2018-05-15T19:59:00-05:00 2017-06-30 861065772 DELOITTE TAX LLP 50 S 6TH ST SUITE 2800 MINNEAPOLIS MN 554021844 990 2016-07-01 363093877 RUSH-COPLEY FOUNDATION RUSH 6309786200 2000 OGDEN AVENUE AURORA IL 605044206 BRENDA VANWYHE CFO CFO 6309786200 2018-05-15 1 KRISTINA RASMUSSEN P00143920 6123974000 167.219.88.229 2018-05-15 15:48:12 ED P FE548A9DE2B2EA728AE4B945F297652C0A1010D0 95B8F325F760BA5E494F279A1C95ABC17D771932 2016 2021-01-29 14:40:06Z BARRY FINN 2000 OGDEN AVENUE AURORA IL 605044206 1632341 0 X WWW.RUSHCOPLEY.COM X 1980 IL INSPIRING PHILANTHROPIC SUPPORT TO BENEFIT COPLEY HOSPITAL AND THE COMMUNITY. 18 15 0 15 0 0 1108656 687067 0 0 884732 739522 15302 11999 2008690 1438588 2579443 1294495 0 0 190692 192868 0 0 13411 240515 230845 3010650 1718208 -1001960 -279620 25941154 30401180 4919549 7039082 21021605 23362098 X TO INSPIRE PHILANTHROPIC SUPPORT FOR RUSH-COPLEY MEDICAL CENTER AND OTHER RELATED/CONTROLLED EXEMPT ENTITIES TO ADVANCE HEALTHCARE AND HEALTH TO THE COMMUNITY WE SERVE. 0 0 1294495 1294495 0 RUSH COPLEY FOUNDATION ("RCF") SOLICITS CONTRIBUTIONS TO SUPPORT HEALTHCARE ACTIVITIES IN THE AURORA, IL AREA INCLUDING, BUT NOT LIMITED TO, THOSE OF COPLEY MEMORIAL HOSPITAL. RCF FOCUSES ON SUPPORTING PROGRAMS WHICH PROVIDE OR IMPROVE: ACCESS TO CARE, PATIENT & COMMUNITY EDUCATION, TRAINING FOR OUR HEALTH PROFESSIONALS AND PATIENT CARE IMPROVEMENT AT RUSH COPLEY MEDICAL CENTER, INC. (RCMC). EXAMPLES OF PROGRAMS COMPLETELY SUPPORTED BY RCF INCLUDE WATERFORD PLACE CENTER RESOURCE CENTER, A MOVEMENT DISORDERS PROGRAM AND THE FOX VALLEY HEART FUND. RCMC IS PROUD TO OFFER THESE PROGRAMS FREE OF CHARGE TO PATIENTS AND PARTICIPANTS. RCF SOLICITS AND RECEIVES GIFTS AND CONTRIBUTIONS FOR AND ON BEHALF OF RCMC AND OTHER CHARITABLE ORGANIZATIONS EXEMPT FROM TAXATION UNDER SECTIONS 501(A) OR 501(C)(3) OF THE INTERNAL REVENUE CODE CONTROLLED BY OR AFFILIATED WITH RCMC; AND TO SUPPORT THE CHARITABLE PROGRAMS AND ACTIVITIES OF SUCH ORGANIZATIONS THROUGH EXPENDITURE OF SUCH FUNDS RECEIVED. 1294495 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 X 18 15 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X BRENDA VAN WYHE 6309786200 2000 OGDEN AVE AURORA IL 605044206 THOMAS ALEXANDER DIRECTOR 1.00 2.00 X 0 0 0 TRISH ANEN DIRECTOR 1.00 2.00 X 0 0 0 JAMES BAKA DIRECTOR 1.00 2.00 X 0 0 0 CATI CEDEROTH DIRECTOR 1.00 2.00 X 0 0 0 BRUCE DIENST DIRECTOR 1.00 2.00 X 0 0 0 RICHARD EDELMAN DIRECTOR 1.00 2.00 X 0 0 0 RONALD HEM DIRECTOR 1.00 2.00 X 0 0 0 GARRETT KATULA DO VICE CHIEF OF STAFF/DIRECTOR 1.00 43.00 X 0 429571 39051 STEPHEN KELANIC MD CHIEF OF STAFF 1.00 43.00 X 0 395710 36243 HERBERT KNIGHT DIRECTOR 1.00 2.00 X 0 0 0 MARYANNE LOCKLIN