2024-07-11T11:55:20+00:00 2023-08-31 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2022-09-01 831650513 Lurie Children's Surgical Foundation Inc LURI 3122277133 225 E CHICAGO AVE BOX 282 CHICAGO IL 606112991 ALEX P MILLER SR. VP/CFO 3122277133 2024-07-11 true ALEX MILLER 999009999 Jess Wagener P01622613 3128792000 2024-07-08 2022 2023-04-26 12:10:37Z EARL CHENG MD 225 E CHICAGO AVE BOX 282 CHICAGO IL 606112991 110240483 false X WWW.LURIECHILDRENS.ORG X 2018 IL LURIE CHILDREN'S SURGICAL FOUNDATION, INC. PROVIDES PEDIATRIC AND SUBSPECIALTY SURGICAL, RESEARCH, AND EDUCATIONAL SERVICES. 9 2 86 2 0 0 27279013 37960418 63219622 72280065 0 0 0 0 90498635 110240483 0 0 0 73282374 77190012 0 0 0 20071684 21279146 93354058 98469158 -2855423 11771325 8288753 12813217 10617737 2611964 -2328984 10201253 PROVIDE PEDIATRIC AND SUBSPECIALTY SURGICAL, RESEARCH, AND EDUCATIONAL SERVICES. false false 97313132 0 72280065 SEE SCHEDULE O. 0 0 0 0 0 0 97313132 true true false false false false false false false false false false false false false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true X 0 0 86 true false false false false false false false false false false true false X 9 2 false false false false true true true true true false false true true true true true true false false false IL X ALEX P MILLER 3122277133 225 E CHICAGO AVE CHICAGO IL 606112991 Anthony Chin MD Director/Treasurer/Physician 40.0 0 X X 737911 0 74812 Bruce Lindgren MD Director/Vice President/Vice Chair/Physician until 12/31/22 40.0 0 X X 685537 0 70451 Earl Cheng MD Director/President/Chair/Physician as of 1/1/23 40.0 3.0 X X 799790 0 67812 Erik C King MD Director/Vice President/Vice Chair/Physician as of 1/1/23 40.0 3.0 X X 832041 0 40500 Jeffrey Rastatter MD Director/Physician/Board Secretary until 1/1/23 40.0 0 X X 589174 0 67812 Robin Bowman MD Board Secretary/Physician as of 1/1/23 40.0 0 X X 1041525 0 75925 Andrea Pipitone Beirne Director 1.0 0 X 0 0 0 Brian Bell Director as of 3/6/23 1.0 0 X 0 0 0 John N Hourihane Jr Director until 12/31/22 1.0 0 X 0 0 0 Thomas Inge MD Ex-Officio Director/Surgeon-in-Chief 40.0 2.0 X 1218711 0 68851 Thomas P Shanley MD Ex-Officio Director/President & CEO LCH 1.0 47.0 X 0 2019722 380800 Alex P Miller Chief Financial Officer as of 2/6/23 1.0 46.0 X 0 0 0 Brenda Davis Interim Chief Financial Officer until 2/6/23 1.0 46.0 X 0 429837 30019 Fatema Zanzi Senior VP, Chief Legal Officer, Corporate Secretary 1.0 46.0 X 0 763271 85273 Michael C Monge MD Physician 40.0 0 X 1207547 0 78300 Osama M Eltayeb MD Physician 40.0 0 X 1220435 0 56407 Sandi K Lam MD Physician 40.0 0 X 1033654 0 67812 Sunjay Kaushal MD Physician 40.0 0 X 1917692 0 67812 Tord D Alden MD Physician 40.0 0 X 1083024 0 67812 Ron Blaustein Former Chief Financial Officer until 5/6/22 0.0 0.0 X 0 195697 9996 12367042 3408527 1310395 