COPLEY MEMORIAL HOSPITAL INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- COPLEY MEMORIAL HOSPITAL INC (EIN 36-2170840)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-13
- IRS object ID
- 201501339349302795
- Schema version
- 2013v4.0
- 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 H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-13T12:03:25-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 South Wacker Drive | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 60606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362170840 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Copley Memorial Hospital Inc | BusinessNameLine1 |
| Business Name Line2 | c/o Rush-Copley Medical Ctr | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COPL | BusinessNameControlTxt |
| Phone | 6309786200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Ogden Avenue | AddressLine1 |
| City | Aurora | City |
| State | IL | State |
| ZIP Code | 605044206 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Brenda VanWyhe | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6309786200 | PhoneNum |
| Signature | 2015-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Laura Gillespie | PreparerPersonNm |
| PTIN | P00855604 | PTIN |
| Phone | 3124861000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Barry Finn | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Ogden Avenue | AddressLine1 |
| City | Aurora | City |
| State | IL | State |
| ZIP Code | 605044206 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $384,907,931 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.rushcopley.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1886 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | To provide advanced medicine with quality outcomes and extraordinary care. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 2116 | TotalEmployeeCnt |
| Total Volunteers | 250 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $893,313 | PYContributionsGrantsAmt |
| CY Contributions Grants | $548,821 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $273,284,274 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $291,634,837 | CYProgramServiceRevenueAmt |
| PY Investment Income | $15,780,198 | PYInvestmentIncomeAmt |
| CY Investment Income | $12,073,736 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,484,366 | PYOtherRevenueAmt |
| CY Other Revenue | $7,092,206 | CYOtherRevenueAmt |
| PY Total Revenue | $296,442,151 | PYTotalRevenueAmt |
| CY Total Revenue | $311,349,600 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $31,010 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $50,133 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $125,217,858 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $132,863,510 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $128,759,262 | PYOtherExpensesAmt |
| CY Other Expenses | $144,418,502 | CYOtherExpensesAmt |
| PY Total Expenses | $254,008,130 | PYTotalExpensesAmt |
| CY Total Expenses | $277,332,145 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $42,434,021 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $34,017,455 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $423,189,731 | TotalAssetsBOYAmt |
| Total Assets EOY | $458,989,462 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $233,916,155 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $233,857,390 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $189,273,576 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $225,132,072 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of Rush-Copley is to provide advanced medicine with quality outcome and extraordinary care. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $212,977,187 | ExpenseAmt |
| Grant | $50,133 | GrantAmt |
| Revenue | $298,519,369 | RevenueAmt |
| Desc | Copley Memorial Hospital's mission is to provide advanced medicine with quality outcomes and extraordinary care. The focus on advanced medicine is concentrated in Copley Memorial Hospital's centers of excellence or "Institutes." Institutes represent the major service lines of the medical center: Cancer Care; Emergency Services; Heart & Vascular; Neuroscience; and Women's Health. The designation of Institutes allows the organization to prioritize among diverse opportunities and focus resources on these service lines. To that end, the medical center seeks to serve the community in ways that engage, educate and empower. In 2013, Copley Memorial Hospital proudly collaborated with dozens of civic and community groups to impact the knowledge, health and well being of the community. Copley Memorial Hospital offers free educational programs ranging from hand hygiene education aimed at preschool and primary grade school aged children to annual seminars educating adults about diabetes, heart health, cancer prevention, weight control, smoking cessation and more.A bimonthly newsletter is published and highlights health information and calendar of events info to 90,000+ households throughout the hospital service area. Free and reduced cost health screenings are regularly offered including free blood pressure monitoring on a walk-in basis.Two electronic newsletters also highlighting health information, news and events are emailed monthly: Healthy eUpdate and FitNotes. These newsletters average 13,500 and 3,300 emails respectfully.Highlighted Health Programming includes:During 2013, Copley Memorial Hospital sponsored, partnered or participated in over 600 community-based programs and events with special emphasis on improving the health and wellness of adults, children and underserved populations. Nutrition and Weight LossFour programs aimed at providing sound nutrition advice and weight loss strategies were held during the year. Topics included women and weight loss, strength training, and one pot meals. 20 people attended.Diabetes Presentations about diabetes and related screenings were conducted throughout the year at various community locations. Fasting glucose and blood pressure screenings were provided to over 600 community members. 156 people attended diabetes education classes.Smoking CessationThe Freedom from Smoking class was offered four times with a total of 15 participants. This free eight-week program provides support and the skills needed to quit smoking. Three sessions were conducted in English and one session was conducted in Spanish.Cancer Awareness and InformationThe Help for You program on breast cancer education was provided at the Latina Health Fair, African American Health Fair, Communities in School's Back to School Fair, Susan G. Komen races and the mobile Consulate. Educational materials were provided to over 400 participants. Dr. Gor presented a program "Get the Scoop on the Scope" to 19 participants. The Caring Forward Cancer Survivorship program was provided on a quarterly basis with at total of 15 attendees. Additional venues where information to 150 participants was provided on cancer and sun safety include Play it Safe, church health fairs and the Health and Wellness Symposium. At the annual celebration of National Cancer Survivors Day, there were more than 400 participants in attendance.Latina Talks (Platicas Para Mujeres) and Community TalksLatina Talks (Platicas Para Mujeres) is an educational series geared toward the healthcare needs of Latina women. Latina Talks is offered eight times a year from September through April targeting Latina women in the Fox Valley area. Topics presented by professional healthcare