2017-07-12T13:06:24-05:00 2016-08-31 ERNST & YOUNG US LLP 155 N Wacker Drive Chicago IL 60606 990 2015-09-01 362170833 Ann & Robert H Lurie Children's Hospital of Chicago % RON BLAUSTEIN ANN& 3122277133 225 E Chicago Ave PR DEPT BOX 269 CHICAGO IL 606112991 RON BLAUSTEIN CFO 3122277133 2017-07-11 true KATHERINE KURTZMAN P01236691 3128792000 2015 2021-01-29 14:40:06Z LURIE CHILDREN'S Patrick M Magoon 225 E Chicago Ave Chicago IL 606112991 2629852988 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. 110 101 5255 1300 1408580 603240 30963912 24943354 699201022 754883336 55990215 97344591 3570334 5657677 789725483 882828958 52027851 88633440 0 0 325166288 337289132 0 0 0 334395625 357181554 711589764 783104126 78135719 99724832 2206437422 2289295420 621027539 632794734 1585409883 1656500686 X WE ARE DEDICATED TO THE HEALTH AND WELL-BEING OF ALL CHILDREN. AS THE PEDIATRIC TEACHING FACILITY FOR NORTHWESTERN UNIVERSITY'S 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 AND ALLIED HEALTH PROFESSIONALS - 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 670077745 88633440 757912757 ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO ("LURIE CHILDREN'S") IN CHICAGO, ILLINOIS OWNS AND OPERATES THE ONLY FULL-SERVICE, INDEPENDENT, FREESTANDING 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 288 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 50 STATES, AND 57 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 2015 WHICH SHOW THAT over half OF ALL TRANSPORTS INTO ITS NICU WERE FROM OTHER LEVEL III NURSERIES IN METROPOLITAN CHICAGO. IN 2016, LURIE CHILDREN'S HAS BEEN RANKED AS THE 6th BEST CHILDREN'S HOSPITAL IN THE COUNTRY BY U.S. NEWS & WORLD REPORT. IN ADDITION, LURIE CHILDREN'S IS THE ONLY PEDIATRIC HOSPITAL IN ILLINOIS TO BE RANKED BY U.S. NEWS & WORLD REPORT IN ALL 10 PEDIATRIC SPECIALTIES. In 2016, Lurie Children's was named a level I pediatric surgery center by the American College of Surgeons (ACS), becoming the first children's hospital in Illinois to earn this status. So far, only two other pediatric hospitals in the country have achieved this verification. 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. Also in 2016, Lurie Children's was one of only 12 children's hospitals nationwide - and the only one in Illinois - to be recognized as a "Top Hospital" for patient safety by the Leapfrog Group, a national consortium of healthcare payers that promotes "leaps" in patient safety. The award is based on a hospital's performance in patient safety and care quality. IN FY 2016, LURIE CHILDREN'S, THROUGH MORE THAN 650,000 PATIENT VISITS, SERVED MORE THAN 174,000 CHILDREN 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 CHARITY CARE 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 2016, THE TOTAL UNREIMBURSED CARE AND COMMUNITY BENEFIT (AS REPORTED IN THE FY 2016 AUDIT OF LURIE CHILDREN'S AND ITS AFFILIATES) PROVIDED BY LURIE CHILDREN'S AND ITS AFFILIATES WAS APPROXIMATELY $145 MILLION, INCLUDING $95.4 MILLION IN COSTS ASSOCIATED WITH UNREIMBURSED SERVICES AND CHARITY CARE PROVIDED BY LURIE CHILDREN'S AND ITS AFFILIATED PHYSICIAN GROUPS AND $49.3 MILLION FOR OTHER COMMUNITY BENEFIT INCLUDING, BUT NOT LIMITED TO, RESIDENT AND FELLOW EXPENSES OF $19.4 MILLION, RESEARCH FUNDING OF $11.8 MILLION, OPERATION OF A COMMUNITY CLINIC SUPPORT OF $3.2 MILLION, CHILD ADVOCACY PROGRAMS OF $2.0 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 $8.6 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, AND 2015. 