Form990
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 07-01-2012 , 2012, and ending 06-30-2013
BCheck if applicable:
CName of organization
Rush University Medical Center
 
Doing Business As
Same
 
Number and street (or P.O. box if mail is not delivered to street address)
1700 West Van Buren Street Room 153
 
Room/suite
City or town, state or country, and ZIP + 4
Chicago, IL60612
D Employer identification number

36-2174823
E Telephone number

G Gross receipts $ 3,329,482,073
F Name and address of principal officer:
John Mordach
1700 W Van Buren St
Chicago,IL60612
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.rush.edu
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation:  
M State of legal domicile: IL
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: Rush provides the very best medical services to our community, regardless of their ability to pay. Rush is committed to educating the health care workforce of the future and conducting ground breaking basic and clinical research.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 94
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 69
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 10,443
6 Total number of volunteers (estimate if necessary) ............. 6 750
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 1,824,543
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b  
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 118,292,492 100,750,347
9 Program service revenue (Part VIII, line 2g) ......... 1,318,403,808 1,364,221,118
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 41,048,090 99,941,432
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 12,353,808 18,930,608
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,490,098,198 1,583,843,505
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 8,436,918 8,214,077
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 764,338,538 776,024,110
16a Professional fundraising fees (Part IX, column (A), line 11e).....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet5,791,858    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 634,620,267 674,726,818
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,407,395,723 1,458,965,005
19 Revenue less expenses. Subtract line 18 from line 12....... 82,702,475 124,878,500
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 2,657,718,464 2,726,934,263
21 Total liabilities (Part X, line 26)............. 1,342,293,982 1,225,091,174
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,315,424,482 1,501,843,089
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: See Schedule O
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,057,635,343 including grants of $   ) (Revenue $ 1,177,366,068 )
Health Care Rush University Medical Center Rush is an academic medical center that brings together excellence in clinical care and research to address major health problems. Rushs new 376-bed hospital building, known as the Tower, is part of the Medical Centers major renovation of its campus and is the largest new construction health care project in the world to be LEED Gold certified. In FY13, patient care was provided to nearly 31,300 inpatients, and the emergency room had over 61,000 visits. Rush offers various financial assistance programs to thousands of patients. A unique combination of research and patient care in FY13 has earned Rush national rankings in 9 of 16 specialty areas. This accomplishment is presented in U.S. News World Reports 2013-14 Americas Best Hospitals issue. Our nurses are at the forefront of our efforts to provide quality care, receiving the four-year Magnet status the highest honor in nursing three times, most recently in 2010.
4b (Code:   ) (Expenses $ 55,698,738 including grants of $ 8,053,677 ) (Revenue $ 62,529,865 )
Education Rush University is home to one of the first medical colleges in the Midwest and one of the nations top-ranked nursing colleges, as well as graduate programs in allied health, health systems management and biomedical research. The Medical Center also offers many highly selective residency and fellowship programs in medical and surgical specialties and subspecialties. Rushs unique practitioner-teacher model for health sciences education and research gives its students the opportunity to learn from world-renowned instructors who practice what they teach. With more than 30 degree and certificate options, Rush educated nearly 2,000 students in FY13. The state-of-the-art new hospital building features nursing stations in clear view of the patient rooms and a spacious area for students to confer with practitioner-teachers and other medical staff about current cases.
4c (Code:   ) (Expenses $ 109,462,964 including grants of $   ) (Revenue $ 100,712,934 )
Research Because Rush is an academic medical center, research and clinical care come together in innovative and inspiring ways that have the power to transform lives. Even if research work starts in a lab, it wont stay there. Discoveries in the labs lead to advances in patient care, while observations in clinical settings inspire research studies designed to improve the way we treat patients. This approach, known as translational research, has led to breakthroughs in patient care at Rush throughout the years. Investigators at Rush are involved in more than 1,700 projects, including hundreds of clinical studies to test the effectiveness and safety of new therapies and medical devices, as well as to expand scientific and medical knowledge. Total research awards in FY13 topped 75 million. In June 2013, the Association for the Accreditation of Human Research Protection Programs, Inc. awarded Rush full accreditation with distinction in community programs.
4d Other program services (Describe in Schedule O.)
(Expenses $ 166,650,180 including grants of $ 160,400 ) (Revenue $ 23,612,251 )
4e Total program service expensesMediumBullet1,389,447,225
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III
............................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part I........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part II
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III ....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI.Click to see attachment
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII .................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III................... Click to see attachment
19
Yes
 
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H.... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I...................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
..........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
..................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............. Click to see attachment
30
Yes
 
