2014-05-14T12:36:16-05:00 2013-06-30 861065772 Deloitte Tax LLP 111 South Wacker Drive Chicago IL 60606 990 2012-07-01 363093877 Rush-Copley Foundation RUSH 6309786200 2000 Ogden Avenue Aurora IL 605044206 Brenda VanWyhe 6309786200 2014-05-14 1 Laura Gillespie P00855604 3124861000 2012 2015-11-30 17:44:51Z Barry Finn 2000 Ogden Avenue Aurora IL 605044206 2151968 0 X www.rushcopley.com X 1980 IL Inspiring philanthropic support to benefit Copley Hospital and the community. 11 9 0 9 0 0 978368 1165046 0 0 2684371 906756 -110460 -17193 3552279 2054609 655243 893313 0 0 144473 149254 0 0 108747 229761 325380 1029477 1367947 2522802 686662 18227854 19760200 533603 459169 17694251 19301031 To inspire philanthropic support for Rush-Copley Medical Center and other related/controlled exempt entities to advance healthcare and health to the community we serve. 0 0 893313 893313 11787 Rush-Copley Foundation ("RCF") solicits contributions to support healthcare activities in the Aurora, Illinois area including, but not limited to, those of Copley Memorial Hospital. RCF is organized exclusively to foster, promote, develop, encourage, support, and accept funds for functions such as construction, building, remodeling support, administration, staffing, and other legitimate purposes of Rush Copley Medical Center, Inc. ("RCMC"); to solicit and receive gifts and contributions for and on behalf of RCMC and other charitable organizations exempt from taxation under Sections 501(a) or 501(c)(3) of the Internal Revenue Code controlled by or affiliated with RCMC; and to support the charitable program and activities of such organizations through expenditure of such funds received. 893313 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 X 11 9 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X Brenda VanWyhe 6309786200 2000 Ogden Avenue Aurora IL 605044206 James Eccher 1.00 0.00 X 0 0 0 Lynn Dubajic 1.00 0.00 X 0 0 0 Ron Gabaldon 1.00 0.00 X 0 0 0 Vincent Pellegrini 1.00 0.00 X 0 0 0 Thomas Alexander 1.00 0.00 X 0 0 0 James Baka 1.00 0.00 X 0 0 0 Zvi Binor MD 1.00 40.00 X 0 321067 35898 Sherman Jenkins 1.00 0.00 X 0 0 0 Andy Vaneekeren 1.00 0.00 X 0 0 0 Scott Voris 1.00 0.00 X 0 0 0 Barry Finn 1.00 42.00 X X 0 986985 385113 Brenda VanWyhe 1.00 42.00 X 0 373260 90053 Ryan Asmus 1.00 42.00 X 0 287071 72281 Christine Weincek 1.00 40.00 X 0 46430 8204 Barbara Graham 0.00 0.00 X 0 156148 10398 0 2170961 601947 0 1 1 0 0 181123 143921 840002 63486 1165046 717713 717713 207957 18914 189043 189043 189043 49465 181123 78445 -28980 -28980 Other Revenue 900099 11787 11787 11787 2054609 11787 0 877776 893313 893313 128667 128667 20587 20587 6322 6322 3991 3991 5000 5000 44120 12871 31249 41927 41927 356 356 Consult & Other Service 172676 116011 56665 Newsletter Annl Report 25656 25656 Major Gift Expense 20833 20833 Printing & Publications 478 478 4021 4021 1367947 893313 365887 108747 228362 199939 399558 494137 17222115 19066124 377819 0 18227854 19760200 91500 81750 442103 377419 533603 459169 X 6810709 8154002 4130418 4393905 6753124 6753124 17694251 19301031 18227854 19760200 X 686662 931905 -11787 X X 0 1 X 1 0 X 1586361 1482840 1972834 978368 1165046 7185449 1586361 1482840 1972834 978368 1165046 7185449 1985707 5199742 398638 267383 289802 426619 717713 2100155 9285604 0.56000 0.44600 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 11131204 980802 712783 1663629 11161160 10648390 1409175 364134 1290495 11131204 9770170 878220 1349773 1349773 10648390 9053445 716725 613671 613671 9770170 8795988 257457 -747024 -747024 9053445 0.60510 0.39490 0 0 0 Due to Affiliates 377419 377419 Description of Intended Use of Endowment Funds: 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. These funds are held for the benefit of Copley Memorial Hospital. Rich Harvest Golf 198913 162541 36372 60755 Blues on the Fox 31675 18582 13093 17690 230588 181123 49465 78445 78445 -28980 0 Copley Memorial Hospital Inc 2000 Ogden Avenue Aurora IL 60504 362170840 501(c)(3) 893313 To support capital purchases, operating needs, and programs for the community. 1 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: The organization only provides grants to related tax exempt organizations and therefore does not monitor the use of the grants. 1 1 0 0 0 0 0 0 0 Zvi Binor MD 0 290742 0 0 0 30325 0 14197 0 21701 0 356965 0 0 Barry Finn 0 604554 0 367740 0 14691 0 344918 0 40195 0 1372098 0 0 Brenda VanWyhe 0 238620 0 127523 0 7117 0 57077 0 32976 0 463313 0 0 Ryan Asmus 0 183989 0 95565 0 7517 0 39923 0 32358 0 359352 0 0 Barbara Graham 0 27672 0 0 0 128476 0 0 0 10398 0 166546 0 0 Part I, Line 3 Copley Memorial Hospital, a related organization of Rush-Copley Foundation used the following methods to determine the compensation of the organization's CEO/Executive Director: - Compensation committee - Independent compensation consultant - Form 990 of other organizations - Compensation survey or study - Approval by the board or compensation committee Supplemental Information Part III Part I, Line 4a: Barbara Graham received a severance payment of $123,984 in calendar year 2012 from Copley Memorial Hospital pursuant to her severance agreement. Part I, Line 4b: SERP Plan of CMH: Barry Finn accrued $330,721, Brenda VanWyhe accrued $43,179 and Ryan Asmus accrued $30,057.