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 FOUR 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'S 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. FOR ACADEMIC YEAR 2015-2016, MCGAW MEDICAL CENTER OF NORTHWESTERN UNIVERSITY MANAGED THE TRAINING OF APPROXIMATELY 791 RESIDENT-LEVEL TRAINEES AND 301 TRAINEES AT THE FELLOW LEVEL. OF THOSE, LURIE CHILDREN'S IS THE PRIMARY TEACHING SITE FOR APPROXIMATELY 115 PEDIATRIC RESIDENTS AND 97 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 AND LURIE CHILDREN'S RESEARCH ARM, STANLEY MANNE CHILDREN'S RESEARCH INSTITUTE, ("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, RESEARCH INSTITUTE (36-3357005). ALONE, OR IN COLLABORATION WITH OTHER COMMUNITY PARTNERS, LURIE CHILDREN'S PROVIDES PROGRAMS AND PROMOTES PUBLIC POLICY 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 AT LOCAL, CITY, STATE AND NATIONAL LEVELS. LURIE CHILDREN'S ENGAGES IN STRATEGIC ORGANIZATIONAL 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, SPORTS INJURY PREVENTION AND OBESITY REDUCTION. THROUGH ITS WORK WITH STUDENTS DIRECTLY AND IN PROVIDING STAFF TRAINING (INCLUDING SYSTEM-WIDE TRAINING) AND DEVELOPMENT WITH CHICAGO PUBLIC SCHOOLS (CPS) AND SUBURBAN AND PRIVATE SCHOOLS OVER THE PAST 20 YEARS, LURIE CHILDREN'S HAS REACHED MORE THAN 40,000 STUDENTS. COLLABORATIONS WITH THE CHICAGO PARK DISTRICT (CPD) HAVE INCLUDED PLAYGROUND SAFETY INSPECTIONS, trauma-informed training for coaches and staff AND SYSTEM-WIDE COACH TRAINING IN CONCUSSION MANAGEMENT. ANOTHER AREA OF EMPHASIS HAS BEEN ON "TRANSITIONING" YOUTH/YOUNG ADULTS INTO ADULTHOOD AND SUPPORTING THEIR INDEPENDENCE. IN COLLABORATION WITH JVS (FORMERLY JEWISH VOCATIONAL SERVICES) AND THE HOSPITAL'S OFFICE OF CHILD ADVOCACY AND DEPARTMENT OF HUMAN RESOURCES, A PAID INTERNSHIP PROGRAM FOR YOUTH WITH CHRONIC MEDICAL CONDITIONS HAS BEEN ESTABLISHED TO PROVIDE THEM WITH JOB EXPOSURE AND EXPERIENCE. OTHER AREAS OF EMPHASIS INCLUDE HIV PREVENTION AMONG YOUNG AFRICAN AMERICAN WOMEN ON THE SOUTH SIDE OF CHICAGO IN COLLABORATION WITH BLACK CHURCHES AND COMMUNITY AGENCIES. LURIE CHILDREN'S PROVIDED LEADERSHIP AND EXPERTISE IN THE RECENTLY RELEASED "HEALTH CHICAGO 2.0-PARTNERING TO IMPROVE HEALTH EQUITY 2016-2020" BLUEPRINT AND IMPLEMENTATION PLAN. THROUGH ITS CENTER FOR CHILDHOOD RESILIENCE, LURIE CHILDREN'S PLAYS A LEADERSHIP ROLE IN THE IL CHILDHOOD TRAUMA COALITION AND CO-CHAIRS A SUBCOMMITTEE ON REFUGEE AND IMMIGRANT CHILDREN AND TRAUMA. IN ADDITION, LURIE CHILDREN'S BRINGS ITS EXPERTISE IN RESEARCH AND POPULATION HEALTH TO INFORM PROGRAM AND POLICY DIRECTIONS AT CITY AND STATE LEVELS, INCLUDING ITS LEADERSHIP IN THE IL VIOLENT DEATH REPORTING SYSTEM AND ANALYSIS OF THE BURDEN OF OPIOID ADDICTION IN ILLINOIS. THESE MULTIPLE UNDERTAKINGS BY LURIE CHILDREN'S ALIGN WITH AND EXPAND BEYOND PRIORITY AREAS IDENTIFIED BY ITS COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDES ACTIVE PARTICIPATION BY THE CHICAGO DEPARTMENT OF PUBLIC HEALTH AND OTHER COMMUNITY-BASED ORGANIZATIONS REPRESENTING VULNERABLE COMMUNITIES. OTHER COMMUNITY HEALTH ACTIVITIES INCLUDE A PARTNERSHIP BY LURIE CHILDREN'S HEMATOLOGISTS WITH THE AMERICAN R 0 0 0 670077745 