providers include: Moving Forward After Cancer, Exercise and Zumba Demonstration, Diabetes and Obesity, Nutrition in the Latino Community, Cholesterol, Gluten & Sodas and more. Typically, between 10 and 25 women attend the monthly sessions. In addition, Rush-Copley partners with Aurora University nursing students to provide free child care. The student nurses also provide education topics such as playground safety and activities that promote exercise to the children. Over 150 women have benefited from the presentations in the last year and over 100 children have attended child care which takes place in the preschool classroom of the Prisco Community Center.Expanding on the Latina Talks program, Rush-Copley in collaboration with the Aurora Public Library offered three Community Talks for both men and women, in Spanish. Topics included an interactive session on Emotional Health and Communication, Layman's Guide to Mental Health and Reducing Obesity in the Latino Community. More than 60 community members participated in the Community Talks series.Older Adult EducationEducational and interactive talks designed to provide seniors with health information and education are presented regularly at the Beecher Community Center in Yorkville in collaboration with Senior Services Associates, Inc. This program called "Wellness is a Way of Life," reaches approximately 300 seniors annually."The Breakfast Club," a program that targets the senior community at large, provides bi-monthly presentations that include question and answer sessions on healthcare topics. The program takes place at Sunnymere, an assisted living facility in Aurora, and is attended annually by 150 seniors.Pregnancy and ChildbirthPrenatal education classes are offered to couples who are pregnant or considering having a baby. Class topics include New Advances in Infertility, C-Section, Bringing Home Baby and Child Safety. Tours of the Family Birth Center are also provided. Over 1,700 people participated in 2013.VascularSeveral PVD screenings took place through the year as well as programs that discussed healthy legs and veins. Over 175 people benefitted from these activities. Movement DisordersFour community programs were offered to people who were experiencing or care for a person experiencing a movement disorder. 224 people attended these programs. Ongoing programs include land exercises, water exercises, art therapy, Parkinson's disease and essential tremor support with over 100 participants.WomenOver 300 women attended programs aimed specifically for them. Topics in the Women to Women series included Women's Wellness Below the Waist, 9 Tips in 90 Minutes, Heart Health and Think Pink. Other program topics included Financial Freedom and Continence. Physician Referral and Service LineCopley Memorial Hospital offers a free physician and information referral telephone service to the community. This service allows community members to talk with a call advisor to match a person's health needs and preferences with the physician of their choice or link callers to services provided by the medical center. Over 11,500 people used this service in 2013.WebsiteCopley Memorial Hospital's website, rushcopley.com, with translation available into dozens of languages, offers access to free health information, a health encyclopedia, and a symptom checker. In 2013, there were over 963,000 visits to rushcopley.com.Charity CareIt is an inherent part of the Hospital's mission to provide necessary medical care free of charge, or at a discount, to individuals without insurance or other means of paying for such care. As the amounts determined to qualify for charity care are not pursued for collection, they are not reported as net patient service revenue. Patients who would otherwise qualify for charity care but who do not provide adequate information would be characterized as bad debt and included in the provision for uncollectible accounts. The Hospital also incurs losses related to the unreimbursed costs of providing services to Medicaid patients.The Hospital has an established charity care policy and maintains records to identify and monitor the level of charity care it provides. The Hospital provides free care to all patients who apply and support income and asset levels of less than 300% of the current-year poverty level, a 30% discount to all uninsured patients regardless of ability to pay, and discounts balances to patients under 600% of the poverty level. Interest-free payment plans are also provided. These charity care records include the estimated cost of unreimbursed services provided and supplies furnished under its charity care policy and the excess of cost over reimbursement for Medicaid patients. The estimated cost of charity care provided is determined using a ratio of cost to gross charges and multiplying that ratio by the gross unreimbursed charges associated with providing care to charity patients. The Hospital also monitors the unreimbursed cost of patient bad debts. | Desc |
| Total Program Service Expenses | $212,977,187 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 184 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2116 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| 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 | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | 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 | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Brenda VanWyhe | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6309786200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Ogden Avenue | AddressLine1 |
| City | Aurora | City |
| State | IL | State |
| ZIP Code | 60504 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Mark Metzger | ||||||||||
| Chairman of the Board/Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| William Skoglund | ||||||||||
| Vice Chairman of the Board/Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Thomas Alexander Beg 1113 | ||||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Trish Anen | ||||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| James Baka Beg 1113 | ||||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Cati Cederoth | ||||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Alice Daniele M D | ||||||||||
| Vice Chief of Staff/Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Bruce Dienst | ||||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Richard Edelman | ||||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Ronald Hem | ||||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Dennis Keane MD | ||||||||||
| Past Chief of Staff/Dir | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Herbert Knight | ||||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Maryanne Locklin | ||||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Dave Mead | ||||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Avery Miller | ||||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Jerome Roberts | ||||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Christine Sobek | ||||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Andrew VanEekeren Beg 1113 | ||||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Suresh Velagapudi MD | ||||||||||
| Chief of Staff/Director | 1.00 | 2.00 | Yes (X) | $13,750 | $0 | $0 | ||||
| Barry Finn | ||||||||||
| President & CEO/Director | 40.00 | 3.00 | Yes (X) | $1,003,214 | $0 | $420,789 | Yes (X) | |||
| Brenda VanWyhe | ||||||||||
| Sr. VP, Finance & CFO/Treasurer | 40.00 | 3.00 | $386,416 | $0 | $83,725 | Yes (X) | ||||
