COPLEY MEMORIAL HOSPITAL INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
COPLEY MEMORIAL HOSPITAL INC (EIN 36-2170840)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-11
IRS object ID
201101319349300330
Schema version
2009v1.7
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-11T09:19:03-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 South Wacker DriveAddressLine1
CityChicagoCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362170840EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Copley Memorial Hospital IncBusinessNameLine1
Business Name Line2co Rush-Copley Medical CtrBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlCOPLNameControl
Phone6309786200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 Ogden AvenueAddressLine1
CityAuroraCity
StateILState
ZIP Code605044206ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBrenda VanWyheName
TitleCFOTitle
Phone6309786200Phone
Date Signed2011-05-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3124861000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBrenda VanWyheNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12000 Ogden AvenueAddressLine1
CityAuroraCity
StateILState
ZIP Code605044206ZIPCode
FieldValueIRS element (for citing)
Gross Receipts330645659GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.rushcopley.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1886YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionThe mission of the medical center and the medical staff is to work together to serve your healthcare needs through excellence in education, technology and a caring touch.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees1739TotalNbrEmployees
Total Nbr Volunteers350TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year677877ContributionsGrantsCurrentYear
Program Service Revenue Prior Year250604959ProgramServiceRevenuePriorYear
Program Service Revenue CY259085071ProgramServiceRevenueCY
Investment Income Prior Year2356832InvestmentIncomePriorYear
Investment Income Current Year3397630InvestmentIncomeCurrentYear
Other Revenue Prior Year2136841OtherRevenuePriorYear
Other Revenue Current Year2062149OtherRevenueCurrentYear
Total Revenue Prior Year255098632TotalRevenuePriorYear
Total Revenue Current Year265222727TotalRevenueCurrentYear
Grants And Similar Amnts CY25552GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year101762395SalariesEtcPriorYear
Salaries Etc Current Year103109884SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year134521477OtherExpensePriorYear
Other Expenses Current Year137985318OtherExpensesCurrentYear
Total Expenses Prior Year236283872TotalExpensesPriorYear
Total Expenses Current Year241120754TotalExpensesCurrentYear
Revenues Less Expenses Prior Year18814760RevenuesLessExpensesPriorYear
Revenues Less Expenses CY24101973RevenuesLessExpensesCY
Total Assets BOY269641677TotalAssetsBOY
Total Assets EOY275727981TotalAssetsEOY
Total Liabilities BOY169879897TotalLiabilitiesBOY
Total Liabilities EOY162707114TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY99761780NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY113020867NetAssetsOrFundBalancesEOY
Mission DescriptionThe mission of the medical center and the medical staff is to work together to serve your healthcare needs through excellence in education, technology and a caring touch.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense190980326Expense
Grants25552Grants
Revenue259750744Revenue
DescriptionCopley 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". The Institutes represent the major service lines of the medical center. - Cancer Care- Emergency Services- Heart & Vascular- Neuroscience- 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 2010, 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 dozens of 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.The medical center publishes a bimonthly newsletter providing health information and calendar of events info to 70,000+ households. Free and reduced cost health screenings are regularly offered including free blood pressure monitoring on a walk-in basis.During 2010, Copley Memorial Hospital sponsored, partnered or participated in over 250 community-based programs and events, specifically groups aimed at improving the lives of children, women or the underserved. Examples include: Healthy Hands The Healthy Hands program is an interactive presentation that teaches children the proper method of hand washing to prevent the spread of germs. The program was presented three times to approximately 100 children.Diabetes Presentations and screenings were conducted throughout the year at various community locations. Fasting glucose and blood pressure screenings were provided to over 350 community members.Smoking CessationThe Freedom from Smoking class was offered five times with a total of 15 participants. The eight-week program provides support and the skills needed to quit smoking.Cancer PreventionSeven classes and events were given in the community to over 550 participants. Topics include: Healthy Eating for Cancer, Look Good Feel Better and Breast Education Awareness Training. Events include the celebration of National Cancer Survivor's Day and ongoing Yoga for Cancer classes. Heart HealthFifteen classes and events on Heart Health were provided to the community reaching over 200 community members. Topics presented include: Cardiac Rehab, Heart Health, Cholesterol Management, Heart Healthy Nutrition, Heart Smart for Women and New Advances in Cardiac Surgery and Are You a Candidate for Vascular Screening? A Women's Symposium focusing on heart disease prevention, diagnosis and treatment