2020-05-15T17:27:09-05:00 2019-06-30 861065772 DELOITTE TAX LLP 50 S 6TH ST SUITE 2800 MINNEAPOLIS MN 554021844 990 2018-07-01 363093877 RUSH COPLEY FOUNDATION RUSH 6309786200 2000 OGDEN AVENUE AURORA IL 605044206 BRENDA VAN WYHE CFO 6309786200 2020-05-15 1 KRISTINA RASMUSSEN P00143920 6123974000 67.171.79.95 2020-05-15 10:39:47 ED P A1865E649F20A2FC5F1D4FB803686F03B43497F6 92426507D63AB8DCB9F8A2EED31D9394E8F3722B 2018 2020-09-23 17:36:50Z BARRY FINN 2000 OGDEN AVENUE AURORA IL 605044206 7141061 0 X WWW.RUSHCOPLEY.COM X 1980 IL INSPIRING PHILANTHROPIC SUPPORT TO BENEFIT COPLEY HOSPITAL AND THE COMMUNITY. 20 17 0 50 0 0 1314472 1732350 0 0 870958 1698936 39624 3299 2225054 3434585 1098352 1269838 0 0 196916 192600 0 0 0 285137 230321 1580405 1692759 644649 1741826 33028722 36028884 8766247 10100556 24262475 25928328 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 1269838 1269838 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. 1269838 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 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 20 17 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 CATI CEDEROTH DIRECTOR 1.00 2.00 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 42.00 X 0 323036 51733 STEPHEN KELANIC MD IMMEDIATE PAST CHIEF OF STAFF/DIRECTOR 1.00 42.00 X 0 472911 50233 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 METZGER DIRECTOR 1.00 2.00 X 0 0 0 AVERY MILLER DIRECTOR 1.00 2.00 X 0 0 0 MICHAEL NUYLES DO VICE CHIEF OF STAFF/DIR (BEG 1/19) 1.00 2.00 X 0 0 0 LUIS PEREZ DIRECTOR 1.00 2.00 X 0 0 0 CHRISTINE SOBEK DIRECTOR 1.00 2.00 X 0 0 0 WILLIAM SKOGLUND VICE CHAIRMAN OF THE BOARD 1.00 2.00 X 0 0 0 ANDREW VANEEKEREN DIRECTOR 1.00 2.00 X 0 0 0 BRUCE DIENST CHAIRMAN OF THE BOARD/DIRECTOR 1.00 2.00 X X 0 0 0 BARRY FINN PRESIDENT & CEO 1.00 42.00 X X 0 1678745 79203 RYAN ASMUS VP GENERAL COUNSEL/SECRETARY 1.00 42.00 X 0 369659 109220 BRENDA VAN WYHE SR. VP FINANCE & CFO/TREASURER 1.00 42.00 X 0 456643 97735 ALEX POPE VP. PHILATHROPY & CDO 40.00 1.00 X 0 292905 63245 0 3593899 451369 0 0 1 0 0 263760 156152 1312438 1732350 754075 754075 4384599 3439738 944861 944861 944861 267437 263760 266588 849 849 2600 150 2450 2450 3434585 0 0 1702235 1101017 1101017 168821 168821 154080 154080 38520 38520 28350 28350 34543 34543 51231 51231 914 914 PURCHASED SERVICES 74082 74082 NEWSLETTER ANNL REPORT 36564 36564 BANK FEES/CREDIT CARDS 4627 4627 PRINTING & PUBLICATIONS 10 10 1692759 1269838 422921 0 108219 100000 4352876 9878009 28264257 25716505 303370 334370 33028722 36028884 85751 120809 13900 8645438 10000905 8766247 10100556 X 12293177 12905899 3665375 4682506 8303923 8339923 24262475 25928328 33028722 36028884 1741826 -75973 0 X X 0 1 X 1 0 X 1918420 1108656 687067 1314472 1732350 6760965 1918420 1108656 687067 1314472 1732350 6760965 850062 5910903 692808 655102 628260 677466 754075 3407711 122655 187996 194658 175366 270037 950712 11119388 0.53160 0.54000 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: GROSS FUNDRAISING INCOME - 2014 AMOUNT: $ 122,655. 2015 AMOUNT: $ 187,996. 2016 AMOUNT: $ 194,658. 2017 AMOUNT: $ 175,366. 2018 AMOUNT: $ 270,037. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11969298 1771314 806654 1524838 13022428 11691205 1193365 662110 1577382 11969298 10975986 2004750 512030 1801561 11691205 12538872 1093070 104565 2760521 10975986 11931067 2373022 204733 1969950 12538872 0.29000 0.62000 0.09000 0 0 0 DUE TO AFFILIATES 10000905 10000905 X 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. PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE CORPORATION, THE HOSPITAL, VENTURES AND THE FOUNDATION ARE QUALIFIED AS TAX-EXEMPT ORGANIZATIONS UNDER INTERNAL REVENUE CODE SECTION 501(C)(3); ACCORDINGLY, INCOME TAXES ARE NOT PROVIDED FOR IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE MEDICAL GROUP OPERATES AS A TAXABLE CORPORATION AND ACCOUNTS FOR INCOME TAXES UNDER FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740. NO PROVISION FOR INCOME TAXES WAS RECORDED FOR 2019 AND 2018 DUE TO OPERATING LOSSES. AS OF JUNE 30, 2019, THE MEDICAL GROUP HAD NET OPERATING LOSS CARRYFORWARDS OF APPROXIMATELY $117,480,000 FOR INCOME TAX PURPOSES THAT ARE AVAILABLE TO OFFSET FUTURE TAXABLE INCOME. THESE CARRYFORWARDS HAVE NOT BEEN UTILIZED AND BEGAN EXPIRING IN 2019. BASED ON THE UNCERTAIN REALIZATION OF THESE CARRYFORWARDS, A VALUATION ALLOWANCE HAS BEEN RECORDED TO FULLY RESERVE THESE CARRYFORWARDS. RICH HARVEST CLASSIC 365382 173970 191412 160370 22929 GALA 153793 85885 67908 73469 2 12022 3905 8117 9820 531197 263760 267437 160370 106218 266588 849 0 COPLEY MEMORIAL HOSPITAL INC 2000 OGDEN AVENUE AURORA IL 60504 362170840 501(C)(3) 1057724 TO SUPPORT CAPITAL PURCHASES, OPERATIONS, AND FUTURE COMMUNITY PROGRAMS. VNA HEALTH CARE 400 NORTH HIGHLAND AVENUE AURORA IL 60506 362182095 501(C)(3) 43293 SUPPORT FOR HEART CLINIC. 2 0 NURSING SCHOLARSHIPS TO RUSH COPLEY NURSES 22 64000 N/A N/A VARIOUS COMMUNITY PROGRAMS 8750 104821 N/A N/A PART I, LINE 2: THE ORGANIZATION MOSTLY PROVIDES GRANTS TO RELATED TAX EXEMPT ORGANIZATIONS AND THEREFORE DOES NOT MONITOR THE USE OF GRANTS TO THESE ORGANIZATIONS. FOR FUNDS PROVIDED TO NON-AFFILIATED ORGANIZATIONS, THE ORGANIZATION OBTAINS AN UNDERSTANDING FROM THE RECIPIENT OUTLINING THE USE OF THE FUNDS PRIOR TO RELEASING THE MONEY. 0 1 0 0 0 0 0 0 0 GARRETT KATULA DO CHIEF OF STAFF/DIRECTOR 0 217273 0 104759 0 1004 0 18500 0 33233 0 374769 0 0 STEPHEN KELANIC MD IMMEDIATE PAST CHIEF OF STAFF/DIRECT 0 334271 0 137122 0 1518 0 18500 0 31733 0 523144 0 0 BARRY FINN PRESIDENT & CEO 0 777491 0 254232 0 647022 0 43000 0 36203 0 1757948 0 0 RYAN ASMUS VP GENERAL COUNSEL/SECRETARY 0 287461 0 80126 0 2072 0 81304 0 27916 0 478879 0 0 BRENDA VAN WYHE SR. VP FINANCE & CFO/TREASURER 0 361517 0 91020 0 4106 0 76629 0 21106 0 554378 0 0 ALEX POPE VP. PHILATHROPY & CDO 0 240247 0 51412 0 1246 0 32679 0 30566 0 356150 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 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 2018 OF $641,520. 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 HOSPTIAL 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 PROP., INFIRMARY CARE, 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 CHICAGO IL 60304 362255350 HOSPITAL SUPPORT IL 501(C)(3) LINE 12A RUSH OAK PARK HOSPITAL 1 CIRCLE IMAGING PARTNERS LP 1725 W HARRISON STREET CHICAGO IL 60612 363539382 OPERATION IMAGING IL N/A RUSH SURGICENTER AT THE PROFESSIONAL BUILDING LP 1725 W HARRISON STREET CHICAGO IL 60612 363853026 SURGERY CENTER IL N/A RUSH COPLEY CARDIOVASCULAR LLC 2000 OGDEN AVENUE AURORA IL 60504 273234201 CARDIOVASCULAR MEDICINE IL N/A RUSH COPLEY SURGICENTER LLC 2000 OGDEN AVENUE AURORA IL 60504 384012268 MEDICAL SERVICES IL N/A RUSH COPLEY ORTHOPEDICS LLC 2000 OGDEN AVENUE AURORA IL 60504 611801175 MEDICAL SERVICES IL N/A RUSH COPLEY HOSPITALISTS LLC 2000 OGDEN AVENUE 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 0 0 1 0 0 0 COPLEY MEMORIAL HOSPITAL INC B 1057724 FAIR MARKET VALUE COPLEY MEMORIAL HOSPITAL INC P 922036 FAIR MARKET VALUE