| Ryan Asmus | ||||||||||
| VP General Counsel/Secretary | 40.00 | 3.00 | $298,461 | $0 | $73,773 | Yes (X) | ||||
| Lynn Scott | ||||||||||
| Assistant Secretary | 40.00 | 3.00 | $74,537 | $0 | $16,573 | Yes (X) | ||||
| Steve Lowenthal MD | ||||||||||
| Sr. VP, Medical Affairs & CMO | 40.00 | 0.00 | $666,281 | $0 | $43,457 | Yes (X) | ||||
| John Diederich | ||||||||||
| Sr. VP, Operations & COO | 40.00 | 1.00 | $473,725 | $0 | $139,218 | Yes (X) | ||||
| Diane Homan MD | ||||||||||
| VP, Quality & PSO | 40.00 | 0.00 | $430,149 | $0 | $100,724 | Yes (X) | ||||
| Dennis DeMasie | ||||||||||
| VP, Information Technology & CIO | 40.00 | 0.00 | $328,546 | $0 | $84,047 | Yes (X) | ||||
| Mary Shilkaitis | ||||||||||
| VP, Patient Care Services & CNO | 40.00 | 0.00 | $306,638 | $0 | $79,446 | Yes (X) | ||||
| Alex Pope | ||||||||||
| VP, Philanthropy & CDO | 40.00 | 1.00 | $265,770 | $0 | $60,142 | Yes (X) | ||||
| Gail Bumgarner | ||||||||||
| Sr. VP, Strategy | 40.00 | 0.00 | $332,897 | $0 | $27,033 | Yes (X) | ||||
| David Petasnick | ||||||||||
| Assistant VP, Ancillary Services | 40.00 | 0.00 | $211,016 | $0 | $27,312 | Yes (X) | ||||
| Suzanne Sterchi | ||||||||||
| Assistant VP, Patient Care | 40.00 | 0.00 | $219,097 | $0 | $35,365 | Yes (X) | ||||
| Sepehr Sani MD | ||||||||||
| Physician | 40.00 | 0.00 | $1,016,045 | $0 | $27,976 | Yes (X) | ||||
| Dimitry Ruban MD | ||||||||||
| Physician | 40.00 | 0.00 | $906,391 | $0 | $47,282 | Yes (X) | ||||
| Todd Guynn MD | ||||||||||
| Physician | 40.00 | 0.00 | $875,004 | $0 | $56,915 | Yes (X) | ||||
| Ellen Embry MD | ||||||||||
| Physician | 40.00 | 0.00 | $574,342 | $0 | $48,143 | Yes (X) | ||||
| Courtney Virgilio MD | ||||||||||
| Physician | 40.00 | 0.00 | $564,589 | $0 | $48,914 | Yes (X) | ||||
| Barbara Graham | ||||||||||
| VP, Philanthropy & CDO | 0.00 | 0.00 | $111,229 | $0 | $6,118 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,058,097 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,426,952 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 216 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Sodexho | |||||
| 4880 Paysphere Circle | Chicago | IL | 60674 | Food and Cleaning Service | $3,576,508 |
| Anthelio | |||||
| One Lincoln Ctr Ste 200 5400 LBJ | Dallas | TX | 75240 | Medical Records Management | $2,109,135 |
| Advocate Medical Group | |||||
| 1875 Dempster Suite 325 | Park Ridge | IL | 60068 | Medical Services | $941,712 |
| Anderson Mikos Architects | |||||
| 1420 Kensington Road Suite 306 | Oak Brook | IL | 60523 | Architects | $728,220 |
| Fox Valley Acute Dialysis | |||||
| 1300 Waterford | Aurora | IL | 60504 | Dialysis | $699,208 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 28 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $548,821 | RelatedOrganizationsAmt |
| Total Contributions | $548,821 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Svc. Rev. | 621110 | $269,820,611 | $269,820,611 |
| Medicaid Tax Revenue | 621110 | $23,515,539 | $23,515,539 |
| Other Program Revenue | 900099 | -$1,701,313 | -$1,701,313 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $291,634,837 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,678,547 | TotalRevenueColumnAmt |
| Exclusion | $5,678,547 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $188,241 | TotalRevenueColumnAmt |
| Exclusion | $188,241 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,257,574 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,514,685 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$257,111 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$257,111 | TotalRevenueColumnAmt |
| Exclusion | -$257,111 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $76,165,390 | SecuritiesAmt |
| Other | $2,085,204 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $71,520,158 | SecuritiesAmt |
| Other | $523,488 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,645,232 | SecuritiesAmt |
| Other | $1,561,716 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,206,948 | TotalRevenueColumnAmt |
| Exclusion | $6,206,948 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Outside Service Rev. | 621990 | $6,884,532 | $6,884,532 | |
| Cafeteria Revenue | 621990 | $233,594 | $233,594 | |
| Gift Shop Revenue | 453220 | $220,576 | $220,576 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,615 | TotalRevenueColumnAmt |
| Exclusion | $10,615 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,349,317 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $311,349,600 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $298,519,369 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $12,281,410 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,133 | TotalAmt |
| Program Services | $50,133 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,845,374 | TotalAmt |
| Management And General | $6,845,374 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,973,328 | TotalAmt |
| Program Services | $72,729,996 | ProgramServicesAmt |
| Management And General | $24,243,332 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,181,320 | TotalAmt |
| Program Services | $3,135,990 | ProgramServicesAmt |
| Management And General | $1,045,330 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,401,255 | TotalAmt |
| Program Services | $12,300,941 | ProgramServicesAmt |
| Management And General | $4,100,314 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,462,233 | TotalAmt |
| Program Services | $6,346,675 | ProgramServicesAmt |
| Management And General | $2,115,558 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,131,581 | TotalAmt |
| Program Services | $4,598,686 | ProgramServicesAmt |
| Management And General | $1,532,895 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $238,769 | TotalAmt |
| Management And General | $238,769 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,435 | TotalAmt |
| Management And General | $198,435 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,459 | TotalAmt |
| Program Services | $24,344 | ProgramServicesAmt |
| Management And General | $8,115 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,224,877 | TotalAmt |
| Program Services | $3,918,658 | ProgramServicesAmt |
| Management And General | $1,306,219 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,459,885 | TotalAmt |
| Program Services | $1,459,885 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,337,408 | TotalAmt |
| Program Services | $46,003,056 | ProgramServicesAmt |
| Management And General | $15,334,352 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,677,771 | TotalAmt |
| Program Services | $6,508,328 | ProgramServicesAmt |
| Management And General | $2,169,443 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,263,107 | TotalAmt |
| Program Services | $5,447,330 | ProgramServicesAmt |
| Management And General | $1,815,777 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,219 | TotalAmt |
| Program Services | $175,664 | ProgramServicesAmt |
| Management And General | $58,555 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,268 | TotalAmt |
| Program Services | $71,451 | ProgramServicesAmt |
| Management And General | $23,817 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,915,573 | TotalAmt |
| Program Services | $6,915,573 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,617,834 | TotalAmt |
| Program Services | $16,617,834 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,756,207 | TotalAmt |
| Program Services | $8,817,155 | ProgramServicesAmt |