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2............. Click to see attachment
36
Yes
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
1,080
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
6
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
10,443
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
94
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
69
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
Yes
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
IL
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletRichard Casey1700 West Van Buren Street Suite 15ChicagoIL60612 (312) 942-8054
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) Connie Busse Ashline........................................................................
Trustee
1.00
.......................  
X           0 0 0
(2) James A Bell........................................................................
Trustee
1.00
.......................  
X           0 0 0
(3) Matthew Bergman........................................................................
Trustee
1.00
.......................  
X           0 0 0
(4) John M Boler........................................................................
Trustee
1.00
.......................  
X           0 0 0
(5) Susan R Bottum........................................................................
Trustee
1.00
.......................  
X           0 0 0
(6) John L Brennan........................................................................
Trustee
1.00
.......................  
X           0 0 0
(7) Marca L Bristo........................................................................
Trustee
1.00
.......................  
X           0 0 0
(8) Carole L Brown........................................................................
Trustee
1.00
.......................  
X           0 0 0
(9) Peter C B Bynoe Esq........................................................................
Trustee
1.00
.......................  
X           0 0 0
(10) Pastora San Juan Cafferty........................................................................
Trustee
1.00
.......................  
X           0 0 0
(11) E David Coolidge III........................................................................
Trustee
1.00
.......................  
X           0 0 0
(12) Christopher M Crane........................................................................
Trustee
1.00
.......................  
X           0 0 0
(13) Susan Crown........................................................................
Trustee
1.00
.......................  
X           0 0 0
(14) Robert M Davis........................................................................
Trustee
1.00
.......................  
X           0 0 0
(15) Robert P DeCresce MD MBA MPH........................................................................
Trustee
40.00
.......................  
X           52,606 0 22,408
(16) James W DeYoung........................................................................
Trustee
1.00
.......................  
X           0 0 0
(17) Bruce W Dienst........................................................................
Trustee
1.00
.......................  
X           0 0 0
Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) Catherine Dimou MD........................................................................
Trustee
40.00
.......................  
X           287,373 0 39,594
(19) William A Downe........................................................................
Trustee
1.00
.......................  
X           0 0 0
(20) Bruce W Duncan........................................................................
Trustee
1.00
.......................  
X           0 0 0
(21) Christine A Edwards........................................................................
Trustee
1.00
.......................  
X           0 0 0
(22) Francesca Maher Edwardson........................................................................
Trustee
1.00
.......................  
X           0 0 0
(23) Charles L Evans PhD........................................................................
Trustee
1.00
.......................  
X           0 0 0
(24) W James Farrell........................................................................
Trustee
1.00
.......................  
X           0 0 0
(25) Margaret Faut-Callahan PhD CRNA........................................................................
Trustee
1.00
.......................  
X           0 0 0
(26) Larry Field........................................................................
Trustee
1.00
.......................  
X           0 0 0
(27) Robert F Finke........................................................................
Trustee
1.00
.......................  
X           0 0 0
(28) William J Friend........................................................................
Trustee
1.00
.......................  
X           0 0 0
(29) Jorge O Galante MD DMSc........................................................................
Trustee
1.00
.......................  
X           0 0 0
(30) Ronald J Gidwitz........................................................................
Trustee
1.00
.......................  
X           0 0 0
(31) H John Gilbertson........................................................................
Trustee
1.00
.......................  
X           0 0 0
(32) Sue Ling Gin........................................................................
Trustee
1.00
.......................  
X           0 0 0
(33) Richard W Gochnauer........................................................................
Trustee
1.00
.......................  
X           0 0 0
(34) William M Goodyear........................................................................
Trustee
1.00
.......................  
X           0 0 0
(35) Sandra P Guthman........................................................................
Trustee
1.00
.......................  
X           0 0 0
(36) William J Hagenah........................................................................
Trustee
1.00
.......................  
X           0 0 0
(37) William K Hall........................................................................
Trustee
1.00
.......................  
X           0 0 0
(38) Christie Hefner........................................................................
Trustee
1.00
.......................  
X           0 0 0
(39) Robert L Heidrick........................................................................
Trustee
1.00
.......................  
X           0 0 0
(40) Ronald M Hem........................................................................
Trustee
1.00
.......................  
X           0 0 0
(41) Marcie B Hemmelstein........................................................................
Trustee
1.00
.......................  
X           0 0 0
(42) Jay L Henderson........................................................................
Trustee
1.00
.......................  
X           0 0 0
(43) Marvin J Herb........................................................................
Trustee
1.00
.......................  
X           0 0 0
(44) John W Higgins........................................................................
Trustee
1.00
.......................  
X           0 0 0
(45) David Hines MD........................................................................
Trustee
1.00
.......................  
X           0 0 0
(46) Jerald W Hoekstra........................................................................
Trustee
1.00
.......................  
X           0 0 0
(47) Ron Huberman........................................................................
Trustee
1.00
.......................  
X           0 0 0
(48) Anthony D Ivankovich MD........................................................................
Trustee
20.00
.......................  
X           64,591 0 7,326
(49) Richard M Jaffee........................................................................
Trustee
1.00
.......................  
X           0 0 0
(50) Peter Kasper Jacobsen........................................................................
Trustee
1.00
.......................  
X           0 0 0
(51) John P Keller........................................................................
Trustee
1.00
.......................  
X           0 0 0
(52) Catherine J King........................................................................
Trustee
1.00
.......................  
X           0 0 0
(53) Kip Kirkpatrick........................................................................
Trustee
1.00
.......................  
X           0 0 0
(54) Fred A Krehbiel........................................................................
Trustee
1.00
.......................  
X           0 0 0
(55) Sheldon Lavin........................................................................
Trustee
1.00
.......................  
X           0 0 0
(56) The Rt Rev Jeffrey D Lee........................................................................
Trustee
1.00
.......................  
X           0 0 0
(57) Aylwin B Lewis........................................................................
Trustee
1.00
.......................  
X           0 0 0
(58) Susan R Lichtenstein........................................................................
Trustee
1.00
.......................  
X           0 0 0
(59) Pamela Forbes Lieberman........................................................................
Trustee
1.00
.......................  
X           0 0 0
(60) Donald G Lubin Esq........................................................................
Trustee
1.00
.......................  
X           0 0 0
(61) Robert A Mariano........................................................................
Trustee
1.00
.......................  
X           0 0 0
(62) Gary E McCullough........................................................................
Trustee
1.00
.......................  
X           0 0 0
(63) Andrew J McKenna Jr........................................................................
Trustee
1.00
.......................  
X           0 0 0
(64) James S Metcalf........................................................................
Trustee
1.00
.......................  
X           0 0 0
(65) Mark C Metzger........................................................................
Trustee
1.00
.......................  
X           0 0 0
(66) Mimi Mitchell........................................................................
Trustee
1.00
.......................  
X           0 0 0
(67) Wayne L Moore........................................................................
Trustee
1.00
.......................  
X           0 0 0
(68) Robert S Morrison........................................................................
Trustee
1.00
.......................  
X           0 0 0
(69) Martin H Nesbitt........................................................................
Trustee
1.00
.......................  
X           0 0 0
(70) Michael F O'Brien........................................................................
Trustee
1.00
.......................  
X           0 0 0
(71) Michael J O'Connor........................................................................
Trustee
1.00
.......................  
X           0 0 0
(72) Abby McCormick O'Neil........................................................................
Trustee
1.00
.......................  
X           0 0 0
(73) William H Osborne........................................................................
Trustee
1.00
.......................  
X           0 0 0
(74) Aurie A Pennick........................................................................
Trustee
1.00
.......................  
X           0 0 0
(75) Sheila A Penrose........................................................................
Trustee
1.00
.......................  
X           0 0 0
(76) Perry R Pero........................................................................
Trustee
1.00
.......................  
X           0 0 0
(77) Stephen N Potter........................................................................
Trustee
1.00
.......................  
X           0 0 0
(78) Richard S Price........................................................................
Trustee
1.00
.......................  
X           0 0 0
(79) Eric A Reeves........................................................................
Trustee
1.00
.......................  
X           0 0 0
(80) Karen C Reid........................................................................
Trustee
1.00
.......................  
X           0 0 0
(81) Angelique L Richard PhD RN........................................................................
Trustee
1.00
.......................  
X           0 0 0
(82) Thomas E Richards........................................................................
Trustee
1.00
.......................  
X           0 0 0
(83) John W Rogers Jr........................................................................
Trustee
1.00
.......................  
X           0 0 0
(84) Jesse H Ruiz........................................................................
Trustee
1.00
.......................  
X           0 0 0
(85) John J Sabl........................................................................
Trustee
1.00
.......................  
X           0 0 0
(86) John F Sandner........................................................................
Trustee
1.00
.......................  
X           0 0 0
(87) Gloria Santona Esq........................................................................
Trustee
1.00
.......................  
X           0 0 0
(88) Charles A Schrock........................................................................
Trustee
1.00
.......................  
X           0 0 0
(89) Carole Browe Segal........................................................................
Trustee
1.00
.......................  
X           0 0 0
(90) Alejandro Silva........................................................................
Trustee
1.00
.......................  
X           0 0 0
(91) David B Speer........................................................................
Trustee
1.00
.......................  
X           0 0 0
(92) Carl W Stern........................................................................
Trustee
1.00
.......................  
X           0 0 0
(93) Charles A Tribbett III........................................................................
Trustee
1.00
.......................  
X           0 0 0
(94) Karen B Weinstein MD........................................................................
Trustee
1.00
.......................  
X           0 0 0
(95) Greg Welch........................................................................
Trustee
1.00
.......................  
X           0 0 0
(96) John R Willis........................................................................
Trustee
1.00
.......................  
X           0 0 0
(97) Thomas J Wilson........................................................................
Trustee
1.00
.......................  
X           0 0 0
(98) Robert A Wislow........................................................................
Trustee
1.00
.......................  
X           0 0 0
(99) Barbara Jil Wu PhD........................................................................
Trustee
1.00
.......................  
X           0 0 0
(100) Larry J Goodman MD........................................................................
Chief Executive Officer
40.00
.......................  
X   X       3,558,460 0 46,236
(101) David A Ansell MD........................................................................
Senior Vice President and Chief Medical Officer
39.00
.......................1.00
    X       591,050 0 82,763
(102) Cynthia Barginere........................................................................
V.P. Clinical Nursing Chief Nursing Officer
40.00
.......................  
    X       356,337 0 54,090
(103) Charles E Behl........................................................................
Vice President, Revenue Cycle
40.00
.......................  
    X       339,215 0 65,920
(104) Cynthia Boyd........................................................................
V. P Chief Compliance Officer
40.00
.......................  
    X       282,720 0 89,484
(105) Peter W Butler........................................................................
President. Chief Operating Officer
40.00
.......................  
    X       1,082,968 0 288,066
(106) Paul M Carvey PhD........................................................................
Dean, The Graduate College
40.00
.......................  
    X       607,947 0 26,922
(107) J Robert Clapp Jr........................................................................
Executive Vice President, Hospital Affairs
39.00
.......................1.00
    X       1,235,915 0 36,287
(108) Edward W Conway........................................................................
V.P. Clinical Affairs for Administration Finance
40.00
.......................  
    X       269,409 0 45,926
(109) Melissa Coverdale........................................................................
Vice President, Finance
40.00
.......................  
    X       199,253 0 35,698
(110) Michael J Dandorph........................................................................
Executive Director Rush University Hospitals
40.00
.......................  
    X       0 0 0
(111) Richard K Davis........................................................................
Vice President, Medical Affairs
40.00
.......................  
    X       317,810 0 70,258
(112) Thomas A Deutsch MD........................................................................
Provost, Rush University Dean, Medical College
40.00
.......................  
    X       802,162 0 251,128
(113) Melanie C Dreher PhD RN........................................................................
Dean, College of Nursing
40.00
.......................  
    X       312,262 0 32,292
(114) Bruce M Elegant........................................................................
Vice President, Hospital Operations
1.00
.......................39.00
    X       396,494 0 74,542
(115) Brent Estes........................................................................
V.P. Managed Care Programs Services
1.00
.......................39.00
    X       402,449 0 48,255
(116) Lois K Halstead PhD RN........................................................................
Vice Provost, Rush University
40.00
.......................  
    X       245,353 0 31,679
(117) Bradley G Hinrichs........................................................................
Administrative Vice President, Transformation
40.00
.......................  
    X       320,070 0 29,125
(118) Joan E Kurtenbach........................................................................
VP. Strategic Planning Marketing
39.00
.......................1.00
    X       295,967 0 59,088
(119) John Lowenberg........................................................................
Vice President, Philanthropy
40.00
.......................  
    X       282,556 0 34,751
(120) Sheri L Marker-Bednarz
 
Vice President, Human Resources
40.00
.......................  
    X       276,850 0 45,185
(121) Diane M McKeever........................................................................
Senior Vice President, Philanthropy
40.00
.......................  
    X       361,474 0 72,460
(122) Avery S Miller........................................................................
Senior V.P. Corporate External Affairs
40.00
.......................  
    X       753,753 0 38,451
(123) John P Mordach........................................................................
Senior Vice President, Finance CFO
40.00
.......................  
    X       825,521 0 145,242
(124) Mike J Mulroe........................................................................
Vice President, Hospital Operations
40.00
.......................  
    X       281,786 0 72,034
(125) James L Mulshine MD........................................................................
Vice President, Research
40.00
.......................  
    X       416,571 0 73,318
(126) Anne M Murphy........................................................................
Senior V.P Legal Affairs General Counsel
40.00
.......................  
    X       435,628 0 93,452
(127) Denise Nedza........................................................................
Vice President, Financial Planning
40.00
.......................  
    X       279,097 0 40,577
(128) Kurt Olson........................................................................
VP Talent Mngmnt Leadership Development
40.00
.......................  
    X       0 0 0
(129) Patricia O'Neil........................................................................
VP Chief Investment Officer Treasurer
40.00
.......................  
    X       265,411 0 38,605
(130) Jaime B Parent........................................................................
Vice President, Information Technology
40.00
.......................  
    X       341,264 0 62,828
(131) Terry Peterson........................................................................
V. P. Corporate External Affairs
40.00
.......................  
    X       326,974 0 45,626
(132) Mary Ellen Schopp........................................................................
Senior V. P. Human Resources
40.00
.......................  
    X       370,072 0 86,134
(133) David C Shelledy PhD........................................................................
Dean, College of Health Sciences
40.00
.......................  
    X       307,709 0 35,536
(134) Julio C Silva MD........................................................................
Vice President Clinical Systems
40.00
.......................  
    X       416,766 0 93,379
(135) Brian T Smith........................................................................
V.P. Medical Affairs-Clinical Practice
40.00
.......................  
    X       424,047 0 73,018
(136) Scott E Sonnenschein........................................................................
Vice President, Hospital Operations
40.00
.......................  
    X       347,413 0 55,856
(137) Lac Van Tran........................................................................
Senior Vice President, Information Services
40.00
.......................  
    X       729,009 0 29,062
(138) Mick P Zdeblick........................................................................
Vice President Campus Transformation
40.00
.......................  
    X       458,163 0 24,279
(139) Lorenzo Munoz MD........................................................................
Physician
40.00
.......................  
        X   946,291 0 39,813
(140) John Polley MD........................................................................
Physician
40.00
.......................  
        X   899,034 0 13,496
(141) Michael Liptay MD........................................................................
Physician
40.00
.......................  
        X   830,540 0 44,996
(142) Richard Byrne MD........................................................................
Physician
40.00
.......................  
        X   817,166 0 42,730
(143) Harel Deutsch MD........................................................................
Physician
40.00
.......................  
        X   788,284 0 46,230
(144) Max D Brown JD........................................................................
V.P Legal Affairs General Counsel
 
.......................  
          X 1,156,737 0 7,148
(145) R Anthony Davis........................................................................
Vice President, Finance
 
