2024-05-14T12:54:02+00:00 2023-06-30 861065772 DELOITTE TAX LLP 50 S 6TH STREET SUITE 2800 MINNEAPOLIS MN 554021844 990 2022-07-01 362170840 Copley Memorial Hospital Inc COPL 6309786200 2000 Ogden Avenue Aurora IL 605044206 JOHN DIEDERICH PRESIDENT & CEO 6309784941 2024-05-14 true BRENDA WYHE 999009999 ANNA KOLAKALURI P01275237 6123974000 2022 2023-04-26 12:10:37Z co Rush Copley Medical Center JOHN DIEDERICH 2000 Ogden Avenue Aurora IL 605044206 547252566 false X WWW.RUSHCOPLEY.COM X 1886 IL THE MISSION OF RUSH COPLEY IS TO PROVIDE ADVANCED MEDICINE WITH QUALITY OUTCOMES AND EXTRAORDINARY CARE. 20 17 2652 183 0 0 3294712 5006880 377387341 382790518 19028974 6069389 7413907 5306727 407124934 399173514 500 0 0 178107474 184885111 0 0 182457578 186287214 360565552 371172325 46559382 28001189 954609869 1041905826 362556402 389348515 592053467 652557311 THE MISSION OF RUSH COPLEY IS TO PROVIDE ADVANCED MEDICINE WITH QUALITY OUTCOMES AND EXTRAORDINARY CARE. false false 300091175 386480975 THE MISSION OF RUSH COPLEY IS TO PROVIDE ADVANCED MEDICINE WITH QUALITY OUTCOMES AND EXTRAORDINARY CARE. IN FY2023, 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 HEALTH EDUCATION AND WELLNESS PROGRAMS RANGING FROM DIABETES, HEART HEALTH, CANCER PREVENTION, WEIGHT CONTROL, SMOKING CESSATION, CHRONIC HEALTH, CHILDBIRTH EDUCATION AND MORE. SUMMARY OF FY23 HEALTH PROGRAMMING THE PANDEMIC HAD SIGNIFICANT IMPACT ON THE COMMUNITIES' PUBLIC PROGRAMMING AND, RELATEDLY, COPLEY MEMORIAL HOSPITAL SPONSORSHIP, PARTNERSHIP AND PARTICIPATION IN COMMUNITY PROGRAMS. IN FY23, THE HOSPITAL PARTICIPATED IN NEARLY 200 COMMUNITY-BASED PROGRAMS AND EVENTS WITH SPECIAL EMPHASIS ON IMPROVING THE HEALTH AND WELLNESS OF ADULTS, CHILDREN AND UNDERSERVED POPULATIONS. DIABETES EDUCATION PROGRAM FREE DIABETES EDUCATION IS PROVIDED TO LOW-INCOME PATIENTS, GIVING THEM THE KNOWLEDGE AND SKILLS THEY NEED TO AVOID OR DELAY LONG-TERM COMPLICATIONS OF DIABETES. IN FY23, FREE FASTING GLUCOSE SCREENINGS AND EDUCATION WERE PROVIDED TO APPROXIMATELY 246 UNIQUE COMMUNITY MEMBERS SERVED WITH 431 EDUCATION SESSIONS. FOOD INSECURITY THE RUSH COPLEY PROMISE PANTRY PROVIDES PATIENTS AND THEIR FAMILIES FACING FOOD INSECURITY WITH A BAG OF SHELF STABLE FOOD ITEMS ALONG WITH A LIST OF FOOD PANTRIES WITHIN RUSH COPLEY'S SERVICE AREA AND HANDOUT ON SNAP. IT WAS BORN FROM THE RUSH COPLEY PROMISE - A COMMITMENT WE MAKE TO ALL PATIENTS, THEIR FAMILIES AND GUESTS TO DO EVERYTHING POSSIBLE TO PROVIDE YOU WITH COMPASSIONATE AND EXCEPTIONAL CARE. RUSH COPLEY MEDICAL CENTER PARTNERS WITH LOAVES AND FISHES COMMUNITY SERVICES, A LOCAL FOOD PANTRY THAT NOW PROVIDES THE BAGS OF SHELF STABLE FOOD ITEMS FOR THE RUSH COPLEY PROMISE PANTRY. IN FY23 THE RUSH COPLEY PROMISE PANTRY PROVIDED 1,231 PROMISE PANTRY BAGS, THIS IS EQUIVALENT TO 12,310 POUNDS OF FOOD PROVIDED TO PATIENTS. ADDITIONALLY, THE COOK BOOK, "EAST WELL ON $4/DAY GOOD AND CHEAP" BY LEANNE BROWN AVAILABLE IN ENGLISH AND SPANISH ARE PROVIDED TO PATIENTS AND FAMILIES THROUGH THE RUSH COPLEY PROMISE PANTRY. COMMUNITY FOOD DISTRIBUTION RUSH COPLEY COLLABORATED WITH LOAVES AND FISHES COMMUNITY SERVICES AT ST. THERESE CHURCH IN AURORA FOR A COMMUNITY FOOD DISTRIBUTION. THE EVENT SERVED 173 HOUSEHOLDS WHICH INCLUDDS 695 RESIDENTS, 236 CHILDREN AND 3 INFANTS. PREGNANCY AND CHILDBIRTH PRE-AND POSTNATAL CLASSES ARE OFFERED TO COUPLES AND FAMILIES WHO ARE EXPECTING OR HAVE A BABY. CLASS TOPICS INCLUDE: CHILDBIRTH EDUCATION. BABY CARE BASICS, BIRTH CHOICES/WATER BIRTH, UNDERSTANDING BREASTFEEDING, BREASTFEEDING PART II, WORKING & BREASTFEEDING, BECOMING A GRANDPARENT, BOOT CAMP FOR NEW DADS, BRINGING HOME BABY, INFANT MASSAGE, FAMILY BIRTH CENTER TOURS, CHILD SEAT SAFETY, SIBLING CLASS, SIBLING TOURS, FIRST STEPS AND NOT WHAT I EXPECTED SUPPORT GROUPS, AND INFANT CPR AND HOME SAFETY. OVER 700 PEOPLE PARTICIPATED IN FY23. CHILD PASSENGER SAFETY COPLEY MEMORIAL HOSPITAL SERVES AS THE REGIONAL TRAFFIC SAFETY RESOURCE CENTER FOR SUBURBAN COOK AND SIX COLLAR COUNTIES (LAKE, DUPAGE, MCHENRY, KANE, KENDALL AND WILL). SIX OF THE SEVEN COUNTIES IN OUR REGION ARE PART OF THE ILLINOIS DEPARTMENT OF TRANSPORTATION'S 23-COUNTY MODEL. IN FY23, 1,210 CAR SEATS WERE DISTRIBUTED TO LOW-INCOME FAMILIES AND AGENCIES WHO HAVE CERTIFIED CHILD PASSENGER SAFETY TECHNICIANS ON STAFF. COPLEY MEMORIAL HOSPITAL HOSTED 25 INTRO TO CHILD SEATS EDUCATION EVENTS FOR NEW CAREGIVERS AND SOCIAL SERVICE AGENCIES FOR A TOTAL OF 300 PEOPLE EDUCATED. BETWEEN COUNTY FAIRS, FAITH AND BLUE, KISS EVENTS AND CAR SEAT EVENTS MORE THAN 10,000 INDIVIDUALS HAD THE OPPORTUNITY TO SPEAK WITH CERTIFIED TECHNICIANS AT A TABLE TOP EVENT. THE CHICAGO AUTO SHOW THEME IN 2023 WAS CHILD PASSENGER SAFETY, MORE 1,500 PEOPLE PASSED THROUGH THE BOOTH OVER 10 DAYS. TEEN PROGRAMMING FROM GIRL TO YOUNG WOMAN IS A PROGRAM FOR GIRLS 9 TO 12 YEARS OLD AND FOCUSES ON THE PHYSICAL AND MENTAL CHANGES THAT HAPPEN DURING THIS AGE. DURING FY23, 12 GIRLS AND THEIR FEMALE CAREGIVERS ATTENDED. MOVEMENT DISORDERS RUSH COPLEY'S MOVEMENT DISORDERS PROGRAM PROVIDES SUPPORT AND MANAGEMENT OF PARKINSON'S DISEASE, ESSENTIAL TREMOR, DYSTONIA AND ATAXIA, AS WELL AS OTHER MOVEMENT DISORDERS, TO HELP PARTICIPANTS MAXIMIZE THEIR MOBILITY, COORDINATION, AND QUALITY OF LIFE. PROGRAM OFFERINGS WERE OFFERED HYBRID IN FY23, AND INCLUDED MONTHLY SUPPORT GROUPS FOR PARTICIPANTS AND CARE PARTNERS/CAREGIVERS, EXERCISE CLASSES, AND MUSIC THERAPY TO MORE THAN 158 PARTICIPANTS. CANCER RESOURCE CENTER WATERFORD PLACE CANCER RESOURCE CENTER OFFERED 40 PROGRAMS PER MONTH IN FY23 IN-PERSON OR HYBRID. PROGRAMS INCLUDED WELLNESS, EXERCISE, SALON AND SPA, AND EDUCATION PROGRAMS REACHING 638 UNIQUE PARTICIPANTS WITH A TOTAL OF 5,408 