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 true false false false false true false false false true X 376 0 true 5255 true true true false false false false false false false false false X 110 101 true false true false true true true true true false false false true true true true true true true false CA IL X RON BLAUSTEIN 3122277133 225 E CHICAGO AVE Chicago IL 606112991 X Carl S Allegretti Director 1.0 1.0 X 0 0 0 John J Allen Director 1.0 1.0 X 0 0 0 Patrick J Allin Director 1.0 1.0 X 0 0 0 John P Amboian Jr Director 1.0 1.0 X 0 0 0 Sarah Baine Director 1.0 2.0 X 0 0 0 Michael Bonds Director 1.0 1.0 X 0 0 0 Margaret W Brennan Director 1.0 3.0 X 0 0 0 Matthew W Brewer 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Director 1.0 1.0 X 0 0 0 Donald J Edwards Director 1.0 1.0 X 0 0 0 Karen A Eng Director 1.0 1.0 X 0 0 0 Michael C Evangelides Director 1.0 2.0 X 0 0 0 Tyrone C Fahner Director 1.0 1.0 X 0 0 0 Mitchell Feiger Director 1.0 1.0 X 0 0 0 Michael W Ferro Jr Director 1.0 1.0 X 0 0 0 Venita E Fields Director 1.0 1.0 X 0 0 0 David W Fox Jr Director 1.0 1.0 X 0 0 0 John S Gates Jr Director 1.0 1.0 X 0 0 0 Michael P Goldman Director 1.0 2.0 X 0 0 0 Lauren Gorter Director 1.0 2.0 X 0 0 0 Maria C Green Director 1.0 1.0 X 0 0 0 Joseph Gregoire 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 1.0 2.0 X 0 0 0 Arlington J Guenther Director 1.0 1.0 X 0 0 0 Bruce R Hague Director 1.0 1.0 X 0 0 0 Todd M Hamilton Director 1.0 1.0 X 0 0 0 Gavin DK Hattersley Director 1.0 1.0 X 0 0 0 David A Helfand 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 1.0 2.0 X 0 0 0 Kym A Hubbard Director 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Leslie H Newman Director 1.0 2.0 X 0 0 0 Nancy A Pacher Director 1.0 1.0 X 0 0 0 Ashish S Prasad Director 1.0 1.0 X 0 0 0 Michael Pucker Director 1.0 1.0 X 0 0 0 Mohan P Rao PhD Director 1.0 2.0 X 0 0 0 Diana M Rauner PhD Director 1.0 1.0 X 0 0 0 Thomas R Reusche Director 1.0 1.0 X 0 0 0 J Christopher Reyes Director & Chair 7.0 8.0 X 0 0 0 Marleta Reynolds MD Ex-Officio Director 1.0 3.0 X 0 0 0 Peter C Roberts Director 1.0 1.0 X 0 0 0 Betsy B Rosenfield Director 1.0 1.0 X 0 0 0 Manuel Sanchez Director 1.0 1.0 X 0 0 0 Karen Sauder Director 1.0 1.0 X 0 0 0 William H Schnaper MD Ex-Officio Director/PFF MD 1.0 40.0 X 0 309331 51571 Zaldwaynaka Scott Director 1.0 1.0 X 0 0 0 Christopher S Segal Director 1.0 1.0 X 0 0 0 Smita N Shah Director 1.0 1.0 X 0 0 0 Thomas P Shanley MD Ex-Officio Dir/Pres&Chair PFF 1.0 43.0 X 0 407941 34117 Virginia K Simmons Director 1.0 1.0 X 0 0 0 John H Simpson Director 1.0 1.0 X 0 0 0 Stephen A Smith Director 1.0 1.0 X 0 0 0 Thomas S Souleles Director 1.0 1.0 X 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163033249 167652660 1585409883 1656500686 2206437422 2289295420 X 99724832 -16358742 0 0 0 -12275287 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false 0 true 716 false 0 false 0 true 563270 false 0 true 132528 696514 false 2015 FORM 990, SCHEDULE C SUPPLEMENTAL INFORMATION To further their collective mission, Ann & Robert H. Lurie Childrens Hospital of Chicago ("Lurie Childrens") and its affiliates, by virtue of their role in providing complex care and care for children, partner with and frequently interact with members of the government in developing policies applicable to childrens health and