| Management And General | $2,939,052 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Medicaid Provider Tax | $15,077,933 | $15,077,933 |
| Consulting | $836,370 | $836,370 |
| Laundry | $802,315 | $802,315 |
| Collection Fees | $612,104 | $612,104 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $906,387 | TotalAmt |
| Program Services | $526,766 | ProgramServicesAmt |
| Management And General | $379,621 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $277,332,145 | TotalAmt |
| Program Services | $212,977,187 | ProgramServicesAmt |
| Management And General | $64,354,958 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $201,623 | BOYAmt |
| EOY | $213,480 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,000,117 | BOYAmt |
| EOY | $19,157,212 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,476,997 | BOYAmt |
| EOY | $40,320,674 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,710,289 | BOYAmt |
| EOY | $4,606,762 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,183,012 | BOYAmt |
| EOY | $8,803,680 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $320,281,178 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $190,039,962 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,496,347 | BOYAmt |
| EOY | $130,241,216 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $199,247,683 | BOYAmt |
| EOY | $237,158,566 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,873,663 | BOYAmt |
| EOY | $18,487,872 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $423,189,731 | BOYAmt |
| EOY | $458,989,462 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,151,507 | BOYAmt |
| EOY | $121,505,916 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,816,495 | BOYAmt |
| EOY | $89,609,546 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,948,153 | BOYAmt |
| EOY | $22,741,928 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $233,916,155 | BOYAmt |
| EOY | $233,857,390 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,865,539 | BOYAmt |
| EOY | $219,954,035 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,408,037 | BOYAmt |
| EOY | $5,178,037 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,273,576 | BOYAmt |
| EOY | $225,132,072 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $423,189,731 | BOYAmt |
| EOY | $458,989,462 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $34,017,455 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $19,140,690 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$17,299,649 | 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
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 | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $47,769 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $47,769 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Copley Memorial Hospital is a member of various organizations that advocate on legal and policy issues that affect healthcare. A portion of the annual membership dues paid by Copley Memorial Hospital to these organizations is attributable to lobbying activities. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,161,160 | BeginningYearBalanceAmt |
| Contributions | $1,178,338 | ContributionsAmt |
| Investment Earnings Or Losses | $1,068,336 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,476,767 | OtherExpendituresAmt |
| End Year Balance | $11,931,067 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,131,204 | BeginningYearBalanceAmt |
| Contributions | $980,802 | ContributionsAmt |
| Investment Earnings Or Losses | $712,783 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,663,629 | OtherExpendituresAmt |
| End Year Balance | $11,161,160 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,648,390 | BeginningYearBalanceAmt |
| Contributions | $1,409,175 | ContributionsAmt |
| Investment Earnings Or Losses | $364,134 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,290,495 | OtherExpendituresAmt |
| End Year Balance | $11,131,204 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,770,170 | BeginningYearBalanceAmt |
| Contributions | $878,220 | ContributionsAmt |
| Investment Earnings Or Losses | $1,349,773 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,349,773 | OtherExpendituresAmt |
| End Year Balance | $10,648,390 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,053,445 | BeginningYearBalanceAmt |
| Contributions | $716,725 | ContributionsAmt |
| Investment Earnings Or Losses | $613,671 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $613,671 | OtherExpendituresAmt |
| End Year Balance | $9,770,170 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.01000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.57000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.42000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,923,937 | OtherCostOrOtherBasisAmt |
| Book Value | $16,923,937 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $184,457,372 | OtherCostOrOtherBasisAmt |
| Depreciation | $104,155,442 | DepreciationAmt |
| Book Value | $80,301,930 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $112,995,002 | OtherCostOrOtherBasisAmt |
| Depreciation | $85,884,520 | DepreciationAmt |
| Book Value | $27,110,482 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,904,867 | OtherCostOrOtherBasisAmt |
| Book Value | $5,904,867 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $130,241,216 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Long Term Deferred Rent Obligation | $495,652 |
| Deferred Gain on Sale Long Term | $10,345,637 |
| Long Term SERP | $4,588,038 |
| Long Term Market Adjustment Swap Liability | $7,312,601 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $22,741,928 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $337,485,721 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $19,140,690 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $7,544,252 | OtherRevenueAmt |
| Revenue Not Reported | $26,684,942 | RevenueNotReportedAmt |
| Revenue Subtotal | $310,800,779 | RevenueSubtotalAmt |
| Other Revenues Not Included | $548,821 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $548,821 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $311,349,600 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $285,055,635 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $7,723,490 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $7,723,490 | ExpensesNotReportedAmt |
| Expenses Subtotal | $277,332,145 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $277,332,145 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Rush Copley Foundation holds the Voris (income for CMH Cancer Care), Kobisk (Board restricted income to CMH), Copley (income unrestricted) and Dobbins (income for CMH Women's Health) Endowments. Rush Copley Foundation also holds a Quasi Nursing Endowment (income for CMH Future of Nursing Scholarships). These funds are held for the benefit of Copley Memorial Hospital. |
| Part XI, Line 2d - Other Adjustments: | RCCC revenue to reconcile to CMH corporate not consolidated 4,031,810. RCCC revenue elimination to reconcile to CMH corporate not consolidated 2,195,209. Swap value adjustment -179,238. Rental expenses-2020 Ogden POB1 & 1100 W Veterans Pkwy Yorkville POB 1,496,471. |
| Part XI, Line 4b - Other Adjustments: | Contributions not reported on Line 1 included in income 548,821. |
