2019-05-15T18:32:24-05:00 2018-06-30 861065772 DELOITTE TAX LLP 50 S 6TH ST SUITE 2800 MINNEAPOLIS MN 554021844 990 2017-07-01 363093877 RUSH COPLEY FOUNDATION RUSH 6309786200 2000 OGDEN AVENUE AURORA IL 605044206 BRENDA VANWYHE CFO CFO 6309786200 2019-05-15 1 KRISTINA RASMUSSEN P00143920 6123974000 71.195.91.55 2019-05-15 14:44:33 ED P C9ED19D146748CAC02A1A8999E376782BC08CAB7 D6D028B83EC7BAE48696A0FE418AC7215527A94E 2017 2019-02-21 02:37:17Z BARRY FINN 2000 OGDEN AVENUE AURORA IL 605044206 3635802 0 X WWW.RUSHCOPLEY.COM X 1980 IL INSPIRING PHILANTHROPIC SUPPORT TO BENEFIT COPLEY HOSPITAL AND THE COMMUNITY. 19 16 0 50 0 0 687067 1314472 0 0 739522 870958 11999 39624 1438588 2225054 1294495 1098352 0 0 192868 196916 0 0 9066 230845 285137 1718208 1580405 -279620 644649 30401180 33028722 7039082 8766247 23362098 24262475 X TO INSPIRE PHILANTHROPIC SUPPORT FOR RUSH COPLEY MEDICAL CENTER AND OTHER RELATED/CONTROLLED EXEMPT ENTITIES TO ADVANCE HEALTHCARE AND HEALTH TO THE COMMUNITY WE SERVE. 0 0 1098352 1098352 RUSH COPLEY FOUNDATION ("RCF") SOLICITS CONTRIBUTIONS TO SUPPORT HEALTHCARE ACTIVITIES IN THE AURORA, IL AREA INCLUDING, BUT NOT LIMITED TO, THOSE OF COPLEY MEMORIAL HOSPITAL. RCF FOCUSES ON SUPPORTING PROGRAMS WHICH PROVIDE OR IMPROVE: ACCESS TO CARE, PATIENT & COMMUNITY EDUCATION, TRAINING FOR OUR HEALTH PROFESSIONALS AND PATIENT CARE IMPROVEMENT AT RUSH COPLEY MEDICAL CENTER, INC. (RCMC). EXAMPLES OF PROGRAMS COMPLETELY SUPPORTED BY RCF INCLUDE WATERFORD PLACE CENTER RESOURCE CENTER, A MOVEMENT DISORDERS PROGRAM AND THE FOX VALLEY HEART FUND. RCMC IS PROUD TO OFFER THESE PROGRAMS FREE OF CHARGE TO PATIENTS AND PARTICIPANTS. RCF SOLICITS AND RECEIVES GIFTS AND CONTRIBUTIONS FOR AND ON BEHALF OF RCMC AND OTHER CHARITABLE ORGANIZATIONS EXEMPT FROM TAXATION UNDER SECTIONS 501(A) OR 501(C)(3) OF THE INTERNAL REVENUE CODE CONTROLLED BY OR AFFILIATED WITH RCMC; AND TO SUPPORT THE CHARITABLE PROGRAMS AND ACTIVITIES OF SUCH ORGANIZATIONS THROUGH EXPENDITURE OF SUCH FUNDS RECEIVED. 1098352 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 X 19 16 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X BRENDA VAN WYHE 6309786200 2000 OGDEN AVE AURORA IL 605044206 THOMAS ALEXANDER DIRECTOR (END 9/17) 1.00 2.00 X 0 0 0 TRISH ANEN DIRECTOR 1.00 2.00 X 0 0 0 JAMES BAKA DIRECTOR 1.00 2.00 X 0 0 0 PATRICK CARMODY DIRECTOR (START 9/17) 1.00 2.00 X 0 0 0 CATI CEDEROTH DIRECTOR 1.00 2.00 X 0 0 0 BRUCE DIENST CHAIRMAN OF THE BOARD/DIRECTOR 1.00 2.00 X 0 0 0 RONALD HEM DIRECTOR 1.00 2.00 X 0 0 0 GARRETT KATULA DO VICE CHIEF OF STAFF/DIRECTOR 1.00 43.00 X 0 282985 31661 STEPHEN KELANIC MD CHIEF OF STAFF 1.00 43.00 X 0 432990 30652 HERBERT KNIGHT DIRECTOR 1.00 2.00 X 0 0 0 MARYANNE LOCKLIN DIRECTOR 1.00 2.00 X 0 0 0 DAVE MEAD DIRECTOR 1.00 2.00 X 0 0 0 MARK METZGER DIRECTOR 1.00 2.00 X 0 0 0 AVERY MILLER DIRECTOR 1.00 2.00 X 0 0 0 LUIS PEREZ DIRECTOR (START 9/17) 1.00 2.00 X 0 0 0 CHRISTINE SOBEK DIRECTOR 1.00 2.00 X 0 0 0 ANDREW VANEEKEREN DIRECTOR 1.00 2.00 X 0 0 0 RICHARD EDELMAN DIRECTOR 1.00 2.00 X X 0 0 0 BARRY FINN PRESIDENT & CEO 