2021-05-17T14:41:28-05:00 2020-06-30 861065772 DELOITTE TAX LLP 50 S 6TH ST SUITE 2800 MINNEAPOLIS MN 554021844 990 2019-07-01 363093877 RUSH COPLEY FOUNDATION RUSH 6309786200 2000 OGDEN AVENUE AURORA IL 605044206 BRENDA VAN WYHE SENIOR VP OF FINANCE AND CFO 6309786200 2021-05-17 1 KRISTINA RASMUSSEN P00143920 6123974000 2019 2022-09-23 18:48:47Z JOHN DIEDERICH 2000 OGDEN AVENUE AURORA IL 605044206 19787414 0 X WWW.RUSHCOPLEY.COM X 1980 IL INSPIRING PHILANTHROPIC SUPPORT TO BENEFIT COPLEY HOSPITAL AND THE COMMUNITY. 19 16 0 50 0 0 1732350 912181 0 0 1698936 5994704 3299 38144 3434585 6945029 1269838 1050905 0 0 192600 174260 0 0 0 230321 363864 1692759 1589029 1741826 5356000 36028884 37975929 10100556 11651708 25928328 26324221 X TO INSPIRE PHILANTHROPIC SUPPORT FOR RUSH COPLEY MEDICAL CENTER AND OTHER RELATED/CONTROLLED EXEMPT ENTITIES TO ADVANCE HEALTHCARE AND HEALTH TO THE COMMUNITY WE SERVE. 0 0 1050905 1050905 6945029 RUSH COPLEY FOUNDATION ("RCF") SOLICITS CONTRIBUTIONS TO SUPPORT HEALTHCARE ACTIVITIES IN THE AURORA, IL AREA INCLUDING, BUT NOT LIMITED TO, THOSE OF COPLEY MEMORIAL HOSPITAL. RCF FOCUSES ON SUPPORTING PROGRAMS WHICH PROVIDE OR IMPROVE: ACCESS TO CARE, PATIENT & COMMUNITY EDUCATION, TRAINING FOR OUR HEALTH PROFESSIONALS AND PATIENT CARE IMPROVEMENT AT RUSH COPLEY MEDICAL CENTER, INC. (RCMC) EXAMPLES OF PROGRAMS COMPLETELY SUPPORTED BY RCF INCLUDE WATERFORD PLACE CENTER RESOURCE CENTER, A MOVEMENT DISORDERS PROGRAM AND THE FOX VALLEY HEART FUND. RCMC IS PROUD TO OFFER THESE PROGRAMS FREE OF CHARGE TO PATIENTS AND PARTICIPANTS. RCF SOLICITS AND RECEIVES GIFTS AND CONTRIBUTIONS FOR AND ON BEHALF OF RCMC AND OTHER CHARITABLE ORGANIZATIONS EXEMPT FROM TAXATION UNDER SECTIONS 501(A) OR 501(C)(3) OF THE INTERNAL REVENUE CODE CONTROLLED BY OR AFFILIATED WITH RCMC; AND TO SUPPORT THE CHARITABLE PROGRAMS AND ACTIVITIES OF SUCH ORGANIZATIONS THROUGH EXPENDITURE OF SUCH FUNDS RECEIVED. 1050905 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 19 16 1 0 0 0 1 1 1 1 1 0 0 1 0 1 1 0 0 0 IL X BRENDA VAN WYHE 6309786200 2000 OGDEN AVE AURORA IL 605044206 TRISH ANEN DIRECTOR 1.00 2.00 X 0 0 0 JAMES BAKA DIRECTOR 1.00 2.00 X 0 0 0 PATRICK CARMODY DIRECTOR 1.00 2.00 X 0 0 0 CATHERINE CEDEROTH DIRECTOR 1.00 3.00 X 0 0 0 RICHARD EDELMAN DIRECTOR 1.00 2.00 X 0 0 0 RONALD HEM DIRECTOR 1.00 2.00 X 0 0 0 GARRETT KATULA DO CHIEF OF STAFF/DIRECTOR 1.00 41.00 X 0 338661 49647 STEPHEN KELANIC MD IMMEDIATE PAST CHIEF OF STAFF/DIRECTOR 1.00 41.00 X 0 474251 53291 HERBERT KNIGHT DIRECTOR 1.00 2.00 