DIRECTOR 1.00 2.00 X 0 0 0 DAVE MEAD DIRECTOR 1.00 2.00 X 0 0 0 MARK METZGER CHAIRMAN OF THE BOARD 1.00 2.00 X 0 0 0 AVERY MILLER DIRECTOR 1.00 2.00 X 0 0 0 WILLIAM SKOGLUND VICE CHAIRMAN OF THE BOARD 1.00 2.00 X 0 0 0 CHRISTINE SOBEK DIRECTOR 1.00 2.00 X 0 0 0 ANDREW VANEEKEREN DIRECTOR 1.00 2.00 X 0 0 0 BARRY FINN PRESIDENT & CEO 1.00 42.00 X X 0 4755526 39579 RYAN ASMUS VP GENERAL COUNSEL/SECRETARY 1.00 42.00 X 0 390007 77490 BRENDA VAN WYHE SR. VP FINANCE & CFO/TREASURER 1.00 42.00 X 0 460794 81193 ALEX POPE VP, PHILANTHROPY & CDO 40.00 1.00 X 0 279789 59362 0 6711397 332918 0 0 1 0 0 114700 109228 463139 1549 687067 628260 628260 122356 11094 111262 111262 111262 194658 114700 182659 11999 11999 1438588 0 0 751521 1232495 1232495 62000 62000 153070 153070 39798 39798 4724 4724 27500 27500 41087 37943 3144 48055 48055 50 50 110 110 NEWSLETTER ANNL REPORT 61786 61786 PURCHASED SERVICES 32808 22541 10267 BANK FEES / CREDIT CARD 3257 3257 PRINTING & PUBLICATIONS 126 126 11342 11342 1718208 1294495 410302 13411 100000 865829 1687171 3395826 23203786 26484984 184368 420370 25941154 30401180 82665 54465 4836884 6984617 4919549 7039082 X 10077819 11670893 2882941 3602360 8060845 8088845 21021605 23362098 25941154 30401180 -279620 2541294 78819 0 X X 0 1 X 1 0 X 1165046 1355647 1918420 1108656 687067 6234836 1165046 1355647 1918420 1108656 687067 6234836 1495422 4739414 717713 549760 692808 655102 628260 3243643 9478479 0.50000 0.48450 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10975986 2004750 512030 1801561 11691205 12538872 1093070 104565 2760521 10975986 11931067 2373022 204733 1969950 12538872 11161160 1178338 1068336 1476767 11931067 11131204 980802 712783 1663629 11161160 0.16880 0.69180 0.13940 0 0 0 DUE TO AFFILIATES 6984617 6984617 X PART V, LINE 4: RUSH COPLEY FOUNDATION HOLDS THE VORIS (INCOME FOR CMH CANCER CARE), KOBISK (BOARD RESTRICTED INCOME TO CMH), COPLEY (INCOME UNRESTRICTED), DOBBINS (INCOME FOR CMH WOMEN'S HEALTH), AND MOVEMENT DISORDER (INCOME FOR CMH MOVEMENT DISORDER PROGRAM) ENDOWMENTS. RUSH COPLEY FOUNDATION ALSO HOLDS THE FOLLOWING QUASI ENDOWMENTS; NURSING (INCOME FOR CMH FUTURE OF NURSING SCHOLARSHIPS), FOX VALLEY HEART (INCOME FOR THE HEART INSTITUTE), AND WATERFORD PLACE (INCOME FOR CMH CANCER RESOURCE CENTER ENDOWMENTS). THESE FUNDS ARE HELD FOR THE BENEFIT OF COPLEY MEMORIAL HOSPITAL, INC. PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE CORPORATION, THE HOSPITAL, VENTURES AND THE FOUNDATION ARE QUALIFIED AS TAX-EXEMPT ORGANIZATIONS UNDER INTERNAL REVENUE CODE SECTION 501(C)(3); ACCORDINGLY, INCOME TAXES ARE NOT PROVIDED FOR IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE MEDICAL GROUP