COPLEY MEMORIAL HOSPITAL INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- COPLEY MEMORIAL HOSPITAL INC (EIN 36-2170840)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-15
- IRS object ID
- 201921359349313567
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-15T18:26:33-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 S 6TH STREET SUITE 2800 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 554021844 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362170840 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COPLEY MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Business Name Line2 | C/O RUSH COPLEY MEDICAL CTR | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COPL | BusinessNameControlTxt |
| Phone | 6309786200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 OGDEN AVENUE | AddressLine1Txt |
| City | AURORA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 605044206 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRENDA VANWYHE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6309786200 | PhoneNum |
| Signature | 2019-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KRISTINA RASMUSSEN | PreparerPersonNm |
| PTIN | P00143920 | PTIN |
| Phone | 6123974000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 71.195.91.55 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-15 | IPDt |
| IP Tm | 14:42:13 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | C9ED19D146748CAC02A1A8999E376782BC08CAB7 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | D6D028B83EC7BAE48696A0FE418AC7215527A94E | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Initial Return | Yes (X) | InitialReturnInd |
| Principal Officer | BARRY FINN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 OGDEN AVENUE | AddressLine1Txt |
| City | AURORA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 605044206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $332,213,210 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.RUSHCOPLEY.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1886 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE ADVANCED MEDICINE WITH QUALITY OUTCOMES AND EXTRAORDINARY CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 2272 | TotalEmployeeCnt |
| Total Volunteers | 340 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $42,376 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,184,698 | PYContributionsGrantsAmt |
| CY Contributions Grants | $940,320 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $305,721,600 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $305,059,403 | CYProgramServiceRevenueAmt |
| PY Investment Income | $11,311,285 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,835,156 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,263,860 | PYOtherRevenueAmt |
| CY Other Revenue | $1,457,569 | CYOtherRevenueAmt |
| PY Total Revenue | $321,481,443 | PYTotalRevenueAmt |
| CY Total Revenue | $317,292,448 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $37,187 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $20,551 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $141,773,145 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $142,023,489 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $140,580,195 | PYOtherExpensesAmt |
| CY Other Expenses | $141,021,217 | CYOtherExpensesAmt |
| PY Total Expenses | $282,390,527 | PYTotalExpensesAmt |
| CY Total Expenses | $283,065,257 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $39,090,916 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $34,227,191 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $582,894,855 | TotalAssetsBOYAmt |
| Total Assets EOY | $636,915,894 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $266,830,962 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $275,843,333 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $316,063,893 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $361,072,561 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF RUSH COPLEY IS TO PROVIDE ADVANCED MEDICINE WITH QUALITY OUTCOMES AND EXTRAORDINARY CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $224,155,520 | ExpenseAmt |
| Grant | $20,551 | GrantAmt |
| Revenue | $306,334,760 | RevenueAmt |
| Desc | 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. IN FY2018, 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 EDUCATIONAL PROGRAMS RANGING FROM HAND HYGIENE EDUCATION AIMED AT PRESCHOOL AND PRIMARY GRADE SCHOOL AGED CHILDREN TO ANNUAL SEMINARS EDUCATING ADULTS ABOUT DIABETES, HEART HEALTH, CANCER PREVENTION, WEIGHT CONTROL, SMOKING CESSATION, CHRONIC HEALTH AND MORE.A COMMUNITY NEWSLETTER IS PUBLISHED AND HIGHLIGHTS HEALTH INFORMATION AND CALENDAR OF EVENTS INFO TO 80,000+ HOUSEHOLDS THROUGHOUT THE HOSPITAL SERVICE AREA. FREE AND REDUCED COST HEALTH SCREENINGS ARE REGULARLY OFFERED INCLUDING FREE BLOOD PRESSURE MONITORING ON A WALK-IN BASIS.ELECTRONIC NEWSLETTERS ALSO HIGHLIGHTING HEALTH INFORMATION, NEWS AND EVENTS ARE EMAILED MONTHLY: HEALTHY EUPDATE AND FITNOTES. THESE NEWSLETTERS AVERAGE 60,000 AND 6,000 EMAILS RESPECTFULLY. ADDITIONALLY, CANCER CARE NEWS, TARGETED AT CANCER CARE PATIENTS AND THEIR FAMILY AND CARE GIVERS, WAS SENT TO APPROXIMATELY 2,400 EMAIL ADDRESSES.DURING FY2018, COPLEY MEMORIAL HOSPITAL SPONSORED, PARTNERED OR PARTICIPATED IN OVER 600 COMMUNITY-BASED PROGRAMS AND EVENTS, SPECIFICALLY GROUPS AIMED AT IMPROVING THE LIVES OF CHILDREN AND ADULTS. PROGRAMMING HIGHLIGHTS INCLUDES CAR SEAT SAFETY CHECKS, NUTRITION AND WEIGHT LOSS INFORMATION, HEART HEALTH ADVICE, CANCER SURVIVORSHIP AND MORE.COPLEY MEMORIAL HOSPITAL OFFERS A FREE PHYSICIAN REFERRAL SERVICE, PROVIDES A FREE SPEAKER'S BUREAU TO COMMUNITY-BASED GROUPS AND ROUTINELY PARTICIPATES AND SPONSORS OR DONATES TO HEALTH FAIRS AIMED AT MINORITY POPULATIONS INCLUDING THE YEARLY AFRICAN AMERICAN HEALTH FAIR AND THE ANNUAL LATINO COMMUNITY HEALTH FESTIVAL.COPLEY MEMORIAL HOSPITAL'S WEBSITE, WITH TRANSLATION INTO DOZENS OF LANGUAGES, OFFERS FREE HEALTH INFORMATION AND ONLINE RESOURCES.TOGETHER, THESE INITIATIVES PROVIDED A POSITIVE INFLUENCE FOR THOUSANDS OF RESIDENTS IN THE COMMUNITIES SERVED BY COPLEY MEMORIAL HOSPITAL. | Desc |
| Total Program Service Expenses | $224,155,520 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 199 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2272 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRENDA VAN WYHE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6309786200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 OGDEN AVENUE | AddressLine1Txt |
| City | AURORA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60504 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| THOMAS ALEXANDER | |||||||||
| DIRECTOR (END 9/17) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| TRISH ANEN | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES BAKA | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| PATRICK CARMODY | |||||||||
| DIRECTOR (START 9/17) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CATI CEDEROTH | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| BRUCE DIENST | |||||||||
| CHAIRMAN OF BOARD/DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD EDELMAN | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| RONALD HEM | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| GARRETT KATULA DO | |||||||||
