2025-05-14T12:48:46+00:00 2024-06-30 861065772 DELOITTE TAX LLP 50 S 6TH STREET SUITE 2800 MINNEAPOLIS MN 554021844 990 2023-07-01 362170840 Copley Memorial Hospital Inc COPL 6309786200 2000 Ogden Avenue Aurora IL 605044206 JOHN DIEDERICH PRESIDENT & CEO 6309784941 2025-05-14 true ANNA KOLAKALURI P01275237 6123974000 2025-05-14 2023 2025-03-06 01:10:19Z co Rush Copley Medical Center JOHN DIEDERICH 2000 Ogden Avenue Aurora IL 605044206 1010219325 false X WWW.RUSHCOPLEY.COM X 1886 IL THE MISSION OF RUSH COPLEY IS TO PROVIDE ADVANCED MEDICINE WITH QUALITY OUTCOMES AND EXTRAORDINARY CARE. 18 15 2708 225 0 0 5006880 11082222 382790518 426407473 6069389 15264290 5306727 5285293 399173514 458039278 0 0 0 184885111 193285626 0 0 0 186287214 214657570 371172325 407943196 28001189 50096082 1041905826 1153802676 389348515 426423274 652557311 727379402 THE MISSION OF RUSH COPLEY IS TO PROVIDE ADVANCED MEDICINE WITH QUALITY OUTCOMES AND EXTRAORDINARY CARE. false false 330601122 430018243 THE MISSION OF RUSH COPLEY IS TO PROVIDE ADVANCED MEDICINE WITH QUALITY OUTCOMES AND EXTRAORDINARY CARE. IN FY2024, 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, HEALTH BEHAVIOR CHANGE, CHRONIC HEALTH, CHILDBIRTH EDUCATION AND MORE. COPLEY MEMORIAL HOSPITAL SPONSORSHIP, PARTNERSHIP, AND PARTICIPATION IN COMMUNITY PROGRAMS. IN FY24, THE HOSPITAL PARTICIPATED IN NEARLY 210 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 FY24, FREE FASTING GLUCOSE SCREENINGS AND EDUCATION WERE PROVIDED TO 240 UNIQUE COMMUNITY MEMBERS. 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 FY24 THE RUSH COPLEY PROMISE PANTRY PROVIDED 1,225 PROMISE PANTRY BAGS, THIS IS EQUIVALENT TO 18,375 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. RUSH COPLEY ADMINISTRATION TEAM PARTICIPATED IN A VOLUNTEER OPPORTUNITY WITH LOAVES AND FISHES COMMUNITY SERVICES AT ST. THERESE CHURCH IN AURORA. ADDITIONALLY, 39 NURSES VOLUNTEERED ACROSS THREE LOCAL PANTRIES WITH FOOD DISTRIBUTION AND STOCKING OF FOOD PANTY ITEMS. 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 650 PEOPLE PARTICIPATED IN FY24. 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. A TOTAL OF 209 new technicians were certified IN CHILD PASSENGER SAFETY TECHNICIAN COURSES, AND 48 TECHNINICANS WERE RECERTIFIED. THERE WERE 154 INDIVIDUALS TRAINED FOR TECHINICALS SKILLS BUILDING CLASSES. CLASSES. COPLEY MEMORIAL HOSPITAL HOSTED CAR SEAT EDUCATION CLASSES AND CHECKS FOR CAREGIVERS, A TOTAL OF 311 WERE EDUCATED. CAR SEAT EDUCATION AND APPROPRIATE CAR SEAT FOR CHILD PRESENTATION - PARTNERED WITH RUSH COPLEY CARE MANAGEMENT TEAM, VNA, MERIDIAN HEALTH, COUNTY CARE, HEADSTART PROGRAMS, ECHO FAMILY SERVICES, AUNT MARTHA'S, AND THE LOCAL SCHOOL DISTRICTS TO IDENTIFY FAMILIES IN NEED OF CAR SEATS AND HAVE NO MEANS TO AFFORD ONE. A TOTAL OF 344 CAR SEATS WERE DISTRIBUTED AFTER CAREGIVERS RECEIVED THE NECESSARY EDUCATION FOR THE CAR SEAT IN THEIR VEHICLE. CAR SEAT DISTRIBUTION FOR AGENCIES, 146 AGENCIES WITH CERTIFIED CAR SEAT TECHNICIANS ON STAFF RECEIVED FIVE CAR SEATS TO BE DISTRIBUTED TO FAMILIES IN THEIR AREA IN NEED. OVERALL, IN FY24, 1,074 CAR SEATS WERE DISTRIBUTED TO LOW-INCOME FAMILIES AND AGENCIES THAT HAVE CERTIFIED CHILD PASSENGER SAFETY TECHNICIANS ON STAFF. TEEN DRIVER SAFETY PRESENTATIONS, 22 HIGH SCHOOLS PARTICIPATED IN A MINI-TEEN DRIVER SAFETY FAIR FOR THE HEALTH, PHYSICAL EDUCATION, AND DRIVERS' EDUCATION CLASSES TOTALING 2943 STUDENTS. SENIOR DRIVING SAFETY PRESENTATIONS, TWO PRESENTATIONS WERE GIVEN FOR SENIOR