was also held in the community. Latina TalksEducational programs geared toward the healthcare needs of Latina women. A monthly program provided nine times a year from September through May targeting the Latina women in the Fox Valley area. Topics presented by professional healthcare providers include menopause, breast cancer awareness, healthy cooking, nutrition and mental health. Thirty to fifty women attend the monthly program.Weight ControlEight classes including grocery store tours and Making Meals on a Budget were presented to over 125 participants. Presentations on topics included: Action Plan for Your Health, Looking Good for the Holidays and Women and Weight Loss. Senior Lunch and LearnsEducational and interactive talks designed to provide seniors with health information and education are presented bi-monthly at various locations throughout the community reaching over 300 seniors annually.Senior BreakfastsEducational presentations with question and answer session are given at senior breakfast event. Topics include Cholesterol Management, Bone and Joint Health and Acid Reflux Disease. Bi-monthly presentations are given to over 120 seniors annually.Pregnancy and Child BirthPrenatal education classes are offered to women who are pregnant or considering becoming pregnant. Class topics include New Advances in Infertility, Thinking about Having a Baby and Healthy Pregnancy Healthy You. Tours of the Family Birth Center are also provided to the community.Physician Referral LineCopley Memorial Hospital offers a free physician referral service to the community. This is a call center based service that allows community members to talk with a call center specialist to match the person's health needs and preferences with the appropriate physician. More than 30,000 people use this service annually.WebsiteCopley Memorial Hospital's website, with translation into dozens of languages, offers free health information including interactive quizzes and assessments, a health encyclopedia, video library, guide to the body and its 12 systems, a symptom checker along with health and wellness tools to assess personal health conditions.Copley Memorial Hospital offers a free physician referral service, provides a free speaker's bureau to community-based groups and routinely participates and sponsors health fairs including the annual African American Health Fair and the annual Latina Health Festival.Together, these initiatives provided a positive influence for thousands of residents in the communities served by Copley Memorial Hospital.Charity Care - It is an inherent part of the CMH'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 patient service revenue. CMH also incurs losses related to the unreimbursed costs of providing services to Medicaid patients.CMH has an established charity care policy and maintains records to identify and monitor the level of charity care it provides. CMH provides free care to all patients who apply and support income and asset levels of less than 300% of the current-year poverty level and discounts balances under 600% of the poverty level. Interest-free payment plans are also provided. These 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. CMH also monitors the unreimbursed cost of patient bad debts.Description
Total Program Service Expense190980326TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096132NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1739NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Brenda VanWyheBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6309786200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12000 Ogden AvenueAddressLine1
CityAuroraCity
StateILState
ZIP Code60504ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Barry Finn
President & CEO/Director40.00XX5791850233485
Ronald Hem
Board Chairman1.00X000
William Skoglund
Board Vice Chairman1.00X000
Bruce Dienst
Director1.00X000
Richard Edelman
Director1.00X000
Tom Fisher
Director1.00X000
Santosh Gill
Chief of Staff1.00X000
Dennis Keane MD
Vice Chief of Staff1.00X000
Herbert Knight
Director1.00X000
John Lies
Director1.00X000
Maryanne Locklin
Director1.00X000
Bryan Rubach MD
Past Chief of Staff1.00X000
Jack McEachern
Director1.00X000
Mark Metzger
Director1.00X000
Avery Miller
Director1.00X000
Jerome Roberts
Director1.00X000
Christine Sobek
Director1.00X000
Mac Salazar
Sr. VP Finance & CFO/Treasurer40.00X331276039613
Ann Ford
VP Legal Affairs & General Counsel40.00X199665022870
Lynn Scott
Assistant Secretary40.00X66026013129
Steve Lowenthal MD
Sr. VP Medical Affairs & CMO40.00403395086440X
John Diederich
Sr. VP Operations & COO40.00280699087229X
Diane Homan MD
VP Quality & PSO40.00286575072840X
Shawn Tyrrell
VP Nursing Serv & CNO40.00161305010695X
Dennis DeMasie
VP Information Technology & CIO40.00215455060502X
Mary Shilkaitis
VP Patient Care Serv & CNO40.00203182058683X
Nancy Wilson
VP Clinical Services40.00178064054316X
Gail Bumgarner
Sr. VP Strategy40.00230691046734X
Brenda VanWyhe
VP Finance40.00167044045702X
Fred Geisler MD
Physician40.001204359039517X
Daniel Laich MD
Physician40.001201006024826X
Todd Guynn MD
Physician40.00699644039517X
Sepehr Sani MD
Physician40.00662417019926X
Robert Nudera MD
Physician40.00635250032341X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7705238TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation988365TotalOtherCompensation
Number Individuals GT100 K120NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Sodexho
4880 Paysphere CircleChicagoIL60674Food and Cleaning Service Management2987185
Anderson Mikos Architects
1420 Kensington Road Suite 306Oak BrookIL60523Architects1897204