| VICE CHIEF OF STAFF/DIRECTOR | 41.00 | 2.00 | Yes (X) | $282,985 | $0 | $31,661 | |||
| STEPHEN KELANIC MD | |||||||||
| VICE CHIEF OF STAFF/DIRECTOR | 41.00 | 2.00 | Yes (X) | $432,990 | $0 | $30,652 | |||
| HERBERT KNIGHT | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MARYANNE LOCKLIN | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVE MEAD | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK METZGER | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| AVERY MILLER | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| LUIS PEREZ | |||||||||
| DIRECTOR (START 9/17) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM SKOGLUND | |||||||||
| VICE CHAIR BOARD/DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTINE SOBEK | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| ANDREW VANEEKEREN | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| BARRY FINN | |||||||||
| PRESIDENT & CEO/DIRECTOR | 40.00 | 3.00 | Yes (X) | $1,548,342 | $0 | $31,424 | Yes (X) | ||
| RYAN ASMUS | |||||||||
| VP GENERAL COUNSEL/SECRETARY | 40.00 | 3.00 | $369,599 | $0 | $68,925 | Yes (X) | |||
| BRENDA VAN WYHE | |||||||||
| SR. VP FINANCE & CFO/TREASURER | 40.00 | 3.00 | $451,921 | $0 | $73,852 | Yes (X) | |||
| GAIL BUMGARNER | |||||||||
| SR. VP, STRATEGY | 40.00 | 0.00 | $425,727 | $0 | $13,696 | Yes (X) | |||
| DENNIS DEMASIE | |||||||||
| VP, INFORMATION TECH & CIO | 40.00 | 0.00 | $706,868 | $0 | $16,312 | Yes (X) | |||
| JOHN DIEDERICH | |||||||||
| SR. VP, OPERATIONS & COO | 40.00 | 1.00 | $546,495 | $0 | $166,993 | Yes (X) | |||
| BRENDA FANN MD | |||||||||
| ASSISTANT VP, MEDAFFAIRS | 40.00 | 0.00 | $328,916 | $0 | $31,335 | Yes (X) | |||
| DIANE HOMAN MD | |||||||||
| VP, QUALITY & PSO | 40.00 | 0.00 | $514,808 | $0 | $28,351 | Yes (X) | |||
| STEVE LOWENTHAL MD | |||||||||
| SR. VP, MEDICAL AFFAIRS & CMO | 40.00 | 0.00 | $688,691 | $0 | $14,347 | Yes (X) | |||
| DAVID PETASNICK | |||||||||
| ASSISTANT VP, ANCILLARY SVCS | 40.00 | 0.00 | $220,651 | $0 | $26,208 | Yes (X) | |||
| ALEX POPE | |||||||||
| VP, PHILANTHROPY & CDO | 40.00 | 1.00 | $265,822 | $0 | $57,932 | Yes (X) | |||
| MARY SHILKAITIS | |||||||||
| VP PATIENT CARE SRVCS & CNO | 40.00 | 0.00 | $329,112 | $0 | $69,372 | Yes (X) | |||
| SUSAN STERCHI | |||||||||
| ASSISTANT VP, PATIENT CARE | 40.00 | 0.00 | $223,270 | $0 | $30,184 | Yes (X) | |||
| MARK SHARP-SCHINSKY MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,251,245 | $0 | $34,713 | Yes (X) | |||
| DIMITRY RUBAN MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $983,547 | $0 | $29,999 | Yes (X) | |||
| KEVIN KELLY MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $918,213 | $0 | $25,958 | Yes (X) | |||
| ARIF SALEEM MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $797,358 | $0 | $30,916 | Yes (X) | |||
| TERESSA ALEXANDER MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $786,376 | $0 | $30,836 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $12,072,936 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $843,666 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 281 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SODEXO | |||||
| 4880 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | FOOD AND CLEANING SERVICE MANAGEMENT | $3,815,793 |
| ANTHELIO HEALTHCARE SOLUTIONS | |||||
| 1 LINCOLN DR STE 200 5400 LBJ FRW | DALLAS | TX | 75240 | MEDICAL RECORDS MANAGEMENT | $3,383,999 |
| INTUITIVE SURGICAL INC | |||||
| 1020 KIFER ROAD | SUNNYVALE | CA | 94086 | MEDICAL EQUIPMENT REPAIR AND SERVICING | $749,265 |
| FOX VALLEY ACUTE DIALYSIS | |||||
| 1300 WATERFORD DRIVE | AURORA | IL | 60504 | DIALYSIS SERVICES | $729,544 |
| ANDERSON MIKOS ARCHITECHTS LTD | |||||
| 17W110 22ND ST STE 200 | OAKBROOK TERRACE | IL | 60181 | ARCHITECTS | $705,498 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $940,320 | RelatedOrganizationsAmt |
| Total Contributions | $940,320 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SVC REV | 621110 | $280,453,805 | $280,453,805 |
| MEDICAID TAX REVENUE | 621110 | $26,268,734 | $26,268,734 |
| OTHER PROGRAM REVENUE | 900099 | -$1,663,136 | -$1,663,136 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $305,059,403 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,715,380 | TotalRevenueColumnAmt |
| Exclusion | $6,715,380 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,028,489 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,527,099 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$498,610 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$498,610 | TotalRevenueColumnAmt |
| Exclusion | -$498,610 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $15,091,651 | SecuritiesAmt |
| Other | $1,421,788 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,393,663 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,697,988 | SecuritiesAmt |
| Other | $1,421,788 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,119,776 | TotalRevenueColumnAmt |
| Exclusion | $3,119,776 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| OUTSIDE SERVICE REV. | 621990 | $1,275,357 | $1,275,357 | |
| CAFETERIA REVENUE | 621990 | $370,143 | $370,143 | |
| GIFT SHOP REVENUE | 453220 | $310,679 | $310,679 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,956,179 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $317,292,448 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $306,334,760 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,017,368 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,551 | TotalAmt |
| Program Services | $20,551 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,517,291 | TotalAmt |
| Management And General | $12,517,291 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,794,335 | TotalAmt |
| Program Services | $73,345,751 | ProgramServicesAmt |
| Management And General | $24,448,584 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,731,101 | TotalAmt |
| Program Services | $2,048,326 | ProgramServicesAmt |
| Management And General | $682,775 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,269,235 | TotalAmt |
| Program Services | $14,451,926 | ProgramServicesAmt |
| Management And General | $4,817,309 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,711,527 | TotalAmt |
| Program Services | $7,283,645 | ProgramServicesAmt |
| Management And General | $2,427,882 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,231,028 | TotalAmt |
| Program Services | $5,423,271 | ProgramServicesAmt |
| Management And General | $1,807,757 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $301,084 | TotalAmt |
| Management And General | $301,084 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,028 | TotalAmt |
| Management And General | $205,028 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,616 | TotalAmt |
| Management And General | $52,616 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,508 | TotalAmt |
| Management And General | $67,508 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,038,431 | TotalAmt |
| Program Services | $6,028,823 | ProgramServicesAmt |
| Management And General | $2,009,608 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $734,934 | TotalAmt |
| Program Services | $734,934 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,368,262 | TotalAmt |
