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      <Description>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". The Institutes represent the major service lines of the medical center. - Cancer Care- Emergency Services- Heart &amp; 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>
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        <Explanation>Part 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>
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        <ReturnReference>Description of Intended Use of Endowment Funds:</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part X:</Identifier>
        <ReturnReference>Description of Uncertain Tax Positions Under FIN 48:</ReturnReference>
        <Explanation>The organization's financial statements did not include a footnote referencing FIN 48.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 2d - Other Adjustments:</Identifier>
        <Explanation>Rental Expenses: 1459438.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line 2d - Other Adjustments:</Identifier>
        <Explanation>Rental Expenses: 1459438.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Explanation>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</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <OtherPercentage>
        <Other>X</Other>
        <FreeOtherPercentage>300.000000000000</FreeOtherPercentage>
      </OtherPercentage>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <DiscountedOther>
        <Other>X</Other>
        <DiscountedOtherPercentage>600.000000000000</DiscountedOtherPercentage>
      </DiscountedOther>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>0</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>4607254</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>4607254</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02130</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>43020104</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>37868806</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>5151298</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02380</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>47627358</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>37868806</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>9758552</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04510</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>427746</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>427746</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00200</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>2491841</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1868081</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>623760</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00290</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>25552</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>25552</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>2945139</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1868081</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1077058</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00500</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>50572497</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>39736887</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>10835610</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05010</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>5235116</BadDebtExpenseAmount>
      <AmountAttributableTo>0</AmountAttributableTo>
      <AmountReimbursedByMedicare>56089464</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>71025786</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-14936322</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
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          <BusinessNameLine1>Copley Memorial Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2000 Ogden Avenue</AddressLine1>
          <City>Aurora</City>
          <State>IL</State>
          <ZIPCode>605044206</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
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      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>River West Radiation Center LLC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1221 N Highland Avenue</AddressLine1>
          <City>Aurora</City>
          <State>IL</State>
          <ZIPCode>605044206</ZIPCode>
        </Address>
        <Other>JV Oncology</Other>
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        <Name>
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        </Name>
        <Address>
          <AddressLine1>4050 Healthway Drive</AddressLine1>
          <City>Aurora</City>
          <State>IL</State>
          <ZIPCode>605044206</ZIPCode>
        </Address>
        <Other>JV Home Health</Other>
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        <Name>
          <BusinessNameLine1>Rush-Copley Healthcare Center</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1100 West Veterans Parkway</AddressLine1>
          <City>Yorkville</City>
          <State>IL</State>
          <ZIPCode>60560</ZIPCode>
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        <Other>Convenient Care</Other>
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      <Form990ScheduleHPartVI>
        <CostingMethodUsed>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).</CostingMethodUsed>
        <PercentOfTotalExpenseExpln>Part I, Line 7f: The bad debt expense subtracted from Form 990, Part IX, Line 25 is $24,422,203.</PercentOfTotalExpenseExpln>
        <ShortfallAsCommunityBenefit>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.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>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.</DebtCollectionPolicy>
        <NeedsAssessment>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.</NeedsAssessment>
        <PatientEducationAssistance>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.</PatientEducationAssistance>
        <CommunityInformation>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.</CommunityInformation>
        <CommunityBuildingActivities>Part VI, Line 5:</CommunityBuildingActivities>
        <OtherInformation>Part 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>
        <AffiliatedHealthCareSystem>Part 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>
        <ReportsFiledWithStates>IL</ReportsFiledWithStates>
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      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Fred Geisler MD</BusinessNameLine1>
        </NameBusiness>
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        <BonusFilingOrg>400000</BonusFilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Daniel Laich MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>599997</BaseCompensationFilingOrg>
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        <BonusFilingOrg>500000</BonusFilingOrg>
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        <NontaxableBenefitsFilingOrg>8430</NontaxableBenefitsFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Todd Guynn MD</BusinessNameLine1>
        </NameBusiness>
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        <BonusFilingOrg>4200</BonusFilingOrg>