85 false true false 0 37960418 37960418 PATIENT SERVICE REVENUE 621111 48002999 48002999 MED ADMIN AND EDUCATION 621111 3787557 3787557 PROF SVCS PROV TO RSCH 621111 4759047 4759047 PHYSICIAN CONTRACT 621111 7992840 7992840 MEDICARE/MEDICAID PAYMENTS 621111 7457439 7457439 280183 280183 0 0 72280065 0 0 0 0 0 0 0 0 0 110240483 72280065 0 0 5273752 5273752 0 59474173 58852313 621860 3171355 3155186 16169 7620595 7461302 159293 1650137 1632883 17254 3438 0 3438 14000 0 14000 1379420 1187596 191824 0 83329 83329 45814 45006 808 40693 40629 64 1268398 1268398 0 643543 637853 5690 36574 34824 1750 5336196 5336196 0 BAD DEBT EXPENSE 3298931 3298931 0 BILLING COLLECTION FEES 4001638 4001638 0 DUES AND LICENSES 322561 317132 5429 EDUCATION EXPENSE 24398 23166 1232 4780213 4746327 33886 0 98469158 97313132 1156026 0 8228753 12583874 0 0 0 0 0 13553 0 0 0 0 0 0 60000 215790 8288753 12813217 5942471 2611964 0 0 4675266 0 10617737 2611964 -2328984 10201253 -2328984 10201253 8288753 12813217 X 11771325 758912 X false true X true false X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0.0 X 0 0 0 0 0 0 Schedule A, Part I, Line 3 DISCLOSURE FOR NOT FILING SCHEDULE H THE ORGANIZATION DOES NOT FILE A SCHEDULE H EVEN THOUGH THE ENTITY MARKS THE HOSPITAL BOX IN SCHEDULE A BECAUSE IT IS NOT REQUIRED TO BE LICENSED, REGISTERED OR SIMILARLY RECOGNIZED BY THE STATE AS A HOSPITAL. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false false true false Robin Bowman MD Board Secretary/Physician as of 1/1/23 1041525 0 0 0 0 0 40500 0 35425 0 1117450 0 0 0 Earl Cheng MD Director/President/Chair/Physician as of 1/1/23 798995 0 795 0 0 0 40500 0 27312 0 867602 0 0 0 Anthony Chin MD Director/Treasurer/Physician 735911 0 2000 0 0 0 40500 0 34312 0 812723 0 0 0 Erik C King MD Director/Vice President/Vice Chair/Physician as of 1/1/23 832041 0 0 0 0 0 40500 0 0 0 872541 0 0 0 Bruce Lindgren MD Director/Vice President/Vice Chair/Physician until 12/31/22 684537 0 1000 0 0 0 40500 0 29951 0 755988 0 0 0 Jeffrey Rastatter MD Director/Physician/Board Secretary until 1/1/23 589174 0 0 0 0 0 40500 0 27312 0 656985 0 0 0 Thomas Inge MD Ex-Officio Director/Surgeon-in-Chief 1118711 0 100000 0 0 0 40500 0 28351 0 1287563 0 0 0 Thomas P Shanley MD Ex-Officio Director/President & CEO LCH 0 1219005 0 689963 0 110755 0 343203 0 37597 0 2400522 0 0 Ron Blaustein Former Chief Financial Officer until 5/6/22 0 113139 0 0 0 82558 0 9996 0 0 0 205693 0 81970 Brenda Davis Interim Chief Financial Officer until 2/6/23 0 352466 0 76250 0 1120 0 15250 0 14769 0 459856 0 0 Fatema Zanzi Senior VP, Chief Legal Officer, Corporate Secretary 0 512241 0 250460 0 570 0 81254 0 4019 0 848544 0 0 Tord D Alden MD Physician 1083024 0 0 0 0 0 40500 0 27312 0 1150836 0 0 0 Osama M Eltayeb MD Physician 1220435 0 0 0 0 0 40500 0 15907 0 1276842 0 0 0 Sunjay Kaushal