VISITS. PHYSICIAN REFERRAL AND SERVICE LINE COPLEY MEMORIAL HOSPITAL OFFERS A FREE PHYSICIAN AND INFORMATION REFERRAL TELEPHONE SERVICE TO THE COMMUNITY. THIS SERVICE ALLOWS COMMUNITY MEMBERS TO TALK WITH A CALL ADVISOR TO MATCH A PERSON'S HEALTH NEEDS AND PREFERENCES WITH THE PHYSICIAN OF THEIR CHOICE, LINKS CALLERS TO SERVICES PROVIDED BY THE MEDICAL CENTER AND MANAGES REGISTRATION FOR RUSH COPLEY CLASSES AND PROGRAMS. HEALTH TALK HEALTH TALKS ARE FREE COMMUNITY HEALTH PROGRAMS HOSTED IN PERSON AND VIRTUALLY DURING FY23 ON A VARIETY OF TOPICS DESIGNED TO HELP IMPROVE WELL-BEING. RESPECTED RUSH EXPERTS SHARE INSIGHTS AND TIPS FOR HEALTHY LIVING. TOPICS INCLUDED: BREAST CANCER, CERVICAL CANCER, COLORECTAL CANCER, TOBACCO CESSATION (ENGLISH AND SPANISH). MORE THAN 250 PARTICIPANTS ATTENDED IN PERSON OR VIRTUALLY. COMMUNITY HEALTH EVENTS RUSH COPLEY PARTICIPATED IN PLANNING AND IMPLEMENTATION FOR THE AURORA AFRICAN AMERICAN HEALTH FAIR WHICH FOCUSED ON HEALTH AND WELLBEING OF THE AFRICAN AMERICAN/BLACK COMMUNITY, AND AURORA AREA INTERFAITH FOOD PANTRY EDUCATION ON STROKE AND MEDICATION REVIEW WITH A RUSH COPLEY PHARMACIST. PARTICIPATED IN THE EAST AURORA DISTRICT 131 PARENT UNIVERSITY AND WEST AURORA DISTRICT 129 COLLEGE, CAREER & WELLNESS FAIR. OVER 700 COMMUNITY MEMBERS PARTICIPATED IN THE EVENT. HEALTHCARE ENROLLMENT EVENT RUSH COPLEY COLLABORATED WITH LOCAL STATE REPRESENTATIVE AND COMMUNITY-BASED ORGANIZATIONS AND HOSTED TWO HEALTHCARE ENROLLMENT EVENTS FOR IMMIGRANT ADULTS IN FY23. BENEFIT ENROLLMENT SPECIALIST ASSISTED OVER 60 RESIDENTS APPLY FOR HEALTH BENEFITS FOR IMMIGRANT ADULTS (HBIA) AND HEALTH BENEFIT FOR IMMIGRANT SENIOR (HBIS) PROGRAMS. WEBSITE COPLEY MEMORIAL HOSPITAL'S WEBSITE, RUSHCOPLEY.COM, WITH TRANSLATION AVAILABLE INTO DOZENS OF LANGUAGES, OFFERS ACCESS TO FREE HEALTH INFORMATION. IN FY23, WWW.RUSH.EDU/RUSHCOPLEY HAD MORE THAN 130,000 SESSIONS. 300091175 true true false true false false false false true true false false true true false false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true true true false false true 238 0 true 2652 true false false false false false false false false false false true false X 20 17 true true false false true true true true true false false true true true true true true true true true true IL X BRENDA VAN WYHE 6309786200 2000 OGDEN AVENUE AURORA IL 60504 Bruce W Dienst CHAIRMAN OF THE BOARD/DIRECTOR 1.0 3.0 X X 0 0 0 Christine Sobek VICE CHAIR OF THE BOARD/DIRECTOR 1.0 2.0 X X 0 0 0 John Diederich MA MBA FACHE President & CEO/Director 40.0 4.0 X X 3634635 0 42791 Andrew VanEekeren DIRECTOR 1.0 2.0 X 0 0 0 Catherine Cederoth DIRECTOR 1.0 3.0 X 0 0 0 Dave Mead DIRECTOR 1.0 2.0 X 0 0 0 Garrett Katula DO (END 1222) PHYSICIAN/DIRECTOR 40.0 2.0 X 415826 0 39377 Herbert Knight DIRECTOR 1.0 2.0 X 0 0 0 Jae B Joo MD CHIEF OF STAFF/DIRECTOR 40.0 2.0 X 650257 0 40226 James Baka DIRECTOR 1.0 2.0 X 0 0 0 Kalpesh Patel MD VICE CHIEF OF STAFF/DIRECTOR 1.0 2.0 X 0 0 0 Luis Perez DIRECTOR 1.0 2.0 X 0 0 0 Mark C Metzger DIRECTOR 1.0 3.0 X 0 0 0 Maryanne Locklin DIRECTOR 1.0 2.0 X 0 0 0 Maureen Strobl DIRECTOR 1.0 2.0 X 0 0 0 Patrick Carmody DIRECTOR 1.0 2.0 X 0 0 0 Richard Edelman DIRECTOR 1.0 2.0 X 0 0 0 Ronald Hem DIRECTOR 1.0 2.0 X 0 0 0 Santosh Gill MD DIRECTOR 1.0 2.0 X 0 0 0 Syed Zaidi MD IMMEDIATE PAST CHIEF OF STAFF/DIRECTOR 40.0 2.0 X 694419 0 24771 Trish Anen DIRECTOR 1.0 2.0 X 0 0 0 William Skoglund (END 0922) DIRECTOR 1.0 2.0 X 0 0 0 Brenda Van Wyhe SR. VP FINANCE & CFO/TREASURER 40.0 3.0 X 625127 0 106279 Ryan Asmus VP GENERAL COUNSEL/SECRETARY 40.0 3.0 X 449693 0 59039 Abigail Hornbogen VP. PATIENT CARE & CNO 40.0 0 X 343040 0 74193 Alex Pope VP. PHILANTHROPY & CDO 1.0 40.0 X 373569 0 72324 Brenda K Fann MD (END 1222) ASSISTANT VP. MEDICAL AFFAIRS 40.0 0 X 397109 0 206785 David Petasnick ASSISTANT VP, ANCILLARY SVCS 40.0 0 X 312693 0 66771 Mary F Shilkaitis SR VP Operations & COO 40.0 1.0 X 1371600 0 30769 Steve B Lowenthal MD SR. VP MEDICAL AFFAIRS & CMO 40.0 0 X 834178 0 28010 Arif Saleem MD PHYSICIAN 40.0 0 X 954331 0 29748 Dmitry S Ruban MD PHYSICIAN 40.0 0 X 935979 0 37818 Jonathan L Tueting MD PHYSICIAN 40.0 0 X 1265464 0 35919 Kevin V Kelly MD PHYSICIAN 40.0 0 X 934652 0 28517 Sarabjeet Singh MD PHYSICIAN 40.0 0 X 895662 0 25272 15088234 0 948609 365 false true false TRIMEDX LLC PO BOX 636129 CINCINNATI OH 452636129 EQUIPMENT MAINTENANCE 4091253 SODEXO PO BOX 536922 ATLANTA GA 303536922 FOOD AND CLEANING SERVICES 3912882 GUARDIAN ANESTHESIA ASSOC 1690 DUNLAWTON AVE PORT ORANGE FL 32127 ANESTHESIA SERVICES 3147524 VAYA WORKFORCE SOLUTIONS LLC 5930 CORNERSTONE COURT WEST SAN DIEGO CA 92121 TEMPORARY LABOR 2236006 ATOS DEPT - 772066 PO BOX 78000 DETROIT MI 482781177 MEDICAL BILLING 1383570 23 1234218 3772662 5006880 NET PATIENT SVC REV 621110 347971125 347971125 MEDICAID TAX REVENUE 621110 33895387 33895387 OTHER PROGRAM REVENUE 900009 924006 924006 0 0 0 0 382790518 8758392 8758392 1593096 617933 975163 0 975163 975163 144450992 321124 147148990 312129 -2697998 8995 -2689003 -2689003 OUTSIDE SERVICE REV 621990 3690457 3690457 GIFT SHOP REVENUE 453220 626164 626164 CAFETERIA REVENUE 621990 14943 14943 0 0 0 0 4331564 399173514 386480975 0 7685659 9104118 9104118 143220985 107415739 35805246 3587661 2690746 896915 17646556 13234917 4411639 11325791 8494343 2831448 7080355 5310266 1770089 118409 118409 159320 159320 30983 30983 639912 639912 16356960 12267720 4089240 0 781141 781141 9636527 7227395 2409132 10162671 7622003 2540668 4286728 3215046 1071682 62925 47194 15731 110108 82581 27527 3678557 3678557 22519716 22519716 5833065 4374799 1458266 MEDICAL SUPPLIES 62164642 62164642 MEDICAID PROVIDER TAX 24564473 24564473 PURCHASED SERVICES 