2022-07-13T11:43:24-05:00 2021-08-31 ERNST & YOUNG US LLP 155 N Wacker Drive Chicago IL 60606 990 2020-09-01 362170833 Ann & Robert H Lurie Children's Hospital of Chicago % BRENDA DAVIS ANN& 3122277133 225 E CHICAGO AVE BOX 282 CHICAGO IL 606112991 BRENDA DAVIS INTERIM SR. VP/CFO 3122277133 2022-07-12 true BRENDA DAVIS 999009999 JESS WAGENER P01622613 3128792000 2 2020 2022-09-23 18:48:47Z LURIE CHILDREN'S Thomas P Shanley MD 225 E Chicago Ave Box 282 Chicago IL 606112991 2165075904 false X www.luriechildrens.org X 1894 IL Lurie Children's, a pediatric academic medical center, provides patient care & edu for physicians & other med professionals and is a leader in pediatric research & advocacy. 68 66 6964 775 7822 0 98237350 53358882 986456846 1020621134 103282951 85989228 1365371 1404541 1189342518 1161373785 121186565 129270599 0 0 490763468 493796021 0 0 0 455177957 480193339 1067127990 1103259959 122214528 58113826 2742111808 3146601319 707642691 822367831 2034469117 2324233488 X WE ARE DEDICATED TO THE HEALTH AND WELL-BEING OF ALL CHILDREN. AS THE PEDIATRIC TEACHING FACILITY FOR NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE, THIS COMMITMENT DRIVES US TO BE A LEADER IN: - PEDIATRIC HEALTH CARE DELIVERY - RESEARCH INTO THE PREVENTION, CAUSES AND TREATMENT OF DISEASES THAT AFFECT CHILDREN - EDUCATION FOR PHYSICIANS, NURSES, ALLIED HEALTH PROFESSIONALS, AND PUBLIC HEALTH PRACTIONERS - ADVOCACY FOR CHILDREN AS A CHARITABLE ORGANIZATION, WE SERVE CHILDREN AND THEIR FAMILIES TO THE BEST OF OUR ABILITIES AND TO THE LIMITS OF OUR RESOURCES. false false 943858315 129270599 1022047981 ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO ("LURIE CHILDREN'S") IN CHICAGO, ILLINOIS OWNS AND OPERATES THE ONLY FULL-SERVICE, INDEPENDENT, SELF-GOVERNING PEDIATRIC HOSPITAL IN ILLINOIS. THIS NOT-FOR-PROFIT, TERTIARY CARE HOSPITAL, FOUNDED IN 1882, PROVIDES PATIENT CARE 24 HOURS-PER-DAY, 7 DAYS-PER-WEEK. LURIE CHILDREN'S HAS 364 LICENSED BEDS AND PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT CARE AND RELATED ANCILLARY SERVICES. LURIE CHILDREN'S PROVIDES MORE CARE THAN ANY OTHER HOSPITAL PROVIDER IN ILLINOIS IN NEARLY EVERY PEDIATRIC MEDICAL AND SURGICAL SPECIALTY. AS A MAJOR ACADEMIC TERTIARY CARE MEDICAL CENTER, LURIE CHILDREN'S HAS SERVED PATIENTS FROM ALL 50 STATES AND MORE THAN 30 COUNTRIES. LURIE CHILDREN'S IS A DESIGNATED LEVEL I PEDIATRIC TRAUMA CENTER FOR THE CITY OF CHICAGO, WITH A LEVEL III NEONATAL NURSERY THAT SERVES AS A REGIONAL REFERRAL CENTER IN THE STATE OF ILLINOIS PERINATAL NETWORK. LURIE CHILDREN'S ABILITY TO TREAT THE MOST CRITICALLY ILL INFANTS IN ITS NEONATAL INTENSIVE CARE UNIT ("NICU") IS DEMONSTRATED BY STATISTICS FOR FISCAL YEAR 2020 WHICH SHOW THAT OVER HALF OF ALL TRANSPORTS INTO ITS NICU WERE FROM OTHER LEVEL III NURSERIES IN Illinois. IN 2020-21 U.S. NEWS & WORLD REPORT RANKINGS, LURIE CHILDREN'S CONTINUES TO BE THE TOP RANKED CHILDREN'S HOSPITAL IN ILLINOIS AND RANKS IN ALL 10 FEATURED SPECIALTIES. IN 2020-21, LURIE CHILDREN'S RANKED IN THE TOP 10 HOSPITALS ACROSS THE NATION FOR CARDIOLOGY AND HEART SURGERY (8th), UROLOGY (7TH), AND NEONATOLOGY (8th). IN 2016, LURIE CHILDREN'S WAS NAMED A LEVEL I PEDIATRIC SURGERY CENTER BY THE AMERICAN COLLEGE OF SURGEONS (ACS), AND REMAINS THE ONLY CHILDREN'S HOSPITAL IN ILLINOIS TO EARN THIS STATUS. LEVEL I VERIFICATION - THE HIGHEST OF THREE - IS AWARDED BY A MULTI-ORGANIZATIONAL TASKFORCE LED BY THE ACS, THE BODY RESPONSIBLE FOR SETTING THE NATION'S STANDARDS FOR QUALITY OF SURGICAL CARE, PRACTICE AND TRAINING. IN FY 2020, LURIE CHILDREN'S, THROUGH 771,255 PATIENT VISITS, SERVED MORE THAN 221,109 CHILDREN AND ADOLESCENTS WHO CAME FROM ALL OVER THE STATE OF ILLINOIS AND BEYOND TO ACCESS THE MORE THAN 70 SPECIALTIES OFFERED BY LURIE CHILDREN'S. LURIE CHILDREN'S IS THE LARGEST PROVIDER OF MEDICAID SERVICES TO ILLINOIS CHILDREN. LURIE CHILDREN'S PEDIATRIC-SPECIALIST PHYSICIANS PROVIDE MORE SPECIALTY CARE TO CHILDREN INSURED BY THE STATE OF ILLINOIS' ALL KIDS (MEDICAID) PROGRAM THAN ANY OTHER SPECIALTY CARE PROVIDER. MORE THAN HALF OF THE HOSPITAL INPATIENT SERVICES ARE PROVIDED TO CHILDREN INSURED BY MEDICAID. LURIE CHILDREN'S MAINTAINS A FINANCIAL ASSISTANCE POLICY UNDER WHICH IT PROVIDES HEALTHCARE SERVICES FREE OF CHARGE OR AT A GREATLY REDUCED RATE TO CHILDREN WHOSE FAMILIES ARE UNABLE TO PAY FOR THE CHARGES ASSOCIATED WITH THEIR MEDICAL CARE. FOR FY 2021, THE TOTAL UNREIMBURSED CARE AND COMMUNITY BENEFIT (AS REPORTED IN THE FY 2021 AUDIT OF LURIE CHILDREN'S AND ITS AFFILIATES) PROVIDED BY LURIE CHILDREN'S AND ITS AFFILIATES WAS APPROXIMATELY $231.0 MILLION, INCLUDING $164.2 MILLION IN COSTS ASSOCIATED WITH UNREIMBURSED SERVICES AND FINANCIAL ASSISTANCE PROVIDED BY LURIE CHILDREN'S AND ITS AFFILIATED PHYSICIAN GROUPS AND $66.8 MILLION FOR OTHER COMMUNITY BENEFIT INCLUDING, BUT NOT LIMITED TO, RESIDENT AND FELLOW EXPENSES OF $24.4 MILLION, RESEARCH FUNDING OF $18.0 MILLION, OPERATION OF A COMMUNITY CLINIC SUPPORT OF $1.5 MILLION, CHILD ADVOCACY PROGRAMS OF $6.6 MILLION AND THE PROVISION OF LANGUAGE ASSISTANCE, PASTORAL CARE, SOCIAL WORK, ART AND MUSIC THERAPIES, HOSPITAL VOLUNTEER SERVICES, TRANSPLANT FAMILY HOUSING AND OTHER FAMILY SUPPORT SERVICES OF $10.3 MILLION. LURIE CHILDREN'S UNDERTAKES A BROAD RANGE OF SERVICES AND ACTIVITIES IN ADDITION TO PATIENT CARE THAT SUPPORT ITS CHARITABLE MISSION. LURIE CHILDREN'S FUNCTIONS AS A TEACHING AND RESEARCH INSTITUTION WHOSE EFFORTS HAVE CONTRIBUTED CONSIDERABLY TO IMPROVEMENTS IN THE QUALITY OF LIFE AND HEALTHCARE FOR CHILDREN. LURIE CHILDREN'S SUPPORTS COMMUNITY MEDICAL NEEDS THROUGH A VARIETY OF OUTREACH PROGRAMS AND EDUCATIONAL PROGRAMS. IN DECEMBER 2001, LURIE CHILDREN'S BECAME THE FIRST PEDIATRIC HOSPITAL IN THE NATION AND THE FIRST HOSPITAL IN ILLINOIS TO RECEIVE THE MAGNET AWARD FROM THE AMERICAN NURSES CREDENTIALING CENTER. LURIE CHILDREN'S WAS AWARDED THIS DESIGNATION AGAIN IN 2005, 2010, 2015 AND 2020. TODAY, WHILE THE STATUS IS THE MOST SOUGHT-AFTER NATION-WIDE HONOR IN HOSPITAL NURSING, LESS THAN 1% OF HOSPITALS HAVE ACHIEVED THE ACCOMPLISHMENT OF MAINTAINING THE DESIGNATION FIVE TIMES. LURIE CHILDREN'S IS ONE OF THE MAJOR PEDIATRIC TEACHING HOSPITALS IN THE U.S., SERVING AS THE PEDIATRIC TEACHING FACILITY AND THE PRIMARY PEDIATRIC PRACTICE SITE OF NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE ("NUFSM") FOR RESIDENT PHYSICIANS, FELLOWS AND MEDICAL STUDENTS IN PEDIATRIC SPECIALTIES AND SUB-SPECIALTIES. THIS PROGRAM IS CONSISTENTLY ONE OF THE MOST SOUGHT AFTER IN THE COUNTRY. MCGAW MEDICAL CENTER OF NORTHWESTERN UNIVERSITY MANAGES THE TRAINING OF HUNDREDS OF RESIDENT-LEVEL TRAINEES AND TRAINEES AT THE FELLOW LEVEL. OF THOSE, LURIE CHILDREN'S IS THE PRIMARY TEACHING SITE FOR APPROXIMATELY 100 PEDIATRIC RESIDENTS AND OVER 100 PEDIATRIC SUBSPECIALTY FELLOWS. IN ADDITION, TRAINEES FROM THE ADULT PROGRAMS OF MCGAW ROTATE TO LURIE CHILDREN'S FOR VARYING LENGTHS OF TIME TO FULFILL THE PEDIATRIC COMPONENT OF THEIR TRAINING PROGRAM. LURIE CHILDREN'S ROLE AS A REGIONAL REFERRAL CENTER FOR A VARIETY OF PEDIATRIC DISEASES AND ILLNESSES HAS CREATED MANY RESEARCH OPPORTUNITIES TO STUDY AND TREAT THEM. LURIE CHILDREN'S RESEARCH ARM, STANLEY MANNE CHILDREN'S RESEARCH INSTITUTE ("MANNE RESEARCH INSTITUTE"), IS ONE OF THE NATION'S FEW CENTERS DEDICATED SOLELY TO PEDIATRIC RESEARCH. SEE THE TAX INFORMATION RETURN OF LURIE CHILDREN'S AFFILIATE, MANNE RESEARCH INSTITUTE (36-3357005). LURIE CHILDREN'S HAS HAD A LONGSTANDING COMMITMENT TO WORK WITH COMMUNITY LEADERS AND ORGANIZATIONS TO SUPPORT THE HEALTH AND WELL-BEING OF CHILDREN BEYOND THE WALLS OF THE HOSPITAL, PARTICULARLY IN UNDER RESOURCED COMMUNITIES. HOSPITAL PHYSICIANS AND STAFF PROVIDE EXPERTISE ON CHILD AND ADOLESCENT HEALTH ISSUES TO GOVERNMENT LEADERS AT LOCAL, CITY, STATE AND NATIONAL LEVELS. LURIE CHILDREN'S ENGAGES IN STRATEGIC PARTNERSHIPS, SUCH AS SCHOOL-BASED COLLABORATIONS TO PROMOTE HEALTH, SAFETY AND SOCIALIZATION FOR ALL STUDENTS INCLUDING SUPPORT FOR LEARNING ACCOMMODATIONS FOR STUDENTS WITH SPECIAL HEALTH CARE NEEDS, SOCIAL-EMOTIONAL LEARNING, CONCUSSION MANAGEMENT, SUBSTANCE ABUSE, VIOLENCE PREVENTION, INJURY PREVENTION, OBESITY REDUCTION, HOME VISITING SUPPORTS FOR PREGNANT AND PARENTING ADOLESCENTS AND INTERNSHIPS AND MENTORSHIP OPPORTUNITIES FOR YOUTH IN LOW OPPORTUNITY NEIGHBORHOODS. COLLABORATIONS WITH THE CHICAGO PARK DISTRICT HAVE INCLUDED PLAYGROUND SAFETY INSPECTIONS, TRAUMA-INFORMED TRAINING FOR COACHES AND STAFF, OBESITY PREVENTION EDUCATION AND POLICY DEVELOPMENT, AND SYSTEM-WIDE COACH TRAINING IN CONCUSSION MANAGEMENT. OTHER COMMUNITY HEALTH ACTIVITIES INCLUDE A PARTNERSHIP BY LURIE CHILDREN'S HEMATOLOGISTS WITH THE AMERICAN RED CROSS BLOOD SERVICES TO LAUNCH A COOPERATIVE SICKLE CELL BLOOD DONOR PROGRAM TO INCREASE THE NUMBER OF BLOOD DONATIONS BY AFRICAN AMERICANS TO HELP CHILDREN WITH SICKLE CELL DISEASE WHO REQUIRE FREQUENT BLOOD TRANSFUSIONS. SINCE 2004, LURIE CHILDREN'S CENTER FOR CHILDHOOD RESILIENCE (CCR) HAS ENGAGED YOUTH-SERVING ORGANIZATIONS TO ADDRESS THE IMPACT OF TRAUMA AND PROMOTE MENTAL WELLNESS. THEY HOUSE THE ILLINOIS CHILDHOOD TRAUMA COALITION AND THE ILLINOIS CHILDREN'S MENTAL HEALTH PARTNERSHIP. CCR HAS PARTNERED WITH MULTIPLE SCHOOL DISTRICTS, INCLUDING CHICAGO PUBLIC SCHOOLS, TO IMPLEMENT TRAUMA-INFORMED AND TRAUMA-RESPONSIVE PRACTICES AND DELIVER PROVEN EVIDENCE-BASED MENTAL HEALTH SERVICES. LURIE CHILDREN'S HOUSES AND OVERSEES THE CONSORTIUM TO LOWER OBESITY IN CHICAGO CHILDREN (CLOCC), A LEADING NATIONAL PROGRAM THAT TAKES AN ECOLOGICAL APPROACH TO CHILDHOOD OBESITY PREVENTION. CLOCC FOCUSES ON THE ROOT CAUSES OF OBESITY AND DEVELOPS, SUPPORTS AND DISSEMINATES EVIDENCE-BASED INTERVENTIONS. CLOCC SUPPORTS THE EFFORTS OF MORE THAN 30 CHICAGO PUBLIC SCHOOLS TO ACHIEVE HEALTHY CPS DESIGNATION; ADVOCATES FOR HEALTHY VENDING CONTRACTS AND IMPROVED OPTIONS IN BUILDINGS OWNED OR MANAGED BY THE CITY OF CHICAGO; DEVELOPED AND TRAINED MORE THAN 9,400 STAFF FROM MORE THAN 2,300 ORGANIZATIONS USING 5-4-3-2-1 GO!, AN EVIDENCE-BASED, HEALTHY LIFESTYLE MESSAGE FOR CHILDREN AND FAMILIES. LURIE CHILDREN'S LEADS A VIOLENCE PREVENTION CONSORTIUM CALLED STRENGTHENING CHICAGO'S YOUTH (SCY). SCY USES A PUBLIC HEALTH APPROACH TO VIOLENCE PREVENTION AND HELPS BUILD CAPACITY AMONG PUBLIC AND PRIVATE STAKEHOLDERS. IN 2020, SCY HOSTED 7 TRAINING AND EDUCATIONAL EVENTS THAT WERE ATTENDED BY MORE THAN 500 PARTNERS. SCY ALSO MANAGES THE JUVENILE JUSTICE COLLABORATIVE (JJC), WHICH HELPS YOUNG PEOPLE WHO ARE ARRESTED AVOID FURTHER INVOLVEMENT WITH THE JUSTICE SYSTEM BY LINKING THEM WITH NEEDED COMMUNITY SERVICES. LURIE CHILDRE 943858315 true true false true false false false false false true true true false false true false false true false false true false false false false false true true true false true true false false false false false false false false true true false false false false false true false false false true X 427 0 true 6964 true true true false false false false false false false false false true false X 68 66 true false false false true true true true true false false true true true true true true true true false CA IL X BRENDA DAVIS 3122277133 225 E CHICAGO AVE Chicago IL 606112991 X Michelle M Stephenson EVP & Chief Operating Officer 40.0 1.0 X 2934394 0 54224 Elizabeth J Perlman MD Ex-Officio Director untl 12/20 1.0 42.0 X 0 2362840 49452 Thomas P Shanley MD Ex-Offc Dir/Pres & CEO LCH 40.0 6.0 X X 1242160 66823 255824 Marleta Reynolds MD Ex-Officio Director untl 12/20 1.0 44.0 X 0 983705 37500 Grant Stirling EVP/Chf Devl Offcr/FDN 40.0 1.0 X 828006 0 192080 Monica Heenan Chf Ambulatory Exec untl 01/21 40.0 0.0 X 806614 0 130498 Ron Blaustein Chief Financial Officer 40.0 7.0 X 683008 0 173903 Derek S Wheeler Ex-Officio Director untl 12/20 1.0 43.0 X 0 730586 105072 Matthew Davis MD Ex-Officio Director untl 12/20 1.0 44.0 X 0 682661 135002 Susan H Gordon Chief Communic/Ext Affairs 40.0 0.0 X 481588 0 302309 Erik C King MD Director 1.0 42.0 X 0 706765 37500 Joni M Duncan Chief HR Officer untl 10/12/20 40.0 0.0 X 697436 0 42901 Scott T Wilkerson Executive Director LCHPCIN 40.0 0.0 X 633872 0 46450 Patrick M Magoon Ex-Officio Director untl 12/19 40.0 1.0 X 614188 0 32790 Lisa M Dykstra Chief Information Officer 40.0 0.0 X 527519 0 108579 Fatema Zanzi SENIOR VP, CHF LEGAL OFFICER 40.0 7.0 X 501385 0 68569 Brian M Stahulak SVP & Chief Nursing Officer 40.0 0.0 X 419748 0 49774 Carl S Allegretti Director 1.0 1.0 X 0 0 0 Sarah Baine Director until 12/3/20 1.0 2.0 X 0 0 0 Jack R Callison Jr Director 1.0 1.0 X 0 0 0 Kevin M Connelly Director until 12/3/20 1.0 1.0 X 0 0 0 Lester Crown Director 1.0 1.0 X 0 0 0 Pedro Dejesus Director 1.0 1.0 X 0 0 0 James F Derose Director 1.0 1.0 X 0 0 0 Christopher Deveny Director 1.0 1.0 X 0 0 0 William J Devers Jr Director until 12/3/20 1.0 1.0 X 0 0 0 Labeed S Diab Rph Director until 11/16/20 1.0 1.0 X 0 0 0 Dennis J Drescher Director 1.0 1.0 X 0 0 0 Lilia Arroyo Flores Director until 10/23/20 1.0 1.0 X 0 0 0 Melvin Gray Director 1.0 1.0 X 0 0 0 David A Helfand Director 1.0 1.0 X 0 0 0 Jed Hoyer Director until 12/3/20 1.0 2.0 X 0 0 0 Christopher M Keogh Director 1.0 1.0 X 0 0 0 Jonathan R Levin Director 1.0 1.0 X 0 0 0 Sharon L Manne Phd Director until 11/1/20 1.0 1.0 X 0 0 0 Andrew J Mckenna Director & Vice Chair 1.0 1.0 X 0 0 0 David Neithercut Director until 7/1/21 1.0 1.0 X 0 0 0 Leslie H Newman Director