Fox Valley Acute Dialysis
1300 Waterford Drive Lower LevelAuroraIL60504Dialysis505507
Navigant Consulting Inc
2 North Charles St Suite 400BaltimoreMD21201Construction Project Management474115
Advocate Medical Group
1875 Dempster Suite 325Park RidgeIL60068Medical Services433313
FieldValueIRS element (for citing)
Number Of Contractors GT100 K18NumberOfContractorsGT100K
Related Organizations677877RelatedOrganizations
Total Contributions677877TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Revenue621110245618617245618617
Medicaid Tax Revenue6211101346645413466454
FieldValueIRS element (for citing)
Total Program Service Revenue259085071TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2696039TotalRevenueColumn
Exclusion$2,696,039ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column332092TotalRevenueColumn
Exclusion$332,092ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1975302Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1467803Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real507499Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column507499TotalRevenueColumn
Exclusion$507,499ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities64239891Securities
Other84737Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities63836168Securities
Other118961Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities403723Securities
Other-34224Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column369499TotalRevenueColumn
Exclusion$369,499ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMiscellaneous IncomeDescription
Business Code900099BusinessCode
Total Revenue Column1554650TotalRevenueColumn
Related Or Exempt Function Income665673RelatedOrExemptFunctionIncome
Exclusion$888,977ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1554650TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column265222727TotalRevenueColumn
Related Or Exempt Function Income259750744RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$4,794,106ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total25552Total
Program Services25552ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4134800Total
Management And General4134800ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total78003611Total
Program Services58502708ProgramServices
Management And General19500903ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2495849Total
Program Services1871887ProgramServices
Management And General623962ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total11977052Total
Program Services8982789ProgramServices
Management And General2994263ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6498572Total
Program Services4873929ProgramServices
Management And General1624643ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3304631Total
Program Services2478473ProgramServices
Management And General826158ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total422392Total
Management And General422392ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total202822Total
Management And General202822ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total128420Total
Program Services96315ProgramServices
Management And General32105ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3403628Total
Program Services2552721ProgramServices
Management And General850907ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1032073Total
Program Services1032073ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total53692464Total
Program Services40269348ProgramServices
Management And General13423116ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8062000Total
Program Services6046500ProgramServices
Management And General2015500ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4277975Total
Program Services3208481ProgramServices
Management And General1069494ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total53761Total
Program Services40321ProgramServices
Management And General13440ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total60651Total
Program Services45488ProgramServices
Management And General15163ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total7021314Total
Program Services7021314ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total15212640Total
Program Services15212640ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total7754365Total
Program Services5815774ProgramServices
Management And General1938591ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad Debts24422203244222030
Medicaid Provider Tax712530371253030
Purchased Services18086761356507452169

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total241120754Total
Program Services190980326ProgramServices
Management And General50140428ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY13968202BOY
EOY10318089EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY36291205BOY
EOY34909934EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4850283BOY
EOY4726245EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2292186BOY
EOY2293700EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis284199907LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec150641321LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY131801561BOY
EOY133558586EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY74941254BOY
EOY84583576EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5496986BOY
EOY5337851EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY269641677BOY
EOY275727981EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY79872233BOY
EOY62902432EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY64625082BOY