.......................  
          X 371,492 0 6,880
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 25,730,019   2,798,173
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet1,104
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
BULLY & ANDREWS LLC1755 W ARMITAGE AVENUECHICAGOIL60622 CONSTRUCTION 5,737,797
GURTZ ELECTRIC COMPANY77 W SEEGERS ROADARLINGTON HEIGHTSIL60005 ELECTRICAL CONTRACTORS 4,717,979
DIRECT ENERGYPO BOX 70220PITTSBURGHPA19176 ENERGY CONTRACTORS 3,717,507
HLS-WHEELING LLC45 W HINTZ ROADWHEELINGIL60090 LAUNDRY SERVICES 3,283,009
WESTSIDE REALTY300 S ASHLAND AVENUE 105CHICAGOIL60607 REAL ESTATE SERVICES 3,025,641
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet111
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 2,029,551
d Related organizations...1d  
e Government grants (contributions)1e 59,939,327
f All other contributions, gifts, grants, and
similar amounts not included above
1f
38,781,469
g Noncash contributions included in lines
1a-1f:$
5,230,583
h Total. Add lines 1a-1f.......MediumBullet 100,750,347
 Program Service Revenue Business Code
2a Patient Service 900099 405,792,199 405,792,199    
b Physician Practices 900099 223,011,869 223,011,869    
c Rush University Tuition 900099 62,529,865 62,529,865    
d Research 900099 100,712,934 100,712,934    
e Medicare/Medicaid Payments 900099 548,562,000 548,562,000    
f All other program service revenue . 23,612,251 23,612,251    
g Total. Add lines 2a–2f........MediumBullet 1,364,221,118
 Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 78,206,432     78,206,432
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet 6,860,713     6,860,713
(i) Real (ii) Personal
6a Gross rents 8,957,756  
b Less: rental expenses 10,652,341  
c Rental income or (loss) -1,694,585  
d Net rental income or (loss).......MediumBullet -1,694,585   1,185,489 -2,880,074
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 1,732,443,000  
b Less: cost or other basis and sales expenses 1,710,708,000  
c Gain or (loss) 21,735,000  
d Net gain or (loss)..........MediumBullet 21,735,000     21,735,000
8a Gross income from fundraising events (not including
$ 2,029,551
of contributions reported on line 1c). See Part IV, line 18 ..
a 626,526
b Less: direct expenses ...b 864,392
c Net income or (loss) from fundraising events..MediumBullet -237,866   -237,866
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 43,551
b Less: direct expenses ...b 5,000
c Net income or (loss) from gaming activities...MediumBullet 38,551     38,551
10a Gross sales of inventory, less
returns and allowances .
a 36,733,576
b Less: cost of goods sold ..b 23,408,835
c Net income or (loss) from sales of inventory..MediumBullet 13,324,741     13,324,741
Miscellaneous Revenue Business Code
11a Reference Labs 621500 130,828   130,828  
b Vyridian Billing Services 541900 172,207   172,207  
c Investment Partnerships 900003 336,019   336,019  
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 639,054
12 Total revenue. See Instructions......MediumBullet 1,583,843,505 1,364,221,118 1,824,543 117,047,497
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 160,400 160,400
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 8,053,677 8,053,677
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 20,069,731 2,669,774 17,031,079 368,878
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 1,531,907   1,531,907  
7 Other salaries and wages 622,364,001 606,624,559 12,789,051 2,950,391
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 36,477,267 33,672,428 2,542,480 262,359
9 Other employee benefits ....... 64,788,179 58,970,276 5,358,775 459,128
10 Payroll taxes ........... 30,793,025 29,520,121 1,057,395 215,509
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 3,055,953 301,527 2,754,426  
c Accounting ........... 675,796 23,800 651,996  
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 2,523,227   2,523,227  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 0      
12 Advertising and promotion .... 3,698,474 3,200,726 497,748  
13 Office expenses ....... 8,881,121 7,456,500 1,168,500 256,121
14 Information technology ...... 13,146,058 11,315,473 1,755,114 75,471
15 Royalties .. 2,826,017 2,826,017    
16 Occupancy ........... 28,592,902 24,861,293 3,337,336 394,273
17 Travel ............ 4,257,038 3,715,343 433,556 108,139
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 1,715,062 1,407,774 131,117 176,171
20 Interest ........... 34,155,571 34,155,571    
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 109,303,921 106,122,519 3,181,402  
23 Insurance .............. 28,315,766 25,993,342 2,322,424  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Bad Debt Expense 35,449,898 35,449,898    
b Equipment Rental and Supplies 228,447,268 227,830,658 571,634 44,976
c Medicaid Provider Tax 26,306,496 26,306,496    
d Commissions 21,633,741 17,187,133 4,009,473 437,135
e All other expenses 121,742,509 121,621,920 77,282 43,307
25 Total functional expenses. Add lines 1 through 24e 1,458,965,005 1,389,447,225 63,725,922 5,791,858
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 96,853,654 1 545,519
2 Savings and temporary cash investments ......... 115,712,180 2 172,081,839
3 Pledges and grants receivable, net ........... 38,695,483 3 34,738,130
4 Accounts receivable, net ............. 254,235,809 4 199,658,616
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 23,164,154 8 21,837,311
9 Prepaid expenses and deferred charges .......... 17,124,215 9 15,247,560
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 2,129,828,754
b Less: accumulated depreciation ..... 10b 918,953,937 1,256,903,957 10c 1,210,874,817
11 Investments—publicly traded securities .......... 730,490,000 11 954,361,404
12 Investments—other securities. See Part IV, line 11 ..... 88,126,064 12 101,666,174
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 36,412,948 15 15,922,893
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 2,657,718,464 16 2,726,934,263
Liabilities 17 Accounts payable and accrued expenses ......... 371,010,197 17 363,463,252
18 Grants payable ................. 20,394,044 18 22,919,062
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities ............. 512,339,366 20 501,164,602
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 370,731,370 23 277,264,687
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 67,819,005 25 60,279,571
26 Total liabilities. Add lines 17 through 25......... 1,342,293,982 26 1,225,091,174
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 790,097,120 27 936,260,061
28 Temporarily restricted net assets ........... 289,960,735 28 323,719,473
29 Permanently restricted net assets ........... 235,366,627 29 241,863,555
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 1,315,424,482 33 1,501,843,089
34 Total liabilities and net assets/fund balances ........ 2,657,718,464 34 2,726,934,263
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,583,843,505
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,458,965,005
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
124,878,500
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
1,315,424,482
5
Net unrealized gains (losses) on investments ...............
5
-2,081,990
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
846,395
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
62,775,702
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
1,501,843,089
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
Yes
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID: 12000057
Software Version: 12.19.1011.1
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
Rush University Medical Center
 
Employer identification number

36-2174823
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
0 %
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
0 %
16
16
 
Section D. Computation of Investment Income Percentage
17
17
0 %
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2012

Additional Data


Software ID: 12000057
Software Version: 12.19.1011.1
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2012
Name of the organization
Rush University Medical Center
 
Employer identification number

36-2174823
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
Name of organization
Rush University Medical Center
 
Employer identification number

36-2174823
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
Name of organization
Rush University Medical Center
 
Employer identification number

36-2174823
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
     
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
Name of organization
Rush University Medical Center
 
Employer identification number

36-2174823
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  

Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data


Software ID: 12000057
Software Version: 12.19.1011.1
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
Rush University Medical Center
 
Employer identification number

36-2174823
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2012

Schedule C (Form 990 or 990-EZ) 2012
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in)
(a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total
             
2a Lobbying nontaxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
         
             
c Total lobbying expenditures          
             
d Grassroots nontaxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
         
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2012


Schedule C (Form 990 or 990-EZ) 2012
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
752,460
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
 
No
 
j
Total. Add lines 1c through 1i ...............................
752,460
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Identifier Return Reference Explanation
II-B 1g -- Direct contact with legislators and staff in order to influence legislation favorable to the healthcare industry.
Schedule C (Form 990 or 990EZ) 2012

Additional Data


Software ID: 12000057
Software Version: 12.19.1011.1

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
Rush University Medical Center
 
Employer identification number

36-2174823
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 435,858,404 439,974,344 380,542,000 350,852,000 415,553,000
b Contributions ........ 5,587,306 9,454,670 9,238,740 8,853,000 1,282,000
c Net investment earnings, gains, and losses 50,675,689 2,456,570 65,348,174 34,538,000 -45,493,000
d Grants or scholarships ..... 1,682,157 1,796,055 428,631 360,433 556,526
e Other expenditures for facilities
and programs ........
14,323,141 13,819,062 14,725,939 11,653,992 17,994,356
f Administrative expenses .... 421,630 412,063   1,686,575 1,939,118
g End of year balance ...... 475,694,471 435,858,404 439,974,344 380,542,000 350,852,000
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet1.030 %
b
Permanent endowment SchDMd Bullet51.000 %
c
Temporarily restricted endowment SchDMd Bullet48.000 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   17,190,156 17,190,156
b Buildings ................   1,676,458,456 651,243,870 1,025,214,586
c Leasehold improvements ............        
d Equipment ................   436,180,142 267,710,067 168,470,075
e Other .................        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 1,210,874,817
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) Financial derivatives and other financial products
   

(B) Closely-held equity interests
   







Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
Federal income taxes  
Swap Valuation 17,807,859
Pension Liabilities 39,415,054
IMD Loan 1,177,083
Securities Lending Liabilities 1,299,435
Annuities-Philanthropy 580,140



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 60,279,571
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
V 4 -The endowments are used to fund professorships 41, research 13, free care 9, student financial aid 12, education and fellowships 12 and other programs 13.
Schedule D (Form 990) 2012

Additional Data


Software ID: 12000057
Software Version: 12.19.1011.1




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
Rush University Medical Center
 
Employer identification number

36-2174823
Part I
General Information on Activities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside
the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region
(f) Total expenditures
for and investments
in region
Central America and the Caribbean     Program Services Charitable Health Care 30,000
Central America and the Caribbean     Program Services Self Insurance 4,075,000
Central America and the Caribbean     Investments   47,923,000
East Asia and the Pacific     Program Services Charitable Health Care 58,000
Europe     Program Services Charitable Health Care 547,000
Middle East and North Africa     Program Services Charitable Health Care 35,000
North America     Program Services Charitable Health Care 822,000
South America     Program Services Charitable Health Care 20,000
South Asia     Program Services Charitable Health Care 3,000
Sub-Saharan Africa     Program Services Charitable Health Care 47,000
           
           
           
           
           
           
           
3a Sub-total .....     53,560,000
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     53,560,000
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount of
of non-cash
assistance
(h) Description
of non-cash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ....MediumBullet
 
3
Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant
(e) Manner of cash
disbursement
(f) Amount of
non-cash
assistance
(g) Description
of non-cash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If “Yes,”the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
2 Did the organization have an interest in a foreign trust during the tax year? If “Yes,” the organizationmay be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 5
Part V
Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
Identifier ReturnReference Explanation
I 3 Column f -- expenditures are actual payments to foreign entities or for foreign travel and are based on the accrual method of accounting.
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2012
Additional Data


Software ID: 12000057
Software Version: 12.19.1011.1



SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. Form 990-EZ filers are not required to complete this part. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
Rush University Medical Center
 
Employer identification number

36-2174823
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser)
(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity
(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i)
(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2012
Schedule G (Form 990 or 990-EZ) 2012
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

