RUSH UNIVERSITY MEDICAL CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: RUSH UNIVERSITY MEDICAL CENTER (EIN 36-2174823)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-14
IRS object ID: 201801349349301940
Schema version: 2016v3.0
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 F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-14T11:17:35-05:00	ReturnTs
Tax Period End	2017-06-30	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 South Sixth Street Suite 2800	AddressLine1Txt
City	Minneapolis	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55402	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	362174823	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Rush University Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	RUSH	BusinessNameControlTxt
Phone	3129428054	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1700 West Van Buren Street No 153	AddressLine1Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60612	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	John P Mordach	PersonNm
Person Title	Senior V.P. and CFO	PersonTitleTxt
Phone	3129425600	PhoneNum
Signature	2018-05-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Anne Fulton	PreparerPersonNm
PTIN	P00941863	PTIN
Phone	6123974000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	John P Mordach	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1700 W Van Buren St	AddressLine1Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60612	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$3,208,906,055	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.rush.edu	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1863	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	The mission of Rush University Medical Center is to improve the health of the individuals and diverse communities we serve through the integration of outstanding patient care, education, research and community partnerships. The true impact of our mission isn't only visible within the boundaries of our Medical Center campus. We also see our mission take shape in the community health clinics, outreach and mentoring programs, and many other community-based initiatives led by doctors, nurses, students and others at Rush. As a not-for-profit, charitable medical center, we offer several financial assistance programs to help patients with their health care costs for medically necessary or emergent services. At Rush, all patients are treated with dignity regardless of their ability to pay.	ActivityOrMissionDesc
Voting Members Governing Body	95	VotingMembersGoverningBodyCnt
Voting Members Independent	88	VotingMembersIndependentCnt
Total Employee	11716	TotalEmployeeCnt
Total Volunteers	875	TotalVolunteersCnt
Total Gross UBI	$638,605	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$54,966,347	PYContributionsGrantsAmt
CY Contributions Grants	$41,292,134	CYContributionsGrantsAmt
PY Program Service Revenue	$1,556,012,247	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,663,575,522	CYProgramServiceRevenueAmt
PY Investment Income	$23,057,757	PYInvestmentIncomeAmt
CY Investment Income	$70,683,824	CYInvestmentIncomeAmt
PY Other Revenue	$48,823,437	PYOtherRevenueAmt
CY Other Revenue	$54,296,361	CYOtherRevenueAmt
PY Total Revenue	$1,682,859,788	PYTotalRevenueAmt
CY Total Revenue	$1,829,847,841	CYTotalRevenueAmt
PY Grants And Similar Paid	$11,135,369	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$10,004,308	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$849,921,853	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$914,360,681	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$8,575,790	CYTotalFundraisingExpenseAmt
PY Other Expenses	$741,740,388	PYOtherExpensesAmt
CY Other Expenses	$794,939,029	CYOtherExpensesAmt
PY Total Expenses	$1,602,797,610	PYTotalExpensesAmt
CY Total Expenses	$1,719,304,018	CYTotalExpensesAmt
PY Revenues Less Expenses	$80,062,178	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$110,543,823	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,920,106,156	TotalAssetsBOYAmt
Total Assets EOY	$3,098,640,902	TotalAssetsEOYAmt
Total Liabilities BOY	$1,367,839,109	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,301,985,545	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,552,267,047	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,796,655,357	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	The mission of Rush is to improve the health of the individuals and diverse communities we serve through the integration of outstanding patient care, education, research and community partnerships.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,316,048,078	ExpenseAmt
Grant	$283,641	GrantAmt
Revenue	$1,494,420,472	RevenueAmt
Desc	Health Care: Rush University Medical Center ("Rush") is an academic medical center that brings together excellence in clinical care and research to address major health problems. Rush repeatedly has received Vizient's Quality Leadership Award, ranking fourth among 107 academic medical centers in 2017. It is the fifth consecutive time Rush has been ranked among the top five in the study and the ninth time since the study began in 2005. Rush is the only medical center in Illinois among those participating in the study to receive this award. In FY17, Rush provided patient care to more than 32,000 inpatients, and the emergency room has the capacity to handle more than 65,000 visits. A unique combination of research and patient care in FY17 earned Rush national rankings among the top 50 hospitals in 8 of 16 specialty areas according to U.S. News & World Report's 2017-18 "America's Best Hospitals" issue. Our nurses are at the forefront of our efforts to provide quality care, receiving four-year Magnet status (the highest honor in nursing) four consecutive times.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$76,551,340	ExpenseAmt
Grant	$9,720,667	GrantAmt
Revenue	$70,510,089	RevenueAmt
Desc	Education: Rush University is a health sciences university that includes Rush Medical College, the College of Nursing, the College of Health Sciences and the Graduate College. Founded in 1837, Rush Medical College has an acclaimed history as one of the first medical colleges in the Midwest and continues to make major contributions to medical science and education through research and clinical trials. The College of Nursing is one of the nation's top-ranked nursing colleges with a national reputation for clinical excellence that helps make our graduates highly sought after by top health care employers around the country. The College of Health Sciences has been responsible for education and research in the allied health professions. The Graduate College offers masters and doctoral programs for the next generation of exceptional research and health care professionals.The Medical Center also offers many highly selective residency and fellowship programs in medical and surgical specialties and subspecialties. Rush's unique practitioner-teacher model for health sciences education and research provides its students the opportunity to learn from world-renowned instructors who practice what they teach. With more than 40 degree and certificate options, Rush educated more than 2,500 students in FY17. Rush University provides outstanding health sciences education and conducts major research in a culture of inclusion, focused on the promotion and preservation of the health and wellbeing of our diverse communities.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$147,289,377	ExpenseAmt
Revenue	$111,587,485	RevenueAmt
Desc	Research: Because Rush is an academic medical center, research and clinical care come together in innovative and inspiring ways that have the power to transform lives. Even if research work starts in a laboratory, it won't stay there. Discoveries in Rush's labs lead to advances in patient care, while observations in clinical settings inspire research studies designed to improve the way we treat patients. This approach, known as translational research, has led to breakthroughs in patient care at Rush throughout the years. Investigators at Rush are involved in more than 1,700 projects, including hundreds of clinical studies to test the effectiveness and safety of new therapies and medical devices, as well as to expand scientific and medical knowledge. Total research awards in FY17 topped $102 million.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$71,396,005	ExpenseAmt
Revenue	$44,337,242	RevenueAmt
Desc	Other program services: Rush provides various services for the benefit of its patients and visitors, such as parking, food services and interpreter services. Rush also sponsors a number of programs in the community focused on improving health, expanding education in health-related careers, community-based research to reduce health disparities and initiatives to provide economic development and job creation. Rush programs influenced tens of thousands of lives in FY17.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$71,396,005	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$44,337,242	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,611,284,800	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	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	Yes (1)	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	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	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	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	1518	IRPDocumentCnt
IRP Document W2 G	6	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	11716	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	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
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	95	GoverningBodyVotingMembersCnt
Independent Voting Member	88	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Melissa Coverdale	PersonNm
Phone	3129428054	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1700 West Van Buren Street Ste 153	AddressLine1Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60612	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (152 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Kapila Kapur Anand
Trustee	1.00	Yes (X)	$0	$0	$0
Debra Beck
Trustee	1.00	Yes (X)	$0	$0	$0
James A Bell
Trustee	1.00	Yes (X)	$0	$0	$0
Matthew J Boler
Trustee	1.00	Yes (X)	$0	$0	$0
Harry Bond
Trustee	1.00	Yes (X)	$0	$0	$0
John L Brennan
Trustee	1.00	Yes (X)	$0	$0	$0
Marca L Bristo
Trustee	1.00	Yes (X)	$0	$0	$0
Peter C B Bynoe Esq
Trustee	1.00	Yes (X)	$0	$0	$0
Philip A Canfield
Trustee	1.00	Yes (X)	$0	$0	$0
Karen B Case
Trustee	1.00	Yes (X)	$0	$0	$0
Alison Li Chung
Trustee	1.00	Yes (X)	$0	$0	$0
E David Coolidge III
Trustee	1.00	Yes (X)	$0	$0	$0
Kelly McNamara Corley
Trustee	1.00	Yes (X)	$0	$0	$0
Susan Crown
Trustee	1.00	Yes (X)	$0	$0	$0	Yes (X)
James W DeYoung
Trustee	1.00	Yes (X)	$0	$0	$0	Yes (X)
Bruce W Dienst
Trustee	1.00	Yes (X)	$0	$0	$0
William A Downe
Trustee	1.00	Yes (X)	$0	$0	$0
Bruce W Duncan
Trustee	1.00	Yes (X)	$0	$0	$0
Christine A Edwards
Trustee	1.00	Yes (X)	$0	$0	$0
Francesca Maher Edwardson
Trustee	1.00	Yes (X)	$0	$0	$0
Charles L Evans PhD
Trustee	1.00	Yes (X)	$0	$0	$0
Larry Field
Trustee	1.00	Yes (X)	$0	$0	$0
Robert F Finke
Trustee	1.00	Yes (X)	$0	$0	$0
William J Friend
Trustee	1.00	Yes (X)	$0	$0	$0
Ronald J Gidwitz
Trustee	1.00	Yes (X)	$0	$0	$0
H John Gilbertson
Trustee	1.00	Yes (X)	$0	$0	$0
Steven Gitelis MD
Trustee	1.00	Yes (X)	$0	$0	$0
William M Goodyear
Trustee	1.00	Yes (X)	$0	$0	$0	Yes (X)
Sandra P Guthman
Trustee	1.00	Yes (X)	$0	$0	$0
William J Hagenah
Trustee	1.00	Yes (X)	$0	$0	$0
William K Hall
Trustee	1.00	Yes (X)	$0	$0	$0
Christie Hefner
Trustee	1.00	Yes (X)	$0	$0	$0
Marcie B Hemmelstein
Trustee	1.00	Yes (X)	$0	$0	$0
Jay L Henderson
Trustee	1.00	Yes (X)	$0	$0	$0
Marvin J Herb
Trustee	1.00	Yes (X)	$0	$0	$0
John W Higgins
Trustee	1.00	Yes (X)	$0	$0	$0
David W Hines MD
Trustee	1.00	Yes (X)	$0	$0	$0
Jerald W Hoekstra
Trustee	1.00	Yes (X)	$0	$0	$0		1.00
John L Howard
Trustee	1.00	Yes (X)	$0	$0	$0
Ron Huberman
Trustee	1.00	Yes (X)	$0	$0	$0
Anthony D Ivankovich MD
Trustee	1.00	Yes (X)	$0	$0	$0
Richard M Jaffee
Trustee	1.00	Yes (X)	$0	$0	$0
Peter Kasper Jakobsen
Trustee	1.00	Yes (X)	$0	$0	$0
Phillip M Kambic
Trustee	1.00	Yes (X)	$0	$0	$0
John P Keller
Trustee	1.00	Yes (X)	$0	$0	$0
Catherine J King
Trustee	1.00	Yes (X)	$0	$0	$0
Kip Kirkpatrick
Trustee	1.00	Yes (X)	$0	$0	$0
Anthony M Kotin MD
Trustee	1.00	Yes (X)	$0	$0	$0
Frederick A Krehbiel
Trustee	1.00	Yes (X)	$0	$0	$0
Sheldon Lavin
Trustee	1.00	Yes (X)	$0	$0	$0
The Rt Rev Jeffrey D Lee
Trustee	1.00	Yes (X)	$0	$0	$0
Aylwin B Lewis
Trustee	1.00	Yes (X)	$0	$0	$0
Susan R Lichtenstein
Trustee	1.00	Yes (X)	$0	$0	$0
Pamela Forbes Lieberman
Trustee	1.00	Yes (X)	$0	$0	$0
Todd W Lillibridge
Trustee	1.00	Yes (X)	$0	$0	$0
Donald G Lubin Esq
Trustee	1.00	Yes (X)	$0	$0	$0	Yes (X)
Robert A Mariano
Trustee	1.00	Yes (X)	$0	$0	$0
Paul E Martin
Trustee	1.00	Yes (X)	$0	$0	$0
Mary K McCarthy JD
Trustee	1.00	Yes (X)	$0	$0	$0
Gary E McCullough
Trustee	1.00	Yes (X)	$0	$0	$0
Andrew J McKenna Jr
Trustee	1.00	Yes (X)	$0	$0	$0
James S Metcalf
Trustee	1.00	Yes (X)	$0	$0	$0
Mark C Metzger
Trustee	1.00	Yes (X)	$0	$0	$0
Wayne L Moore
Trustee	1.00	Yes (X)	$0	$0	$0
Marcia Murphy DNP
Trustee	40.00	Yes (X)	$112,771	$0	$33,252		0.00
William A Mynatt Jr
Trustee	1.00	Yes (X)	$0	$0	$0
Martin H Nesbitt
Trustee	1.00	Yes (X)	$0	$0	$0
Michael J O'Connor
Trustee	1.00	Yes (X)	$0	$0	$0
William H Osborne
Trustee	1.00	Yes (X)	$0	$0	$0
Karl A Palasz
Trustee	1.00	Yes (X)	$0	$0	$0
Aurie A Pennick
Trustee	1.00	Yes (X)	$0	$0	$0
Sheila A Penrose
Trustee	1.00	Yes (X)	$0	$0	$0
Perry R Pero
Trustee	1.00	Yes (X)	$0	$0	$0		1.00
Stephen N Potter
Trustee	1.00	Yes (X)	$0	$0	$0
Stephen R Quazzo
Trustee	1.00	Yes (X)	$0	$0	$0
Richard S Price
Trustee	1.00	Yes (X)	$0	$0	$0
Eric A Reeves
Trustee	1.00	Yes (X)	$0	$0	$0
Karen C Reid
Trustee	1.00	Yes (X)	$0	$0	$0		1.00
Angelique L Richard PhD
Trustee	1.00	Yes (X)	$0	$0	$0
Thomas E Richards
Trustee	1.00	Yes (X)	$0	$0	$0
John W Rogers Jr
Trustee	1.00	Yes (X)	$0	$0	$0
Jesse H Ruiz
Trustee	1.00	Yes (X)	$0	$0	$0
Dino Rumoro DO
Trustee	40.00	Yes (X)	$552,674	$0	$48,878		0.00
John J Sabl
Trustee	1.00	Yes (X)	$0	$0	$0
John F Sandner
Trustee	1.00	Yes (X)	$0	$0	$0
E Scott Santi
Trustee	1.00	Yes (X)	$0	$0	$0
Gloria Santona Esq
Trustee	1.00	Yes (X)	$0	$0	$0
Carole Browe Segal
Trustee	1.00	Yes (X)	$0	$0	$0
Alejandro Silva
Trustee	1.00	Yes (X)	$0	$0	$0
Jennifer W Steans
Trustee	1.00	Yes (X)	$0	$0	$0
Joan E Steel
Trustee	1.00	Yes (X)	$0	$0	$0
Carl W Stern
Trustee	1.00	Yes (X)	$0	$0	$0
Carole W Streicher
Trustee	1.00	Yes (X)	$0	$0	$0
Jonathan W Thayer
Trustee	1.00	Yes (X)	$0	$0	$0
Charles A Tribbett III
Trustee	1.00	Yes (X)	$0	$0	$0
Kenneth J Tuman MD
Trustee	40.00	Yes (X)	$104,474	$0	$1,088		0.00
Gregory WWelch
Trustee	1.00	Yes (X)	$0	$0	$0
Marilyn K Wideman DNP RN BC FAAN
Trustee	1.00	Yes (X)	$0	$0	$0
John R Willis
Trustee	1.00	Yes (X)	$0	$0	$0
Thomas J Wilson
Trustee	1.00	Yes (X)	$0	$0	$0
Robert A Wislow
Trustee	1.00	Yes (X)	$0	$0	$0
Barbara Jil Wu PhD
Trustee	1.00	Yes (X)	$0	$0	$0
Larry J Goodman MD
Chief Executive Officer	40.00	Yes (X)	$2,905,990	$0	$411,077	Yes (X)	3.00
David A Ansell MD
SVP, Community Health Equity	39.00		$871,474	$0	$159,546	Yes (X)	1.00
Cynthia Barginere DNP
SVP & Chief Operating Officer,	40.00		$540,986	$0	$106,715	Yes (X)	0.00
Carl T Bergetz JD
VP Legal Affairs & Acting Gen Counsel	40.00		$403,739	$0	$52,017	Yes (X)	0.00
Antonio C Bianco MD
SVP Clinical Affairs	40.00		$642,707	$0	$97,023	Yes (X)	0.00
Cynthia Boyd MD
VP & Chief Compliance Officer	40.00		$774,820	$0	$90,605	Yes (X)	0.00
Edward W Conway
VP, Clinical Affairs for Admin & Finance	40.00		$347,148	$0	$80,297	Yes (X)	0.00
Melissa Coverdale
VP, Finance	32.00		$379,124	$0	$72,305	Yes (X)	8.00
Michael J Dandorph
President	40.00		$1,132,844	$0	$200,001	Yes (X)	0.00
Richard B Davis
VP, Human Resources Operations	40.00		$359,709	$0	$77,526	Yes (X)	0.00
Richard K Davis
VP, University Affairs	40.00		$423,544	$0	$91,644	Yes (X)	0.00
Thomas A Deutsch MD
Provost, Rush University	40.00		$4,322,955	$0	$212,806	Yes (X)	0.00
Bruce M Elegant
VP, Hospital Operations	1.00		$521,472	$0	$83,857	Yes (X)	39.00
Brent J Estes
SVP, Business and Network Development	40.00		$537,431	$0	$98,597	Yes (X)	0.00
Marquis D Foreman PhD
Dean, College of Nursing	40.00		$326,834	$0	$59,064	Yes (X)	0.00
Richa D Gupta
VP & Chief Quality Officer	40.00		$284,103	$0	$31,069	Yes (X)	0.00
Bala Hota
VP & Chief Analytics Officer	40.00		$366,953	$0	$43,133	Yes (X)	0.00
Ranga R Krishnan MB ChB
SVP, Dean Rush Medical College	40.00		$853,897	$0	$135,650	Yes (X)	0.00
Joan E Kurtenbach
VP, Strategic Planning, Marketing	39.00		$347,361	$0	$75,848	Yes (X)	1.00
Michael E LaMont
VP, Facilities Management	40.00		$417,402	$0	$60,398	Yes (X)	0.00
Omar B Lateef
VP, Clinical Affairs and CMO	40.00		$704,112	$0	$121,064	Yes (X)	0.00
John Lowenberg
VP, Philanthropy	40.00		$557,995	$0	$61,927	Yes (X)	0.00
Diane M McKeever
SVP, Philanthropy	40.00		$515,570	$0	$117,938	Yes (X)	0.00
John P Mordach
SVP, Finance & CFO	40.00		$1,035,998	$0	$185,330	Yes (X)	0.00
Mike J Mulroe
VP, Hospital Operations	40.00		$379,141	$0	$85,332	Yes (X)	0.00
James L Mulshine MD
Interim Dean, Graduate College	40.00		$383,899	$0	$79,577	Yes (X)	0.00
Patricia G Nedved
VP, Professional Nursing Practice	40.00		$248,027	$0	$37,748	Yes (X)	0.00
Patricia S O'Neil
VP Chief Invstmnt Officer & Treasurer	40.00		$326,385	$0	$67,666	Yes (X)	0.00
Jaime B Parent
VP, Information Technology	40.00		$355,608	$0	$78,140	Yes (X)	0.00
Brian D Patty MD