X 0 0 0 MARYANNE LOCKLIN DIRECTOR 1.00 2.00 X 0 0 0 DAVE MEAD DIRECTOR 1.00 2.00 X 0 0 0 MARK C METZGER DIRECTOR 1.00 4.00 X 0 0 0 MICHAEL NUYLES DO VICE CHIEF OF STAFF/DIRECTOR 1.00 2.00 X 0 0 0 LUIS PEREZ DIRECTOR 1.00 2.00 X 0 0 0 WILLIAM SKOGLUND VICE CHAIRMAN OF THE BOARD 1.00 2.00 X 0 0 0 CHRISTINE SOBEK DIRECTOR 1.00 1.00 X 0 0 0 ANDREW VANEEKEREN DIRECTOR 1.00 2.00 X 0 0 0 JOHN DIEDERICH PRESIDENT & CEO (BEG 11/19)/DIRECTOR(BEG 11/19) 1.00 42.00 X X 0 474489 71940 BRUCE W DIENST CHAIRMAN OF THE BOARD/DIRECTOR 1.00 4.00 X X 0 0 0 BARRY FINN PRESIDENT & CEO (END 11/19) 1.00 43.00 X X 0 1399755 72094 RYAN ASMUS VP GENERAL COUNSEL/SECRETARY 1.00 42.00 X 0 308072 74239 BRENDA VAN WYHE SR. VP FINANCE & CFO/TREASURER 1.00 42.00 X 0 389525 51718 ALEX POPE VP. PHILATHROPY & CDO 40.00 1.00 X 0 265449 32939 0 3650202 405868 0 0 1 0 0 22992 118695 770494 39027 912181 585390 585390 18221420 12812106 5409314 5409314 5409314 66729 22992 30279 36450 36450 1694 0 1694 1694 6945029 0 0 6032848 955510 955510 95395 95395 141675 141675 32585 32585 7212 7212 25140 25140 43890 43890 13757 13757 37236 37236 GIFTS IN KIND 111552 111552 PURCHASED SERVICES 98287 98287 NEWSLETTER ANNL REPORT 24910 24910 BANK FEES/CREDIT CARDS 1781 1781 99 99 1589029 1050905 538124 0 100000 100000 9878009 10615456 25716505 26751103 334370 509370 36028884 37975929 85751 13900 16240 10000905 11635468 10100556 11651708 X 13439460 13467200 12488868 12857021 25928328 26324221 36028884 37975929 5356000 -4960107 0 X X 0 1 X 1 0 X 1108656 687067 1314472 1732350 912181 5754726 1108656 687067 1314472 1732350 912181 5754726 98899 5655827 655102 628260 677466 754075 585390 3300293 187996 194658 175366 270037 68423 896480 9951499 0.56830 0.53160 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: GROSS FUNDRAISING INCOME - 2015 AMOUNT: $ 187,996. 2016 AMOUNT: $ 194,658. 2017 AMOUNT: $ 175,366. 2018 AMOUNT: $ 270,037. 2019 AMOUNT: $ 68,423. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13022428 1342373 326685 1300905 13390581 11969298 1771314 806654 1524838 13022428 11691205 1193365 662110 1577382 11969298 10975986 2004750 512030 1801561 11691205 12538872 1093070 104565 2760521 10975986 0.29000 0.60000 0.11000 0 0 0 DUE TO AFFILIATES 11635468 11635468 PART V, LINE 4: 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), AND WATERFORD PLACE (INCOME FOR CMH CANCER RESOURCE CENTER) ENDOWMENTS. THESE FUNDS ARE HELD FOR THE BENEFIT OF COPLEY MEMORIAL HOSPITAL. ROCK THE HEART 48909 48909 13462 RICH HARVEST CLASSIC 31970 18250 13720 10967 2 8842 4742 4100 5850 89721 22992 66729 30279 30279 36450 1 COPLEY MEMORIAL HOSPITAL INC 2000 OGDEN AVENUE AURORA IL 60504 362170840 501(C)(3) 945510 TO SUPPORT CAPITAL PURCHASES, OPERATIONS, AND FUTURE COMMUNITY PROGRAMS. VNA HEALTH CARE 400 NORTH HIGHLAND AVENUE AURORA IL 60506 362182095 501(C)(3) 10000 SUPPORT FOR HEART CLINIC. 