well-being. In 1994, Lurie Childrens established a Public Policy Committee of the Board of Directors to recommend institutional positions on legislation and regulation that would enable Lurie Childrens and its affiliates to enhance the health and well-being of children. Over the years the Public Policy Committee has recommended positions on public policy matters affecting childrens health and well-being and to garner government funding to support the exempt activities of Lurie Childrens and its affiliates. Examples of policy initiatives for which Lurie Childrens 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 https://www.luriechildrens.org/en-us/community/government-relations/policy -prorities-positions/Pages/index.aspx. In addition, when state and federal legislators or committees need experts to analyze and testify as to how a pending bill would affect childrens health in Illinois, they often look to Lurie Childrens and its affiliates. In recent years, employees, officers and physicians of Lurie Childrens 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 Childrens engages in lobbying activities to seek appropriate Medicaid funding of the substantial services provided by Lurie Childrens and its affiliates to Medicaid-eligible patients in Illinois. Lurie Childrens also seeks funding, on a state and federal level, for various initiatives that will enhance patient care. On the federal level, Lurie Childrens, in connection with other childrens teaching hospitals, works to protect and enhance funding for the Medicaid program and graduate medical education for 58 freestanding childrens teaching hospitals in the United States and advocates for national networks of care for Medicaid children with medical complexity. 411844794 3537604 9497852 10002966 -1641482 416518766 410652011 7629605 3180754 8952874 664702 411844794 390269609 5062066 25646001 8538431 1787234 410652011 380180030 4236209 14828946 8423615 551961 390269609 373934512 1354036 15030547 8001784 2137281 380180030 0.43040 0.40251 0.16709 false false 34812506 34812506 893944628 182591962 711352666 17138210 6425408 10712802 291891544 194370445 97521099 4910356 4910356 859309429 ALTERNATIVE INVESTMENTS 377453009 F 377453009 0 SELF INSURANCE LIABILITY 100003496 DUE TO THIRD PARTIES 38841593 ACCRUED PENSION LIABILITY 41766976 ASSET RETIREMENT COSTS 395980 LEASE OBLIGATIONS 9884492 190892537 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. true Central America and the Caribbean Investments 147592278 Europe (Including Iceland and Greenland) Investments 147730381 Sub-Saharan Africa Investments 415830 North America Investments 308302 296046791 296046791 true false true true true false true true true X 300. true X true true true false true true 1045421 1045421 0.00130 294281546 244636887 49644659 0.06410 295326967 244636887 50690080 0.06540 10612298 1094064 9518234 0.01230 22110628 2920423 19190205 0.02480 28772449 28772449 0.03720 49534134 36953988 12580146 0.01620 1491399 70461 1420938 0.00180 112520908 41038936 71481972 0.09230 407847875 285675823 122172052 0.15770 false 2541100 2861840 2576006 285834 X true true 1 1 Lurie Children's 225 E Chicago Ave PR Dept Box 26 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 16 true false false true X www.luriechildrens.org X true 16 true www.luriechildrens.org false 