Rush Neurobehavioral Gala
(event type)
(b) Event #2

Womens Board Fashion Show
(event type)
(c) Other events

6
(total number)
(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 985,971 827,066 843,040 2,656,077
2 Less: Contributions . . 958,691 558,456 512,404 2,029,551
3 Gross income (line 1
minus line 2) . . .
27,280 268,610 330,636 626,526
VerticalDirectExpenses 4 Cash prizes . . .   5,000   5,000
5 Noncash prizes . .     450 450
6 Rent/facility costs . . 65,128 96,593 63,041 224,762
7 Food and beverages .   101,389 184,121 285,510
8 Entertainment . . . 19,575 2,755 46,234 68,564
9 Other direct expenses . 69,441 135,230 75,435 280,106
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 864,392
11 Net income summary. Combine line 3, column (d), and line 10. .......... right arrow -237,866
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .     43,551 43,551
VerticalDirectExpenses 2 Cash prizes . . . .     5,000 5,000
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
100.000 %
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow 5,000
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow 38,551
9
Enter the state(s) in which the organization operates gaming activities: IL
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2012
Schedule G (Form 990 or 990-EZ) 2012
Page 3
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
100.000 %
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Ostrow Reisin Berk & Abrams Ltd
Address right arrow
455 N Cityfront Plaza Dr Suite 1500
Chicago,IL60611
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Sarah Sliva
Gaming manager compensation right arrow $  
Description of services provided right arrow
Record Keeping and Bank Deposit
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$ 38,551
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Identifier Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2012
Additional Data


Software ID: 12000057
Software Version: 12.19.1011.1
SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
Rush University Medical Center
 
Employer identification number

36-2174823
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) ..
    39,108,753   39,108,753 2.980 %
b Medicaid (from Worksheet 3,
column a) ....
    209,515,191 153,018,803 56,496,388 4.300 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
           
d Total Financial Assistance
and Means-Tested
Government Programs .
    248,623,944 153,018,803 95,605,141 7.280 %
Other Benefits
    8,383,095 5,082,071 3,301,024 0.250 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    126,458,579 83,545,415 42,913,164 3.270 %
g Subsidized health services
(from Worksheet 6) ..
    170,601,876 130,225,784 40,376,092 3.070 %
h Research (from Worksheet 7)     118,505,683 26,030,590 92,475,093 7.040 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    160,400   160,400 0.010 %
j Total. Other Benefits ..     424,109,633 244,883,860 179,225,773 13.640 %
k Total. Add lines 7d and 7j .     672,733,577 397,902,663 274,830,914 20.920 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
10,335,804
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
260,938,954
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
251,142,743
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
9,796,211
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1Rush Surgicenter
 
Healthcare 51.090 %   48.910 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, and primary website address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 Rush University Medical Center
1653 W Congress Parkway
Chicago,IL60612
www.rush.edu
X X X X X X X     A
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
A
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 0000000003.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 0000000004.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17 Yes  
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22 Yes  
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?  
Name and address Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
Identifier ReturnReference Explanation
Part I Line 3c   An income level test is used to determine eligibility for financial assistance if the patient formally applies. Patients who do not apply are automatically granted the self pay discount of 68 if they are uninsured. This is a state mandated discount based on the hospitals cost to charge ratio. In addition, in FY13, the hospital began a presumptive charity care process where self pay patients not applying for financial assistance were evaluated based on income data received from Experian, the credit bureau. This evaluation is also income based, but does not require a formal application.
Part I Line 6a   The Community Benefit Report for Rush University Medical Center RUMC is a separate report prepared by Rush. Rush prepares and files the Annual Non-Profit Community Benefit Plan Report with the Attorney Generals Office of the State of Illinois which includes Rush University Medical Center and Rush Oak Park Hospital. For the purpose of Schedule H, only financial information for Rush University Medical Center is reported. There is no data included for Rush Oak Park Hospital.
Part I Line 7   The calculation of the ratio of patient cost to charges was calculated utilizing RUMCs 2013 As-Filed Medicare Cost Report and follows the format based on Worksheet 2 of the Instructions to Schedule H. Medicare revenues and costs were extracted from the FY13 As-Filed Medicare Cost report.
Part I Line 7   Part I, Line 7, Column F -- Total expenses reported on Form 990, Part IX, line 25, column A include bad debt expense. However, for the purposes of Schedule H this expense has been removed from the denominator when calculating the percent of total expense considered the net community benefit expense and reported on Part I, Line 7, column f. The amount of bad debt expense excluded from this percentage calculation is 35,449,898.
Part III Line 4   The cost for the total bad debt provision of 35,449,898 was calculated using the cost to charge ratio described above. RUMC does not have a footnote in the financial statements that describes bad debt expense. However, RUMC provides a significant amount of uncompensated care to uninsured and underinsured patients, which is reported as provision for bad debts. During FY13, RUMCs reported provision for bad debts was a total of 35,449,858. The RUMC provision combined with the Rush University Medical Group RUMG provision of 7,822,109 equates to 10,335,804 at cost based on an overall cost to charge ratio
Part III Line 8   The calculation of the ratio of patient cost to charges was calculated utilizing RUMCs 2013 As-Filed Medicare Cost Report and follows the format based on Worksheet 2 of the Instructions to Schedule H. Medicare revenues and costs were extracted from the FY13 As-Filed Medicare Cost report. There is no reported Medicare shortfall.
Part III Line 9b   Accounts do not qualify for for bad debt collections if charity care coverage was added to the account. Also, accounts will not qualify for bad debt if RUMC gives the patient a charity care application. Lastly, the self pay accounts are not sent to bad debt until they are reviewed for presumptive charity care which is based upon income levels received from Experian, the credit bureau. Accounts in bad debt are returned if the patient applies for charity care.
Part V   Line 3 -- The assessment includes the collection and analysis of the most up-to-date health, social, economic, housing and other data, as well as qualitative input directly from community leaders, representatives, and agencies through focus groups and interviews. Rush conducted in-person individual interviews with external stakeholders and internal staff between September 2012 and January 2013. Participants were chosen because of their ability to identify the primary health concerns of the community, their expertise in public health or their association with the types of program interventions or resources that could address identified concerns. The interviewees consisted of government officials, community organization leaders, church leaders, school leaders, physicians, public health officials and nurses. By virtue of their positions and professional training, these individuals have considerable expertise related to their constituent groups and have provided invaluable insights throughout Rushs CHNA process. These included those with special knowledge or expertise in public health and leaders or representatives of medically underserved, low-income, and minority populations.
Part V   Line 5a -- The Community Health Needs Assessment can be found on the RUMC website at http//www.rush.edu/rumc/page-1298330626546.html
Part V   Line 14g -- A summary of the policy is posted on RUMCs website, in the emergency room and in the admissions offices.
Part V   Line 20d -- 1 Gross charges or patient liability is discounted at 100 for 100 charity care 300 FPL. 2 Gross charges or patient liability is discounted at 70 for patients approved for limited income discount 400 FPL. 3 All Illinois resident self pay patients uninsured receive a 68 state mandated discount. Non Illinois residents receive a 50 discount. 4 All true self pay uninsured patients are reviewed for Presumtive Charity Care which gives them a 100 discount if they qualify. 5 Payment plans are available for patient liability. Payments can be made for 24 months with a minimum payment of 25.
Part VI Line 2   As an academic medical center, RUMC performs many community benefit activities in neighborhoods within and surrounding the Illinois Medical District IMD and throughout the Chicago area. For the purposes of this plan, the federally required Community Health Needs Assessment and future planning initiatives, RUMCs defined service area consists of communities surrounding the hospital identified through a patient origin zip code analysis. The RUMC service area is comprised of seven zip codes which include the Chicago community areas of Near West Side, Lower West Side, West Town, East Garfield Park, West Garfield Park, North Lawndale, and South Lawndale. These geographical areas encompass the location of the medical center as well as the locations of sites for a significant number of community outreach efforts.
Part VI Line 2   The Science and Math Excellence SAME Network supports educational efforts in Chicago Public Schools across the City in more than 40 schools. In addition, RUMCs financial assistance policies apply to all RUMC patients.
Part VI Line 2   Chicago, like any large urban city, surveys the health services it provides to its citizens. The Chicago Department of Public Health CDPH established a strategic planning process aimed to focus the energies of the department, set organizational priorities and guide the allocation of public health resources.
Part VI Line 2   Many of RUMCs community benefits activities align with CDPHs strategic priorities such as health promotion and prevention of chronic disease, promoting access to services, and ensuring Chicago is prepared to quickly and effectively respond to public health emergencies and epidemics. Following a community needs assessment in FY2008, RUMC initiated a formal planning process in FY2009 to ensure that future community benefits efforts aligned with the needs of the community. The resulting Community Benefits Plan helped to focus our strengths and available resources on programs that improve and promote the physical, educational and economic health of our communities.
Part VI Line 2   To further our efforts to identify and address the existing health needs within our community, RUMC developed its first Community Health Needs Assessment CHNA and corresponding implementation plan as required by the Internal Revenue Service in compliance with the Affordable Care Act. The CHNA and implementation plan were completed during fiscal year 2013 and board approved by June 2013. A copy of the CHNA is available online.
Part VI Line 3   In keeping with RUMCs mission to provide comprehensive, coordinated health care services to our patients, RUMC offers several financial assistance programs to help patients with their hospital bill.
Part VI Line 3   Through utilization of a patient eligibility service RUMC is extremely proactive in enrolling patients, who present for service without insurance coverage, for coverage under various state and federal programs. The maintenance of this service for our patients has a significant impact on decreasing the amount of charity care provided. In addition to achieving appropriate, available coverage for our patients medical services, this eligibility service also obtains eligibility for SSI or SSA benefits for applicable patients. Guiding the patient through this often time-consuming and arduous process is extremely beneficial to the patient, as once SSI/SSA eligibility is approved, the patient will begin receiving a monthly assistance check which provided a benefit well beyond their health care at RUMC.
Part VI Line 3   To assist the patient in deciding which is the right program for them, RUMC offers the services of Financial Counselors and Billing Customer Service Representatives. These individuals will assist patients in completion of financial application forms, obtaining an estimated cost of anticipated hospital services, providing an explanation and copy of their hospital bill, and notary services. RUMC makes all financial assistance information and policies available on the hospitals website.
Part VI Line 4   As stated earlier, as an academic medical center, RUMC performs many community benefit activities in neighborhoods within and surrounding the Illinois Medical District IMD and throughout the Chicago area. For the purposes of this plan, the federally required Community Health Needs Assessment and future planning initiatives, RUMCs defined service area consists of communities surrounding the hospital identified through a patient origin zip code analysis. The RUMC service area is comprised of seven zip codes which include the Chicago community areas of Near West Side, Lower West Side, West Town, East Garfield Park, West Garfield Park, North Lawndale, and South Lawndale. These geographical areas encompass the location of the medical center as well as the locations of sites for a significant number of community outreach efforts.
Part VI Line 5   RUMC provides a full range of medical services to the community including an emergency department that is never closed and is open to everyone regardless of their ability to pay as well as numerous services that operate at a loss. While the emergency department is a key driver of providing care to the uninsured in a hospital setting, RUMC continues to emphasize primary and preventive care for uninsured individuals and families.
Part VI Line 5   This approach relies on the services provided within physician clinics at RUMC as well as the community service projects operated by patient care staff. In this way, RUMC hopes to have an impact on the health of patients before they get to the point of visiting the emergency department.
Part VI Line 5   To ensure that RUMC is delivering on its patient care mission to the diverse communities of Chicago, RUMC incurred 1.2 million in costs to maintain a staff of Spanish language interpreters and to supply other-language and sign language interpreter services. These financial commitments are critical to facilitating accessibility of patient care to the diverse communities of the Chicago area.
Part VI Line 5   As a not-for-profit organization, RUMC reinvests any excess revenue after paying expenses back into our institution in order to provide care for patients. A significant part of this reinvestment includes the following support services that benefit patients free care for patients who qualify under our charity care program care for patients whose government insurance does not pay all of our costs and critical medical services that operate at a financial loss but are necessary for the communitys overall health. As an academic medical center, RUMC subsidizes health and medical research to improve patient care, now and for future generations by covering expenses not funded by private or government grants. We also subsidize the education and training of the next generation of doctors, nurses and other allied health care professionals whose tuition and grants do not fully cover the associated costs. Additionally, we fund a variety of vital outreach programs that address the specific health needs of our community and beyond.
Part VI Line 5   RUMC is committed to providing programs to educate and train the health care workforce of the future. It is widely recognized that workforce demands in health care will rapidly escalate as the U.S. population ages. To help meet this need, RUMC trains future physicians, nurses and allied health professionals. During FY2013, RUMC provided 44 million in unreimbursed costs to maintain these education programs. It is an essential part of RUMCs corporate mission that education programs continue to receive this operational support in order to supply highly trained physicians, nurses, and allied health professionals to RUMC and to the larger health care community.
Part VI Line 5   RUMC is committed to advancing medical care through translational research that aims to bring advances and improvements gained in research as rapidly as possible to the bedside of patients. Investigators at RUMC are involved in numerous clinical studies to test the effectiveness and safety of new therapies and medical devices as well as many basic research studies designed to expand scientific and medical knowledge. Like the academic affiliation between RUMC and Stroger Hospital, there is similar collaboration within research activities. Joint research projects in basic science, clinical science and services, and epidemiology look for new ways to improve the health of vulnerable communities and bridge the widening gaps in the health care system. As an academic medical center, RUMC brings together individuals from diverse backgrounds and experiences to uncover new advances in patient care. In this way, RUMC acts as an incubator for noteworthy breakthroughs in medicine.
Part VI Line 5   In addition to dedicating resources to patient care, education and research activities, RUMC has historically placed emphasis on community service activities and relationships with other health care organizations. During FY2013, RUMC provided over 4 million in other community benefits programs and over 3.9 million in volunteer time for various community outreach activities.
Part VI Line 6   RUMC has an affiliation with Rush Oak Park Hospital. Rush Oak Park Hospital ROPH is a Catholic community hospital consisting of 296 beds located in Oak Park, Illinois and affiliated with RUMC in Chicago, IL and Wheaton Franciscan Healthcare, Inc., in Wheaton, IL. The affiliation between RUMC and Rush Oak Park Hospital provides patients with access to advanced medical treatments without having to leave their neighborhoods. ROPH is committed to balancing clinical excellence with compassionate care and greater community outreach programs in order to provide a lifetime of care for individuals and their entire family. For the purposes of Schedule H, only financial information for RUMC is reported. There is no data included for Rush Oak Park Hospital.
Part VI, Line 7   IL
Schedule H (Form 990) 2012
Additional Data