| Part XII, Line 2d - Other Adjustments: | RCCC expenses to reconcile to CMH corporate not consolidated 6,227,019. Rental expenses-2020 Ogden POB1 & 1100 W Veterans Pkwy Yorkville POB 1,496,471. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 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 | $7,029,068 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,029,068 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02530 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $65,372,714 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $48,254,124 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,118,590 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06170 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $72,401,782 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $48,254,124 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,147,658 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08700 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $90,399 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $90,399 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,271,575 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $589,848 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,681,727 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01690 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $53,998 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $53,998 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,415,972 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $589,848 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,826,124 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01740 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $77,817,754 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $48,843,972 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,973,782 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10440 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $41,627,648 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $4,162,765 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $76,578,759 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $86,407,433 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$9,828,674 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Copley Memorial Hospital | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Ogden Avenue | AddressLine1 |
| City | Aurora | City |
| State | IL | State |
| ZIP Code | 605044206 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.rushcopley.com | WebsiteAddressTxt |
| State License | 2150791 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Copley Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Section C, Supplemental Info. | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| Other Needs Addressed | Yes (X) | OtherNeedsAddressedInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 600.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Copley Memorial Hospital | Part V, Section B, Line 3: In conducting the Community Health Needs Assessment, the hospital took into account input from persons who represent the broad interests of the community served. This included community residents and experts in a range of areas including public health, minority populations, disparities in health care, social determinants of health, and health & social services.Persons who represent the broad interests of the community served included:- Board of Directors- Hospital Administration- Community Health Needs Committee- Partnerships with Kane County- Partnershhips with Kendall County- Communtiy Health Survey- Focus Groups- Secondary Data AnalysisFor complete details about how the hospital took into account input from persons who represent the broad interests of the community served, the hospital's community health needs assessment can be accessed at:http://www.rushcopley.com/about/community-health-needs-assessment-report/ |
| Copley Memorial Hospital | Part V, Section B, Line 4: The Kane County Health Department, Rush-Copley Medical Center, Cadence Health Delnor Hospital, Presence Mercy Medical Center, Presence St. Joseph Hospital (Elgin), and Advocate Sherman Hospital worked together along with other community partners to develop the County's IPLAN (Illinois Project for Local Assessment of Needs). The IPLAN is a community health assessment and planning process that is conducted every five years by local health jurisdictions in Illinois.The collaborative participation in the planning process, plan development and identification of the health needs for the County served as a foundation for the development of each of the hospital's respective Community Health Needs Assessments. |
| Copley Memorial Hospital | Part V, Section B, Line 5d: http://www.rushcopley.com/about/community-health-needs-assessment-report/ |
| Copley Memorial Hospital | Part V, Section B, Line 6i: Rush Copley began implementation of strategies identified in the strategy implementation plan for the three health need priorities.-Development of healthy weight web page.-Developed a funding program and partnership with Walgreens to provide medication assistance to those in need.-Also worked with Walgreens on a Well Transition program to ensure chronic disease patients understand their home medication and have an available resource to ask questions once discharged.-Worked with community leaders to develop a standard evidence based approach for Diabetes.-Created and implemented a web based inventory of universal medication assistance program. |
| Copley Memorial Hospital | Part V, Section B, Line 7: The following identified communtiy health needs were not addressed:Infant MortalityRush-Copley Medical Center is already addressing this health need through a number of on-going initiatives, including:- Participation in the Perinatal Network with Rush University and providing Neonatal Intensive Care Services- Active participation in the Kane County Breastfeeding Coalition- Hired Breastfeeding Peer Counselors to support Lactation services- Monthly communication with The Circle of Wise Women - a group of African American community women committed to acting together to reduce infant mortality- Partner with Federally Qualified Health Care Centers to promote prenatal education classes- Preventing elective deliveries before 39 weeks gestation, without medical justification- In collaboration with IDOT, hosts car seat safety checks- "Text 4 Baby" initiative- Working closely with the Kane County Health Department's Perinatal Committee toward preventing infant mortality as well as reducing health disparitiesRush-Copley Medical Center will continue to focus on this need and be an active community partner in the development and implementation of new strategies and initiatives.Communicable diseases- The reduction of communicable diseases in the community is a public health issue for which the local health departments acknowledge primary responsibility and leadership oversight. - Rush-Copley Medical Center continues to be a collaborative partner that provides on-going supportive services to the local health departments regarding this health issue.Mental and behavioral health- As identified during the prioritization exercise, Rush-Copley does not provide mental or behavioral health services and it would not be feasible for the hospital to develop this type of program. Therefore, the hospital would not be able to have a measurable impact on this need.- There are a great number of organizations in the community already addressing this need (as listed in the CHNA).- The hospital currently works closely with area mental and behavioral health programs in the community in order to assist patients in accessing care.Housing conditions- Housing conditions are societal factors that are outside the health care system, therefore the hospital is not in a position to directly impact these needs.- However, the hospital will continue to collaborate with other agencies and support initiatives for these health issues, including working with the Kendall County Health Department to develop a distribution program for home radon detection kits through the medical group practice as well as through the hospital's car seat safety check program. |