2 0 NURSING SCHOLARSHIPS TO RUSH COPLEY NURSES 12 48667 N/A N/A VARIOUS COMMUNITY PROGRAMS 1100 46728 N/A N/A PART I, LINE 2: RUSH COPLEY FOUNDATION HAS AN EVENT AND GRANTS MANAGER POSITION AND SOFTWARE IN PLACE TO MANAGE THE ALL GRANT PROCESSES, INCLUDING ELIGIBILITY AND OTHER SELECTION CRITERIA. 1 1 0 0 0 0 0 0 0 GARRETT KATULA DO CHIEF OF STAFF/DIRECTOR 0 260514 0 75832 0 2315 0 25000 0 24647 0 388308 0 0 STEPHEN KELANIC MD IMMEDIATE PAST CHIEF OF STAFF/DIRECT 0 389296 0 83437 0 1518 0 19000 0 34291 0 527542 0 0 JOHN DIEDERICH PRESIDENT & CEO (BEG 11/19)/DIRECTOR 0 472077 0 0 0 2412 0 40200 0 31740 0 546429 0 0 BARRY FINN PRESIDENT & CEO (END 11/19) 0 697817 0 0 0 701938 0 43000 0 29094 0 1471849 0 0 RYAN ASMUS VP GENERAL COUNSEL/SECRETARY 0 304037 0 0 0 4035 0 44000 0 30239 0 382311 0 0 BRENDA VAN WYHE SR. VP FINANCE & CFO/TREASURER 0 384495 0 0 0 5030 0 27750 0 23968 0 441243 0 0 ALEX POPE VP. PHILATHROPY & CDO 0 264093 0 0 0 1356 0 0 0 32939 0 298388 0 0 PART I, LINE 3 THE FOLLOWING METHODS ARE USED BY COPLEY MEMORIAL HOSPITAL, INC., A RELATED ORGANIZATION OF RUSH COPLEY MEDICAL CENTER, TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4A: BARRY FINN RECEIVED A SEVERANCE PAYMENT OF $39,220 IN 2019. PART I, LINE 4B: CMH OFFERS A SUPPLEMENTAL RETIREMENT 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 SUBSTANTIAL RISK OF FORFEITURE UNTIL INDIVIDUALS MEET THE REQUIRED VESTING PERIOD. ONCE VESTED, PAYOUTS WOULD BE INCLUDED AS REPORTABLE COMPENSATION ON THE RECIPIENTS ANNUAL FORM W-2. BARRY FINN RECEIVED PAYMENTS IN 2019 OF $618,988. PART III: VOLUNTARY LEADERSHIP PAY REDUCTIONS IN AN EFFORT TO PRESERVE RUSH'S FINANCIAL VIABILITY AMID THE UNPARALLELED FINANCIAL CHALLENGES RESULTING FROM THE SIGNIFICANT REDUCTION OF NON-EMERGENT SURGERY AND THE COSTS OF HANDLING THE COVID-19 PANDEMIC, RUSH TOOK A MEASURED AND BALANCED APPROACH IN IMPLEMENTING COST CONTAINMENT INITIATIVES AND SOLUTIONS ACROSS THE SYSTEM. IN APRIL OF 2020, SOME OF THE LEADERSHIP OF THE RUSH COPLEY MEDICAL CENTER TOOK VOLUNTARY PAY REDUCTIONS. X 5250 COST/SELLING PRICE X 6871 REPLACEMENTS COST X GOLF FACILITIES FOR DINNER 0 14156 COST/SELLING PRICE X TOYS 0 12750 COST/SELLING PRICE 0 1 0 