14803299 11102474 3700825 COLLECTION FEES 1204022 1204022 2093401 2093401 0 0 371172325 300091175 71081150 0 27382395 27455783 54826702 68266031 0 0 0 0 7093925 7354360 1632377 2347954 498640936 288987040 193059860 209653896 332739710 342346836 0 0 4317836 4300885 333557064 380180081 954609869 1041905826 117052674 124978095 123693488 120048234 0 0 121810240 144322186 362556402 389348515 X 585519008 642528125 6534459 10029186 592053467 652557311 954609869 1041905826 X 28001189 27244536 5258119 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 30983 30983 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY COPLEY MEMORIAL HOSPITAL, INC. IS A MEMBER OF VARIOUS ORGANIZATIONS THAT ADVOCATE ON LEGAL AND POLICY ISSUES THAT AFFECT HEATLHCARE. A PORTION OF THE ANNUAL MEMBERSHIP DUES PAID BY COPLEY MEMORIAL HOSPITAL, INC. TO THESE ORGANIZATIONS IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. 15852351 4031948 1693594 0 1471485 0 20106408 16582486 3122324 -2444977 0 1407482 0 15852351 13390581 843098 3086208 737401 16582486 13022428 1342373 326685 1300905 13390581 11969298 1771314 806653 1524837 13022428 0.333 0.43 0.237 false true true 19189750 19189750 268794490 156593251 112201239 4375905 4083498 292407 183710387 128310291 55400096 22570404 22570404 209653896 DUE FROM RELATED PARTIES 341090112 INVESTMENT IN AFFILIATES 20950034 MALPRACTICE GROSS UP 3850895 RIGHT OF USE ASSET 13934788 OTHER RECEIVABLES 354252 380180081 LONG TERM SERP 1150945 LONG TERM MARKET ADJUST SWAP LIABILITY 3027286 DUE TO RELATED PARTY 126364451 UNAMORTIZED BOND DISCOUNT -555637 SHORT TERM/LONG TERM LEASE LIABILITY 14335141 COVID-19 MEDICARE ADVANCE LONG TERM DEFERRED RENT OBLIGATION 144322186 Schedule D, Part V, Line 4 Intended uses of endowment funds RUSH COPLEY FOUNDATION HOLDS THE VORIS (INCOME FOR CMH CANCER CARE), KOBISK (BOARD RESTRICTED INCOME TO CMH), COPLEY (INCOME RESTRICTED TO HOSPITAL OPERATIONS), DOBBINS (INCOME FOR CMH WOMEN'S HEALTH), AND MOVEMENT DISORDER (INCOME FOR CMH MOVEMENT DISORDER PROGRAM) ENDOWMENTS. RUSH COPLEY FOUNDATION ALSO HOLDS THE FOLLOWING QUASI ENDOWMENTS: NURSING (INCOME FOR CMH FUTURE OF NURSING SCHOLARSHIPS). FOX VALLEY HEART (INCOME FOR THE HEART INSTITUTE), PROMISE FUND (INCOME FOR EMPLOYEE HARDSHIPS), PART V, LINE 4: C/O RUSH COPLEY MEDICAL CENTER 36-2170840 COPLEY MEMORIAL HOSPITAL, INC. AND WATERFORD PLACE (INCOME FOR CMH CANCER RESOURCE CENTER) ENDOWMENTS. THESE FUNDS ARE HELD FOR THE BENEFIT OF COPLEY MEMORIAL HOSPITAL. true true X true X 300 true X 600 true true true false true true 3831080 3831080 0.0103 102371908 65626020 36745888 0.0990 0 0.0 0 0 106202988 65626020 40576968 0.1093 38528 18697 19831 0.0001 6377377 1245791 5131586 0.0138 20127023 503848 19623175 0.0529 0 0.0 77145 77145 0.0002 0 0 26620073 1768336 24851737 0.0670 0 0 132823061 67394356 65428705 0.1763 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 18793 18793 0.0001 147954 15000 132954 0.0004 0 0 166747 15000 151747 0.0004 true 23751386 2375139 56907826 74020288 -17112462 X true true 1 1 COPLEY MEMORIAL HOSPITAL INC 2000 OGDEN AVE AURORA IL 605044206 WWW.RUSHCOPLEY.COM 2150791 X X X X COPLEY MEMORIAL HOSPITAL INC 1 false false true X X X X X X X X X 21 true false false true X https://www.rush.edu/about-us/rush-community/chnachip-reports-and-cbr/rush-copley-chna-report X true 21 true https://www.rush.edu/about-us/rush-community/chnachip-reports-and-cbr/rush-copley-chna-report false true X 300.0 600.0 X X X true true X X X X true X https://www.rush.edu/patients-visitors/financial-assistance X https://www.rush.edu/patients-visitors/financial-assistance X https://www.rush.edu/patients-visitors/financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - COPLEY MEMORIAL HOSPITAL INC. THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED. THIS INCLUDED COMMUNITY RESIDENTS AND EXPERTS IN A RANGE OF AREAS INCLUDING PUBLIC HEALTH, MINORITY POPULATIONS, DISPARITIES IN HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH, AND HEALTH & SOCIAL SERVICES. PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED INCLUDED: BOARD OF DIRECTORS, HOSPITAL ADMINISTRATION, COMMUNITY HEALTH NEEDS COMMITTEE, PARTNERSHIPS WITH KANE COUNTY, PARTNERSHIPS WITH KENDALL COUNTY, COMMUNITY HEALTH SURVEY, FOCUS GROUPS, AND SECONDARY DATA ANALYSIS. FOR COMPLETE DETAILS ABOUT HOW THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED, THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE ACCESSED AT: https://www.rush.edu/about-us/rush-community/chnachip-reports-and-cbr/rush-copley-chna-report Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - ASCENSION MERCY, ASCENSION ST. JOSEPH, ADVOCATE SHERMAN AND NORTHWESTERN (DELNOR). RUSH COPLEY MEDICAL CENTER CONDUCTS THE CHNA THROUGH KANE HEALTH COUNTS WHICH IS A COLLABORATION AMONG THE KANE COUNTY HEALTH DEPARTMENT, INC MENTAL HEALTH ALLIANCE AND ALL FIVE HOSPITALS IN KANE COUNTY WHICH INCLUDE RUSH COPLEY MEDICAL CENTER, ASCENSION MERCY (FORMALLY AMITY MERCY), ASCENSION ST. JOSEPH (FORMALLY AMITA ST. JOSEPH), ADVOCATE SHERMAN AND NORTHWESTER DELNOR. WE ALL FORM PART OF THE KANE HEALTH COUNTS EXECUTIVE COMMITTE. THE COMMITTEE SELECTED A THIRD PARTY VENDER, CONDUENT HEALTHY COMMUNITIES INSTITUTE, THAT PERFORMED PRIMARY DATA AND SECONDARY DATA ANALYSIS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE PRIMARY DATA COLLECTION INCLUDED A COMMUNITY SURVEY AND FOCUS GROUPS CONDUCTED IN ENGLISH AND SPANISH. THE SECONDARY DATA ANALYSIS INCLUDED A COMPREHENSIVE SET OF MORE THAN 200 COMMUNITY HEALTH AND QUALITY OF LIFE INDICATORS COVERING OVER 26 TOPIC AREAS. RUSH COPLEY'S CHNA STEERING COMMITTEE LEADS THE PROCESS TO IDENTIFY, PRIORITIZE AND DEVELOP STRATEGIES TO ADDRESS THE TOP HEALTH ISSUES IN THE COMMUNITY AND DEVELOP THE THREE YEAR COMMUNITY HEALTH IMPLEMENTATION PLAN. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - KANE COUNTY COUNTS. RUSH COPLEY MEDICAL CENTER CONDUCTS THE CHNA THROUGH KANE HEALTH COUNTS WHICH IS A COLLABORATION AMONG THE KANE COUNTY HEALTH DEPARTMENT, INC MENTAL HEALTH ALLIANCE AND ALL FIVE HOSPITALS IN KANE COUNTY WHICH INCLUDE RUSH COPLEY MEDICAL CENTER, ASCENSION MERCY (FORMALLY AMITY MERCY), ASCENSION ST. JOSEPH (FORMALLY AMITA ST. JOSEPH), ADVOCATE SHERMAN AND NORTHWESTER DELNOR. WE ALL FORM PART OF THE KANE HEALTH COUNTS EXECUTIVE COMMITTE. THE COMMITTEE SELECTED A THIRD PARTY VENDER, CONDUENT HEALTHY COMMUNITIES INSTITUTE, THAT PERFORMED PRIMARY DATA AND SECONDARY DATA ANALYSIS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE PRIMARY DATA COLLECTION INCLUDED A COMMUNITY SURVEY AND FOCUS GROUPS CONDUCTED IN ENGLISH AND SPANISH. THE SECONDARY DATA ANALYSIS INCLUDED A COMPREHENSIVE SET OF MORE THAN 200 COMMUNITY HEALTH AND QUALITY OF LIFE INDICATORS COVERING OVER 26 TOPIC AREAS. RUSH COPLEY'S CHNA STEERING COMMITTEE LEADS THE PROCESS TO IDENTIFY, PRIORITIZE AND DEVELOP STRATEGIES TO ADDRESS THE TOP HEALTH ISSUES IN THE COMMUNITY AND DEVELOP THE THREE YEAR COMMUNITY HEALTH IMPLEMENTATION PLAN. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - COPLEY MEMORIAL HOSPITAL INC. RUSH COPLEY IDENTIFIED THE FOLLOWING AS THE TOP HEALTH NEEDS IN THE COMMUNITY TO BE ADDRESSED IN THE 2022 COMMUNITY HEALTH NEEDS ASSSEMENT. FY 23 IS THE FIRST YEAR OF THE COMMUNITY HEALTH IMPROVEMENT PLAN FOR THE IDENTIFIED NEEDS. 2022 Community Health Needs Assessment 1. Access to Health Services: Leverage patient and community-driven data to advance health equity. 2. Behavioral Health (includes mental health and substance abuse): Increase awareness on behavioral health conditions and navigation of behavioral health services in the community. Continue focus on reducing the misuse of opioids and opioid-related deaths. 3. Chronic Disease: Health Behaviors and Management: Reduce health behaviors related to chronic health conditions and increase management of chronic: disease in the community. 4. Inequities in vulnerable populations: Reduce inequities caused by the social, economic, and structural determinants of health FY23-25 Community Health Implementation Plan 1. Access to Health Services: Leverage patient and community-driven data to advance health equity. * Increase referrals to a primary care provider or medical home for patients seen in the Emergency Room * Continue partnership with local federally qualified healthcare centers to connect uninsured patients with insurance benefits * Create culturally sensitivity training for staff on capturing Race, Ethnicity and Language (REAL) and Sexual Orientation and Gender Identity (SOGI) patient data * Continue to provide accessible community programing: Tobacco Cessation, Diabetes Management, Movement Disorders Program and Waterford Place Cancer Resource Center * Participate in local community health improvement collaborative(s) 2. Behavioral Health (includes mental health and substance abuse): Increase awareness on behavioral health conditions and navigation of behavioral health services in the community. Continue focus on reducing the misuse of opioids and opioid-related deaths. * Develop partnership with Kane County Health Department's Integrated Referral and Information System (IRIS) to provide close loop referrals * Develop partnership for "soft handoff" with community behavioral health organizations * Continue reduction on the number of opioid prescriptions and assess other opportunities to address the opioid crisis * Collaborate with local community based behavioral health organizations to establish educational opportunities * Participate in local community health improvement collaborative(s) 3. Chronic Disease: Health Behaviors and Management: Reduce health behaviors related to chronic health conditions and increase management of chronic: disease in the community. * Adopt the Steps to Healthy Living, Chronic Disease Self-Management Workshop * Leverage community referral resource system (i.e. IRIS, Now Pow, Kane 211, etc.) to generate referrals for the Chronic Disease Self-Management Workshop * Continue to provide community programing: tobacco cessation, diabetes management, Movement Disorders and Waterford Place Cancer Resource Center * Partner with Kane County Health Department to create and develop a backbone entity in the community that builds and supports community-based programming related to nutrition, exercise and weight * Participate in local community health improvement collaborative(s) 4. Inequities in vulnerable populations: Reduce inequities caused by the social, economic, and structural determinants of health * Identify benchmarks for Social Determinants of Health (SDoH) screening * Continue to develop and establish SDoH screening to emergency room and ambulatory departments * Assess potential impact of a community health worker to conduct SDoH screening in Emergency Room * Partner with local food pantry to provide a healthy box of produce and protein to patients that screen positive for the SDoH, close loop referral * Participate in local community health improvement collaborative(s) FY23 Community Health Implementation Plan 1. Access to Health Services: Leverage patient and community-driven data to advance health equity. * Development of training for Race, Ethnicity and Language (REaL) and Sexual orientation and Gender Identity (SOGI), pilot program to launch in FY24. * Development of RUSH Health Equity Strategic Plan. This plan incorporated focus groups from across RUSH and local community-based organizations. A