DRIVERS AT TRIAD GROUPS TOTALING 51 PARTICIPANTS TEEN PROGRAMMING PARENTED WITH THE AURORA PUBLIC LIBRARY TO HOST AN EDUCATIONAL WORKSHOP FOCUSED ON MENSTRUAL CYCLES, PERIOD PARTY. THE PROGRAM WAS HOSTED THREE TIMES WITH OVER 45 PARTICIPANTS. AED DONATIONS AND COMMUNITY CPR CLASSES HOSTED THREE COMMUNITY CPR AND AED CLASSES FOR COMMUNITY MEMBERS TO BECOME CERTIFIED IN CPR AND AED. TWO SESSIONS WERE HOSTED IN SPANISH AND ONE IN ENGLISH, TOTAL OF 57 COMMUNITY MEMBERS PARTICIPATED. THERE WERE 10 AED PROVIDED TO NON-FOR-PROFITS IN COPLEY MEMORIAL HOSPITAL SERVICE AREA. 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 FY24 AND INCLUDED MONTHLY SUPPORT GROUPS FOR PARTICIPANTS AND CARE PARTNERS/CAREGIVERS, EXERCISE CLASSES, AND MUSIC THERAPY TO MORE THAN 171 PARTICIPANTS. CANCER RESOURCE CENTER WATERFORD PLACE CANCER RESOURCE CENTER OFFERED 40 PROGRAMS PER MONTH IN FY24 IN-PERSON OR HYBRID. PROGRAMS INCLUDED WELLNESS, EXERCISE, SALON AND SPA, AND EDUCATION PROGRAMS REACHING 750 UNIQUE PARTICIPANTS AND OVER 6,500 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 FY24 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, AND COLORECTAL CANCER, BLOOD PRESSURE MANAGEMENT, KNOW YOUR NUMBERS, AND SUN SAFETY. ADDITIONALLY, HOSTED CANCER THRIVING AND SURVIVING, A SEVEN-WEEK EVIDENCE-BASED PROGRAM TO SUPPORT PARTICIPANTS IN THEIR ABILITY TO MANAGE THEIR HEALTH AND MAINTAIN AN ACTIVE AND FULLING LIFE. MORE THAN 300 PARTICIPANTS ATTENDED IN PERSON OR VIRTUALLY. COMMUNITY HEALTH EVENTS ASSISTED IN COORDINATING, SUPPORTING, AND PARTICIPATING IN THE COMPANEROS EN SALUD HEALTH FESTIVAL, AURORA AFRICAN AMERICAN HEALTH FAIR, WAUBONSEE COMMUNITY COLLEGE'S PRIDE PALOOZA, AURORA AREA INTERFAITH FOOD PANTRY COMMUNITY RESOURCE FAIR, FOX VALLEY COMMUNITY SERVICES HEALTH FAIR AND OVER 600 ATTENDEES. PARTICIPANTS RECEIVED HEALTH SCREENING, COMMUNITY RESOURCES AND HEALTH RELATED PRESENTATIONS FROM HEALTHCARE PROFESSIONALS. RUSH WALK FOR WELLNESS RUSH COPLEY HOSTED A SEVEN-WEEK WALKING PROGRAM, RUSH WALK FOR WELLNESS. THE PROGRAM'S GOAL WAS TO INCREASE PHYSICAL ACTIVITY AMONG PARTICIPANTS. EACH WEEK, THE PROGRAM INCREASED WALKING TIME UNTIL REACHING ONE HOUR BY WEEK SEVEN. EACH SESSION INCLUDES A BRIEF PRESENTATION FROM A HEALTHCARE PROFESSIONAL. THERE WERE 40 ATTENDEES THAT ATTENDED IN PERSON AND 405 THAT PARTICIPATED ACROSS RUSH. WEBSITE COPLEY MEMORIAL HOSPITAL'S WEBSITE, RUSHCOPLEY.COM, WITH TRANSLATION AVAILABLE INTO DOZENS OF LANGUAGES, OFFERS ACCESS TO FREE HEALTH INFORMATION. IN FY24, WWW.RUSH.EDU/RUSHCOPLEY HAD MORE THAN 133,221 SESSIONS. 330601122 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 294 0 true 2708 true false false false false false false false false false false true false X 18 15 true true true false true true true true true false false true true true true true true true true true true IL X JOHN DIEDERICH 6309784941 2000 OGDEN AVENUE AURORA IL 60504 Bruce W Dienst IMMDIATE PAST CHAIRMAN OF THE BOARD/DIRECTOR 1.0 3.0 X X 0 0 0 Christine Sobek CHAIRMAN OF THE BOARD/DIRECTOR 1.0 3.0 X X 0 0 0 John Diederich MA MBA FACHE President & CEO/Director 40.0 4.0 X X 1397127 0 44392 Trish Anen VICE CHAIRMAN OF THE BOARD/DIRECTOR 1.0 2.0 X X 0 0 0 Andrew VanEekeren END 923 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 Herbert Knight END 923 DIRECTOR 1.0 2.0 X 0 0 0 Jae B Joo MD CHIEF OF STAFF/DIRECTOR 40.0 2.0 X 642568 0 41864 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 END 923 DIRECTOR 1.0 2.0 X 0 0 0 Mark C Metzger DIRECTOR 1.0 2.0 