| Program Services | $11,526,197 | ProgramServicesAmt |
| Management And General | $3,842,065 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,354,941 | TotalAmt |
| Program Services | $7,766,206 | ProgramServicesAmt |
| Management And General | $2,588,735 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,613,985 | TotalAmt |
| Program Services | $5,710,489 | ProgramServicesAmt |
| Management And General | $1,903,496 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,743 | TotalAmt |
| Program Services | $134,807 | ProgramServicesAmt |
| Management And General | $44,936 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,399 | TotalAmt |
| Program Services | $59,549 | ProgramServicesAmt |
| Management And General | $19,850 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,994,742 | TotalAmt |
| Program Services | $4,994,742 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,688,404 | TotalAmt |
| Program Services | $18,688,404 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,749 | TotalAmt |
| Program Services | $119,812 | ProgramServicesAmt |
| Management And General | $39,937 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL SUPPLIES | $47,932,872 | $47,932,872 |
| MEDICAID PROVIDER TAX | $13,082,016 | $13,082,016 |
| REPAIRS/MAINTAINENCE | $845,744 | $845,744 |
| COLLECTION FEES | $557,626 | $557,626 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,533,105 | TotalAmt |
| Program Services | $3,399,829 | ProgramServicesAmt |
| Management And General | $1,133,276 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,065,257 | TotalAmt |
| Program Services | $224,155,520 | ProgramServicesAmt |
| Management And General | $58,909,737 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,069,478 | BOYAmt |
| EOY | $21,141,985 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,096,725 | BOYAmt |
| EOY | $48,943,347 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,293,019 | BOYAmt |
| EOY | $5,846,586 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,924,563 | BOYAmt |
| EOY | $5,868,524 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $407,433,492 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $235,025,498 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $174,456,445 | BOYAmt |
| EOY | $172,407,994 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $269,805,003 | BOYAmt |
| EOY | $287,617,692 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,282,363 | BOYAmt |
| EOY | $3,190,961 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,967,259 | BOYAmt |
| EOY | $91,898,805 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $582,894,855 | BOYAmt |
| EOY | $636,915,894 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,461,230 | BOYAmt |
| EOY | $134,171,486 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,622,859 | BOYAmt |
| EOY | $99,162,939 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,746,873 | BOYAmt |
| EOY | $42,508,908 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $266,830,962 | BOYAmt |
| EOY | $275,843,333 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $313,148,752 | BOYAmt |
| EOY | $357,208,458 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,915,141 | BOYAmt |
| EOY | $3,864,103 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $316,063,893 | BOYAmt |
| EOY | $361,072,561 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $582,894,855 | BOYAmt |
| EOY | $636,915,894 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $34,227,191 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $8,795,464 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,986,013 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $52,616 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $52,616 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | COPLEY MEMORIAL HOSPITAL, INC. IS A MEMBER OF VARIOUS ORGANIZATIONS THAT ADVOCATE ON LEGAL AND POLICY ISSUES THAT AFFECT HEALTHCARE. A PORTION OF THE ANNUAL MEMBERSHIP DUES PAID BY COPLEY MEMORIAL HOSPITAL, INC. TO THESE ORGANIZATIONS IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,691,205 | BeginningYearBalanceAmt |
| Contributions | $1,193,365 | ContributionsAmt |
| Investment Earnings Or Losses | $662,110 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,577,382 | OtherExpendituresAmt |
| End Year Balance | $11,969,298 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,975,986 | BeginningYearBalanceAmt |
| Contributions | $2,004,750 | ContributionsAmt |
| Investment Earnings Or Losses | $512,030 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,801,561 | OtherExpendituresAmt |
| End Year Balance | $11,691,205 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,538,872 | BeginningYearBalanceAmt |
| Contributions | $1,093,070 | ContributionsAmt |
| Investment Earnings Or Losses | $104,565 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,760,521 | OtherExpendituresAmt |
| End Year Balance | $10,975,986 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,931,067 | BeginningYearBalanceAmt |
| Contributions | $2,373,022 | ContributionsAmt |
| Investment Earnings Or Losses | $204,733 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,969,950 | OtherExpendituresAmt |
| End Year Balance | $12,538,872 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,161,160 | BeginningYearBalanceAmt |
| Contributions | $1,178,338 | ContributionsAmt |
| Investment Earnings Or Losses | $1,068,336 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,476,767 | OtherExpendituresAmt |
| End Year Balance | $11,931,067 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.22000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.69000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.09000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,257,712 | OtherCostOrOtherBasisAmt |
| Book Value | $19,257,712 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $234,484,556 | OtherCostOrOtherBasisAmt |
| Depreciation | $122,430,595 | DepreciationAmt |
| Book Value | $112,053,961 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,743,627 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,934,648 | DepreciationAmt |
| Book Value | $808,979 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $144,913,914 | OtherCostOrOtherBasisAmt |
| Depreciation | $109,660,255 | DepreciationAmt |
| Book Value | $35,253,659 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,033,683 | OtherCostOrOtherBasisAmt |
| Book Value | $5,033,683 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $172,407,994 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $86,316,107 |
| INVESTMENTS IN JOINT VENTURES | $3,228,715 |
| MISCELLANEOUS | $2,353,983 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $91,898,805 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| LONG TERM DEFERRED RENT OBLIGATION | $754,377 |
| DEFERRED GAIN ON SALE LONG TERM | $4,591,141 |
| LONG TERM SERP | $2,574,317 |
| LONG TERM MARKET ADJUSTMENT SWAP LIABILITY | $6,571,685 |
| DUE TO RELATED PARTY | $28,666,693 |