until 12/3/20 1.0 2.0 X 0 0 0 Joshua J Prangley Director 1.0 2.0 X 0 0 0 Mohan P Rao Phd Director 1.0 2.0 X 0 0 0 Betsy B Rosenfield Director 1.0 1.0 X 0 0 0 Zaldwaynaka Scott Director 1.0 1.0 X 0 0 0 Christopher S Segal Director 1.0 1.0 X 0 0 0 William Silverstein Director 1.0 1.0 X 0 0 0 John H Simpson Director 1.0 1.0 X 0 0 0 Eric S Smith Director 1.0 2.0 X 0 0 0 H Thomas Watkins III Director 1.0 2.0 X 0 0 0 Linda S Wolf Director until 12/3/20 1.0 1.0 X 0 0 0 John J Allen Director until 12/3/20 1.0 1.0 X 0 0 0 Stephen W Beard Director until 12/3/20 1.0 1.0 X 0 0 0 Allan Bulley III Director until 12/3/20 1.0 1.0 X 0 0 0 Charles W Douglas Director until 12/3/20 1.0 1.0 X 0 0 0 Donald J Edwards Director 1.0 1.0 X 0 0 0 John S Gates Jr Director until 7/27/21 1.0 1.0 X 0 0 0 Veronica Gomez Director 1.0 1.0 X 0 0 0 Lauren Gorter Director until 12/3/20 1.0 2.0 X 0 0 0 W Bruce Johnson Director until 12/3/20 1.0 1.0 X 0 0 0 Anthony K Kesman Director until 12/3/20 1.0 2.0 X 0 0 0 Susan L Lees Director 1.0 1.0 X 0 0 0 Craig C Martin Director 1.0 1.0 X 0 0 0 William J Mckenna Director 1.0 2.0 X 0 0 0 John C Moore Director until 12/3/20 1.0 1.0 X 0 0 0 Robert S Murley Director & Vice Chair 1.0 2.0 X 0 0 0 Daniel J Murphy Director 1.0 1.0 X 0 0 0 Andrew N Reyes Director 1.0 1.0 X 0 0 0 J Christopher Reyes Director/Vice Chair untl 12/20 1.0 1.0 X 0 0 0 John W Rutledge Director 1.0 1.0 X 0 0 0 Karen Sauder Director/Vice Chair 1.0 1.0 X 0 0 0 Smita N Shah Director until 12/3/20 1.0 1.0 X 0 0 0 Gregory D Smith Director until 12/3/20 1.0 2.0 X 0 0 0 Lyndon A Taylor Director until 5/7/21 1.0 1.0 X 0 0 0 Robert L Verigan Director 1.0 1.0 X 0 0 0 Liam Walsh Director until 12/3/20 1.0 1.0 X 0 0 0 Robin G Zafirovski Director until 12/3/20 1.0 2.0 X 0 0 0 Peter B Bensinger Jr Director 1.0 2.0 X 0 0 0 Alfreda Bradley-Coar Director 1.0 1.0 X 0 0 0 Michael T Bromfield Director until 12/3/20 1.0 2.0 X 0 0 0 Kevin W Burke Director 1.0 1.0 X 0 0 0 Brendan F Carroll Director 1.0 1.0 X 0 0 0 Gregory C Case Director until 12/3/20 1.0 1.0 X 0 0 0 Alan Chapman Director until 12/3/20 1.0 2.0 X 0 0 0 Eleanor O Clarke Director until 12/3/20 1.0 1.0 X 0 0 0 Susan B Depree Director until 12/3/20 1.0 2.0 X 0 0 0 Michael C Evangelides Director 1.0 2.0 X 0 0 0 Kristin Finney-Cooke Director 1.0 1.0 X 0 0 0 Esther T Franklin Director 1.0 1.0 X 0 0 0 David A Garfield Director 1.0 1.0 X 0 0 0 Michael P Goldman Director 1.0 1.0 X 0 0 0 John J Greisch Director 1.0 2.0 X 0 0 0 David D Grumhaus Jr Director until 12/3/20 1.0 1.0 X 0 0 0 Bruce R Hague Director 1.0 1.0 X 0 0 0 James P Hickey Director 1.0 1.0 X 0 0 0 Mark A Hoppe Director 1.0 1.0 X 0 0 0 Julie M Howard Director until 12/3/20 1.0 1.0 X 0 0 0 Martin Kaplan Director 1.0 1.0 X 0 0 0 Michael M Larsen Director 1.0 1.0 X 0 0 0 Roxanne Martino Director & Chair 1.0 2.0 X 0 0 0 Deidra Merriwether Director 1.0 1.0 X 0 0 0 Thomas E O'Neill Director 1.0 1.0 X 0 0 0 Nancy A Pacher Director until 5/11/21 1.0 1.0 X 0 0 0 Brian D Price Director 1.0 1.0 X 0 0 0 Bruce S Saltzberg Director 1.0 1.0 X 0 0 0 Karuna Rawal Director 1.0 1.0 X 0 0 0 Ravindra Simhambhatla Director 1.0 1.0 X 0 0 0 Honey Jacobs Skinner Director 1.0 1.0 X 0 0 0 Stephen A Smith Director 1.0 1.0 X 0 0 0 W Brennan Smith Director 1.0 1.0 X 0 0 0 Thomas S Souleles Director & Vice Chair 1.0 1.0 X 0 0 0 Barbara Sullivan Director 1.0 1.0 X 0 0 0 Monsignor Kenneth J Velo Director until 12/3/20 1.0 1.0 X 0 0 0 Edward J Wehmer Director 1.0 1.0 X 0 0 0 James H Wooten Jr Director until 12/3/20 1.0 1.0 X 0 0 0 T Randall Kinsella MD Ex-Officio Director untl 01/21 1.0 2.0 X 0 0 0 Eric G Neilson MD Ex-Officio Director untl 12/20 1.0 2.0 X 0 0 0 James Olson MD Director/President-Med/Dental 1.0 2.0 X 0 0 0 Kristi L Stathis Ex-Officio Director untl 12/20 1.0 3.0 X 0 0 0 Shelley Patenaude Ex-Officio Director untl 7/21 1.0 2.0 X 0 0 0 Elizabeth A Engelmann Director 1.0 1.0 X 0 0 0 Michael S Hollander Director 1.0 1.0 X 0 0 0 Suzet McKinney Director 1.0 1.0 X 0 0 0 Janet L Malzone Director 1.0 1.0 X 0 0 0 Maureen Seaman Ex-Officio Director 1.0 2.0 X 0 0 0 Sherman Wright Director until 12/3/20 1.0 1.0 X 0 0 0 Christopher Merrill Director until 12/3/20 1.0 1.0 X 0 0 0 10369918 5533380 1822427 193 true true false MCGAW MEDICAL CENTER 303 E CHICAGO AVE CHICAGO IL 60611 PROF MED SVCS 22726274 SKENDER CONSTRUCTION LLC 260 LARKDALE ROW WAUCONDA IL 60084 CONSTRUCTION SVCS 10877377 CROTHALL HEALTHCARE INC 955 CHESTERBROOK BLVD WAYNE PA 19087 HEALTHCARE SUPPORT 10757632 POWER CONSTRUCTION 8750 W BRYN MAWR CHICAGO IL 606313546 Construction SVCS 3849049 CROSS COUNTRY HEALTHCARE 6551 PARK OF COMMERCE BLVD BOCA RATON FL 33487 HLTHCARE SUPPORT SVC 2963999 32 43899385 9459497 53358882 PATIENT CARE & PROGRAM SVCS 621111 614354390 614354390 MEDICARE/MEDICAID 621111 329044222 329044222 GRANTS-FED/STATE/AGENCY 621111 65742056 65742056 PARKING GARAGES 812930 3180354 123241 3057113 REFERENCE LAB REVENUE 621511 788787 324136 464651 7511325 5884280 1627045 1020621134 18076819 -580070 18656889 0 0 1426847 22306 1404541 0 1404541 1426847 -22306 1071592222 1003588735 91078 68003487 -91078 67912409 67912409 0 0 0 0 0 0 0 0 0 0 0 1161373785 1016775931 7822 91231150 129270599 129270599 0 0 0 6015697 5161761 853936 154799 132825 21974 403819578 346496892 57322686 -1117035 -1117035 55218334 45119737 10098597 29704648 26256408 3448240 0 686852 686852 530004 530004 339327 339327 0 4313891 4313891 29773378 18025404 11747974 2769693 2769693 58518218 58282848 235370 21510622 3662790 17847832 0 32025694 10740103 21285591 1966708 663435 1303273 0 2542463 2354983 187480 14365032 14365032 0 80148587 79924202 224385 21312248 21312248 MEDICAL SUPPLIES 117829792 117829792 MEDICAID PROVIDER TAX 25085515 25085515 MEDICAL ADMIN & TEACHING 20810783 20810783 BAD DEBT 8457097 8457097 37207435 23931566 13275869 1103259959 943858315 159401644 0 0 0 106631591 175696566 67698845 58778582 208725366 189348129 0 0 0 0 0 0 16164251 16822079 18754332 23175750 1587257932 723367348 888540699 863890584 666083923 954104827 731896662 737311040 0 0 0 0 37616139 127473762 2742111808 3146601319 136128465 154404531 0 0 0 0 355249925 348868854 0 0 0 0 0 0 0 0 216264301 319094446 707642691 822367831 X 1532395549 1795330526 502073568 528902962 2034469117 2324233488 2742111808 3146601319 X 58113826 213673357 17977188 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false true 727801 false true 92550 820351 false FORM 990, SCHEDULE C TO FURTHER THEIR COLLECTIVE MISSION, ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO ("LURIE CHILDREN'S") AND ITS AFFILIATES, BY VIRTUE OF THEIR ROLE IN PROVIDING COMPLEX CARE FOR CHILDREN, PARTNER WITH AND FREQUENTLY INTERACT WITH MEMBERS OF THE GOVERNMENT IN DEVELOPING POLICIES APPLICABLE TO CHILDREN'S HEALTH AND WELL-BEING. IN 1994, LURIE CHILDREN'S ESTABLISHED A PUBLIC POLICY COMMITTEE OF THE BOARD OF DIRECTORS TO RECOMMEND INSTITUTIONAL POSITIONS ON LEGISLATION AND REGULATION THAT WOULD ENABLE LURIE CHILDREN'S AND ITS AFFILIATES TO ENHANCE THE HEALTH AND WELL-BEING OF CHILDREN. OVER THE YEARS THE PUBLIC POLICY COMMITTEE (NOW CALLED THE POLICY, ADVOCACY AND COMMUNITY ENGAGEMENT ADVISORY COUNCIL) HAS RECOMMENDED POSITIONS ON PUBLIC POLICY MATTERS AFFECTING CHILDREN'S HEALTH AND WELL-BEING AND TO GARNER GOVERNMENT FUNDING TO SUPPORT THE EXEMPT ACTIVITIES OF LURIE CHILDREN'S AND ITS AFFILIATES AND FOR THE DEVELOPMENT AND CONSTRUCTION OF A NEW HOSPITAL WHICH REPLACED THE OLD FACILITY OF LURIE CHILDREN'S. THIS NEW STATE-OF-THE-ART FACILITY, OPENED IN 2012, FACILITATES LURIE CHILDREN'S ABILITY TO CONTINUE TO BUILD UPON ITS ACADEMIC AND RESEARCH TIES IN A FAMILY-CENTERED ENVIRONMENT THAT WILL FOSTER THE PROVISION OF COMPASSIONATE CARE. EXAMPLES OF POLICY INITIATIVES FOR WHICH LURIE CHILDREN'S HAS ADVOCATED INCLUDE: PREVENTING TRANSMISSION OF HIV FROM MOTHERS TO NEWBORNS; PREVENTION OF CHILDHOOD INJURY (UNINTENTIONAL AND VIOLENT); PREVENTION OF CHILD ABUSE; AND PREVENTION OF CHILDHOOD OBESITY; AND IMPROVING ACCESS TO HEALTH INSURANCE FOR CHILDREN. READ MORE ABOUT OUR CURRENT INSTITUTIONAL PUBLIC POSITIONS AT WWW.LURIECHILDRENS.ORG/EN/SERVING-THE-COMMUNITY/GOVERNMENT-RELATIONS/PUBLI C-POLICY-PRIORITIES-POSITIONS. IN ADDITION, WHEN STATE AND FEDERAL LEGISLATORS OR COMMITTEES NEED EXPERTS TO ANALYZE AND TESTIFY AS TO HOW A PENDING BILL WOULD AFFECT CHILDREN'S HEALTH IN ILLINOIS, THEY OFTEN LOOK TO LURIE CHILDREN'S AND ITS AFFILIATES. IN RECENT YEARS, EMPLOYEES, OFFICERS AND PHYSICIANS OF LURIE CHILDREN'S AND ITS AFFILIATES HAVE TESTIFIED BEFORE ELECTED OFFICIALS AND GOVERNMENT POLICYMAKERS IN WASHINGTON, DC, SPRINGFIELD AND CHICAGO ON ISSUES RANGING FROM THE BENEFITS OF CHILDREN PASSENGER SAFETY AND HELMET LAWS TO THE PREVENTION OF CONCUSSIONS IN YOUTH, FUNDING FOR GRADUATE MEDICAL EDUCATION AND MEDICAID REFORM. IN ADDITION, LURIE CHILDREN'S ENGAGES IN LOBBYING ACTIVITIES TO SEEK APPROPRIATE MEDICAID FUNDING OF THE SUBSTANTIAL SERVICES PROVIDED BY LURIE CHILDREN'S AND ITS AFFILIATES TO MEDICAID-ELIGIBLE PATIENTS IN ILLINOIS. LURIE CHILDREN'S ALSO SEEKS FUNDING, ON A STATE AND FEDERAL LEVEL, FOR VARIOUS INITIATIVES THAT WILL ENHANCE PATIENT CARE. ON THE FEDERAL LEVEL, LURIE CHILDREN'S, IN CONNECTION WITH OTHER CHILDREN'S TEACHING HOSPITALS, WORKS TO PROTECT AND ENHANCE FUNDING FOR THE MEDICAID PROGRAM AND GRADUATE MEDICAL EDUCATION FOR MORE THAN 50 FREE-STANDING CHILDREN'S TEACHING HOSPITALS IN THE UNITED STATES AND ADVOCATES FOR NATIONAL NETWORKS OF CARE FOR MEDICAID CHILDREN WITH MEDICAL COMPLEXITY. 450891403 4709878 48260446 13405103 -1235623 491692247 457704998 5290696 18824923 30167093 762121 450891403 451211042 13038192 8878836 14907952 515120 457704998 432134483 14831358 15889309 11246371 397737 451211042 416518766 5659378 21933934 10511203 1466392 432134483 0.36360 0.45070 0.18570 false false 39158666 39158666 1034990001 371003419 663986582 30559577 13286631 17272946 456648818 339077298 117571520 25900870 25900870 863890584 ALTERNATIVE INVESTMENTS 737311040 F 737311040 0 SELF INSURANCE LIABILITY 156873480 DUE TO THIRD PARTIES 30487757 ACCRUED PENSION LIABILITY 13057024 ASSET RETIREMENT COSTS 416028 LEASE OBLIGATIONS 114764613 OTHER NON-CURRENT LIABILITES 3495544 319094446 FORM 990, SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS LURIE CHILDREN'S ENDOWMENT FUND CONSISTS OF INDIVIDUAL DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY ITS BOARD TO FUNCTION AS ENDOWMENTS. THE NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING THOSE FUNDS DESIGNATED BY THE BOARD TO FUNCTION AS ENDOWMENTS, ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. EFFECTIVE JUNE 30, 2009, ILLINOIS PASSED UNIFORM PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS ACT ("UPMIFA"). LURIE CHILDREN'S HAS, AFTER OBTAINING ADVICE OF OUTSIDE COUNSEL, INTERPRETED UPMIFA AS SUSTAINING THE PRESERVATION OF THE ORIGINAL GIFT AS OF THE GIFT DATE OF THE DONOR-RESTRICTED ENDOWMENT FUNDS ABSENT EXPLICIT DONOR STIPULATIONS TO THE CONTRARY. AS A RESULT OF THIS INTERPRETATION, LURIE CHILDREN'S CLASSIFIES AS PERMANENTLY RESTRICTED NET ASSETS, (A) THE ORIGINAL VALUE OF GIFTS DONATED TO THE PERMANENT ENDOWMENT, (B) THE ORIGINAL VALUE OF SUBSEQUENT GIFTS TO THE PERMANENT ENDOWMENT, AND (C) ACCUMULATIONS TO THE PERMANENT ENDOWMENT MADE IN ACCORDANCE WITH THE DIRECTION OF THE APPLICABLE DONOR GIFT INSTRUMENT AT THE TIME THE ACCUMULATION IS ADDED TO THE FUND. THE REMAINING PORTION OF THE DONOR-RESTRICTED ENDOWMENT FUND THAT IS NOT CLASSIFIED IN PERMANENTLY RESTRICTED NET ASSETS IS CLASSIFIED AS TEMPORARILY RESTRICTED NET ASSETS UNTIL THOSE AMOUNTS ARE APPROPRIATED FOR EXPENDITURE BY LURIE CHILDREN'S IN A MANNER CONSISTENT WITH THE DONOR INTENT AND STANDARD OF PRUDENCE PRESCRIBED BY UPMIFA. WHERE THE BOARD DESIGNATES UNRESTRICTED FUNDS TO FUNCTION AS ENDOWMENTS, THEY ARE CLASSIFIED AS UNRESTRICTED NET ASSETS. Europe (Including Iceland and Greenland) Investments 65666111 Central America and the Caribbean Investments 270479273 North America Investments 1305491801 1641637185 1641637185 true false true true true false true true X true X 300. true X true true true false true true 1084270 1084270 0.00100 414227382 358103444 56123938 0.05130 415311652 358103444 57208208 0.05230 17616017 3103685 14512332 0.01330 31787244 3662570 28124674 0.02570 72642552 72642552 0.06640 97862430 77924635 19937795 0.01820 219908243 84690890 135217353 0.12360 635219895 442794334 192425561 0.17590 false 2349988 0 3171448 3938107 -766659 X true true 1 1 Lurie Children's 225 E Chicago Ave BOX 282 Chicago IL 606112991 www.luriechildrens.org 0005843 X X X X X Lurie Children's 1 false false true X X X X X X X X X 19 true false false true X www.luriechildrens.org/chna X true 19 true www.luriechildrens.org/chna false true X 300. 