EOY91923048EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY19800000BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5582582BOY
EOY7881634EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY169879897BOY
EOY162707114EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY97461459BOY
EOY110003821EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2300321BOY
EOY3017046EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY99761780BOY
EOY113020867EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY269641677BOY
EOY275727981EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$37,253OtherActivitiesAmount
Total Lobbying Expenditures IIB37253TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart IV, Supplemental Information:Identifier
ExplanationPart II-B, Line 1i: 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.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance9053445BeginningOfYearBalance
Contributions716725Contributions
Investment Earnings Or Losses613671InvestmentEarningsOrLosses
Other Expenditures613671OtherExpenditures
End Of Year Balance9770170EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance8795988BeginningOfYearBalance
Contributions257457Contributions
Investment Earnings Or Losses-747024InvestmentEarningsOrLosses
Other Expenditures-747024OtherExpenditures
End Of Year Balance9053445EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.69120PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.30880TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis15315854OtherCostOrOtherBasis
Book Value15315854BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis173384667OtherCostOrOtherBasis
Depreciation86480637Depreciation
Book Value86904030BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis93335950OtherCostOrOtherBasis
Depreciation64160684Depreciation
Book Value29175266BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2163436OtherCostOrOtherBasis
Book Value2163436BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings133558586TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Long term deferred rent obligation$86,188
Long term SERP$1,663,051
Long term market adjustment swap liability$6,132,395
FieldValueIRS element (for citing)
Total Of Amounts7881634TotalOfAmounts
Total Revenue265222727TotalRevenue
Total Expenses241120754TotalExpenses
Excess Or Deficit For Year24101973ExcessOrDeficitForYear
Other-$10,842,886OtherAmount
Total Adjustments-10842886TotalAdjustments
Excess Or Deficit Per FS13259087ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt266682165TotRevenueEtcAuditedFinclStmt
Other Revenues1459438OtherRevenues
Revenue Not Rptd F9901459438RevenueNotRptdF990
Revenue Subtotal265222727RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990265222727TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt242580192TotExpensesEtcAuditedFinclStmt
Other Expenses Included1459438OtherExpensesIncluded
Expenses Not Rptd F9901459438ExpensesNotRptdF990
Expenses Subtotal241120754ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990241120754TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds: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.
Part X:Description of Uncertain Tax Positions Under FIN 48:The organization's financial statements did not include a footnote referencing FIN 48.
Part XII, Line 2d - Other Adjustments:Rental Expenses: 1459438.
Part XIII, Line 2d - Other Adjustments:Rental Expenses: 1459438.
Part XI, Line 8 - Other Adjustments: Net assets released from restriction used for capital: 103,468 Transfer of assets to affiliate-net: -9,870,544 Swap value adjustment: -1,792,535 Change in interest in net assets of Foundation: 716,725

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage300.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage600.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4607254TotalCommunityBenefitExpense
Net Community Benefit Expense4607254NetCommunityBenefitExpense
Percent Of Total Expense0.02130PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense43020104TotalCommunityBenefitExpense
Direct Offsetting Revenue37868806DirectOffsettingRevenue
Net Community Benefit Expense5151298NetCommunityBenefitExpense
Percent Of Total Expense0.02380PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense47627358TotalCommunityBenefitExpense
Direct Offsetting Revenue37868806DirectOffsettingRevenue
Net Community Benefit Expense9758552NetCommunityBenefitExpense
Percent Of Total Expense0.04510PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense427746TotalCommunityBenefitExpense
Net Community Benefit Expense427746NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense2491841TotalCommunityBenefitExpense
Direct Offsetting Revenue1868081DirectOffsettingRevenue
Net Community Benefit Expense623760NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense25552TotalCommunityBenefitExpense
Net Community Benefit Expense25552NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2945139TotalCommunityBenefitExpense
Direct Offsetting Revenue1868081DirectOffsettingRevenue
Net Community Benefit Expense1077058NetCommunityBenefitExpense
Percent Of Total Expense0.00500PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense50572497TotalCommunityBenefitExpense
Direct Offsetting Revenue39736887DirectOffsettingRevenue
Net Community Benefit Expense10835610NetCommunityBenefitExpense
Percent Of Total Expense0.05010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$5,235,116BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare56089464AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare71025786CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-14936322MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (4 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursOtherOther
Copley Memorial Hospital
2000 Ogden AvenueAuroraIL605044206XXXX
River West Radiation Center LLC
1221 N Highland AvenueAuroraIL605044206JV Oncology
Community Alliance Home Health
4050 Healthway DriveAuroraIL605044206JV Home Health
Rush-Copley Healthcare Center
1100 West Veterans ParkwayYorkvilleIL60560Convenient Care

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Costing Method UsedPart 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).CostingMethodUsed
Percent Of Total Expense ExplnPart I, Line 7f: The bad debt expense subtracted from Form 990, Part IX, Line 25 is $24,422,203.PercentOfTotalExpenseExpln
Shortfall As Community BenefitPart 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.ShortfallAsCommunityBenefit
Debt Collection PolicyPart 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.DebtCollectionPolicy
Needs AssessmentPart 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.NeedsAssessment
Patient Education AssistancePart 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.PatientEducationAssistance
Community InformationPart 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.CommunityInformation
Community Building ActivitiesPart VI, Line 5:CommunityBuildingActivities
Other InformationPart VI, Line 6: 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 broad, indefinite charitable class. The organization is controlled by 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.OtherInformation
Affiliated Health Care SystemPart VI, Line 7: 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.AffiliatedHealthCareSystem
Reports Filed With StatesILReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required0SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Barry Finn
5209980005818702101660233190812670000
Mac Salazar
281882000493940165280230850370889000
Ann Ford
1945980005067000228700222535000
Steve Lowenthal MD
364000000393950703110161290489835000
John Diederich
27479100059080641460230830367928000
Diane Homan MD
269172000174030498070230330359415000
Shawn Tyrrell
156044000526102118085770172000000
Dennis DeMasie
20560000098550376430228590275957000
Mary Shilkaitis
19407800091040358650228180261865000
Nancy Wilson
17293100051330316720226440232380000
Gail Bumgarner
21993900010752038703080310277425000
Brenda VanWyhe
16500600020380312720144300212746000
Fred Geisler MD
7000030400000010435601639602312101243876000
Daniel Laich MD
599997050000001010090163960843001225832000
Todd Guynn MD
680970042000144740163960231210739161000
Sepehr Sani MD
62115200041265011496084300682343000
Robert Nudera MD
621152000140980163960159450667591000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 1aPart I, Line 1a: Gross up of Restoration Plan payments for Barry Finn, Mac Salazar, Steve Lowenthal, John Diederich, Diane Homan. 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 4aPart I, Line 4b: SERP PLAN of CMH (Accruals): Barry Finn $177,210, Mary Shilkaitis $25,314, John Diederich $48,450, Steve Lowenthal $48,035, Dennis DeMasie $26,137, Nancy Wilson $22,512, Diane Homan $34,632, Brenda VanWyhe $22,750 and Gail Bumgarner $28,627. SERP PLAN of CMH (Payments): Mac Salazar received a $28,188 payment. Please note that these amounts are included in the amounts listed on Part II.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
Illinois Finance Authority
86109196745200FHN22008-05-2834772005See Schedule O00
Illinois Finance Authority
86109196745200FTZ22009-02-1034075527Construction of Replace Hosp & ICU addition00
Illinois Finance Authority
86109196745200FYT02009-07-2925912180New Construction Hospital Campus00

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapital ExpendituresCapitalExpenditures
34772005310975754087819951011
3407552735252204982602009001132745950
2591218027070834014722009001122919490

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
001010.000000.000000.000001
001010.000000.000000.000001
001010.009800.000000.009801

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsBusiness Name Line2NameOfHedgeProvider/BusinessNameLine2Term Of HedgeTermOfHedgeGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
Citibank & Morgan
011Stanley27.300000000000001
(no name)
000001
(no name)
000001

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 2Barry Finn, RCMC President & CEO/Director, and William Skoglund, RCMC 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.
Form 990, Part VI, Section A, line 6Rush-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 7aCMH'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 7bThe Board of Directors of CMH's sole corporate member, RCMC, has the following exclusive powers over CMH: (1) 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 CMH's real property or the creation of a security interest in CMH'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; (2) any voluntary dissolution, merger, consolidation, sale or transfer of any of CMH's assets which exceeds one percent (1%) of CMH's total assets or any creation of a subsidiary or affiliate of CMH; (3) 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; (4) approval of all annual and long-term capital and operational budgets; (5) any amendment to the Articles of Incorporation or Bylaws of CMH; (6) any agreement or transaction, either of which is of a material nature, with another corporation controlled by or affiliated with CMH's sole corporate member, RCMC, or which is a subsidiary of RCMC; (7) approval of any new or changes to existing long-term or master strategic plan; and (8) sale of any of CMH's real property or interest therein or purchases of any additional real estate.