| UNAMORTIZED BOND DISCOUNT | -$649,305 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $42,508,908 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | RUSH COPLEY FOUNDATION HOLDS THE VORIS (INCOME FOR CMH CANCER CARE), KOBISK (BOARD RESTRICTED INCOME TO CMH), COPLEY (INCOME UNRESTRICTED), DOBBINS (INCOME FOR CMH WOMEN'S HEALTH), AND MOVEMENT DISORDER (INCOME FOR CMH MOVEMENT DISORDER PROGAM) 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), WATERFORD PLACE (INCOME FOR CMH CANCER RESOURCE CENTER) AND COPLEY (INCOME FROM THE COPLEY ENDOWMENT). THESE FUNDS ARE HELD FOR THE BENEFIT OF COPLEY MEMORIAL HOSPITAL, INC. |
| 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 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 2018 AND 2017 DUE TO OPERATING LOSSES. AS OF JUNE 30, 2018, THE MEDICAL GROUP HAD NET OPERATING LOSS CARRYFORWARDS OF APPROXIMATELY $116,866,000 FOR INCOME TAX PURPOSES THAT ARE AVAILABLE TO OFFSET FUTURE TAXABLE INCOME. IF NOT UTILIZED, THESE CARRYFORWARDS WILL BEGIN TO EXPIRE IN 2019. BASED ON THE UNCERTAIN REALIZATION OF THESE CARRYFORWARDS, A VALUATION ALLOWANCE HAS BEEN RECORDED TO FULLY RESERVE THESE CARRYFORWARDS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 200.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,961,766 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,961,766 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01400 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $68,800,321 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $54,093,488 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,706,833 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05200 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $72,762,087 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $54,093,488 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,668,599 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06600 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $67,319 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $67,319 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,031,361 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,091,639 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,939,722 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,606 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $21,606 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,120,286 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,091,639 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,028,647 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01070 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $76,882,373 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $55,185,127 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,697,246 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07670 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $32,367,543 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,236,754 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $88,098,623 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $109,421,433 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$21,322,810 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COPLEY MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 OGDEN AVENUE | AddressLine1Txt |
| City | AURORA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 605044206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.RUSHCOPLEY.COM | WebsiteAddressTxt |
| State License | 2150791 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room Other | Yes (X) | EmergencyRoomOtherInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COPLEY MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C. | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C. | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, PAGE 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 8 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| COPLEY MEMORIAL HOSPITAL | PART V, SECTION B, LINE 5: IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT, 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: HTTP://WWW.RUSHCOPLEY.COM/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT/ |
| COPLEY MEMORIAL HOSPITAL | PART V, SECTION B, LINE 6A: THE KANE COUNTY HEALTH DEPARTMENT, RUSH COPLEY MEDICAL CENTER, NORTHWESTERN DELNOR HOSPITAL, AMITA MERCY MEDICAL CENTER, AMITA ST. JOSEPH HOSPITAL (ELGIN), AND ADVOCATE SHERMAN HOSPITAL WORKED TOGETHER ALONG WITH THE INC BOARD TO DEVELOP THE COUNTY'S IPLAN (ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEEDS). THE IPLAN IS A COMMUNITY HEALTH ASSESSMENT AND PLANNING PROCESS THAT IS CONDUCTED EVERY THREE TO FIVE YEARS BY LOCAL HEALTH JURISDICTIONS IN ILLINOIS. THE COLLABORATIVE PARTICIPATION IN THE PLANNING PROCESS, PLAN DEVELOPMENT, AND IDENTIFICATION OF THE HEALTH NEEDS FOR THE COUNTY SERVED AS A FOUNDATION FOR THE DEVELOPMENT OF EACH OF THE HOSPITAL'S RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENTS. |
| COPLEY MEMORIAL HOSPITAL | PART V, SECTION B, LINE 6B: THE KANE COUNTY HEALTH DEPARTMENT, RUSH COPLEY MEDICAL CENTER, NORTHWESTERN DELNOR HOSPITAL, AMITA MERCY MEDICAL CENTER, AMITA ST. JOSEPH HOSPITAL (ELGIN), AND ADVOCATE SHERMAN HOSPITAL WORKED TOGETHER ALONG WITH THE INC BOARD TO DEVELOP THE COUNTY'S IPLAN (ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEEDS). THE IPLAN IS A COMMUNITY HEALTH ASSESSMENT AND PLANNING PROCESS THAT IS CONDUCTED EVERY THREE TO FIVE YEARS BY LOCAL HEALTH JURISDICTIONS IN ILLINOIS. THE COLLABORATIVE PARTICIPATION IN THE PLANNING PROCESS, PLAN DEVELOPMENT, AND IDENTIFICATION OF THE HEALTH NEEDS FOR THE COUNTY SERVED AS A FOUNDATION FOR THE DEVELOPMENT OF EACH OF THE HOSPITAL'S RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENTS. |
| COPLEY MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: IMPLEMENTATION STRATEGY TO MEET SIGNIFICANT HEALTH NEEDS IDENTIFIED IN CHNA:RUSH COPLEY IS CURRENTLY WORKING ON THE IMPLEMENTATION OF STRATEGIES IDENTIFIED IN THE FY17-FY19 STRATEGY IMPLEMENTATION PLAN FOR THE THREE HEALTH NEED PRIORITIES IDENTIFIED IN THE FY2016 CHNA. KEY ACCOMPLISHMENT HIGHLIGHTS DURING THE YEAR ENDED JUNE 30, 2018 INCLUDE THE FOLLOWING: - DEVELOPED AND IMPLEMENTED A HEALTHY LIFESTYLE FAMILY PROGRAM FOR THE HISPANIC/LATINO COMMUNITY AT NO COST TO PARTICIPANTS (23 FAMILIES). A MAJORITY OF INDIVIDUALS IMPROVED THEIR KNOWLEDGE ABOUT A HEALTHY LIFESTYLE AND SAW AN IMPROVEMENT IN THEIR PHYSICAL ACTIVITY PERFORMANCE.- DESIGNED, DEVELOPED, AND IMPLEMENTED FOUR PROFESSIONALLY PRINTED BILINGUAL NUTRITION POSTERS THAT WERE INSTALLED AT FOUR LOCAL FOOD PANTIES FOR NATIONAL NUTRITION MONTH. ADDITIONALLY, RCMC PROVIDED EDUCATIONAL SESSIONS ON THE CONTENT OF THE NUTRITION POSTERS AT TWO OF THE FOOD PANTRIES WITH AN ESTIMATED 100 TOTAL PARTICIPANTS.- WORKED WITH CITY OF AURORA TO DEVELOP FOUR HEALTHY EATING COOKING DEMONSTRATION VIDEOS WITH BILINGUAL SUBTITLES THAT FEATURE HEALTHY HISPANIC/LATINO RECIPES.- PARTNERED WITH COMMUNITY ORGANIZATIONS TO DEVELOP A PILOT FOOD PRESCRIPTION PROGRAM FOR VULNERABLE POPULATIONS THROUGH THE NEW KANE COUNTY FOOD HUB PROGRAM.- CONTINUED TO OFFER THE 12-WEEK HEALTHY WEIGHT LOSS PROGRAM, YOUFIT, WHERE PARTICIPANTS SAW AN AVERAGE DECREASE OF 1.1 BMI POINTS AND LOST AN AVERAGE OF 7.3 POUNDS. - BASED ON PARTICIPANT FEEDBACK FROM THE YOUFIT PROGRAM, RCMC DEVELOPED A MAINTENANCE HEALTHY WEIGHT LOSS PROGRAM CALLED YOUFIT MORE, AN 8-WEEK PROGRAM FOR THOSE WHO ARE CONTINUING OR RENEWING THEIR WEIGHT LOSS GOALS.