X 0 0 0 Maryanne Locklin END 923 DIRECTOR 1.0 2.0 X 0 0 0 Maureen Strobl DIRECTOR 1.0 2.0 X 0 0 0 Michael Smith START 1023 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 Susana Rivera-Mills PhD START 1023 DIRECTOR 1.0 2.0 X 0 0 0 Syed Zaidi MD IMMEDIATE PAST CHIEF OF STAFF/DIRECTOR 40.0 2.0 X 797922 0 26550 Brenda Van Wyhe SR. VP FINANCE & CFO/TREASURER 40.0 3.0 X 1430687 0 34143 Ryan Asmus END 0224 VP GENERAL COUNSEL/SECRETARY 40.0 3.0 X 430209 0 544433 Abigail Hornbogen VP. PATIENT CARE & CNO 40.0 0 X 326704 0 71978 Alex Pope VP. PHILANTHROPY & CDO 1.0 40.0 X 347446 0 65617 David Petasnick ASSISTANT VP, ANCILLARY SVCS 40.0 0 X 291820 0 65206 Mary F Shilkaitis SR VP Operations & COO 40.0 1.0 X 576730 0 30288 Craig Weinstein MD PHYSICIAN 40.0 0 X 986179 0 37866 Guarav Shah MD PHYSICIAN 40.0 0 X 1087806 0 44392 Jonathan Huang MD PHYSICIAN 40.0 0 X 973293 0 32249 Jonathan L Tueting MD PHYSICIAN 40.0 0 X 1503303 0 41564 Mamata Alwarshetty MD PHYSICIAN 40.0 0 X 972323 0 30179 Brenda K Fann MD END 1222 FORMER ASSISTANT VP. MEDICAL AFFAIRS 0.0 0 X 211400 0 0 Steve B Lowenthal MD END 623 FORMER SR. VP MEDICAL AFFAIRS & CMO 0.0 0 X 653403 0 20500 12628920 0 1131221 421 true true false MEDICUS HEALTHCARE SOULTIONS 22 ROULSTON ROAD WINDHAM NH 03087 ANESTHESIA SERVICES 6619416 TRIMEDX PO BOX 636129 CINCINNATI OH 452636129 EQUIPMENT MAINTENANCE 4607927 SODEXO PO BOX 536922 ATLANTA GA 303536922 FOOD AND CLEANING SERVICES 4011744 GUARDIAN ANESTHESIA ASSOC 1690 DUNLAWTON AVENUE 130 PORT ORANGE FL 32127 ANESTHESIA SERVICES 3454896 DIVERSIFIED CLINICAL SERVICES 28525 NETWORK PLACE CHICAGO IL 606731285 MEDICAL SERVICES 1211672 31 8436297 2645925 11082222 NET PATIENT SVC REV 621110 380580344 380580344 MEDICAID TAX REVENUE 621110 44781837 44781837 OTHER PROGRAM REVENUE 900009 1045292 1045292 0 0 0 0 426407473 9364876 9364876 1534346 476605 1057741 0 1057741 1057741 557576348 26508 551421013 282429 6155335 -255921 5899414 5899414 OUTSIDE SERVICE REV 621990 3610770 3610770 GIFT SHOP REVENUE 453220 597959 597959 CAFETERIA REVENUE 621990 18823 18823 0 0 0 0 4227552 458039278 430018243 0 16938813 6775713 6775713 687938 687938 153443450 115112280 38331170 4194488 3145866 1048622 15781296 11835972 3945324 12402741 9302056 3100685 8146687 6110015 2036672 159522 159522 23874 23874 47387 47387 798897 798897 24110163 18082622 6027541 0 628146 628146 10072971 7554728 2518243 10656447 7992335 2664112 5208875 3906656 1302219 65908 49431 16477 130448 97836 32612 3526289 3526289 22761747 22761747 12676268 9507201 3169067 MEDICAL SUPPLIES 67495102 67495102 MEDICAID PROVIDER TAX 26365718 26365718 PURCHASED SERVICES 18623994 13967995 4655999 COLLECTION FEES 1230301 1230301 1928826 1928826 0 0 407943196 330601122 77342074 0 27455783 47071303 68266031 79549893 0 0 0 0 7354360 7813910 2347954 149451 517957218 307996268 209653896 209960950 342346836 358123529 0 0 4300885 4300885 380180081 446832755 1041905826 1153802676 124978095 132449958 120048234 116306734 0 0 144322186 177666582 389348515 426423274 X 642528125 717156604 10029186 10222798 652557311 727379402 1041905826 1153802676 X 50096082 23834215 891794 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 47387 47387 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. 