETCHICAGOIL60612364046278HEALTHCAREIL501(c)(3)Type INAfalse
RUSH OAK PARK HOSPITAL INC
520 S MAPLE AVENUEOAK PARKIL60304362183812HEALTHCAREIL501(c)(3)3RUSH UNIVERSITY MEDICAL CENTER INCYes (true)
AMENDED & RESTATED GENERAL MALPRACTICE & WORKER'S COMP
1700 WEST VAN BUREN STREETCHICAGOIL60612366673233HEALTHCARE INSURANCEIL501(c)(3)Type III-FIRUSH UNIVERSITY MEDICAL CENTER INCYes (true)
AUXILIARY OF RUSH OAK PARK HOSPITAL
520 S MAPLE AVENUEOAK PARKIL60304362255350HOSPITAL SUPPORTIL501(c)(3)Type IRUSH OAK PARK HOSPITALYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxt
RUSH SURGICENTRE AT THE PROFESSIONAL BUILDING LP
1725 W HARRISON STREETCHICAGOIL60612363853026SURGERY CENTERILNAN/A
RUSH COPLEY ORTHOPEDICS LLC
2000 OGDEN AVENUEAURORAIL60504611801175MEDICAL SERVICESILNAN/A
RUSH COPLEY SURGICENTER LLC
2000 OGDEN AVENUEAURORAIL60504384012268MEDICAL SERVICESILNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1ForeignAddress/AddressLine1TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCd
RUSH UNIVERSITY MEDICAL CENTER INSURANCE CO LTD
PO BOX 1051GRAND CAYMANCJINSURANCECJNAC CorporationYes (true)
RUSH COPLEY MEDICAL GROUP NFP
PHYSICIAN PRACTICESNAC CorporationYes (true)2000 OGDEN AVENUEAURORAIL60504363235315IL
ROOM FIVE HUNDRED
DINING ROOMNAC CorporationYes (true)1725 HARRISON STREETCHICAGOIL60612237139832IL
RUSH UNIVERSITY MEDICAL CENTER MASTER RITREMENT TRUST
PENSION TRUSTNATrustYes (true)1700 W VAN BUREN STREETCHICAGOIL60612912043520IL
RUSH HEALTH
CLINICALLY INTEGRATED NETWORKNAC CorporationYes (true)1645 WEST JACKSON BLVD SUITE 501CHICAGOIL606123276363972171IL
RUSH HEALTH ACO INC
ACONAC CorporationYes (true)1645 WEST JACKSON BLVD SUITE 501CHICAGOIL606123276821632136IL
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
RUSH COPLEY MEDICAL GROUP
A$269,388FMV - RENTS
COPLEY MEMORIAL HOSPITAL INC
L$575,000FMV - HEALTHPLEX MEMBERSHIPS
COPLEY MEMORIAL HOSPITAL INC
A$126,104FMV - RENTS