five-year health equity strategic plan will be defined for each hospital in FY24. * Collaborated with local State Representative and community-based organizations and hosted two healthcare enrollment events for immigrant adult. Benefit enrollment specialist assisted over 60 residents apply for Health Benefits for Immigrant Adults (HBIA) and Health Benefit for Immigrant Senior (HBIS) programs. * Participate in local community health improvement collaboratives: o Kane Health Counts Executive Committee o Kane County Health Department's Action Team on Access to Health Services o Kendall County Interagency Council 2. Behavioral Health (includes mental health and substance abuse): Increase awareness on behavioral health conditions and navigation of behavioral health services in the community. Continue focus on reducing the misuse of opioids and opioid-related deaths. * Development of partnership with the Gateway Foundation and RUSH Copley Medical Center. This will provide a Gateway Engagement Specialist in RUSH Copley's Emergency Services Department to coordinate warm handoffs for substance abuse treatment centers and follow up with a recovery coach. * Continue to monitor opioid dashboards and reports to track and benchmark opioid use * Participate in local community health improvement collaboratives: o Kane Health Counts Executive Committee o Kane County Opioid Task Force o Kane County Behavioral Health Council o Rush University System for Health Opioid Workforce o Kendall County Mental Health Stakeholders Committee 3. Chronic Disease: Health Behaviors and Management: Reduce health behaviors related to chronic health conditions and increase management of chronic: disease in the community. * Developed partnership with VNA Health Care, a local Federally Qualified Healthcare Center to provide Walk with a Doc program to the indoor track the RUSH Copley Healthplex. Bi monthly walking program open to the community and employees. * Stroke educational coordinated provided stroke educational at local food pantry and Spanish interpretation was provided by the community health outreach coordinator. Additionally, a pharmacist from RUSH Copley provide education on the importance of medication review. Over 200 community members educations * RUSH Copley participated in the West Aurora College, Career and Wellness Fair focused on high school youth from three local high school in Aurora, Geneva, and Batavia. An informational table was hosted with a Rethink Your Drink interactive activity and students were provided with recipes for health snack for college students. * Launched expansion of the RUSH Alive Faith Network (AFN) to the western suburbs, hosted the RUSH Copley AFN inaugural meeting with 18 faith leaders and clergy from African American/Black faith-based organizations in the Aurora and greater Fox Valley area. * Through the Alive Faith Network, three churches from the greater Aurora area became part of the first cohort for the Keeping it Movin' community-based research project. * Assisted in coordinating, supporting, and participated in the Aurora African American Health Fair, East Aurora Parent University, Waubonsee Community College Wellness Drive, over 400 attendees. Participants received health screening, community resources and health related presentations from healthcare professionals. * Health education presentation provided on importance of breast and colorectal rectal cancer screening targeted to Hispanic/Latine and African American/Black communities throughout the greater Aurora area. * Participate in local community health improvement collaboratives: o Kane Health Counts Executive Committee o Kane County Health Department's Action Team on Nutrition, Exercise, and Weight o Kendall County Interagency Council Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - COPLEY MEMORIAL HOSPITAL, INC. 4. Inequities in vulnerable populations: Reduce inequities caused by the social, economic, and structural determinants of health * Social Determinates of Health Screening implemented in all departments throughout RUSH Copley Medical Center. A list of local resources generated by NowPow based on patient's zip code and added to the patient's After Visit Summary. * Three pantries became NowPow close loop referral partners for RUSH Copley Medical Center. A close loop referral partner food pantry provides warp around services for patient that screen positive for food insecurity. Pilot close loop referrals between RUSH Copley and food pantries to launch FY24. * RUSH Copley Promise Pantry, a partnership between RUSH Copley and Loaves and Fishes Community Service provided 1,231 Promise Pantry bags to RUSH Copley patients that screened positive for food insecurity. Each Promise Pantry bag provides ten pounds of shelf stable food items which equates to 12,310 pounds of food provided to patients. * RUSH Copley administration team participated in a volunteer opportunity with Loaves and Fishes Community Services at St. Therese Church in Aurora. We helped serve 173 households last night which includes 695 residents, 236 children and 3 infants. * Dr. Kleinfeld, RUSH Copley pediatrician participated in panel discussion at the Kane County Hunger Summit * Participate in local community health improvement collaboratives: o Kane Health Counts Executive Committee o Kane County Health Department's Action Team on Access to Health Services o Kane County Health Department's Action Team on Nutrition, Exercise, and Weight o Kendall County Interagency Council 6 RADIATION THERAPY CENTER AT RIVERWEST 1221 N HIGHLAND AVENUE AURORA IL 605044206 JV ONCOLOGY CASTLE SURGICENTER 2111 OGDEN AVE AURORA IL 60504 AMBULATORY SURGERY CENTER RUSH COPLEY HEALTHCARE CENTER 1100 WEST VETERANS PARKWAY YORKVILLE IL 60560 OUTPATIENT SERVICES MIDWEST CENTER FOR ADVANCED IMAGING 4355 MONTGOMERY ROAD NAPERVILLE IL 60564 RADIOLOGY SERVICES HEALTHPLEX OUTPATIENT REHABILITATION 1900 OGDEN AVENUE AURORA IL 60504 OUTPATIENT REHABILITATION SERVICES Schedule H, Part I, Line 3c DETAILS ARE IDENTIFIED UNDER THE FINANCIAL ASSISTANCE POLICY, PATIENTS MUST COMPLETE AN APPLICATION, MEET THE QUALIFICATIONS AND RESPONSE WITH THE REQUESTED DOCUMENTATION UNDER THE POLICY TO DETERMINE THE DISCOUNT AMOUNT, IF ANY, THAT WOULD APPLY TO THEIR HOSPITAL BILL. Schedule H, Part I, Line 7g Subsidized Health Services Reported $19,623,175 costs from physician clinics Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance A COST ACCOUNTING SYSTEM WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. 