400. X X X X true true X X X true X www.luriechildrens.org X www.luriechildrens.org X www.luriechildrens.org X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 2 N/A PART V, SECTION B, LINE 3J N/A PART V, SECTION B, LINE 5 EVERY THREE YEARS, ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO (LURIE CHILDREN'S) WORKS WITH INTERNAL AND EXTERNAL EXPERTS ON CHILD AND ADOLESCENT HEALTH TO DEVELOP A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION STRATEGY. THE MOST RECENT CHNA WAS COMPLETED IN 2019 AND THE FULL REPORT IS PUBLICLY AVAILABLE ONLINE AT LURIECHILDRENS.ORG/CHNA. THE GOALS OF THIS EFFORT ARE (1) TO BETTER UNDERSTAND THE HEALTH NEEDS OF CHILDREN AND ADOLESCENTS IN CHICAGO, (2) TO GUIDE LURIE CHILDREN'S CONTINUING EFFORTS TO IMPROVE THE HEALTH AND WELL-BEING OF YOUTH, CONSISTENT WITH OUR LONGSTANDING MISSION, AND (3) TO ADVANCE HEALTH EQUITY FOR YOUTH AND THEIR FAMILIES. IN ADDITION TO DEVELOPMENT OF OUR OWN CHNA, LURIE CHILDREN'S PARTICIPATED IN THE DEVELOPMENT OF THE COLLABORATIVE CHNA (ALLHEALTHEQUITY.ORG/PROJECTS/2019-CHNA-REPORTS) SPEARHEADED BY THE ALLIANCE FOR HEALTH EQUITY, A COLLABORATIVE OF HOSPITALS/HEALTH SYSTEMS WORKING WITH HEALTH DEPARTMENTS AND REGIONAL AND COMMUNITY-BASED ORGANIZATIONS TO IMPROVE HEALTH EQUITY, WELLNESS AND QUALITY OF LIFE ACROSS CHICAGO AND SUBURBAN COOK COUNTY. THE ALLIANCE FOR HEALTH EQUITY WAS DEVELOPED SO THAT PARTICIPATING ORGANIZATIONS CAN COLLABORATIVELY ASSESS COMMUNITY HEALTH NEEDS, COLLECTIVELY DEVELOP SHARED IMPLEMENTATION PLANS TO ADDRESS COMMUNITY HEALTH NEEDS, MORE EFFICIENTLY SHARE RESOURCES, AND HAVE A GREATER IMPACT ON THE LARGE POPULATION RESIDING IN COOK COUNTY. AT THE TIME OF THE LAST ASSESSMENT, 37 HOSPITALS, SIX LOCAL HEALTH DEPARTMENTS INCLUDING CHICAGO DEPARTMENT OF PUBLIC HEALTH (CDPH) AND COOK COUNTY DEPARTMENT OF PUBLIC HEALTH (CCDPH), AND NEARLY 100 COMMUNITY-BASED ORGANIZATIONS WERE PARTICIPATING. LURIE CHILDREN'S PARTICIPATED IN AN ADVISORY ROLE AS A MEMBER OF THE ALLIANCE FOR THE HEALTH EQUITY STEERING COMMITTEE. IN ADDITION, LURIE CHILDREN'S PARTICIPATED IN AND CONTRIBUTED TO THE COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT SUBCOMMITTEE, AND IN AD HOC WORK GROUPS FOCUSED ON DATA VISUALIZATIONS AND COPY EDITING, PROVIDING FEEDBACK AND GUIDANCE ON VARIOUS COLLABORATIVE CHNA ACTIVITIES (E.G., COMMUNITY ENGAGEMENT, SURVEY DEVELOPMENT AND DISSEMINATION, AND RECRUITING AND FACILITATING FOCUS GROUPS). LURIE CHILDREN'S CONTINUES TO BE ACTIVELY ENGAGED IN VARIOUS WORKGROUPS (E.G., COMMUNITY SAFETY, DATA, FOOD ACCESS, HOUSING, POLICY, TRAUMA-INFORMED CARE AND SOCIAL DETERMINANTS OF HEALTH), ENSURING THAT THE YOUTH-FOCUSED PERSPECTIVE IS WELL-REPRESENTED. IN ADDITION TO LURIE CHILDREN'S PARTICIPATION IN THE ALLIANCE FOR HEALTH EQUITY'S COLLABORATIVE CHNA, LURIE CHILDREN'S CONDUCTED A CONCURRENT NEEDS ASSESSMENT BETWEEN MARCH 2018 AND JULY 2019 WITH A FOCUS ON OUR SERVICE AREA AND PRIORITY POPULATION. THIS ASSESSMENT WAS CONDUCTED BY LURIE CHILDREN'S HEALTHY COMMUNITIES, NOW EXPANDED TO THE PATRICK M. MAGOON INSTITUTE FOR HEALTHY COMMUNITIES, IN PARTNERSHIP WITH LURIE CHILDREN'S DEPARTMENT OF DATA ANALYTICS AND REPORTING. TWO ADVISORY GROUPS PROVIDED OVERSIGHT AND GUIDANCE ON THE 2019 CHNA: LURIE CHILDREN'S HEALTHY COMMUNITIES INTERNAL ADVISORY COMMITTEE AND LURIE CHILDREN'S HEALTHY COMMUNITIES EXTERNAL ADVISORY COMMITTEE. WE ALSO ASKED THESE COMMITTEES TO REVIEW AND PROVIDE FEEDBACK ON DRAFTS OF THE ALLIANCE FOR HEALTH EQUITY'S COLLABORATIVE CHNA AND LURIE CHILDREN'S CHNA. IN FISCAL YEAR 2021, LURIE CHILDREN'S LAUNCHED THE PATRICK M. MAGOON INSTITUTE FOR HEALTHY COMMUNITIES TO SERVE AS THE HUB FOR ALL COMMUNITY-FOCUSED INITIATIVES AT LURIE CHILDREN'S, EXPANDING THE EFFORTS OF THE HEALTHY COMMUNITIES PROGRAM THAT WAS ESTABLISHED IN 2017. THIS INSTITUTE CONTINUES TO BUILD STRONG COLLABORATIONS WITH COMMUNITY ORGANIZATIONS AND FACILITATE COMMUNITY-ENGAGED OUTREACH AND RESEARCH INITIATIVES TO ADVANCE AND IMPLEMENT EVIDENCE-INFORMED CHILD AND ADOLESCENT HEALTH PROGRAMS AND PRACTICES. HEALTHY COMMUNITIES EXTERNAL ADVISORY COMMITTEE WAS RECONSTITUTED AS A SUBCOMMITTEE OF LURIE CHILDREN'S BOARD OF DIRECTORS AND RENAMED THE MAGOON INSTITUTE ADVISORY COUNCIL. THIS ADVISORY COUNCIL PROVIDES SUBJECT MATTER EXPERTISE IN THE AREA OF COMMUNITY HEALTH TO THE MEDICAL CENTER, ENSURES THE MAGOON INSTITUTE'S PLANS, INITIATIVES AND PROGRAMS ADDRESS CHILD AND ADOLESCENT HEALTH PRIORITIES IN COMMUNITIES, AND ADVISES ON LURIE CHILDREN'S CHNA AND IMPLEMENTATION STRATEGY, AMONG OTHER OVERSIGHT ROLES. IN FISCAL YEAR 2021, THIS ADVISORY COUNCIL WAS COMPRISED OF CITY AND/OR STATE PUBLIC HEALTH EXPERTS, CITY GOVERNMENT LEADERS FROM CHILD SERVING AGENCIES, EXECUTIVE LEVEL LEADERS OF COMMUNITY PARTNER ORGANIZATIONS, FAMILY ADVOCATES AND OTHER COMMUNITY LEADERS. MEMBERS INCLUDED: * JAKE AMENT, DIRECTOR, NEIGHBORHOOD NETWORK LOCAL INITIATIVES SUPPORT CORPORATION (LISC) CHICAGO * DAVID CHERRY, CITY LEADER, ASP OF CHICAGO ALL STARS PROJECT * ESTHER CORPUZ, CHIEF EXECUTIVE OFFICER ALIVIO MEDICAL CENTER * KENNETH FOX, MD, CHIEF HEALTH OFFICER CHICAGO PUBLIC SCHOOLS * PAT GARCIA, MD, ASSOCIATE DEAN FOR CURRICULUM PROFESSOR OF OBSTETRICS AND GYNECOLOGY (MATERNAL FETAL MEDICINE) AND MEDICAL EDUCATION NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE * LAUREN GORTER, LURIE CHILDREN'S FOUNDERS' BOARD * DARLENE HIGHTOWER, PRESIDENT AND CEO, METROPOLITAN PLANNING COUNCIL * ERIKA HOLLIDAY, LURIE CHILDREN'S FAMILY ADVISORY BOARD * ANGELA INGRAM, SENIOR VP OF COMMUNICATIONS IHEART MEDIA * NICOLE KAZEE, SENIOR VICE PRESIDENT OF STRATEGY AND BUSINESS DEVELOPMENT, ERIE FAMILY HEALTH CENTER * NORMAN KERR, CHIEF EXECUTIVE OFFICER, TRAJECTORY CHANGING SOLUTIONS (TCS) * MICHELLE MARTINEZ, LURIE CHILDREN'S FAMILY ADVISORY BOARD * ROXANNE NAVA, MPOWERED AS EXECUTIVE DIRECTOR, METROPOLITAN FAMILY SERVICES, NORTH/EVANSTON/SKOKIE VALLEY CENTERS * LETICIA REYES-NASH, PRINCIPAL, HEALTH MANAGEMENT ASSOCIATES (HMA) * JAMES RUDYK, EXECUTIVE DIRECTOR, NORTHWEST CENTER * DAVID SANDERS, PRESIDENT, MALCOLM X COLLEGE * SMITA SHAH, PRESIDENT & CEO, SPAAN TECH * DARNELL SHIELDS, EXECUTIVE DIRECTOR, AUSTIN COMING TOGETHER * CINAIYA STUBBS, PRESIDENT & CHIEF EXECUTIVE OFFICER, CHILDREN'S PLACE ASSOCIATION * MONSIGNOR KENNETH VELO, SENIOR EXECUTIVE OF CATHOLIC COLLABORATION, DEPAUL UNIVERSITY PRESIDENT, BIG SHOULDERS FUND LURIE CHILDREN'S HEALTHY COMMUNITIES INTERNAL ADVISORY COMMITTEE SERVES AS THE KEY INTERNAL ADVISORY BODY TO GUIDE THE HOSPITAL'S ENGAGEMENT IN COMMUNITY HEALTH. STRATEGIC DIRECTION FOR THIS COMMITTEE WILL BE PROVIDED BY THE MEDICAL CENTER BOARD OF DIRECTORS POLICY, ADVOCACY AND COMMUNITY ENGAGEMENT ADVISORY COUNCIL THROUGH ITS OVERSIGHT OF LURIE CHILDREN'S HEALTHY COMMUNITIES. LIKE THE EXTERNAL ADVISORY COMMITTEE, THIS ADVISORY COUNCIL SERVES AS ADVISORS ON THE DEVELOPMENT OF LURIE CHILDREN'S COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION PLANS. LURIE CHILDREN'S HEALTHY COMMUNITIES ADVISORY COMMITTEE INCLUDES EXPERTS IN PUBLIC HEALTH, CLINICAL CARE, ADVOCACY, MEDICAL COMPLEXITY, SOCIAL-EMOTIONAL WELL-BEING, RESEARCH, PUBLIC POLICY, WORKFORCE DEVELOPMENT, COMMUNICATIONS AND PHILANTHROPY. MEMBERS INCLUDE: * ADAM BECKER, PHD, EXECUTIVE DIRECTOR, CONSORTIUM TO LOWER OBESITY IN CHICAGO CHILDREN (CLOCC) * JENNIFER CALLIGAN, DIRECTOR, MARKETING AND COMMUNICATIONS * COLLEEN CICCHETTI, PHD, EXECUTIVE DIRECTOR, CENTER FOR CHILDHOOD RESILIENCE * MARY KATE DALY, VICE PRESIDENT, MAGOON INSTITUTE FOR HEALTHY COMMUNITIES * MATTHEW M. DAVIS, MD, MAPP, EXECUTIVE VICE PRESIDENT AND CHIEF OF COMMUNITY HEALTH TRANSFORMATION * KELLI DAY, DIRECTOR OF OPERATIONS, MAGOON INSTITUTE FOR HEALTHY COMMUNITIES * JILL FRAGGOS, VICE PRESIDENT, GOVERNMENT RELATIONS * MARIANA GLUSMAN, MD, ACADEMIC GENERAL PEDIATRICS AND PRIMARY CARE * CHRIS HAEN, EXECUTIVE DIRECTOR, HEALTH PARTNERS * SUSAN HAYES GORDON, SENIOR VICE PRESIDENT AND CHIEF OF EXTERNAL AFFAIRS * MARIE HEFFERNAN, PHD, ASSOCIATE DIRECTOR, VOICES OF CHILD HEALTH IN CHICAGO * AMY HILL, EXECUTIVE DIRECTOR, INJURY PREVENTION & RESEARCH CENTER * CYNTHIA LABELLA, MD, SPORTS MEDICINE * JENNIFER LEININGER, ASSOCIATE DIRECTOR, ADOLESCENT MEDICINE * LESLIE HELMCAMP, INTERIM EXECUTIVE DIRECTOR, STRENGTHENING CHICAGO'S YOUTH * ANYA MAZIAK, DIRECTOR, LURIE CHILDREN'S FOUNDATION * NELL MCKITRICK, DIRECTOR OF OPERATIONS, CENTER FOR CHILDHOOD RESILIENCE * MO OTTING, EMS COORDINATOR, EMERGENCY MEDICINE * STEPHANIE PELLIGRA, SR. DIRECTOR, PEDIATRICS ADMINISTRATION AND OPERATIONS * MARIA RIVERA, DIRECTOR, WORKFORCE DEVELOPMENT * ANDREA ROMANIUK, MANAGER, POPULATION HEALTH, INFORMATION MANAGEMENT * ELLEN ROSENDALE, DIRECTOR, FAMILY SERVICES * SUSAN RUOHONEN, SR. DIRECTOR, FAMILY SERVICES * MICHELLE SAGAN, MD, ORTHOPEDIC SURGERY & SPORTS MEDICINE * PARAG SHAH, MD, HOSPITALIST * KAREN SHEEHAN, MD, MPH, MEDICAL DIRECTOR, HEALTHY COMMUNITIES * TRACIE SMITH, DIRECTOR, DATA ANALYTICS AND REPORTING * JACINTA STAPLES, MSN, DIRECTOR OF COMMUNITY-CLINIC COLLABORATIONS, MAGOON INSTITUTE FOR HEALTHY COMMUNITIES * RENEE WALKER, DRPH, SR. DIRECTOR OF COMMUNITY HEALTH INITIATIVES AND PROGRAMS, MAGOON INSTITUTE FOR HEALTHY COMMUNITIES PART V, SECTION B, LINE 6A N/A PART V, SECTION B, LINE 6B N/A PART V, SECTION B, LINE 7D N/A PART V, SECTION B, LINE 11 AS A LEADING PEDIATRIC PROVIDER, IN FY2021, LURIE CHILDREN'S SERVED 224,175 INDIVIDUAL PATIENTS AND THEIR FAMILIES ACROSS THE MAIN HOSPITAL, 13 OUTPATIENT SERVICES LOCATIONS, 5 PRIMARY CARE LOCATIONS AND 13 PARTNER HOSPITALS. AS A PEDIATRIC LEADER IN CHICAGO, THE HIGHEST VOLUME OF PATIENTS COME FROM OUR VERY OWN COMMUNITY. FOR THE 2019 CHNA, WE DEFINED OUR SERVICE AREA FOR THE PURPOSES OF THE ASSESSMENT AS THE CITY OF CHICAGO AND OUR PRIORITY POPULATION AS INFANTS, CHILDREN AND ADOLESCENTS 0-19 YEARS OLD BECAUSE AT THAT TIME NEARLY 44% OF OUR PATIENTS LIVED IN THE CITY OF CHICAGO. ANNUALLY, LURIE CHILDREN'S PROVIDES HEALTHCARE SERVICES, FROM PRIMARY CARE TO SUBSPECIALTY CARE, TO APPROXIMATELY 90,000 CHICAGOANS 0-19 YEARS OLD. IN THE CHNA, DATA ARE PRESENTED FOR THIS GEOGRAPHY AND POPULATION, WHERE AVAILABLE, AND NOTED WHEN DATA FALL OUTSIDE OF OUR SERVICE AREA AND PRIORITY POPULATION. DATA WAS INCLUDED IN SOME INSTANCES FOR ADULT POPULATIONS, WHEN PEDIATRIC DATA WAS NOT AVAILABLE AND WHERE FAMILY/COMMUNITY CONTEXT IMPACTS CHILD HEALTH. IN LINE WITH GOOD PUBLIC HEALTH PRACTICE, THE CHNA ANALYSIS BEGAN WITH A REVIEW OF THE LEADING CAUSES OF DEATH AND HOSPITALIZATION FOR CHICAGO CHILDREN AND ADOLESCENTS TO ASSURE THAT THE FULL RANGE OF SERIOUS HEALTH RISKS WAS CONSIDERED. PRIMARY AND SECONDARY DATA FROM A DIVERSE RANGE OF SOURCES WERE UTILIZED FOR ROBUST DATA ANALYSIS AND TO IDENTIFY COMMUNITY HEALTH NEEDS IN CHICAGO. THESE INCLUDED: COMMUNITY INPUT SURVEYS, COMMUNITY RESIDENT FOCUS GROUPS AND LEARNING MAP SESSIONS, HEALTHCARE AND SOCIAL SERVICE PROVIDER FOCUS GROUPS, TWO STAKEHOLDER ASSESSMENTS LED BY PARTNER HEALTH DEPARTMENTS-FORCES OF CHANGE ASSESSMENT AND HEALTH EQUITY CAPACITY ASSESSMENT, ADDITIONAL AND VARIOUS STAKEHOLDER INTERVIEWS AND FOCUS GROUPS, PEER-REVIEWED LITERATURE AND WHITE PAPERS, EXISTING ASSESSMENTS AND PLANS FOCUSED ON KEY TOPIC AREAS, LOCALIZED DATA COMPILED BY SEVERAL AGENCIES INCLUDING CHICAGO DEPARTMENT OF PLANNING AND DEVELOPMENT, CHICAGO METROPOLITAN AGENCY FOR PLANNING, HOUSING AUTHORITY OF COOK COUNTY, STATE AND LOCAL POLICE DEPARTMENTS, LOCALIZED DATA COMPILED BY COMMUNITY-BASED ORGANIZATIONS AND ACADEMIC INSTITUTIONS, INCLUDING GREATER CHICAGO FOOD DEPOSITORY AND VOICES OF CHILD HEALTH IN CHICAGO, HOSPITALIZATION AND EMERGENCY DEPARTMENT ENCOUNTER DATA PROVIDED BY ILLINOIS HEALTH AND HOSPITAL ASSOCIATION AND ANALYZED BY THE CONDUENT HEALTHY COMMUNITIES INSTITUTE, AND DATA COMPILED BY STATE AGENCIES AND FEDERAL SOURCES. HEALTH INEQUITIES AND THEIR UNDERLYING ROOT CAUSES ARE HIGHLIGHTED AND DISCUSSED THROUGHOUT THE ASSESSMENT. THE ASSESSMENT IDENTIFIED FIVE PRIORITY DOMAINS, INCLUDING TWO PRIMARY DRIVERS: (1) SOCIAL DETERMINANTS OF HEALTH AND (2) ACCESS TO CARE; PLUS THREE HEALTH DOMAINS: (3) CHRONIC HEALTH CONDITIONS, (4) MENTAL AND BEHAVIORAL HEALTH, AND (5) UNINTENTIONAL INJURY AND VIOLENCE. BELOW IS A SUMMARY OF THE 2019 CHNA PRIORITIES AND LURIE CHILDREN'S EFFORTS TO ADDRESS THEM AS A PART OF THE 2020-2022 COMMUNITY HEALTH IMPLEMENTATION STRATEGY. A DETAILED PROGRESS REPORT IS INCLUDED AS AN APPENDIX IN THE 2019 CHNA PUBLICLY PUBLISHED AT LURIECHILDRENS.ORG/CHNA. THE FULL 2020-2022 COMMUNITY HEALTH IMPLEMENTATION STRATEGY IS ALSO AVAILABLE AT LURIECHILDRENS.ORG/CHNA. PRIMARY DRIVERS: SOCIAL DETERMINANTS/INFLUENCERS OF HEALTH AND ACCESS TO CARE ACCORDING TO THE WORLD HEALTH ORGANIZATION, SOCIAL DETERMINANTS/INFLUENCERS OF HEALTH INCLUDE THE SOCIAL, ECONOMIC, AND ENVIRONMENTAL CONDITIONS INTO WHICH PEOPLE ARE BORN, LIVE, WORK, AND AGE. THESE FACTORS INCLUDE ECONOMIC STABILITY, EDUCATION, NEIGHBORHOOD AND BUILT ENVIRONMENT, SOCIAL AND COMMUNITY CONTEXT, AND ACCESS TO HEALTHCARE. RESEARCH HAS LONG ESTABLISHED THAT SOCIAL INFLUENCERS OF HEALTH ARE PRIMARY DRIVERS OF HEALTH OUTCOMES. FOR EXAMPLE, CHILDREN BORN TO MOTHERS WITHOUT A HIGH SCHOOL EDUCATION ARE TWICE AS LIKELY TO DIE BEFORE THEIR FIRST BIRTHDAY AS CHILDREN BORN TO MOTHERS WHO ARE COLLEGE GRADUATES; SELF-REPORTED POOR HEALTH INCREASES WITH DECREASING LEVELS OF INCOME AND EDUCATION; AND LOW-INCOME INDIVIDUALS ARE MORE LIKELY TO HAVE A CHRONIC DISEASE. LURIE CHILDREN'S BEGAN A PROCESS TO EXPAND SCREENING OF PATIENTS FOR SOCIAL DETERMINANTS/INFLUENCERS OF HEALTH, AND TO PROVIDE RESOURCES TO HELP ADDRESS THESE ISSUES. ACCESS TO HEALTHCARE IS BROADLY DEFINED BY THE INSTITUTE OF MEDICINE AS "THE TIMELY USE OF PERSONAL HEALTH SERVICES TO ACHIEVE THE BEST HEALTH OUTCOMES." HEALTHY PEOPLE 2020 DESCRIBES THE THREE STEPS REQUIRED FOR AN INDIVIDUAL TO ACCESS HEALTHCARE SERVICES: (1) GAINING ENTRY INTO THE HEALTHCARE SYSTEM, (2) ACCESSING A LOCATION WHERE NEEDED HEALTHCARE SERVICES ARE PROVIDED, AND (3) FINDING A HEALTHCARE PROVIDER WHOM THE PATIENT TRUSTS AND CAN COMMUNICATE WITH. THERE ARE SEVERAL COMPLEX FACTORS THAT FURTHER INFLUENCE ACCESS TO HEALTHCARE