MD Physician 1737692 0 180000 0 0 0 40500 0 27312 0 1985504 0 0 0 Sandi K Lam MD Physician 1033654 0 0 0 0 0 40500 0 27312 0 1101466 0 0 0 Michael C Monge MD Physician 1207547 0 0 0 0 0 40500 0 37800 0 1285847 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation PURSUANT TO THE BYLAWS OF CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER ("MEDICAL CENTER"), THE COMPENSATION COMMITTEE OF THE MEDICAL CENTER IS CHARGED WITH REVIEWING AND APPROVING SENIOR EXECUTIVE COMPENSATION FOR THE MEDICAL CENTER AND ITS AFFILIATES AND THE COMPENSATION FOR ANY PHYSICIAN WHO MEETS THE CRITERIA FOR REVIEW AND APPROVAL BY THE COMMITTEE. THE COMPENSATION COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY, WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT. THE COMPENSATION PHILOSOPHY IS SUBJECT TO PERIODIC REVIEW BY THE COMPENSATION COMMITTEE FOR CONTINUED APPROPRIATENESS IN THE CURRENT MARKET. WITH THE ASSISTANCE OF INDEPENDENT COMPENSATION CONSULTANTS AND INFORMATION FROM A VARIETY OF SOURCES (SPECIFIED ON SCHEDULE J), THE COMPENSATION COMMITTEE CONFIRMED THE TOTAL AMOUNTS TO BE PAID TO IDENTIFIED EXECUTIVES AND PHYSICIANS WERE REASONABLE AND COMPARABLE TO AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS TO INDIVIDUALS IN FUNCTIONALLY SIMILAR POSITIONS. LEGAL COUNSEL PERIODICALLY ADVISES THE COMPENSATION COMMITTEE WITH RESPECT TO FEDERAL TAX REQUIREMENTS IN SETTING COMPENSATION AND THE ESTABLISHMENT OF THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE FEDERAL TAX LAW INTERMEDIATE SANCTIONS RULES. THE PROCESS FOLLOWED BY THE COMPENSATION COMMITTEE, INCLUDING A DESCRIPTION OF THE DATA RELIED UPON AND THE COMPENSATION COMMITTEE'S DECISIONS, WAS THOROUGHLY AND CONTEMPORANEOUSLY DOCUMENTED. THE COMPENSATION COMMITTEE HAS EXPRESSLY REVIEWED THE REASONABLENESS OF COMPENSATION PAID TO IDENTIFIED EXECUTIVES AND PHYSICIANS, AND HAS CONCLUDED, AS THE RESULT OF A PROCESS THAT IS DESIGNED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS, THAT ALL SUCH AMOUNTS ARE REASONABLE AND DO NOT EXCEED FAIR MARKET VALUE FOR THE SERVICES PROVIDED. THE COMPENSATION COMMITTEE IS COMPRISED OF MEMBERS OF THE MEDICAL CENTER BOARD OF DIRECTORS HAVE BEEN DETERMINED TO BE DISINTERESTED (WHICH MEANS NO COMMITTEE MEMBER HAS A CONFLICT OF INTEREST) FOR THESE PURPOSES. THE COMPENSATION COMMITTEE CONDUCTS AN ONGOING, REGULAR REVIEW OF THE DISINTERESTED STATUS OF ITS MEMBERS, AND WILL TAKE APPROPRIATE ACTION WITH RESPECT TO ANYONE HAVING AN INTEREST WITH RESPECT TO ONE OR MORE EXECUTIVES SO AS TO PRESERVE THE DISINTERESTED STATUS OF THE COMMITTEE AND, AS A RESULT, THE APPLICATION OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO MAINTAINS A DEFINED CONTRIBUTION SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("DC SERP"), WHICH WAS ESTABLISHED ON JANUARY 1, 2017 AND IS A NONQUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN EMPLOYEES IN EXECUTIVE POSITIONS. THE BENEFITS IN THE DC SERP ARE IN THE FORM OF A FIXED ANNUAL CONTRIBUTION RATE AND AN EARNINGS CREDIT. EACH YEAR'S CONTRIBUTION AND EARNINGS ARE AT RISK AND WILL BECOME FULLY VESTED AND TAXABLE ONLY AFTER FIVE YEARS OF FUTURE EMPLOYMENT SERVICE, OR UPON REACHING AGE 62 WITH AT LEAST THREE YEARS OF SERVICE. SEVERAL LISTED PERSONS IN THIS FORM 990 PARTICIPATE IN THE DC SERP, AND THE UNVESTED CONTRIBUTIONS MADE FOR THEM ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE DC SERP AND RECEIVED A VESTED PAYMENT DURING 2022 WHICH IS REPORTED IN COLUMN B (III): RON BLAUSTEIN $81,970 THOMAS P. SHANLEY, MD $107,853 CEO DEFERRED COMPENSATION LISTED INDIVIDUAL THOMAS SHANLEY MD IS THE SOLE PARTICIPANT IN AN ADDITIONAL SUPPLEMENTAL RETIREMENT BENEFIT ARRANGEMENT THAT BEGAN IN 2021. HE IS ELIGIBLE TO EARN A BENEFIT THAT WILL NOT BECOME VESTED FOR SEVERAL YEARS. A PRORATED PORTION OF THE BENEFIT (REPRESENTING THE PORTION EARNED IN 2022) IS REPORTED IN COLUMN (C) AS UNVESTED DEFERRED COMPENSATION, AND WILL BE REPORTED AGAIN AS COMPENSATION IF AND WHEN THE FULL BENEFIT BECOMES VESTED AND IS SUBJECT TO TAX. THE INDEPENDENT COMPENSATION COMMITTEE OF THE CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER BOARD, WHOSE DILIGENT REVIEW AND APPROVAL PROCESS IS DESCRIBED ELSEWHERE IN THESE NARRATIVES, HAS REVIEWED AND APPROVED DR. SHANLEY'S TOTAL COMPENSATION IN A MANNER THAT QUALIFIES FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL TAX LAW INTERMEDIATE SANCTIONS RULES, AND AS PART OF THIS REVIEW PROCESS TOOK INTO ACCOUNT THE BENEFIT BEING EARNED UNDER THIS ADDITIONAL ARRANGEMENT. Schedule J, Part I, Line 7 Non-fixed payments THE ORGANIZATION PROVIDES ANNUAL INCENTIVE COMPENSATION TO SENIOR MANAGEMENT UNDER A SENIOR MANAGEMENT INCENTIVE COMPENSATION PLAN. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B (II). THE PLAN IS DESIGNED TO OFFER OPPORTUNITIES FOR ADDITIONAL COMPENSATION TIED TO PERFORMANCE AGAINST PRE-DETERMINED FINANCIAL, PATIENT SATISFACTION, PATIENT SAFETY AND INDIVIDUAL GOALS APPROVED IN ADVANCE BY THE COMPENSATION COMMITTEE OF THE CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER (MEDICAL CENTER) BOARD OF DIRECTORS, WHICH SERVES AS THE COMPENSATION COMMITTEE OF LURIE CHILDREN'S AND LURIE CHILDREN'S SURGICAL FOUNDATION, INC. THE COMPENSATION COMMITTEE HAS EXPRESSLY REVIEWED THE REASONABLENESS OF ALL SUCH PAYMENTS AND HAS CONCLUDED, AS THE RESULT OF A PROCESS THAT IS DESIGNED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER FEDERAL TAX LAW, THAT ALL SUCH AMOUNTS ARE REASONABLE AND DO NOT EXCEED FAIR MARKET VALUE FOR THE SERVICES PROVIDED. Schedule J, Part II RELATED COMPENSATION THE FOLLOWING INDIVIDUALS ARE NOT COMPENSATED BY THE REPORTING ORGANIZATION FOR HIS OR HER SERVICE AS A DIRECTOR OR OFFICER. RATHER, THE