VP, Clinical Information Systems	40.00		$440,013	$0	$76,062	Yes (X)	0.00
Anthony Perry MD
VP, Ambulatory Care & Population Health	40.00		$400,585	$0	$91,291	Yes (X)	0.00
Terry Peterson
VP, Corporate and External Affairs	40.00		$381,496	$0	$59,339	Yes (X)	0.00
Shafiq Rab MBBS MPH CHCIO
SVP & CIO	40.00		$0	$0	$0	Yes (X)	0.00
Angelique Richard
VP & Chief Nursing Officer	40.00		$109,213	$0	$10,389	Yes (X)	0.00
Charlotte Royeen
Dean, College of Health Sciences	40.00		$291,477	$0	$53,835	Yes (X)	0.00
Mary Ellen Schopp
SVP, HR & Chief HR Officer	40.00		$505,503	$0	$120,905	Yes (X)	0.00
Scott E Sonnenschein
VP, Hospital Operations	40.00		$413,669	$0	$87,434	Yes (X)	0.00
Denise Szalko
VP, Revenue Cycle	40.00		$384,392	$0	$66,748	Yes (X)	0.00
Judson Vosburg
VP, Financial Planning & Support	40.00		$316,139	$0	$49,566	Yes (X)	0.00
Lynne Wallace
VP Human Resources	40.00		$203,062	$0	$40,619	Yes (X)	0.00
Brian T Smith
VP, Clinical Affairs ended 12/2016	40.00		$489,419	$0	$83,226	Yes (X)	0.00
Lac Van Tran
SVP, Information Services ended 8/2016	40.00		$498,823	$0	$94,292	Yes (X)	0.00
Michael Liptay MD
Physician	40.00		$1,326,759	$0	$50,563		0.00	Yes (X)
Demetrius Lopes MD
Physician	40.00		$1,229,079	$0	$41,156		0.00	Yes (X)
Lorenzo Munoz MD
Physician	40.00		$1,214,055	$0	$43,806		0.00	Yes (X)
Richard Byrne MD
Physician	40.00		$1,205,195	$0	$45,844		0.00	Yes (X)
Vincent Traynelis MD
Physician	40.00		$1,088,637	$0	$30,177		0.00	Yes (X)
Peter W Butler
Former President	40.00		$1,351,635	$0	$214,099		0.00		Yes (X)
Lois K Halstead PhD RN
Former V.P. University Affairs	40.00		$260,925	$0	$2,856		0.00		Yes (X)
Anne M Murphy JD
Former SVP Legal Affairs	40.00		$980,748	$0	$87,412		0.00		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$35,127,971	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$4,506,737	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1521	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	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
BULLEY & ANDREWS LLC
1755 W ARMITAGE AVENUE	CHICAGO	IL	60622	CONSTRUCTION	$9,369,023
WALSH CONSTRUCTION COMPANY
929 W ADAMS STREET	CHICAGO	IL	60607	CONSTRUCTION	$6,644,828
HEALTHCARE TRUST OF AMER INC
16435 N SCOTTSDALE ROAD 320	SCOTTSDALE	AZ	85254	REAL ESTATE ACQUISITION & MANAGEMENT	$3,244,694
WESTSIDE REALTY
300 S ASHLAND AVENUE 203	CHICAGO	IL	60607	REAL ESTATE ACQUISITION & MANAGEMENT	$3,127,914
HLS WHEELING LLC
13028 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	INDUSTRIAL LAUNDRY	$2,516,139

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	160	CntrctRcvdGreaterThan100KCnt
Fundraising	$2,146,427	FundraisingAmt
Government Grants	$3,309,241	GovernmentGrantsAmt
All Other Contributions	$35,836,466	AllOtherContributionsAmt
Noncash Contributions	$4,860,824	NoncashContributionsAmt
Total Contributions	$41,292,134	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Medicare/Medicaid	541900	$638,897,064	$638,897,064
Patient Services	900099	$539,478,450	$539,478,450
Physician Practices	621110	$258,765,192	$258,765,192
Research	621500	$111,587,485	$111,587,485
Tuition	900099	$70,510,089	$70,510,089

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$44,337,242	TotalRevenueColumnAmt
Related Or Exempt Func Income	$44,337,242	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,663,575,522	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,049,179	TotalRevenueColumnAmt
Exclusion	$22,049,179	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$8,424,715	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$11,754,846	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$3,330,131	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$3,330,131	TotalRevenueColumnAmt
Unrelated Business Revenue	$123,130	UnrelatedBusinessRevenueAmt
Exclusion	-$3,453,261	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,380,820,000	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,332,185,355	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$48,634,645	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$48,634,645	TotalRevenueColumnAmt
Exclusion	$48,634,645	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$593,156	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$2,146,427	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$837,555	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$244,399	TotalRevenueColumnAmt
Exclusion	-$244,399	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$94,200	GamingGrossIncomeAmt
Gaming Direct Expenses	$18,550	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$75,650	TotalRevenueColumnAmt
Exclusion	$75,650	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$91,541,674	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$34,261,908	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$57,279,766	TotalRevenueColumnAmt
Related Or Exempt Func Income	$57,279,766	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Vyridian	541900	$221,040	$221,040
Laboratories	621500	$169,608	$169,608
Investment UBI	900003	$106,712	$106,712

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,115	TotalRevenueColumnAmt
Unrelated Business Revenue	$18,115	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$515,475	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,829,847,841	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,720,855,288	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$638,605	UnrelatedBusinessRevenueAmt
Exclusion	$67,061,814	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$283,641	TotalAmt
Program Services	$283,641	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$9,720,667	TotalAmt
Program Services	$9,720,667	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$37,817,425	TotalAmt
Program Services	$6,254,685	ProgramServicesAmt
Management And General	$30,309,310	ManagementAndGeneralAmt
Fundraising	$1,253,430	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,617,422	TotalAmt
Management And General	$1,617,422	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$719,806,952	TotalAmt
Program Services	$706,068,163	ProgramServicesAmt
Management And General	$9,737,469	ManagementAndGeneralAmt
Fundraising	$4,001,320	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$28,628,901	TotalAmt
Program Services	$25,277,432	ProgramServicesAmt
Management And General	$3,322,319	ManagementAndGeneralAmt
Fundraising	$29,150	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$75,217,268	TotalAmt
Program Services	$69,199,020	ProgramServicesAmt
Management And General	$4,870,904	ManagementAndGeneralAmt
Fundraising	$1,147,344	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$51,272,713	TotalAmt
Program Services	$49,025,256	ProgramServicesAmt
Management And General	$2,162,811	ManagementAndGeneralAmt
Fundraising	$84,646	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$42,618,418	TotalAmt
Program Services	$31,128,632	ProgramServicesAmt
Management And General	$10,581,248	ManagementAndGeneralAmt
Fundraising	$908,538	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,325,695	TotalAmt
Program Services	$1,245,222	ProgramServicesAmt
Management And General	$3,080,473	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$580,089	TotalAmt
Program Services	$174,027	ProgramServicesAmt
Management And General	$406,062	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$643,187	TotalAmt
Program Services	$643,187	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$4,073,966	TotalAmt
Management And General	$4,073,966	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$44,311,918	TotalAmt
Program Services	$41,433,027	ProgramServicesAmt
Management And General	$2,797,472	ManagementAndGeneralAmt
Fundraising	$81,419	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,720,559	TotalAmt
Program Services	$3,997,258	ProgramServicesAmt
Management And General	$720,753	ManagementAndGeneralAmt
Fundraising	$2,548	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,521,127	TotalAmt
Program Services	$6,057,552	ProgramServicesAmt
Management And General	$1,243,761	ManagementAndGeneralAmt
Fundraising	$219,814	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$26,077,447	TotalAmt
Program Services	$24,042,635	ProgramServicesAmt
Management And General	$2,034,812	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$280,533	TotalAmt
Program Services	$280,533	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$28,253,004	TotalAmt
Program Services	$20,272,825	ProgramServicesAmt
Management And General	$7,588,921	ManagementAndGeneralAmt
Fundraising	$391,258	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,734,847	TotalAmt
Program Services	$2,420,629	ProgramServicesAmt
Management And General	$224,418	ManagementAndGeneralAmt
Fundraising	$89,800	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$3,133,658	TotalAmt
Program Services	$2,508,185	ProgramServicesAmt
Management And General	$435,390	ManagementAndGeneralAmt
Fundraising	$190,083	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$17,338,354	TotalAmt
Program Services	$17,338,354	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$103,802,737	TotalAmt
Program Services	$92,423,083	ProgramServicesAmt
Management And General	$11,379,654	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$42,525,191	TotalAmt
Program Services	$42,525,191	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Supplies	$354,626,631	$352,501,169	$2,018,315	$107,147
Medicare Provider Tax	$36,589,838	$36,589,838
Bad Debt	$35,630,686	$35,630,686
Equipment Rent/Purchase	$22,892,340	$22,620,604	$237,685	$34,051

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,258,804	TotalAmt
Program Services	$11,623,299	ProgramServicesAmt
Management And General	$600,263	ManagementAndGeneralAmt
Fundraising	$35,242	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,719,304,018	TotalAmt
Program Services	$1,611,284,800	ProgramServicesAmt
Management And General	$99,443,428	ManagementAndGeneralAmt
Fundraising	$8,575,790	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$137,223	BOYAmt
EOY	$569,489	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$105,335,227	BOYAmt
EOY	$56,606,864	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$18,451,542	BOYAmt
EOY	$19,079,397	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$279,821,200	BOYAmt
EOY	$312,226,433	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$23,591,086	BOYAmt
EOY	$23,819,337	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,895,567	BOYAmt
EOY	$13,497,917	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,358,079,779	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,133,430,165	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,137,019,154	BOYAmt
EOY	$1,224,649,614	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$920,413,458	BOYAmt
EOY	$980,317,535	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$388,986,000	BOYAmt
EOY	$452,393,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$35,455,699	BOYAmt
EOY	$15,481,316	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,920,106,156	BOYAmt
EOY	$3,098,640,902	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$415,969,958	BOYAmt
EOY	$324,021,478	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$13,436,657	BOYAmt
EOY	$12,489,757	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$533,566,813	BOYAmt
EOY	$514,013,456	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$325,855,862	BOYAmt
EOY	$376,533,591	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$79,009,819	BOYAmt
EOY	$74,927,263	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,367,839,109	BOYAmt
EOY	$1,301,985,545	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$951,227,673	BOYAmt
EOY	$1,098,578,045	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$343,719,589	BOYAmt
EOY	$434,480,597	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$257,319,785	BOYAmt
EOY	$263,596,715	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,552,267,047	BOYAmt
EOY	$1,796,655,357	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,920,106,156	BOYAmt
EOY	$3,098,640,902	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$110,543,823	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$85,740,216	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$48,104,271	OtherChangesInNetAssetsAmt
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	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$643,187	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$99,933	OtherActivitiesAmt
Total Lobbying Expenditures	$743,120	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	Lobbying activities consist of promoting legislation that would protect and promote the continued ability of the organization to further its exempt purpose of providing excellence in healthcare. A portion of the lobbying expenditure stems from dues to hospital organizations that lobby on behalf of the healthcare industry.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$505,278,670	BeginningYearBalanceAmt
Contributions	$4,226,027	ContributionsAmt
Investment Earnings Or Losses	$97,185,668	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,684,169	GrantsOrScholarshipsAmt
Other Expenditures	$15,222,879	OtherExpendituresAmt
Administrative Expenses	$468,011	AdministrativeExpensesAmt
End Year Balance	$588,315,306	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$521,164,012	BeginningYearBalanceAmt
Contributions	$4,047,128	ContributionsAmt
Investment Earnings Or Losses	-$2,040,476	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,629,194	GrantsOrScholarshipsAmt
Other Expenditures	$14,807,856	OtherExpendituresAmt
Administrative Expenses	$454,944	AdministrativeExpensesAmt
End Year Balance	$505,278,670	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$521,793,095	BeginningYearBalanceAmt
Contributions	$4,864,889	ContributionsAmt
Investment Earnings Or Losses	$11,650,065	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,830,428	GrantsOrScholarshipsAmt
Other Expenditures	$14,809,823	OtherExpendituresAmt
Administrative Expenses	$503,786	AdministrativeExpensesAmt
End Year Balance	$521,164,012	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$475,694,471	BeginningYearBalanceAmt
Contributions	$6,566,825	ContributionsAmt
Investment Earnings Or Losses	$56,203,563	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,782,744	GrantsOrScholarshipsAmt
Other Expenditures	$14,424,023	OtherExpendituresAmt
Administrative Expenses	$464,997	AdministrativeExpensesAmt
End Year Balance	$521,793,095	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$435,858,404	BeginningYearBalanceAmt
Contributions	$5,587,306	ContributionsAmt
Investment Earnings Or Losses	$50,675,689	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,682,157	GrantsOrScholarshipsAmt
Other Expenditures	$14,323,141	OtherExpendituresAmt
Administrative Expenses	$421,630	AdministrativeExpensesAmt
End Year Balance	$475,694,471	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.01000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.45000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.54000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$52,432,932	OtherCostOrOtherBasisAmt
Book Value	$52,432,932	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,675,407,321	OtherCostOrOtherBasisAmt
Depreciation	$721,509,328	DepreciationAmt
Book Value	$953,897,993	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$48,791,942	OtherCostOrOtherBasisAmt
Depreciation	$40,203,547	DepreciationAmt
Book Value	$8,588,395	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$554,580,884	OtherCostOrOtherBasisAmt
Depreciation	$371,717,290	DepreciationAmt
Book Value	$182,863,594	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,866,700	OtherCostOrOtherBasisAmt
Book Value	$26,866,700	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,224,649,614	TotalBookValueLandBuildingsAmt

Financial Derivatives FinancialDerivativesGrp

Field	Value	IRS element (for citing)
Book Value	$452,393,000	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$452,393,000	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Swap Valuation	$16,001,888
Pension Liabilities	$29,672,914
IMD Loan	$47,083
Securities Lending Liabilities	$7,714,741
Annuities-Philanthropy	$580,140
Asset Retirement Cost	$20,621,698
Payable to Affiliate	$288,799

Field	Value	IRS element (for citing)
Total Liability	$74,927,263	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$1,814,638,341	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$33,688,126	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$33,688,126	RevenueNotReportedAmt
Revenue Subtotal	$1,780,950,215	RevenueSubtotalAmt
Investment Expenses Not Incld	$4,073,966	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$44,823,660	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$48,897,626	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,829,847,841	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,717,038,425	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$1,717,038,425	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$4,073,966	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	-$1,808,373	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$2,265,593	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,719,304,018	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part XI, Line 4b - Other Adjustments:	Bad Debt Expense booked as reduction of revenue 35,630,686. Restricted investment losses 41,471,106. Net assets released from restriction 5,160,927. Cost of Goods reported in revenue section of 990 -34,261,908. Rental Expense reported in revenue section of 990 -11,754,846. Fundraising expenses booked as reduction in revenue 8,577,695.