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 Form W-2. There were no payouts in 2012. X 1 5362 Cost or selling price X RHC golf 1 45253 Other X Promise Award Dinner 1 12871 Other 0 1 0 Method for Determining Number of Contributions: Part I, Column (b): Amounts shown in column (b) represent the number of contributors. Form 990, Part VI, Section A, line 2 Barry Finn, RCF President & CEO/Director, and James Eccher, RCF Chairman of the Board/Director, have a business relationship. Many of the persons listed on Part VII have a "business relationship" with each other by virtue of sitting on related Rush-Copley Medical Center entity boards. Form 990, Part VI, Section A, line 6 Rush-Copley Medical Center, Inc. ("RCMC") is the sole corporate member of Copley Memorial Hospital, Inc. ("CMH"), Rush-Copley Medical Group, NFP ("RCMG"), Copley Ventures, Inc. ("CV"), and Rush-Copley Foundation ("RCF"). Form 990, Part VI, Section A, line 7a Rush-Copley Foundation's Board of Directors are elected by the Governing Board of Rush-Copley Foundation's sole corporate member, Rush-Copley Medical Center, Inc., at the annual meeting of the Governing Board of Rush-Copley Medical Center, Inc. Form 990, Part VI, Section A, line 7b The President of Rush-Copley Foundation is the CEO of Rush-Copley Foundation's sole corporate member, Rush-Copley Medical Center, Inc. Any repeal or amendments to the bylaws or the Articles of Incorporation of Rush-Copley Foundation requires approval of Rush-Copley Foundation's sole corporate member, Rush-Copley Medical Center, Inc. Form 990, Part VI, Section B, line 11 The Form 990 is prepared by our external tax advisor with data provided by our organization. A draft of the Form 990 is provided to management for review and comment. The Board of Directors is provided with an approved copy of the Form 990 before it is filed. Form 990, Part VI, Section B, line 12c Annually, officers and directors of Rush-Copley Foundation are required to disclose interests that could give rise to conflicts. The conflict of interest statements are submitted and reviewed by the Chief Compliance Officer and the Audit and Corporate Integrity Committee of the Board. Those key personnel with conflicts are advised to recuse themselves from participating in decision making related to the conflict. Form 990, Part VI, Section B, line 15 The CEO/VPs of the organization and key senior management are compensated by Copley Memorial Hospital. Copley Memorial Hospital follows a compensation approval procedure annually that involves approval of proposed and final compensation arrangements by its Compensation Committee and full Board of Directors using comparability data, as well as contemporaneous documentation of compensation decisions in minutes. Form 990, Part VI, Section C, line 19 Form 990 is available upon request. The organization does not make its governing documents or conflict of interest policy available to the public. Copies of the financial statements (whether or not audited) are provided upon reasonable request such as for a bank loan or to a bond rating agency. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Foundation reimburse themself- cost to administer grant -11,787. Form 990, Part XII, Line 2: Although the organization does not receive stand alone GAAP financial statements it does receive on an annual basis from independent auditors consolidated entity GAAP financials statements (audited) for it and its affiliates. Copley Memorial Hospital Inc 2000 Ogden Avenue Aurora IL 60504 362170840 Hospital IL 501(c)(3) 3 Rush Copley Medical Center Inc 1 Copley Venture Inc 2000 Ogden Avenue Aurora IL 60504 363370216 Rental Property, Infirmary Care & Owns Healthplex Fitness Center IL 501(c)(3) 3 Rush Copley Medical Center Inc 1 Rush Copley Health Care System Inc 2000 Ogden Avenue Aurora IL 60504 363584043 Bridge Board RCMC & RUMC IL 501(c)(3) 11A N/A 0 Rush Copley Medical Center Inc 2000 Ogden Avenue Aurora IL 60504 363193787 Parent Company IL 501(c)(3) 11A N/A 0 Rush University Medical Center 1700 West Van Buren Street Chicago IL 60612 362174823 Hospital IL 501(c)(3) 3 N/A 0 Yorkville Physical Therapy & Sports Medicine Center LLC 2000 Ogden Avenue Aurora IL 60504 364236345 Physical Therapy & Sports Medicine IL N/A Rush Copley Cardiovascular Consultants LLC 2000 Ogden Avenue Aurora IL 60504 273234201 Cardiovascular Medicine IL N/A Rush Copley Medical Center NFP 2000 Ogden Avenue Aurora IL 60504 363235315 Physician Practices IL N/A C 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 Copley Memorial Hospital Inc B 893313 Fair Market Value Copley Memorial Hospital Inc I 210704 Fair Market Value Copley Memorial Hospital Inc P 682609 Fair Market Value