Software ID: 12000057
Software Version: 12.19.1011.1
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
Rush University Medical Center
 
Employer identification number
36-2174823
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) American Heart Association
208 S LaSalle St 900
Chicago,IL60604
13-5613797 501c3 15,000       General Support
(2) March of Dimes
111 W Jackson 22nd floor
Chicago,IL60604
36-2169156 501c3 15,000       General Support
(3) Access Living
115 W Chicago Ave
Chicago,IL60610
36-3310774 501c3 13,000       General Support
(4) Urban Alliance Foundation
2030 Q Street NW
Washigton,DC20009
52-1938443 501c3 12,500       General Support
(5) Gildas Club of Chicago
205 W Wacker Drive
Chicago,IL60606
36-4115144 501c3 10,000       General Support
(6) Bears Care
1000 Football Drive
Lake Forest,IL60045
20-3902715 501c3 9,500       General Support
(7) Human Rights Campaign
1640 Rhode Island Avenue NW
Washigton,DC20036
52-1243457 501c3 5,000       General Support
(8) Chicago United Inc
205 W Wacker Dr 1400
Chicago,IL60606
36-2770509 501c3 5,000       General Support
(9) Metropolitan Chicago Breast Cancer Task Force
1645 W Jackson
Chicago,IL60612
26-2264895 501c3 5,000       General Support
(10) National Museum of Mexican Art
1852 W 19th Street
Chicago,IL60608
36-3225519 501c3 5,000       General Support
(11) YWCA Metropolitan Chicago
1 N LaSalle Street
Chicago,IL60602
36-2179765 501c3 5,000       General Support
(12) Mikva Challenge Grant Foundation Inc
332 S Michigan Ave
Chicago,IL60604
52-2033353 501c3 5,000       General Support
(13) Komen Chicago Race for the Cure
8765 W Higgins Rd
Chicago,IL60631
36-4111723 501c3 5,000       General Support
(14) Community Health Clinic
2611 W Chicago Ave
Chicago,IL60622
36-3831793 501c3 5,000       General Support
(15) National Center for Healthcare Leadership
1700 W Van Buren Street
Chicago,IL60612
36-4483505 501c3 5,000       General Support
(16) University of Colorado
1800 Grant Street
Denver,CO80203
84-6000555 501c3 5,000       General Support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
16
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2012

Schedule I (Form 990) 2012
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance
(1) Scholarships to attend Rush University Medical Center 1073 8,053,677      












Part IV
Supplemental Information.
Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Identifier Return Reference Explanation
I 2 -- Rush provides grants and assistance to organizations that are recognized public charities and to individuals primarily associated with the medical field. Rush maintains contact with the grantees through the performance of its exempt purpose.
Schedule I (Form 990) 2012


Additional Data


Software ID: 12000057
Software Version: 12.19.1011.1


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
Rush University Medical Center
 
Employer identification number

36-2174823
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)Catherine Dimou MDTrustee (i)
(ii)
218,844
 
68,354
 
175
 
20,000
 
19,594
 
326,967
 
 
 
(2)David A Ansell MDSenior Vice President and Chief Medical Officer (i)
(ii)
462,898
 
97,513
 
30,638
 
82,037
 
726
 
673,812
 
 
 
(3)Cynthia BarginereV.P. Clinical Nursing Chief Nursing Officer (i)
(ii)
287,995
 
59,901
 
8,441
 
38,802
 
15,288
 
410,427
 
 
 
(4)Charles E BehlVice President, Revenue Cycle (i)
(ii)
264,278
 
60,679
 
14,258
 
47,797
 
18,123
 
405,135
 
 
 
(5)Cynthia BoydV. P Chief Compliance Officer (i)
(ii)
279,678
 
 
 
3,042
 
88,446
 
1,038
 
372,204
 
 
 
(6)Peter W ButlerPresident. Chief Operating Officer (i)
(ii)
739,061
 
289,879
 
54,029
 
270,746
 
17,320
 
1,371,035
 
 
 
(7)Paul M Carvey PhDDean, The Graduate College (i)
(ii)
69,513
 
1,250
 
537,184
 
7,500
 
19,422
 
634,869
 
458,648
 
(8)J Robert Clapp JrExecutive Vice President, Hospital Affairs (i)
(ii)
350,463
 
 
 
885,452
 
17,500
 
18,787
 
1,272,202
 
515,376
 
(9)Edward W ConwayV.P. Clinical Affairs for Administration Finance (i)
(ii)
227,177
 
38,817
 
3,416
 
43,745
 
2,181
 
315,336
 
 
 
(10)Melissa CoverdaleVice President, Finance (i)
(ii)
196,601
 
 
 
2,652
 
25,987
 
9,711
 
234,951
 
 
 
(11)Richard K DavisVice President, Medical Affairs (i)
(ii)
254,222
 
61,503
 
2,086
 
42,025
 
28,233
 
388,069
 
 
 
(12)Thomas A Deutsch MDProvost, Rush University Dean, Medical College (i)
(ii)
554,525
 
209,994
 
37,644
 
222,458
 
28,670
 
1,053,291
 
 
 
(13)Melanie C Dreher PhD RNDean, College of Nursing (i)
(ii)
250,067
 
62,045
 
150
 
22,500
 
9,792
 
344,554
 
 
 
(14)Bruce M ElegantVice President, Hospital Operations (i)
(ii)
296,557
 
72,121
 
27,816
 
56,047
 
18,495
 
471,036
 
 
 
(15)Brent EstesV.P. Managed Care Programs Services (i)
(ii)
319,898
 
76,478
 
6,073
 
25,959
 
22,296
 
450,704
 
 
 
(16)Larry J Goodman MDChief Executive Officer (i)
(ii)
932,493
 
437,952
 
2,188,014
 
22,500
 
23,736
 
3,604,695
 
1,681,196
 
(17)Lois K Halstead PhD RNVice Provost, Rush University (i)
(ii)
178,818
 
40,861
 
25,674
 
20,969
 
10,710
 
277,032
 
 
 
(18)Bradley G HinrichsAdministrative Vice President, Transformation (i)
(ii)
194,222
 
56,300
 
69,548
 
21,415
 
7,710
 
349,195
 
36,854
 
(19)Joan E KurtenbachVP. Strategic Planning Marketing (i)
(ii)
238,117
 
51,256
 
6,594
 
36,247
 
22,841
 
355,055
 
 
 
(20)John LowenbergVice President, Philanthropy (i)
(ii)
232,898
 
42,118
 
7,540
 
34,025
 
726
 
317,307
 
 
 
(21)Sheri L Marker-Bednarz
  Vice President, Human Resources
(i)
(ii)
218,731
 
45,347
 
12,772
 
44,147
 
1,038
 
322,035
 
 
 
(22)Diane M McKeeverSenior Vice President, Philanthropy (i)
(ii)
284,022
 
66,377
 
11,075
 
54,797
 
17,663
 
433,934
 
 
 
(23)Avery S MillerSenior V.P. Corporate External Affairs (i)
(ii)
375,380
 
167,199
 
211,174
 
22,500
 
15,951
 
792,204
 
 
 