Part XII, Line 4b - Other Adjustments:	Bad Debt Expense booked as reduction in revenue 35,630,686. Cost of Goods reported in revenue section of 990 -34,261,908. Rental expesne reported in revenue section of 990 -11,754,846. Fundraising expenses booked as reduction in revenue 8,577,695.
Schedule D Part V Line 4	-The endowments are used to fund professorships (41%), research (13%), free care (9%), student financial aid (11%), education and fellowships (12%) and other programs (14%).

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (10 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas,	Program Service	Self Insurance	$2,188,000
Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas,	Program Service	Charitable Health Care and healthcare related conferences.	$41,049
East Asia and the Pacific - Australia, Brunei, Burma, Cambodia,	Program Service	Charitable Health Care and healthcare related conferences.	$50,683
Europe (Including Iceland & Greenland) - Albania, Andorra, Austria, Belgium	Program Service	Charitable Health Care and healthcare related conferences.	$277,373
Middle East and North Africa - Algeria, Bahrain, Djibouti, Egypt,	Program Service	Charitable Health Care and healthcare related conferences.	$43,949
North America - Canada and Mexico, but not the United States	Program Service	Charitable Health Care and healthcare related conferences.	$704,120
South America - Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador,	Program Service	Charitable Health Care and healthcare related conferences.	$162,108
Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas,	Investments		$54,884,351
Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso,	Program Service	Charitable Health Care and healthcare related conferences.	$19,825
South Asia	Program Services	Charitable Health Care and healthcare related conferences.	$1,200

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$58,351,633	SubtotalSpentAmt
Continuation Spent	$21,025	ContinuationSpentAmt
Total Spent	$58,372,658	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	RUMC did not issue grants to foreign organizations or individuals. The amounts presented were for foreign travel to assist countries in time of need and for participation in foreign held seminars and conferences. There were also payments to foreign vendors for purchases and to foreign individuals for services rendered. These were verified through purchase requisitions, validations and invoices.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Road Home Program	Event1Nm
Gross Receipts Event1	$1,149,675	GrossReceiptsEvent1Amt
Charitable Contri Event1	$1,028,475	CharitableContriEvent1Amt
Gross Revenue Event1	$121,200	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$15,914	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$57,165	FoodAndBeverageEvent1Amt
Entertainment Event1	$1,040	EntertainmentEvent1Amt
Other Direct Expenses Event1	$79,269	OtherDirectExpensesEvent1Amt
Event2	Fashion Show	Event2Nm
Gross Receipts Event2	$853,745	GrossReceiptsEvent2Amt
Charitable Contri Event2	$612,994	CharitableContriEvent2Amt
Gross Revenue Event2	$240,751	GrossRevenueEvent2Amt
Cash Prizes Event2	$5,000	CashPrizesEvent2Amt
Rent Facility Costs Event2	$49,080	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$94,353	FoodAndBeverageEvent2Amt
Entertainment Event2	$2,500	EntertainmentEvent2Amt
Other Direct Expenses Event2	$178,659	OtherDirectExpensesEvent2Amt
Other Events Total	3	OtherEventsTotalCnt
Gross Receipts Other Events	$736,163	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$504,958	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$231,205	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$46,878	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$34,065	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$159,940	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$33,274	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$80,418	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$2,739,583	GrossReceiptsTotalAmt
Charitable Contributions Tot	$2,146,427	CharitableContributionsTotAmt
Gross Revenue Total Events	$593,156	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$5,000	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$46,878	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$99,059	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$311,458	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$36,814	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$338,346	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$837,555	DirectExpenseSummaryEventsAmt
Net Income Summary	-$244,399	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$94,200	GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming	$5,000	CashPrizesOtherGamingAmt
Non Cash Prizes Other Gaming	$13,550	NonCashPrizesOtherGamingAmt
Volunteer Labor Other Gaming	Yes (1)	VolunteerLaborOtherGamingInd
Gross Revenue Total Gaming	$94,200	GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming	$5,000	CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming	$13,550	NonCashPrizesTotalGamingAmt
Direct Expense Summary Gaming	$18,550	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$75,650	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	IL	StatesWhereGamingConductedCd
Licensed	Yes (1)	LicensedInd
License Suspended Etc	0	LicenseSuspendedEtcInd
Gaming With Nonmembers	Yes (1)	GamingWithNonmembersInd
Member Of Other Entity	0	MemberOfOtherEntityInd
Gaming Other Facility	1.00000	GamingOtherFacilityPct
Individual With Books	Patty Ruiz Ostrow Reisin Berk Ab	IndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	455 N Cityfront Plaza Dr Suite 1500	AddressLine1Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60611	ZIPCd

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	0	CntrctWith3rdPrtyForGameRevInd
Gaming Manager Person	Catherine Kenyon	GamingManagerPersonNm
Gaming Manager Compensation	$0	GamingManagerCompensationAmt
Gaming Manager Services Prov	Record Keeping and Bank Deposit	GamingManagerServicesProvTxt
Gaming Manager Is Employee	Yes (X)	GamingManagerIsEmployeeInd
Charitable Distribution Rqr	Yes (1)	CharitableDistributionRqrInd
Distributed	$75,650	DistributedAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
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	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
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	$27,935,051	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$27,935,051	NetCommunityBenefitExpnsAmt
Total Expense	0.01660	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$289,325,317	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$230,236,659	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$59,088,658	NetCommunityBenefitExpnsAmt
Total Expense	0.03510	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$317,260,368	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$230,236,659	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$87,023,709	NetCommunityBenefitExpnsAmt
Total Expense	0.05170	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	429814	PersonsServedCnt
Total Community Benefit Expns	$13,092,367	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,518,355	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,574,012	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$145,773,326	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$93,075,068	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,698,258	NetCommunityBenefitExpnsAmt
Total Expense	0.03130	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$323,034,256	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$274,749,605	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$48,284,651	NetCommunityBenefitExpnsAmt
Total Expense	0.02870	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$150,429,469	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$112,616,209	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,813,260	NetCommunityBenefitExpnsAmt
Total Expense	0.02250	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$283,641	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$283,641	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	429814	PersonsServedCnt
Total Community Benefit Expns	$632,613,059	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$487,959,237	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$144,653,822	NetCommunityBenefitExpnsAmt
Total Expense	0.08600	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	429814	PersonsServedCnt
Total Community Benefit Expns	$949,873,427	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$718,195,896	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$231,677,531	NetCommunityBenefitExpnsAmt
Total Expense	0.13770	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$714,943	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$714,943	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Persons Served	1301	PersonsServedCnt
Total Community Benefit Expns	$143,908	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$143,908	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	2932	PersonsServedCnt
Total Community Benefit Expns	$3,296,171	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,925	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,285,246	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,599	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$50,599	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	4233	PersonsServedCnt
Total Community Benefit Expns	$4,205,621	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,925	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,194,696	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$11,427,837	BadDebtExpenseAmt
Reimbursed By Medicare	$239,308,744	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$228,244,660	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$11,064,084	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 Rush Surgicenter	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	Healthcare	PrimaryActivitiesTxt
Org Profit Or Ownership	0.51090	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.48910	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
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	Rush University Medical Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1653 W Congress Parkway	AddressLine1Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60612	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.rush.edu	WebsiteAddressTxt
State License	0001917	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Rush University Medical Center	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
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	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
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	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	300.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
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
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.rush.edu/sites/default/files/financial-assistance-policy-2017.pdf	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.rush.edu/sites/default/files/financial-assistance-application.pdf	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.rush.edu/sites/default/files/financial-assistance-summary.pdf	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
Other Publicity	Yes (X)	OtherPublicityInd
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
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
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 (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Rush University Medical Center	Part V, Section B, Line 5: Over a period of 18 months, multiple stakeholders engaged in significant reflection in preparation for Rush's second iteration of the Community Health Needs Assessment (CHNA), of which serves as our system mission, which is to improve health. At Rush, the process was led by the Center for Community Health Equity (www.healthequitychicago.org), coordinated by the Office of Community Engagement, and overseen by the Building Healthy Communities Steering Committee (which has transformed into the Community Health Equity leadership group in 2017). First, the Rush team reviewed its initial CHNA reports from the previous iteration, benchmarked it against others produced three years ago in the region and assessed whether the reports contained the right content to enable us to make an impact. We sought to include more stakeholders in our process of developing the CHNA. We began by gathering input from community members as well as from Rush faculty, students and staff (especially those who live in our service area). We sought perspective from our colleagues at health systems and public health entities in the area; community leaders and members; our colleagues in the Center for Community Health Equity based at Rush University and DePaul University; and those participating in the Alliance for Health Equity (formerly the Health Impact Collaborative of Cook County (HICCC) and the Healthy Chicago Hospital Collaborative, as the two collaboratives merged in 2017 - the lead for the CHNA was the former). The Alliance for Health Equity is a collaborative group convened by the Illinois Public Health Institute and consisted at the time of 26 hospitals, seven health departments and more than 100 community-based organizations working together on a joint CHNA process. As described, this group has since grown with the merging of HICCC and the Healthy Chicago Hospital Collaborative. As we developed our recommended actions for this iteration of the CHNA, we again sought input from our key stakeholders. To see a list of those who engaged in this process and Rush worked with at the time, please view our CHNA online and proceed to Appendix 2 on Page 73.
Rush University Medical Center	Part V, Section B, Line 6a: Rush conducted its CHNA with the Health Impact Collaborative of Cook County. This initiative is one of the largest collaborative CHNAs in the country with the current involvement of 22 nonprofit and public hospitals, along with seven local health departments, and representatives of more than 100 community organizations serving on action teams. Rush also followed best practice to complete a comprehensive CHNA and Community Health Improvement Plan (CHIP) for both Rush University Medical Center and Rush Oak Park Hospital.Participating partner hospitals in the Health Impact Collaborative of Cook County:Advocate Children's Hospital (adjunct) Advocate Christ Medical Center Advocate Illinois Masonic Medical Center Advocate Lutheran General Hospital Advocate South Suburban Medical Center Advocate Trinity Hospital Gottlieb Memorial Hospital Loyola University Medical Center Mercy Hospital & Medical Center NorthShore Evanston Hospital NorthShore Glenbrook Hospital NorthShore Skokie Hospital Norwegian American Hospital Presence Holy Family Medical Center Presence Resurrection Medical Center Presence Saint Francis Hospital Presence Saint Joseph Hospital Presence Saints Mary and Elizabeth Medical Center Provident Hospital RML Specialty Hospitals Roseland Community Hospital John H. Stroger, Jr. Hospital of Cook County
Rush University Medical Center	Part V, Section B, Line 6b: Participating health departments in the Health Impact Collaborative of Cook County: Chicago Department of Public Health Cook County Department of Public Health Evanston Health Department Oak Park Health Department Skokie Public Health District Stickney Health Department
Rush University Medical Center	Part V, Section B, Line 7d: Rush has actively worked to promote its Community Health Needs Assessment (CHNA). The document is located on our website, and we are proud to say that given our growing commitment to community, we have actually developed a new Community Engagement and Community Health Equity website. We have brought the CHNA to meetings with community based organizations across the entire west side of Chicago since its adoption, as we view this as a public good for our respective communities. Rush has also presented on the CHNA at many national meetings and conferences, as Rush views the document as a prime example of our commitment to connecting academic and community impact. Since the adoption of the CHNA, Rush also completed a "What We Heard" tour with 16+ partner agencies to talk about needs and improvements on an ongoing basis. This document is published on the Rush website as our commitment to continuing to engage our greater community. The document can be found at the following link https://www.rush.edu/sites/default/files/what-we-heard-july-2017.pdf.
Rush University Medical Center	Part V, Section B, Line 11: Rush's Community Health Implementation Plan (CHIP) was adopted in November 2016, and we are proud to report that we believe we have made significant progress since its adoption. The following Community Health Needs/Improvements were identified in partnership with the Alliance for Health Equity (formerly Health Impact Collaborative of Cook County), and as a result we developed our internal CHIP as a roadmap on how to achieve improvements in these areas for our communities. Rush has taken a robust approach to alleviating the identified needs and called out specific goals (addressing the needs) and strategies to tackle these goals(improvements). In addition, there have been seven work-groups formed around the CHIP strategies consisting of Rush leaders, community partners, and community residents in order to collaboratively tackle these with a collective impact approach. Our newly adopted CHIP is as follows, as well highlights of some of our efforts:1.Goal: Reduce inequities caused by the social, economic and structural determinants of health During the year ending June 30, 2017, Rush has actively been engaged in the newly merged Alliance for Health Equity, and what a group that has recently been renamed Westside ConnectED (a group of West Side organizations who worked together on the Centers for Medicare and Medicaid Innovation Accountable health Communities Grant application - while we did not receive funding, the organizations are committed to the goal) to look at the social determinant needs of communities with hardship. Rush has also been on the steering committee of both aforementioned collaborative organizations, as well as the recently formed West Side Total Health Collaborative and Anchor Mission Collaborative, all of which represent many health departments, most city and county hospitals, and 100+ community based organizations across different groups.Rush developed a social determinant of health screening tool (includes topics such as food security, housing, utilities, primary care/insurance) in partnership with the Westside ConnectED leadership such as Catholic Charities, Presence Health, UI Health, the Patient Innovation Center and partners such as the Greater Chicago Food Depository. Rush will be implementing this in the emergency department, select primary care settings, and community based settings. Rush has actively been working to improve educational attainment through existing longstanding programs such as our partnership with Malcolm X College, Crane Medical Preparatory, and many K-12 programs in affiliation with our Science and Math Excellence Network (SAME) program. Recently Rush has made strategic decisions to align external educational partnerships under one organizational effort - REACH, the Rush Education and Career Hub (SAME now rolls into this umbrella). This builds on years of partnership, but focuses our efforts in an intentional way in communities with most need on the West Side of Chicago. 2.Goal: Improve access to mental and behavioral health services Rush has actively been working to address the mental and behavioral health needs of our patients and communities by having social work services offered to our primary care, inpatient, and emergency department patients. In addition, having the College of Nursing and Rush Community Based Practices offering mental health services in the community, for example at Simpson Academy for Young Women, the College of Nursing Faculty Practice sites, and many community sites. Rush has also offered mental/behavioral health services through the Health Legacy Program for Women. The Health Legacy Program for Women is an evidenced based chronic disease program that also addresses mental/behavioral health needs of the participants such as stress, trauma, and life events.In the past fiscal year, Rush adopted Adverse Childhood Events (ACEs) screenings in some of its community settings. In the Rush Community Based Practices - School Based Health Centers at Orr Academy High School, Simpson Academy for Young Women, and Crane Medical Preparatory as well as our Adolescent Family Center on the near west side campus. 3.Goal: Prevent and reduce chronic disease by focusing on risk factors Tobacco:In the past fiscal year, Rush has been working on standardizing its approach to tobacco control and cessation per our defined needs and our work with the Chicago Department of Public Health's (CDPH) Healthy Chicago 2.0. Rush has developed a formal partnership with other West Side entities to bring Courage to Quit and Counsel to Quit, the Respiratory Health Association of Metropolitan Chicago's tobacco cessation programming, to our west side community partners as part of the Chicago Quits Grant. Rush was one of the academic partners on the application to CDPH. Rush Oak Park Hospital (ROPH) and Rush University Medical Center both offer Courage to Quit classes already for employees, patients, and community members, and they are especially well attended at ROPH - the goal is to expand this effort. In addition, Rush helped sponsor CDPH's Nobody Quits Like Chicagoland and has joined the City's work-group on tobacco efforts. In addition Rush is automating a referral to the Illinois Tobacco Quit Line to help our patients and community members from 2018 onward.Food Security/Healthy Eating:The Food Surplus Project began at Rush Oak Park Hospital and not only decreases our food waste, but also helps the Oak Park River Forest Food Pantry (OPRFFP) in offering nutritious meals to their guests. Rush University Medical Center learned from ROPH and beginning in 2017, RUMC also implemented the Surplus Project. This not only works to reduce waste, but it also uses the surplus food to feed our community. The Food Surplus is donated every Monday, Wednesday, Friday to Franciscan Outreach, the second-largest emergency overnight shelter in the City of Chicago. Rush has also developed partnership with Top Box Foods and Greater Chicago Food Depository to help connect patients, community members, and employees to food. This will be expanding in 2017-2018. Oak Park has also implemented a health screening effort, led by nurses, at OPRFFP. Chronic Disease:Healthy Motivations is Rush Oak Park Hospital's community wellness program. It provides free educational seminars and fitness classes, which are designed to help community members lead healthier lives and address chronic disease. Healthy Motivations provided education on topics such as heart and vascular disease, preventive health and depression.The Rush Community Service Initiative Program Clinic at Facing Forward to End Homelessness, is an example of a student and employee led wellness clinic that occurs on a weekly basis and focuses on disease management, access to healthy food, and tobacco control. Lastly, the Health Promotion: Chronic Disease Self-Management Program through Rush's Department of Health and Aging offers interactive, six-week workshops to help those with ongoing health conditions - such as arthritis, heart or lung disease and asthma - maintain control and confidence in managing their health while doing the things that matter most in life4.Goal: Increase access to care and community services Rush's formal partnership with CommunityHealth, which includes provider/students volunteering their time, as well as a formal referral source which began in 2016, allows for better connecting patients to primary care and insurance. CommunityHealth improves access to care by offering health services ranging from routine physicals and immunization programs to a full laboratory and pharmacy as well as free services for medications and dental, something that Rush does not traditionally offer. Rush screens patients for lack of primary care providers and insurance and our Transitional Care Program helps alleviate this need through a connection to charity care or CommunityHealth. Since Rush providers also work at CommunityHealth, we ensure continuity of care and can ensure help with specialty care that CommunityHealth cannot provide to patients. This referral process in the past year expanded to one of our community programs at Franciscan Outreach, the second largest emergency overnight shelter in Chicago, to screen patients for primary care/insurance and provide transitional care services and when possible- connecting patients with primary care/insurance at CommunityHealth. In addition, Rush community clinics, administered by the College of Nursing and the Office of Community Engagement, provide healthcare services to underserved individuals, families, and communities at a variety of diverse community practice sites. These sites include three School-Based Health Centers, employee wellness programs, women's health clinics, nurse practitioner primary care, and case management programs for mental illness and substance abuse.