COMPENSATION REPORTED ON FORM 990, PART VII AND ON SCHEDULE J, PART II REFLECTS COMPENSATION PAID BY ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO (LURIE CHILDREN'S) FOR THE INDIVIDUAL'S SUBSTANTIAL AND FULL-TIME SERVICES AS AN EMPLOYEE. FOR MORE DETAILS, PLEASE REFER TO THE 2022 FORM 990 OF LURIE CHILDREN'S, FEIN 36-2170833. BRENDA DAVIS FATEMA ZANZI RON BLAUSTEIN THOMAS P. SHANLEY, MD Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION LURIE CHILDREN'S SURGICAL FOUNDATION, INC. ("LCSF") IS AN ILLINOIS NOT FOR PROFIT CORPORATION AND AN ORGANIZATION DESCRIBED UNDER SECTION 501(C)(3) OF THE CODE. ON JANUARY 1, 2019, CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER ("PARENT") (FEIN 36-3357004) BECAME THE SOLE CORPORATE MEMBER OF LCSF. LCSF EMPLOYS PEDIATRIC SURGICAL SPECIALISTS AND SUBSPECIALISTS. SUCH PHYSICIANS ARE BASED AND PRACTICE AT ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO ("LURIE CHILDREN'S"), ANOTHER AFFILIATED ENTITY OF LCSF, AND AT THE LURIE CHILDREN'S OUTREACH LOCATIONS. LURIE CHILDREN'S OFFERS OVER 70 TYPES OF PEDIATRIC SUBSPECIALTY CARE, MORE THAN ANY OTHER ILLINOIS HOSPITAL. LCSF EMPLOYS PEDIATRIC SURGICAL SPECIALISTS AND SUBSPECIALISTS WHO PROVIDE SURGICAL SERVICES TO PATIENTS OF LURIE CHILDREN'S IN THE AREAS OF CARDIAC SURGERY, FETAL SURGERY, NEUROSURGERY, OPHTHALMOLOGY, ORTHOPAEDICS, OTOLARYNGOLOGY, PEDIATRIC SURGERY, PLASTIC SURGERY, TRANSPLANT SURGERY, AND UROLOGY. LCSF PROVIDES SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY. IT ACCEPTS PATIENTS COVERED BY MEDICARE AND MEDICAID AND PROVIDES FINANCIAL ASSISTANCE UNDER ITS FINANCIAL ASSISTANCE POLICY. Form 990, Part V, Line 1a FORM 1099/1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO ("LURIE CHILDREN'S") (EIN 36-2170833). AS SUCH, ALL REQUIRED FORM 1099 AND FORMS 1096 REPORTING IS FILED UNDER THE LURIE CHILDREN'S EIN. Form 990, Part V, Line 2a ALLOCATION OF SALARY EXPENSES ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO PAYS AND ISSUES FORMS W-2 TO EMPLOYEES WHO WORK FOR LURIE CHILDREN'S SURGICAL FOUNDATION, INC. THE ALLOCATION OF THE SALARY COSTS ARE DISCLOSED ON FORM 990, PART IX, STATEMENT OF FUNCTIONAL EXPENSES. Form 990, Part VI, Line 15 EXECUTIVE COMPENSATION DESCRIPTION OF THE PROCESS BY WHICH THE COMPENSATION OF CERTAIN EXECUTIVES WAS DETERMINED THE AUTHORITY TO REVIEW AND APPROVE EXECUTIVE COMPENSATION HAS BEEN DELEGATED TO THE COMPENSATION COMMITTEE OF CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER BOARD OF DIRECTORS ("COMPENSATION COMMITTEE"). THE COMPENSATION COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT. THE COMPENSATION PHILOSOPHY IS SUBJECT TO PERIODIC REVIEW FOR CONTINUED APPROPRIATENESS BY THE COMPENSATION COMMITTEE. WITH THE ASSISTANCE OF A COMPENSATION CONSULTANT AND INFORMATION FROM A VARIETY OF EXTERNAL SOURCES (SPECIFIED ON