20106408 4005257 17276384 0 8666026 0 32722023 15852351 4031948 1693594 0 1471485 0 20106408 16582486 3122324 -2444977 0 1407482 0 15852351 13390581 843098 3086208 737401 16582486 13022428 1342373 326685 1300905 13390581 0.789 0.135 0.076 false true true 19521890 19521890 298091752 164617937 133473815 5166475 4637494 528981 193301115 138740837 54560278 1875986 1875986 209960950 DUE FROM RELATED PARTIES 405376705 INVESTMENT IN AFFILIATES 21995326 MALPRACTICE GROSS UP 3320269 RIGHT OF USE ASSET 15550372 OTHER RECEIVABLES 590083 446832755 LONG TERM SERP 638782 LONG TERM MARKET ADJUST SWAP LIABILITY 2329106 DUE TO RELATED PARTY 159164907 UNAMORTIZED BOND DISCOUNT -484995 SHORT TERM/LONG TERM LEASE LIABILITY 16018782 COVID-19 MEDICARE ADVANCE LONG TERM DEFERRED RENT OBLIGATION 177666582 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 5983712 5983712 0.0147 107583019 79430867 28152152 0.0690 0 0.0 0 0 113566731 79430867 34135864 0.0837 87894 54838 33056 0.0001 6460661 1376301 5084360 0.0125 25269159 530972 24738187 0.0606 0 0.0 85353 85353 0.0002 0 0 31903067 1962111 29940956 0.0734 0 0 145469798 81392978 64076820 0.1571 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 28 22019 22019 0.0001 129049 12500 116549 0.0003 0 28 151068 12500 138568 0.0003 true 24147708 2414771 63538987 83746399 -20207412 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 24 IS THE SECOND 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 to 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) FY24 Community Health Implementation Plan 1. Access to Health Services: Leverage patient and community-driven data to advance health equity. * Initiation of a pilot program in Family Medicine Residency Clinic focused on data collection on Sexual Orientation and Gender Identity (SOGI) data collection. Clinicians received a two-part series educational workshop focused on the importance of SOGI data collection and how to establish process on data collection in the office setting. Non-clinical staff received training LGBTQ+ affirming care training. * Implementation of Rush Health Equity Strategic Plan * Diabetes education provided to 240 uninsured/underinsured patients * Hosted three community CPR and AED classes for community members to become certified in CPR and AED. Two sessions were hosted in Spanish and one in English, total of 57 community members participated. * 10 AED provided to non-for-profits in RCMC service area * Participate in local community health improvement collaboratives: o Kane Health Counts Executive Committee o Kane County Action Team Access to Health Services o Kane County Health Department Partners in Health Committee 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 to focus on reducing the misuse of opioids and opioid-related deaths. * Established partnership among Gateway Foundation and RUSH Copley Medical Center. A Gateway Engagement Specialist supports the Rush Copley's Emergency Services Department and in-patient departments to coordinate warm handoffs for substance abuse treatment centers and follow up with a recovery coach. This program launched in June of 2024. * The Association for Individual Development's Mental Crisis Response Team provided education to Rush Copley care management and medical group leadership and held another educational session specific to family medicine providers. * Developed partnership with Kane County Health Department to establish a naloxone dispensing machine in the emergency department waiting area. The program is set to launch in FY25. * 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. * Rush Copley hosted a seven-week walking program, Rush Walk for Wellness. The program's goal was to increase physical activity among participants. Each week, the