Rush University Medical Center	Part V, Section B, Line 13h: The State of Illinois requires that hospitals make a good faith effort to identify presumptive charity care for uninsured patients under 200% of FPL. We complete this process by receiving income information from a 3rd party vendor for all uninsured patients.In addition to meeting financial and residency requirements, individuals applying for financial assistance must: cooperate with Rush and provide a information and documentation truthfully and in a timely manner; make a good faith effort to honor the terms of reasonable payment terms on open balances if the individual qualifies only for a partial discount; notify Rush of any change in financial situation which may impact the individuals eligibility for financial assistance or payment plans; and agree to apply for local, state or federal assistance for which the individual may be eligible to help pay for some or all of the individual's hospital bill.
Rush University Medical Center	Part V, Section B, Line 16j: The FAP and FAP application form are available in Spanish but the plain language summary is not yet available. That translation will occur in fiscal year 18.
Rush University Medical Center	Part V, Section B, Line 20e: Rush conducts all of the efforts described in lines 20a-d prior to initiating any extroadinary collection activities described in line 19. The only ECAs that Rush engages in is to report unpaid balances to credit agencies, which generally occurs no sooner than 540 days after the date on which the service was provided. Rush also will potentially defer care for patients in a bad debt collection status for a prior balance. However, if the patient applies for financial assistance, makes a payment, or sets up a payment plan, they will not have care deferred.
Part V, Section B Line 7a	https://www.rush.edu/sites/default/files/rush-chna-2016.pdf
Part V, Section B Line 10	https://www.rush.edu/sites/default/files/community-health-implementation-plan.pdf

Supplemental Information Detail SupplementalInformationDetail (24 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	Other factors include Rush's Presumptive Charity Care Program. For this program, Rush utilizes data received from a third party vendor to determine whether the patient's income meets the income threshold. Charges for services rendered to patients meeting this threshold are written off in full prior to a bill being sent to the patient. A patient may also be eligible for presumptive charity care if the patient is eligible for Medicaid for other dates of service or services deemed non-covered by Medicaid; the patient is enrolled in, or eligible for, an assistance program for low income individuals; or the patient is homeless, deceased with no estate, or mentally incapacitated with no one to act on the patient's behalf. Patients not qualifying for Presumptive Charity Care, may also complete an application to determine eligibility under Rush's Charity Care and Limited Income Programs identified in the Financial Assistance Policy. Both programs are income-based but also utilize an asset test to determine eligibility. Patients meeting the asset test whose income is 201-300% of FPG qualify for 100% discount to their hospital bill; patients meeting the asset test whose income is 301-400% FPG qualify for a 75% discount to their hospital bill. Discounts under both programs may be applied after primary insurance payment to cover deductibles, coinsurance, and copays.
Part I, Line 6a:	The Community Benefit Report for Rush University Medical (RUMC) is a separate report prepared by Rush. Rush prepares and files the Annual Non-Profit Community Benefit Plan Report with the Attorney General's Office of the State of Illinois which includes Schedule H information about RUMC and ROPH. For the purpose of Schedule H, only financial information for RUMC is reported. There is no data included for ROPH.
Part I, Line 7:	The calculation of the ratio of patient cost to charges was determined utilizing RUMC's 2017 As-Filed Medicare Cost Report. Medicare revenues and costs were extracted from the FY17 As-Filed Medicare Cost Report.
Part I, Line 7g:	Rush has included Rush owned physician clinics in subsidized health. There is $208,356,607 in costs in line 7g which represents these clinics.
Part I, Ln 7 Col(f):	Part I, Line 7, Column F -- Total expenses reported on Form 990, Part IX, line 25, column (A) include bad debt expense. However, for the purpose of Schedule H, this has been removed from the denominator when calculating the percent of total expense considered the net community benefit expense and reported on Part I, Line 7, column (f). The amount of bad debt expense excluded from this percentage calculation is $35,630,686 .The calculation of the ratio of patient cost to charges was based on Rush's FY17 As-Filed Medicare Cost Report. This cost to charge ratio is applied to Part I, line 7a and 7b. Rush calculates a separate cost to charge ratio for subsidized health services which more accurately portrays those services. Rush utilizes a cost accounting system to calculate a separate cost to charge ratio of physician clinics and hospital service lines. Those services are then combined to derive a unique cost to charge ratio for subsidized health services. The cost accounting system was used to calculate Lines 7e, 7f, 7h and 7i.
Part II, Community Building Activities:	Rush has been particularly focused on its community building activities, as in the year 2016-2017 Rush adopted a community anchor mission with the West Side Anchor Committee (WSAC) and also helped form the West Side Total Health Collaborative (WSTHC). The two initiatives have spun off of Rush's effort in the collaborative Community Health Needs Assessment process with the Alliance for Health Equity, including the Cook County and Chicago Departments of Public Health. WSAC and WSTHC both are new collaborative approaches to address community health improvement and community building on Chicago's West Side into the suburbs of Oak Park, River Forest, and Forest Park. The following narrative describes some of these areas of focus, though there will be some connection between community health improvement and community building. Economic developmentRush has been actively engaged in the economic development of the West Side of Chicago and neighborhoods that need more commitment to their economies for many years. Through Rush's work with CASE, Chicago Anchors for a Strong Economy, Rush has targeted its focus on economic opportunity and investment in more vulnerable communities. In addition, through the newly adopted anchor mission, Rush is helping invest in the West Side, particularly with local businesses - especially in communities such as Austin, which is a bridge community of 100,000 people between Rush University and Rush Oak Park. From bringing new local organizations into our hospital to sell their products/goods as an economic engine, to developing a survey about local needs with the economy/services needed on the West Side, to investing some of our balance sheet into Community Development Financial Institutions - Rush is making a clear commitment and change. Environmental improvementsOver the past year, Rush has been thinking about the environment as health. Rush has begun to think about its footprint, and how we as an organization can support improvement in regard to the environment. The Rush Oak Park Hospital Green Team has been in existence for some time, and helps the organization think about improvements. This recently expanded and a Green Team was also created at Rush University Medical Center. Rush was an early adopter of smoke-free policies for the health campuses, took on some requirements to think about construction policies and the green footprint, our recent hospital tower is LEED Gold, and Rush actually began to develop a clean air policy for the system in 2017 as a commitment to the West Side. In addition, Rush recognizes the importance of environment on our patients, as respiratory conditions are of particular need such as asthma, which is often triggered by environment. Coalition BuildingRush is proud to be a convener of coalitions to build community and improve health, but also to be a strong partner at the table. As mentioned, Rush was actively involved in our effort to be part of Alliance for Health Equity, of which we helped lead to develop our Community Health Needs Assessment and develop work around our Community Health Implementation Plan. In addition, Rush helped form in 2017 the West Side Total Health Collaborative, which is a West Side place based initiative, with a mission "to build community health and economic wellness on Chicago's West Side and build healthy, vibrant neighborhoods". This organization has been forming with hospitals, health organizations, community based organizations, and other partners on the West Side. In addition, Rush has been part of the Coalition of Hope, which is a faith based coalition to improve health. Rush also helped form the West Side Anchor Committee, with particular focus to buy and source locally, hire inclusively and develop talent, invest locally, and volunteer/support community building. These four pillars have been adopted by the West Side Anchor Committee, which includes Rush, Presence, Loretto, UI Health, Lurie Children's, Illinois Medical District, and the Cook County Health and Hospitals System.Leadership Development / Training for Community MembersRush is committed to providing leadership development and training for our community members. For example, Rush is committing to developing trauma based training around adverse childhood events for community partners such as churches. Rush is thinking about how trauma impacts our west side communities and wants community members to feel well suited to tackle this need. Workforce DevelopmentRush is committing to training and developing individuals to both ready them for the workforce and enhance opportunity. This includes Rush's involvement from years ongoing, such as being a training lead for our colleagues including physicians, nurses, social workers, navigators/community health workers and so forth in the Medical Home Network Accountable Care Organization - this 3 hospital, 9, federally qualified health system partnership is an ACO that is proving to be very successful. Rush provides the continuing education for this important workforce who are serving Medicaid patients in Cook County. In addition, Rush helps with workforce development through programs like One Summer Chicago, and InRoads, where Rush (throughout both hospitals) provides internships/jobs for students. In addition, Rush has committed to enhancing pipeline programs for our employees to grow their careers and is also hiring more individuals from the West Side, as our focus groups through WSTHC demonstrated in the "What We Heard Report", a report of ongoing community need and focus groups across our communities, that jobs are of particular need and desire.
Part III, Line 2:	The cost for the total bad debt provision of $35,630,686 was calculated using the FY17 As-Filed Medicare Cost Report as a source for computing an overall cost-to-charge ratio. This reduces the bad debt expense of $35,630,686 to cost of $11,427,837. Due to the process that Rush and other hospitals must facilitate to prove a patient's eligibility for discounted or free care, the precise amount of charity care often can be indistinguishable from other categories of uncompensated care. Without the cooperation of the patient in providing appropriate documentation, Rush cannot correctly distinguish patients who meet the defined charity care policies and appropriately categorize those individuals as charity care write-offs. Instead these patient cases can be classified as bad debt write-offs due to a lack of support information. This can create a situation in which patient scan be mistakenly classified as bad debt that could actually be classified as charity care, but cannot be confirmed. As a matter of policy, this wouldn't happen, but can on occasion.
Part III, Line 4:	During FY17, Rush's reported provision for bad debt was a total of $35,630,686 which equates to $11,427,837 at cost based on an overall cost to charge ratio. RUMC provides additional information on the bad debt expense in footnote #2 of the financial statements.
Part III, Line 8:	The calculation of the ratio of patient cost to charges was calculated utilizing RUMC's 2017 As-Filed Medicare Cost Report. Medicare revenues and costs were extracted from the FY17 As-Filed Medicare Cost Report.
Part III, Line 9b:	Rush attempts to notify patients of the financial assistance policy by means of the billing statements that are issued to patients when a balance is due. There is language in all billing statements that financial assistance is available. In addition our collection agencies will attempt to notify patients of Rush's financial assistance policy before placing accounts with the credit bureau. Accounts are not placed with the credit bureau until such action as occurredThe policy also has provisions for engaging in extroadinary collection activities. The collection agencies on behalf of Rush will issue a written notice that (i) describes the specific collection activities it intends to initiate (ii) provides a deadline after which such action(s) will be initiated (or resumed). Rush will also make a reasonable effort to orally notify the patient about the financial assistance policy and how he or she can get help with the financial assistance application process. Rush may initiate collection activities no sooner than 30 days from the date on which it issues the ECA Initiation Notice, either by mail or electronic mail.
Part VI, Line 2:	As an academic health system, Rush assessed the health needs of the communities which it serves in a very collaborative approach and continues to do so beyond the Community Health Needs Assessment (CHNA) process.In addition to the work completed in our 2016 Community Health Needs Assessment, Rush has been continuously surveying our communities, stakeholders, and individuals about health needs and our efforts to help create a West Side Total Health Collaborative with our partners at UI Health, Cook County Health and Hospitals System, and Presence Health. As a follow up to the CHNA, Rush conducted a "What We Heard Tour", which involved surveying eight neighborhoods (added Humboldt Park to west side effort), 480 participants, and 21 formal community listening sessions at partner organizations. These organizations included:BUILDCoalition of HopeEl ValorEnlaceEvery Block a VillageGarfield Park Community CouncilGreater Galilee Baptist ChurchKedvale New Mt. Zion M.B. ChurchMarillac St. VincentMile Square Health CenterOakley SquareRush EmployeesSalvation ArmyCPS PrincipalsSAME Network AlumniSt. Pius VUCANWest Side StakeholdersAustin Coming Together & Westside Health AuthorityYMCAThe "What We Heard" report can be found here, which was formally released just after our year ended in July 2017:https://www.rush.edu/sites/default/files/what-we-heard-july-2017.pdf
Part VI, Line 3:	In keeping with RUMC's mission to provide comprehensive, coordinated health care services to our patients, RUMC offers several financial assistance programs to help patients with their hospital bill.Through utilization of a patient eligibility service RUMC is extremely proactive in enrolling patients, who present for service without insurance coverage, for coverage under various state and federal programs. The maintenance of this service for our patients has a significant impact on decreasing the amount of charity care provided and ensuring that patients have the opportunity to obtain insurance. In addition to achieving appropriate, available coverage for our patients' medical services, this eligibility service also obtains eligibility for SSI or SSA benefits for applicable patients. Guiding the patient through this often time-consuming and arduous process is extremely beneficial to the patient, as once SSI/SSA eligibility is approved, the patient will begin receiving a monthly assistance check which provided a benefit well beyond their health care at RUMC.To assist the patient in deciding which is the right program for them, RUMC offers the services of Financial Counselors and Billing Customer Service Representatives. These individuals will assist patients in completion of financial application forms, obtaining an estimated cost of anticipated hospital services, providing an explanation and copy of their hospital bill, and notary services. RUMC makes all financial assistance information and policies available on the hospital's website.