| Copley Memorial Hospital | Part V, Section B, Line 14g: Our financial assistance policy is listed on our website. Also we have a spot on the bills that we send to the patients that states we have a financial assistance policy. In addition, our patient financial staff will discuss the policy with the patients if they see that a need for assistance might exist. |
| Copley Memorial Hospital | Part V, Section B, Line 20d: Total charges before discounts are the same for all patients. Discounts are then applied to total charges to determine amounts billed to patients. At a minimum, patients with income less than or equal to 300% of the Federal Poverty Level (FPL) will be eligible for 100% charity care write off of charges for services that have been provided to them. Also, at a minimum, patients with incomes above 300% of the FPL but not exceeding 600% of the FPL will receive a discount on the services provided to them. Additionally, for any pure self pay patient (someone presenting with no insurance regardless of income), there is a 30% uninsured discount automatically applied against total charges. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| River West Radiation Center LLC | ||||
| 1221 N Highland Avenue | Aurora | IL | 605044206 | JV Oncology |
| Community Alliance Home Health | ||||
| 4050 Healthway Drive | Aurora | IL | 605044206 | JV Home Health |
| Rush-Copley Healthcare Center | ||||
| 1100 West Vererans Parkway | Yorkville | IL | 60560 | Free Standing Emergency Care, Radiology, Lab, and Occupational Health Servic |
| Rush-Copley Cardiovascular Consultants | ||||
| 2000 Ogden Avenue | Aurora | IL | 605044206 | Cardiovascular Services |
| Midwest Center for Advanced Imaging | ||||
| 4355 Montgomery Road | Naperville | IL | 60564 | Radiology Services |
| Midwest Center for Advanced Imaging | ||||
| 963 129th Infantry Dr Suite 140 | Joliet | IL | 60431 | Radiology Services |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | A cost accounting system was used to calculate the amounts reported in the table and a cost to charge ratio was utilized. The cost accounting system addresses all patient segments (Inpatient, Outpatient, Emergency Room, Private Insurance, Medicaid, Medicare, Uninsured and Self Pay). |
| Part III, Line 4: | Net patient service revenue is reported at the estimated net realizable amounts from third-party payors, patients, and others for services rendered. The Hospital has agreements with third-party payors that provide for payments at amounts different from established rates. Payment arrangements include prospectively determined rates per discharge, reimbursed costs, per diem payments, and discounted charges, including estimated retroactive settlements under payment agreements with third-party payors.The Hospital recognizes patient service revenue associated with services provided to patients who have third-party payor coverage on the basis of contractual rates for the services rendered. Provisions for adjustments to net patient service revenue are accrued on an estimated basis in the period the related services are rendered and adjusted in future periods as final settlements are determined. For uninsured patients that do not qualify for charity care, the Hospital recognizes revenue based on its discounted rates. On the basis of historical experience, a significant portion of the Hospital's uninsured patients will be unable or unwilling to pay for the services provided. Thus, the Hospital records a significant provision for uncollectible accounts related to uninsured patients in the period the services are provided. Patient accounts receivable are based on gross charges and stated at net realizable value. Accounts receivable are reduced by an allowance for contractual adjustments, based on expected payment rates from payors under current reimbursement methodologies, and also by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate appropriate allowance for doubtful accounts and provision for uncollectible accounts based upon management's assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage, and other collection indicators. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for contractual adjustments and allowance for doubtful accounts.For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Hospital records a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible.The difference between the discounted rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts in the period they are determined uncollectible.The Hospital's allowance for doubtful accounts increased from 14.5% of gross accounts receivable less contractual allowances at June 30, 2013 to 18.7% of gross accounts receivable less contractual allowances at June 30, 2014. The increase in the allowance as a percentage of gross accounts receivable less contractual allowances was due to higher self-pay volumes and an increase in pending Medicaid application. |
| Part III, Line 8: | All of the shortfall reported in line 7 should be treated as community benefit because if we did not provide the service, the burden of the costs would fall on the government. Costs of treating Medicare patients are calculated using the IRS calculated percentage. |
| Part III, Line 9b: | It is our policy not to pursue collection practices against patients known to qualify for Charity Care or other financial assistance. In certain cases it may not be easily determined whether or not a patient qualifies for Charity Care or financial assistance. However, if after collection practices have begun, it later becomes known the patient qualifies, the collection efforts cease. |
| Part VI, Line 2: | Community need is assessed through review of community and hospital data, periodic assessments with physician and clinicians, and reporting of information from hospital committees. Further input from the community arises from the community based board of directors, various forms of patient input, and hospital involvement with government, health industry, and community agencies. The hospital also actively participates in formal needs assessments conducted by government and community agencies. |
| Part VI, Line 3: | At the time of service, Copley Memorial Hospital patients are given a billing brochure, which describes the financial assistance/charity program availability. This information is also posted at the registration check-in desks, in an inpatient guide, and on the Rush Copley website. Financial counselors are available to explain the program in detail to patients who are seen without insurance coverage. All patient billing statements advise the patients to call and inquire on the details as needed. |