SCHEDULE J), THE COMPENSATION COMMITTEE CONFIRMED THE TOTAL AMOUNTS TO BE PAID WERE REASONABLE AND COMPARABLE TO AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. LEGAL COUNSEL ADVISES THE COMPENSATION COMMITTEE WITH RESPECT TO FEDERAL TAX REQUIREMENTS IN SETTING COMPENSATION AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS. THE PROCESS FOLLOWED BY THE COMPENSATION COMMITTEE, INCLUDING A DESCRIPTION OF THE DATA RELIED UPON AND THE COMPENSATION COMMITTEE'S DECISIONS, WAS THOROUGHLY AND CONTEMPORANEOUSLY DOCUMENTED. THE COMPENSATION COMMITTEE HAS EXPRESSLY REVIEWED THE REASONABLENESS OF COMPENSATION PAID TO IDENTIFIED EXECUTIVES, AND HAS CONCLUDED, AS THE RESULT OF A PROCESS THAT IS DESIGNED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER FEDERAL TAX LAW, THAT ALL SUCH AMOUNTS ARE REASONABLE AND DO NOT EXCEED FAIR MARKET VALUE FOR THE SERVICES PROVIDED. THE COMPENSATION COMMITTEE IS COMPRISED OF MEMBERS OF CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER BOARD OF DIRECTORS HAVE BEEN DETERMINED TO BE DISINTERESTED FOR THESE PURPOSES. THE COMPENSATION COMMITTEE CONDUCTS AN ONGOING AND PERIODIC REVIEW OF THE DISINTERESTED STATUS OF ITS MEMBERS, AND WILL TAKE APPROPRIATE ACTION WITH RESPECT TO ANYONE HAVING AN INTEREST WITH RESPECT TO ONE OR MORE EXECUTIVES SO AS TO PRESERVE THE APPLICATION OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS. Form 990, Part VI, Line 6 Classes of members or stockholders CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER IS THE ORGANIZATION'S SOLE CORPORATE MEMBER. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE ORGANIZATION'S SOLE CORPORATE MEMBER, CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER, HAS CERTAIN RESERVED POWERS, INCLUDING THE POWER TO APPOINT AND REMOVE PHYSICIAN DIRECTORS OF THE ORGANIZATION'S BOARD. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER, THROUGH ITS BOARD OF DIRECTORS OR DESIGNATED COMMITTEE, AS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, HAS CERTAIN RESERVED POWERS WITH RESPECT TO APPOINTMENT AND REMOVAL OF CERTAIN DIRECTORS, APPOINTMENT OF CERTAIN OFFICERS, APPROVAL OF AMENDMENTS TO GOVERNING DOCUMENTS, APPROVAL OF FINANCIAL MATTERS, AND APPROVAL OF SIGNIFICANT TRANSACTIONS INCLUDING, BUT NOT LIMITED TO, MERGER, DISSOLUTION, DISPOSITION OF ASSETS OTHER THAN IN THE ORDINARY COURSE OF BUSINESS, AND CREATION OF SUBSIDIARIES. Form 990, Part VI, Line 11b Review of form 990 by governing body THE AUDIT AND COMPLIANCE COMMITTEE IS THE COMMITTEE OF THE CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER ("MEDICAL CENTER") BOARD CHARGED WITH THE OVERSIGHT OF AUDIT, TAX AND COMPLIANCE MATTERS FOR THE PARENT AND AFFILIATES. DURING A SPECIAL AUDIT AND COMPLIANCE COMMITTEE MEETING, AND BEFORE FORM 990 WAS FILED, THE AUDIT AND COMPLIANCE COMMITTEE WAS PROVIDED A REVIEW OF FORM 990 