2017-05-11T06:08:54-05:00 2016-06-30 861065772 Deloitte Tax LLP 50 S 6th St Suite 2800 Minneapolis MN 554021844 990 2015-07-01 363093877 Rush-Copley Foundation RUSH 6309786200 2000 Ogden Avenue Aurora IL 605044206 Brenda VanWyhe CFO CFO 6309786200 2017-05-10 1 Kristina Rasmussen P00143920 6123974000 2015 2021-01-29 14:40:06Z Barry Finn 2000 Ogden Avenue Aurora IL 605044206 2191474 0 X www.rushcopley.com X 1980 IL Inspiring philanthropic support to benefit Copley Hospital and the community. 18 15 0 15 0 0 1771609 1108656 0 0 842978 884732 -39100 15302 2575487 2008690 1298770 2579443 0 0 183362 190692 0 0 16756 307868 240515 1790000 3010650 785487 -1001960 23819860 25941154 877851 4919549 22942009 21021605 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 2579443 2579443 0 Rush-Copley Foundation ("RCF") solicits contributions to support healthcare activities in the Aurora, Illinois area including, but not limited to, those of Copley Memorial Hospital. RCF is organized exclusively to foster, promote, support, develop, encourage, and accept funds for the construction, building, remodeling support, administration, staffing, and other legitimate purpose or function of Rush Copley Medical Center, Inc. ("RCMC"); to solicit and receive 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 program and activities of such organizations through expenditure of such funds received. 2579443 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 0 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 VanWyhe 6309786200 2000 Ogden Avenue 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 Alice Daniele MD Chief of Staff 1.00 2.00 X 0 15500 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 Stephen Kelanic MD Vice Chief of Staff 1.00 41.00 X 0 378639 41229 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 Christine Sobek Director 1.00 2.00 X 0 0 0 William Skoglund Vice Chairman of the Board 1.00 2.00 X 0 0 0 Suresh VelagapudiMDEnd 1215 Past Chief of Staff/Director 1.00 2.00 X 0 1250 0 Andrew VanEekeren Director 1.00 2.00 X 0 0 0 Barry Finn President & CEO 1.00 42.00 X X 0 1042276 474450 Ryan Asmus VP General Counsel/Secretary 1.00 42.00 X 0 346439 80169 Lynn Scott Assistant Secretary 1.00 42.00 X 0 82231 21930 Brenda VanWyhe Sr. VP, Finance & CFO/Treasurer 1.00 42.00 X 0 413291 80960 Alex Pope VP, Philanthropy & CDO 1.00 40.00 X 0 271091 62436 0 2550717 761174 0 0 1 0 0 193565 27424 887667 8842 1108656 655102 655102 10047 229673 10090 0 -43 229673 229630 229630 187996 193565 172694 15302 15302 2008690 0 0 900034 2579443 2579443 151343 151343 39349 39349 8896 8896 38057 38057 23602 20721 2881 49393 49393 2096 2096 430 430 Newsletter Annl Report 80440 80440 Purchased Services 33454 19579 13875 Bank Fees / Credit card 3923 3923 Printing & Publications 224 224 3010650 2579443 414451 16756 526167 865829 225168 1687171 23012525 23203786 56000 184368 23819860 25941154 109565 82665 768286 4836884 877851 4919549 X 10394865 10077819 4935006 2882941 7612138 8060845 22942009 21021605 23819860 25941154 -1001960 -717997 -200447 0 X X 0 1 X 1 0 X 978368 1165046 1355647 1918420 1108656 6526137 978368 1165046 1355647 1918420 1108656 6526137 1890061 4636076 426619 717713 549760 692808 655102 3042002 9568139 0.48450 0.49330 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12538872 1093070 104565 2760521 10975986 11931067 2373022 204733 1969950 12538872 11161160 1178338 1068336 1476767 11931067 11131204 980802 712783 1663629 11161160 10648390 1409175 364134 1290495 11131204 0.09000 0.73000 0.18000 0 0 0 Due to Affiliates 4836884 4836884 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 Progam) Endowments. Rush Copley Foundation also holds the following Quasi Endowments; Nursing (income for CMH Future of Nursing Scholarships), Fox Valley Heart (income for the Heart Institute), 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 (formerly, FASB Statement No. 109, Accounting for Income Taxes). No provision for income taxes was recorded for 2016 and 2015 due to operating losses. Rich Harvest Golf 203452 101900 101552 74328 Gala 139811 91665 48146 84491 1 38298 0 38298 13875 381561 193565 187996 172694 172694 15302 0 Copley Memorial Hospital Inc 2000 Ogden Avenue Aurora IL 60504 362170840 501(c)(3) 2579443 To support capital purchases, operations and future community programs 1 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 Stephen Kelanic MD Vice Chief of Staff 0 255649 0 115303 0 7687 0 10600 0 30629 0 419868 0 0 Barry Finn President & CEO 0 712612 0 311448 0 18216 0 434066 0 40384 0 1516726 0 0 Ryan Asmus VP General Counsel/Secretary 0 247329 0 90160 0 8950 0 46477 0 33692 0 426608 0 0 Brenda VanWyhe Sr. VP, Finance & CFO/Treasurer 0 311314 0 93330 0 8647 0 57014 0 23946 0 494251 0 0 Alex Pope VP, Philanthropy & CDO 0 191235 0 70840 0 9016 0 28650 0 33786 0 333527 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: Barry Finn accrued $423,466, Brenda VanWyhe accrued $46,414, Ryan Asmus accrued $35,877 and Alex Pope accrued $23,652. 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. There were no payouts in 2015. 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 11 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&b Although the organization does not receive stand alone GAAP financial statements it does receive on an annual basis from independent auditors consolidated entity GAAP financials statements (audited) for it and its affiliates. Copley Memorial Hospital Inc 2000 Ogden Avenue Aurora IL 60504 362170840 Hospital IL Section 501(c)(3) Schedule A, Line 3 Rush Copley Medical Center Inc 1 Copley Ventures Inc 2000 Ogden Avenue Aurora IL 60504 363370216 Rental Property, Infirmary Care & Owns Healthplex Fitness Center IL Section 501(c)(3) Schedule A, Line 3 Rush Copley Medical Center Inc 1 RushCopley Health Care System Inc 2000 Ogden Avenue Aurora IL 60504 363584043 Bridge Board RCMC & RUMC IL Section 501(c)(3) Schedule A, Line 11a N/A 0 Rush Copley Medical Center Inc 2000 Ogden Avenue Aurora IL 60504 363193787 Parent Company IL Section 501(c)(3) Schedule A, Line 11a N/A 0 Rush University Medical Center 1700 West Van Buren Street Chicago IL 60612 362174823 Hospital IL Section 501(c)(3) Schedule A, Line 3 N/A 0 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 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 1 0 Copley Memorial Hospital Inc B 2579443 Fair Market Value Copley Memorial Hospital Inc P 240760 Fair Market Value Copley Memorial Hospital Inc R 725840 Fair Market Value