INCLUDING PROXIMITY, AFFORDABILITY, AVAILABILITY, CONVENIENCE, ACCOMMODATION, RELIABILITY, QUALITY, ACCEPTABILITY, OPENNESS, CULTURAL RESPONSIVENESS, APPROPRIATENESS AND APPROACHABILITY. LURIE CHILDREN'S MOST SIGNIFICANT PARTNERS IN PROVIDING PRIMARY CLINICAL AND BEHAVIOR HEALTHCARE TO CHILDREN IN LOW/VERY LOW CHILD OPPORTUNITY NEIGHBORHOODS ARE FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS). FQHCS HAVE AN IMPORTANT ROLE IN ELIMINATING DISPARITIES IN ACCESS TO HEALTHCARE AND ARE LOCATED THROUGHOUT CHICAGO. TO ADDRESS THE SOCIAL DETERMINANTS/INFLUENCERS OF HEALTH AND ACCESS TO CARE, LURIE CHILDREN'S UNDERTOOK SEVERAL INITIATIVES, INCLUDING: * LURIE CHILDREN'S ASSUMED LEADERSHIP ROLES IN WEST SIDE UNITED, A GROUP OF HOSPITALS, FUNDERS, TECHNICAL AND COMMUNITY ORGANIZATIONS WORKING TOGETHER ON ECONOMIC VITALITY, POPULATION HEALTH AND COMMUNITY-DRIVEN INITIATIVES TO IMPROVE THE HEALTH OF INDIVIDUALS WHO LIVE ON THE WEST SIDE OF CHICAGO. THE GOAL OF THIS COLLABORATIVE IS TO COORDINATE THE EFFORTS EACH INDIVIDUAL HOSPITAL IS UNDERTAKING TO MAXIMIZE OVERALL POSITIVE IMPACT AND IMPROVE HEALTH EQUITY WITH THE OBJECTIVE OF LOWERING THE 16-YEAR LIFE EXPECTANCY GAP BETWEEN CHICAGO'S LOOP AND THE WEST SIDE. * LURIE CHILDREN'S IS ONE OF 10 CHICAGO HOSPITALS TO JOIN FORCES WITH U.S. SENATOR DICK DURBIN (D-IL) TO REDUCE VIOLENCE AS PART OF THE CHICAGO HOSPITAL ENGAGEMENT, ACTION AND LEADERSHIP (HEAL) INITIATIVE. SENATOR DURBIN LAUNCHED THE CHICAGO HEAL INITIATIVE IN OCTOBER 2018 TO BRING TOGETHER HOSPITALS TO MAKE TANGIBLE COMMITMENTS TO REDUCE GUN VIOLENCE, HEAL THE PHYSICAL AND MENTAL TRAUMA THAT VIOLENCE INFLICTS ON VICTIMS, INCREASE WELL-PAYING JOBS, AND CREATE OTHER ECONOMIC OPPORTUNITIES IN THE NEIGHBORHOODS THEY SERVE. * IN 2018, LURIE CHILDREN'S BECAME THE THIRD CHILDREN'S HOSPITAL IN THE COUNTRY TO JOIN THE DEMOCRACY COLLABORATIVE'S HEALTHCARE ANCHOR NETWORK (WWW.HEALTHCAREANCHOR.NETWORK), A GROUP OF HOSPITALS AND HEALTH SYSTEMS COMMITTED TO BUILDING MORE INCLUSIVE AND SUSTAINABLE LOCAL ECONOMIES. THIS GROUP SHARES INNOVATIVE IDEAS AND BEST PRACTICES TO EXPAND HOSPITALS' ROLE AS ANCHOR INSTITUTIONS BY INCREASING COMMUNITY HIRING, PROCUREMENT AND INVESTMENT OPPORTUNITIES. * TO ENSURE THAT LURIE CHILDREN'S CAN DELIVER HEALTHCARE THAT MEETS SOCIAL, CULTURAL AND LINGUISTIC NEEDS, LURIE CHILDREN'S STRIVES TO HAVE A WORKFORCE THAT MIRRORS THE DIVERSITY OF OUR PATIENTS. IN ADDITION, LURIE CHILDREN'S PROACTIVELY REACHES OUT TO YOUNG PEOPLE IN COMMUNITIES THAT HAVE BEEN HISTORICALLY MARGINALIZED TO ENSURE THAT THEY HAVE ACCESS TO OPPORTUNITIES IN HEALTHCARE CAREERS THROUGH LURIE CHILDREN'S MENTORSHIP AND WORKFORCE EDUCATION PROGRAM. THROUGH THESE OPPORTUNITIES, LURIE CHILDREN'S PROVIDES PROGRAMMING, TRAININGS AND INTERNSHIPS TO NEARLY 400 YOUNG PEOPLE ANNUALLY AND HAS HIRED MORE THAN 70 FORMER INTERNS INTO EMPLOYMENT AT LURIE CHILDREN'S. * IN 2018, LURIE CHILDREN'S INITIATED AN ON-SITE FOOD PANTRY AT LURIE CHILDREN'S PRIMARY CARE - UPTOWN FOR FAMILIES WHO IDENTIFY AS FOOD INSECURE. IN FISCAL YEAR 2021, LURIE CHILDREN'S REPLICATED THE MODEL IN EMERGENCY MEDICINE. NEARLY 30,000 PATIENTS HAVE BEEN SCREENED FOR FOOD INSECURITY AND 8500 LBS. OF FOOD HAVE BEEN DISTRIBUTED TO FAMILIES. IN FISCAL YEAR 2021, LURIE CHILDREN'S ALSO PILOTED A HOME FOOD DELIVERY PROJECT TO IN-PATIENT FAMILIES TO ADDRESS ADDITIONAL BARRIERS TO FOOD ACCESS, INCLUDING TRANSPORTATION. * LURIE CHILDREN'S CONTINUES OUR COMPREHENSIVE NEIGHBORHOOD-BASED INTERVENTION IN THE BELMONT CRAGIN AND AUSTIN NEIGHBORHOODS TO BETTER ADDRESS THE RELATED AND UNDERLYING CAUSES OF CHILD AND ADOLESCENT HEALTH CHALLENGES. * IN FISCAL YEAR 2021, LURIE CHILDREN'S PROVIDED $475,000 IN COMMUNITY BENEFIT GRANTS TO FQHCS TO EXTEND OUR MISSION AND SUPPORT KEY PARTNERS' PEDIATRIC-FOCUSED OPERATIONS. IN 2017, LURIE CHILDREN'S REVISED THE AIM OF THESE GRANTS TO (1) FOCUS ON MISSION IMPACT CONCORDANT WITH THEIR UNIQUE GOALS AND WITH LURIE CHILDREN'S CHNA PRIORITY AREAS, AND (2) INCLUDE MORE RIGOROUS EVALUATION TO MEASURE IMPACT. * LURIE CHILDREN'S CONTINUES TO BE THE ILLINOIS AFFILIATE OF PROJE CHRONIC HEALTH CONDITIONS THE DEFINITION OF CHRONIC DISEASE VARIES WIDELY IN THE UNITED STATES AND ACROSS THE GLOBE. HOWEVER, CHRONIC DISEASES ARE OFTEN DEFINED AS HAVING THE FOLLOWING CHARACTERISTICS: COMPLEX CAUSALITY WITH MULTIPLE FACTORS LEADING TO ONSET INCLUDING SOCIOECONOMICS AND HEALTH BEHAVIORS, LONG DEVELOPMENT PERIOD, PROLONGED COURSE OF ILLNESS THAT OFTEN REQUIRES ONGOING MEDICAL ATTENTION, NON-COMMUNICABLE, AND CAUSE FUNCTIONAL IMPAIRMENT IN DAILY ACTIVITIES OR DISABILITY. ACCORDING TO THE WORLD HEALTH ORGANIZATION AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION, WORLDWIDE AND IN THE UNITED STATES, CHRONIC DISEASES ARE THE LEADING CAUSES OF DISABILITY AND DEATH. IN ADDITION, CHRONIC DISEASE RATES ARE ACCELERATING GLOBALLY ACROSS ALL SOCIOECONOMIC CLASSES. HOWEVER, SOCIOECONOMIC INEQUITIES HAVE PROFOUND IMPACTS ON WHICH POPULATIONS AND COMMUNITIES HAVE THE GREATEST BURDEN OF DISEASE. MANY OF THE SOCIOECONOMIC INEQUITIES THAT ARE UNDERLYING ROOT CAUSES OF CHRONIC ILLNESS ARE EXPLORED IN DEPTH IN THE HEALTH INEQUITIES AND SOCIAL DETERMINANTS OF HEALTH SECTION. PREVENTION - CHRONIC CONDITIONS SUCH AS HEART DISEASE, STROKE, CANCER, DIABETES, ARTHRITIS, ASTHMA, MENTAL ILLNESS, AND HIV/AIDS ACCOUNT FOR 90 PERCENT OF THE NATION'S $3.3 TRILLION IN ANNUAL HEALTHCARE EXPENDITURES. (CDC, 2019) ADDRESSING THE RISK FACTORS IN CHILDHOOD THROUGH EARLY PREVENTION AND ONGOING MANAGEMENT CAN MITIGATE THE ONSET AND REDUCE THE COSTLY PHYSICAL AND SOCIOECONOMIC BURDEN OF THESE CHRONIC CONDITIONS IN ADULTHOOD. RISK FACTORS - A SMALL NUMBER OF COMMON RISK FACTORS CONTRIBUTE TO MOST OF THE MAIN CHRONIC DISEASES: UNHEALTHY DIET, PHYSICAL INACTIVITY, TOBACCO USE, STRESS AND/OR DEPRESSION, MATERNAL AND INFANT HEALTH, POVERTY AND OTHER SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH. TO ADDRESS CHRONIC HEALTH CONDITIONS, LURIE CHILDREN'S UNDERTOOK SEVERAL INITIATIVES, INCLUDING: * LAUNCHED AN ASTHMA MOBILE CLINIC THROUGH LURIE CHILDREN'S MOBILE HEALTH PROGRAM TO PROVIDE CARE TO FAMILIES CLOSE TO HOME. * LURIE CHILDREN'S PROVIDED CARE COORDINATION SERVICES TO OVER 1500 PATIENTS THROUGH LURIE CHILDREN'S HEALTH PARTNERS CARE COORDINATION ENTITY, WHICH LAUNCHED IN 2014. THIS EFFORT INVOLVES PARTNERING WITH MEDICAL HOME PROVIDERS IN THE COMMUNITY, PROVIDING INTENSIVE CARE COORDINATION, IT INTEGRATION, AND SUPPORT FOR HOME-BASED SERVICES. * LURIE CHILDREN'S CHRONIC ILLNESS TRANSITION TEAM PROVIDES SUPPORT AS YOUNG PEOPLE WITH COMPLEX CONDITIONS TRANSITION FROM PEDIATRIC TO ADULT CARE. THIS INCLUDES A TRANSITION CLINIC TO COORDINATE CARE, A LIFE SKILLS PROGRAM FOR ALL FAMILIES (SUPPORTING ADOLESCENTS WITH INDEPENDENT LIFE SKILLS [SAILS]), AND AN INTERNSHIP PROGRAM TO HELP YOUTH GET THE EXPERIENCE THEY NEED TO TRANSITION TO THE ADULT WORKFORCE. THE TRANSITION TEAM PILOTED A TRANSITION TO ADULT CARE TOOLKIT WITH THE TURNER'S SYNDROME CLINIC AND PREVENTIVE CARDIOLOGY AND REDESIGNED BASED ON LESSONS LEARNED FROM THE PILOT AS THE TRANSITION PROGRAM IMPLEMENTATION PLANNER (TPIP), WHICH SERVES AS A BLUEPRINT FOR IN BUILDING TRANSITION INFRASTRUCTURE. THE TPIP INCLUDES TRANSITION GUIDELINES FOR PILOT PROGRAMS, CLINIC WORKFLOWS, TRACKING OF PATIENT READINESS, ACCESS TO PCP NETWORK, EXTERNAL REFERRAL SOURCE IDENTIFIED, LINKAGES TO CARE, TRANSFER PROTOCOLS AND DISSEMINATION OF EDUCATIONAL MATERIAL TO ADULT PROVIDERS. * LURIE CHILDREN'S PARENT WISDOM IN SHARED EXPERIENCE (PARENTWISE) AND PEER WISDOM IN SHARED EXPERIENCE (PEERWISE) PROGRAMS PAIR PARENTS OF CHILDREN WITH SPECIAL HEALTHCARE NEEDS WITH OTHER PARENTS AND YOUTH WHOSE DIAGNOSES OR NEEDS ARE SIMILAR. THESE PROGRAMS, IN WHICH MORE THAN 100 VOLUNTEERS PROVIDE OVER 1800 HOURS OF SERVICE ANNUALLY, HELP OPTIMIZE THE HEALTHCARE EXPERIENCE FOR CHILDREN WITH MEDICAL COMPLEXITY. * SINCE 1985 THE PEDIATRIC PRACTICE RESEARCH GROUP (PPRG), A REGIONAL CHICAGO-AREA PRACTICE-BASED RESEARCH NETWORK AT LURIE CHILDREN'S HAS COLLABORATED WITH PRIMARY CARE PRACTICES IN A VARIETY OF RESEARCH PROJECTS. SOME OF THE PROJECTS HAVE INCLUDED QUALITY IMPROVEMENT FOCUSED ON IMPROVING CARE RELATED TO NUTRITIONAL STATUS ASSESSMENT, DIET AND PHYSICAL ACTIVITY ASSESSMENT AND COUNSELING. IN ADDITION, PPRG HAS CONDUCTED A NUMBER OF QUALITY IMPROVEMENT PROJECTS IN THE AREA OF OBESITY IDENTIFICATION AND MANAGEMENT. EXAMPLES INCLUDE FACILITATING AND EVALUATING THE IMPLEMENTATION OF OBESITY CARE CLINICS IN FIVE PRIMARY CARE PRACTICES AND TESTING TWO STRATEGIES TO IMPLEMENT THE NATIONAL HEART, LUNG, AND BLOOD INSTITUTE (NHLBI) CARDIOVASCULAR RISK PREVENTION GUIDELINES AT 16 PRACTICES. * THE CONSORTIUM TO LOWER OBESITY IN CHICAGO CHILDREN (CLOCC), A NATIONALLY RECOGNIZED CHILDHOOD OBESITY PREVENTION COALITION, WAS FOUNDED BY LURIE CHILDREN'S IN 2002. ITS MISSION IS TO CONFRONT THE CHILDHOOD OBESITY EPIDEMIC BY PROMOTING HEALTHY AND ACTIVE LIFESTYLES FOR CHILDREN THROUGHOUT THE CHICAGO METROPOLITAN AREA. CLOCC CREATES AND SUSTAINS THE TYPES OF MULTI-SECTOR COLLABORATION RECOMMENDED BY OUR NATION'S HEALTH LEADERS. * KEY ELEMENTS OF CLOCC'S WORK INCLUDE: THE WIDELY-USED 5-4-3-2-1 GO HEALTHY LIFESTYLE MESSAGE, PARTNERING WITH SCHOOLS TO HELP THEM ACHIEVE THE HEALTHY CPS DESIGNATION, ENVIRONMENTAL CHANGE TO IMPROVE FOOD ACCESS AND NEIGHBORHOOD WALKABILITY AND POLICY EFFORTS AT CITY, STATE AND FEDERAL LEVELS. CLOCC HAS TRAINED OVER 9400 STAFF FROM OVER 2300 ORGANIZATIONS IN THEIR HEALTHY LIFESTYLE CURRICULA FOCUSED ON NUTRITION AND PHYSICAL ACTIVITY. * LURIE CHILDREN'S HAS CONDUCTED A CURRENT STATE ASSESSMENT OF LURIE CHILDREN'S PATIENTS REQUIRING HOME- AND COMMUNITY-BASED SERVICES (HCBS), INCLUDING CURRENT STRUCTURES AND PROCESSES FOR REFERRAL/LINKAGE, BEST PRACTICES AND GAPS/NEEDS. A PLAN IS UNDER DEVELOPMENT TO ADDRESS THE HCBS NEEDS IDENTIFIED, INCLUDING POLICY AND ADVOCACY PRIORITIES. AS PART OF THIS PLAN, LURIE CHILDREN'S LAUNCHED THE COMPLEX CARE PROGRAM FOR YOUTH WITH SPECIAL HEALTHCARE NEEDS TO REDUCE BARRIERS AND IMPROVE ACCESS TO CARE (E.G., SCHEDULING AND LINKAGES FOR COMMUNITY SERVICES. * LURIE CHILDREN'S CONTINUES TO BE A KEY STRATEGIC AND THOUGHT PARTNER FOR CHICAGO PUBLIC SCHOOLS (CPS) WHEN IT COMES TO YOUTH PHYSICAL HEALTH, MENTAL HEALTH AND DEVELOPMENT AND WE CONTINUE TO EXPLORE NEW AND/OR ENHANCED OPPORTUNITIES FOR PARTNERSHIP TO ADVANCE THE HEALTH AND EDUCATION OF CHILDREN AND ADOLESCENTS IN CHICAGO. OUR WORK WITH CPS AND OTHER CHICAGO SCHOOLS INCLUDES: (1) MOBILE HEALTH PROGRAM, TO HELP PROVIDE PRIMARY CARE AND IMMUNIZATIONS TO KEEP STUDENTS HEALTHY AND IN COMPLIANCE WITH MEDICAL REQUIREMENTS; (2) MENTAL AND BEHAVIORAL HEALTH SUPPORT THROUGH OUR CENTER FOR CHILDHOOD RESILIENCE, WHICH PROVIDES SCHOOLS TRAUMA TRAININGS, SCHOOL-BASED GROUP INTERVENTIONS, AND SUPPORT FOR MULTIDISCIPLINARY BEHAVIORAL HEALTH TEAM; (3) EXPERT SPEAKERS/PANELISTS FOR SCHOOL-BASED TEACHER AND PARENT TRAINING AND EDUCATION SESSIONS, INCLUDING TRAUMA-RESPONSIVE PRACTICE, INJURY PREVENTION, SEXUAL HEALTH, OBESITY PREVENTION AND ACTIVE LIFESTYLE, LGBTQ+ CULTURAL COMPETENCY, GENDER INCLUSIVITY AND SUBSTANCE USE; (4) CARE COORDINATION SERVICES AND EDUCATION LIAISON TO HELP LURIE CHILDREN'S PATIENTS TRANSITION BACK TO SCHOOL SETTINGS; (5) HEALTH AND WELLNESS POLICY IMPLEMENTATION SUPPORT DIRECTLY TO SCHOOLS AND INDIRECTLY TO SCHOOLS THROUGH PARTNER TRAININGS; (6) SUPPORT IN POLICY DEVELOPMENT, INCLUDING SCHOOL DISCIPLINE, CONCUSSION, OVERALL HEALTH AND WELLNESS, AND GENDER INCLUSIVITY POLICIES; (7) WORKFORCE EDUCATION OPPORTUNITIES FOR ~400 HIGH SCHOOL AND MIDDLE SCHOOL STUDENTS EACH YEAR; (8) REFERRALS THROUGH OUR CONNECTEEN PROGRAM FOR PREGNANT AND PARENTING YOUTH TO HOME VISITING PROGRAMS AND DOULAS IN EACH COMMUNITY AREA; (9) FACILITATION OF YOUTH-LED RESEARCH AND ADVOCACY PROGRAMS TO ADDRESS SUBSTANCE USE, TEEN PREGNANCY SUPPORT AND VIOLENCE PREVENTION; AND (10) PREPARATION FOR SUDDEN CARDIAC ARREST EMERGENCIES THROUGH PROJECT ADAM (AUTOMATED DEFIBRILLATORS IN ADAM'S MEMORY). MENTAL AND BEHAVIORAL HEALTH IN 2016, ONE IN SIX U.S. CHILDREN 2-8 YEARS OLD (17.4%) HAD A DIAGNOSED MENTAL, BEHAVIORAL, OR DEVELOPMENTAL DISORDER. ACCORDING TO THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI), AT LEAST ONE IN FIVE ADOLESCENTS HAVE OR WILL HAVE A SERIOUS MENTAL OR BEHAVIORAL HEALTH CONDITION. CHICAGO PREVALENCE DATA FOR YOUTH MENTAL HEALTH DISORDERS IS LIMITED. AT THE TIME OF THE 2019 CHNA, IT WAS ESTIMATED THAT OVER 30% OF CHICAGO HIGH SCHOOL STUDENTS EXPERIENCE DEPRESSION AND OVER 5% REPORTED ATTEMPTING SUICIDE IN THE PAST 12 MONTHS. THE CAUSES OF MENTAL HEALTH DISORDERS ARE COMPLEX AND INTERRELATED AND THERE ARE GAPS IN THE SYSTEM TO ADDRESS AND TREAT THEM. BEFORE THE COVID-19 PANDEMIC, MENTAL HEALTH CHALLENGES WERE THE LEADING CAUSE OF DISABILITY AND POOR LIFE OUTCOMES IN YOUNG PEOPLE. FROM 2009 TO 2019, THE SHARE OF HIGH SCHOOL STUDENTS WHO REPORTED PERSISTENT FEELINGS OF SADNESS OR HOPELESSNESS INCREASED BY 40 PERCENT TO MORE THAN 1 IN 3 STUDENTS. ON AVERAGE, ONLY 1 IN 4 CHILDREN IN NEED OF MENTAL HEALTH SUPPORT RECEIVED THE HELP THEY NEEDED AND, OF THOSE, APPROXIMATELY 70-80 PERCENT RECEIVE UNINTENTIONAL INJURY AND VIOLENCE UNINTENTIONAL INJURIES ARE THE LEADING CAUSE OF DEATH AMONG CHILDREN AND ADOLESCENTS IN ILLINOIS AND THE U.S. UNINTENTIONAL INJURIES INCLUDE SUFFOCATION, DROWNING, POISONING, FIRES, FALLS, MOTOR VEHICLE CRASHES, AND