Part VI, Line 4:	Rush provides patient care services to a much broader audience than is defined in its Community Health Needs Assessment (CHNA), but Rush defines its respective community as the West Side of Chicago and near city suburbs of Oak Park, Forest Park, and River Forest. Rush purposely chose to define its community for the CHNA as the geographic area between the two hospitals because this is an area of great need and some hardship and we are in their backyard. Rush's patient population is varied in regard to ethnicity, economic status and insurance status, but many on the west side face hardship and are members of more vulnerable populations - racial/ethnic minorities, lower socio-economic status, crowded housing, higher levels of joblessness and less access to education, transportation, and other community resources such as grocery stores and healthcare centers. Rush's defined community, most specifically the West Side of Chicago, while incredibly resilient, faces some of the greatest hardship and health disparities in the City of Chicago - Rush hopes to serve as an anchor to alleviate some of these issues through the empowerment of communities and the wonderful individuals that call the West Side home. Some of the general population demographics are that we are seeing a great deal of diversity in our communities served. For example, there are approximately 500,000 people living in our defined west sides communities. The racial / ethnic breakdowns of our communities are quite diverse, with Austin, West and East Garfield Park, and North Lawndale averaging at least 85% of the population identifying as black, South Lawndale and Lower West Side being over 80% Hispanic/Latino and Forest Park, Oak Park, and River Forest being more varied, with whites making up the majority. We also recognize that there are a great number of youth in our communities, with 19 and under making up in some communities close to a third of the population.The City of Chicago's hardship index ranks each community area's socioeconomic hardship on a scale of 0-100, with a higher number representing a greater level of hardship. The index measures: socioeconomic indicators of public health significance; the percentage of occupied housing units with more than one person per room; the percentage of households living below the federal poverty level; the percentage of people over 16 who are unemployed; the percentage of people over 25 without a high school diploma; the percentage of the population that is under 18 or over 64; per capita income. We know that most of our communities fall under the definition of "high hardship" in particular East Garfield Park, West Garfield Park, Austin, North Lawndale, South Lawndale, Lower West Side, and Austin.Some highlighted demographic information of our respective communities is that they face some of the greatest hardship in the City of Chicago. For example, life expectancy varies widely on the West Side of Chicago, as if you travel from the Loop to the West Side, in particular the West Garfield Park Community, life expectancy goes from 85 years to just under 69 years. If you look at issues such as insurance status, we have some of the highest need communities, with 34.8% of the population in South Lawndale lacking health insurance. Income segregation and employment is also of high need in some of our areas, with North Lawndale having a median household income of $23,066 and an unemployment rate of 27.4 in West Garfield Park. There are many other hospitals serving these communities, but we know that access to care and community resources is still of great need and that we must work together to improve the health of our communities. Based on market scan and our community health needs assessment, we have identified 15+ hospitals located in our communities. For more information on our neighborhood breakdowns and specific demographic information, please visit our FY17-FY19 CHNA at https://www.rush.edu/sites/default/files/rush-chna-2016.pdf and the community health needs assessment plan at https://www.rush.edu/sites/default/files/community-health-implementation-plan.pdf
Part VI, Line 5:	RUMC has provided high quality services to underserved populations for many years through ongoing successful community-based programs and partnerships. Examples include opening the Rush Adolescent Family (AFC) center 42 years ago to provide reproductive health care, prenatal care and pregnancy prevention services to underserved adolescents. Over 25 years ago, Rush opened two school health centers at Chicago Public Schools (CPS) to provide safety-net care to vulnerable adolescents living in high poverty communities. These health centers continue to thrive and Rush has added a third school health center at a school for pregnant and/or parenting girls in sixth through twelfth grade. The Science and Math Excellence (SAME) network was started over 25 years ago to narrow the gap in math and science test scores between schools on the South and West sides of Chicago and schools in more affluent neighborhoods. Another example of Rush's commitment is the development of Rush Community Service Initiative Program (RCSIP) 26 years ago. This all volunteer program was developed to meet the health needs of Chicago's West side residents.RUMC is a founding member of the Medical Home Network Accountable Care Organization. The Medical Home Network (MHN) Accountable Care Organization (ACO) spawned out of the Medical Home Network, a 501c3 data and technology collaborative founded by the Comer Science and Education Foundation to address problems accessing health care in populations with Medicaid living on Chicago's South and Southwest sides. The goal of both the MHN and MHN ACO is to collaborate to transform the current care delivery system to improve patient care coordination and access to health care services, while reducing cost and fragmentation. The MHN ACO consists of three west side hospitals (including Rush University Medical Center) and nine Federally Qualified Health Centers. Rush takes a leadership role in the MHN through board representation, providing the Better Care Teams education program to MHN clinicians and more recently by providing complex care coordination for the most at-risk MHN patients within the ACO covered lives panel of 80,000+ patients.RUMC and the Cook County Health and Hospitals System collaborated to create the Ruth M. Rothstein CORE Center in 1998. The CORE Center is the nation's first public-private outpatient facility dedicated to the care of people with HIV/AIDS. Today, it is the largest, most comprehensive provider of HIV/AIDS treatment in the Midwest. Faculty members from Rush and Stroger Hospital work side-by-side delivering care to this population. The Center also serves patients with tuberculosis, hepatitis and other infectious diseases. Clinical research projects at the center seek new answers in screening, treating and halting the spread of infectious diseases.RUMC is also a founding and active member of the Illinois Medical District Hospital Emergency Preparedness Coalition (IMD HEPC). The mission of this coalition is to create and maintain a community wide emergency management interoperability within one of the nation's largest urban healthcare, educational, research and technology districts resulting in minimal loss of life and reduced collateral damage to surrounding structures and the environment during a disaster.This past year, RUMC provided over 12,200 clinic visits to the most at-risk underserved populations through numerous community based programs and partnerships at no charge to the patients.
Part VI, Line 5	Additional Community Partnerships and Programs Rush maintains many partnerships and programs in order to improve the health of the communities that we serve. Some of these important partnerships and programs, which relate to our community benefit for the enterprise, are listed below.Alliance for Health EquityFormerly known as the Health Impact Collaborative of Cook County, this is a partnership between the Illinois Public Health Institute hospitals, health departments, and community organizations across Chicago and Cook County. This initiative is one of the largest collaborative hospital-community partnerships in the country with the current involvement of 25+ nonprofit and public hospitals, seven local health departments, and representatives of more than 100 community organizations serving on action teams. Partners are coming together with the goal to collectively address community health needs to achieve greater impact. Rush is an inaugural member and is represented on the Steering Committee by Raj Shah, Co-Director, Center for Community Health Equity, Christopher Nolan, Manager of Community Benefit and Population Health, and Darlene Oliver Hightower, Associate Vice President of Community Engagement and Practice.Blood Drives In collaboration with the American Red Cross (ARC), Rush hosts blood drives within the hospitals. The Donate Life event invites all of Rush and the public to join us in one convenient location to participate and sign-up for the National Marrow Donor Program (NMDP), Organ and Tissue Registration, Rush Blood and Platelet donor programs and ARC Blood Drive. By providing a central location as well as employee and student volunteers for these events, Rush provides a much needed life resources to the people of Chicago and beyond. In FY17, approximately 373 whole blood units were collected.Building Healthy Urban Communities The Building Healthy Urban Communities project is a public-private partnership between Rush, Malcolm X College (MXC), and the Medical Home Network (MHN), funded through a $5 million dollar grant from BMO Harris Bank to create healthier urban communities. The goals of this project are to improve education, employment, and health outcomes of the underserved West Side and South Side communities of Chicago served by Rush. This is being achieved through creating new models of care that focus on interprofessional teams and proactive care coordination, developing and training a workforce from the community that supports these new models of care, and rigorously measuring and evaluating each project component for sustainability and replication. One of the major focuses of this project is developing and training a workforce to deliver high value population-based health care. Embedding training opportunities within existing models of care will improve quality, efficiency, and reduce costs. There are five components of workforce development that include the Rush Community Investments Initiative, and Curriculum Development for Allied Health Professionals, Scholarships for Rush Bachelor of Science in Health Sciences, Continuing Education Training for existing healthcare providers, and Health Disparities Research and Evaluation Fellowships. These components target different types and levels of the healthcare workforce thus creating a pipeline of educational programs. The program components are described in further detail below. Charitable ContributionsCharitable Contributions are a series of donations to community based organizations and nonprofits determined by the Senior Leadership Team on behalf of Rush. The funds are intended to support various community initiatives and events throughout the fiscal year. In FY17, Rush funds were donated to 23 organizations totaling approximately $283,641. Chicago Healthcare System Coalition for Preparedness and Response Since 2008, Rush has been an active member of the Hospital Preparedness Program (HPP), administered by the Department of Health and Human Services. The HPP's mission is to improve the ability of hospitals and healthcare systems to respond to public health emergencies. The heart of the HPP is the Chicago Healthcare System Coalition for Preparedness and Response (CHSCPR). The purpose of the CHSCPR is to develop plans to unify, coordinate and manage emergency planning and response for the healthcare system within the City of Chicago. During a planned event or unplanned disaster or emergency, the CHSCPR participates and supports response efforts in coordination with the Chicago Department of Public Health [CDPH]. The support shall be in the form of sharing information and subject matter expertise that will enhance emergency preparedness capacity and proficiency across the healthcare system during emergencies. In June 2012, the HPP aligned with the Public Health Emergency Preparedness (PHEP) grant program to develop capabilities based processes targeting disaster preparedness and resiliency at the community level. The functional units of CHSCPR are working committees, which address HPP - PHEP capabilities. The committees are led by co-chairs chosen through an application process by the CHSCPR's executive committee. Rush has been actively involved in this program by co-chairing the Medical Surge Capability which has been divided into three distinct committees: Pediatrics Planning Committee, Crisis Standards of Care Planning Committee and Behavioral Health Committee.Continuing Education Training for existing healthcare providers Continuing Education Training is being offered to existing care coordinators, outreach workers, and clinicians at federally qualified health centers within the Medical Home Network Accountable Care Organization, to prepare them for future healthcare needs. The modules offered include motivational interview training, leading change, mental health first aid, and disease-specific trainings. Approximately 850 clinicians and care team members have been trained so far.Curriculum Development for Allied Health Professionals A competency and assessment based basic certificate program for community health workers (CHW) has been launched at Malcolm X College in fall 2014. The goal is to allow students graduating from these programs to enroll and transfer credits to a bachelors program, thus creating career ladders for these students. We have had a completion rate of 56% from the first cohort of the CHW basic certificate program.Extreme Weather AssistanceIn conjunction with the Village of Oak Park, ROPH offers space in its emergency room for those without adequate air conditioning or heat in instances of extreme temperatures. This effort helps prevent hypothermia and frostbite in extreme cold; and heat stroke and other heat-related illnesses when the thermometers spike. Health Disparities Research and Evaluation Fellowships The Health Disparities Fellowship program is designed to develop a cadre of well-trained health care researchers with a passion for creating sustainable ways for providing access to high-quality care for individuals in underserved communities. The fellowship targets individuals with PhDs, MDs, and other terminal degrees with a strong foundation in research methods and knowledge of the health care field. Expertise in health services research, epidemiology, bioinformatics, community health, public health, or health economics is preferred. These mentored fellowships involve development and evaluation of new ways to educate and deploy community-based providers, and evaluation of the new models of care in which they will be working. Fellowships span over a five-year period with a timeframe of two-three years for each cohort. The second cohort began their fellowships January of 2017. Each fellow has identified an area of research that is directly aligned with the priorities of community health and quality of life improvement, with a particular focus on the communities served by Rush. Their projects will focus on care coordination, mental health, social determinants of health, education program evaluation and career pathways. Within this first year of the fellowship the second cohort has completed 19 external presentations, and had 1 manuscript accepted for publication.Illinois Medical District Hospital Emergency Preparedness CoalitionRush is a founding and active member of the Illinois Medical District Hospital Emergency Preparedness Coalition (IMD HEPC). The mission of this coalition is to create and maintain a community wide emergency management within one of the nation's largest urban healthcare, educational, research and technology districts resulting in minimal loss of life and reduced collateral damage to surrounding structures and the environment during a disaster.
Part VI, Line 5	Medical Home Network Accountable Care OrganizationThe Medical Home Network (MHN) is a public private partnership founded by the Comer Science and Education Foundation to address the healthcare needs of underserved individuals living on the South and Southwest sides of Chicago. Most recently, MHN created the MHN Accountable Care Organization (MHN ACO), which is a partnership of 3 area hospitals (including Rush) and 9 Federally Qualified Health Centers (FQHCs) working to improve access, quality, and utilization for all of their primary care Medicaid patients enrolled in County Care. This new organization is utilizing best practices in the industry to reach the most vulnerable of patients and providing care coordination enhancements to improve the lives of their patients. Rush takes a leadership role in MHN in many ways. For example, Rush's CEO, Larry Goodman, MD, serves as co-chairman of the organization, and Rush's Senior Vice President, Business & Network Development and Vice President, Population Health both serve on the MHN ACO board. As an Academic Medical Center, Rush provides the Better Care Teams educational program to MHN ACO clinicians and to the entire ACO network with the Centralized Complex Care Coordination (4C) program. 4C at Rush is a dedicated wrap-around, interprofessional care team model, which aims to provide complex care coordination and management for the highest needs ACO network patients.Rush Community Investments Initiative A weekly student-led community program at Rush Wellness Center at Facing Forward is designed to offer health screening and health coaching to underserved women and children, and enhance students' ability to provide team-based care for diverse populations. There are approximately 13-16 participants in the program and about 22 student health coaches. The health coaches are formally trained in motivational interviewing. Within two years the outcomes of this initiative include 62% of participants lost an average of 11 pounds of weight, 79% participants said that the program motivated them to eat healthier, 50% said that the program motivated them to exercise more and 14% said that the program motivated them to reduce smoking.Rush Heart Walk The Rush University Hospital and ROPH Heart Walk team promotes heart health and associate camaraderie while raising lifesaving funds. For this event, Rush University Hospital and ROPH is closely aligned with the American Heart Association's mission of building healthier lives free of cardiovascular diseases and stroke. Our partnership is evidenced in our patient care, community education and employee wellness programs, and Heart Walk participation. Rush University Hospital and ROPH employees raised over $118,465 for this cause this past year with Rush contributing through providing internal resources for the annual Heart Walk.Rush TeleStroke Network The Rush TeleStroke Network consists of eleven community hospitals throughout the Chicago region and Rush University Medical Center. The network provides access to vascular neurology services for ischemic stroke patients that present in one of our affiliate emergency rooms 24-hours a day, seven days a week, 365 days a year. Board-certified vascular neurologists from the Rush Stroke Program assess patients and help the affiliate emergency department physicians determine if a patient is a candidate for tissue plasminogen activator (tPA) through an FDA-cleared telemedicine platform. Telemedicine allows consulting physicians to speak face-to-face with patients and their families, as well as remote clinical staff. The telemedicine assessment includes reviewing CT scans and vital signs, and the high-definition camera allows the Rush neurologist to even view a patient's pupils. The physician has access to the patient's medical information through an electronic health record. Within minutes, the stroke neurologist, along with the remote clinical staff, can determine a plan of care and then turn over the treatment to the emergency physician or initiate a transfer if the patient requires advanced neurological care such as an endovascular procedure. This is particularly important, as time is of the essence, and this helps remove any transportation limitations for our patients to better serve the community. During FY17, the services provided by Rush health professionals through this 11-site network impacted the lives of over 800 patients.Ruth M. Rothstein CORE CenterRush and the Cook County Health and Hospitals System collaborated to create the Ruth M. Rothstein CORE Center in 1998. The CORE Center is the nation's first public-private outpatient facility dedicated to the care of people with HIV/AIDS. Today, it is the largest, most comprehensive provider of HIV/AIDS treatment in the Midwest. Faculty members from Rush and Stroger Hospital work side-by-side delivering care to this population. The Center also serves patients with tuberculosis, hepatitis and other infectious diseases. Clinical research projects at the center seek new answers in screening, treating and halting the spread of infectious diseases. In addition, Larry Goodman, MD, chief executive officer at Rush University Medical Center, serves on the Board of the CORE Foundation. The Foundation built the CORE Center and completed a major facility improvement project in 2012. Rush's partnership with CORE is particularly important. While HIV is now a manageable disease in which individuals can lead healthy lives, the disease persists. In its Healthy Chicago 2.0 strategy, the Chicago Department of Public Health specifically highlights goals to end transmission.Scholarships and Internships for Rush Bachelor of Science in Health Sciences Students In an attempt to create career ladders for individuals from low-income underserved communities, a "pipeline program" is funded through this project. Individuals from the Malcolm X City College can enroll and transfer credits to the Rush Bachelor of Science in Health Sciences program. These students are offered scholarships for two years. We have offered approximately $56,000 in scholarships over a period of two years.West Side Total Health CollaborativeKicked off in January 2017, the West Side Total Health Collaborative (WSTHC) is a collaborative effort that Rush helped incubate in response to our FY17-FY19 Community Health Needs Assessment (CHNA) and the health disparities that exist on Chicago's West Side. Through the CHNA, we learned that life expectancy gaps between the loop and under resourced areas on the West Side can are as high as 16 years. The mission of the West Side Total Health Collaborative is to build community health and economic wellness on Chicago's West Side. The vision of the WSTHC is to improve neighborhood health by addressing inequities in healthcare, education, economic vitality and the physical environment using a cross-sector, place-based strategy. Some of the partners include other healthcare providers, community based organizations, education providers, the faith community, business, government and residents of the community. The ultimate aim of the WSTHC is to reduce the life expectancy gap by 50 percent in the next 10 years.United Way of Metropolitan Chicago The United Way of Metropolitan Chicago seeks to assist local communities of greatest need around income, education and health - the building blocks to a good quality of life. Each year through the Rush United Way Campaign, Rush employees raise money through an annual campaign to support the United Way mission, focused on the social determinants of health for individuals and families across the Chicagoland region. In 2017, Rush University Hospital and ROPH employees donated $348,000 with Rush contributing through providing internal resources for Rush's United Way campaign. Rush was also honored by United Way for its incredibly successful campaign in 2017.