- CONTINUED THE PROCESS DEVELOPED BY RCMC CARE MANAGEMENT OF SCHEDULING POST-DISCHARGE FOLLOW-UP APPOINTMENTS WITH A PCP FOR PATIENTS TREATED IN THE ED WHO DO NOT HAVE A PCP OR ARE UNAWARE OF THEIR PCP, ESPECIALLY THOSE WHO ARE VULNERABLE, HAVE A CHRONIC DISEASE, AND/OR ARE HIGH UTILIZERS OF THE ED. CARE MANAGERS SCHEDULED APPROXIMATELY 1,800 POST-DISCHARGE FOLLOW-UP APPOINTMENTS IN FY18.- CONTINUED THE PROCESS DEVELOPED BY RCMC CARE MANAGEMENT OF SCHEDULING POST-DISCHARGE FOLLOW-UP APPOINTMENTS FOR THE HIGH-RISK CHRONIC DISEASE INPATIENTS. IN FY18, 83% OF CHF PATIENTS AND 100% OF STROKE PATIENTS HAD THEIR POST DISCHARGE FOLLOW-UP APPOINTMENT SCHEDULED FOR THEM BEFORE DISCHARGE. - DEVELOPED AND IMPLEMENTED A MEDICATION ADHERENCE PILOT PROGRAM FOR HEART FAILURE AND CORONARY INTERVENTION PATIENTS. DURING THE PILOT PROGRAM 92% OF PATIENTS HAD DISCREPANCIES IN THEIR MEDICATION LISTS WHICH WERE RECONCILED.- BEGAN THE DEVELOPMENT OF A CHRONIC DISEASE COMMUNITY EDUCATION SERIES TO PROVIDE TOOLS AND RESOURCES FOR HOW TO MANAGE CHRONIC HEALTH CONDITIONS. - CONTINUED TO ACTIVELY PARTICIPATE WITH COMMUNITY PARTNERS IN THE DISCUSSION AND DEVELOPMENT OF RESOURCES AND EDUCATION REGARDING APPROPRIATE CARE SETTINGS.- RCMC CARE MANAGEMENT PROVIDED ONE-ON-ONE EDUCATION IN THE ED ABOUT APPROPRIATE CARE SETTINGS TO APPROXIMATELY 1,000 PATIENTS IN FY18.- IN FY18, RAN 27 PROGRAMS IN THE COMMUNITY RELATED TO THE TOP IDENTIFIED NEEDS OF OBESITY, CHRONIC DISEASE AND ACCESS TO CARE WITH OVER 950 ATTENDEES.THE FOLLOWING NEEDS ARE NOT BEING ADDRESSED BY COPLEY MEMORIAL HOSPITAL: (1) BEHAVIORAL HEALTH, INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE. IT WOULD NOT BE FEASIBLE FOR THE HOSPITAL TO DEVELOP THIS TYPE OF PROGRAM, BUT THE HOSPITAL WORKS CLOSELY WITH BEHAVIORAL HEALTH PROGRAMS IN THE COMMUNITY IN ORDER TO ASSIST PATIENTS IN ACCESSING CARE. (2) ACCESS TO CARE: TRANSPORTATION FOR HEALTH CARE SERVICES. IT WOULD NOT BE FEASIBLE FOR THE HOSPITAL TO DEVELOP THIS TYPE OF PROGRAM, BUT THE HOSPITAL CONTINUES TO ADDRESS THE NEED FOR TRANSPORTATION THROUGH A NUMBER OF PROGRAMS, RESOURCES, GRANTS AND OUTREACH ACTIVITIES IN THE COMMUNITY, INCLUDING: PROVIDES CAB FARE AND BUS VOUCHERS, COORDINATES PUBLIC TRANSPORTATION, AND HELPS IDENTIFY PATIENTS APPROPRIATE FOR COUNTY-FUNDED TRANSPORTATION. (3) INCOME, JOB-READY WORKFORCE AND EDUCATION. THIS NEED IS BEING ADDRESSED THROUGH THE KANE COUNTY IPLAN WITH A DEDICATED KANE HEALTH COUNTS COMMITTEE DEVELOPING AND IMPLEMENTING STRATEGIES TO IMPROVE INCOME, JOB READINESS AND EDUCATION ATTAINMENT IN THE COMMUNITY. WHILE THE HOSPITAL IS NOT IN A POSITION TO IMPACT THIS NEED ON A LARGE SCALE THROUGHOUT THE COMMUNITY, THE HOSPITAL HAS A NUMBER OF PROGRAMS IN PLACE THAT HELP ADDRESS THIS NEED, INCLUDING: EMPLOYEE TUITION REIMBURSEMENT PROGRAM, OFFERING EMPLOYEES REIMBURSEMENT FOR SPECIALTY CERTIFICATION/CONTINUING EDUCATION, AND PARTNERING WITH LOCAL SCHOOLS TO PROVIDE JOB-READINESS PROGRAMS FOR THE HEALTH CARE WORKFORCE. |
| PART V, SECTION B, LINE 7A | HTTPS://WWW.RUSHCOPLEY.COM/APP/FILES/PUBLIC/3767/CHNA-FY2016-FINAL.PDF |
| PART V, SECTION B, LINE 10A | HTTPS://WWW.RUSHCOPLEY.COM/APP/FILES/PUBLIC/3768/RCMC-IMPLEMENTATION-STRATEGY---FY2016-FINAL.PDF |
| PART V, SECTION B, LINE 16A | HTTPS://WWW.RUSHCOPLEY.COM/APP/FILES/PUBLIC/4528/FINANCIAL-ASSISTANCE-CHARITY-CARE-POLICY.PDF |
| PART V, SECTION B, LINE 16B | HTTPS://WWW.RUSHCOPLEY.COM/APP/FILES/PUBLIC/4526/FINANCIAL-ASSISTANCE-APPLICATION.PDF |
| PART V, SECTION B, LINE 16C | HTTPS://WWW.RUSHCOPLEY.COM/APP/FILES/PUBLIC/4530/PLAIN-LANGUAGE-SUMMARY.PDF |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - RIVER WEST RADIATION CENTER LLC | ||||
| 1221 N HIGHLAND AVENUE | AURORA | IL | 605044206 | JV ONCOLOGY |
| 2 - CASTLE SURGICENTER | ||||
| 2111 OGDEN AVE | AURORA | IL | 60504 | AMBULATORY SURGERY CENTER |
| 3 - RUSH COPLEY HEALTHCARE CENTER | ||||
| 1100 WEST VETERANS PARKWAY | YORKVILLE | IL | 60560 | FREE STANDING EMERGENCY CARE, RADIOLOGY, LAB, AND OCCUPATIONAL HEALTH SERVI |
| 4 - RUSH COPLEY CARDIOVASCULAR | ||||
| 2000 OGDEN AVENUE | AURORA | IL | 605044206 | CARDIOVASCULAR SERVICES |
| 5 - MIDWEST CENTER FOR ADVANCED IMAGING | ||||
| 4355 MONTGOMERY ROAD | NAPERVILLE | IL | 60564 | RADIOLOGY SERVICES |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2 WAS USED TO CALCULATE THE AMOUNTS REPORTED IN TABLE A. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS (INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED AND SELF PAY). |
| PART III, LINE 4: | 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. |
| PART III, LINE 8: | ALL OF THE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE IF WE DID NOT PROVIDE THE SERVICE, THE BURDEN OF THE COSTS WOULD FALL ON THE GOVERNMENT. |
| PART III, LINE 9B: | 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 DETERMINED 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. |
| PART VI, LINE 2: | 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. |
| PART VI, LINE 3: | 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. |
| PART VI, LINE 4: | COPLEY MEMORIAL HOSPITAL INC.'S PRIMARY SERVICE AREA IS APPROXIMATELY SOUTHERN KANE COUNTY AND KENDALL COUNTY, ILLINOIS LOCATED 45 TO 55 MILES SOUTHWEST OF CHICAGO. KANE COUNTY HAS A POPULATION OF 535,000 PEOPLE AND IS PREDOMINANTLY URBAN AND SUBURBAN. NEARLY 32% OF THE POPULATION IS OF HISPANIC OR LATINO ORIGIN. PERSONS OVER THE AGE OF 65 COMPRISE 13% OF THE POPULATION, AND THE POVERTY RATE IS 11%. AURORA IS THE SECOND LARGEST CITY IN ILLINOIS, AND IT DOMINATES THE COUNTY. HISTORICALLY AN INDUSTRIAL CITY, AURORA HAS EXPERIENCED A CONSIDERABLE LOSS OF MANUFACTURING JOBS AND IS TRANSITIONING ITS ECONOMY. KENDALL COUNTY, TO THE SOUTH OF KANE, HAS A POPULATION OF 127,000. PERSONS OVER THE AGE OF 65 COMPRISE 10.0% OF THE POPULATION, AND THE POVERTY RATE IS 5.4%. THE NORTHWEST SECTION OF THE COUNTY IS SUBURBAN WHILE THE REMAINDER IS RURAL. |
| PART VI, LINE 5: | 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, 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. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | IL |
| PART V, SECTION B, LINE 16I | THE FOLLOWING DISCLOSURE IS IN ACCORDANCE WITH REV. PROC 2015-21 SECTION 7 IN REGARDS TO SCHEDULE H, PART V, SECTION B, LINE 16I:FOR THE FISCAL YEAR ENDED 6/30/18, COPLEY MEMORIAL HOSPITAL, INC. (CMH) PROVIDED SPANISH TRANSLATIONS OF THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, AND FINANCIAL ASSISTANCE APPLICATION. ADDITIONALLY, CMH PROVIDES LANGUAGE ASSISTANCE FREE OF CHARGE FOR MANY OTHER LANGUAGES (SEE HTTPS://WWW.RUSHCOPLEY.COM/ABOUT/LANGUAGE-ASSISTANCE/). HOWEVER, FOR PART OF THE TAX YEAR, (CMH) DID NOT HAVE THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, AND FINANCIAL ASSISTANCE APPLICATION TRANSLATED INTO EACH OF THE PRIMARY LANGUAGES SPOKEN BY LIMITED ENGLISH PROFICIENCY (LEP) POPULATIONS. DUE TO THE AVAILABILITY OF TRANSLATION ASSISTANCE, CMH IS NOT AWARE OF ANY INDIVIDUALS WHO WERE ADVERSELY IMPACTED BY THIS OVERSIGHT. AS OF SEPTEMBER 30, 2018, CMH HAD ALL OF THE TRANSLATIONS COMPLETED AND AVAILABLE ON THEIR WEBSITE. CMH HAS ALSO IMPLEMENTED PROCEDURES TO ENSURE COMPLIANCE WITH THIS REQUIREMENT IN THE FUTURE BY ANNUALLY REVIEWING THE LEP POPULATIONS AND ADDING ADDITIONAL TRANSLATIONS AS NEEDED AND UPDATING THE TRANSLATIONS SHOULD THERE BE CHANGES TO THE DOCUMENTS. |