OCCUPATIONAL INJURIES. THE TWO PEDIATRIC AGE GROUPS WITH THE HIGHEST UNINTENTIONAL INJURY DEATH RATES ARE INFANTS (< 1 YEAR OLD) AND ADOLESCENTS 15-19 YEARS OLD. UNINTENTIONAL INJURIES ARE ALSO A MAJOR CAUSE OF EMERGENCY DEPARTMENT VISITS, HOSPITALIZATION, AND PERMANENT DISABILITY AMONG CHILDREN AND ADOLESCENTS. THE CDC ESTIMATES THAT FOR EVERY CHILD WHO DIES FROM AN UNINTENTIONAL INJURY, THERE ARE AN ADDITIONAL 900 CHILDREN TREATED IN THE EMERGENCY DEPARTMENT. IN ADDITION, UNINTENTIONAL INJURIES ARE A MAJOR CONTRIBUTOR TO INFANT MORTALITY EACH YEAR IN CHICAGO AND IN ILLINOIS. CHILD MALTREATMENT IS A FORM OF VIOLENCE OR HARM, INTENTIONAL OR UNINTENTIONAL, COMMITTED BY A PARENT OR CAREGIVER AGAINST AN INFANT, CHILD OR ADOLESCENT. THE CDC CATEGORIZES FOUR TYPES OF MALTREATMENT: (1) PHYSICAL ABUSE, (2) EMOTIONAL OR PSYCHOLOGICAL ABUSE, (3) SEXUAL ABUSE AND (4) NEGLECT. GENERALLY, CHILDREN UNDER THE AGE OF FOUR YEARS, CHILDREN WITH SPECIAL NEEDS AND CHILDREN IN LOW-RESOURCE COMMUNITIES ARE ESPECIALLY VULNERABLE. LACK OF PARENTING AND CHILD DEVELOPMENT KNOWLEDGE, PARENTAL STRESS, AND SOCIAL ISOLATION ARE RISK FACTORS FOR CHILD MALTREATMENT. THE IMPACT OF CHILD ABUSE AND NEGLECT CAN BE FELT INTO ADULTHOOD AFFECTING HEALTH AND WELL-BEING ACROSS THE LIFESPAN. NURTURING PARENTING SKILLS, ACCESS TO SOCIAL SERVICES AND SUPPORTIVE COMMUNITIES REDUCE THE RISK OF CHILDHOOD ABUSE. OTHER SOCIAL DETERMINANTS OF HEALTH (E.G., STABLE HOUSING, ACCESS TO HEALTHCARE, FINANCIAL STABILITY) ARE ALSO PROTECTIVE FACTORS. ALTHOUGH VIOLENCE OCCURS IN ALL COMMUNITIES, IT IS CONCENTRATED IN LOW-INCOME COMMUNITIES OF COLOR, PARTICULARLY PREDOMINANTLY BLACK/AFRICAN AMERICAN NEIGHBORHOODS. BLACK/ AFRICAN AMERICAN RESIDENTS IN CHICAGO HAVE THE HIGHEST BURDEN OF HOMICIDE AND FIREARM-RELATED MORTALITY. THE ROOT CAUSES OF COMMUNITY VIOLENCE ARE MULTIFACETED AND INCLUDE ISSUES SUCH AS THE CONCENTRATION OF POVERTY, EDUCATION INEQUITIES, POOR ACCESS TO HEALTH SERVICES, MASS INCARCERATION, DIFFERENTIAL POLICING STRATEGIES, AND GENERATIONAL TRAUMA. RESEARCH HAS ESTABLISHED THAT EXPOSURE TO VIOLENCE HAS SIGNIFICANT IMPACTS ON PHYSICAL AND MENTAL WELL-BEING. IN ADDITION, EXPOSURE TO VIOLENCE IN CHILDHOOD HAS BEEN LINKED TO TRAUMA, TOXIC STRESS, AND AN INCREASED RISK OF POOR HEALTH OUTCOMES ACROSS THE LIFESPAN. VIOLENCE ALSO HAS A NEGATIVE IMPACT ON THE SOCIOECONOMIC CONDITIONS WITHIN COMMUNITIES THAT CONTRIBUTE TO THE WIDENING OF DISPARITIES. RESEARCH HAS LONG ESTABLISHED THAT EXPOSURE TO INTERPERSONAL AND/OR COMMUNITY VIOLENCE IS STRONGLY LINKED TO THE DEVELOPMENT OF MENTAL ILLNESS, POST-TRAUMATIC STRESS DISORDER (PTSD), AND SUBSTANCE USE DISORDERS. TO ADDRESS UNINTENTIONAL INJURIES AND VIOLENCE, LURIE CHILDREN'S UNDERTOOK SEVERAL INITIATIVES INCLUDING: * LURIE CHILDREN'S INJURY PREVENTION PROGRAM WAS THE ONLY INITIATIVE THAT DISTRIBUTED CAR SEATS AND CRIBS TO CHICAGOANS CONSISTENTLY THROUGHOUT THE COVID-19 PANDEMIC. IN FISCAL YEAR 2021, 395 CAR SEATS (WITH EDUCATION AND INSTALLATION GUIDANCE) WERE DISTRIBUTED TO HELP ENSURE INFANTS AND CHILDREN RIDE SAFELY EVERY TIME THEY GET IN THE CAR. THE TEAM ALSO DISTRIBUTED 157 CRIBS AND FITTED SHEETS TO NEW PARENTS, PRIMARILY ON CHICAGO'S SOUTH AND WEST SIDES, WITH 98% OF RECIPIENTSREPORTING THAT THEY USE THEIR CRIBS REGULARLY. THE INJURY PREVENTION PROGRAM ALSO TRAINED 17 COMMUNITY-BASED SAFE SLEEP AMBASSADORS ON CHICAGO'S SOUTH AND WEST SIDES. AS TRUSTED COMMUNITY MEMBERS, THE AMBASSADORS HELP EXTEND OUR REACH BY SHARING INFORMATION IN THEIR NEIGHBORHOODS. * EACH YEAR, LURIE CHILDREN'S CHILD PROTECTIVE SERVICE TEAM SPONSORS A CHILD MALTREATMENT SYMPOSIUM FOR FIRST RESPONDERS, SOCIAL WORKERS, TEACHERS AND POLICE OFFICERS IN CHICAGO. THE GOALS OF THESE SYMPOSIA ARE TO RAISE AWARENESS OF CHILD MALTREATMENT, TO EMPOWER PROFESSIONS IN CONTACT WITH CHILDREN WITH THE TOOLS TO IDENTIFY AND REPORT ABUSE, AND TO ADDRESS COMMON CHALLENGES IN PROVIDING SERVICES TO FAMILIES THAT EXPERIENCE ABUSE. * LURIE CHILDREN'S CONTINUES THE SEXUAL ASSAULT NURSE EXAMINER PROGRAM (SANE) IN ITS EMERGENCY ROOM TO ENSURE TIMELY, EXPERT CARE IS PROVIDED TO YOUNG VICTIMS OF SEXUAL ASSAULT. A TRAINED NURSE PRACTITIONER IS AVAILABLE 24/7, AND TOGETHER, LURIE CHILDREN'S SANE PROGRAM APNS COMPLETE MORE THAN 200 ANNUAL ASSESSMENTS. THEY ALSO PROVIDE CONTINUING EDUCATION TO PHYSICIANS, ADVANCED PRACTICE PROVIDERS AND NURSES INTERNALLY AND EXTERNALLY. * LURIE CHILDREN'S CHILD ABUSE PEDIATRICS CONTINUES TO LEAD THE DEVELOPMENT OF THE HUMAGRAM TECHNOLOGY, A SOFTWARE PROGRAM TO HELP CLINICIANS, CAREGIVERS AND CHILD ADVOCATES DETERMINE IF AN INJURY IS ACCIDENTAL OR DUE TO CHILD ABUSE OR NEGLECT. INTEGRATED INTO THIS TECHNOLOGY ARE SIX EVIDENCE-BASED CLINICAL DECISION RULES ADDRESSING SPECIFIC AREAS NEEDED TO IMPROVE RECOGNITION OF PHYSICAL ABUSE, INCLUDING BRUISING, FRACTURES, ABUSIVE HEAD TRAUMA, OCCULT HEAD INJURY (BRAIN INJURY), SCALD BURNS AND SEXUAL ABUSE. * LURIE CHILDREN'S CHILD MALTREATMENT EXPERTS COLLABORATE WITH CIVITAS CHILD LAW CENTER TO DEVELOP AND TEACH AN ADVOCACY COURSE AND CURRICULUM FOR LOYOLA UNIVERSITY LAW STUDENTS AND SITTING JUDGES FOCUSED ON CHILD MALTREATMENT. *LURIE CHILDREN'S LAUNCHED STRENGTHENING CHICAGO YOUTH (SCY) IN 2012 TO BUILD CAPACITY AMONG NUMEROUS PUBLIC AND PRIVATE STAKEHOLDERS TO CONNECT, COLLABORATE AND MOBILIZE AROUND A PUBLIC HEALTH APPROACH TO VIOLENCE PREVENTION. AS THE LARGEST VIOLENCE PREVENTION COLLABORATIVE IN CHICAGO, WITH MORE THAN 4,000 VIOLENCE PREVENTION PARTNERS, SCY IS A CATALYST FOR INNOVATIVE PUBLIC HEALTH APPROACH TO PREVENTION VIOLENCE. MATERIALS, TRAINING AND TECHNICAL ASSISTANCE IS OFFERED TO FOSTER INNOVATIVE PARTNERSHIPS AMONG MULTIPLE SECTORS, ENCOURAGE INVOLVEMENT IN POLICY AND ADVOCACY AND SUPPORT ADOPTION OF EFFECTIVE, SUSTAINABLE VIOLENCE PREVENTION STRATEGIES. SCY HOSTS TRAININGS AND EDUCATIONAL OPPORTUNITIES FOR NEARLY 1,000 PARTNERS ANNUALLY. * LURIE CHILDREN'S AND SCY ALSO PARTICIPATE IN THE ILLINOIS GUN VIOLENCE PREVENTION COALITION AND ILLINOIS COUNCIL AGAINST HANDGUN VIOLENCE. * IN 2017, SCY LAUNCED THE JUVENILE JUSTICE COLLABORATIVE (JJC), CONVENING YOUTH SERVICE PROVIDERS AND GOVERNMENT STAKEHOLDERS IN COOK COUNTY TO DEVELOP A CARE COORDINATION MODEL FOR JUSTICE-INVOLVED YOUTH, THUS MINIMIZING THEIR FURTHER INVOLVEMENT IN THE JUSTICE SYSTEM AND REDUCING RACIAL DISPARITIES. OVER 200 YOUTH HAVE BEEN CONNECTED TO SERVICES. SINCE ITS INCEPTION, SCY'S JUVENILE JUSTICE COLLABORATIVE HAS CONNECTED 560 YOUTH TO SERVICES. OVERALL, ONLY 18% OF YOUTH WHO COMPLETED THE PROGRAM WERE RE-REFERRED TO COURT WITHIN ONE YEAR, COMPARED WITH 32% OF ALL YOUTH FOLLOWING THEIR FIRST ARREST. PART V, LINE 13B N/A PART V, LINE 13H N/A PART V, LINE 15E N/A PART V, LINE 16J N/A PART V, LINE 18E N/A PART V, LINE 19E N/A PART V, LINE 20A N/A PART V, LINE 20B N/A PART V, LINE 20C N/A PART V, LINE 20D N/A PART V, LINE 20E N/A PART V, LINE 21C N/A PART V, LINE 21D N/A PART V, LINE 23 N/A PART V, LINE 24 N/A 21 Lurie Children's Pediatrics - Uptown 4867 N Broadway Avenue Chicago IL 60640 Physician Services & Outpatient Medical Services Lurie Children's OTP Ctr in Westchester 2301 Enterprise Dr Westchester IL 60154 Physician Services, Outpatient Medical & Ambulatory Surgical Services Lurie Children's OTP CTR in Arlington Ht 880 W Central Rd Suite 6400 Arlington Heights IL 60005 Physician Services & Outpatient Medical Services Lurie Children's OTP Ctr in New Lenox 1870 N Silver Cross Blvd Ste 100 New Lenox IL 60451 Physician Services & Outpatient Medical Services Lurie Children's OTP Ctr in Lake Forest 900 N Westmoreland Suite 209 Lake Forest IL 60045 Physician Services & Outpatient Medical Services Lurie Children's OTP Ctr in Lincoln Park 2515 N Clark Street/467 W Deming Chicago IL 60614 Physician Services & Outpatient Medical Services Lurie Children's Rehab Svcs at Westbrook 11301 W Cermak Rd Westchester IL 60154 Rehabilitation Services Lurie Children's at NWMC Dupage Hospital 25 N WINFIELD ROAD Winfield IL 60190 Physician Services Lurie Children's at NWM Delnor Hospital 300 Randall Rd Bldg 302 Suite 102 Geneva IL 60134 Physician Services Northwestern Med Chicago Proton Center 4455 Weaver Parkway Warrenville IL 60555 Physician Services Outpatient Center in Grayslake 1475 E Belvidere Rd RTE 120 STE Grayslake IL 600302012 Physician Services & Outpatient Medical Services Outpatient Center in Northbrook 1131 Techny Road Northbrook IL 60062 Physician Services & Outpatient Medical Services Outpatient Center in Huntley 10350 Haligus Rd Centgra Hlt Sys Me Huntley IL 60142 Physician Services Lurie Children's Primary Cr-Town Country 1460 N Halsted St Suite 402 Chicago IL 60642 Physician Services Lurie Children's Primary Cr-Town Country 2601 Compass Road Suite 120 Glenview IL 60026 Physician Services Lurie Children's OTP Ctr in NClybourn 1440 N Dayton Chicago IL 60642 Physician Services Northbrook Ambulatory Surgery Center 1121 TECHNY ROAD NORTHBROOK IL 60062 PHYSICIAN SERVICES, OUTPATIENT MEDICAL & AMBULATORY SURGICAL SERVICES Glenview Physician Office 2701 Patriot Blvd GLENVIEW IL 60026 PHYSICIAN SERVICES Lurie Children's Primary CR-Town Country 3722 W Touhy Avenue Suite 101 Skokie IL 60076 Physician Services Outpatient Center in Skokie 3722 Touhy Avenue Skokie IL 60076 Physician Services Lurie Children's Primary CR-CAP 1950 Dempster St Evanston IL 60202 Physician Services PART I, LINE 3C TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, THE PATIENT MUST BE AN ILLINOIS RESIDENT. THE ORGANIZATION ALSO FOLLOWS ILLINOIS'S PRESUMPTIVE ELIGIBILITY GUIDELINES IN DETERMINING FINANCIAL ASSISTANCE. PART I, LINE 6A LURIE CHILDREN'S UPDATES COMMUNITY BENEFIT REPORTING ANNUALLY AND CAN BE FOUND AT HTTPS://WWW.LURIECHILDRENS.ORG/EN/SERVING-THE-COMMUNITY/MAGOON-INSTITUTE-F OR-HEALTHY-COMMUNITIES/INVESTING-IN-OUR-COMMUNITIES/ IN FY21, THE INSTITUTION INVESTED $231.0 MILLION IN UNREIMBURSED CHARITY CARE, UNDER-REIMBURSEMENT FROM CARING FOR PATIENTS INSURED BY MEDICAID, AND COMMUNITY BENEFIT PROGRAMS. * CHARITY CARE, LOSSES DUE TO MEDICAID REIMBURSEMENT BELOW COST OF SERVICES AND OTHER UNCOMPENSATED COSTS: $170.2 MILLION * RESIDENT AND FELLOW TRAINING: $24.4 MILLION * FAMILY SUPPORT AND INTERPRETATION SERVICES: $10.3 MILLION * RESEARCH FUNDING, NET OF GRANTS AND PHILANTHROPIC SUPPORT: $18.0 MILLION * COMMUNITY CLINIC SUPPORT: $1.5 MILLION * CHILD ADVOCACY PROGRAMS: $6.6 MILLION * TOTAL COMMUNITY INVESTMENT: $231.0 MILLION THE CALCULATION FOR "CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST" REFLECTS THE FORM 990 DEFINITIONS AND WILL NOT NECESSARILY CORRESPOND TO CALCULATIONS PREPARED FOR SIMILAR STATE OF ILLINOIS REPORTING REQUIREMENTS AND OUR AUDITED FINANCIAL STATEMENT REPORTING, EACH OF WHICH MAY REQUIRE THE USE OF SPECIFIED METHODOLOGIES THAT MAY DIFFER FROM FORM 990. PART I, LINE 7G SUBSIDIZED HEALTH SERVICES REPORTED IN SECTION I, LINE 7G INCLUDE DETAILS FROM TWO DIFFERENT COMMUNITY BENEFIT PROGRAMS OF LURIE CHILDREN'S, NAMELY THE UPTOWN PRIMARY CARE AND DENTISTRY CLINICS. THE OPERATING COSTS ATTRIBUTABLE TO THE UPTOWN PRIMARY CARE AND DENTISTRY CLINICS ARE $1.26M. BOTH PROGRAMS ARE OPERATED DESPITE FINANCIAL LOSSES TO THE ORGANIZATION. THE CLINICS PROVIDE HEALTHCARE TO A LARGELY UNDERSERVED COMMUNITY. LURIE CHILDREN'S PROVIDES FINANCIAL SUPPORT TO THE FOLLOWING AFFILIATED ORGANIZATIONS TO ALLOW THESE ORGANIZATIONS TO PROVIDE CHARITY CARE SERVICES AND ENGAGE IN OTHER CHARITABLE ACTIVITIES: ALMOST HOME KIDS $ 1,595,901 LURIE CHIDREN'S MEDICAL GROUP LLC $ 822,648 LURIE CHILDREN'S HEALTH PARTNERS CARE COORDINATION $ 1,134,875 LURIE CHILDREN'S PEDIATRIC ANESTHESIA ASSOCIATES $ 6,146,516 LURIE CHILDREN'S PRIMARY CARE, LLC $ 1,958,260 LURIE CHILDREN'S SURGICAL FOUNDATION, INC. $27,102,286 PEDIATRIC FACULTY FOUNDATION, INC. $31,842,785 PART I, LINE 7, COLUMN (F) TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $1,103,259,959. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $8,497,556. THEREFORE, A TOTAL EXPENSE OF $1,094,762,403 WAS USED FOR PURPOSES OF CALCULATING FORM 990, SCHEDULE H, LINE 7, COLUMN (F). PART I, LINE 7 COST-TO-CHARGE RATIO IS CALCULATED USING THE TOTAL EXPENSE REFLECTED IN OUR FY2021 AUDITED FINANCIAL STATEMENTS REDUCED BY COMMUNITY BENEFITS REFLECTED ON SCHEDULE H, BAD DEBT, PROVIDER TAX AND NON-PATIENT RELATED ACTIVITY EXPENSES FOUND IN THE LURIE CHILDREN'S COST REPORT DIVIDED BY GROSS PATIENT CHARGES. THIS COST-TO-CHARGE RATIO IS USED TO CALCULATE THE AMOUNTS ON LINES 7A THROUGH 7C. THE REMAINDER OF THE ROWS IN PART I, LINE 7 ARE CALCULATED AS FOLLOWS: LINE 7E - THE AMOUNTS REPORTED ARE DIRECT COSTS USED TO IMPROVE COMMUNITY HEALTH FROM LURIE CHILDREN'S RESTRICTED AND UNRESTRICTED FUNDS AND AMOUNTS FROM OUR AUDITED FINANCIAL STATEMENTS ($17.6 MILLION) OFFSET BY DIRECT REVENUE OF ($3.1 MILLION). LINE 7F - THESE AMOUNTS ARE UNREIMBURSED MEDICAL EDUCATION COSTS OF $31.8 MILLION USING MEDICARE COST REPORTS INCLUDING TEACHING COSTS OFFSET BY A HRSA GRADUATE MEDICAL REIMBURSEMENT IN THE AMOUNT OF $3.7 MILLION. LINE 7G - THESE AMOUNTS SUPPORT THE COMMUNITY BY PROVIDING FINANCIAL ASSISTANCE TO PFF, LCMG, AHK, LCPC, CCE, AS WELL AS UPTOWN (MEDICAL HOME) AND DENTISTRY CLINIC. LINE 7H - TOTAL RESEARCH COSTS ARE DERIVED FROM THE MEDICARE COST REPORT AND SMCRI COST CENTERS LESS REVENUE AND LESS PHARMACEUTICAL ACTIVITIES. PART II N/A PART III, SECTION A, LINE 2 THE BAD DEBT REPORTED ON PART III, LINE 2 IS THE TOTAL AMOUNT OF ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO'S PROVISION FOR DOUBTFUL ACCOUNTS PER THE CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER AND AFFILIATED CORPORATIONS AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED AUGUST 31, 2021. PART III, SECTION A, LINE 3 THE PROVISION FOR FINANCIAL ASSISTANCE POLICY ALLOWS FOR ACCOUNTS IN BAD DEBT TO BE APPROVED FOR FINANCIAL ASSISTANCE IF THE PATIENT MEETS THE CRITERIA. THERE ARE POSSIBLE FINANCIAL ASSISTANCE ACCOUNTS IN BAD DEBT, ALTHOUGH THE EXACT PERCENTAGE IS UNKNOWN. PART III, SECTION A, LINE 4 PLEASE NOTE, SIMILAR TO FY 2020, WE DO NOT HAVE AN AFS FOOTNOTE FOR THE BAD DEBT CALCULATION FOR FY 2021. THE FOOTNOTES TO LURIE CHILDREN'S AUDITED FINANCIAL STATEMENTS DO NOT SPECIFICALLY ADDRESS BAD DEBT EXPENSE. LURIE CHILDREN'S DEFINES SELF-PAY AS BAD DEBT WHEN A FAMILY IS NOT ELIGIBLE FOR FINANCIAL ASSISTANCE AND DOES NOT PAY AN OUTSTANDING ACCOUNT BALANCE. EVEN WHEN A PATIENT IS NOT ELIGIBLE FOR FINANCIAL ASSISTANCE, OR ELIGIBILITY IS UNKNOWN, LURIE CHILDREN'S IS SENSITIVE TO THE FINANCIAL HEALTH OF ITS PATIENTS AND THEIR FAMILIES AND RECOGNIZES THAT FAMILY FINANCIAL CONCERNS MAY NOT ALWAYS BE SHARED. AT TIMES, A PATIENT MAY BE RELUCTANT TO COMPLETE A FINANCIAL ASSESSMENT TO DETERMINE THEIR ELIGIBILITY FOR CHARITY CARE. AS A RESULT, IT IS POSSIBLE THAT A PORTION OF BAD DEBT EXPENSE COULD REPRESENT PATIENTS WHO ARE UNABLE TO PAY AND MIGHT QUALIFY FOR FINANCIAL ASSISTANCE; HOWEVER, ACCURATE DATA TO ESTIMATE THIS AMOUNT IS UNAVAILABLE. LURIE CHILDREN'S IS COMMITTED TO MANAGING COLLECTION EFFORTS IN A SENSITIVE AND RESPECTFUL MANNER. IN THIS REGARD, LURIE CHILDREN'S SENDS A MINIMUM OF FOUR LETTERS/STATEMENTS TO THE FAMILIES BEFORE TAKING FURTHER ACTION. FOR HIGH BALANCE ACCOUNTS, THE HOSPITAL WILL ALSO ATTEMPT TO CONTACT THE PATIENT/FAMILY BY TELEPHONE. SHOULD THE HOSPITAL RECEIVE NO REPLY AFTER MULTIPLE ATTEMPTS TO CONTACT THE FAMILY, THE SELF-PAY BALANCES ARE SENT TO A COLLECTION AGENCY FOR FURTHER ACTION. WITH FEW EXCEPTIONS, LURIE CHILDREN'S DOES NOT CREDIT LIST ITS PATIENTS OR TAKE COURT ACTION IN ITS ATTEMPTS TO COLLECT THE OUTSTANDING BALANCES. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AT THE AMOUNT OF CHARGES WRITTEN OFF (NET OF CONTRACTUALS AND DISCOUNTS) IS PRESENTED AS A SEPARATE LINE ITEM ON THE FACE OF THE FINANCIAL STATEMENTS. BAD DEBT EXPENSE ON PART III, LINE 2 OF SCHEDULE H IS CALCULATED BASED ON AGING ACCOUNTS RECEIVABLE AND APPLYING HISTORICAL BAD DEBT PERCENTAGES. PART III, SECTION B, LINE 8 THE MEDICARE SHORTFALL HAS NOT BEEN TREATED AS COMMUNITY BENEFIT FOR FY 2021; HOWEVER, IT SHOULD BE BECAUSE THIS BURDEN WOULD FALL ON THE GOVERNMENT AND OTHER CHARITIES IF CARE WAS NOT PROVIDED BY LURIE CHILDREN'S HOSPITAL. PART III, SECTION B, LINE 9B COLLECTION POLICIES ARE THE SAME FOR ALL LURIE CHILDREN'S PATIENTS. IF AT ANY POINT IN THE COLLECTION PROCESS DOCUMENTATION IS RECEIVED THAT INDICATES THE PATIENT IS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE, BUT HAS NOT APPLIED FOR IT, THE ACCOUNT IS REFERRED BACK FOR A FINANCIAL ASSISTANCE REVIEW. THROUGH THE USE OF PAMPHLETS, SIGNAGE AND WEB SITE NOTICE, PATIENTS AND FAMILIES ARE NOTIFIED OF LURIE CHILDREN'S FINANCIAL ASSISTANCE POLICY. ON RECEIPT OF THE INFORMATION, WE WILL DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE AND NOTIFY THE PATIENT AS QUICKLY AS POSSIBLE. LURIE CHILDREN'S DOES NOT PURSUE COLLECTION OF AMOUNTS FROM PATIENTS WHO ARE BEING REVIEWED FOR FINANCIAL ASSISTANCE ELIGIBILITY OR WHO ARE DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE. IN ADDITION, ALL PATIENTS HAVING DIFFICULTY PAYING THEIR BILLS ARE DIRECTED TO FINANCIAL COUNSELORS. LURIE CHILDREN'S FINANCIAL COUNSELORS WILL WORK WITH PATIENTS TO HELP THEM TO QUALIFY FOR FINANCIAL ASSISTANCE OR GOVERNMENT PAYORS SUCH AS MEDICAID. AFTER IT IS DETERMINED THAT A PATIENT MEETS THE QUALIFICATIONS FOR THE FINANCIAL ASSISTANCE PROGRAM, THE ACCOUNT BALANCE IS EITHER PARTIALLY OR ENTIRELY WRITTEN OFF IN ACCORDANCE WITH LURIE CHILDREN'S FINANCIAL ASSISTANCE POLICY. IF THERE IS ANY REMAINING BALANCE, ONLY THAT BALANCE WOULD BE SUBJECT TO THE DEBT COLLECTION POLICY. IF A PATIENT HAS REQUESTED AND/OR FILLED OUT A FINANCIAL ASSISTANCE APPLICATION, ALL DEBT COLLECTION ACTIVITIES STOP UNTIL ELIGIBILITY FOR FINANCIAL ASSISTANCE CAN BE DETERMINED. LURIE CHILDREN'S POLICY PROVIDES THAT ONCE LURIE CHILDREN'S HAS RECEIVED THE NECESSARY DOCUMENTATION, IT WILL NOT REFER ANY ACCOUNTS FOR COLLECTION UNTIL IT CAN DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. Part VI, Line 2 NEEDS ASSESSMENT WHILE LURIE CHILDREN'S CONDUCTED ITS FORMAL CHNA REQUIRED UNDER SECTION 501(R) OF THE INTERNAL REVENUE CODE AND HAS ESTABLISHED ADVISORY COMMITTEES TO REVIEW THE HEALTH NEEDS OF THE COMMUNITY AND DEVELOP A CHNA REPORT, LURIE CHILDREN'S HAS ALSO UTILIZED OTHER MECHANISMS TO ASSESS THE HEALTHCARE NEEDS OF THE LARGER AND DIVERSE COMMUNITY IT SERVES IN A VARIETY OF WAYS. COMMUNITY NEEDS ARE IDENTIFIED BY THE LURIE CHILDREN'S BOARD OF DIRECTORS, AS WELL AS SEVERAL ADVISORY BOARDS WHICH ARE COMPRISED OF INDIVIDUALS FROM THE COMMUNITY SERVED, WHO ARE ACTIVE MEMBERS OF THE COMMUNITY AND ATTUNED TO COMMUNITY NEEDS. LURIE CHILDREN'S HAS A VERY ACTIVE FAMILY PARTNERSHIP COUNCIL WHICH THE HOSPITAL RELIES UPON TO ASSIST IN MAKING DECISIONS ABOUT PROGRAMMING AND POLICIES. FAMILY PARTNERSHIP COUNCIL MEMBERS, COMPRISED OF PARENTS OF CHILDREN WHO HAVE HAD EXTENSIVE INPATIENT AND OUTPATIENT EXPERIENCES AT THE HOSPITAL, ADVISE ADMINISTRATION AND MEDICAL LEADERSHIP ON PATIENT NEEDS AND HOSPITAL PRIORITIES FROM THE FAMILY PERSPECTIVE. FAMILY PARTNERSHIP COUNCIL MEMBERS CONTRIBUTE THROUGH PARTICIPATION IN PLANNING, OPERATING AND POLICY COMMITTEES OF LURIE CHILDREN'S. SIMILARLY, THE KIDS' ADVISORY BOARD IS INTENDED TO GIVE A VOICE TO CHILDREN WHO HAVE BEEN TREATED AT THE HOSPITAL. THE KIDS' ADVISORY BOARD MAKES RECOMMENDATIONS ON ISSUES RELATED TO PATIENT CARE FROM THE PERSPECTIVE OF A CHILD, TEENAGER AND SIBLING OF A PATIENT. MOREOVER, LURIE CHILDREN'S HAS STRONG RELATIONSHIPS WITH OTHER NOT-FOR-PROFIT ORGANIZATIONS (SUCH AS HEALTH CLINICS AND SOCIAL SERVICE AGENCIES) AND COMMUNITY LEADERS WHO HELP IDENTIFY EXISTING COMMUNITY NEEDS AND WAYS TO ADDRESS SUCH NEEDS. LURIE CHILDREN'S IS ALSO A LEADER IN PEDIATRIC RESEARCH AIMED AT ADVANCEMENTS IN THE PREVENTION, DIAGNOSIS AND TREATMENT OF DISEASES THAT AFFECT THE DEVELOPMENT OF CHILDREN THROUGH ADOLESCENCE, AS WELL AS ADULT DISORDERS THAT DERIVE FROM THEM. STANLEY MANNE CHILDREN'S RESEARCH INSTITUTE (MANNE RESEARCH INSTITUTE) IS ONE OF A FEW INSTITUTIONS IN THE U.S. DEDICATED EXCLUSIVELY TO PEDIATRIC RESEARCH. THIS RESEARCH AIDS IN THE IDENTIFICATION OF UNMET NEEDS FACED BY THE COMMUNITY AND, IN PARTICULAR, THE CHILDREN LURIE CHILDREN'S IS PRIVILEGED TO SERVE. IN 2018, LURIE CHILDREN'S HOSPITAL LAUNCHED "VOICES OF CHILD HEALTH IN CHICAGO" TO HEAR DIRECTLY FROM CHICAGO FAMILIES ABOUT THEIR MOST SIGNIFICANT CHILD HEALTH AND WELLNESS CONCERNS. VOICES OF CHILD HEALTH IN CHICAGO PARTNERS WITH THE CHICAGO DEPARTMENT OF PUBLIC HEALTH (CDPH) TO CONDUCT THE HEALTH CHICAGO SURVEY, JR. THE 2020 HEALTHY CHICAGO SURVEY JR., A COMPONENT OF THE HEALTHY CHICAGO SURVEY ADMINISTERED BY CDPH IN COLLABORATION WITH LURIE CHILDREN'S, WAS SELF-ADMINISTERED BY WEB AND PAPER FROM JUNE TO DECEMBER 2020. THE SAMPLE CONSISTED OF 4,517 ADULTS IN CHICAGO, 862 OF WHOM WERE THE PARENT, STEP-PARENT OR GUARDIAN (REFERRED TO AS "PARENTS" IN THIS REPORT) OF AT LEAST ONE CHILD UNDER 18 YEARS OLD LIVING IN THE HOUSEHOLD. THE SURVEY RESPONSE RATE WAS 38%. ALL ANALYSES WERE CONDUCTED WITH STATISTICAL WEIGHTING SO THAT THEY ARE REPRESENTATIVE OF THE ADULT POPULATION OF THE CITY OF CHICAGO DURING THE TIME PERIOD OF DATA COLLECTION. FOR MORE RESULTS FROM THE HEALTHY CHICAGO SURVEY, VISIT CHICAGOHEALTHATLAS.ORG. VOICES OF CHILD HEALTH IN CHICAGO ALSO LEADS A PARENT PANEL SURVEY. THIS LONGITUDINAL SURVEY IS ADMINISTERED TO A SAMPLE OF OVER 1500 CHICAGO PARENTS FROM ALL 77 CHICAGO COMMUNITY AREAS BY LURIE CHILDREN'S AND NORC AT THE UNIVERSITY OF CHICAGO VIA INTERNET AND TELEPHONE. PARENTS ON THE PANEL ARE SURVEYED 3X PER YEAR ON TOPICS RELATED TO CHILD AND ADOLESCENCE HEALTH AND WELL-BEING, FAMILY WELL-BEING AND PARENTING. ANALYSES ARE CONDUCTED WITH STATISTICAL WEIGHTING SO THAT THE RESULTS ARE REPRESENTATIVE OF THE PARENT POPULATION IN THE CITY OF CHICAGO DURING THE TIME PERIOD OF EACH SURVEY DATA COLLECTION. FOR MORE INFORMATION ABOUT THE VOCHIC PARENT PANEL SURVEY, VISIT LURIECHILDRENS.ORG/PARENTPANEL. DATA FROM THESE SURVEYS HAS LED TO OVER 30 REPORT BRIEFS ON SPECIFIC TOPIC AREAS. BASED UPON ALL THESE VARIED ASSESSMENTS, LURIE CHILDREN'S, IN CONCERT WITH OTHERS IN THE COMMUNITY, STRIVES TO ADDRESS IDENTIFIED NEEDS WHICH IT IS POSITIONED TO ASSIST WITH, PARTICULARLY THOSE RELATED TO THE HEALTH AND WELL-BEING OF CHILDREN AND ADOLESCENTS, THROUGH EDUCATION, RESEARCH AND PATIENT CARE PROGRAMS, IN KEEPING WITH ITS CHARITABLE MISSION AS A TAX-EXEMPT ENTITY. FOR SPECIFIC EXAMPLES OF COMMUNITY BUILDING ACTIVITIES OF LURIE CHILDREN'S, PLEASE SEE RESPONSE TO PART VI, LINE 5 BELOW. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE LURIE CHILDREN'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO THE PUBLIC AND PATIENTS FREQUENTLY AND IN MANY WAYS. NEW PATIENTS RECEIVE A WRITTEN NOTICE INFORMING THEM ABOUT LURIE CHILDREN'S FINANCIAL ASSISTANCE POLICY AND ARE REQUESTED TO SIGN A STATEMENT AT LEAST ANNUALLY CONFIRMING THAT THEY HAVE RECEIVED THIS POLICY. SIGNS ARE POSTED AT ALL AREAS OF REGISTRATION, LOBBIES, RECEPTION, CLINICAL AREAS, WAITING ROOMS AND THE EMERGENCY DEPARTMENT DIRECTING PATIENTS WHO HAVE NEED OF FINANCIAL ASSISTANCE TO CONTACT OUR FINANCIAL COUNSELORS. PAMPHLETS, DISTRIBUTED THROUGH THE HOSPITAL AND OTHER FACILITIES, TITLED "BILLING/FINANCIAL ASSISTANCE AND UNDERSTANDING YOUR BILL" PROVIDE INFORMATION ABOUT THE BILLS THAT THE PATIENTS CAN BE EXPECTED TO HAVE RECEIVED AND DIRECT PATIENTS WHO MAY NEED FINANCIAL ASSISTANCE TO CONTACT OUR FINANCIAL COUNSELORS. IN ADDITION, A LINK IS SHOWN ON LURIE CHILDREN'S WEBSITE ENTITLED "BILLING & FINANCIAL ASSISTANCE". CLICKING ON THIS LINK WILL TAKE SOMEONE TO THE HOSPITAL'S APPLICATION FORM AND INSTRUCTIONS. AVAILABILITY OF FINANCIAL ASSISTANCE IS ALSO NOTED ON THE FRONT AND BACK OF THE FIRST PAGE OF THE PATIENT BILLING STATEMENT. LURIE CHILDREN'S HAS FINANCIAL COUNSELORS WHO ARE TRAINED TO ASSIST AND ADVISE PATIENTS AS TO THE AVAILABILITY OF A VARIETY OF SOCIAL SERVICES AND RESOURCES, INCLUDING STATE MEDICAID, ALLKIDS (ANOTHER STATE INSURANCE PROGRAM AVAILABLE TO CHILDREN FROM FAMILIES WHOSE INCOME EXCEEDS THE THRESHOLDS FOR MEDICAID ELIGIBILITY) AND THE HOSPITAL'S CHARITABLE ASSISTANCE PROGRAM. THE HOSPITAL'S STAFF ACTIVELY ASSISTS INPATIENTS AND OUTPATIENT SURGERY PATIENTS WHO ARE ELIGIBLE FOR MEDICAID IN APPLYING FOR AND OBTAINING THESE BENEFITS. IN THE AMBULATORY CLINIC SETTING APPLICATIONS FOR ALLKIDS ARE PROVIDED TO PATIENTS. WHERE INDIVIDUALS ARE NOT ELIGIBLE FOR SUCH PROGRAMS AND THERE IS NEED FOR FINANCIAL ASSISTANCE, LURIE CHILDREN'S FINANCIAL COUNSELORS ASSIST PATIENTS AND FAMILIES IN APPLYING FOR CHARITABLE ASSISTANCE AVAILABLE FROM THE HOSPITAL. A PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE AT ANY TIME, INCLUDING AFTER APPLICABLE INSURANCE LIMITS MAY HAVE BEEN EXHAUSTED. PART VI, LINE 4 COMMUNITY INFORMATION LURIE CHILDREN'S IS UNIQUE IN THE COMMUNITY AND THE STATE OF ILLINOIS AS IT IS THE ONLY FREE-STANDING PEDIATRIC HOSPITAL IN THE STATE AND ITS TERTIARY SERVICES INCLUDES A LEVEL I TRAUMA CENTER AND LEVEL III NEONATAL NURSERY WHICH SERVES AS A REGIONAL REFERRAL CENTER FOR THE STATE OF ILLINOIS' PERINATAL NETWORK. IN ADDITION, FOR MORE THAN 60 YEARS, LURIE CHILDREN'S HAS SERVED AS THE PEDIATRIC TRAINING SITE FOR NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE, TRAINING RESIDENTS, MEDICAL STUDENTS AND FELLOWS WHO WILL COMPRISE THE NEXT GENERATION OF HEALTH CARE PROVIDERS. WHILE LURIE CHILDREN'S SERVES PATIENTS FROM ALL OVER THE COUNTRY AND MANY OTHER COUNTRIES, THE PRIMARY COMMUNITY SERVED BY LURIE CHILDREN'S IS CHILDREN FROM THE CHICAGO METROPOLITAN AREA, WITH THE PRIMARY SERVICE AREA DEFINED AS BEING THE CITY OF CHICAGO AND COOK, DUPAGE, KANE, KENDALL, LAKE, MCHENRY AND WILL COUNTIES IN ILLINOIS. APPROXIMATELY HALF OF THE PATIENTS TREATED BY THE HOSPITAL IN FISCAL YEAR 2021 WERE MEDICAID RECIPIENTS. LURIE CHILDREN'S IS THE LARGEST PROVIDER OF MEDICAID PEDIATRIC SERVICES IN THE STATE OF ILLINOIS. ACCORDING TO THE MOST RECENT U.S. CENSUS BUREAU DATA, 20.1% OF FAMILIES WITH RELATED CHILDREN UNDER AGE 18 ARE BELOW THE U.S. POVERTY LEVEL. PATIENT DEMOGRAPHICS ARE DIVERSE AND INCLUDE A LARGE NUMBER OF FAMILIES WHOSE PRIMARY LANGUAGE IS NOT ENGLISH, DEMONSTRATED BY THE FACT THAT LURIE CHILDREN'S SPENT OVER $1 MILLION IN TRANSLATION SERVICES IN FY2021. INTERPRETERS ASSISTED COMMUNICATION BETWEEN FAMILIES AND PROVIDERS AND CLINICIANS TO SUPPORT EQUAL ACCESS TO ALL LIMITED ENGLISH PROFICIENT FAMILIES. THE INTERPRETING MODALITIES UTILIZED WERE STAFF INTERPRETERS, PHONE INTERPRETATION (~200 LANGUAGES ON DEMAND) AVAILABLE VIA ANY HOSPITAL PHONE, VIDEO/VOICE INTERPRETATION AVAILABLE THROUGHOUT THE ORGANIZATION ON DESIGNATED DEVICES, AS WELL AS CONTRACTED INTERPRETERS FOR COMPLEX AND CRITICAL COMMUNICATION. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH LURIE CHILDREN'S INVESTS SIGNIFICANT RESOURCES EACH YEAR TO BUILD AND PROMOTE THE GENERAL HEALTH OF THE COMMUNITY IT SERVES. LURIE CHILDREN'S ENGAGES IN A BROAD SPECTRUM OF ACTIVITIES IN FURTHERANCE OF ITS MISSION TO PROVIDE HEALTHCARE, RESEARCH, TEACHING AND ADVOCACY FOR THE PROMOTION OF CHILDREN AND ADOLESCENTS WELL-BEING. LURIE CHILDREN'S IS A LEADER IN PROVIDING NECESSARY HEALTHCARE SERVICES AS WELL AS EDUCATION AND ADVOCACY ABOUT IMPORTANT ISSUES AFFECTING CHILDREN AND ADOLESCENTS. LURIE CHILDREN'S IS A LEADER IN PEDIATRIC RESEARCH, INCLUDING CLINICAL RESEARCH AIMED AT PROMOTING THE HEALTH AND WELL-BEING OF CHILDREN AND ADOLESCENTS IN THE COMMUNITY. LURIE CHILDREN'S PARTNERS WITH MANY COMMUNITY PROGRAMS INTENDED TO PROVIDE ACCESS TO HEALTH-RELATED SERVICES, HEALTH EDUCATION, OBESITY PREVENTION, VIOLENCE PREVENTION, INJURY PREVENTION, SUBSTANCE USE PREVENTION AND ADVOCACY FOR IMPORTANT INITIATIVES TO IMPROVE CHILDREN AND ADOLESCENT HEALTH. LURIE CHILDREN'S ALSO SPENDS SIGNIFICANT RESOURCES TOWARD GRADUATE MEDICAL EDUCATION, PROVIDING SPECIALIZED TRAINING IN PEDIATRIC SPECIALTY MEDICINE, INCLUDING SPECIALTY AREAS WHERE THERE ARE SEVERE SHORTAGES OF CLINICIANS AND FEW GRADUATES EACH YEAR. THE FOLLOWING ARE EXAMPLES OF SOME OF LURIE CHILDREN'S COMMUNITY HEALTH INITIATIVES BEYOND THOSE ADDRESSED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN REVIEWED ABOVE: LURIE CHILDREN'S OPERATES A PRIMARY CARE CLINIC IN CHICAGO'S UPTOWN NEIGHBORHOOD, PROVIDING NEEDED PRIMARY CARE SERVICES, INCLUDING CHECK-UPS, BACK-TO-SCHOOL AND SPORTS PHYSICALS, IMMUNIZATIONS, VISION AND HEARING SCREENING AND SICK-CHILD CARE BY PEDIATRIC STAFF RESIDENTS, SUPERVISED BY ATTENDING PHYSICIANS. LURIE CHILDREN'S ALSO HAS ESTABLISHED COLLABORATIONS WITH COMMUNITY RESOURCES AND AGENCIES, INCLUDING CHICAGO PUBLIC SCHOOLS FOR VARIOUS PROGRAMS TO SUPPORT HIV-AFFECTED CHILDREN ATTENDING SCHOOL, ASSISTING CHILDREN WITH COCHLEAR IMPLANTS IN RE-ENTERING SCHOOL AND SUPPORTING CHILDREN WITH EPILEPSY WHO ATTEND CHICAGO PUBLIC SCHOOLS AND SUBURBAN SCHOOLS. IN ADDITION, LURIE CHILDREN'S COLLABORATES WITH THE DIVISION OF SPECIALIZED CARE FOR CHILDREN AS A MEANS TO MEET IDENTIFIED NEEDS IN THE PATIENTS IT SERVES. THE HOSPITAL DEVOTES SIGNIFICANT RESOURCES TO FAMILY SUPPORT SERVICES WHICH INCLUDE SOCIAL WORK, PASTORAL CARE, PARENT EDUCATION AND OTHER FAMILY AMENITIES TO ADDRESS EMOTIONAL, SOCIAL AND SPIRITUAL NEEDS OF HOSPITALIZED CHILDREN AND THEIR FAMILIES. OTHER INFORMATION: THE LURIE CHILDREN'S MISSION IS TO PROVIDE PEDIATRIC HEALTH CARE, RESEARCH, TEACHING AND ADVOCACY FOR ISSUES RELATED TO CHILDREN. LURIE CHILDREN'S GOVERNING BOARD AND VARIOUS ADVISORY BOARDS (FAMILY ADVISORY BOARD, KIDS' ADVISORY BOARD AND COMMUNITY ADVISORY BOARDS) COMPRISE VOLUNTEERS FROM THE COMMUNITY WHO HAVE KNOWLEDGE OF THE COMMUNITY AND A BROAD RANGE OF EXPERTISE. THE HOSPITAL PROVIDES MORE PEDIATRIC PATIENT CARE THAN ANY OTHER HOSPITAL IN ILLINOIS IN NEARLY EVERY PEDIATRIC AND SURGICAL SPECIALTY. LURIE CHILDREN'S OPERATES A 24-HOUR, 7 DAY-PER-WEEK PEDIATRIC EMERGENCY ROOM, INCLUDING A LEVEL I TRAUMA CENTER AND LEVEL III NEONATAL NURSERY THAT SERVES AS A REGIONAL REFERRAL CENTER FOR THE STATE OF ILLINOIS' PERINATAL NETWORK. THE HOSPITAL IS THE LARGEST PROVIDER OF MEDICAID SERVICES TO ILLINOIS CHILDREN. THE HOSPITAL'S PEDIATRIC PHYSICIAN SPECIALISTS PROVIDE MORE SERVICES TO CHILDREN INSURED BY THE STATE OF ILLINOIS' INSURANCE PROGRAM THAN ANY OTHER PROVIDER. THE HOSPITAL'S ABILITY TO TREAT THE MOST CRITICALLY ILL INFANTS IS DEMONSTRATED BY THE FACT THAT IN FISCAL YEAR 2020, OVER HALF OF ALL TRANSPORTS INTO ITS NEONATAL INTENSIVE CARE UNIT WERE FROM OTHER LEVEL III NURSERIES IN ILLINOIS. IN FISCAL YEAR 2020, LURIE CHILDREN'S SERVED MORE THAN 221,400 PATIENTS FROM THE STATE OF ILLINOIS AND ELSEWHERE IN 70 PEDIATRIC SPECIALTIES OFFERED BY THE HOSPITAL. IN KEEPING WITH ITS TAX EXEMPT PURPOSES, SURPLUS FUNDS OF THE HOSPITAL ARE UTILIZED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND OR IMPROVE ITS FACILITIES AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH PROGRAMS. IN FY 2012, LURIE CHILDREN'S COMPLETED CONSTRUCTION OF A NEW, MODERN HOSPITAL FACILITY LOCATED ON THE CAMPUS OF NORTHWESTERN UNIVERSITY'S FEINBERG SCHOOL OF MEDICINE (NUFSM), DESIGNED TO PROVIDE THE HIGHEST QUALITY MEDICAL CARE, BETTER SERVE PATIENTS AND FAMILIES AND ENHANCE THE ABILITY TO RECRUIT HIGH QUALITY PHYSICIAN FACULTY TO PROVIDE CLINICAL SERVICES, CONDUCT RESEARCH AND TRAIN RESIDENTS AND FELLOWS. AMONG THE KEY DESIGN FEATURES AIMED AT IMPROVING THE CARE AND PRIVACY OF PEDIATRIC PATIENTS IS PRIVATE PATIENT ROOMS. FURTHER, THE KIDS' ADVISORY BOARD AND FAMILY ADVISORY BOARD WERE ACTIVELY INVOLVED IN MAKING SUGGESTIONS ABOUT THE DESIGN OF THE NEW HOSPITAL FROM THE PERSPECTIVE OF PATIENTS AND FAMILIES AND THE NEW HOSPITAL REFLECTS MANY OF THEIR INSIGHTFUL RECOMMENDATIONS. LURIE CHILDREN'S ALSO INCREASES ACCESS TO ITS SERVICES BY OPERATING NUMEROUS OUTPATIENT SPECIALTY CLINICS IN VARIOUS LOCATIONS THROUGHOUT THE CHICAGO METROPOLITAN AREA, CONVENIENT FOR PATIENTS AND FAMILIES TO ACCESS THE SCARCE, PEDIATRIC SPECIALTY AND SUB-SPECIALTY SERVICES THAT WOULD NOT OTHERWISE BE IMMEDIATELY AVAILABLE. LURIE CHILDREN'S ALSO PROVIDES PHYSICIAN AND ADVANCED PRACTICE PROVIDER COVERAGE THROUGH NEONATOLOGISTS, PEDIATRIC INTENSIVISTS, PEDIATRIC HOSPITALISTS AND PEDIATRIC EMERGENCY MEDICINE PHYSICIANS AND NEONATAL NURSE PRACTITIONERS/ADVANCED PRACTICE NURSES AT 15 OTHER HOSPITALS LOCATED IN CHICAGO AS WELL AS THE SUBURBAN AREAS. IN FY 2020, LURIE CHILDREN'S PROVIDED THESE SERVICES TO NORTHWESTERN MEDICINE PRENTICE WOMEN'S HOSPITAL, NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL, NORTHWESTERN MEDICINE DELNOR HOSPITAL, NORTHWESTERN MEDICINE HUNTLEY HOSPITAL, NORTHWESTERN MEDICINE LAKE FOREST HOSPITAL, SHIRLEY RYAN ABILITY LAB, NORTHWEST COMMUNITY HOSPITAL, AMITA HEALTH MERCY MEDICAL CENTER AURORA, MERCY HOSPITAL & MEDICAL CENTER, SILVER CROSS HOSPITAL, SWEDISH COVENANT HOSPITAL, NORWEGIAN AMERICAN HOSPITAL, WEST SUBURBAN MEDICAL CENTER, AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE, AND LA RABIDA CHILDREN'S HOSPITAL, A SPECIALTY CHILDREN'S HOSPITAL IN CHICAGO SERVING CHILDREN WITH CHRONIC MEDICAL CONDITIONS. THESE SPECIALIZED SERVICES WOULD NOT OTHERWISE BE READILY AVAILABLE. LURIE CHILDREN'S IS INVOLVED WITH NUMEROUS PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS AND LEADERS TO PROMOTE THE HEALTH AND WELL-BEING OF THE CHILDREN IT SERVES. LURIE CHILDREN'S ALSO SERVES AS A MAJOR ACADEMIC TERTIARY CARE MEDICAL CENTER AND SERVES AS THE PRIMARY PEDIATRIC PRACTICE SITE FOR NUFSM AND PROVIDES THE CLINICAL TRAINING FOR NUFSM'S RESIDENT PHYSICIANS, FELLOWS AND MEDICAL STUDENTS IN PEDIATRIC SPECIALTIES AND SUB-SPECIALTIES. EACH YEAR, THE LURIE CHILDREN'S DEPARTMENT OF PEDIATRICS TRAINS OVER 200 PHYSICIANS. ALMOST HALF ARE PEDIATRIC RESIDENTS AND THE REMAINDER ARE FELLOWS IN VARIOUS PEDIATRIC SUB-SPECIALTIES INCLUDING CARDIOLOGY, HEMATOLOGY/ONCOLOGY AND NEONATOLOGY. IN ADDITION, THE LURIE CHILDREN'S DEPARTMENT OF SURGERY PROVIDES FORMAL RESIDENT EDUCATION TO NUFSM IN EACH OF ITS TEN DIVISIONS AND TRAINS ROTATING RESIDENTS FROM VARIOUS OTHER MEDICAL SCHOOLS. AMONG THE TRAINING OPPORTUNITIES FOR RESIDENTS, SUPERVISED BY ATTENDING PHYSICIANS, IS TO PROVIDE PRIMARY CARE AT THE UPTOWN CLINIC IN CHICAGO, WHERE PRIMARY CARE PEDIATRIC SERVICES ARE PROVIDED. THESE PRIMARY SERVICES WOULD NOT OTHERWISE BE AVAILABLE TO THE PATIENTS TREATED AT THE SITE. IN ADDITION TO TRAINING MEDICAL STUDENTS, RESIDENTS AND FELLOWS OF NUFSM AND OTHER INSTITUTIONS, LURIE CHILDREN'S OFFERS CLINICAL EXPERIENCES IN PEDIATRICS TO NURSING STUDENTS AND STUDENTS IN OTHER ALLIED HEALTH FIELDS. STUDENTS IN CLINICAL PLACEMENTS MUST BE CANDIDATES FOR A DEGREE IN THEIR PARTICULAR FIELD OF STUDY. LURIE CHILDREN'S IS AFFILIATED WITH APPROXIMATELY 20 NURSING TRAINING PROGRAMS. THE HOSPITAL HAS AN OPEN MEDICAL STAFF, COMPRISING PEDIATRICIANS AND PEDIATRIC SPECIALISTS WHOSE PRACTICE IS BASED AT LURIE CHILDREN'S AS WELL AS COMMUNITY-BASED PEDIATRICIANS. THE OUTBREAK OF THE NOVEL CORONAVIRUS (COVID-19) PANDEMIC IN EARLY 2020 WARRANTED AN UNPRECEDENTED RESPONSE BY FEDERAL, STATE AND LOCAL AUTHORITIES. TO REDUCE THE SPREAD OF THE DISEASE A PUBLIC HEALTH EMERGENCY WAS DECLARED. ON MARCH 21, 2020, THE GOVERNOR OF ILLINOIS ISSUED A STAY-AT-HOME ORDER (EXECUTIVE ORDER 2020-10), WHICH STATED THAT ALL INDIVIDUALS MUST STAY AT HOME WITH THE EXCEPTIONS FOR ESSENTIAL ACTIVITIES, ESSENTIAL GOVERNMENT FUNCTIONS, AND ESSENTIAL BUSINESSES AND OPERATIONS. HOSPITAL ORGANIZATIONS WERE ORDERED TO CANCEL OR POSTPONE ALL ELECTIVE SURGERIES AND PROCEDURES THROUGH MAY 10, 2020. THE MEDICAL CENTER SUFFERED ADVERSE LOST REVENUE DUE TO CANCELLED HEALTHCARE SERVICE AND UNEXPECTED EXPENSES INCURRED TO CONTROL THE SPREAD OF COVID-19. CONGRESS PASSED THE CORONAVIRUS AID, RELIEF AND ECONOMIC SECURITY ACT (CARES ACT) IN LATE MARCH 2020, WHICH APPROVED GRANTS AND AIDS TO HELP HEALTHCARE INSTITUTIONS RESPON Part VI, Line 6 AFFILIATED HEALTHCARE SYSTEM LURIE CHILDREN'S EMPLOYS, THROUGH AFFILIATED FACULTY PRACTICE PLANS ENTITIES, PEDIATRIC SPECIALISTS AND SUB-SPECIALISTS WHO PROVIDE PATIENT CARE AT LOCATIONS IN CHICAGO AND THE SURROUNDING COMMUNITIES. IN ACCORDANCE WITH THE MISSION OF LURIE CHILDREN'S, THESE PHYSICIAN GROUPS PROVIDE MORE SERVICES TO MEDICAID PATIENTS THAN ANY OTHER PHYSICIAN PROVIDERS IN ILLINOIS. IN CONNECTION WITH THEIR EXTENSIVE TREATMENT OF MEDICAID PATIENTS, IN FISCAL YEAR 2020, THESE PHYSICIAN AFFILIATES WERE PAID $87.5 MILLION LESS THAN THE ACTUAL COSTS OF PROVIDING THE SERVICES. IN ADDITION, LURIE CHILDREN'S, THROUGH ITS AFFILIATE, STANLEY MANNE CHILDREN'S RESEARCH INSTITUTE, PERFORMS RESEARCH AIMED AT ADVANCEMENTS IN THE PREVENTION, DIAGNOSIS AND TREATMENT OF DISEASES THAT AFFECT THE DEVELOPMENT OF CHILDREN THROUGH ADOLESCENCE AS WELL AS ADULT DISORDERS THAT DERIVE FROM THEM. STANLEY MANNE CHILDREN'S RESEARCH INSTITUTE, ONE OF A FEW INSTITUTIONS IN THE U.S. DEDICATED EXCLUSIVELY TO PEDIATRIC RESEARCH, OPERATES, IN PART, IN A FIVE-STORY, 125,000 SQUARE FOOT STATE-OF-THE-ART LABORATORY AND RESEARCH ADMINISTRATION FACILITY AS WELL AS IN THE HOSPITAL AND THE CAMPUS OF NORTHWESTERN UNIVERSITY. STANLEY MANNE CHILDREN'S RESEARCH INSTITUTE RESEARCH ENCOMPASSES BASIC RESEARCH STUDIES AS WELL AS THOSE WITH POTENTIAL CLINICAL APPLICATIONS. THE ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO FOUNDATION ("LURIE CHILDREN'S FOUNDATION"), ANOTHER AFFILIATE OF LURIE CHILDREN'S, IS RESPONSIBLE FOR FUNDRAISING FOR THE HOSPITAL AND ITS AFFILIATED TAX-EXEMPT ORGANIZATIONS. THESE PHILANTHROPIC DOLLARS SUPPORT THE PROGRAMS IN FURTHERANCE OF THE HOSPITAL'S MISSION AND BENEFITING THE COMMUNITY SERVED. SEE THE TAX INFORMATION RETURN OF LURIE CHILDREN'S FOUNDATION, EIN 36-3357006 FOR ADDITIONAL INFORMATION. IN CONNECTION WITH ITS RELATIONSHIP WITH NUFSM, LURIE CHILDREN'S IS A MEMBER INSTITUTION OF THE MCGAW MEDICAL CENTER OF NORTHWESTERN UNIVERSITY (MCGAW). MCGAW IS AN ILLINOIS NOT-FOR-PROFIT CORPORATION, EXEMPT FROM FEDERAL INCOME TAXATION PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MCGAW IS A CHARITABLE AND EDUCATIONAL CONSORTIUM OF FOUR INDEPENDENT HOSPITALS AND NUFSM. THE GOAL OF MCGAW IS TO FACILITATE EDUCATION AND COORDINATE NUFSM MEDICAL RESIDENCY AND FELLOWSHIP PROGRAMS AMONG THE MEMBER INSTITUTIONS: LURIE CHILDREN'S, NORTHWESTERN MEMORIAL HOSPITAL, NUFSM AND THE SHIRLEY RYAN ABILITYLAB. MCGAW MANAGES THE TRAINING OF HUNDREDS OF RESIDENT-LEVEL TRAINEES AND TRAINEES AT THE FELLOW LEVEL. OF THOSE, LURIE CHILDREN'S IS THE PRIMARY TEACHING SITE FOR APPROXIMATELY 100 PEDIATRIC RESIDENTS AND 100 PEDIATRIC SUBSPECIALTY FELLOWS. IN ADDITION, TRAINEES FROM THE ADULT PROGRAMS OF MCGAW ROTATE TO LURIE CHILDREN'S FOR VARYING LENGTHS OF TIME TO FULFILL THE PEDIATRIC COMPONENT OF THEIR TRAINING PROGRAMS. PART VI, 7 STATE FILING OF COMMUNITY BENEFIT REPORT LURIE CHILDREN'S FILES ITS ANNUAL COMMUNITY BENEFIT REPORT IN ILLINOIS. true STANLEY MANNE CHILDREN'S RESEARCH INSTITUTE 225 E CHICAGO AVE CHICAGO IL 606112991 363357005 501(c)(3) 6016116 MISSION SUPPORT PEDIATRIC FACULTY FOUNDATION INC 225 E CHICAGO AVE CHICAGO IL 606112991 363279680 501(c)(3) 37631019 MISSION SUPPORT LURIE CHILDRENS MEDICAL GROUP LLC 225 E CHICAGO AVE CHICAGO IL 606112991 364187449 501(c)(3) 3771778 MISSION SUPPORT ALMOST HOME KIDS 7 S 721 ROUTE 53 NAPERVILLE IL 60540 363822010 501(c)(3) 1314418 MISSION SUPPORT CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CTR 225 E CHICAGO AVE CHICAGO IL 606112991 363357004 501(c)(3) 837658 MISSION SUPPORT HEALTH PARTNERS CARE COORDINATION LLC 225 E CHICAGO AVE CHICAGO IL 606112991 352503476 501(c)(3) 1059230 MISSION SUPPORT Lurie Children's Primary Care LLC 225 E Chicago Ave CHICAGO IL 606112991 320476042 501(C)(3) 955545 MISSION SUPPORT LURIE CHILDREN'S PEDIATRIC ANESTHESIA ASSN 225 E CHICAGO AVE CHICAGO IL 606112991 371838535 501(c)(3) 5359444 MISSION SUPPORT LURIE CHILDREN'S SURGICAL FOUNDATION 2300 CHILDRENS PZA114 CHICAGO IL 60614 831650513 501(C)(3) 24705646 MISSION SUPPORT CHILDREN'S HOSPITAL OF CHICAGO FPP 225 E CHICAGO AVE CHICAGO IL 606112991 363393780 501(c)(3) 2200244 MISSION SUPPORT STANLEY MANNE CHILDREN'S RESEARCH INSTITUTE 225 E CHICAGO AVE CHICAGO IL 606112991 363357005 501(c)(3) 32739824 RELEASED FROM RESTRICTION PEDIATRIC FACULTY FOUNDATION INC 225 E CHICAGO AVE CHICAGO IL 606112991 363279680 501(c)(3) 9308413 RELEASED FROM RESTRICTION