Form 990, Part VI, Section B, line 11The 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. The Form 990 is uploaded to the Board Web Portal for member review and comment before filing.
Form 990, Part VI, Section B, line 12cAnnually, 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 15With 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 arrangements 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 19Form 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. The financial statements are also available on the Attorney General's website.
Schedule K Supplental InformationSchedule K, Part I, letter 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, letter 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 II, line 5, column A: Issuance cost from proceeds of $540,878 is broken down as follows: COI and Credit Enhancement of $540,878 and $0 respectively. Schedule K, Part II, line 5, column B: Issuance cost from proceeds of $498,260 is broken down as follows: COI and Credit Enhancement of $498,260 and $0 respectively. Schedule K, Part II, line 5, column C: Issuance cost from proceeds of $401,472 is broken down as follows: COI and Credit Enhancement of $401,472 and $0 respectively. Schedule K, Part III, column A: The bonds shown in column A of Part III of Schedule K are not subject to reporting therein, as the refunded bonds were issued before January 1, 2003. The Part III questions have been answered consistently with the appropriate answers for CMH's other bonds reported in columns B and C, because the software used to prepare the return did not allow the section to be left blank.
Form 990, Part VII: 1 hour per week devoted to related organization (Rush Copley Medical Center)-Barry Finn, Mac Salazar, Ann Ford, Lynn Scott, Ron Hem, William Skoglund, Bruce Dienst, Richard Edelman, Tom Fisher, Santosh Gill, Dennis Keane, Herbert Knight, John Lies, Maryanne Locklin, Bryan Rubach, Jack McEachern, Mark Metzger, Avery Miller, Jerome Roberts, Christine Sobek. 1 hour per week devoted to related organization (Copley Ventures)-Barry Finn, Mac Salazar, Ann Ford Lynn Scott, John Diederich. 1 hour per week devoted to related organization (Rush Copley Foundation)-Barry Finn, Mac Salazar, Ann Ford, Richard Edelman. Schedule R, Part V, Line 2: Related party transactions are recorded at fair market value.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
Rush Copley Medical Center Inc
2000 Ogden AvenueAuroraIL60504363193787Parent CompanyIL501(c)(3)11AN/A
Rush Copley Health Care System Inc
2000 Ogden AvenueAuroraIL60504363584043Bridge Board RCMC & RUMCIL501(c)(3)11AN/A
Rush-Copley Foundation
2000 Ogden AvenueAuroraIL60504363093877Grants to Charitable OrganizationsIL501(c)(3)7N/A
Copley Ventures Inc
2000 Ogden AvenueAuroraIL60504363370216Rental Prop., Infirmary care, and Healthplex Fitness CenterIL501(c)(3)3N/A
Rush University Medical Center
1700 West Van Buren StreetChicagoIL60612362174823HospitalsIL501(c)(3)3N/A

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Yorkville Physical Therapy & Sports Medicine Center LLCBusinessNameLine1
FieldValueIRS element (for citing)
EIN364236345EIN
Primary ActivityPhysical Therapy & Sports MedicinePrimaryActivity
Legal Domicile StateILLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Predominant Income TypeN/APredominantIncomeType
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Rush Copley Medical Group NFPBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12000 Ogden AvenueAddressLine1
CityAuroraCity
StateILState
ZIP Code60504ZIPCode
FieldValueIRS element (for citing)
EIN363235315EIN
Primary ActivityPhysician PracticesPrimaryActivity
Legal Domicile StateILLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Share Of Total Income-7600764ShareOfTotalIncome
Share Of EOY Assets6812424ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets1ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Rush Copley Medical Group NFP
A1064492
Rush Copley Foundation
C103468
Rush Copley Foundation
C574409
Rush Copley Medical Center Inc
H-9870544
Copley Ventures Inc
J-545591
Copley Ventures Inc
Q-468948

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