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 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 health to develop a COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") AND Implementation Plan. The goals of this effort are to (1) identify barriers to good health and well-being for Chicago children and adolescents, and (2) to guide continuing efforts by Lurie Childrens to improve child and adolescent health and well-being in Chicago, in partnership with individuals, programs, and organizations also dedicated to these objectives. THE COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE ("CHNA COMMITTEE"), WHICH INCLUDES REPRESENTATIVES OF PUBLIC HEALTH AGENCIES AND ORGANIZATIONS THAT SERVE COMMUNITIES IN CHICAGO, CONDUCTED MEETINGS, REVIEWED DATA AND PROVIDED INPUT BASED UPON EACH INDIVIDUAL'S EXPERTISE, KNOWLEDGE AND EXPERIENCES, CONCERNING THE SCOPE AND SEVERITY, URGENCY OF COMMUNITY NEEDS, AND THE FEASIBILITY AND EFFECTIVENESS OF POSSIBLE INTERVENTIONS. External MEMBERS OF THE CHNA COMMITTEE INCLUDED: *Barbara Fischer, Section Chief, Public Reporting and Transparency, Division of Patient Safety and Quality, Illinois Department of Public Health *Esther Corpuz, Chief Executive Office, Alivio Medical Center *Nikhil Prachand, Director of Epidemiology, Chicago Department of Public Health *Sheri Cohen, MPH, Senior Health Planning Analyst, Chicago Department of Public Health *Teri Merens, MD, Physician at Traismans, Benuck, Merens & Kimball *Bernice Mills Thomas, RN, MSN, MPH, MBA, Executive Director, Near North Health Service Corporation *Pamela Spadino, Lurie Childrens Family Advisory Board *Eric Schroeder, Lurie Childrens Family Advisory Board *AJ Williams, Lurie Childrens Kids Advisory Board Member *Tim Weaver, Lurie Childrens Kids Advisory Board Member 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 Approximately half of the PATIENTS CARED FOR AT LURIE CHILDREN'S ARE RESIDENTS OF THE CITY OF CHICAGO. GIVEN THIS, AND THE FACT THAT THE CITY OF CHICAGO IS THE HOME OF LURIE CHILDREN'S, IT WAS DECIDED TO DEFINE THE COMMUNITY FOR THE PURPOSES OF THE ASSESSMENT AS THE CITY OF CHICAGO. FOR ISSUES RELATED TO MEDICALLY COMPLEX CHILDREN, THE COMMUNITY IS DEFINED AS THE STATE OF ILLINOIS GIVEN THAT THIS POPULATION OF CHILDREN SERVED AT LURIE CHILDREN'S TRAVEL FROM EVERY CORNER OF THE STATE. IN LINE WITH GOOD PUBLIC HEALTH PRACTICE, THE CHNA ANALYSIS BEGAN WITH A REVIEW OF THE LEADING CAUSES OF DEATH AND HOSPITALIZATION FOR CHICAGO AND ILLINOIS CHILDREN AND ADOLESCENTS TO ASSURE THAT THE FULL RANGE OF SERIOUS HEALTH RISKS WAS CONSIDERED. ONCE MAJOR HEALTH RISKS WERE IDENTIFIED, A DEEPER ANALYSIS WAS CONDUCTED. THE ANALYSIS IDENTIFIED eight MAJOR HEALTH RISKS TO CHILDREN AND ADOLESCENTS IN CHICAGO. Below is a summary of the eight major health risks identified, and Lurie Childrens efforts to address them: 1. Social Determinants of Health According to the World Health Organization, social determinants of health are "the conditions in which people are born, grow, live, work and age." The World Health Organization provides ample evidence that social determinants of health "are mostly responsible for health inequities." The Lurie Childrens Community Health Needs Assessment Committee has identified social determinants of health as a priority area of focus for 2017-2019. The CHNA Committee