program increased walking time until reaching one hour by week seven. There were 40 attendees that attended in person and 405 that participated across RUSH. * Continued 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. A bimonthly walking program open to the community and employees. * Parented with the Aurora Public Library to host an educational workshop focused on menstrual cycles, Period Party. The program was hosted three times with over 45 participants. * Rush Copley hosted Cancer Thriving and Surviving, a seven-week evidence-based program to support participants in their ability to manage their health and maintain an active and fulling life. * Continued engagement of the Alive Faith Network with three churches from the greater Aurora area participating in the Keeping it Movin' community-based research project. * Assisted in coordinating, supporting, and participating in the Companeros en Salud Health Festival, Aurora African American Health Fair, Waubonsee Community College's Pride Palooza, Aurora Area Interfaith Food Pantry Community Resource Fair, Fox Valley Community Services Health Fair and over 600 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. * Waterford Place Cancer Resource Center: Offered 40 programs per month in-person or hybrid with 750 unique participants and over 6,500 visits * Participate in local community health improvement collaboratives: o Kane Health Counts Executive Committee o Kane County Health Department Partners in Health Committee Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - COPLEY MEMORIAL HOSPITAL, INC. o Kane County Health Department's Action Team on Nutrition, Exercise, and Weight o Kendall County Interagency Council 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. In June of 2024 RUSH transitioned from NowPow to the Unite Us platform. A list of local resources generated by Unite Us based on patient's zip code and added to the patient's After Visit Summary. * Rush Copley screened 89.8% of in-patient patients for SDoH. * Will County Continuum of Care, 100 Day Challenge, focused on working on improving support to homeless community members in Will, Kendall, and Grundy counties. * Rush Copley Promise Pantry, a partnership between RUSH Copley and Loaves and Fishes Community Service provided 1,225 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 18,375 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. Additionally, 39 nurses volunteered across three local pantries with food distribution and stocking of food panty items. * 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 4 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 $24,738,187 costs from physician clinics. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance A cost account system was used to calculate the amounts reported in the table. A cost to charge ratio was utilized. The cost accounting system address all patient segments (Inpatient, Outpatient and Emergency Room, Private Insurance, Medicare, Medicaid, 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 understanding of the work performed in each area and how patients are cared for and treated. Hopefully this encourages some of the students to purse 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 2023 INSTRUCTIONS FOR SCHEDULE H, WORKSHEET 2. RATIO OF PATIENT CARE COST TO CHARGES FOR CMH. MEDICARE REVENUES AND COSTS WERE EXTRACTED FROM THE FY2024 AS-FILED MEDICARE COST REPORT. THERE IS A MEDICARE SURPLUS/SHORTFALL OF $20,207,412. SINCE THE IRS 2023 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 $25,430,882. 