(24)John P MordachSenior Vice President, Finance CFO (i)
(ii)
635,122
 
166,415
 
23,984
 
122,280
 
22,962
 
970,763
 
 
 
(25)Mike J MulroeVice President, Hospital Operations (i)
(ii)
229,332
 
45,620
 
6,834
 
43,376
 
28,658
 
353,820
 
 
 
(26)James L Mulshine MDVice President, Research (i)
(ii)
331,460
 
45,820
 
39,291
 
48,088
 
25,230
 
489,889
 
 
 
(27)Anne M MurphySenior V.P Legal Affairs General Counsel (i)
(ii)
427,953
 
 
 
7,675
 
73,135
 
20,317
 
529,080
 
 
 
(28)Denise NedzaVice President, Financial Planning (i)
(ii)
227,555
 
46,580
 
4,962
 
32,847
 
7,710
 
319,654
 
 
 
(29)Patricia O'NeilVP Chief Investment Officer Treasurer (i)
(ii)
223,409
 
41,852
 
150
 
23,563
 
15,042
 
304,016
 
 
 
(30)Jaime B ParentVice President, Information Technology (i)
(ii)
262,550
 
63,892
 
14,822
 
41,315
 
21,513
 
404,092
 
 
 
(31)Terry PetersonV. P. Corporate External Affairs (i)
(ii)
256,639
 
59,559
 
10,776
 
44,588
 
1,038
 
372,600
 
 
 
(32)Mary Ellen SchoppSenior V. P. Human Resources (i)
(ii)
293,645
 
72,689
 
3,738
 
58,664
 
27,470
 
456,206
 
 
 
(33)David C Shelledy PhDDean, College of Health Sciences (i)
(ii)
190,478
 
37,856
 
79,375
 
19,493
 
16,043
 
343,245
 
40,085
 
(34)Julio C Silva MDVice President Clinical Systems (i)
(ii)
321,542
 
79,354
 
15,870
 
71,970
 
21,409
 
510,145
 
 
 
(35)Brian T SmithV.P. Medical Affairs-Clinical Practice (i)
(ii)
343,542
 
72,175
 
8,330
 
47,244
 
25,774
 
497,065
 
 
 
(36)Scott E SonnenscheinVice President, Hospital Operations (i)
(ii)
280,362
 
60,845
 
6,206
 
31,757
 
24,099
 
403,269
 
 
 
(37)Lac Van TranSenior Vice President, Information Services (i)
(ii)
364,077
 
99,777
 
265,155
 
20,000
 
9,062
 
758,071
 
218,595
 
(38)Mick P ZdeblickVice President Campus Transformation (i)
(ii)
265,106
 
68,480
 
124,576
 
7,500
 
16,779
 
482,441
 
91,112
 
(39)Lorenzo Munoz MDPhysician (i)
(ii)
565,752
 
137,540
 
243,000
 
15,000
 
24,813
 
986,105
 
 
 
(40)John Polley MDPhysician (i)
(ii)
899,034
 
 
 
 
 
12,500
 
996
 
912,530
 
 
 
(41)Michael Liptay MDPhysician (i)
(ii)
661,911
 
168,629
 
 
 
15,000
 
29,996
 
875,536
 
 
 
(42)Richard Byrne MDPhysician (i)
(ii)
753,742
 
63,423
 
 
 
17,500
 
25,230
 
859,895
 
 
 
(43)Harel Deutsch MDPhysician (i)
(ii)
660,676
 
127,608
 
 
 
15,000
 
31,230
 
834,514
 
 
 
(44)Max D Brown JDV.P Legal Affairs General Counsel (i)
(ii)
552,965
 
71,549
 
532,224
 
 
 
7,148
 
1,163,886
 
280,836
 
(45)R Anthony DavisVice President, Finance (i)
(ii)
 
 
 
 
371,492
 
 
 
6,880
 
378,372
 
109,324
 
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
I 1A - Housing allowance or residence for personal use - Rush owns the Sessions house which is used by the President CEO for Rush business activities. Occasionally there is incidental personal use, the value of which is included in compensation.
I 1A - Health or social club dues or initiation fees - membership is maintained for the Senior Vice President of Philanthropy Chief Development Officer at the University Club, the President CEO at the Chicago Club, and the Vice President of Government Affairs at the Executive Club. All memberships are used for Rush fundraising and/or business activities.
I 4a -- Max Brown received a severence payment of 175,620 and R. Anthony Davis received a severence payment of 260,588.
I 4b - Rush offers a supplemental employee retirement plan to all employees who participate in the executive benefits program and whose compensation exceeds the IRS allowable limit for a qualified pension plan. The amount accrued in 2012 was reported on Schedule J, Part II, Column C for the following individuals David A. Ansell, MD-62,037, Cynthia Barginere-23,802, Charles E. Behl-27,797, Cynthia Boyd-68,446, Peter W. Butler-248,246, Edward W. Conway-23,745, Melissa Coverdale-18,487, Richard Davis-22,025, Thomas A. Deutsch, MD-199,958, Bruce M. Elegant-36,047, Brent Estes-8,459, Joan E. Kurtenbach-21,247, John Lowenberg-16,525, Sheri L. Marker-Bednarz-21,647, Diane M. McKeever-32,297, John P. Mordach-104,780, Mike Mulroe-25,876, James L. Mulshine, MD-28,088, Anne N. Murphy-58,135, Denise Nedza-17,847, Patricia ONeil-6,063, Jaime B. Parent-23,815, Terry Peterson-27,088, Mary Ellen Schopp-43,664, Julio C. Silva, MD-54,470, Brian T. Smith-32,244, Scott E. Sonnenschein-14,257, The amounts paid out from this plan were as follows Max D. Brown, JD-335,228, Paul M. Carvey, PhD-530,429, J. Robert Clapp, Jr.-693,815, R. Anthony Davis-112,577, Larry J. Goodman, MD-2,114,698, Bradley G. Hinrichs-44,006, Avery S. Miller-190,880, David C. Shelledy-59,891, Lac Van Tran-234,463 and Mick P. Zdeblick-117,364. These amounts are listed in Schedule J, Part II, Column F.
I 7 - Incentive payments are based upon a formula. The amounts are calculated after certain performance and operating goals are achieved. The plan provides limited discretionary parameters if needed.
Schedule J (Form 990) 2012

Additional Data


Software ID: 12000057
Software Version: 12.19.1011.1
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
Rush University Medical Center
 
Employer identification number
36-2174823
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A Illinois Finance Authority
 
86-1091967 NoCUSIPNo 12-16-2011 56,000,000 Series 2011 see Part VI   X   X   X
B Illinois Finance Authority
 
86-1091967 45200FYR4 07-29-2009 171,668,452 Series 2009C see Part VI   X   X   X
C Illinois Finance Authority
 
86-1091967 45200FTX7 02-10-2009 171,147,519 Series 2009A see Part VI   X   X   X
D Illinois Finance Authority
 
86-1091967 45200FSE0 12-09-2008 50,000,000 Series 2008A see Part VI   X   X   X
Illinois Finance Authority
 
86-1091967 45200FHN2 05-28-2008 63,506,719 Series 2006B see Part VI   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 5,105,000      
2 Amount of bonds legally defeased . . . . . . . . . . .        
3 Total proceeds of issue . . . . . . . . . . . . . . 56,000,000 172,282,443 171,509,740 50,011,044
4 Gross proceeds in reserve funds . . . . . . . . . . . . 16,636,928 16,636,928 17,906,292  
5 Capitalized interest from proceeds . . . . . . . . . . . 1,227,141 1,227,141 115,000 42,012
6 Proceeds in refunding escrows . . . . . . . . . . . .        
7 Issuance costs from proceeds . . . . . . . . . . . . 2,547,812 2,547,812 2,370,004 874,123
8 Credit enhancement from proceeds . . . . . . . . . . . 140,424     140,424
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 151,870,563 151,870,563 156,501,691 48,954,486
11 Other spent proceeds . . . . . . . . . . . . . . 56,000,000      
12 Other unspent proceeds . . . . . . . . . . . . . .        
13 Year of substantial completion . . . . . . . . . . . . 2012 2012 2012 2012
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X     X   X    
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X    
16 Has the final allocation of proceeds been made? . . . . . . . . X     X   X    
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . . X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? . X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0% 0% 0% 0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet   %   %   %   %
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0% 0% 0% 0%
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . . . .
  X   X   X   X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X     X   X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X X  
b Name of provider . . . . . . . . . See Part VI
 
 
 
 
 
 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . . . .   X           X
e Was a hedge terminated? . . . . . . .   X           X
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
 
 
 
 
 
 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
I   -- Rush University Medical Centers RUMC long-term debt is issued under a master trust indenture which established the Rush University Medical Center obligated group OG which, as of 6/30/13, was comprised of RUMC and Copley Memorial Hospital, Inc. Copley and its affiliates. The OG is jointly and severally liable for the obligations issued under the master trust indenture. Each OG member is expected to pay its allocated share of the debt issued on its behalf. The debt listed on lines A-D were issued for RUMC.
I A-C --Line A Columnn f proceeds were used to refund bonds issued 12/21/1998. --Line B Column f Construction of hospital facility. --Line C Column f proceeds were used to finance and refinance healthcare and related facilities. The remainder of the proceeds was used to refund a taxable loan used to refund 2006A bonds.
I D -- Column f RUMC is using the proceeds of the series 2008A bonds to finance healthcare and related facilities.
IV b c -- Column D the providers of the hedge concerning the bond issue are Morgan Stanley Capital Services, Inc. and Citibank, NA. The terms of the hedge are 27.3 years from Morgan Stanley and 29.2 years from Citibank.
I A -- Schedule K2 63,506,719 does not tie to the issue price shown on Form 8038 Part III line 21b. The amount shown is RUMCs approximately 64.62 prorata share of the 98,278,724 obligated group amount issued. The proceeds were used to refund bonds issued 8/17/2006.
IV 2C -- Rebate calculation was performed May 28, 2013 that confirmed there was no liability.
Schedule K (Form 990) 2012

Additional Data


Software ID: 12000057
Software Version: 12.19.1011.1

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
Rush University Medical Center
 
Employer identification number
36-2174823
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A Illinois Finance Authority
 
86-1091967 NoCUSIPNo 12-16-2011 56,000,000 Series 2011 see Part VI   X   X   X
B Illinois Finance Authority
 
86-1091967 45200FYR4 07-29-2009 171,668,452 Series 2009C see Part VI   X   X   X
C Illinois Finance Authority
 
86-1091967 45200FTX7 02-10-2009 171,147,519 Series 2009A see Part VI   X   X   X
D Illinois Finance Authority
 