PART I, COLUMN (B): ITEMS REPORTED AT COST OR FAIR MARKET VALUE. FORM 990, PART VI, SECTION A, LINE 2 MANY OF THE PERSONS LISTED ON PART VII HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF THEIR EMPLOYMENT AND/OR SITTING ON RELATED RUSH COPLEY MEDICAL CENTER ENTITY BOARDS. FORM 990, PART VI, SECTION A, LINE 6 RUSH COPLEY MEDICAL CENTER, INC. ("RCMC") IS THE SOLE CORPORATE MEMBER OF COPLEY MEMORIAL HOSPITAL, INC. ("CMH"), RUSH COPLEY MEDICAL GROUP, NFP ("RCMG"), COPLEY VENTURES, INC. ("CV"), AND RUSH COPLEY FOUNDATION ("RCF"). FORM 990, PART VI, SECTION A, LINE 7A RUSH COPLEY FOUNDATION'S BOARD OF DIRECTORS ARE ELECTED BY THE GOVERNING BOARD OF RUSH COPLEY FOUNDATION'S SOLE CORPORATE MEMBER, RUSH COPLEY MEDICAL CENTER, INC., AT THE ANNUAL MEETING OF THE GOVERNING BOARD OF RUSH COPLEY MEDICAL CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7B THE PRESIDENT OF RUSH COPLEY FOUNDATION IS THE CEO OF RUSH COPLEY FOUNDATION'S SOLE CORPORATE MEMBER, RUSH COPLEY MEDICAL CENTER, INC. ANY REPEAL OR AMENDMENTS TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF RUSH COPLEY FOUNDATION REQUIRES APPROVAL OF RUSH COPLEY FOUNDATION'S SOLE CORPORATE MEMBER, RUSH COPLEY MEDICAL CENTER, INC. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY OUR EXTERNAL TAX ADVISOR WITH DATA PROVIDED BY OUR ORGANIZATION. A DRAFT OF THE FORM 990 IS PROVIDED TO MANAGEMENT FOR REVIEW AND COMMENT. THE BOARD OF DIRECTORS IS PROVIDED WITH AN APPROVED COPY OF THE FORM 990 BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12 ANNUALLY, OFFICERS AND DIRECTORS OF RUSH COPLEY FOUNDATION ARE REQUIRED TO DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED AND REVIEWED BY THE CHIEF COMPLIANCE OFFICER AND THE AUDIT AND CORPORATE INTEGRITY COMMITTEE OF THE BOARD. THOSE KEY PERSONNEL WITH CONFLICTS ARE ADVISED TO RECUSE THEMSELVES FROM PARTICIPATING IN DECISION MAKING RELATED TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE CEO/VPS OF THE ORGANIZATION AND KEY SENIOR MANAGEMENT ARE COMPENSATED BY COPLEY MEMORIAL HOSPITAL. COPLEY MEMORIAL HOSPITAL FOLLOWS A COMPENSATION APPROVAL PROCEDURE ANNUALLY THAT INVOLVES APPROVAL OF PROPOSED AND FINAL COMPENSATION ARRANGEMENTS BY ITS COMPENSATION COMMITTEE AND FULL BOARD OF DIRECTORS USING COMPARABILITY DATA, AS WELL AS CONTEMPORANEOUS DOCUMENTATION OF COMPENSATION DECISIONS IN MINUTES. FORM 990, PART VI, SECTION C, LINE 19 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. FORM 990, PART XII, LINE 2A & 2B ALTHOUGH THE ORGANIZATION DOES NOT RECEIVE STANDALONE GAAP