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). Schedule H, Part II Community Building Activities Local high school students come to the hospital to observe various areas of the hospital to get an understand of the work performed in each area and how patients are cared for and treated. Hopefully this encourages some of the students to persue healthcare careers. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT EXPENSE IS CALCULATED BASED ON ACTUAL WRITE OFF'S DURING THE YEAR AND APPLYING HISTORICAL UNCOLLECTED PERCENTAGES TO CURRENT OUTSTANDING BALANCES. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS 10% OF THE ORGANIZATION'S BAD DEBT EXPENSE REPORTED ON PART III, LINE 2. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM THIRD PARTY PAYORS, PATIENTS, AND OTHERS FOR SERVICES RENDERED. RCMC HAS AGREEMENTS WITH THIRD PARTY PAYORS THAT PROVIDE FOR PAYMENT AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, PER DIEM PAYMENTS, AND DISCOUNTED CHARGES, INCLUDING ESTIMATED RETROACTIVE SETTLEMENTS UNDER PAYMENT AGREEMENTS WITH THIRD PARTY PAYORS. RCMC RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENT WHO HAVE THIRD PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR SERVICES RENDERED. PROVISIONS FOR ADJUSTMENTS TO NET PATIENT SERVICE REVENUE ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED TO FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, RCMC RECOGNIZES REVENUE BASED ON ITS DISCOUNTED RATES. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OR RCMC'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED. THUS, RCMC RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. PATIENT ACCOUNTS RECEIVABLE ARE BASED ON GROSS CHARGES AND STATED AT NET REALIZABLE VALUE. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS, BASED ON EXPECTED PAYMENT RATES FROM PAYORS UNDER CURRENT REIMBURSEMENT METHODOLOGIES, AND ALSO BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, RCMC ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), RCMC RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE DISCOUNTED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED UNCOLLECTIBLE. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE RATIO OF PATIENT COST TO CHARGES WAS CALCULATED BASED ON THE IRS 2022 INSTRUCTIONS FOR SCHEDULE H, WORKSHEET 2. RATIO OF PATIENT CARE COST TO CHARGES FOR CMH. MEDICARE REVENUES AND COSTS WERE EXTRACTED FROM THE FY2023 AS-FILED MEDICARE COST REPORT. THERE IS A MEDICARE SURPLUS/SHORTFALL OF $17,112,462. SINCE THE IRS 2022 INSTRUCTIONS STATE UNDER PART III BAD DEBT, MEDICARE, & COLLECTIONS PRACTICES, LINE 5, THE MEDICARE SHORTFALL IS FOR MEDICARE FEE FOR SERVICES ASSOCIATED WITH THE ALLOWABLE COSTS THE ORGANIZATION ENTERED IN ITS MEDICARE COST REPORT, MANAGED MEDICARE WAS NOT INCLUDED. IF SO, THE TOTAL LOSS FOR THE MEDICARE SHORTFALL WOULD HAVE BEEN $20,777,739. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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 DETERMINE WHETHER OR NOT A PATIENT QUALIFIES FOR CHARITY CARE OR FINANCIAL ASSISTANCE. HOWEVER, IF AFTER COLLECTION PRACTICES HAVE BEGUN, IT BECOMES KNOWN THE PATIENT QUALIFIES, THE COLLECTION EFFORTS CEASE. Schedule H, Part V, Section B, Line 16a FAP website - COPLEY MEMORIAL HOSPITAL INC: Line 16a URL: https://www.rush.edu/patients-visitors/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - COPLEY MEMORIAL HOSPITAL INC: Line 16b URL: https://www.rush.edu/patients-visitors/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - COPLEY MEMORIAL HOSPITAL INC: Line 16c URL: https://www.rush.edu/patients-visitors/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment 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. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance AT THE TIME OF SERVICE, COPLEY MEMORIAL HOSPITAL, INC. PATIENTS ARE GIVEN A BILLING BROCHURE, WHICH DESCRIBES THE FINANCIAL ASSISTANCE/CHARITY CARE PROGRAMS AVAILABLE. THIS INFORMATION IS ALSO POSTED AT THE REGISTRATION CHECK-IN DESKS, IN AN INPATIENT GUIDE, AND ON THE RUSH COPLEY WEBSITE. FINANCIAL COUNSELORS ARE AVAILABLE TO EXPLAIN THE PROGRAM IN DETAIL TO PATIENTS WHO ARE SEEN WITHOUT INSURANCE COVERAGE. ALL PATIENT BILLING STATEMENTS ADVISE THE PATIENTS TO CALL AND INQUIRE ON THE DETAILS AS NEEDED. Schedule H, Part VI, Line 4 Community information COPLEY MEMORIAL HOSPITAL INC.'S PRIMARY SERVICE AREA IS LOCATED 45 TO 55 MILES SOUTHWEST OF CHICAGO. COPLEY MEMORIAL HOSPITAL INC serves a large and diverse population. There are over 383,000 residents living in the community served by the hospital, with 33.5% of the population Hispanic or Latino. * The hospital is located in the city of Aurora, IL, which is the second largest city in Illinois. * The community served by the hospital is defined as the geographic area identified by the contiguous zip codes, from which approximately 80% of the hospital's