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        <DeferredCompFilingOrg>16396</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>23121</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>739161</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Sepehr Sani MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>621152</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>41265</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11496</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>8430</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>682343</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Robert Nudera MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>621152</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>14098</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>16396</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>15945</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>667591</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 1a</ReturnReference>
        <Explanation>Part 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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4a</ReturnReference>
        <Explanation>Part 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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Illinois Finance Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>861091967</IssuerEIN>
        <CUSIPNumber>45200FHN2</CUSIPNumber>
        <DateIssued>2008-05-28</DateIssued>
        <IssuePrice>34772005</IssuePrice>
        <DescriptionOfPurpose>See Schedule O</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Illinois Finance Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>861091967</IssuerEIN>
        <CUSIPNumber>45200FTZ2</CUSIPNumber>
        <DateIssued>2009-02-10</DateIssued>
        <IssuePrice>34075527</IssuePrice>
        <DescriptionOfPurpose>Construction of Replace Hosp &amp; ICU addition</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Illinois Finance Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>861091967</IssuerEIN>
        <CUSIPNumber>45200FYT0</CUSIPNumber>
        <DateIssued>2009-07-29</DateIssued>
        <IssuePrice>25912180</IssuePrice>
        <DescriptionOfPurpose>New Construction Hospital Campus</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>34772005</TotalProceeds>
        <AmountInReserveFund>3109757</AmountInReserveFund>
        <IssuanceCostsFromProceeds>540878</IssuanceCostsFromProceeds>
        <YearOfSubstCompletion>1995</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>34075527</TotalProceeds>
        <AmountInReserveFund>3525220</AmountInReserveFund>
        <IssuanceCostsFromProceeds>498260</IssuanceCostsFromProceeds>
        <CapitalExpenditures>32745950</CapitalExpenditures>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>25912180</TotalProceeds>
        <AmountInReserveFund>2707083</AmountInReserveFund>
        <IssuanceCostsFromProceeds>401472</IssuanceCostsFromProceeds>
        <CapitalExpenditures>22919490</CapitalExpenditures>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00980</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00980</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>Citibank &amp; Morgan</BusinessNameLine1>
          <BusinessNameLine2>Stanley</BusinessNameLine2>
        </NameOfHedgeProvider>
        <TermOfHedge>27.300000000000</TermOfHedge>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>1</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>1</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>1</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 2</Identifier>
        <Explanation>Barry Finn, RCMC President &amp; 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>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").</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>The 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>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. The Form 990 is uploaded to the Board Web Portal for member review and comment before filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>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 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>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. The financial statements are also available on the Attorney General's website.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Schedule K Supplental Information</Identifier>
        <Explanation>Schedule 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Rush Copley Medical Center Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2000 Ogden Avenue</AddressLine1>
          <City>Aurora</City>
          <State>IL</State>
          <ZIPCode>60504</ZIPCode>
        </AddressUS>
        <EIN>363193787</EIN>
        <PrimaryActivities>Parent Company</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Rush Copley Health Care System Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2000 Ogden Avenue</AddressLine1>
          <City>Aurora</City>
          <State>IL</State>
          <ZIPCode>60504</ZIPCode>
        </AddressUS>
        <EIN>363584043</EIN>
        <PrimaryActivities>Bridge Board RCMC &amp; RUMC</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Rush-Copley Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2000 Ogden Avenue</AddressLine1>
          <City>Aurora</City>
          <State>IL</State>
          <ZIPCode>60504</ZIPCode>
        </AddressUS>
        <EIN>363093877</EIN>
        <PrimaryActivities>Grants to Charitable Organizations</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Copley Ventures Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2000 Ogden Avenue</AddressLine1>
          <City>Aurora</City>
          <State>IL</State>
          <ZIPCode>60504</ZIPCode>
        </AddressUS>
        <EIN>363370216</EIN>
        <PrimaryActivities>Rental Prop., Infirmary care, and Healthplex Fitness Center</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Rush University Medical Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1700 West Van Buren Street</AddressLine1>
          <City>Chicago</City>
          <State>IL</State>
          <ZIPCode>60612</ZIPCode>
        </AddressUS>
        <EIN>362174823</EIN>
        <PrimaryActivities>Hospitals</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Yorkville Physical Therapy &amp; Sports Medicine Center LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <EIN>364236345</EIN>
        <PrimaryActivity>Physical Therapy &amp; Sports Medicine</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Rush Copley Medical Group NFP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2000 Ogden Avenue</AddressLine1>
          <City>Aurora</City>
          <State>IL</State>
          <ZIPCode>60504</ZIPCode>
        </AddressUS>
        <EIN>363235315</EIN>
        <PrimaryActivity>Physician Practices</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>-7600764</ShareOfTotalIncome>
        <ShareOfEOYAssets>6812424</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>1</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>1</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Rush Copley Medical Group NFP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>1064492</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Rush Copley Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Rush Copley Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Rush Copley Medical Center Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Copley Ventures Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Copley Ventures Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
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      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>