| PART V, SECTION B, LINE 20A | THE FOLLOWING DISCLOSURE IS IN ACCORDANCE WITH REV. PROC 2015-21 SECTION 7 IN REGARDS TO SCHEDULE H, PART V, LINE 20A: DURING THE TAX YEAR, COPLEY MEMORIAL HOSPITAL (CMH) DID NOT PROVIDE A PLAIN LANGUAGE SUMMARY OF THE FAP WITH THE WRITTEN NOTICE ABOUT UPCOMING ECAS PROVIDED TO PATIENTS AT LEAST 30 DAYS BEFORE INITIATING THOSE ECAS. IN FY18, CMH PROVIDED BILLING COMMUNICATIONS THAT INCLUDED COMMENTS ON THE FINANCIAL ASSISTANCE AVAILABLE TO PATIENTS, BUT DID NOT TECHNICALLY PROVIDE THE PLAIN LANGUAGE SUMMARY WITHIN THE WRITTEN NOTIFICATION. THIS WAS DISCOVERED IN APRIL 2019 AS CMH WORKED WITH TAX CONSULTANTS ON SCHEDULE H. CMH ESTIMATES THIS AFFECTED AN ESTIMATED 10,000 TO 12,000 CMH PATIENTS WHO RECEIVED THE WRITTEN NOTICE ABOUT UPCOMING ECAS WITHOUT THE PLAIN LANGUAGE SUMMARY. CMH HAS SINCE IMPLEMENTED PROCEDURES TO ENSURE COMPLIANCE WITH THIS REQUIREMENT GOING FORWARD. CMH WILL BEGIN INCLUDING THE PLAIN LANGUAGE SUMMARY WHEN MAILING A PREANNOUNCEMENT TO THE PATIENT THAT ECA WILL BE TAKEN. THE ANNOUNCEMENT IS MAILED A MINIMUM OF 30 DAYS PRIOR TO ANY ECA BEING TAKEN AND WILL NOW INCLUDE THE PLAIN LANGUAGE SUMMARY. THIS WILL ENSURE THAT ALL PATIENTS THAT COULD POTENTIALLY RECEIVE AN ECA IN THE EVENT OF NON-PAYMENT WILL HAVE RECEIVED THE PLAIN LANGUAGE SUMMARY AT LEAST 30 DAYS IN ADVANCE. ADDITIONALLY, CMH MAKES EFFORTS TO NOTIFY ALL PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ORALLY THROUGHOUT THE BILLING PROCESS IN COMMUNICATIONS PRIOR TO INITIATING ANY ECAS. |
| PART V, SECTION B, LINE 22B | THE FOLLOWING DISCLOSURE IS IN ACCORDANCE WITH REV. PROC 2015-21 SECTION 7 IN REGARDS TO SCHEDULE H, PART V, SECTION B, LINE 22B:DURING THE TAX YEAR, COPLEY MEMORIAL HOSPITAL, INC. (CMH) COMPLETED THE AGB CALCULATION AND APPLIED IT TO PATIENT ACCOUNTS. HOWEVER, CMH DID NOT INCLUDE IN ITS FINANCIAL ASSISTANCE POLICY THE AMOUNTS GENERALLY BILLED (AGB) PERCENTAGE NOR DID IT EXPLAIN HOW MEMBERS OF THE PUBLIC MAY READILY OBTAIN SUCH PERCENTAGES. CMH'S AGB CALCULATION USES THE LOOK-BACK METHOD BASED ON CLAIMS ALLOWED BY MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE HEALTH INSURERS THAT PAY CLAIMS TO THE HOSPITAL FACILITY DURING A PRIOR 12-MONTH PERIOD. CMH IS WORKING TO UPDATE THE FINANCIAL ASSISTANCE POLICY TO INCLUDE INFORMATION ON WHERE PATIENTS CAN FIND THE AGB PERCENTAGE AND WILL MAKE THIS AVAILABLE TO PATIENTS. CMH DETERMINED THAT THIS OVERSIGHT DID NOT CAUSE ANY PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE TO BE CHARGED GREATER THAN AGB AS THE PERCENTAGE WAS CORRECTLY CALCULATED AND APPLIED TO PATIENT ACCOUNTS. CMH HAS ALSO IMPLEMENTED PROCEDURES TO ENSURE ANNUAL COMPLIANCE WITH THIS REQUIREMENT IN THE FUTURE. CMH WILL REGULARLY REVIEW THE AGB PERCENTAGE AND WILL MONITOR THE PERCENTAGE USED TO MAKE SURE ANY PATIENT WHO QUALIFIES FOR FINANCIAL ASSISTANCE ISN'T OVER CHARGED. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GARRETT KATULA DO | ||||||||||||||
| VICE CHIEF OF STAFF/DIRECTOR | $242,706 | $0 | $33,621 | $0 | $6,658 | $0 | $4,803 | $0 | $26,858 | $0 | $314,646 | $0 | $0 | $0 |
| STEPHEN KELANIC MD | ||||||||||||||
| VICE CHIEF OF STAFF/DIRECTOR | $292,307 | $0 | $139,702 | $0 | $981 | $0 | $5,143 | $0 | $25,509 | $0 | $463,642 | $0 | $0 | $0 |
| BARRY FINN | ||||||||||||||
| PRESIDENT & CEO/DIRECTOR | $739,783 | $0 | $304,470 | $0 | $504,089 | $0 | $5,400 | $0 | $26,024 | $0 | $1,579,766 | $0 | $0 | $0 |
| RYAN ASMUS | ||||||||||||||
| VP GENERAL COUNSEL/SECRETARY | $260,044 | $0 | $89,490 | $0 | $20,065 | $0 | $43,447 | $0 | $25,478 | $0 | $438,524 | $0 | $0 | $0 |
| BRENDA VAN WYHE | ||||||||||||||
| SR. VP FINANCE & CFO/TREASURER | $343,863 | $0 | $103,950 | $0 | $4,108 | $0 | $56,642 | $0 | $17,210 | $0 | $525,773 | $0 | $0 | $0 |
| GAIL BUMGARNER | ||||||||||||||
| SR. VP, STRATEGY | $264,528 | $0 | $89,490 | $0 | $71,709 | $0 | $5,042 | $0 | $8,654 | $0 | $439,423 | $0 | $0 | $0 |
| DENNIS DEMASIE | ||||||||||||||
| VP, INFORMATION TECH & CIO | $255,408 | $0 | $72,540 | $0 | $378,920 | $0 | $4,200 | $0 | $12,112 | $0 | $723,180 | $0 | $274,721 | $0 |
| JOHN DIEDERICH | ||||||||||||||
| SR. VP, OPERATIONS & COO | $442,975 | $0 | $89,490 | $0 | $14,030 | $0 | $141,455 | $0 | $25,538 | $0 | $713,488 | $0 | $0 | $0 |
| BRENDA FANN MD | ||||||||||||||
| ASSISTANT VP, MEDAFFAIRS | $264,568 | $0 | $40,519 | $0 | $23,829 | $0 | $5,163 | $0 | $26,172 | $0 | $360,251 | $0 | $0 | $0 |
| DIANE HOMAN MD | ||||||||||||||
| VP, QUALITY & PSO | $316,957 | $0 | $108,330 | $0 | $89,521 | $0 | $4,012 | $0 | $24,339 | $0 | $543,159 | $0 | $0 | $0 |
| STEVE LOWENTHAL MD | ||||||||||||||
| SR. VP, MEDICAL AFFAIRS & CMO | $424,406 | $0 | $139,730 | $0 | $124,555 | $0 | $5,400 | $0 | $8,947 | $0 | $703,038 | $0 | $0 | $0 |
| DAVID PETASNICK | ||||||||||||||
| ASSISTANT VP, ANCILLARY SVCS | $185,984 | $0 | $32,298 | $0 | $2,369 | $0 | $3,600 | $0 | $22,608 | $0 | $246,859 | $0 | $0 | $0 |
| ALEX POPE | ||||||||||||||
| VP, PHILANTHROPY & CDO | $200,782 | $0 | $61,776 | $0 | $3,264 | $0 | $32,679 | $0 | $25,253 | $0 | $323,754 | $0 | $0 | $0 |
| MARY SHILKAITIS | ||||||||||||||
| VP PATIENT CARE SRVCS & CNO | $225,317 | $0 | $79,599 | $0 | $24,196 | $0 | $41,378 | $0 | $27,994 | $0 | $398,484 | $0 | $0 | $0 |
| SUSAN STERCHI | ||||||||||||||
| ASSISTANT VP, PATIENT CARE | $164,421 | $0 | $35,074 | $0 | $23,775 | $0 | $2,400 | $0 | $27,784 | $0 | $253,454 | $0 | $0 | $0 |
| MARK SHARP-SCHINSKY MD | ||||||||||||||
| PHYSICIAN | $733,184 | $0 | $496,389 | $0 | $21,672 | $0 | $1,440 | $0 | $33,273 | $0 | $1,285,958 | $0 | $0 | $0 |
| DIMITRY RUBAN MD | ||||||||||||||
| PHYSICIAN | $956,074 | $0 | $8,879 | $0 | $18,594 | $0 | $5,400 | $0 | $24,599 | $0 | $1,013,546 | $0 | $0 | $0 |
| KEVIN KELLY MD | ||||||||||||||
| PHYSICIAN | $909,079 | $0 | $5,544 | $0 | $3,590 | $0 | $692 | $0 | $25,266 | $0 | $944,171 | $0 | $0 | $0 |
| ARIF SALEEM MD | ||||||||||||||
| PHYSICIAN | $536,669 | $0 | $239,099 | $0 | $21,590 | $0 | $5,400 | $0 | $25,516 | $0 | $828,274 | $0 | $0 | $0 |
| TERESSA ALEXANDER MD | ||||||||||||||
| PHYSICIAN | $471,139 | $0 | $289,013 | $0 | $26,224 | $0 | $5,340 | $0 | $25,496 | $0 | $817,212 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE ORGANIZATION PROVIDES TO ALL EMPLOYEES THE USE OF AN ATHLETIC FACILITY THAT IS OWNED AND OPERATED BY A RELATED TAX EXEMPT ORGANIZATION. |
| 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. THE AMOUNTS PAID OUT OF THIS PLAN IN 2017 WERE AS FOLLOWS: BARRY FINN - $474,302, STEVE LOWENTHAL - $85,214, DENNIS DEMAISE - $372,803, DIANE HOMAN - $60,566 AND GAIL BUMGARNER -$46,301. |
| PART I, LINE 7 | INCENTIVE BONUS PLAN BASED ON A SERIES OF APPROVED STRATEGIC ACCOMPLISHMENTS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ILLINOIS FINANCE AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 861091967 | BondIssuerEIN |
| CUSIP | 45203HS45 | CUSIPNum |
| Bond Issued | 2015-02-11 | BondIssuedDt |
| Issue Price | $105,601,668 | IssuePriceAmt |
| Purpose | REFUND BONDS ISSUED 5/28/2008, 2/10/2009, AND 7/29/2009 | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $3,085,000 | RetiredAmt |
| Total Proceeds | $105,601,668 | TotalProceedsAmt |
| Refunding Escrow | $86,043,195 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $824,030 | IssuanceCostsFromProceedsAmt |
| Working Capital Expenditures | $145 | WorkingCapitalExpendituresAmt |