discharged patients reside. The hospital also refers to this geographic area as the Rush-Copley Primary Service Area (PSA). - As seen in the map to the below, the community served includes all of Aurora and most of Southern Kane County and Kendall County. Kane County has the second largest Hispanic population in IL, which is concentrated in Aurora * The community served also includes very limited portions of DeKalb, LaSalle, Grundy, DuPage and Will Counties. Schedule H, Part VI, Line 5 Promotion of community health 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, FREE AND REDUCED COST HEALTH SCREENINGS, LANGUAGE ASSISTANCE SERVICES, 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. Schedule H, Part VI, Line 6 Affiliated health care system RUSH UNIVERSITY SYSTEM FOR HEALTH ("RUSH"), IS A MULTIHOSPITAL HEALTH SYSTEM WITH OPERATIONS THAT CONSIST OF SEVERAL DIVERSE ACTIVITIES WITH A SHARED MISSION OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. RUSH CONSISTS OF AN ACADEMIC MEDICAL CENTER, RUSH UNIVERSITY MEDICAL CENTER ("RUMC"), TWO COMMUNITY HOSPITALS, RUSH COPLEY MEDICAL CENTER ("RCMC") AND RUSH OAK PARK HOSPITAL ("RPPH"), THAT EACH SERVE DISTINCT MARKETS IN CHICAGO, ILLINOIS, METROPOLITAN AREA AND RUSH HEALTH, A PHYSICIAN HOSPITAL ORGANIZATION AND CLINICALLY INTEGRATED NETWORK. Schedule H, Part VI, Line 7 State filing of community benefit report IL X true false X X X X X true true false false false false false true false John Diederich MA MBA FACHE President & CEO/Director 692650 0 296561 0 2645424 0 10237 0 32554 0 3677426 0 648480 0 Jae B Joo MD CHIEF OF STAFF/DIRECTOR 537796 0 109644 0 2817 0 10250 0 29976 0 690483 0 0 0 Syed Zaidi MD IMMEDIATE PAST CHIEF OF STAFF/DIRECTOR 561655 0 123083 0 9681 0 6552 0 18219 0 719190 0 0 0 Garrett Katula DO (END 1222) PHYSICIAN/DIRECTOR 261594 0 131545 0 22687 0 10250 0 29127 0 455203 0 0 0 Ryan Asmus VP GENERAL COUNSEL/SECRETARY 317250 0 108245 0 24198 0 58790 0 249 0 508732 0 0 0 Brenda Van Wyhe SR. VP FINANCE & CFO/TREASURER 419725 0 178200 0 27202 0 85639 0 20640 0 731406 0 0 0 Brenda K Fann MD (END 1222) ASSISTANT VP. MEDICAL AFFAIRS 338601 0 52239 0 6269 0 204785 0 2000 0 603894 0 0 0 Abigail Hornbogen VP. PATIENT CARE & CNO 235354 0 84866 0 22820 0 45713 0 28480 0 417233 0 0 0 Steve B Lowenthal MD SR. VP MEDICAL AFFAIRS & CMO 502066 0 177072 0 155040 0 10229 0 17781 0 862188 0 0 0 David Petasnick ASSISTANT VP, ANCILLARY SVCS 229236 0 81248 0 2209 0 40292 0 26479 0 379464 0 0 0 Alex Pope VP. PHILANTHROPY & CDO 283206 0 85848 0 4515 0 42995 0 29329 0 445893 0 0 0 Mary F Shilkaitis SR VP Operations & COO 369134 0 150400 0 852066 0 6833 0 23936 0 1402369 0 77770 0 Kevin V Kelly MD PHYSICIAN 928014 0 3819 0 2819 0 1640 0 26877 0 963169 0 0 0 Dmitry S Ruban MD PHYSICIAN 930148 0 3819 0 2012 0 11437 0 26381 0 973797 0 0 0 Arif Saleem MD PHYSICIAN 685419 0 266095 0 2817 0 2622 0 27126 0 984079 0 0 0 Sarabjeet Singh MD PHYSICIAN 526512 0 367257 0 1893 0 0 0 25272 0 920934 0 0 0 Jonathan L Tueting MD PHYSICIAN 788108 0 475067 0 2289 0 6042 0 29877 0 1301383 0 0 0 Schedule J, Part I, Line 1a Health or social club dues or initiation fees THE ORGANIZATION PROVIDES TO ALL EMPLOYEES THE USE OF AN ATHLETIC FACILITY THAT IS OWNED AND OPERATED BY A RELATED TAX EXEMPT ORGANIZATION. THESE AMOUNTS ARE NON-TAXABLE. Schedule J, Part I, Line 4a Severance or change-of-control payment BRENDA K.FANN MD, AVP MEDICAL AFFAIRS, TERMED 12/22, SIGNED A $197,952 SEVERANCE AGREEMENT IN 2022 PAYABLE IN 2023. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan CMH 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, STEVE LOWENTHAL - $105,373 Schedule J, Part I, Line 7 Non-fixed payments INCENTIVE BONUS PLAN BASED ON A SERIES OF APPROVED STRATEGIC ACCOMPLISHMENTS. A ILLINOIS FINANCE AUTHORITY 861091967 45203HS45 2015-02-11 105601668 REFUND BONDS ISSUED 5/28/2008, 2/10/2009, AND 7/29/2009 false false false B ILLINOIS FINANCE AUTHORITY 861091967 000000000 2019-08-29 36752000 BUILDINGS AND EQUIPMENT false false false A 11495000 105601668 824030 145 104777493 false true true true B 2853000 36752000 252000 36500000 2019 false false true true A false false true true false 0.0 0.0 0.0 false false false B false false true true false 0.0 0.0 0.0 false false false A false false false true false false false false false B false true false false true false false false false A false B false Schedule K, Part I Bond Issues (A) ISSUER NAME: ILLINOIS FINANCE AUTHORITY (F) DESCRIPTION OF PURPOSE: REFUND BONDS ISSUED 5/28/2008, 2/10/2009, AND 7/29/2009 Schedule K, Part IV, Line 6 Column A THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS. Schedule K, Part IV, Line 2c COLUMN A Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 03/06/2020 Form 990, Part VI, Line 15 WITH RESPECT TO THE CEO/VPS OF THE ORGANIZATION AND KEY SENIOR MANAGEMENT, THE ORGANIZATION FOLLOWS A COMPENSATION APPROVAL PROCEDURE ANNUALLY THAT INVOLVES APPROVAL OF PROPOSED AND FINAL COMPENSATION ARRANGEMENTS BY THE ORGANIZATION'S COMPENSATION COMMITTEE AND FULL BOARD OF DIRECTORS USING COMPARABILITY DATA, AS WELL AS CONTEMPORANEOUS DOCUMENTATION OF COMPENSATION DECISIONS IN MINUTES. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons ALL 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. - Business relationship Form 990, Part VI, Line 3 Delegation of management duties RESERVED 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 stockholders RUSH 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 body 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, Line 7b Decisions requiring approval by members or stockholders THE BOARD OF DIRECTORS OF CMH'S SOLE CORPORATE MEMBER, RCMC, HAS THE FOLLOWING EXCLUSIVE POWERS OVER CMH: (1) THE ELECTION OF THE BOARD OF DIRECTORS; (2) ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THIS CORPORATION (3) THE BORROWING OF ANY SUM, THE PRINCIPAL OF WHICH EXCEEDS $500,000.00, OR WHICH HAS A STATED TERM OF GREATER THAN ONE YEAR, OR WHICH IS SECURED BY A MORTGAGE OF ALL OR ANY PORTION OF THE CORPORATION'S REAL PROPERTY OR THE CREATION OF A SECURITY INTEREST IN THE CORPORATION'S ASSETS, INCLUDING PERSONAL PROPERTY AND REVENUES, FOR THE BENEFIT OF THE LENDER, LESSOR OR VENDOR, OR THE DEFEASANCE, ADVANCE PAYMENT OR CANCELLATION OF ANY OUTSTANDING DEBT OF THE CATEGORY DESCRIBED HEREIN; (4) ANY VOLUNTARY DISSOLUTION, MERGER, CONSOLIDATION, SALE OR TRANSFER OF ANY OF THE CORPORATION'S ASSETS (ABOVE A MATERIAL DOLLAR THRESHOLD AS A PERCENTAGE OF THE CORPORATION'S ASSETS AS DETERMINED IN CONJUNCTION WITH THE CORPORATE MEMBER) OR ANY CREATION OF A SUBSIDIARY OR AFFILIATE OF THIS CORPORATION; (5) APPLICATION TO THE ILLINOIS HEALTH FACILITIES PLANNING BOARD OR ANY SUCCESSOR FOR A PERMIT OR CERTIFICATE OF NEED FOR A PROPOSED ACTIVITY, WHETHER OR NOT INVOLVING A CAPITAL EXPENDITURE; (6) APPROVAL OF ALL NEW OR CHANGES TO EXISTING ANNUAL AND LONG-TERM CAPITAL AND OPERATIONAL BUDGETS OR LONG-TERM OR MASTER STRATEGIC PLANS; (7) ANY AGREEMENT OR TRANSACTION, EITHER OF WHICH IS OF A MATERIAL NATURE, WITH ANOTHER CORPORATION CONTROLLED BY OR AFFILIATED WITH THE CORPORATE MEMBER OR WHICH IS A SUBSIDIARY OF THE CORPORATE MEMBERS; (8) SALE OF ANY OF THE CORPORATION'S REAL PROPERTY OR INTEREST THEREIN OR PURCHASES OF ANY ADDITIONAL REAL ESTATE; (9) THE AUDITED FINANCIAL STATEMENTS AND BOND DISCLOSURES OF THE CORPORATION; (10) SELECTION AND ANNUAL EVALUATION OF THE PRESIDENT; AND (11) THE ANNUAL AUDITED FINANCIAL STATEMENTS AND BOND DISCLOSURES OF THE CORPORATION. Form 990, Part VI, Line 11b Review of form 990 by governing body THE 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 policy ANNUALLY, 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 public FORM 990 IS AVAILABLE UPON REQUEST. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. COPIES OF THE FINANCIAL STATEMENTS (WHETHER OR NOT AUDITED) ARE PROVIDED UPON REASONABLE REQUEST SUCH AS FOR A BANK LOAN OR TO A BOND RATING AGENCY. THE FINANCIAL STATEMENTS ARE AVAILABLE ON THE ATTORNEY GENERAL'S WEBSITE. Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION - 3494727; SWAP VALUE ADJUSTMENT - 1763192; OTHER CHANGE IN NET ASSETS - 200; RUSH COPLEY MEDICAL CENTER 2000 OGDEN AVENUE AURORA IL 60504 363193787 PARENT COMPANY IL 501(c)(3) Type II RUSH UNIVERSITY SYSTEM FOR HEALTH true RUSH COPLEY FOUNDATION 2000 OGDEN AVENUE AURORA IL 60504 363093877 GRANTS TO CHARITABLE ORGANIZATIONS IL 501(c)(3) 7 RUSH COPLEY MEDICAL CENTER true COPLEY VENTURES INC 2000 OGDEN AVENUE AURORA IL 60504 363370216 RENTAL PROP., INFIRMARY CARE, AND HEALTHPLEX FITNESS CENTER IL 501(c)(3) 3 RUSH COPLEY MEDICAL CENTER true RUSH UNIVERSITY MEDICAL CENTER 1700 WEST VAN BUREN STREET CHICAGO IL 60612 362174823 HEALTHCARE IL 501(c)(3) 3 RUSH UNIVERSITY SYSTEM FOR HEALTH true RUSH UNIVERSITY SYSTEM FOR HEALTH 1725 W HARRISON STREET CHICAGO IL 60612 364046278 HOSPITAL IL 501(c)(3) Type III-FI NA false RUSH OAK PARK HOSPITAL INC 520 S MAPLE AVENUE OAK PARK IL 60304 362183812 HOSPITAL IL 501(c)(3) 3 RUSH UNIVERSITY MEDICAL CENTER INC true AMENDED & RESTATED GENERAL MALPRACTICE & WORKER'S COMP 1700 WEST VAN BUREN CHICAGO IL 60612 366673233 HEALTHCARE INSURANCE IL 501(c)(3) Type III-FI RUSH UNIVERSITY MEDICAL CENTER INC true AUXILIARY OF RUSH OAK PARK HOSPITAL - 520 S MAPLE AVE OAK PARK IL 60304 362255350 HOSPITAL SUPPORT IL 501(c)(3) Type I RUSH OAK PARK HOSPITAL true RUSH SURGICENTER AT THE PROFESSIONAL BUILDING LP 1725 W HARRISON STREET CHICAGO IL 60612 363853026 SURGERY CENTER IL NA N/A false false RUSH COPLEY ORTHOPEDICS LLC 2000 OGDEN AVENUE AURORA IL 60504 611801175 MEDICAL SERVICES IL NA N/A false false RUSH COPLEY SURGICENTER 2000 OGDEN AVENUE AURORA IL 60504 384012268 MEDICAL SERVICES IL COPLEY MEMORIAL HOSPITAL INC CO RUSH Related 180739 15640391 false true 0.99 RUSH UNIVERSITY MEDICAL CENTER INSURANCE PO BOX 1051 GRAND CAYMAN CJ INSURANCE CJ NA C Corporation true RUSH COPLEY MEDICAL GROUP NFP 2000 OGDEN AVENUE AURORA IL 60504 363235315 PHYSICIAN PRACTICES IL NA C Corporation true ROOM FIVE HUNDRED 1725 W HARRISON STREET CHICAGO IL 60612 237139832 DINING ROOM IL NA C Corporation true RUSH UNIVERSITY MEDICAL CENTER MASTER RETIREMENT TRUST 1700 W VAN BUREN STREET SUITE 501 CHICAGO IL 60612 912043520 PENSION TRUST IL NA Trust true RUSH HEALTH 1645 WEST JACKSON BLVD SUITE 501 CHICAGO IL 60612 363972171 CLINICALLY INTEGRATED NETWORK IL NA C Corporation true RUSH HEALTH ACO INC 1645 WEST JACKSON BLVD SUITE 501 CHICAGO IL 60612 821632136 ACO IL NA C Corporation true true false true false false false false false false true false false true false true true false true true RUSH COPLEY MEDICAL GROUP NFP A 613959 FAIR MARKET VALUE RUSH COPLEY FOUNDATION C 1234218 FAIR MARKET VALUE COPLEY VENTURES INC M 575000 FAIR MARKET VALUE COPLEY VENTURES INC R 126104 FMV - RENTS RUSH UNIVERSITY MEDICAL CENTER J 400132 FAIR MARKET VALUE RUSH UNIVERSITY MEDICAL CENTER P 8032123 FAIR MARKET VALUE RUSH COPLEY FOUNDATION S 780072 FAIR MARKET VALUE RUSH HEALTH M 1707165 FAIR MARKET VALUE RUSH HEALTH P 440086 FAIR MARKET VALUE RUSH HEALTH P 45441 FAIR MARKET VALUE RUSH HEALTH S 3791648 FAIR MARKET VALUE RUSH UNIVERSITY SYSTEM FOR HEALTH M 320062 FAIR MARKET VALUE Schedule R, Part III IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS PARTNERSHIP NAME OF RELATED ORGANIZATION: RUSH COPLEY SURGICENTER DIRECT CONTROLLING ENTITY: COPLEY MEMORIAL HOSPITAL, INC. C/O RUSH COPLEY MEDICAL CENTER