Part VI, Line 5	Expanded and Additional Program Information for Community Health Improvement PlanCommunity Health Implementation Plan (CHIP) and Community Benefits PlanAs previously described, Rush's CHNA identified our main needs, and Rush's CHIP includes strategies and metrics to address them:1.Reduce inequities caused by the social, economic and structural determinants of health a.Improve educational attainmentb.Identify, measure and mitigate the social determinants of health among those at risk - particularly children, young adults and people with chronic illnesses c.Participate in regional community health improvement collaboratives2.Improve access to mental and behavioral health services a.Address psychological trauma through screening tools and referral programs in school-based health centers and faith-based organizations b.Expand access to other screenings and services3.Prevent and reduce chronic disease by focusing on risk factors a.Reduce risk factors through assessments, disease management programs and improved access to healthy food b.Expand free and subsidized screenings c.Develop and deliver community services to help people stop smoking4.Increase access to care and community services a.Expand access to primary care medical homes for people without insurance and for others without medical homes b.Implement adverse childhood event screenings and referrals at school-based health centers c.Expand access to insuranceGoal 1: Reduce inequities caused by the social, economic and structural determinants of health Supporting Program Information:Science and Math Excellence Network (SAME)The Science and Math Excellence Network (SAME) was developed in 1990 and is a PreK - 16 education pipeline program that is working to improve the science, math, and reading test scores in Chicago schools primarily on the west side of the city. Rush spearheaded the SAME Network's first effort long before others recognized the importance of STEM (science, technology, engineering, and math) programs to improve education by raising funds from Chicago's business community to build state-of-the-art science laboratories in local schools that lacked these facilities. Since then, SAME has grown to become a collaboration between Rush and 22 elementary schools, many local businesses and several other educational organizations. Rush's dedication to promoting a healthy community has fostered a strong commitment to supporting the growth and development of our local neighborhoods. Each year SAME serves more than 600 students, teachers and parents. SAME includes the programs below.Early Childhood Enhancement Program (ECEP)In 1998, SAME developed its preschool program to introduce preschool children to science, math, and literacy skills. The program currently operates in 14 public and private schools. The goal of the SAME Preschool Program is to provide a stimulating environment for guiding children in the development of science, math, and literacy skills by providing science labs and materials appropriate for young children. Children begin to understand fundamental science concepts and develop inquiry skills by using their natural curiosity to motivate exploration of their surroundings. SAME offers workshops to parents of children participating in SAME Network sponsored preschool program. SAME believes early parental involvement is crucial for children to be successful in school. In FY17, the program served 632 students.College Preparatory Enrichment Program (CPEP)SAME collaborated on an enrichment program with Chicago Public Schools and Benedictine University in Lisle, Illinois. CPEP offers students an opportunity to participate in year-round after-school and summer learning activities. The intent of CPEP is to provide students with the experiences they need to pique their interest in science and math, pursue college entrance and, potentially, a science-related career. Students who participate in CPEP have the opportunity to become involved with the SAME High School Internship Program when they graduate from elementary school. The program is geared toward students entering fifth grade that also attend a SAME Network school. The students are recommended by their school principals and teachers because they show academic promise in the areas of science and math. During the summer, students are exposed to one or two week campus living at Benedictine University, which provides them with the experience of living away from home. Coupled with campus life, the students receive instruction in math, science, and technology. Field trips to educational institutions in the western suburbs and fun outings are a part of the experience. Students work independently, collaboratively, and cooperatively on inquiry-based science tasks emphasizing high-order thinking skills while integrating math and technology. Families also participate in a variety of activities throughout the year. In FY17, 283 students participated in this program.High School Internship ProgramSAME summer internship experiences to high school students. The objectives of SAME's internship program are to encourage students to pursue education and careers in math, science, and technology fields, provide students with hands-on experience, classes and mentoring; and develop good work habits, ethics and job readiness skills. A mentoring relationship was developed between the internship students and Rush's Health Systems Management faculty and staff. After graduating from high school, students are eligible to transition into the College Internship Program. Throughout high school, the students work at Rush in various departments. In FY17, the program served 56 students. College Internship ProgramThe College Internship Program supports SAME students from matriculation through college. Eligible students receive scholarship assistance and academic support. The students are given an opportunity to work at Rush in an area closely related to their career choice. The students return from colleges and universities across the United States during the holiday season and summer break to learn, work and interact with patients, peers, and management. College students receive mentoring through preceptor relationships with professionals at Rush University Hospital. During FY17, 16 college students benefited from this program. Chicago Public Schools Career and Technical Education Program Richard T. Crane Medical Preparatory High School (Crane) is part of the Chicago Pubic School (CPS) Career and Technical Education (CTE) Program established by the Cook County President's and the City of Chicago Mayor's offices to increase the number of Chicago's youth recruited into Chicago's healthcare workforce. Rush is a part of the CPS CTE program and partners with Crane. Through Rush Community Service Initiatives Program (RCSIP), Rush student and faculty volunteers provide mentorship and activities to facilitate the Crane students' efforts to successfully pursue their interest in health careers. CPS CTE activities are focused on awareness, exploration, and application of the health sciences. In addition to mentorship and educational services to all students at Crane, over 120 first-year high school students had paid healthcare related internships at Rush this past year. Malcolm X College Partnership Malcolm X College (MXC), and Rush have a rich, multi-year history of collaboration. The partnership includes hosting students' clinical rotations in nursing, surgical technology, radiologic technology, EMT/paramedic, and respiratory care at Rush and providing anatomy labs for MXC health occupations students. Rush also provides guest lecturers and recently began offering a monthly interprofessional lunch and learn series for MXC students and faculty. MXC wants to ensure that its graduates have the knowledge, skills and professional attributes they will need to function in the healthcare system, both now and in the future. To help achieve that goal, Rush participates in MXC advisory committees and provides transfer programs for graduates of the MXC radiologic technology and respiratory care programs to allow students the opportunity to obtain a bachelor's degree in their fields.Mini Medical School The Rush Community Service Initiatives Program (RCSIP) Mini Medical School is a five-week summer day camp for 200 students, in fourth and fifth grade, from Chicago Public Schools. The main objective of the program is to expose young students to the health sciences. The summer camp is held at Rush University and includes an orientation, anatomy and physiology lectures, activities on the five major body systems, dissections, homework, and a completion celebration. Rush student and physician volunteers plan the curriculum, implement activities, and assist the youth during the camp. This year, 100 grade school students attended Mini Medical School.
Part VI, Line 5	Goal 2: Improve access to mental and behavioral health services Supporting Program Information:Rush School-Based Health Centers Rush has a 30-year history of providing health care at School-Based Health Centers (SBHC). Rush currently has three SBHCs located within Chicago Public Schools that include, Orr Academy High School, Richard T. Crane Medical Preparatory High School, and Simpson Academy for Young Women. Crane and Orr have students in grades 9-12 and Simpson is for girls in grades six to 12 that are pregnant, parenting, or both. All three schools have student bodies from underserved populations, and are located in neighborhoods with high poverty levels and hardship.The Rush SBHCs act as safety nets for these vulnerable students. Wide-ranging clinic services are provided by advanced practice nurses, registered nurses, collaborating physicians and large numbers of Rush's inter-professional students. The services include physicals, immunizations, treatment of injuries, primary care, intermittent care, mental health services, prenatal care, pregnancy prevention programs, heath education programs and health care for the children of the students. Outcomes of this health care and education collaboration include improved immunization rates, decreased incidence of infectious disease, decreased emergency room usage, detecting and treating illness, healthy baby deliveries, increased access to mental health services, success in pregnancy prevention programs, and students establishing healthy living patterns aimed at chronic disease prevention and improved graduation rates. In FY17, these health centers provided over 3,880 healthcare encounters to approximately 1,130 students.Adolescent Family Center The Rush Adolescent Family Center (AFC) has existed for over forty years. The AFC provides reproductive healthcare, prenatal care, gynecological care, pregnancy prevention programs, sexually transmitted infection (STI) testing and treatment, and community health education to underserved Chicago-area youth. All of AFC's services are provided regardless of income or ability to pay for care. Although AFC draws patients from over 107 Chicago-area zip codes, the majority of patients served reside in the Chicago West Side communities of East Garfield Park, West Garfield Park, North Lawndale, Austin, Humboldt Park and the Near West Side. As part of AFC's community education program, staffs regularly travel off-site to Chicago-area high schools and middle schools to provide community education on pregnancy prevention, reproductive anatomy, contraception, sexually transmitted infection prevention and reproductive health. AFC also offers free prenatal education classes to pregnant teens and their partners. This year, AFC provided clinic services to 545 youth - in total 2,260 healthcare encounters - and provided reproductive health education to 10,655 youth at 23 different schools and community education encounters. The Road Home Program at the Center for Veterans and Their Families at Rush The Road Home Program provides care for the "invisible wounds of war" for veterans and their families. Services for veterans deployed in Iraq and Afghanistan include: an adult mental health clinic that specializes in post-traumatic stress disorder; child and family services such as support groups, counseling and guidance for parenting; traumatic brain injury clinic; a military sexual trauma clinic; and an Intensive Outpatient Program (IOP). The IOP is a three-week program where veterans locally, and from all around the country fly in to receive intensive treatment Monday thru Friday, 8:00am to 4:00pm. This past year the Road Home Program provided clinical services to 404 veterans and their family members for a total of 6,706 encounters. In addition, The Road Home Program conducted veteran outreach to 12,020 people within the community (vet organizations, veterans, and veteran family members) and conducted Military 101-type training with 1,719 Rush personnel and local leaders.College of Nursing Faculty Practice ProgramThe College of Nursing (CON) has a 30-year history of providing healthcare services to underserved individuals, families, and communities at a variety of diverse community practice sites through the CON Faculty Practice Program. These sites are deployed where individuals live, learn and work and include a wellness and health program for the Children's School at the Lighthouse for the Blind, a women's health clinic, a case management program for chronic medical and mental illness, a work-place health clinic for the working poor and nurse practitioner led primary healthcare sites. Most recipients of care at the faculty practice sites are uninsured or underinsured and rely on the sites as their main healthcare source. In addition to the hours of care provided by Rush CON faculty practitioners, Rush nursing students deliver healthcare and health education services at the various sites. The students' efforts greatly enhance the volume of health services provided. In addition, Rush University nursing, medical, physician assistant and health systems management students volunteer at these sites developing and delivering health education programs. Several thousand health encounters are provided per year through the CON Faculty Practice Program.Goal 3: Prevent and reduce chronic disease by focusing on risk factors Supporting Program Information:5 + 1 = 20 5 + 1 = 20 is a Rush Community Service Initiatives Program (RCSIP) program that aims to educate high school students at Chicago Public Schools on the five diseases prevalent in the surrounding underserved community (asthma, hypertension, HIV, diabetes, and cancer). 5 + 1 = 20 is based on the idea that knowledge of these 5 common conditions plus 1 informed high school student (or person) can extend one's life by 20 years (individuals without health insurance have a life expectancy of 20 years less than the general US population). Twice a month, Rush student volunteers teach a health topic related to the five diseases to high school students. The content of the interactive health lectures ranges from disease prevention to practical skills such checking blood pressure. The high school students have opportunities to spread their knowledge through 5 + 1 = 20 health fairs at their schools. Health fair activities include body mass index calculations, blood pressure screenings, vision screenings, glucose level checks, referrals, and health education. Health fair participants include families and friends of the students as well as other members of their communities. This past year, 5 + 1 = 20 provided health education and screenings to approximately 4,274 community members.Mini Health Fairs Rush's Professional Nursing staff helps provide Mini Health Fairs for patients receiving care at Thresholds, an organization that provides services to individuals with chronic mental illness. The Mini Health Fairs provide health education and screenings. This is important since those living with chronic mental illness have a lifespan that is 25 years less than the general population related to chronic medical diseases. Rush's Wellness Center at Facing Forward to End Homelessness Rush's Wellness Center at Facing Forward to End Homelessness is part of Rush's Building Healthy Urban Communities project, a partnership project supported by BMO Harris Bank, Rush University, the Medical Home Network, and the City Colleges of Chicago. Facing Forward is a housing first program that provides permanent housing to homeless individuals with histories of substance abuse. In addition to their substance abuse histories approximately 65% have other mental health issues and a high burden of chronic diseases. The Wellness Center utilizes a holistic and diverse approach to address the mental and physical health issues of the population. The weekly sessions are supported by inter-professional student volunteers and faculty from Rush University in addition to other community partners. The Rush University students receive training in motivational interviewing to enhance their skills as life coaches when assisting participants in their decisions to make healthier life-style choices. The two hour weekly sessions incorporate blood pressures and weight checks, life coach counseling, health education lectures, healthy cooking demonstrations and 30 minutes of exercise. This program has assisted many of the women in decreasing tobacco use and reducing anxiety. Outcomes to date include an increased consciousness of the importance of taking control of one's health, healthier eating habits, increased activity, sustained weight loss, and smoking reduction.
Part VI, Line 5	Rush Department of Social Work and Community Health (formerly Department of Health and Aging) The health promotion/disease prevention focus of the Rush Department of Social Work and Community Health (SWACH) provides patients, their families, and community members access to an array of programs that provide support and promote wellness through educational programs, physical activity classes, support groups and workshops. Rush Generations, a free health affinity membership program of approximately 15,000 members, offers older adults and their caregivers the opportunity to benefit from health and wellness educational programs. Rush Generations offers its members a free quarterly newsletter, monthly e-newsletter, access to community health fairs and screenings, and opportunities to become more active and engaged by joining the Generations volunteer ambassador program. SWACH offers evidence-based workshops designed to help members manage their health such as A Matter of Balance falls prevention education and Chronic Disease Self-Management and Diabetes Self-Management. Additionally, Rush physician experts speak on a variety of topics related to health and aging at their monthly "Ask the Expert" presentations. SWACH operates the Anne Bryon Waud Resource Center and the Tower Resource Center (TRC) which are open daily to the public. Each center is staffed by a licensed clinical social worker who is available to help with a myriad of issues related to health and chronic health issues that particularly impact adults and caregivers. SWACH also supports the Senior Health Insurance Program (SHIP), which connects patients as well as community members to free options counseling to assist with navigation of Medicare and the related systems.Rush Wellness Program with the Chicago Department of Family and Support Services The Rush Wellness Program with the Chicago Department of Family and Support Services primarily serves a racial/ethnic minority older adult population and has been in existence since 1985. Rush advanced practice nurses, dietitians, pharmacists, social workers, and students provide health education and healthcare for older adults at five Chicago senior centers. Rush has provided thousands of service encounters over time for older adults which included health consultations, screenings - such as blood pressure, cholesterol, diabetes, memory, stroke risk, and PSA levels as well as health talks on topics such as diabetes, managing chronic conditions, stroke awareness, and fall prevention. Oak Park Diabetes Health FairThe ROPH diabetes health fair provides blood pressure, a fasting glucose and lipid profile blood test, optional foot screening and a healthy breakfast for every participant. In addition, a dozen or more pharmaceutical and other vendors are present to give away free literature and share information about diabetes care and related matters. The annual diabetes health fair provides free health screenings to more than 150 community participants. The screenings included blood tests for A1c and total cholesterol, vision checks and feet exams. In addition, a medical doctor and a registered dietician were on hand to provide health information and answer questions. Each year, people benefit from early detection of the disease, some of whom were not previously receiving regular health care.Project Lifestyle ChangeFor the fifth consecutive year, ROPH's Project Lifestyle Change, a group education and support program that informs on pre-diabetes health, continued to make an impact in the community. ROPH received a grant from the National Diabetes Prevention Program to educate people on how to delay or prevent the development of type 2 diabetes for those at high risk. The program teaches blood glucose monitoring, restricted fat and calorie meal planning, exercise and behavior modification at no chargeGoal 4: Increase access to care and community services Supporting Program Information:Rush Community Service Initiative Program Clinics Rush Community Service Initiative Program (RCSIP) Clinics are run by Rush volunteers, more specifically a physician lead and an interprofessional team of Rush student volunteers. The clinics offer various clinical services to patients such as physical exams, health education, free basic medications, procedures such as wound care and use referrals to help patients establish primary and/or specialty care relationships that are affordable or available through charity care. Examples of these clinics include:1.RCSIP Clinic at Franciscan Outreach is located within the Franciscan House homeless shelter for adult men and women. Over 1,600 healthcare encounters/visits were provided during FY17.2.RCSIP Clinic at Freedom Center serves adults males that are in rehabilitation for substance abuse issues. The clinic is housed within the Salvation Army's Harbor Light Center and provided healthcare to over 150 men during FY17. 3.RCSIP Clinic at Chicago City Church serves homeless and other at-risk adults. Over 200 patients were seen at this clinic during FY 17.