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). - 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 750625 0 179821 0 466681 0 11250 0 33142 0 1441519 0 0 0 Jae B Joo MD CHIEF OF STAFF/DIRECTOR 533929 0 105704 0 2935 0 11250 0 30614 0 684432 0 0 0 Syed Zaidi MD IMMEDIATE PAST CHIEF OF STAFF/DIRECTOR 583609 0 202409 0 11904 0 8250 0 18300 0 824472 0 0 0 Ryan Asmus END 0224 VP GENERAL COUNSEL/SECRETARY 355696 0 69012 0 5501 0 544433 0 0 0 974642 0 0 0 Brenda Van Wyhe SR. VP FINANCE & CFO/TREASURER 462292 0 105005 0 863390 0 11250 0 22893 0 1464830 0 167602 0 Brenda K Fann MD END 1222 FORMER ASSISTANT VP. MEDICAL AFFAIRS 13196 0 0 0 198204 0 0 0 0 0 211400 0 197952 0 Steve B Lowenthal MD END 623 FORMER SR. VP MEDICAL AFFAIRS & CMO 290753 0 0 0 362650 0 11570 0 8930 0 673903 0 0 0 Abigail Hornbogen VP. PATIENT CARE & CNO 269659 0 54107 0 2938 0 42162 0 29816 0 398682 0 0 0 David Petasnick ASSISTANT VP, ANCILLARY SVCS 241287 0 47982 0 2551 0 38590 0 26616 0 357026 0 0 0 Alex Pope VP. PHILANTHROPY & CDO 298755 0 43791 0 4900 0 38734 0 26883 0 413063 0 0 0 Mary F Shilkaitis SR VP Operations & COO 411235 0 93338 0 72157 0 6972 0 23316 0 607018 0 0 0 Jonathan L Tueting MD PHYSICIAN 853121 0 647064 0 3118 0 11250 0 30314 0 1544867 0 0 0 Guarav Shah MD PHYSICIAN 715924 0 362008 0 9874 0 11250 0 33142 0 1132198 0 0 0 Craig Weinstein MD PHYSICIAN 782789 0 198132 0 5258 0 11250 0 26616 0 1024045 0 0 0 Jonathan Huang MD PHYSICIAN 682828 0 283695 0 6770 0 4500 0 27749 0 1005542 0 0 0 Mamata Alwarshetty MD PHYSICIAN 667140 0 296987 0 8196 0 8746 0 21433 0 1002502 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 7 Non-fixed payments INCENTIVE BONUS PLAN BASED ON A SERIES OF APPROVED STRATEGIC ACCOMPLISHMENTS. Schedule J, Part I, Line 4a SEVERANCE OR CHANGE-OF-CONTROL PAYMENT RYAN ASMUS, VP GENERAL COUNSEL, SIGNED A $544,433 SEVERANCE AGREEMENT IN 2024 PAYABLE IN 2024 & 2025. BRENDA K FANN, ASSISTANT VP MEDICAL AFFAIRS, TERMED 12/22, RECEIVED A $197,952 SEVERANCE PER AGREEMENT SIGNED IN 2022 PAYABLE IN 2023. STEVE LOWENTHAL, MD, SR. VP MEDICAL STAFF AFFAIRS & CMO, TERMED 6/23, SIGNED A $816,192 SEVERANCE AGREEMENT IN 2023 PAYABLE IN 2023 & 2024. 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 2023 WERE AS FOLLOWS: BRENDA VAN WYHE - $853,818, JOHN DIEDERICH - $461,317, STEVE LOWENTHAL - $93,756, MARY SHILKAITIS - $61,974 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 13390000 105601668 824030 145 104777493 false true true true B 3838000 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 4 Significant changes to organizational documents The Copley Memorial Hospital Board of Directors (the "CMH Board") approved changes to the Bylaws that will work to align the CMH Board with best practices for governance, increase efficiencies, and streamline procedures. The over-arching goal is to empower the Rush University System for Health Board of Directors (the "System Board") and Subsidiary Boards for success as they continue to evolve to a more integrated Rush University System for Health. The Executive Summary of proposed CMH Board Governance changes are as follows: 1. Section 2.2 was added to each entity's bylaws and itemizes the RCMC Board's Reserved Powers since RCMC is the sole corporate member of each entity; 2. Removed all references to the Audit and Corporate Integrity and Finance Committees in each entity's bylaws as those are committees of the Rush University System for Health Board, operating to provide oversight of those functions for the entire Rush System; added Section 5.1 to allow for ad hoc or special committees, if needed; 3. Section 3.1 was amended to remove the itemized list of General Powers; 4. As CMH has the same Directors as the RCMC Board, Section 3.2 was amended to reflect the board composition and terms found in the amended RCMC Bylaws. 