BY THE CHIEF FINANCIAL OFFICER ("CFO"). THE CFO AND OUTSIDE TAX ADVISOR ALSO RESPONDED TO THE AUDIT AND COMPLIANCE COMMITTEE MEMBERS' QUESTIONS AND AFFORDED THEM THE OPPORTUNITY FOR DETAILED DISCUSSION OF FORM 990, PRIOR TO THE AUDIT AND COMPLIANCE COMMITTEE TAKING ACTION TO APPROVE THE FILING OF FORM 990. A FULL COPY OF THE ORGANIZATION'S FORM 990 WAS THEN PROVIDED TO THE RESPECTIVE FILING ORGANIZATION'S BOARD FOLLOWING THE COMMITTEE'S APPROVAL. AS PART OF ITS ANNUAL RETURN PREPARATION PROCESS, THE ORGANIZATION, ON AN ONGOING BASIS, CONSULTED ITS TAX CONSULTING FIRM AND OUTSIDE TAX LEGAL COUNSEL, BOTH OF WHICH POSSESS EXPERTISE IN HEALTH CARE AND TAX-EXEMPT RETURN PREPARATION, TO ADVISE AND ASSIST IN THE PREPARATION OF FORM 990. THESE ADVISORS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER MEMBERS OF THE ORGANIZATION'S TEAM ASSEMBLED TO PARTICIPATE IN THE PREPARATION OF FORM 990. PRIOR TO PRESENTING FORM 990 TO THE MEDICAL CENTER BOARD'S AUDIT AND COMPLIANCE COMMITTEE, THE ORGANIZATION'S TEAM, INCLUDING ITS ADVISORS, MET FREQUENTLY TO DISCUSS AND REVIEW DRAFTS OF FORM 990. SUBSEQUENT TO THE AUDIT AND COMPLIANCE COMMITTEE REVIEW AND APPROVAL, FORM 990 WAS PROVIDED TO THE RESPECTIVE FILING ORGANIZATION'S BOARD OF DIRECTORS. Form 990, Part VI, Line 12c Conflict of interest policy ON AN ANNUAL BASIS, CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER (THE "MEDICAL CENTER") AND ITS AFFILIATES (COLLECTIVELY THE "CORPORATION") PROVIDE A COMPREHENSIVE QUESTIONNAIRE TO ITS BOARD MEMBERS, SENIOR MANAGEMENT AND PURCHASING PERSONNEL POSING QUESTIONS ABOUT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE MEDICAL CENTER INITIATES FOLLOW UP CONTACT TO THOSE WHO DO NOT RESPOND AND TO CLARIFY RESPONSES, WHERE NECESSARY. THE MEDICAL CENTER REVIEWS EACH DISCLOSURE AND PROVIDES A SUMMARY OF RELEVANT DISCLOSURES FOR THE REVIEW AND APPROVAL OF ITS NOMINATING AND GOVERNANCE COMMITTEE. PURSUANT TO THE CONFLICTS OF INTEREST POLICY OF THE CORPORATION, DIRECTORS, OFFICERS, PHYSICIAN LEADERS, AND OTHERS WHO ARE SUBJECT TO THE POLICY ARE REQUIRED TO PROMPTLY AND FULLY DISCLOSE IN WRITING ANY ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST TO THE PRESIDENT OF THE CORPORATION AND CHIEF LEGAL OFFICER. DISCLOSURES ARE PROVIDED TO THE NOMINATING AND GOVERNANCE COMMITTEE OF THE MEDICAL CENTER BOARD OF DIRECTORS, WHICH CONSIDERS ALL CONFLICTS OF INTEREST ISSUES AND, IF APPROPRIATE, PROVIDES SUCH WRITTEN DISCLOSURE TO THE DIRECTORS AND/OR BOARD COMMITTEES CONSIDERING THE PROPOSED TRANSACTION OR OTHER APPROPRIATE PARTIES. IN ADDITION, ON AN ANNUAL BASIS, THE CORPORATION SURVEYS EACH INDIVIDUAL SUBJECT TO THE POLICY AS TO THE EXISTENCE OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE CORPORATION WILL NOT ENTER INTO AN AGREEMENT, TRANSACTION OR OTHER ARRANGEMENT INVOLVING A CONFLICT OF INTEREST UNLESS