| Part VI, Line 4: | Copley Memorial Hospital's primary service area is approximately Kane County and Kendall County, Illinois located 45 to 55 miles southwest of Chicago. Kane County has a population of 512,000 people and is predominantly urban and suburban. Nearly 29% of the population is of Hispanic or Latino origin. Persons over the age of 65 comprise 8.6% of the population, and the poverty rate is 9.0%. Aurora, the second largest city in Illinois, dominates the county. Historically an industrial city, Aurora has experienced a considerable loss of manufacturing jobs and is transitioning its economy. Kendall County, to the south of Kane, has a population of 105,000. Persons over the age of 65 comprise 6.7% of the population and the poverty rate is 3.4%. The northwest section of the county is suburban while the remainder is rural. |
| Part VI, Line 5: | Copley Memorial Hospital's mission is to provide advanced medicine with quality outcomes and extraordinary care. To that end, the Medical Center seeks to serve the community in ways that engage, educate and empower. Copley Memorial Hospital serves all patients who present for care and serves the surrounding community along with a Board of Directors with a strong community base. The Board Members are independent community leaders and are selected based upon their expertise and experience in a variety of areas of benefit to the organization and their role as Board Members who direct and guide management in carrying out our mission. Board Members are not compensated for their service. As a charitable organization, all surplus funds are used to further our charitable purpose, mission and to serve the community. Some of our primary programs are: community health fairs, breastfeeding education classes, child care classes, etc. Copley Memorial Hospital provides access to physician, acute care, diagnostic, and rehabilitative services to people, regardless of ability to pay, through a number of facilities and services located throughout the service area. It provides programming relating to health education, prevention, and support targeted to specific populations. Medical education extends to clinical settings for nursing education and a family practice residency. Employees fill board and committee leadership positions for a number of economic development and social service agencies in communities throughout the service area. |
| Part VI, Line 6: | Copley Memorial Hospital has an affiliation with Rush University Medical Center that covers governance and other organizational relationships. Both organizations are parties to a master trust indenture that established an obligated group for purposes of issuing long-term debt. |
| Part VI, Line 7, Reports Filed With States | IL |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 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 (18 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Barry Finn | ||||||||||||||
| President & CEO/Director | $639,978 | $0 | $348,305 | $0 | $14,931 | $0 | $383,850 | $0 | $36,939 | $0 | $1,424,003 | $0 | $0 | $0 |
| Brenda VanWyhe | ||||||||||||||
| Sr. VP, Finance & CFO/Treasurer | $257,868 | $0 | $120,853 | $0 | $7,695 | $0 | $58,980 | $0 | $24,745 | $0 | $470,141 | $0 | $0 | $0 |
| Ryan Asmus | ||||||||||||||
| VP General Counsel/Secretary | $198,754 | $0 | $91,697 | $0 | $8,010 | $0 | $42,060 | $0 | $31,713 | $0 | $372,234 | $0 | $0 | $0 |
| Steve Lowenthal MD | ||||||||||||||
| Sr. VP, Medical Affairs & CMO | $390,128 | $0 | $179,912 | $0 | $96,241 | $0 | $14,247 | $0 | $29,210 | $0 | $709,738 | $0 | $0 | $0 |
| John Diederich | ||||||||||||||
| Sr. VP, Operations & COO | $331,494 | $0 | $133,008 | $0 | $9,223 | $0 | $104,249 | $0 | $34,969 | $0 | $612,943 | $0 | $0 | $0 |
| Diane Homan MD | ||||||||||||||
| VP, Quality & PSO | $285,628 | $0 | $132,255 | $0 | $12,266 | $0 | $66,615 | $0 | $34,109 | $0 | $530,873 | $0 | $0 | $0 |
| Dennis DeMasie | ||||||||||||||
| VP, Information Technology & CIO | $218,733 | $0 | $99,551 | $0 | $10,262 | $0 | $49,097 | $0 | $34,950 | $0 | $412,593 | $0 | $0 | $0 |
| Mary Shilkaitis | ||||||||||||||
| VP, Patient Care Services & CNO | $213,469 | $0 | $83,572 | $0 | $9,597 | $0 | $45,909 | $0 | $33,537 | $0 | $386,084 | $0 | $0 | $0 |
| Alex Pope | ||||||||||||||
| VP, Philanthropy & CDO | $174,749 | $0 | $83,001 | $0 | $8,020 | $0 | $27,316 | $0 | $32,826 | $0 | $325,912 | $0 | $0 | $0 |
| Gail Bumgarner | ||||||||||||||
| Sr. VP, Strategy | $240,566 | $0 | $85,305 | $0 | $7,026 | $0 | $13,012 | $0 | $14,021 | $0 | $359,930 | $0 | $0 | $0 |
| David Petasnick | ||||||||||||||
| Assistant VP, Ancillary Services | $169,237 | $0 | $41,590 | $0 | $189 | $0 | $8,063 | $0 | $19,249 | $0 | $238,328 | $0 | $0 | $0 |
| Suzanne Sterchi | ||||||||||||||
| Assistant VP, Patient Care | $178,207 | $0 | $40,281 | $0 | $609 | $0 | $8,570 | $0 | $26,795 | $0 | $254,462 | $0 | $0 | $0 |
| Sepehr Sani MD | ||||||||||||||
| Physician | $897,690 | $0 | $22,106 | $0 | $96,249 | $0 | $14,247 | $0 | $13,729 | $0 | $1,044,021 | $0 | $0 | $0 |
| Dimitry Ruban MD | ||||||||||||||
| Physician | $773,173 | $0 | $107,742 | $0 | $25,476 | $0 | $14,452 | $0 | $32,830 | $0 | $953,673 | $0 | $0 | $0 |
| Todd Guynn MD | ||||||||||||||
| Physician | $597,083 | $0 | $210,152 | $0 | $67,769 | $0 | $14,247 | $0 | $42,668 | $0 | $931,919 | $0 | $0 | $0 |
| Ellen Embry MD | ||||||||||||||
| Physician | $387,558 | $0 | $140,884 | $0 | $45,900 | $0 | $14,247 | $0 | $33,896 | $0 | $622,485 | $0 | $0 | $0 |
| Courtney Virgilio MD | ||||||||||||||
| Physician | $340,576 | $0 | $181,073 | $0 | $42,940 | $0 | $14,247 | $0 | $34,667 | $0 | $613,503 | $0 | $0 | $0 |
| Barbara Graham | ||||||||||||||
| VP, Philanthropy & CDO | $0 | $0 | $0 | $0 | $111,229 | $0 | $0 | $0 | $6,118 | $0 | $117,347 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | The organization provides to all employees the use of an athletic facility that is owned and operated by a related tax exempt organization. |
| Part I, Line 4a: | Barbara Graham received a severance payment of $109,814 in calendar year 2013 from Copley Memorial Hospital pursuant to her severance agreement. Part I, Line 4b: SERP PLAN of CMH (Accruals): Barry Finn $369,603, Mary Shilkaitis $34,329, John Diederich $90,002, Steve Lowenthal $0, Dennis DeMasie $36,691, Diane Homan $51,751, Brenda VanWyhe $44,644, Alex Pope $27,001, Gail Bumgarner $0, and Ryan Asmus $31,671. 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. Steve Lowenthal received payments in 2013 of $77,277. |
| Part I, Line 7: | Incentive bonus plan based on a series of approved strategic accomplishments. |
| Part II, Column (B)(ii): | Physician Bonus & incentive compensation: Physician bonuses were paid based on individual productivity goals |
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 | 45200FHN2 | 2008-05-28 | $34,772,005 | See Part VI | 0 | 0 | 0 |
| Illinois Finance Authority | ||||||||
| B | 861091967 | 45200FTZ2 | 2009-02-10 | $34,075,527 | Construction of Replace Hosp & ICU addition | 0 | 0 | 0 |
| Illinois Finance Authority | ||||||||
| C | 861091967 | 45200FYT0 | 2009-07-29 | $25,912,180 | New Construction Hospital Campus | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $34,772,005 | $3,090,947 | $540,878 | $34,231,127 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| B | $34,075,527 | $3,394,358 | $498,260 | 0 | 0 | Yes (1) | Yes (1) | $32,745,950 | 2009 | |
| C | $25,912,180 | $2,592,491 | $401,472 | 0 | 0 | Yes (1) | Yes (1) | $22,919,490 | 2009 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 | |
| C | 0 | 0 | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
| C | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule K, Part I, Bond Issues: | FormAndLineReferenceDesc |