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 The CMH Board shall consist of not less than fifteen (15) nor more than twenty (20) voting CMH Directors, selected from among the RUSH System Trustees, as determined from time to time, by majority vote of the RCMC Board, subject to approval by the RUSH System Board. The Corporation's Chief Executive Officer shall serve as an adviser to the CMH Board. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The following rights and powers are reserved to the Member (collectively, the "Reserved Powers"), which shall be effectuated through the action of the Member's board of directors on its own action or through its committees as set forth in the Member's amended and restated articles of incorporation or the Member Bylaws: (1) Recommend annual operating and capital budgets and long-term financial plans and capital priorities of the Corporation to the RUSH System Board for approval; (2) Annually review the performance, compensation and terms of employment of the Corporation's Chief Executive Officer; (3) Approve credentialing of medical staff and quality of care policies and procedures applicable to the Corporation; (4) Approve fundraising goals and policies of the Corporation; (5) During the Transitional Period (as defined in the RUSH System Bylaws), nominate three (3) individuals, including the RCMC Chairperson, to the RUSH System Board, subject to approval by the RUSH System Board; (6) Recommend nominees for membership to the RCMC Board, subject to approval by the RUSH System Board, and appoint the members, chairpersons, and vice-chairpersons of the RCMC Committees; (7) Recommend nominees for membership to the RUSH System Committees, RUSH System Trustees Advisory Body, and RUSH Councils, subject to approval by the RUSH System Board; (8) Recommend amendments to the RCMC Bylaws, subject to approval by the RUSH System Board, and to the RCMC committee charters; (9) Review and approve the Corporation's community benefit plans and monitor the same; (10) Monitor the Corporation's Investments; and (11) Monitor the Corporation's strategic plan. 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 - 193614; SWAP VALUE ADJUSTMENT - 698180; 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 MEDICAL GROUP 1700 WEST VAN BUREN STR SUITE 301 CHICAGO IL 60612 991940690 HEALTHCARE IL 501(c)(3) 10 RUSH SYSTEM FOR HEALTH 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 320378 15960769 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 637604 FAIR MARKET VALUE RUSH COPLEY FOUNDATION C 8436297 FAIR MARKET VALUE COPLEY VENTURES INC M 582000 FAIR MARKET VALUE COPLEY VENTURES INC R 84120 FMV - RENTS RUSH UNIVERSITY MEDICAL CENTER J 421832 FAIR MARKET VALUE RUSH UNIVERSITY MEDICAL CENTER P 5725008 FAIR MARKET VALUE RUSH COPLEY FOUNDATION S 642853 FAIR MARKET VALUE RUSH HEALTH M 1766360 FAIR MARKET VALUE RUSH HEALTH P 1637545 FAIR MARKET VALUE RUSH HEALTH P 149450 FAIR MARKET VALUE RUSH HEALTH S 3425903 FAIR MARKET VALUE RUSH UNIVERSITY SYSTEM FOR HEALTH M 23078239 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