THE DISINTERESTED MEMBERS OF THE NOMINATING AND GOVERNANCE COMMITTEE OF THE CORPORATION'S BOARD OF DIRECTORS DETERMINE BY A MAJORITY VOTE THAT APPROPRIATE SAFEGUARDS TO PROTECT THE CHARITABLE MISSION OF THE CORPORATION HAVE BEEN IMPLEMENTED. THE SUBJECT INTERESTED PERSON MAY NOT BE PRESENT WHEN THE VOTE IS TAKEN. IF IT IS DETERMINED THAT A CONFLICT OF INTEREST EXISTS, A DISINTERESTED PERSON OR COMMITTEE OF DISINTERESTED MEMBERS MAY BE ASSIGNED TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT, WITH REASONABLE EFFORTS, FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION, AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S ARTICLES OF INCORPORATION AND ANNUAL REPORTS ARE AVAILABLE THROUGH THE ILLINOIS SECRETARY OF STATE. THE ORGANIZATION ALSO MAKES ITS GENERAL GOVERNING DOCUMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. Form 990, Part VII, Section B, Line 1 INDEPENDENT CONTRACTORS VENDORS FOR THE FILING ORGANIZATION ARE PAID BY ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO ("LURIE CHILDREN'S"). AS SUCH, THE FIVE HIGHEST COMPENSATED INDEPENDENT CONTRACTORS ARE REPORTED ON THE FORM 990 FOR LURIE CHILDREN'S (EIN 36-2170833). Form 990, Part VIII, Line 2f Other Program Service Revenue MISCELLANEOUS - Total Revenue: 280183, Related or Exempt Function Revenue: 280183, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances PENSION ADJUSTMENT - 758912; ALMOST HOME KIDS 7 S 721 ROUTE 53 NAPERVILLE IL 60540 363822010 TRANSITION CR IL 501(c)(3) 10 MEDICAL CTR false STANLEY MANNE CHILDREN'S RESC INSTITUTE 225 E CHICAGO AVE CHICAGO IL 60611 363357005 RESEARCH IL 501(c)(3) 4 MEDICAL CTR false LURIE CHILDREN'S HOSPITAL OF CHICAGO FDN 225 E CHICAGO AVE CHICAGO IL 60611 363357006 FUNDRAISING IL 501(c)(3) 7 MEDICAL CTR false CHILDREN'S HOSPITAL OF CHICAGO MED CTR 225 E CHICAGO AVE CHICAGO IL 60611 363357004 HEALTH CARE IL 501(c)(3) 10 NA false PEDIATRIC FACULTY FOUNDATION INC 225 E CHICAGO AVE CHICAGO IL 60611 363279680 HLTH CRE/RSCH IL 501(c)(3) 10 MEDICAL CTR false LURIE CHILDRENS LIABILITY PROTECTION PRG 225 E CHICAGO AVE CHICAGO IL 60611 366638400 INSURANCE IL 501(c)(3) Type III-FI MEDICAL CTR false LURIE CHILDREN'S 225 E CHICAGO AVE CHICAGO IL 60611 362170833 HOSPITAL IL 501(c)(3) 3 MEDICAL CTR false CHILDREN'S HOSPITAL OF CHICAGO FPP 737 NORTH MICHIGAN AVE 2040 CHICAGO IL 60611 363393780 SUPPORTING ORG IL 501(c)(3) Type I MEDICAL CTR false LURIE CHILDREN'S PEDIATRIC ANESTHESIA ASSOCIATES 225 E CHICAGO AVE CHICAGO IL 60611 371838535 HEALTH CARE IL 501(c)(3) 3 MEDICAL CTR false LURIE CHILDRENS CIN LLC 225 E CHICAGO AVE CHICAGO IL 60611 901025439 CONTRACTING SVCS IL NA CMMC INSURANCE CO LTD 225 E CHICAGO AVE CHICAGO IL 60611 981049532 SELF INSURANCE CJ NA C Corporation false false true false false false false false false false true false false false true true false false false