| Other Spent Proceeds | $22,355,870 | OtherSpentProceedsAmt |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | Yes (1) | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV, LINE 6, COLUMN A: | FormAndLineReferenceDesc |
| Explanation | THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A | SUMMARY OF FY18 HEALTH PROGRAMMING DURING FY18, COPLEY MEMORIAL HOSPITAL SPONSORED, PARTNERED OR PARTICIPATED IN OVER 600 COMMUNITY-BASED PROGRAMS AND EVENTS WITH SPECIAL EMPHASIS ON IMPROVING THE HEALTH AND WELLNESS OF ADULTS, CHILDREN AND UNDERSERVED POPULATIONS. NUTRITION AND WEIGHT LOSS YOUFIT HELD THREE 12-WEEK SESSIONS WITH A TOTAL OF 14 PARTICIPANTS ENROLLED IN THE PROGRAM. PARTICIPANTS LEARNED FROM A VARIETY OF EXPERTS INCLUDING RUSH COPLEY PHYSICIANS, HEALTHPLEX PERSONAL TRAINERS AND REGISTERED DIETICIANS. FAMILIA SALUDABLE - A SIX-SESSION, ONCE A MONTH FAMILY FOCUSED COMMUNITY NUTRITION AND FITNESS BASED HEALTHY LIFESTYLE PROGRAM EDUCATED 25 FAMILIES AND A TOTAL OF 58 PARTICIPANTS. THE NUTRITION PORTION OF THE PROGRAM WAS CONDUCTED IN ENGLISH WITH SPANISH INTERPRETATION. THE EXERCISE PORTION WAS CONDUCTED IN SPANISH. EACH FAMILY WAS PROVIDED WITH A BINDER THAT INCLUDED THE PRESENTATION AS WELL AS TOOLS SUCH AS ACTIVITY CALENDAR AND RECIPES. EACH FAMILY ALSO RECEIVED PORTION PLATES, STRETCH BANDS AND OTHER ITEMS TO CONTINUE THEIR HEALTHY LIFESTYLE JOURNEY. COMMUNITY WALKING CLUB RUSH COPLEY CONTINUES TO OFFER THE COMMUNITY THE TOOLS AND RESOURCES TO START THEIR OWN WALKING CLUB. PRESENTATIONS ARE PROVIDED TO ORGANIZATIONS SUCH AS SCHOOLS, PARK DISTRICTS AND ANYONE INTERESTED IN WALKING THEIR WAY TO HEALTH. A PRE AND POST TEST IS GIVEN TO THE PARTICIPANTS TO OBSERVE THEIR PROGRESS AND PEDOMETERS AND WALKING LOGS ARE PROVIDED TO KEEP THEM MOTIVATED. 30 NEW COMMUNITY MEMBERS WERE ADDED TO THE COMMUNITY WALKING CLUB. DIABETES FREE FASTING GLUCOSE SCREENINGS WERE PROVIDED TO OVER 69 COMMUNITY MEMBERS. SMOKING CESSATION FREEDOM FROM SMOKING SMOKING CESSATION FREEDOM FROM SMOKING IS A SEVEN-WEEK, EIGHT-SESSION PROGRAM SPONSORED BY THE AMERICAN LUNG ASSOCIATION AND HOSTED BY RUSH COPLEY MEDICAL CENTER. SESSIONS ARE LED BY A CERTIFIED FACILITATOR. FOUR PROGRAM SESSIONS WERE HOSTED WITH A TOTAL OF NINE PARTICIPANTS. CANCER AWARENESS AND INFORMATION RUSH COPLEY GASTROENTEROLOGISTS, DR. TOMMY PACANA, DR. DHIRAJ GULATI AND NURSING STAFF FROM THE DIGESTIVE HEALTH SERVICES PRESENTED GET THE SCOOP ON THE SCOPE TWO TIMES WITH A TOTAL OF 27 PARTICIPANTS. AT THE ANNUAL CELEBRATION OF NATIONAL CANCER SURVIVORS DAY HELD AT WATERFORD PLACE CANCER RESOURCE CENTER, THERE WERE MORE THAN 100 PARTICIPANTS IN ATTENDANCE. DR. HO MYONG, MEDICAL ONCOLOGIST AND HEMATOLOGIST AND STEPHANIE BEAM, CLINICAL ONCOLOGY PHARMACIST PRESENTED HORMONE THERAPY FOR BREAST CANCER: WHAT IS IT AND HOW DOES IT WORK? THERE WERE 25 PARTICIPANTS THAT ATTENDED. RUSH COPLEY'S COMMUNITY HEALTH OUTREACH COORDINATOR AND ADVANCE PRACTICE NURSE GYNE ONCOLOGY ALONG WITH THE AMERICAN CANCER SOCIETY HOSPITAL SYSTEMS MANAGER PRESENTED THE "YOU ARE THE KEY" PRESENTATION FROM THE CDC HPV VACCINATION TOOLKIT TO 26 EAST AURORA SCHOOL DISTRICT 131 SCHOOL NURSES AND HEALTHCARE COORDINATORS. RUSH COPLEY PARTNERED WITH ALAS-WINGS TO HOST ALAS ON WHEELS MOBILE SALON AT WATERFORD PLACE CANCER RESOURCE CENTER. AT THIS EVENT, 23 WOMEN BENEFITTED FROM RECEIVING A DONATION OF MASTECTOMY BRAS AND PROSTHESIS. COMMUNITY HEALTH TALKS COMMUNITY HEALTH TALKS IS AN EDUCATIONAL SERIES GEARED TOWARD THE HEALTHCARE NEEDS OF THE LATINO POPULATION. COMMUNITY HEALTH TALKS IS OFFERED SEVEN TIMES A YEAR FROM SEPTEMBER THROUGH APRIL AND TARGETS WOMEN, MEN AND CHILDREN OVER THE AGE OF 12 IN THE FOX VALLEY AREA. SOME OF THE TOPICS PRESENTED BY PROFESSIONAL HEALTHCARE PROVIDERS INCLUDE: ADVANCED DIRECTIVES FOR HEALTHCARE, STRENGTHENING PARENT CHILD RELATIONSHIPS, HOW TO MANAGE DIABETES DURING THE WINTER MONTHS, TAKING CARE OF YOUR HEALTH! THE IMPORTANCE OF CANCER SCREENINGS, HOW TO PREVENT/REVERSE CARDIAC DISEASE, THE AGING BRAIN AND HOW TO MANAGE CHRONIC DISEASE. TYPICALLY, BETWEEN 10 AND 25 WOMEN AND MEN ATTEND THE MONTHLY SESSIONS. CLOSE TO 120 PARTICIPANTS ATTENDED AND BENEFITTED FROM THE PRESENTATIONS IN FY18. HEALTH EXHIBITS AT SCI-TECH HANDS ON MUSEUM EXHIBITS CONTINUE TO BE DISPLAYED IN THE LUNCH ROOM AND ADJACENT CORRIDOR OF THE MUSEUM TARGETING VISITORS IN THE 5-16 AGE RANGE. THE EXHIBITS ENABLE VISITORS TO MEASURE THEIR HEART RATE AFTER EXERCISING AND MAKE THE LINK BETWEEN EXERCISE AND HEART HEALTH. ANOTHER TESTS VISITORS' KNOWLEDGE ABOUT THE AMOUNT OF SUGAR IN POPULAR BEVERAGES AND EDUCATES THEM ABOUT DIABETES. SMALLER EXHIBITS ON THE LUNCH ROOM PILLARS DISPLAY THE USDA'S "MY PLATE" GRAPHIC, THE "5-4-3-2-1-GO!" PROGRAM, "EAT-THIS-NOT-THAT" INFORMATION, AND OTHER KID-FRIENDLY INFORMATION ABOUT NUTRITION AND HEALTH. A HAND-WASHING EXHIBIT TO DEMONSTRATE THE IMPORTANCE OF EFFECTIVE HAND-WASHING TECHNIQUES WAS PLACED IN THE LUNCHROOM AT SCITECH TO ENSURE THAT THE MESSAGE REACHES CHILDREN AT A TIME WHEN THEY CAN APPLY THE LESSONS LEARNED DIRECTLY TO THEIR OWN EATING HABITS FOR IMMEDIATE REINFORCEMENT. CHILDREN PLACE THEIR HANDS IN THE SINK TO START AN INTERACTIVE VIDEO THAT SHOWS THE RIGHT TECHNIQUE AND LENGTH OF TIME NEEDED TO REMOVE DIRT AND GERMS. PINK LIGHTS SHINE ON THEIR HANDS, SIMULATING GERMS, UNTIL THE RIGHT AMOUNT OF TIME AND ACTIVITY HAS ELAPSED. IN ADDITION TO THE DAILY VISITORS THE MUSEUM HOSTS DAILY (75,000 VISITORS A YEAR), SCI-TECH HANDS ON MUSEUM CONTINUES TO PARTICIPATE IN FIRST FRIDAYS, A VENUE IN THE DOWNTOWN THAT PROVIDES ARTS AND CULTURE TO THE COMMUNITY AND DRAWS 100 300 COMMUNITY MEMBERS AND VISITORS TO THE MUSEUM FOR THE FIVE HOUR EVENT MOST MONTHS OF THE YEAR. HEALTHY HANDS TO HELP SCHOOL-AGED CHILDREN UNDERSTAND THE IMPORTANCE OF HAND WASHING, RUSH COPLEY MEDICAL CENTER OFFERS A FUN AND EDUCATIONAL PROGRAM FOR SCHOOLS AND COMMUNITY GROUPS CALLED HEALTHY HANDS. THE PROGRAM PROVIDES AN EXPLANATION OF GERMS AND HOW THEY SPREAD. AN INTERACTIVE PRESENTATION INCLUDES THE USE OF "GLOW" GERMS USING A GEL AND THE USE OF A BLACK LIGHT TO SHOW "GERMS." IF THE PARTICIPANTS WASH THEIR HANDS CORRECTLY AND FOR THE PROPER AMOUNT OF TIME USING ANTIBACTERIAL HAND GEL, THEIR HANDS SHOULD NOT SHOW THE "GLOW" GERMS WHEN THEY ARE PLACED UNDER THE BLACK LIGHT A SECOND TIME. THE CHILDREN ARE GIVEN A BOOK MARK THAT SHOWS HOW TO PROPERLY WASH THEIR HANDS. IN FY18 A TOTAL OF 84 CHILDREN PARTICIPATED IN THE HEALTHY HANDS DEMONSTRATION HELD AT A FITNESS FUN FAIR. PLAY IT SAFE PLAY IT SAFE IS A FUN AND INTERACTIVE FAMILY EVENT THAT EDUCATES PEOPLE OF ALL AGES ABOUT IMPORTANT HEALTH TOPICS AND INJURY PREVENTION. IT IS AN ANNUAL EVENT HOSTED BY RUSH COPLEY EMERGENCY SERVICES AND RUSH COPLEY HEALTHPLEX. MORE THAN 500 PEOPLE ATTEND THIS ANNUAL EVENT NOW IN ITS TENTH YEAR. OLDER ADULT EDUCATION RUSH COPLEY, IN COLLABORATION WITH THE OSWEGO SENIOR CENTER, THE UNIVERSITY OF ILLINOIS EXTENSION AND THE KENDALL COUNTY HEALTH DEPARTMENT, IS HOSTING AN ONGOING WORKSHOP AND CHALLENGE SERIES FOR SENIORS IN KENDALL COUNTY TO COMBAT OBESITY. KNOWN AS HEALTHY HABITS FOR SUCCESSFUL LIVING, THIS IS A 9-WEEK PROGRAM DESIGNED FOR SENIORS WHO WANT TO BE HEALTHIER - PARTICIPANTS ARE ENCOURAGED TO MAKE SUSTAINABLE LIFE CHANGES TO MEET THEIR HEALTH GOALS. RUSH COPLEY HEALTHPLEX FITNESS TRAINERS PROVIDE EXERCISE DEMONSTRATIONS FOR PARTICIPANTS TO ENCOURAGE AN ACTIVE LIFESTYLE. TEN SENIORS ENROLLED AND PARTICIPATED IN THE SESSION HELD FEBRUARY THROUGH APRIL 2018. IN FY18, RUSH COPLEY PROVIDED SPEAKERS FOR FIVE SCHEDULED PRESENTATIONS IN THE DOCTOR'S NOTES SERIES HELD AT THE OSWEGO SENIOR CENTER. THIS SERIES EDUCATES SENIORS ON VARIED HEALTH TOPICS RELATED TO AGING. OVER 60 SENIORS ATTENDED. ADDITIONAL PROGRAMS SCHEDULED FOR SENIORS WERE HELD AT VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY AND INCLUDED TOPICS SUCH AS HEART HEALTH, DIABETES EDUCATION, STROKE AWARENESS, ADVANCED CARE PLANNING, HOW TO USE AN AED, AND JOINT REPLACEMENT. OVER 150 SENIORS ATTENDED THESE PROGRAMS. 