has utilized a tool called the Child Opportunity Index (COI) in order to better understand the health inequities among children and adolescents in the City of Chicago. The COI is based on publicly available data regarding opportunities for children in the domains of education, environment and health, and socioeconomic factors. ZIP codes in the City of Chicago were grouped into one of five categories of COI. The areas in the City of Chicago with the lowest COI level are in the far south and far west regions, and almost all of the south and west sides also have predominantly a low level of childhood opportunity. About one-third of Lurie Childrens patients live in an area with low or very low Child Opportunity Index. In addition, a strong relationship exists between the COI and race/ethnicity in Chicago. The CHNA Committee considered how the social determinants of health related to substantive areas of health inequity (such as mental health). For every health condition studied, the committee observed significant differences in health outcome or service delivery based on the COI of the community in which the child resides. The CHNA Committee therefore decided to examine each of the CHNA Priority Areas in terms of the COI, and these data informed development of the Implementation Plan. 2. Access to Care 'Access to care' is more than just access to health insurance. It also encompasses availability of primary and specialty care for physical and behavioral health, as well as logistical accessibility to healthcare facilities and providers. For instance, in addition to access to health insurance, barriers may include availability of affordable transportation, child care and paid time off from work for parents. Language differences and cultural effectiveness on the part of providers could also affect the quality and accessibility to care. Additionally, the recent fiscal crisis and budget impasse in the State of Illinois have greatly affected access to care. Many provider organizations have had to reduce service delivery, or have no longer been able to continue operations. Mental health-focused agencies have especially been affected. Adding to the fiscal crisis, progressive shifts of children on Medicaid to managed care arrangements may have led to delays and disruptions in access to services. Effects are not immediately quantifiable, but have been noted anecdotally (for example, the wait list for access to see a mental health provider at Lurie Childrens doubled over the last two years, from fewer than 400 children to more than 800). Lurie Childrens is working to expand access to care through ongoing policy and programs, several of which are outlined below. In addition, in 2016, Lurie Childrens began the process of developing a Child Health Policy Initiative, to bring together leaders from several sectors to develop a statewide policy agenda for children. 