Part VI, Line 6	Rush is an academic health system that includes Rush Oak Park Hospital in addition to Rush University Medical Center. Rush Oak Park Hospital (ROPH) consists of 237 beds located in Oak Park, Illinois. Together, RUMC and ROPH provide patients across the West Side with access to advanced medical treatments without having to leave their neighborhoods. ROPH is committed to balancing clinical excellence with compassionate care and greater community outreach programs in order to provide a lifetime of care for individuals and their entire family. For the purposes of Schedule H, only financial information for RUMC is reported. There is no data included for Rush Oak Park Hospital.
Part VI, Line 7	List of States Receiving Community Benefit Report:IL
Part V, Section B Line 16i	During the tax year, Rush did not have a FAP translated into the primary language spoken by LEP populations. Spanish is a primary language for the Limited English Proficiency (LEP) population. In FY17, Rush did have a Spanish application for patients applying for financial assistance. This application was available for usage by Financial Counselors and could be mailed to patients that call Customer Service requesting financial assistance. Rush also had a Spanish plain language summary available directly from the financial counselors. However, Rush was not compliant in having the full financial assistance policy translated into Spanish in FY17. This was discovered in November 2017 as Rush worked with tax consultants on Schedule H. As of January 26, 2018, all documents were available on the web in Spanish. Rush has also implemented procedures to ensure compliance with this requirement in the future. Going forward, Rush will implement a checklist of items that will ensure compliance with the language requirement. This will involve obtaining the LEP population data and adding translations as needed. Lastly, changes to the FAP, application, or plain language summary will be made in all necessary languages as part of the checklist whenever the English version is updated.
Part V, Section B Line 20a	During the tax year, Rush 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 FY17, the collection agencies provided the 30 day notice that includes comments that Rush offers financial assistance to patients. This notice provided a phone number and link to the website where the patient can obtain the plain language summary, but did not technically provide the plain language summary within the written notification. This was discovered in November 2017 as Rush worked with tax consultants on Schedule H. Rush estimates that this affected approximately 14,000 patients (5,800 for ROPH) who received the written notice about upcoming ECAs without the plain language summary. Rush has also implemented procedures to ensure compliance with this requirement in the future. As of May 2, 2018 Rush began including the plain language summary as part of the last collection statement that Rush sends out before placing accounts with bad debt vendors. 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.
Part V, Section B Line 22b	During the tax year, Rush did not timely update the calculation of Amounts Generally Billed (AGB). Rush's AGB calculation was last completed in January of 2016 using 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. However, Rush did not calculate AGB on an annual basis after that calculation completed in January 2016 as required. This was discovered in November 2017 as Rush worked with tax consultants on Schedule H. Rush calculated what AGB would have been for FY17 on February 2, 2018. Rush estimates that this fortunately did not cause any patients who qualify for financial assistance to be charged greater than AGB. This was evaluated by determining the AGB for claims allowed in FY17 and comparing that that to the discounts offered to patients who qualify for financial assistance under the FAP (either 75% discount or 100% discount, depending on patient eligibility). Rush has also implemented procedures to ensure compliance with this requirement in the future. Going forward, Rush will implement a checklist of items that will ensure compliance with the AGB requirement. The intent is to move the AGB calculation to a standard schedule within the accounting department to ensure this does not occur again and this will be corrected for tax year 2017. In addition to above, the language in the FAP will be updated to include the actual AGB percentage calculated.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ILLINOIS TRANSPLANT FUND
425 Spring Lake Drive	Itasca	IL	60143	474167931	501(c)(3)	$100,000	General Support
SNOW CITY ARTS
1653 W Congress Parkway	Chicago	IL	60612	364240513	501(c)(3)	$47,141	General Support
AMERICAN HEART ASSOCIATION
PO Box 4002902	Des Moines	IA	50340	135613797	501(c)(3)	$40,000	General Support
BEARS CARE
1000 Football Drive	Lake Forest	IL	60045	203902715	501(c)(3)	$11,000	General Support
ACCESS LIVING
115 W Chicago Ave	Chicago	IL	60610	363310774	501(c)(3)	$10,000	General Support
LATINO POLICY FORUM
20 E Jackson Blvd	Chicago	IL	60604	363676873	501(c)(3)	$6,000	General Support

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Scholarships to attend Rush University Medical Center	GrantTypeTxt
Recipient	1067	RecipientCnt
Cash Grant	$9,720,667	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	Rush provides grants and assistance to organizations that are recognized public charities and to individuals primarily associated with the medical field. Rush maintains contact with the grantees through the performance of its exempt purpose.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	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 (49 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
Dino Rumoro DO
Trustee	$474,000	$0	$77,695	$0	$979	$0	$21,200	$0	$27,678	$0	$601,552	$0	$0	$0
Larry J Goodman MD
Chief Executive Officer	$1,329,879	$0	$546,954	$0	$1,029,157	$0	$395,118	$0	$15,959	$0	$3,317,067	$0	$459,519	$0
David A Ansell MD
SVP, Community Health Equity	$533,591	$0	$154,008	$0	$183,875	$0	$151,690	$0	$7,856	$0	$1,031,020	$0	$147,303	$0
Cynthia Barginere DNP
SVP & Chief Operating Officer,	$414,613	$0	$116,897	$0	$9,476	$0	$98,812	$0	$7,903	$0	$647,701	$0	$0	$0
Carl T Bergetz JD
VP Legal Affairs & Acting Gen Counse	$302,176	$0	$101,131	$0	$432	$0	$34,060	$0	$17,957	$0	$455,756	$0	$0	$0
Antonio C Bianco MD
SVP Clinical Affairs	$523,566	$0	$117,624	$0	$1,517	$0	$81,007	$0	$16,016	$0	$739,730	$0	$0	$0
Cynthia Boyd MD
VP & Chief Compliance Officer	$312,938	$0	$72,036	$0	$389,846	$0	$89,481	$0	$1,124	$0	$865,425	$0	$332,442	$0
Edward W Conway
VP, Clinical Affairs for Admin & Fin	$270,171	$0	$61,339	$0	$15,638	$0	$54,993	$0	$25,304	$0	$427,445	$0	$0	$0
Melissa Coverdale
VP, Finance	$301,940	$0	$71,711	$0	$5,473	$0	$56,463	$0	$15,842	$0	$451,429	$0	$0	$0
Michael J Dandorph
President	$832,452	$0	$282,046	$0	$18,346	$0	$176,100	$0	$23,901	$0	$1,332,845	$0	$0	$0
Richard B Davis
VP, Human Resources Operations	$247,755	$0	$53,477	$0	$58,477	$0	$52,145	$0	$25,381	$0	$437,235	$0	$29,841	$0
Richard K Davis
VP, University Affairs	$328,388	$0	$80,869	$0	$14,287	$0	$65,740	$0	$25,904	$0	$515,188	$0	$0	$0
Thomas A Deutsch MD
Provost, Rush University	$604,573	$0	$222,926	$0	$3,495,456	$0	$186,299	$0	$26,507	$0	$4,535,761	$0	$2,003,155	$0
Bruce M Elegant
VP, Hospital Operations	$359,906	$0	$81,477	$0	$80,089	$0	$75,054	$0	$8,803	$0	$605,329	$0	$54,325	$0
Brent J Estes
SVP, Business and Network Developmen	$402,614	$0	$126,766	$0	$8,051	$0	$98,036	$0	$561	$0	$636,028	$0	$0	$0
Marquis D Foreman PhD
Dean, College of Nursing	$239,804	$0	$56,832	$0	$30,198	$0	$51,161	$0	$7,903	$0	$385,898	$0	$28,544	$0
Richa D Gupta
VP & Chief Quality Officer	$243,681	$0	$40,422	$0	$0	$0	$21,166	$0	$9,903	$0	$315,172	$0	$0	$0
Bala Hota
VP & Chief Analytics Officer	$308,349	$0	$58,604	$0	$0	$0	$19,362	$0	$23,771	$0	$410,086	$0	$0	$0
Ranga R Krishnan MB ChB
SVP, Dean Rush Medical College	$711,815	$0	$139,302	$0	$2,780	$0	$135,614	$0	$36	$0	$989,547	$0	$0	$0
Joan E Kurtenbach
VP, Strategic Planning, Marketing	$275,166	$0	$64,942	$0	$7,253	$0	$52,933	$0	$22,915	$0	$423,209	$0	$0	$0
Michael E LaMont
VP, Facilities Management	$251,290	$0	$59,789	$0	$106,323	$0	$52,595	$0	$7,803	$0	$477,800	$0	$78,290	$0
Omar B Lateef
VP, Clinical Affairs and CMO	$562,652	$0	$130,909	$0	$10,551	$0	$97,295	$0	$23,769	$0	$825,176	$0	$0	$0
John Lowenberg
VP, Philanthropy	$269,186	$0	$63,768	$0	$225,041	$0	$54,666	$0	$7,261	$0	$619,922	$0	$145,858	$0
Diane M McKeever
SVP, Philanthropy	$387,257	$0	$111,104	$0	$17,209	$0	$99,696	$0	$18,242	$0	$633,508	$0	$0	$0
John P Mordach
SVP, Finance & CFO	$740,743	$0	$266,590	$0	$28,665	$0	$162,530	$0	$22,800	$0	$1,221,328	$0	$0	$0
Mike J Mulroe
VP, Hospital Operations	$304,768	$0	$65,422	$0	$8,951	$0	$59,233	$0	$26,099	$0	$464,473	$0	$0	$0
James L Mulshine MD
Interim Dean, Graduate College	$264,758	$0	$56,244	$0	$62,897	$0	$54,211	$0	$25,366	$0	$463,476	$0	$43,091	$0
Patricia G Nedved
VP, Professional Nursing Practice	$195,976	$0	$42,051	$0	$10,000	$0	$12,903	$0	$24,845	$0	$285,775	$0	$0	$0
Patricia S O'Neil
VP Chief Invstmnt Officer & Treasure	$258,042	$0	$62,676	$0	$5,667	$0	$53,785	$0	$13,881	$0	$394,051	$0	$0	$0
Jaime B Parent
VP, Information Technology	$279,501	$0	$57,890	$0	$18,217	$0	$55,414	$0	$22,726	$0	$433,748	$0	$0	$0
Brian D Patty MD
VP, Clinical Information Systems	$364,337	$0	$74,303	$0	$1,373	$0	$52,513	$0	$23,549	$0	$516,075	$0	$0	$0
Anthony Perry MD
VP, Ambulatory Care & Population Hea	$326,300	$0	$73,710	$0	$575	$0	$64,840	$0	$26,451	$0	$491,876	$0	$0	$0
Terry Peterson
VP, Corporate and External Affairs	$296,143	$0	$72,921	$0	$12,432	$0	$58,215	$0	$1,124	$0	$440,835	$0	$0	$0
Charlotte Royeen
Dean, College of Health Sciences	$224,100	$0	$52,713	$0	$14,664	$0	$35,886	$0	$17,949	$0	$345,312	$0	$12,981	$0
Mary Ellen Schopp
SVP, HR & Chief HR Officer	$385,992	$0	$112,725	$0	$6,786	$0	$94,712	$0	$26,193	$0	$626,408	$0	$0	$0
Scott E Sonnenschein
VP, Hospital Operations	$327,882	$0	$78,712	$0	$7,075	$0	$62,471	$0	$24,963	$0	$501,103	$0	$0	$0
Denise Szalko
VP, Revenue Cycle	$311,778	$0	$66,747	$0	$5,867	$0	$56,895	$0	$9,853	$0	$451,140	$0	$0	$0
Judson Vosburg
VP, Financial Planning & Support	$254,250	$0	$61,433	$0	$456	$0	$39,930	$0	$9,636	$0	$365,705	$0	$0	$0
Lynne Wallace
VP Human Resources	$174,743	$0	$28,319	$0	$0	$0	$16,556	$0	$24,063	$0	$243,681	$0	$0	$0
Brian T Smith
VP, Clinical Affairs ended 12/2016	$387,233	$0	$94,268	$0	$7,918	$0	$56,369	$0	$26,857	$0	$572,645	$0	$0	$0
Lac Van Tran
SVP, Information Services ended 8/20	$282,965	$0	$116,463	$0	$99,395	$0	$84,211	$0	$10,081	$0	$593,115	$0	$76,070	$0
Michael Liptay MD
Physician	$1,083,529	$0	$241,400	$0	$1,830	$0	$18,550	$0	$32,013	$0	$1,377,322	$0	$0	$0
Demetrius Lopes MD
Physician	$937,831	$0	$291,248	$0	$0	$0	$15,900	$0	$25,256	$0	$1,270,235	$0	$0	$0
Lorenzo Munoz MD
Physician	$887,708	$0	$326,347	$0	$0	$0	$18,550	$0	$25,256	$0	$1,257,861	$0	$0	$0
Richard Byrne MD
Physician	$1,056,221	$0	$147,144	$0	$1,830	$0	$20,588	$0	$25,256	$0	$1,251,039	$0	$0	$0
Vincent Traynelis MD
Physician	$946,137	$0	$142,500	$0	$0	$0	$21,200	$0	$8,977	$0	$1,118,814	$0	$0	$0
Peter W Butler
Former President	$595,104	$0	$407,416	$0	$349,115	$0	$196,939	$0	$17,160	$0	$1,565,734	$0	$287,585	$0
Lois K Halstead PhD RN
Former V.P. University Affairs	$15,684	$0	$22,902	$0	$222,339	$0	$475	$0	$2,381	$0	$263,781	$0	$24,360	$0
Anne M Murphy JD
Former SVP Legal Affairs	$174,738	$0	$149,469	$0	$656,541	$0	$66,462	$0	$20,950	$0	$1,068,160	$0	$303,086	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	- Housing allowance or residence for personal use - Rush owns the Sessions house which is used by the President & CEO for Rush business activities. Occasionally there is incidental personal use, the value of which is included in compensation. - Health or social club dues or initiation fees - membership is maintained for the Senior Vice President of Philanthropy & Chief Development Officer at the University Club, the President & CEO at the Chicago Club, and the Vice President of Government Affairs at the Executive Club. All memberships are used for Rush fundraising and/or business activities.
Part I, Lines 4a-b	The Rush Executive Retirement Plan (the "Rush ERP or the "Plan") provides supplemental retirement benefits to eligible executives of Rush University Medical Center (the "Medical Center"). These benefits are in addition to those provided under the Retirement Plan (a tax-qualified defined benefit pension plan), the 403(b) Retirement Savings Plan, and the 457(b) Supplemental Retirement Savings Plan. The Rush ERP is effective January 1, 2014, and replaces the Supplemental Executive Retirement Plan (the "SERP"), which was frozen effective December 31, 2013. Any benefits earned under SERP will be preserved. The Rush ERP is a defined contribution plan designed to provide funds to participants that can be used to provide supplemental retirement income. Once vested, the amount contributed plus investment gains (and minus losses) is paid. The retirement benefits provided under the Plan, like those provided by the SERP prior to 2014, are in addition to those provided under the Medical Center's Retirement Plan, a defined benefit pension plan, the 403(b) Retirement Savings Plan, and the 457(b) Supplemental Retirement Savings Plan. The amounts paid out from this plan were as follows: Larry J. Goodman MD-$938,165, Thomas A. Deutsch, MD - $3,453,070, David A. Ansell, MD-$147,303, Peter W. Butler-$287,585, Bruce M. Elegant-$56,142, Richard B. Davis-$29,841, James L. Mulshine-$43,091, Marquis D. Foreman-$28,544, Cynthia Boyd, MD - $374,697, Lois K. Halstead-$24,360, Anne M. Murphy, JD - $339,296, Charlotte Royeen - $13,415, John Lowenberg - $218,316, Michael E. LaMont - $86,897 and Lac Van Tran-$81,938. The amounts listed in Schedule J, Part II, Column F reflect these distributions less the accrued earnings (which were not previously reported). Anne M Murphy received severence pay of $306,214 and Lois K Halstead received severence pay of $197,979.