86-1091967 45200FSE0 12-09-2008 50,000,000 Series 2008A see Part VI   X   X   X
Illinois Finance Authority
 
86-1091967 45200FHN2 05-28-2008 63,506,719 Series 2006B see Part VI   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 5,105,000      
2 Amount of bonds legally defeased . . . . . . . . . . .        
3 Total proceeds of issue . . . . . . . . . . . . . . 56,000,000 172,282,443 171,509,740 50,011,044
4 Gross proceeds in reserve funds . . . . . . . . . . . . 16,636,928 16,636,928 17,906,292  
5 Capitalized interest from proceeds . . . . . . . . . . . 1,227,141 1,227,141 115,000 42,012
6 Proceeds in refunding escrows . . . . . . . . . . . .        
7 Issuance costs from proceeds . . . . . . . . . . . . 2,547,812 2,547,812 2,370,004 874,123
8 Credit enhancement from proceeds . . . . . . . . . . . 140,424     140,424
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 151,870,563 151,870,563 156,501,691 48,954,486
11 Other spent proceeds . . . . . . . . . . . . . . 56,000,000      
12 Other unspent proceeds . . . . . . . . . . . . . .        
13 Year of substantial completion . . . . . . . . . . . . 2012 2012 2012 2012
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X     X   X    
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X    
16 Has the final allocation of proceeds been made? . . . . . . . . X     X   X    
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . . X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? . X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0% 0% 0% 0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet   %   %   %   %
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0% 0% 0% 0%
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . . . .
  X   X   X   X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X     X   X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X X  
b Name of provider . . . . . . . . . See Part VI
 
 
 
 
 
 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . . . .   X           X
e Was a hedge terminated? . . . . . . .   X           X
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
 
 
 
 
 
 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
I   -- Rush University Medical Centers RUMC long-term debt is issued under a master trust indenture which established the Rush University Medical Center obligated group OG which, as of 6/30/13, was comprised of RUMC and Copley Memorial Hospital, Inc. Copley and its affiliates. The OG is jointly and severally liable for the obligations issued under the master trust indenture. Each OG member is expected to pay its allocated share of the debt issued on its behalf. The debt listed on lines A-D were issued for RUMC.
I A-C --Line A Columnn f proceeds were used to refund bonds issued 12/21/1998. --Line B Column f Construction of hospital facility. --Line C Column f proceeds were used to finance and refinance healthcare and related facilities. The remainder of the proceeds was used to refund a taxable loan used to refund 2006A bonds.
I D -- Column f RUMC is using the proceeds of the series 2008A bonds to finance healthcare and related facilities.
IV b c -- Column D the providers of the hedge concerning the bond issue are Morgan Stanley Capital Services, Inc. and Citibank, NA. The terms of the hedge are 27.3 years from Morgan Stanley and 29.2 years from Citibank.
I A -- Schedule K2 63,506,719 does not tie to the issue price shown on Form 8038 Part III line 21b. The amount shown is RUMCs approximately 64.62 prorata share of the 98,278,724 obligated group amount issued. The proceeds were used to refund bonds issued 8/17/2006.
IV 2C -- Rebate calculation was performed May 28, 2013 that confirmed there was no liability.
Schedule K (Form 990) 2012

Additional Data


Software ID: 12000057
Software Version: 12.19.1011.1

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
Rush University Medical Center
 
Employer identification number

36-2174823
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2012
Schedule L (Form 990 or 990-EZ) 2012
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) 3M
 
W. James Farrel Robert S. Morrison on BOD 741,652 Sale of goods   No
(2) American Red Cross
 
Francesca Maher Edwardson is CEO 7,523,225 Sale of goods   No
(3) Baxter International
 
Robert M Davis is CFO 8,522,907 Sale of goods   No
(4) BMO Financial Group
 
Christine A. Edwards is on BOD 640,792 Services   No
(5) BMO Financial Group (continued)
 
William A. Downe is President CEO 640,792 Services   No
(6) Biomet Orthopedics Inc
 
Jorge O. Galante, MD is on BOD 1,348,444 Sale of goods   No
(7) CDW
 
Thomas E. Richards is President COO 4,333,935 Services   No
(8) Chicago Transit Authority
 
Alejandro Silva on BOD 590,779 Services   No
(9) Coca-Cola Enterprises
 
Marvin J Herb is a director 408,667 Sale of goods   No
(10) Exelon Corp
 
Christopher M. Crane is President CEO 5,374,138 Services   No
(11) Exelon Corp (continued)
 
Sue Ling Gin John W. Rogers Jr. on BOD 5,374,138 Services   No
(12) Harris Financial Corp
 
Pastora San Juan Cafferty on BOD 118,200 Services   No
(13) Hill-Rom Holdings Inc
 
Susan R. Lichtenstein is Senior VP CLO 2,047,092 Services   No
(14) INC Research Inc
 
William K Hall on BOD 375,450 Services   No
(15) Potbelly Sandwich Works
 
Aylwin B. Lewis is President CEO 376,062 Sale of goods   No
(16) PricewaterhouseCoopers LLP
 
Jay L. Henderson is Vice Chairman 536,625 Services   No
(17) Sidley Austin LLP
 
John J Sabl is a Partner 463,494 Services   No
(18) Solstas Laboratory Partners LLC
 
Robert P DeCresce on BOD 447,729 Services   No
(19) Stericycle
 
William K Hall on BOD 679,095 Services   No
(20) The Northern Trust Co
 
Susan Crown Charles Tribbett III on BOD 1,035,036 Services   No
(21) University Anesthesiologists
 
Anthony D. Ivankovich, MD is a Partner 673,293 Services   No
(22) University Pathologists PC
 
Robert P. DeCresce, MD is an owner 2,157,530 Services   No
(23) University Pathology Consultants LLC
 
Robert P. DeCresce, MD is an owner 507,199 Services   No
(24) VWR International
 
Robert P DeCresce Pamela Forbes Lieberman on BOD 803,625 Services   No
(25) WW Grainger
 
William K. Hall on BOD 884,640 Sale of goods   No
(26) Walgreens
 
Alejandro Silva on BOD 377,939 Services   No
(27) William Blair & Company LLC
 
E. David Coolidge III on BOD John L Brennen is management 331,273 Services   No
(28) Access Living
 
Marca L Bristo President and CEO 374,625 Services   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2012

Additional Data


Software ID: 12000057
Software Version: 12.19.1011.1




SCHEDULE M
(Form 990)


Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
Rush University Medical Center
 
Employer identification number

36-2174823
Part I
Types of Property
(a)
Check if applicable
(b)
Number of contributions or items contributed
(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g
(d)
Method of determining
noncash contribution amounts
1 Art—Works of art .... X 1 1,800 Appraisel
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods .......
     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 56 5,181,380 FMV
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests ....
       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures .....
       
14 Qualified conservation
contribution—Other ...
       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts .... X 2 45,000 Appraisel
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( Jewelry ) X 60 1,991 Appraisel
26 Other Right pointing arrow large image ( Medical gloves, Office supplies ) X 1 412 Thrift shop value
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
Yes
 
b
If "Yes," describe in Part II.
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2012)
Schedule M (Form 990) (2012)
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Identifier Return Reference Explanation
I 32a --The Northern Trust Bank disposes of all non cash marketable securities donated to RUMC
Schedule M (Form 990) (2012)
Additional Data


Software ID: 12000057
Software Version: 12.19.1011.1
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
Rush University Medical Center
 