3. Asthma LURIE CHILDREN'S RECOGNIZES THAT MANY CHILDREN WITH MEDICAL COMPLEXITY ARE HOSPITALIZED OR VISIT THE EMERGENCY DEPARTMENT FOR CONDITIONS THAT ARE TYPICALLY TREATED IN A PRIMARY CARE SETTING, SUCH AS ASTHMA AND OTHER ACS CONDITIONS. AS A RESULT, LURIE CHILDREN'S IS EXPANDING THE AVAILABILITY OF APPROPRIATE PRIMARY CARE MEDICAL HOMES FOR CHILDREN WITH MEDICAL COMPLEXITY THROUGH ITS LURIE CHILDREN'S HEALTH PARTNERS CARE COORDINATION ENTITY, WHICH LAUNCHED IN 2014. THE EXPANSION OF THESE SERVICES WILL FURTHER OUR ATTEMPTS TO HELP CHILDREN WITH MEDICAL COMPLEXITY AVOID HOSPITALIZATION AND EMERGENCY DEPARTMENT VISITS. LURIE CHILDREN'S IS ALSO SPONSORING A CASE WORKER TO PROVIDE FREE ASTHMA MANAGEMENT SUPPORT AS PART OF THE ASTHMA CARE PARTNERS PROGRAM (ACP). ACP IDENTIFIES INDIVIDUALS WHOSE ASTHMA MAY NOT BE WELL CONTROLLED. PARTICIPANTS RECEIVE SIX HOME VISITS OVER A ONE-YEAR PERIOD AND A MONTHLY TELEPHONE CONTACT. PRELIMINARY OUTCOMES INDICATE THAT THE PROGRAM SIGNIFICANTLY INCREASES THE SCORES ON CHILDREN'S ASTHMA CONTROL TEST, THEREBY REDUCING THE LIKELIHOOD OF EMERGENCY DEPARTMENT VISITS AND HOSPITALIZATION. SEVERAL YEARS AGO, LURIE CHILDREN'S SPEARHEADED AN EFFORT TO PERMIT CHILDREN IN PUBLIC SCHOOLS TO CARRY EPINEPHRINE PENS TO ASSURE QUICK INTERVENTION IF AN EXTREME ALLERGIC REACTION OCCURRED. THE SUCCESS OF THE MODEL WAS USED TO JUSTIFY THE PASSAGE OF FEDERAL LEGISLATION TO ENCOURAGE SCHOOLS ACROSS THE COUNTRY TO MAINTAIN ACCESS TO CRITICAL LIFE-SAVING MEDICATION, SUCH AS EPINEPHRINE PENS. LURIE CHILDREN'S CONTINUES TO SUPPORT THIS EFFORT. 4. Child Maltreatment 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. ATTENDANCE AT THE SYMPOSIUM IS SOLD OUT EACH YEAR, WITH A WAITING LIST. LURIE CHILDREN'S IS A KEY PARTNER IN CHICAGO'S MULTIDISCIPLINARY PEDIATRIC EDUCATION AND EVALUATION CONSORTIUM ("MPEEC"). MPEEC IS A LANDMARK PARTNERSHIP THAT ENSURES A COORDINATED RESPONSE TO ABUSE ALLEGATIONS OF SERIOUS INJURIES (BONE FRACTURES, INTERNAL INJURIES, HEAD TRAUMA, BRUISES AND BURNS) OF CHILDREN UNDER AGE 3 IN CHICAGO. BY UNITING CHILD PROTECTION STAFF, CHILD ABUSE PEDIATRICIANS AND LAW ENFORCEMENT PERSONNEL, MPEEC PROVIDES THESE CHILDREN WITH COMPREHENSIVE CLINICAL ASSESSMENTS, TREATMEN 17 Lurie Children's Pediatrics - Uptown 4867 N Broadway Avenue Chicago IL 60640 Outpatient Medical Services Lurie Children's OTP Ctr in Westchester 2301 Enterprise Dr Westchester IL 60154 Outpatient Medical & Ambulatory Surgical Services Lurie Children's OTP CTR in Arlington Ht 880 W Central Rd Suite 6400 Arlington Heights IL 60005 Outpatient Medical Services Lurie Children's OTP Ctr in New Lenox 1870 N Silver Cross Blvd Ste 100 New Lenox IL 60451 Outpatient Medical Services Lurie Children's OTP Ctr in Lake Forest 900 N Westmoreland Suite 209 Lake Forest IL 60045 Outpatient Medical Services Lurie Children's OTP Ctr in Lincoln Park 2515 N Clark Street/467 W Deming Chicago IL 60614 Outpatient Medical Services Lurie Children's OTP Ctr in Westbrook 11301 W Cermak Rd Westchester IL 60154 Outpatient MEDICAL SERVICES Lurie Children's OTP Ctr in Winfield 25 N WINFIELD ROAD Winfield IL 60190 Outpatient Medical Services Lurie Children's at Northwestern Med 300 Randall Rd Bldg 302 Suite 102 Geneva IL 60134 Outpatient Center-Delnor CDH Proton Center 4455 Weaver Parkway Warrenville IL 60555 Outpatient Medical Services Outpatient Services in Grayslake 1475 E Belvidere Rd RTE 120 STE Grayslake IL 600302012 Outpatient Medical Services Outpatient Services in Lincoln Square 5215 N California Ave Chicago IL 60625 Outpatient Medical Services Outpatient Center in Northbrook 1131 Techny Road Northbrook IL 60062 Outpatient Medical Services Outpatient Services at Centegra Hospital 10350 Haligus Rd Centgra Hlt Sys Me Huntley IL 60142 Outpatient Medical