1.00 42.00 X X 0 1548342 31424 WILLIAM SKOGLUND VICE CHAIRMAN OF THE BOARD 1.00 2.00 X X 0 0 0 RYAN ASMUS VP GENERAL COUNSEL/SECRETARY 1.00 42.00 X 0 369599 68925 BRENDA VAN WYHE SR. VP FINANCE & CFO/TREASURER 1.00 42.00 X 0 451921 113284 ALEX POPE VP, PHILANTHROPY & CDO 40.00 1.00 X 0 265822 57932 0 3351659 333878 0 0 1 0 0 132109 149760 1032603 9722 1314472 677466 677466 1468498 1275006 193492 193492 193492 175366 132109 135742 39624 39624 2225054 0 0 910582 966050 966050 132302 132302 160094 160094 36822 36822 4407 4407 25150 25150 37360 37360 47774 47774 87 87 115 115 PURCHASED SERVICES 111921 102855 9066 NEWSLETTER ANNL REPORT 55337 55337 BANK FEES / CREDIT CARD 2872 2872 PRINTING & PUBLICATIONS 114 114 1580405 1098352 472987 9066 100000 108219 3395826 4352876 26484984 28264257 420370 303370 30401180 33028722 54465 120809 6984617 8645438 7039082 8766247 X 11670893 12293177 3602360 3665375 8088845 8303923 23362098 24262475 30401180 33028722 X 644649 554024 -298296 X X 0 1 X 1 0 X 1355647 1918420 1108656 687067 1314472 6384262 1355647 1918420 1108656 687067 1314472 6384262 1206574 5177688 549760 692808 655102 628260 677466 3203396 9587658 0.54000 0.50000 X 11691205 1193365 662110 1577382 11969298 10975986 2004750 512030 1801561 11691205 12538872 1093070 104565 2760521 10975986 11931067 2373022 204733 1969950 12538872 11161160 1178338 1068336 1476767 11931067 0.22000 0.69000 0.09000 0 0 0 DUE TO AFFILIATES 8645438 8645438 X PART V, LINE 4: RUSH COPLEY FOUNDATION HOLDS THE VORIS (INCOME FOR CMH CANCER CARE), KOBISK (BOARD RESTRICTED INCOME TO CMH), COPLEY (INCOME RESTRICTED TO HOSPITAL OPERATIONS), DOBBINS (INCOME FOR CMH WOMEN'S HEALTH), AND MOVEMENT DISORDER (INCOME FOR CMH MOVEMENT DISORDER PROGRAM) ENDOWMENTS. RUSH COPLEY FOUNDATION ALSO HOLDS THE FOLLOWING QUASI ENDOWMENTS: NURSING (INCOME FOR CMH FUTURE OF NURSING SCHOLARSHIPS). FOX VALLEY HEART (INCOME FOR THE HEART INSTITUTE), AND WATERFORD PLACE (INCOME FOR CMH CANCER RESOURCE CENTER) ENDOWMENTS. THESE FUNDS ARE HELD FOR THE BENEFIT OF COPLEY MEMORIAL HOSPITAL. PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE CORPORATION, THE HOSPITAL, VENTURES AND THE FOUNDATION ARE QUALIFIED AS TAX-EXEMPT ORGANIZATIONS UNDER INTERNAL REVENUE CODE SECTION 501(C)(3); ACCORDINGLY, INCOME TAXES ARE NOT PROVIDED FOR IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE MEDICAL GROUP OPERATES AS A TAXABLE CORPORATION AND ACCOUNTS FOR INCOME TAXES UNDER FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740. NO PROVISION FOR INCOME TAXES WAS RECORDED FOR 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. RICH HARVEST CLASSIC 162776 77372 85404 92015 GALA 86388 54737 31651 34661 1 58311 0 58311 9066 307475 132109 175366 135742 135742 39624 0 COPLEY MEMORIAL HOSPITAL INC 2000 OGDEN AVENUE AURORA IL 60504 362170840 501(C)(3) 940320 TO SUPPORT CAPITAL PURCHASES, OPERATIONS, AND FUTURE COMMUNITY PROGRAMS. VNA HEALTH CARE 400 NORTH HIGHLAND AVENUE AURORA IL 60506 362182095 501(C)(3) 25730 SUPPORT FOR HEART CLINIC 2 NURSING SCHOLARSHIPS TO RUSH COPLEY NURSES 21 62000 N/A N/A SUPPORT OF VARIOUS COMMUNITY PROGRAMS 2147 70302 N/A N/A PART I, LINE 2: THE ORGANIZATION ONLY PROVIDES GRANTS TO RELATED TAX EXEMPT ORGANIZATIONS AND THEREFORE DOES NOT MONITOR THE USE OF THE GRANTS. 