| Explanation | (a) Issuer Name: Illinois Finance Authority (f) Description of Purpose: Construction of Replace Hosp & ICU addition. Schedule K, Part I, line A, column (e): Issue Price of bonds of $34,772,005 does not tie to Form 8038 Part III Line 21(b) of $98,278,724. This is because the $34,772,005 is Copley Memorial Hospital's 35.38% prorata share of the $98,278,724 Obligated Group amount issued. Schedule K, Part I, line A, column (f): The Series 2006B Fixed Rate bonds currently refunded (as a reissuance) the Series 2006B Auction Rate bonds issued 8/17/2006, which were issued to refund pre-2003 bond issues. Schedule K, Part IV, Line 2c, Column A: The Series 2006B Fixed Rate bonds' rebate calculation that concluded that there was no liability (and hence no Form 8038-T to file) was completed on May 28, 2013. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, CMH President & CEO/Director, and William Skoglund, CMH 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 4 | Copley Memorial Hospital, Inc. has amended and restated its bylaws which became effective October 29, 2103. The approval powers of the corporate member were amended. |
| Form 990, Part VI, Section A, line 6 | Rush-Copley Medical Center, Inc. ("RCMC") is the sole corporate member of Copley Memorial Hospital, Inc. ("CMH"), Rush-Copley Medical Group, NFP ("RCMG"), Copley Ventures, Inc. ("CV"), and Rush-Copley Foundation ("RCF"). |
| Form 990, Part VI, Section A, line 7a | CMH's Board of Directors includes at least nine (9) individuals elected by the sole corporate member, RCMC. Each of these elected directors is also a member of the Governing Board of CMH's sole corporate member, RCMC. The election and re-election of all CMH directors is at the direction of RCMC at the annual Governing Board meeting. Vacancies on the CMH Board of Directors are filled by CMH's sole corporate member, RCMC. In accordance with certain procedural requirements stated in the bylaws, elected directors may be removed by the affirmative vote of two-thirds of the board of directors of CMH's sole corporate member, RCMC. |
| Form 990, Part VI, Section A, line 7b | The Board of Directors of CMH's sole corporate member, RCMC, has the following exclusive powers over CMH: (1) the election of the Board of Directors; (2) any amendment to the Articles of Incorporation or Bylaws of this Corporation (3) the borrowing of any sum, the principal of which exceeds $500,000.00, or which has a stated term of greater than one year, or which is secured by a mortgage of all or any portion of the Corporation's real property or the creation of a security interest in the Corporation's assets, including personal property and revenues, for the benefit of the lender, lessor or vendor, or the defeasance, advance payment or cancellation of any outstanding debt of the category described herein; (4) any voluntary dissolution, merger, consolidation, sale or transfer of any of the Corporation's assets (above a material dollar threshold as a percentage of the Corporation's assets as determined in conjunction with the Corporate Member) or any creation of a subsidiary or affiliate of this Corporation; (5) application to the Illinois Health Facilities Planning Board or any successor for a permit or certificate of need for a proposed activity, whether or not involving a capital expenditure; (6) Approval of all new or changes to existing annual and long-term capital and operational budgets or long-term or master strategic plans; (7) any agreement or transaction, either of which is of a material nature, with another corporation controlled by or affiliated with the Corporate Member or which is a subsidiary of the Corporate Members; (8) sale of any of the Corporation's real property or interest therein or purchases of any additional real estate; (9) the audited financial statements and bond disclosures of the Corporation; (10) selection and annual evaluation of the President; and (11) the annual audited financial statements and bond disclosures of the Corporation. |
| Form 990, Part VI, Section B, line 11 | The Form 990 tax return is prepared by our external tax advisor with data provided by our organization. A draft of the Form 990 is provided to management for review and comment. The Board of Directors is provided with an approved copy of the Form 990 before it is filed. |
| Form 990, Part VI, Section B, line 12c | Annually, Officers, Directors, Key Employees, Management Team (Department Directors and Managers), and Billing Office personnel of Copley Memorial Hospital, Inc. are required to disclose interests that could give rise to conflicts. The conflict of interest statements are submitted and reviewed by the Chief Compliance Officer and the Audit and Corporate Integrity Committee of the Board. Those key personnel with conflicts are advised to recuse themselves from participating in decision-making related to the conflict. |
| Form 990, Part VI, Section B, line 15 | With respect to the CEO/VP's of the organization and key senior management, the organization follows a compensation approval procedure annually that involves approval of proposed and final compensation arragements by the organization's Compensation Committee and full board of Directors using comparability data, as well as contemporaneous documentation of compensation decisions in minutes. |
| Form 990, Part VI, Section C, line 19 | Form 990 available upon request. The organization does not make its governing documents or conflict of interest policy available to the public. Copies of the financial statements (whether or not audited) are provided upon reasonable request such as for a bank loan or to a bond rating agency. The financial statements are available on the Attorney General's website. |
| Form 990, Part XI, line 9: | Transfer of assets to affiliates-net -17,402,098. Change in interest in net assets of Foundation 281,687. Swap value adjustment -179,238. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 Copley 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 Foundation | |||||||||||
| 2000 Ogden Avenue | Aurora | IL | 60504 | 363093877 | Grants to Charitable Organizations | IL | Section 501(c)(3) | Schedule A, Line 7 | Yes (1) | Rush-Copley Medical Center Inc | |
| Copley Ventures Inc | |||||||||||
| 2000 Ogden Avenue | Aurora | IL | 60504 | 363370216 | Rental Prop., Infirmary Care, and Healthplex Fitness Center | IL | Section 501(c)(3) | Schedule A, Line 3 | Yes (1) | Rush-Copley Medical Center Inc | |
| Rush University Medical Center | |||||||||||
| 1700 West Van Buren Street | Chicago | IL | 60612 | 362174823 | Hospitals | IL | Section 501(c)(3) | Schedule A, Line 3 | N/A | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | Rush-Copley Medical Center Inc | Related | -$2,208,392 | $3,090,132 | 0 | 0 | 0.99000 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rush Copley Medical Group NFP | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Ogden Avenue | AddressLine1 |
| City | Aurora | City |
| State | IL | State |
| ZIP Code | 60504 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363235315 | EIN |
| Primary Activities | Physician Practices | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Rush Copley Medical Group NFP | ||
| A | $594,599 | Fair Market Value |
| Rush Copley Foundation | ||
| C | $548,821 | Fair Market Value |
| Rush Copley Foundation | ||
| I | $60,508 | Fair Market Value |
| Rush Copley Medical Center Inc | ||
| I | $17,402,098 | Fair Market Value |
| Copley Ventures Inc | ||
| K | $613,931 | Fair Market Value |
| Rush Copley Foundation | ||
| Q | $488,313 | Fair Market Value |
| Copley Ventures Inc | ||
| R | $468,000 | Fair Market Value |
Comments