Part I, Line 7	- Incentive payments are based upon a formula. The amounts are calculated after certain performance and operating goals are achieved. The plan provides limited discretionary parameters if needed.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Illinois Finance Authority
A	861091967	000000000	2016-06-29	$50,000,000	Series 2016 (See Part VI)	0	0	0
Illinois Finance Authority
B	861091967	45203HP71	2015-02-11	$457,240,239	Series 2015A (See Part VI)	0	0	0
Illinois Finance Authority
C	861091967	000000000	2011-12-16	$56,000,000	Series 2011 (See Part VI)	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt
A	$50,000,000	$50,000,000	2016	Yes (1)	0	Yes (1)	Yes (1)
B	$457,240,239	$69,628,576	2015	0	Yes (1)	Yes (1)	Yes (1)	$7,925,000	$394,652,020	$3,662,582
C	$56,000,000	$56,000,000	2012	Yes (1)	0	Yes (1)	Yes (1)	$18,395,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00370	0.00370	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00660	0.00660	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.02290	0.02290	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	0	Yes (1)	Yes (1)
B	Yes (1)	0	0	Yes (1)
C	0	Yes (1)	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I	Rush University Medical Center's ("RUMC") long-term debt is issued under a master trust indenture which established the Rush University Medical Center obligated group ("OG") which, as of 6/30/17, was comprised of RUMC, Rush Oak Park Hospital (ROPH) and Copley Memorial Hospital, Inc. ("Copley") and its affiliates. The OG is jointly and severally liable for the obligations issued under the master trust indenture. Each OG member is expected to pay its allocated share of the debt issued on its behalf. The debt listed on lines A-C were issued for RUMC.
Part I Line A --Column f	Proceeds were used to refund the Series 2008A bonds issued 12/9/2008
Part I Line B --Column f	Proceeds were used to refund the Series 2009C bonds issued 7/29/2009, the Series 2009A bonds issued 2/10/2009, and the Series 2006B bonds issued 5/28/2008.
Part I Line C --Column f	Proceeds were used to refund the Series 1998A bonds issued 12/2/1998
Part IV, Line 6, Column B	This question is being answered without regard to a yield-restricted advance refunding escrow financed with the proceeds of the bonds.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (19 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
DONOR 9
Substantial Contributor	$526,797	Services rendered in the ordinary course of business	0
DONOR 82
Substantial Contributor	$360,001	Services rendered in the ordinary course of business	0
DONOR 133
Substantial Contributor	$1,255,938	Sale of goods in the ordinary course of business	0
DONOR 155
Substantial Contributor	$1,086,521	Services rendered in the ordinary course of business	0
DONOR 234
Substantial Contributor	$4,921,872	Services rendered in the ordinary course of business	0
DONOR 262
Substantial Contributor	$253,704	Services rendered in the ordinary course of business	0
DONOR 283
Substantial Contributor	$714,741	Sale of goods in the ordinary course of business	0
DONOR 333
Substantial Contributor	$7,918,734	Services rendered in the ordinary course of business	0
DONOR 360
Substantial Contributor	$2,656,201	Sale of goods in the ordinary course of business	0
DONOR 375
Substantial Contributor	$282,507	Sale of goods in the ordinary course of business	0
DONOR 396
Substantial Contributor	$203,615	Services rendered in the ordinary course of business	0
DONOR 427
Substantial Contributor	$106,374	Services rendered in the ordinary course of business	0
DONOR 428
Substantial Contributor	$626,755	Sale of goods in the ordinary course of business	0
DONOR 454
Substantial Contributor	$147,738	Services rendered in the ordinary course of business	0
DONOR 517
Substantial Contributor	$1,024,665	Services rendered in the ordinary course of business	0
DONOR 534
Substantial Contributor	$953,508	Services rendered in the ordinary course of business	0
Kristina Mariano
Family member of Robert Mariano, current Trustee	$22,402	Wages	0
Michael D Brown MD
Family Member of Francesca Edwardson, current Trustee	$460,981	Wages	0
Walter McCarthy
Family Member of Mary McCarthy, current Trustee	$542,098	Wages	0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	47	ContributionCnt
Noncash Contributions Rpt F990	$4,760,811	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (5 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Donated Raffle Prizes	57	$46,878	FMV
Yes (X)	New Bedding	1	$25,000	FMV
Yes (X)	Electronics-Clinical audiology equipment	1	$23,000	Appraisal
Yes (X)	Recumbent bike with premium seat	1	$4,070	FMV
Yes (X)	Flex trial devices plus slim tube kit	4	$1,065	FMV

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (1)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Column (b):	Column B for each type of property other than securities,represents the number of items contributed. Column B for securities represents the number of separate contributions.
Part I, Line 32b:	All securities that are donated to RUMC are immediately sold by The Northern Trust. Proceeds are forwarded to RUMC and the value of the donated securities at the date of sale is communicated to the donor. All other contributions other than securities are used for their intended purpose.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 2	Christine A. Edwards and William A. Downe had a business relationship. Jesse H. Ruiz and John J. Sabl had a business relationship. E. Scott Santi, Jay L. Henderson and Susan Crown had a business relationship. John L. Howard and E. Scott Santi had a business relationship. Martin H. Nesbit and Kip Kirkpatrick had a business relationship. John L. Brennen, Karl A. Palasz and E. David Coolidge III had a business relationship. John W. Rogers, Jr. and John F. Sandner had a business relationship. Bruce W. Duncan and Aylwin B. Lewis had a business relationship. Gloria Santona, Esq, John W. Rogers Jr. and Sheila A. Penrose had a business relationship. Gloria Santona, Esq and Michael J. O'Connor had a business relationship. E. David Coolidge III and Francesca Maher Edwardson had a business relationship. James A. Bell and Thomas E. Richards had a business relationship. Karen B. Case, Richard S. Price and Alejandro Silva had a business relationship. Stephen N. Potter, Thomas E. Richards, Sandra P. Guthman, Jay L. Henderson, Susan Crown and Charles A. Tribbett, III had a business relationship. Peter C. B. Bynoe, Esq. and William K. Hall had a business relationship. Todd W. Lillibridge and Peter C. B. Bynoe, Esq. had a business relationship. John W. Rogers, Jr. and Jonathan W. Thayer had a business relationship. E. Scott Santi and Charles L. Evans, PhD had a business relationship. Martin H. Nesbitt and Sheila A. Penrose had a business relationship. Andrew J. McKenna and John F. Sandner had a business relationship. Sheila Penrose, Alison Li Chung, Jay L. Henderson, E. Scott Santi, William M. Goodyear, Thomas J. Wilson had a business relationship.
Form 990, Part VI, Section A, line 3	Reserved Powers over certain management duties have been delegated to Rush System for Health ("RSH") as the parent entity for the Rush system. These duties include approving various RUMC actions, including RUMC's operating budget and certain transactions, appointment of certain RUMC executives, appointment of RUMC's board members, etc.(please see below for more information).
Form 990, Part VI, Section A, line 4	Effective on March 1, 2017, Rush University Medical Center ("RUMC") and Rush-Copley Medical Center, Inc. ("Copley") completed the process of reorganizing their operations under common corporate parent, RSH, an Illinois not-for-profit corporation and affiliate of RUMC and Copley. In order to fully effectuate this reorganization, RUMC and Copley amended their governing documents to make RSH their sole corporate member and hold certain Reserved Powers over RUMC and Copley.
Form 990, Part VI, Section A, line 6	Pursuant to the reorganization, RSH became the sole corporate member of RUMC and parent entity of the Rush System.
Form 990, Part VI, Section A, line 7a	As the sole-corporate member of RUMC, RSH obtained the Reserved Power to approve the appointment of members to the RUMC board of trustees, the organization's governing body (the "RUMC Board").
Form 990, Part VI, Section A, line 7b	As the sole corporate member of RUMC and Copley, and the parent entity of the Rush System, RSH holds certain Reserved Powers over RUMC and Copley in order to ensure a uniform vision and strategy across the Rush system.
Form 990, Part VI, Section B, line 11b	The information is compiled and reviewed internally by Corporate Finance. The return is reviewed by Deloitte Tax LLP before being submitted to the Audit Committee of the Board of Directors of Rush for review and approval. The return is distributed to the entire Board of Directors before it is filed.
Form 990, Part VI, Section B, line 12c	On an annual basis, members of the RUMC Board and the corporate officers of RUMC shall complete and return a disclosure of conflicts form. The disclosures will be reviewed by the Secretary of the RUMC Board and the RUMC General Counsel, who will thereafter submit their reports to the Audit Committee of the RUMC Board, which shall make any final determinations as deemed appropriate or necessary. If it is determined that there may be a business related conflict of interest between RUMC and members of the RUMC Board, such persons are asked to recuse themselves from any committee meeting or RUMC Board meeting during the time an agenda item that relates to the matters giving rise to the business related conflict of interest are discussed.
Form 990, Part VI, Section B, line 15	The Compensation and Human Resources Committee of the RUMC board uses an independent review, comparability data and contemporaneous substantiation to establish compensation packages for the RUMC CEO and other top management officials. All such officer compensation packages are approved by the Compensation and Human Resources Committee of the RUMC Board annually.
Form 990, Part VI, Section C, line 19	The Articles of Incorporation of RUMC have been filed with the Illinois Secretary of State (the "IL SOS"). Additionally, key facts concerning the incorporation and good standing of RUMC are available through the website of the IL SOS. The financial statements of RUMC are available through the Illinois Attorney General's office. RUMC's conflict of interest policy is made available to the public upon request.
Form 990,Part VII, Section A, Line 1a	Payments to Larry J. Goodman, MD, Dino Rumoro, DO, Kenneth J. Tuman, MD and Marcia P Murphy were compensated for their roles as employees not as trustees.
Form 990, Part XI, line 9:	Post Retirement Related Changes 41,694,610. Non Controlling interest in subsidiary 6,102,373. Endowment impairment 223,247. Other 84,041.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Health Delivery Management
610 S Maple Avenue	Oak Park	IL	60304	364085751	Healthcare	IL	$20,965,783	$7,966,994	Rush University Medical Center
Vyridian Revenue Management
820 W Jackson Blvd	Chicago	IL	60607	364208577	Billing Services	IL	$220,817	$922,680	Rush University Medical Center
Rush Oak Brook LLC
1653 W Congress Parkway	Chicago	IL	60612		Dormant	IL	$0	$0	Rush University Medical Center
Rush Oak Brook ASC LLC
1653 W Congress Parkway	Chicago	IL	60612		Property Management	IL	$0	$0	Rush University Medical Center
Rush Copley Healthplex LLC
1900 Ogden Avenue	Aurora	IL	60504	383275998	Healthcare	IL	$5,021,000	$497,000	Copley Ventures

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 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
Rush Copley Health Care System Inc
2000 Ogden Ave	Aurora	IL	60504	363584043	Healthcare	IL	501(c)(3)	12A	Rush University Medical Center	Yes (1)
Copley Ventures
2000 Ogden Ave	Aurora	IL	60504	363370216	Property & Healthplex Owner	IL	501(c)(3)	3	Rush Copley Medical Center Inc	Yes (1)
Rush Copley Foundation
2000 Ogden Ave	Aurora	IL	60504	363093877	Contribution Solicitation	IL	501(c)(3)	7	Rush Copley Medical Center Inc	Yes (1)
Copley Memorial Hospital
2000 Ogden Ave	Aurora	IL	60504	362170840	Healthcare	IL	501(c)(3)	3	Rush Copley Medical Center Inc	Yes (1)
Rush Copley Medical Center Inc
2000 Ogden Ave	Aurora	IL	60504	363193787	Healthcare	IL	501(c)(3)	12A	Rush Copley Health Care System Inc	Yes (1)
Rush Oak Park Hospital
520 S Maple Ave	Oak Park	IL	60304	362183812	Healthcare	IL	501(c)(3)	3	Rush University Medical Center	Yes (1)
Rush System for Health
1725 W Harrison Street	Chicago	IL	60612	364046278	Healthcare	IL	501(c)(3)	12C	Rush University Medical Center	Yes (1)
Amended & Restated General Malpractice & Worker's Comp
1700 W Van Buren Street	Chicago	IL	60612	366673233	Healthcare Insurance	IL	501(c)(3)	12C	Rush University Medical Center	Yes (1)
Auxiliary of Rush Oak Park Hospital
520 S Maple Ave	Chicago	IL	60304	362255350	Hospital Support	IL	501(c)(3)	12A	Rush Oak Park Hospital	Yes (1)
Riverside Health System
350 N Wall Street	Kankakee	IL	60901	363167726	Healthcare	IL	501(c)(3)	12C	Riverside Rush Corporation	Yes (1)
Oakside Corporation
350 N Wall Street	Kankakee	IL	60901	363166804	Healthcare	IL	501(c)(3)	12B	Riverside Rush Corporation	Yes (1)
Riverside Medical Center
350 N Wall Street	Kankakee	IL	60901	362414944	Healthcare	IL	501(c)(3)	3	Riverside Rush Corporation	Yes (1)
Riverside Senior Living Center
350 N Wall Street	Kankakee	IL	60901	363670744	Healthcare	IL	501(c)(3)	9	Riverside Rush Corporation	Yes (1)
Riverside Medical Health Care Foundation
350 N Wall Street	Kankakee	IL	60901	363166033	Healthcare	IL	501(c)(3)	12B	Riverside Rush Corporation	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd
Circle Imaging Partners LP
1725 W Harrison Street	Chicago	IL	60612	363539382	Operation Imaging	IL	Circle Imaging Management Inc	Related	$849,602	$2,367,115	0	0	0.71430
Rush Surgicenter at the Professional Office Building LP
1725 W Harrison Street	Chicago	IL	60612	363853026	Surgery Center	IL	Rush University Medical Center	Related	$5,914,083	$8,094,891	0	Yes (1)	0.51090
Guardian Health Technologie
1653 W Congress Parkway	Chicago	IL	60612	362174823	Analytics Software License Holder	IL	Rush University Medical Center	Related			0	Yes (1)	0.60000
Rush Copley Cardiovascular Consultants LLC
2000 Ogden Avenue	Aurora	IL	60504	273234201	Healthcare	IL								N/A
Rush Copley Surgicenter LLC
2111 Ogden Avenue	Aurora	IL	60504	384012268	Surgery Center	IL								N/A
Rush Copley Hospitalists LLC
2000 Ogden Avenue	Aurora	IL	60504	611787188	Healthcare	IL								N/A
Rush Copley Orthopedics LLC
2111 Ogden Avenue	Aurora	IL	60504	611801175	Healthcare	IL								N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Direct Controlling NADirectControllingNACd
Room Five Hundred
1725 W Harrison Street	Chicago	IL	60612	237139832	Dining Room	IL	Rush University Medical Center	C	$2,825,119	$58,403	1.00000	Yes (1)
Rush University Medical Center Insurance CoLTD
					Insurance		Rush University Medical Center	C	$95,060	$18,170,764	1.00000	Yes (1)	PO Box 1051	Grand Cayman	CJ	CJ
Rush Copley Medical Group NFP(Copley Services)
2000 Ogden Ave	Aurora	FL	60504	363235315	Healthcare	IL		C				0					N/A
Pooled Income Fund (13)
					Investments	MA	Rush University Medical Center					Yes (1)
Perpetual Trusts (21)
					Trust	IL	Rush University Medical Center					Yes (1)
Perpetual Trust
					Trust	MO	Rush University Medical Center					Yes (1)
Perpetual Trust
					Trust	FL	Rush University Medical Center					Yes (1)
Charitable Remainder Trust (2)
					Trust	CA	Rush University Medical Center					Yes (1)
Charitable Remainder Trust
					Trust	IL	Rush University Medical Center					Yes (1)
Charitable Remainder Trust
					Trust	PA	Rush University Medical Center					0
Charitable Gift Annuity
					Gift Anuity	WI	Rush University Medical Center					0
Charitable Gift Annuity
					Gift Anuity	MA	Rush University Medical Center					0
Charitable Gift Annuity (7)
					Gift Anuity	IL	Rush University Medical Center					0
Charitable Gift Annuity
					Gift Anuity	NV	Rush University Medical Center					0
Riverside-Rush Corporation NFP
350 N Wall Street	Kankakee	IL	60901	320329257	Bridge Board	IL	Rush University Medical Center	C				0
Rush University Medical Center Master Retirement Trust
Pension Truzs	Chicago	IL	60612	912043520	Pension Trust	IL	Rush University Medical Center	T	$87,082,515	$1,116,061,475	1.00000	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	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 (17 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Circle Imaging
O	$1,925,193	FMV
Circle Imaging
S	$79,121	FMV
Rush Master Retirement Trust
Q	$40,000,000	FMV
Copley Memorial Hospital
Q	$2,449,164	FMV
Copley Memorial Hospital
E	$840,387	FMV
Rush University Medical Center Insurance Co
P	$2,188,000	FMV
Rush Surgicenter
Q	$252,074	FMV
Rush System for Health
P	$921,735	FMV
Rush System for Health
Q	$82,125	FMV
Rush Health
M	$5,871,514	FMV
Rush Health
Q	$11,190,964	FMV
Rush Health
S	$11,027,207	FMV
Rush Health
R	$17,170,428	FMV
Rush Oak Park Hospital
S	$8,750,527	FMV
Rush Oak Park Hospital
K	$80,296	FMV
Rush Health
P	$317,902	FMV
Circle Imaging
P	$171,916