OPERATES AS A TAXABLE CORPORATION AND ACCOUNTS FOR INCOME TAXES UNDER FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740. NO PROVISION FOR INCOME TAXES WAS RECORDED FOR 2017 AND 2016 DUE TO OPERATING LOSSES. AS OF JUNE 30, 2017, THE MEDICAL GROUP HAD NET OPERATING LOSS CARRYFORWARDS OF APPROXIMATELY $87,168,000 FOR INCOME TAX PURPOSES THAT ARE AVAILABLE TO OFFSET FUTURE TAXABLE INCOME. IF NOT UTILIZED, THESE CARRYFORWARDS WILL BEGIN TO EXPIRE IN 2019. BASED ON THE UNCERTAIN REALIZATION OF THESE CARRYFORWARDS, A VALUATION ALLOWANCE HAS BEEN RECORDED TO FULLY RESERVE THESE CARRYFORWARDS. RICH HARVEST CLASSIC 103496 9131 94365 76753 GALA 152631 105569 47062 95639 1 53231 0 53231 10267 309358 114700 194658 182659 182659 11999 0 COPLEY MEMORIAL HOSPITAL INC 2000 OGDEN AVENUE AURORA IL 60504 362170840 501(C)(3) 1184698 0 TO SUPPORT CAPITAL PURCHASES, OPERATIONS, AND FUTURE COMMUNITY PROGRAMS. VNA HEALTH CARE 400 NORTH HIGHLAND AVENUE AURORA IL 60506 362182095 501(C)(3) 34797 SUPPORT FOR HEART CLINIC MAKING KANE COUNTY FIT FOR KIDS 1240 NORTH HIGHLAND AVENUE STE 24 AURORA IL 60506 820791501 501(C)(3) 10000 CHILDHOOD OBESITY PREVENTION 3 NURSING SCHOLARSHIPS TO RUSH COPLEY NURSES 21 62000 N/A N/A PART I, LINE 2: THE ORGANIZATION ONLY PROVIDES GRANTS TO RELATED TAX EXEMPT ORGANIZATIONS AND THEREFORE DOES NOT MONITOR THE USE OF THE GRANTS. 0 1 0 0 0 0 0 0 0 GARRETT KATULA DO VICE CHIEF OF STAFF/DIRECTOR 0 330553 0 96504 0 2514 0 10600 0 28451 0 468622 0 0 STEPHEN KELANIC MD CHIEF OF STAFF 0 269032 0 123993 0 2685 0 10600 0 25643 0 431953 0 0 BARRY FINN PRESIDENT & CEO 0 705318 0 424775 0 3625433 0 10600 0 28979 0 4795105 0 3574174 RYAN ASMUS VP GENERAL COUNSEL/SECRETARY 0 243000 0 125710 0 21297 0 51671 0 25819 0 467497 0 0 BRENDA VAN WYHE SR. VP FINANCE & CFO/TREASURER 0 321808 0 133748 0 5238 0 63812 0 17381 0 541987 0 0 ALEX POPE VP, PHILANTHROPY & CDO 0 193498 0 82260 0 4031 0 33166 0 26196 0 339151 0 0 PART I, LINE 3 COPLEY MEMORIAL HOSPITAL, A RELATED ORGANIZATION OF RUSH-COPLEY FOUNDATION USED THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B SERP PLAN OF CMH (ACCRUALS): BRENDA VAN WYHE $46,414, ALEX POPE $23,652, AND RYAN ASMUS $35,877. PLEASE NOTE THAT THESE AMOUNTS ARE INCLUDED IN THE AMOUNTS LISTED ON SCHEDULE J, PART II, COLUMN C. THERE IS NO CONSTRUCTIVE RECEIPT OF THESE AMOUNTS BY THE INDIVIDUALS UNTIL THEY ARE PAID OUT AS THEY ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. ANY INDIVIDUAL PAYOUTS WOULD BE INCLUDED AS REPORTABLE COMPENSATION ON THE RECIPIENT'S ANNUAL W2 FORM. BARRY FINN RECEIVED PAYMENTS IN 2016 OF $3,594,452. FORM 990, PART VI, SECTION A, LINE 2 MANY OF THE PERSONS LISTED ON PART VII HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON RELATED RUSH-COPLEY MEDICAL CENTER ENTITY BOARDS. BARRY FINN, RCF PRESIDENT & CEO/DIRECTOR, AND WILLIAM SKOGLUND, RCF VICE CHAIRMAN OF THE BOARD/DIRECTOR, HAVE A BUSINESS RELATIONSHIP. BARRY FINN IS A BOARD MEMBER AT OLD SECOND NATIONAL BANK AND WILLIAM SKOGLUND IS THE CHAIRMAN AND CEO AT OLD SECOND NATIONAL BANK. MR. SKOGLUND DOES NOT SERVE ON COPLEY MEMORIAL HOSPITAL'S COMPENSATION COMMITTEE AND HAS RECUSED HIMSELF FROM ANY DISCUSSIONS OR VOTES THAT INVOLVE MR. FINN'S SALARY. FORM 990, PART VI, SECTION A, LINE 6 RUSH-COPLEY MEDICAL CENTER, INC. ("RCMC") IS THE SOLE CORPORATE MEMBER OF COPLEY MEMORIAL HOSPITAL, INC. ("CMH"), RUSH-COPLEY MEDICAL GROUP, NFP ("RCMG"), COPLEY VENTURES, INC. ("CV"), AND RUSH-COPLEY FOUNDATION ("RCF"). FORM 990, PART VI, SECTION A, LINE 7A RUSH-COPLEY FOUNDATION'S BOARD OF DIRECTORS ARE ELECTED BY THE GOVERNING BOARD OF RUSH-COPLEY FOUNDATION'S SOLE CORPORATE MEMBER, RUSH-COPLEY MEDICAL CENTER, INC., AT THE ANNUAL MEETING OF THE GOVERNING BOARD OF RUSH-COPLEY MEDICAL CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7B THE PRESIDENT OF RUSH-COPLEY FOUNDATION IS THE CEO OF RUSH-COPLEY FOUNDATION'S SOLE CORPORATE MEMBER, RUSH-COPLEY MEDICAL CENTER, INC. ANY REPEAL OR AMENDMENTS TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF RUSH-COPLEY FOUNDATION REQUIRES APPROVAL OF RUSH-COPLEY FOUNDATION'S SOLE CORPORATE MEMBER, RUSH-COPLEY MEDICAL CENTER, INC. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY OUR EXTERNAL TAX ADVISOR WITH DATA PROVIDED BY OUR ORGANIZATION. A DRAFT OF THE FORM 990 IS PROVIDED TO MANAGEMENT FOR REVIEW AND COMMENT. THE BOARD OF DIRECTORS IS PROVIDED WITH AN APPROVED COPY OF THE FORM 990 BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, OFFICERS AND DIRECTORS OF RUSH-COPLEY FOUNDATION ARE REQUIRED TO DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED AND REVIEWED BY THE CHIEF COMPLIANCE OFFICER AND THE AUDIT AND CORPORATE INTEGRITY COMMITTEE OF THE BOARD. THOSE KEY PERSONNEL WITH CONFLICTS ARE ADVISED TO RECUSE THEMSELVES FROM PARTICIPATING IN DECISION MAKING RELATED TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE CEO/VPS OF THE ORGANIZATION AND KEY SENIOR MANAGEMENT ARE COMPENSATED BY COPLEY MEMORIAL HOSPITAL. COPLEY MEMORIAL HOSPITAL FOLLOWS A COMPENSATION APPROVAL PROCEDURE ANNUALLY THAT INVOLVES APPROVAL OF PROPOSED AND FINAL COMPENSATION ARRANGEMENTS BY ITS COMPENSATION COMMITTEE AND FULL BOARD OF DIRECTORS USING COMPARABILITY DATA, AS WELL AS CONTEMPORANEOUS DOCUMENTATION OF COMPENSATION DECISIONS IN MINUTES. FORM 990, PART VI, SECTION C, LINE 19 FORM 990 IS AVAILABLE UPON REQUEST. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. COPIES OF THE FINANCIAL STATEMENTS (WHETHER OR NOT AUDITED) ARE PROVIDED UPON REASONABLE REQUEST SUCH AS FOR A BANK LOAN OR TO A BOND RATING AGENCY. FORM 990, PART XII, LINE 2A & 2B ALTHOUGH THE ORGANIZATION DOES NOT RECEIVE STANDALONE GAAP FINANCIAL STATEMENTS, IT DOES RECEIVE ANNUAL CONSOLIDATED FINANCIAL STATEMENTS PREPARED IN ACCORDANCE WITH GAAP THAT HAVE BEEN AUDITED BY INDEPENDENT AUDITORS. COPLEY MEMORIAL HOSPITAL INC 2000 OGDEN AVENUE AURORA IL 60504 362170840 HOSPITAL IL 501(C)(3) SCHEDULE A, LINE 3 RUSH-COPLEY MEDICAL CENTER INC 1 RUSH COPLEY MEDICAL CENTER INC 2000 OGDEN AVENUE AURORA IL 60504 363193787 PARENT COMPANY IL 501(C)(3) SCHEDULE A, LINE 12A N/A 0 COPLEY VENTURES INC 2000 OGDEN AVENUE AURORA IL 60504 363370216 RENTAL PROP., INFIRMARY CARE, AND HEALTHPLEX FITNESS CENTER IL 501(C)(3) SCHEDULE A, LINE 3 RUSH-COPLEY MEDICAL CENTER INC 1 RUSH COPLEY HEALTH CARE SYSTEM INC 2000 OGDEN AVENUE AURORA IL 60504 363584043 BRIDGE BOARD RCMC & RUMC IL 501(C)(3) SCHEDULE A, LINE 12A N/A 0 RUSH UNIVERSITY MEDICAL CENTER 1700 WEST VAN BUREN STREET CHICAGO IL 60612 362174823 HEALTHCARE IL 501(C)(3) SCHEDULE A, LINE 3 RUSH SYSTEM FOR HEALTH 0 RUSH SYSTEM FOR HEALTH 1725 W HARRISON STREET CHICAGO IL 60612 364046278 HEALTHCARE IL 501(C)(3) SCHEDULE A, LINE 12C N/A 0 RUSH OAK PARK HOSPITAL INC 520 S MAPLE AVE OAK PARK IL 60304 362183812 HEALTHCARE IL 501(C)(3) SCHEDULE A, LINE 3 1 CIRCLE IMAGING PARTNERS LP 1725 W HARRISON STREET CHICAGO IL 60612 363539382 OPERATION IMAGING IL N/A RUSH SURGICENTER AT THE PROFESSIONAL BUILDING LP 1725 W HARRISON STREET CHICAGO IL 60612 363853026 SURGERY CENTER IL N/A GUARDIAN HEALTH TECHNOLOGIES LLC 1653 W CONGRESS PARKWAY CHICAGO IL 60612 362174823 ANALYTICS SOFTWARE LICENSE HOLDER IL N/A YORKVILLE PHYSICAL THERAPY & SPORTS MEDICINE CENTER LLC 2000 OGDEN AVENUE AURORA IL 60504 364236345 PHYSICAL THERAPY & SPORTS MEDICINE IL N/A RUSH-COPLEY CARDIOVASCULAR CONSULTANTS LLC 2000 OGDEN AVENUE AURORA IL 60504 273234201 CARDIOVASCULAR MEDICINE IL N/A RUSH-COPLEY SURGICENTER LLC 2000 OGDEN AVENUE AURORA IL 60504 384012268 MEDICAL SERVICES IL N/A RUSH-COPLEY ORTHOPEDISTS LLC 2000 OGDEN AVENUE AURORA IL 60504 611801175 MEDICAL SERVICES IL N/A RUSH-COPLEY HOSPITALISTS LLC 2000 OGDEN AVENUE AURORA IL 60504 611787188 MEDICAL SERVICES IL N/A RUSH UNIVERSITY MEDICAL CENTER INSURANCE CO LTD PO BOX 1051 GRAND CAYMAN CJ INSURANCE CJ N/A C 0 RUSH COPLEY MEDICAL GROUP NFP 2000 OGDEN AVENUE AURORA IL 60504 363235315 PHYSICIAN PRACTICES IL N/A C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 COPLEY MEMORIAL HOSPITAL INC B 1184698 FAIR MARKET VALUE COPLEY MEMORIAL HOSPITAL INC P 1252221 FAIR MARKET VALUE