LURIE CHILDRENS MEDICAL GROUP LLC 225 E CHICAGO AVE CHICAGO IL 606112991 364187449 501(c)(3) 1857922 RELEASED FROM RESTRICTION ALMOST HOME KIDS 7 S 721 ROUTE 53 NAPERVILLE IL 60540 363822010 501(c)(3) 168150 Released from Restriction HEALTH PARTNERS CARE COORDINATION LLC 225 E CHICAGO AVE CHICAGO IL 606112991 352503476 501(C)(3) 230290 RELEASED FROM RESTRICTION LURIE CHILDREN'S PEDIATRIC ANESTHESIA ASSN 225 E CHICAGO AVE CHICAGO IL 606112991 371838535 501(c)(3) 290247 RELEASED FROM RESTRICTION LURIE CHILDREN'S SURGICAL FOUNDATION 2300 CHILDRENS PZA114 CHICAGO IL 60614 831650513 501(C)(3) 824655 RELEASED FROM RESTRICTION AMERICAN CANCER SOCIETY 250 Williams Street NW Atlanta GA 30303 131788491 501(C)(3) 25000 MISSION SUPPORT AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 41666 MISSION SUPPORT RONALD MCDONALD HOUSE ONE KROC DR OAK BROOK IL 60523 362934689 501(C)(3) 10000 MISSION SUPPORT The Children's Heart Foundation 5 REVERE DR STE 2000 NORTHBROOK IL 60062 364077528 501(C)(3) 37000 MISSION SUPPORT THE CIVIC FEDERATION 205 W WACKER DR STE 1400 CHICAGO IL 60603 362170124 501(C)(3) 6000 MISSION SUPPORT CHICAGO DEFENDER CHARITIES INC 3509 S KING DR STE 203 CHICAGO IL 60653 362553933 501(c)(3) 10000 MSSION SUPPORT 16 0 Form 990, SCHEDULE I THE ORGANIZATION REVIEWS ALL GRANT FUNDS ON A MONTHLY BASIS. FINANCIAL REPORTS ARE GENERATED MONTHLY AND DISTRIBUTED ELECTRONICALLY TO ALL FUND DIRECTORS AND THE OFFICE OF SPONSORED PROJECTS (OSP) FOR REVIEW. EXPENDITURES ARE REVIEWED FOR APPROPRIATENESS AND AGAINST BUDGETARY GUIDELINES BY THE FINANCE OFFICE (FUND ACCOUNTING). OSP AND FUND ACCOUNTING WORK WITH THE INVESTIGATORS TO MONITOR THEIR ACTIVITY AND MAKE SURE THEY ARE IN COMPLIANCE WITH THE TERMS OF THE AWARD. X X X X false true false false true false false true false Matthew Davis MD Ex-Officio Director untl 12/20 0 682385 0 0 0 276 0 95963 0 39039 0 817663 0 0 Erik C King MD Director 0 706765 0 0 0 0 0 37500 0 0 0 744265 0 0 Patrick M Magoon Ex-Officio Director untl 12/19 440031 0 168420 0 5737 0 13954 0 18836 0 646978 0 0 0 Elizabeth J Perlman MD Ex-Officio Director untl 12/20 0 566663 0 102371 0 1693806 0 23642 0 25810 0 2412292 0 1410720 Marleta Reynolds MD Ex-Officio Director untl 12/20 0 983705 0 0 0 0 0 37500 0 0 0 1021205 0 0 Thomas P Shanley MD Ex-Offc Dir/Pres & CEO LCH 877475 66823 361847 0 2838 0 230296 0 25528 0 1497984 66823 0 0 Fatema Zanzi SENIOR VP, CHF LEGAL OFFICER 369648 0 131387 0 350 0 66405 0 2164 0 569954 0 0 0 Ron Blaustein Chief Financial Officer 469832 0 212417 0 759 0 141231 0 32672 0 856911 0 0 0 Derek S Wheeler Ex-Officio Director untl 12/20 0 730356 0 0 0 230 0 83224 0 21848 0 835658 0 0 Joni M Duncan Chief HR Officer untl 10/12/20 408968 0 100052 0 188416 0 15442 0 27459 0 740337 0 0 0 Lisa M Dykstra Chief Information Officer 387711 0 138880 0 928 0 100854 0 7725 0 636098 0 0 0 Michelle M Stephenson EVP & Chief Operating Officer 579312 0 261956 0 2093126 0 24802 0 29422 0 2988618 0 1558956 0 Grant Stirling EVP/Chf Devl Offcr/FDN 558954 0 266415 0 2637 0 160589 0 31491 0 1020086 0 0 0 Scott T Wilkerson Executive Director LCHPCIN 497902 0 133672 0 2298 0 13357 0 33093 0 680322 0 0 0 Monica Heenan Chf Ambulatory Exec untl 01/21 386046 0 119364 0 301204 0 105257 0 25241 0 937112 0 0 0 Susan H Gordon Chief Communic/Ext Affairs 353512 0 125705 0 2371 0 285241 0 17068 0 783897 0 0 0 Brian M Stahulak SVP & Chief Nursing Officer 326906 0 92334 0 508 0 15077 0 34697 0 469522 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 3 PURSUANT TO THE BYLAWS OF CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER ("MEDICAL CENTER"), THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS 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 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 ALL SUCH PAYMENTS, 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 WHO 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. FORM 990, SCHEDULE J, PART I, QUESTION 4B ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO ("LURIE CHILDREN'S") MAINTAINS A DEFINED BENEFIT SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("DB SERP"), WHICH WAS EFFECTIVE ON JANUARY 1, 2001, AND IS CLOSED TO NEW PARTICIPANTS. THE DB SERP IS A DEFERRED COMPENSATION PLAN THAT ASSISTS IN PROVIDING COMPETITIVE TOTAL RETIREMENT BENEFITS TO A VERY LIMITED GROUP OF EXECUTIVE-LEVEL EMPLOYEES OF "LURIE CHILDREN'S" (INCLUDING ONE OR MORE PERSONS LISTED IN THIS FORM 990). THESE BENEFITS ARE PROVIDED IN EXCHANGE FOR ALL OF THE EMPLOYEE'S YEARS OF SERVICE TO THE ORGANIZATION, AND THE COST OF THE BENEFITS WILL VARY FROM YEAR TO YEAR BASED ON INTEREST RATES, AGE, AND OTHER FACTORS. THE AMOUNTS ARE AT RISK AND WILL NOT BE PAID UNLESS AND UNTIL THE EMPLOYEE HAS PROVIDED SUBSTANTIAL FUTURE SERVICES TO THE ORGANIZATION. BENEFITS UNDER THE DB SERP VEST AT AGE 62, AND ARE FORFEITED IF THE EMPLOYEE LEAVES THE ORGANIZATION VOLUNTARILY BEFORE AGE 62 (EXCEPT UNDER THE SOLE DISCRETION OF THE LURIE CHILDREN'S BOARD, AND ONLY IF THE PARTICIPANT HAS REACHED AT LEAST AGE 55 WITH AT LEAST 10 YEARS OF SERVICE). PARTICIPANTS WHO VOLUNTARILY LEAVE THE ORGANIZATION BEFORE AGE 55 FORFEIT THEIR ENTIRE DB SERP BENEFIT UPON TERMINATION. LURIE CHILDREN'S ALSO 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, WHO ARE NOT PARTICIPANTS IN THE DB SERP. 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 DB SERP AND RECEIVED A VESTED PAYMENT (EARNED OVER MANY YEARS OF EMPLOYMENT) DURING 2020 WHICH IS REPORTED IN COLUMN B (III): ELIZABETH PERLMAN $1,689,711 MICHELLE M. STEPHENSON $2,088,996 SCHEDULE J, PART I, QUESTION 5B ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO ("LURIE CHILDREN'S") ALSO 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 MEDICAL CENTER BOARD'S COMPENSATION COMMITTEE. 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. FORM 990, SCHEDULE J, PART I, QUESTION 7 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 CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER (MEDICAL CENTER) BOARD OF DIRECTORS, WHICH SERVES AS THE COMPENSATION COMMITTEE OF THE MEDICAL CENTER AND ITS CORPORATE AFFILIATES, INCLUDING LURIE CHILDREN'S. FORM 990, SCHEDULE J, PART II 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 LURIE CHILDREN'S SURGICAL FOUNDATION, INC. FOR THE INDIVIDUAL'S SUBSTANTIAL AND FULL-TIME SERVICES AS AN EMPLOYEE. FOR MORE DETAILS, PLEASE REFER TO THE 2020 FORM 990 OF LURIE CHILDREN'S SURGICAL FOUNDATION, INC., FEIN 83-1650513. ERIK C. KING, MD MARLETA REYNOLDS, MD 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 PEDIATRIC FACULTY FOUNDATION FOR THE INDIVIDUAL'S SUBSTANTIAL AND FULL-TIME SERVICES AS AN EMPLOYEE. FOR MORE DETAILS, PLEASE REFER TO THE 2020 FORM 990 OF PEDIATRIC FACULTY FOUNDATION, FEIN 36-3279680. DEREK S. WHEELER MATTHEW DAVIS, MD THOMAS P. SHANLEY, MD THE FOLLOWING INDIVIDUAL IS 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 CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER FOR THE INDIVIDUAL'S SUBSTANTIAL AND FULL-TIME SERVICES AS AN EMPLOYEE. FOR MORE DETAILS, PLEASE REFER TO THE 2020 FORM 990 OF CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER, FEIN 36-3357004. ELIZABETH J. PERLMAN, MD A Illinois Finance Authority 861091967 45204ETW8 2017-05-31 148895591 SEE SCHEDULE K PART VI false false false A 0 0 148895591 0 0 0 1614309 0 0 0 147281282 0 2018 false true true true A false false true true true true 0.00000 0.00000 0.00000 false false false true A false true false false 0 false 0 false true A true FORM 990, SCHEDULE K, PART I LINE B: ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2017 THE PROCEEDS OF THE SERIES 2017 BONDS WERE USED TO DEFEASE A PORTION OF THE $168,000,000 ORIGINAL PRINCIPAL AMOUNT ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008B (THE CHILDREN'S MEMORIAL HOSPITAL) IN AN AGGREGATE PRINCIPAL AMOUNT OF $148,900,000 AND PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2017 BONDS AND THE DEFEASANCE OF THE REFUNDED BONDS. Alexis Baby FAMILY MEMBER OF DIRECTOR 79890 Employment false Rachel Foote FAMILY MEMBER OF DIRECTOR 74909 Employment false FORM 990, PART V, QUESTION 1A FORM 1099/1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY LURIE CHILDREN'S (EIN 36-2170833). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS FILED UNDER THE LURIE CHILDREN'S EIN. FORM 990, PART V, LINE 2A ALLOCATION OF SALARY EXPENSES LURIE CHILDREN'S PAYS AND ISSUES FORMS W-2 TO EMPLOYEES WHO WORK FOR ALMOST HOME KIDS, ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO FOUNDATION, CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER, AND STANLEY MANNE CHILDREN'S RESEARCH INSTITUTE. FORM 990, PART VI, QUESTION 2 DESCRIPTION OF RELATIONSHIPS *JACK R. CALLISON AND ROXANNE MARTINO HAVE A BUSINESS RELATIONSHIP. *CRAIG C. MARTIN HAS A BUSINESS RELATIONSHIP WITH LESTER CROWN. *JOHN S. GATES HAS A BUSINESS RELATIONSHIP WITH J. CHRISTOPHER REYES, JOHN COONEY AND LESTER CROWN. *ALLAN BULLEY III HAS A BUSINESS RELATIONSHIP WITH ANDREW J. MCKENNA. *ALLAN BULLEY III HAS A BUSINESS RELATIONSHIP WITH DONALD J. EDWARDS. *ALLAN BULLEY III HAS A BUSINESS RELATIONSHIP WITH GREGORY C. CASE. *ALLAN BULLEY III HAS A BUSINESS RELATIONSHIP WITH MELVIN GRAY. *ALLAN BULLEY III HAS A BUSINESS RELATIONSHIP WITH THOMAS S. SOULELES. *BRUCE R. HAGUE HAS A BUSINESS RELATIONSHIP WITH J. CHRISTOPHER REYES. *ANDREW J. MCKENNA HAS FAMILY AND BUSINESS RELATIONSHIPS WITH WILLIAM J. MCKENNA. *ANDREW N. REYES HAS BUSINESS AND FAMILY RELATIONSHIPS WITH J. CHRISTOPHER REYES. *ANDREW J. MCKENNA, WILLIAM J. DEVERS, AND J. CHRISTOPHER REYES HAVE BUSINESS RELATIONSHIPS. FORM 990, PART VI, QUESTION 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER ("MEDICAL CENTER") IS THE ORGANIZATION'S SOLE CORPORATE MEMBER. FORM 990, PART VI, QUESTION 7A/7B DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS THE MEDICAL CENTER, THROUGH ITS BOARD OF DIRECTORS OR DESIGNATED COMMITTEE, AS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, HAS CERTAIN RESERVE POWERS WITH RESPECT TO APPOINTMENT AND REMOVAL OF 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, QUESTION 11B DESCRIPTION OF THE PROCESS USED BY MANAGEMENT OR THE GOVERNING BODY TO REVIEW THE FORM 990 A FULL COPY OF THE ORGANIZATION'S FORM 990 WAS PROVIDED TO EACH MEMBER OF THE MEDICAL CENTER BOARDS'S AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW AND APPROVAL, AS WELL AS THE RESPECTIVE FILING ORGANIZATION'S BOARD FOLLOWING THE COMMITTEE'S APPROVAL. THE AUDIT AND COMPLIANCE COMMITTEE IS THE COMMITTEE OF THE MEDICAL CENTER BOARD CHARGED WITH THE OVERSIGHT OF AUDIT AND TAX MATTERS FOR THE PARENT AND AFFILIATES. DURING A SPECIAL AUDIT AND COMPLIANCE COMMITTEE MEETING, AND BEFORE FORM 990 WAS FILED, THE 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. 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 THE FORM 990 TO THE MEDICAL CENTER BOARD'S AUDIT AND COMPLIANCE COMMITTEE, THE ORGANIZATION'S TEAM, INCLUDING ITS ADVISORS, COLLABORATED FREQUENTLY TO DISCUSS AND REVIEW DRAFTS OF THE FORM. 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, QUESTION 12C DESCRIPTION OF THE PROCESS USED TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST ON AN ANNUAL BASIS THE MEDICAL CENTER AND ITS AFFILIATES ("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 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 CORPORATION 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 MEDICAL CENTER 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, QUESTIONS 15A & 15B 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/CHIEF EXECUTIVE OFFICER. THE COMPENSATION PHILOSOPHY IS SUBJECT TO PERIODIC REVIEW FOR CONTINUED APPRORIATENESS 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 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. THE COMPENSATION COMMITTEE IS COMPRISED OF MEMBERS OF CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER BOARD OF DIRECTORS WHO 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, QUESTION 19 AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC THE ORGANIZATION'S FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE ONLINE AT WWW.DACBOND.COM. 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 XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN FAIR VALUE OF PERPETUAL TRUSTS $ 4,598,320 PENSION ADJUSTMENT $ 4,136,924 GRANTS RELEASED FROM RESTRICTIONS $ 3,978,046 FOUNDERS' BOARD ACTIVITIES $ 127,549 PLEDGE RECEIVABLE WRITE-OFFS $ 91,626 OTHER (RESTRICTED) $ 5,044,723 ------------- TOTAL $17,977,188 ------------- 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) 12 III-FI MEDICAL CTR false MCGAW MEDICAL CTR OF NORTHWESTERN UNIV 645 NORTH MICHIGAN AVE 1058 CHICAGO IL 60611 362656113 SUPPORTNG ORG IL 501(C)(3) 12 III-FI NA false CHILDREN'S HOSPITAL OF CHICAGO FPP 737 NORTH MICHIGAN AVE 2040 CHICAGO IL 60611 363393780 SUPPORTNG ORG IL 501(C)(3) 12 TYPE I NA false LURIE CHILDREN'S PEDIATRIC ANESTHESIA AS 225 E CHICAGO AVE Chicago IL 60611 371838535 HEALTH CARE IL 501(C)(3) 3 NA false LURIE CHILDREN'S SURGICAL FOUNDATION INC 225 E CHICAGO AVE Chicago IL 60611 831650513 HLTH CRE/RSCH IL 501(C)(3) 3 NA false LURIE CHILDRENS CIN LLC 225 E CHICAGO AVE CHICAGO IL CHICAGO IL 606112991 901025439 CONTRACTING SVCS IL NA CMMC Insurance Co LTD 225 E CHICAGO AVE CHICAGO IL 60611 981049532 SELF INSURANCE CJ NA CORPORATION false true true false false false false false false true false false false false false true true true true