0 1 0 0 0 0 0 0 0 GARRETT KATULA DO VICE CHIEF OF STAFF/DIRECTOR 0 242706 0 33621 0 6658 0 4803 0 26858 0 314646 0 0 STEPHEN KELANIC MD CHIEF OF STAFF 0 292307 0 139702 0 981 0 5143 0 25509 0 463642 0 0 BARRY FINN PRESIDENT & CEO 0 739783 0 304470 0 504089 0 5400 0 26024 0 1579766 0 0 RYAN ASMUS VP GENERAL COUNSEL/SECRETARY 0 260044 0 89490 0 20065 0 43447 0 25478 0 438524 0 0 BRENDA VAN WYHE SR. VP FINANCE & CFO/TREASURER 0 343863 0 103950 0 4108 0 56642 0 56642 0 565205 0 0 ALEX POPE VP, PHILANTHROPY & CDO 0 200782 0 61776 0 3264 0 32679 0 25253 0 323754 0 0 PART I, LINE 3 COPLEY MEMORIAL HOSPITAL, A RELATED ORGANIZATION OF RUSH-COPLEY FOUNDATION USED THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B CMH OFFERS A SUPPLEMENTAL RETIREMENT PLAN TO CERTAIN EMPLOYEES WHO PARTICIPATE IN THE EXECUTIVE BENEFITS PROGRAM. THERE IS NO CONSTRUCTIVE RECEIPT OF THESE AMOUNTS BY THE INDIVIDUALS UNTIL THEY ARE PAID OUT AS THEY ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE UNTIL INDIVIDUALS MEET THE REQUIRED VESTING PERIOD. ONCE VESTED, PAYOUTS WOULD BE INCLUDED AS REPORTABLE COMPENSATION ON THE RECIPIENTS ANNUAL FORM W-2. BARRY FINN RECEIVED PAYMENTS IN 2017 OF $474,303. FORM 990, PART VI, SECTION A, LINE 2 MANY OF THE PERSONS LISTED ON PART VII HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON RELATED RUSH COPLEY MEDICAL CENTER ENTITY BOARDS. FORM 990, PART VI, SECTION A, LINE 6 RUSH COPLEY MEDICAL CENTER, INC. ("RCMC") IS THE SOLE CORPORATE MEMBER OF COPLEY MEMORIAL HOSPITAL, INC. ("CMH"), RUSH COPLEY MEDICAL GROUP, NFP ("RCMG"), COPLEY VENTURES, INC. ("CV"), AND RUSH COPLEY FOUNDATION ("RCF"). FORM 990, PART VI, SECTION A, LINE 7A RUSH COPLEY FOUNDATION'S BOARD OF DIRECTORS ARE ELECTED BY THE GOVERNING BOARD OF RUSH COPLEY FOUNDATION'S SOLE CORPORATE MEMBER, RUSH COPLEY MEDICAL CENTER, INC., AT THE ANNUAL MEETING OF THE GOVERNING BOARD OF RUSH COPLEY MEDICAL CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7B THE PRESIDENT OF RUSH COPLEY FOUNDATION IS THE CEO OF RUSH COPLEY FOUNDATION'S SOLE CORPORATE MEMBER, RUSH COPLEY MEDICAL CENTER, INC. ANY REPEAL OR AMENDMENTS TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF RUSH COPLEY FOUNDATION REQUIRES APPROVAL OF RUSH COPLEY FOUNDATION'S SOLE CORPORATE MEMBER, RUSH COPLEY MEDICAL CENTER, INC. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY OUR EXTERNAL TAX ADVISOR WITH DATA PROVIDED BY OUR ORGANIZATION. A DRAFT OF THE FORM 990 IS PROVIDED TO MANAGEMENT FOR REVIEW AND COMMENT. THE BOARD OF DIRECTORS IS PROVIDED WITH AN APPROVED COPY OF THE FORM 990 BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, OFFICERS AND DIRECTORS OF RUSH COPLEY FOUNDATION ARE REQUIRED TO DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED AND REVIEWED BY THE CHIEF COMPLIANCE OFFICER AND THE AUDIT AND CORPORATE INTEGRITY COMMITTEE OF THE BOARD. THOSE KEY PERSONNEL WITH CONFLICTS