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, BREASTFEEDING PART I, BREASTFEEDING PART II, WORKING & BREASTFEEDING, BECOMING A GRANDPARENT, BOOT CAMP FOR NEW DADS, BRINGING HOME BABY, INFANT MASSAGE CLASS, FAMILY BIRTH CENTER TOURS, CHILD SEAT SAFETY, SIBLING CLASS, AND INFANT CPR AND HOME SAFETY. OVER 1,860 PEOPLE PARTICIPATED IN FY18. HEART SURVIVOR WALK ATTENDEES RECEIVE A FREE VEIN SCREENING. THE 2018 HEART SURVIVOR WALK AND BREAKFAST AT BLACKBERRY FARM HAD 98 PARTICIPANTS. PARTICIPANTS PARTICIPATED IN A ONE MILE WALK AND ENJOYED COMPLIMENTARY BREAKFAST. AWARDS WERE GIVEN FOR THE OLDEST SURVIVOR, YOUNGEST SURVIVOR AND SUPER SURVIVOR. PARTICIPANTS AND THEIR GUESTS WERE EDUCATED BY DRS. ALWARSHETTY, NUYLES AND LOME ABOUT THE IMPORTANCE OF RECOGNIZING SIGNS AND SYMPTOMS OF A HEART ATTACK, THE IMPORTANCE OF CALLING 911 AND LEADING A HEART HEALTHY LIFESTYLE. |
| FORM 990, PART III, LINE 4A | SUMMARY OF FY18 HEALTH PROGRAMMING (CONTINUED FROM ABOVE) MOVEMENT DISORDERS RUSH COPLEY'S MOVEMENT DISORDERS PROGRAM PROVIDES SUPPORT AND MANAGEMENT OF PARKINSON'S DISEASE, ESSENTIAL TREMOR, DYSTONIA AND ATAXIA TO HELP PATIENTS MAXIMIZE THEIR MOBILITY, COORDINATION, AND QUALITY OF LIFE. PROGRAM OFFERINGS INCLUDE SUPPORT GROUPS, EXERCISE CLASSES BOTH ON LAND AND WATER, GROUP BOXING, ART AND MUSIC THERAPY AS WELL AS SPECIAL EVENTS WITH GUEST SPEAKERS TO MORE THAN 200 PARTICIPANTS. WOMEN OVER 50 WOMEN ATTENDED TWO PROGRAMS IN THE WOMEN TO WOMEN HEALTH SERIES. TOPICS INCLUDED TREATING GYNE CONDITIONS FROM ROBOTIC SURGERY TO RECOVERY AND FOOD SENSITIVITIES IN FAMILIES. STROKE PROGRAMS ON STROKE EDUCATION WERE HELD ON 5/1/18 WITH 30 PARTICIPANTS IN ATTENDANCE AND 5/16/18 WITH 25 PARTICIPANTS IN ATTENDANCE. 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. OVER 8,600 PEOPLE USED THIS SERVICE IN FY18. WEBSITE COPLEY MEMORIAL HOSPITAL'S WEBSITE, RUSHCOPLEY.COM, WITH TRANSLATION AVAILABLE INTO DOZENS OF LANGUAGES, OFFERS ACCESS TO FREE HEALTH INFORMATION. IN FY18, RUSHCOPLEY.COM HAD NEARLY 700,000 USER SESSIONS AND OVER 1,614,000 PAGE VIEWS. |
| FORM 990, PART VI, SECTION A, LINE 2 | 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. |
| 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 | 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, SECTION A, LINE 7B | 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, SECTION B, LINE 11B | THE FORM 990 TAX RETURN 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 12C | ANNUALLY, OFFICERS, DIRECTORS, KEY EMPLOYEES, MANAGEMENT TEAM (DEPARTMENT DIRECTORS AND MANAGERS), AND BILLING OFFICE PERSONNEL OF COPLEY MEMORIAL HOSPITAL, INC. 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 | 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, 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. THE FINANCIAL STATEMENTS ARE AVAILABLE ON THE ATTORNEY GENERAL'S WEBSITE. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 100,019. SWAP VALUE ADJUSTMENT 1,893,927. OTHER -7,933. |
| FORM 990, PART XII, LINES 2A & 2B: | ALTHOUGH THE ORGANIZATION DOES NOT RECEIVE STAND ALONE GAAP FINANCIAL STATEMENTS IT DOES RECEIVE ON AN ANNUAL BASIS FROM INDEPENDENT AUDITORS CONSOLIDATED ENTITY GAAP FINANCIAL STATEMENTS (AUDITED) FOR ITSELF AND ITS AFFILIATES. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| RUSH COPLEY MEDICAL CENTER INC | |||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 363193787 | PARENT COMPANY | IL | 501(C)(3) | LINE 12B, II | RUSH SYSTEM FOR HEALTH | Yes (1) | |
| RUSH COPLEY HEALTH CARE SYSTEM INC | |||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 363584043 | BRIDGE BOARD RCMC & RUMC | IL | 501(C)(3) | LINE 11A | RUSH UNIVERSITY MEDICAL CENTER INC | Yes (1) | |
| RUSH COPLEY FOUNDATION | |||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 363093877 | GRANTS TO CHARITABLE ORGANIZATIONS | IL | 501(C)(3) | LINE 7 | RUSH COPLEY MEDICAL CENTER INC | Yes (1) | |
| COPLEY VENTURES INC | |||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 363370216 | RENTAL PROP., INFIRMARY CARE, AND HEALTHPLEX FITNESS CENTER | IL | 501(C)(3) | LINE 3 | RUSH COPLEY MEDICAL CENTER INC | Yes (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 | Yes (1) | |
| RUSH SYSTEM FOR HEALTH | |||||||||||
| 1725 W HARRISON STREET | CHICAGO | IL | 60612 | 364046278 | HOSPITAL | IL | 501(C)(3) | LINE 12C | 0 | N/A | |
| RUSH OAK PARK HOSPITAL INC | |||||||||||
| 520 S MAPLE AVE | OAK PARK | IL | 60304 | 362183812 | HOSPITAL | IL | 501(C)(3) | LINE 3 | RUSH UNIVERSITY MEDICAL CENTER INC | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | |||||||
| GUARDIAN HEALTH TECHNOLOGIES LLC | ||||||||||||||
| 1653 W CONGRESS PARKWAY | CHICAGO | IL | 60612 | 362174823 | ANALYTICS SOFTWARE LICENSE HOLDER | IL | N/A | |||||||
| YORKVILLE PHYSICAL THERAPY & SPORTS MEDICINE CENTER LLC | ||||||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 364236345 | PHYSICAL THERAPY & SPORTS MEDICINE | IL | N/A | |||||||
| RUSH COPLEY CARDIOVASCULAR LLC | ||||||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 273234201 | CARDIOVASCULAR MEDICINE | IL | RUSH COPLEY MEDICAL CENTER INC | RELATED | $4,652,713 | $11,753,471 | 0 | 0 | 0.99000 | |
| RUSH COPLEY HOSPITALISTS LLC | ||||||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 611787188 | MEDICAL SERVICES | IL | RUSH COPLEY MEDICAL CENTER INC | RELATED | $783,564 | $1,856,794 | 0 | 0 | 0.99000 | |
| RUSH COPLEY ORTHOPEDICS LLC | ||||||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 611801175 | MEDICAL SERVICES | IL | N/A | |||||||
| RUSH COPLEY SURGICENTER LLC | ||||||||||||||
| 2000 OGDEN AVENUE | AURORA | IL | 60504 | 384012268 | MEDICAL SERVICES | IL | COPLEY MEMORIAL HOSPITAL INC | RELATED | $3,270,621 | $13,170,240 | 0 | 0 | 0.99000 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RUSH UNIVERSITY MEDICAL CENTER INSURANCE CO LTD | |||||||||||||
| PO BOX 1051 | GRAND CAYMAN | CJ | INSURANCE | CJ | N/A | C | 0 | ||||||
| RUSH COPLEY MEDICAL GROUP NFP | |||||||||||||
| PHYSICIAN PRACTICES | N/A | C | 0 | 2000 OGDEN AVENUE | AURORA | IL | 60504 | 363235315 | IL | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| RUSH COPLEY MEDICAL GROUP NFP | ||
| A | $636,349 | FAIR MARKET VALUE |
| RUSH COPLEY FOUNDATION | ||
| C | $940,320 | FAIR MARKET VALUE |
| RUSH UNIVERSITY MEDICAL CENTER | ||
| D | $621,247 | FAIR MARKET VALUE |
| COPLEY VENTURES INC | ||
| K | $1,062,779 | FAIR MARKET VALUE |
| RUSH UNIVERSITY MEDICAL CENTER | ||
| Q | $81,649 | FAIR MARKET VALUE |
| RUSH COPLEY FOUNDATION | ||
| Q | $224,544 | FAIR MARKET VALUE |
| COPLEY VENTURES INC | ||
| R | $570,000 | FAIR MARKET VALUE |