FINANCIAL STATEMENTS, IT DOES RECEIVE ANNUAL CONSOLIDATED FINANCIAL STATEMENTS PREPARED IN ACCORDANCE WITH GAAP THAT HAVE BEEN AUDITED BY INDEPENDENT AUDITORS. COPLEY MEMORIAL HOSPITAL INC 2000 OGDEN AVENUE AURORA IL 60504 362170840 HOSPITAL IL 501(C)(3) LINE 3 RUSH COPLEY MEDICAL CENTER INC 1 RUSH COPLEY MEDICAL CENTER INC 2000 OGDEN AVENUE AURORA IL 60504 363193787 PARENT COMPANY IL 501(C)(3) LINE 12B RUSH SYSTEM FOR HEALTH 1 COPLEY VENTURES INC 2000 OGDEN AVENUE AURORA IL 60504 363370216 RENTAL PROPERTY, INFIRMARY CARE AND HEALTHPLEX FITNESS CENTER IL 501(C)(3) LINE 3 RUSH COPLEY MEDICAL CENTER INC 1 RUSH UNIVERSITY MEDICAL CENTER 1700 WEST VAN BUREN STREET CHICAGO IL 60612 362174823 HEALTHCARE IL 501(C)(3) LINE 3 RUSH SYSTEM FOR HEALTH 1 RUSH SYSTEM FOR HEALTH 1725 W HARRISON STREET CHICAGO IL 60612 364046278 HEALTHCARE IL 501(C)(3) LINE 12A N/A 0 RUSH OAK PARK HOSPITAL INC 520 S MAPLE AVENUE OAK PARK IL 60304 362183812 HEALTHCARE IL 501(C)(3) LINE 3 RUSH UNIVERSITY MEDICAL CENTER INC 1 AMENDED & RESTATED GENERAL MALPRACTICE & WORKER'S COMP 1700 WEST VAN BUREN STREET CHICAGO IL 60612 366673233 HEALTHCARE INSURANCE IL 501(C)(3) LINE 12C RUSH UNIVERSITY MEDICAL CENTER INC 1 AUXILIARY OF RUSH OAK PARK HOSPITAL 520 S MAPLE AVENUE OAK PARK IL 60304 362255350 HOSPITAL SUPPORT IL 501(C)(3) LINE 12A RUSH OAK PARK HOSPITAL 1 CIRCLE IMAGING PARTNERS LP 1725 W HARRISON ST CHICAGO IL 60612 363539382 OPERATION IMAGING IL N/A RUSH SURGICENTER AT THE PROFESSIONAL BUILDING LP 1725 W HARRISON ST CHICAGO IL 60612 363853026 SURGERY CENTER IL N/A RUSH COPLEY CARDIOVASCULAR CONSULTANTS LLC 2000 OGDEN AVE AURORA IL 60504 273234201 CARDIOVASCULAR MEDICINE IL N/A RUSH COPLEY SURGICENTER LLC 2000 OGDEN AVE AURORA IL 60504 384012268 MEDICAL SERVICES IL N/A RUSH COPLEY ORTHOPEDICS LLC 2000 OGDEN AVE AURORA IL 60504 611801175 MEDICAL SERVICES IL N/A RUSH COPLEY HOSPITALISTS LLC 2000 OGDEN AVE AURORA IL 60504 611787188 MEDICAL SERVICES IL N/A RUSH UNIVERSITY MEDICAL CENTER INSURANCE CO LTD PO BOX 1051 GRAND CAYMAN CJ INSURANCE CJ N/A C 0 RUSH COPLEY MEDICAL GROUP NFP 2000 OGDEN AVENUE AURORA IL 60504 363235315 PHYSICIAN PRACTICES IL N/A C 0 ROOM FIVE HUNDRED 1725 HARRISON STREET CHICAGO IL 60612 237139832 DINING ROOM IL N/A C 0 RUSH UNIVERSITY MEDICAL CENTER MASTER RETIREMENT TRUST 1700 W VAN BUREN STREET CHICAGO IL 60612 912043520 PENSION TRUST IL N/A T 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 COPLEY MEMORIAL HOSPITAL INC B 945510 FAIR MARKET VALUE COPLEY MEMORIAL HOSPITAL INC P 567714 FAIR MARKET VALUE