Employer identification number

36-2174823
Identifier Return Reference Explanation
    Form 990 Part III Line 1 -- The mission of Rush University Medical Center is to provide the very best care for our patients. Our education and research endeavors, community service programs and relationships with other hospitals are dedicated to enhancing excellence in patient care for the diverse communities of the Chicago area now and in the future. The true impact of our mission isnt only visible within the boundaries of our Medical Center campus. We also see our mission take shape in the community health clinics, outreach and mentoring programs, and countless other community-based initiatives led by doctors, nurses, students and others at Rush.
    Form 990 Part III Line 4D ---- Other program services Rush provides various services for the benefit of its patients and visitors, such as parking, food service and interpreter services. Rush also sponsors a number of programs in the community focused on improving health, expanding education in health-related careers, community-based research to reduce health disparities and initiatives to provide economic development and job creation. Rush programs influenced tens of thousands of lives in FY13.
    Form 990 Part VI Section B Line 11A -- The information is compiled and reviewed internally by Corporate Finance. The return is reviewed by Deloitte Tax LLP before being submitted to the Audit Committee of the Board of Directors of Rush for review and approval. The return is distributed to the entire Board of Directors before it is filed.
    Form 990 Part VI Section B Line 12C --- Rushs Board of Trustees, corporate officers, employees, faculty, students and members of its medical, nursing, professional and technical staffs must use their best efforts and judgment to avoid any influences which could compromise patient care, research, business transactions, objectivity or integrity. The comprehensive policy statement regarding conflicts of interest is applicable to the Rush Board of Trustees, corporate officers, employees, faculty, students and members of Rushs medical, nursing, professional and technical staffs. All employees are required to make a clear disclosure of any conflict of interest to their immediate supervisor at the earliest possible opportunity before an arrangement is entered into which would result in a conflict or as soon thereafter as the employee becomes aware that such a conflict exists. Supervisors may take action to address a conflict of interest as is consistent with policies of Rush including, but not limited to, the policies of the Department of Human Resources. Conflicts of interest are defined as circumstances that create a risk that professional judgments or actions regarding a primary interest will be unduly influenced by a secondary interest. Conflicts can be more or less severe. The severity of a conflict depends on 1 the likelihood that professional decisions made under the relevant circumstances would be unduly influenced by a secondary interest and 2 the seriousness of the harm or wrong that could result from such influence.
    Under certain limited circumstances a conflict may be allowed to continue if such conflict cannot otherwise be eliminated, the likelihood of undue influence is minimized and the relationship is appropriately managed to reduce the risk of possible harm. Members of the Rush Board of Trustees and Rush Corporate Officers are required to disclose any conflicts to the Chairman or Vice Chairman or the secretary of the Rush Board of Trustees. An initial review will be undertaken by the Audit Committee of the Board, which shall make such recommendations as it deems appropriate to the Executive Committee of the Board. If time does not permit a full review by the Audit Committee, such initial review may be undertaken by the Chairman of the Board and Chairman of the Audit Committee. Thereafter, the Audit Committee shall submit the material facts of the conflict along with its recommendations to the Executive Committee which shall make a final determination on the matter.
    Form 990 Part VI Section C Line 15A 15B -- The Compensation and Human Resources Committee uses an independent review, comparability data and contemporaneous substantiation to establish compensation packages for officers. All officer compensation packages are approved by the Compensation and Human Resources Committee.
    Form 990 Part VI Section C Line 18 -- The Form 990 information is made available upon request through the Media Relations office of the Public Relations Department and/or Legal Affairs. The Form 990 is also available on Guidestar and on the Illinois Attorney Generals website.
    Form 990 Part VI Section C Line 19 --Rush does not make its governing documents or conflict of interest policy available to the public. The financial statements are available through the Illinois Attorney Generals office.
    Form 990 Part VI Section A Line 1a --The Executive Committee, between meetings of the trustees, shall have and exercise all of the authority of the voting trustees in the management of the corporation except to the extent, if any, that such authority shall be limited by resolution of the voting trustees and except for a amending the articles of incorporation b amending, altering or repealing the by-laws c adopting a plan of merger or consolidation with another corporation d authorizing the sale, lease, exchange or mortgage of all or substantially all of the property or assets of the corporation e authorizing the voluntary dissolution of the corporation f adopting a plan for the distribution of the assets of the corporation g electing, appointing or removing any trustee or officer of the corporation or h amending, altering or repealing any resolution of the voting trustees which by its terms provides that it shall not be amended, altered or repealed by the executive committee. The delegation of authority to the Executive Committee shall not operate to relieve the voting trustees or any single voting trustee of any responsibility imposed upon him or her by law. The Executive Committee shall consist of not fewer than 22 and not more than 28 voting trustees, including the Chairman, the Vice Chairmen and the Chief Executive Officer. The voting members of the Executive Committee shall be elected at the annual meeting of the voting trustees provided that any vacancy occurring or existing in the Executive Committee may be filled by an election held at any regular or special meeting of the voting trustees. Members of the Executive Committee shall serve until their successors have been elected.
    Form 990 Part VI Section A Line 2 --W. James Farrell and Robert S. Morrison had a board relationship.-- Christine A. Edwards and William A. Downe had a board relationship. -- Christopher M. Crane, Sue Ling Gin and John W. Rogers Jr. had a board relationship. -- David B. Speer, Susan Crown and Robert S. Morrison had a board relationship. -- Charles A. Schrock, Pastora San Juan Cafferty and John W. Higgins had a board relationship.-- Sheila A. Penrose and Martin A. Nesbitt had a board relationship. -- James S. Metcalf, Fred A. Krehbiel and Donald G. Lubin, Esq. had a board relationship.-- Susan Crown and Charles A. Tribbett III had a board relationship.-- Susan Crown and Robert S. Morrison had a board relationship. -- Sheila A. Penrose and John W. Rogers, Jr. had a board relationship -- Pamela Forbes Lieberman and Robert P. DeCresce, MD had a business relationship.-- Matthew Bergman and Christine A. Edwards had a business relationship.-- Jesse H. Ruiz and Christopher M. Crane had a board relationship.-- Jesse H. Ruiz and Sue Ling Gin had a board relationship.-- Jesse H. Ruiz and John W. Rogers Jr. had a board relationship.-- Jesse H. Ruiz and Kip Kirkpatrick had a business relationship.-- John W. Rogers Jr. and E. David Coolidge III. had a business relationship .-- E. David Coolidge III and Andrew J. McKenna Jr. had a business relationship .-- Stephen N. Potter and Sandra P. Guthman had a business relationship . -- Gloria Santona, Esq, Robert S. Morrison , John W. Rogers Jr. and Michael J. OConnor had a board relationship -- H. John Gilbertson and Carl W. Stern had a business relationship Richard K. Davis and R. Anthony Davis had a family relationship.
    Form 990 Part VI Section A Line 4 Rush amended its bylaws to i specify the range of its board size as not less than 94 nor more than 99 Article V, Section l ii add a majority quorum requirement for committee meetings Article VI, Section 1 and iii require the Quality of Care Committee to consider Medical Staff recommendations for medical staff appointments Article XII, Section 1b.
    Form 990 Part VII Section A Line 1a -- Payments to Robert P. DeCresce, MD, Catherine Dimou, MD, Larry J. Goodman, MD and Anthony D. Ivankovich, MD were for their roles as employees not as trustees.
    Form 990 Part XI Line 9 Postretirement related changes other than net periodic postretirement cost -- 62,775,702
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


Software ID: 12000057
Software Version: 12.19.1011.1
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
Rush University Medical Center
 
Employer identification number

36-2174823
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity

(1) Health Delivery Management
1700 W Van Buren Street
Chicago,IL60612
36-4085751
Healthcare IL 31,929,476 5,762,529 N/A
(2) Vyridian
820 W Jackson Blvd
Chicago,IL60607
36-4208577
Billing services IL 7,684,254 575,364 N/A








Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1) Rush Copley Health Care System Inc

2000 Ogden Ave

Aurora,IL60504
36-3584043
Healthcare IL 501c3 11A Rush University Medical Center
 
Yes
 
(2) Copley Ventures

2000 Ogden Ave

Aurora,IL60504
36-3370216
Property Healthplex Owner IL 501c3 3 Rush Copley Medical Center Inc
 
Yes
 
(3) Rush Copley Foundation

2000 Ogden Ave

Aurora,IL60504
36-3093877
Contribution Solicitation IL 501c3 7 Rush Copley Medical Center Inc
 
Yes
 
(4) Copley Memorial Hospital

2000 Ogden Ave

Aurora,IL60504
36-2170840
Healthcare IL 501c3 3 Rush Copley Medical Center Inc
 
Yes
 
(5) Rush Copley Medical Center Inc

2000 Ogden Ave

Aurora,IL60504
36-3193787
Healthcare IL 501c3 11A Rush Copley Health Care System Inc
 
Yes
 
(6) Rush Oak Park Hospital

520 S Maple Ave

Oak Park,IL60304
36-2183812
Healthcare IL 501c3 3 Synergon Health System Inc
 
Yes
 
(7) Rush System for Health

1653 W Congress Parkway

Chicago,IL60612
36-4046278
Healthcare IL 501c3 11C Rush University Medical Center
 
Yes
 
(8) Riverside-Rush Corp

350 N Wall Street

Kankakee,IL60901
32-0329257
Healthcare IL 501c3 11A Rush University Medical Center
 
Yes
 
(9) Riverside Health System

350 N Wall Street

Kankakee,IL60901
36-3167726
Healthcare IL 501c3 11C Riverside Rush Corporation
 
Yes
 
(10) Oakside Corporation

350 N Wall Street

Kankakee,IL60901
36-3166804
Healthcare IL 501c3 11B Riverside Rush Corporation
 
Yes
 
(11) Riverside Medical Center

350 N Wall Street

Kankakee,IL60901
36-2414944
Healthcare IL 501c3 3 Riverside Rush Corporation
 
Yes
 
(12) Riverside Senior Living Center

350 N Wall Street

Kankakee,IL60901
36-3670744
Healthcare IL 501c3 9 Riverside Rush Corporation
 
Yes
 
(13) Riverside Medical Health Care Foundation

350 N Wall Street

Kankakee,IL60901
36-3166033
Healthcare IL 501c3 11B Riverside Rush Corporation
 
Yes
 
(14) The Core Foundation

2020 W Harrison Street

Chicago,IL60612
36-3991833
Real Estate Holding IL 501c3 11A N/A
Yes
 
(15) Synergon Health System Inc

520 S Maple Ave

Oak Park,IL60304
36-3739067
Healthcare IL 501c3 3 Rush University Medical Center
 
Yes
 
(16) Rush Presbyterian St Lukes Medical Center Professional Liability Trust

1700 W Van Buren Street

Chicago,IL60612
36-6673233
Insurance IL 501c3 11C Rush University Medical Center
 
Yes
 
(17) RML Health Providers LP (Dba RML Specialty Hospital)

5801 S County Line Road

Hinsdale,IL60521
36-4113692
Healthcare IL 501c3 3 RMLHP Corporation
 
Yes
 
(18) RMLHP Corporation

5801 S County Line Road

Hinsdale,IL60521
36-4160869
Healthcare IL 501c3 11B N/A
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) Circle Imaging Partners LP

1725 W Harrison Street
Chicago,IL60612
36-3539382
Healthcare IL Circle Imaging Management Inc
 
Related 2,212,051 1,937,306   No     No 71.430 %
(2) Oak Park Imaging

610 South Maple Street
Oak Park,IL60304
36-4437483
Healthcare IL N/A
Related 774,482 361,515   No     No 60.000 %
(3) Rush Surgicenter at the Professional Office Building LP

1725 West Harrison Street
Chicago,IL60612
36-3853026
Healthcare IL N/A
Related 5,463,468 5,365,414   No   Yes   51.090 %








Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Room Five Hundred

1700 West Van Buren Street
Chicago,IL60612
23-7139832
Dining Room IL N/A
C Corp 1,664,512 149,832 100.000 %   No
(2) Rush Copley Medical Group NFP(Copley Services)

2000 Ogden Ave
Aurora,IL60504
36-3235315
Healthcare IL N/A
C Corp         No
(3) Rush Health

1653 W Congress Parkway
Chicago,IL60612
36-3972171
Healthcare IL N/A
C Corp 12,537,502 10,382,982 50.000 %   No








Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
Yes
 
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) Circle Imaging

r 142,969 FMV
(2) Circle Imaging

k 465,447 FMV
(3) Circle Imaging

p 2,116,126 FMV
(4) Circle Imaging

l 161,623 FMV
(5) Rush Master Retirement Trust

q 14,894,687 FMV
(6) Copley Memorial Hospital

q 394,624 FMV
(7) Copley Memorial Hospital

e 7,055,386 FMV
(8) CORE Foundation

n 914,019 FMV
(9) CORE Foundation

m 101,000 FMV
(10) Rush University Medical Center Insurance Co

q 4,075,000 FMV
(11) Rush Surgicenter

k 1,353,521 FMV
(12) Rush Surgicenter

c 1,922,950 FMV
(13) Rush Surgicenter

p 218,811 FMV
(14) Rush System for Health

k 80,184 FMV
(15) Rush System for Health

o 825,471 FMV
(16) Rush System for Health

i 450,472 FMV
(17) Rush System for Health

p 606,203 FMV
(18) Rush Health

l 4,849,856 FMV
(19) Rush Health

p 9,404,610 FMV
(20) Rush Health

s 157,819 FMV
(21) Rush Health

r 5,618,311 FMV
(22) Rush Oak Park Hospital

k 74,578 FMV
(23) Rush Oak Park Hospital

q 6,003,439 FMV
(24) Rush Oak Park Hospital

o 406,910 FMV
(25) Rush Oak Park Hospital

j 820,093 FMV
(26) Rush System for Health

l 175,503 FMV
(27) Oak Oark Imaging

c 310,800 FMV
(28) Oak Park Imaging

j 194,169 FMV
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V—UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation

Additional Data


Software ID: 12000057
Software Version: 12.19.1011.1