ARE ADVISED TO RECUSE THEMSELVES FROM PARTICIPATING IN DECISION MAKING RELATED TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE CEO/VPS OF THE ORGANIZATION AND KEY SENIOR MANAGEMENT ARE COMPENSATED BY COPLEY MEMORIAL HOSPITAL. COPLEY MEMORIAL HOSPITAL FOLLOWS A COMPENSATION APPROVAL PROCEDURE ANNUALLY THAT INVOLVES APPROVAL OF PROPOSED AND FINAL COMPENSATION ARRANGEMENTS BY ITS COMPENSATION COMMITTEE AND FULL BOARD OF DIRECTORS USING COMPARABILITY DATA, AS WELL AS CONTEMPORANEOUS DOCUMENTATION OF COMPENSATION DECISIONS IN MINUTES. FORM 990, PART VI, SECTION C, LINE 19 FORM 990 IS AVAILABLE UPON REQUEST. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. COPIES OF THE FINANCIAL STATEMENTS (WHETHER OR NOT AUDITED) ARE PROVIDED UPON REASONABLE REQUEST SUCH AS FOR A BANK LOAN OR TO A BOND RATING AGENCY. FORM 990, PART XI, LINE 9: OTHER CHANGE IN NET ASSETS -298,296. FORM 990, PART XII, LINE 2A & 2B ALTHOUGH THE ORGANIZATION DOES NOT RECEIVE STANDALONE GAAP FINANCIAL STATEMENTS, IT DOES RECEIVE ANNUAL CONSOLIDATED FINANCIAL STATEMENTS PREPARED IN ACCORDANCE WITH GAAP THAT HAVE BEEN AUDITED BY INDEPENDENT AUDITORS. COPLEY MEMORIAL HOSPITAL INC 2000 OGDEN AVENUE AURORA IL 60504 362170840 HOSPITAL IL 501(C)(3) LINE 3 RUSH COPLEY MEDICAL CENTER INC 1 RUSH COPLEY MEDICAL CENTER INC 2000 OGDEN AVENUE AURORA IL 60504 363193787 PARENT COMPANY IL 501(C)(3) LINE 12B RUSH SYSTEM FOR HEALTH 1 COPLEY VENTURES INC 2000 OGDEN AVENUE AURORA IL 60504 363370216 RENTAL PROP., INFIRMARY CARE, AND HEALTHPLEX FITNESS CENTER IL 501(C)(3) LINE 3 RUSH COPLEY MEDICAL CENTER INC 1 RUSH COPLEY HEALTH CARE SYSTEM INC 2000 OGDEN AVENUE AURORA IL 60504 363584043 BRIDGE BOARD RCMC & RUMC IL 501(C)(3) LINE 12A RUSH UNIVERSITY MEDICAL CENTER INC 1 RUSH UNIVERSITY MEDICAL CENTER 1700 WEST VAN BUREN STREET CHICAGO IL 60612 362174823 HEALTHCARE IL 501(C)(3) LINE 3 RUSH SYSTEM FOR HEALTH 1 RUSH SYSTEM FOR HEALTH 1725 W HARRISON STREET CHICAGO IL 60612 364046278 HEALTHCARE IL 501(C)(3) LINE 12A N/A 0 RUSH OAK PARK HOSPITAL INC 520 S MAPLE AVE OAK PARK IL 60304 362183812 HEALTHCARE IL 501(C)(3) LINE 3 RUSH UNIVERSITY MEDICAL CENTER INC 1 CIRCLE IMAGING PARTNERS LP 1725 W HARRISON STREET CHICAGO IL 60612 363539382 OPERATION IMAGING IL N/A RUSH SURGICENTER AT THE PROFESSIONAL BUILDING LP 1725 W HARRISON STREET CHICAGO IL 60612 363853026 SURGERY CENTER IL N/A 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 N/A RUSH COPLEY SURGICENTER LLC 2000 OGDEN AVENUE AURORA IL 60504 384012268 MEDICAL SERVICES IL N/A RUSH COPLEY ORTHOPEDISTS LLC 2000 OGDEN AVENUE AURORA IL 60504 611801175 MEDICAL SERVICES IL N/A RUSH COPLEY HOSPITALISTS LLC 2000 OGDEN AVENUE AURORA IL 60504 611787188 MEDICAL SERVICES IL N/A RUSH UNIVERSITY MEDICAL CENTER INSURANCE CO LTD PO BOX 1051 GRAND CAYMAN CJ INSURANCE CJ N/A C 0 RUSH COPLEY MEDICAL GROUP NFP 2000 OGDEN AVENUE AURORA IL 60504 363235315 PHYSICIAN PRACTICES IL N/A C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 COPLEY MEMORIAL HOSPITAL INC B 940320 FAIR MARKET VALUE COPLEY MEMORIAL HOSPITAL INC P 224544 FAIR MARKET VALUE