Services Lurie Children's Primary Cr-Town Country 1460 N Halsted St Suite 402 Chicago IL 60642 Outpatient Medical Services Lurie Children's Primary Cr-Town Country 6374 N Lincoln Avenue Suite 204 Chicago IL 60659 Outpatient Medical Services Lurie Children's Primary Cr-Town Country 2601 Compass Road Suite 120 Glenview IL 60026 Outpatient Medical Services PART I, LINE 3C TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, THE PATIENT MUST BE AN ILLINOIS RESIDENT. THE ORGANIZATION ALSO FOLLOWS ILLINOISS PRESUMPTIVE ELIGIBILITY GUIDELINES IN DETERMINING FINANCIAL ASSISTANCE. PART I, LINE 6A LURIE CHILDREN'S PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. THE REPORT CAN BE FOUND AT: HTTP://WWW.LURIECHILDRENS.ORG/ANNUALREPORT/. 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 PRIMARY CARE AND DENTISTRY CLINICS ARE $3,204,748. 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 TO MEDICAID PATIENTS AND ENGAGE IN OTHER CHARITABLE ACTIVITIES: PEDIATRIC FACULTY FOUNDATION, INC. $22,057,408 LURIE CHILDREN'S MEDICAL GROUP, LLC $ 713,486 LURIE CHILDREN'S HEALTH PARTNERS CARE COORDINATION $ 1,711,606 ALMOST HOME KIDS $ 1,085,201 PART I, LINE 7, COLUMN (F) TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $783,104,126. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $8,617,551. THEREFORE, A TOTAL EXPENSE OF $774,486,575 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 FY 2016 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 OUR RESTRICTED AND UNRESTRICTED FUNDS AND AMOUNTS FROM OUR AUDITED GENERAL LEDGER ($10.6 MILLION) OFFSET BY DIRECT REVENUE OF ($1.09 MILLION). LINE 7F - THESE AMOUNTS ARE UNREIMBURSED MEDICAL EDUCATION COSTS OF $22.1 MILLION USING MEDICARE COST REPORTS INCLUDING TEACHING COSTS OFFSET BY A HRSA GRADUATE MEDICAL REIMBURSEMENT IN THE AMOUNT OF $2.9 MILLION. LINE 7G - THESE AMOUNTS SUPPORT THE COMMUNITY BY PROVIDING FINANCIAL ASSISTANCE TO PFF, LCMG, AHK AND 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. LINE 7I - THESE ARE CASH AND IN-KIND CONTRIBUTIONS TO AHK AND OTHER VARIOUS ENTITIES THAT FOCUS ON HEALTHCARE. PART II N/A PART III, SECTION A, LINE 2 THIS IS THE COST-TO-CHARGE RATIO MULTIPLIED BY THE FINANCIAL STATEMENT EXPENSE. THIS IS THE BEST ESTIMATE OF THE ACTUAL COST TO PROVIDE THESE SERVICES. 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, LINE 4 PLEASE NOTE, SIMILAR TO FY 2015, WE DO NOT HAVE AN AFS FOOTNOTE FOR THE BAD DEBT CALCULATION FOR FY 2016. 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 OUR 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 ORGANIZATION DID NOT HAVE A SHORTFALL FOR FY 2016. THE ORGANIZATION COMPUTES ITS MEDICARE ALLOWABLE COSTS BASED ON COST TO CHARGES. PART III, 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. OUR FINANCIAL COUNSELORS WILL WORK WITH OUR 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 OUR FINANCIAL ASSISTANCE POLICY. IF THERE IS ANY REMAINING BALANCE, ONLY THAT BALANCE WOULD BE SUBJECT TO OUR 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. OUR POLICY PROVIDES THAT ONCE WE HAVE RECEIVED THE NECESSARY DOCUMENTATION WE WILL NOT REFER ANY ACCOUNTS FOR COLLECTION UNTIL WE 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 A COMMITTEE TO REVIEW THE HEALTH NEEDS OF THE COMMUNITY AND DEVELOP A CHNA REPORT, LURIE CHILDREN'S HAS ALSO UTILIZED OTHER MECHANISMS TO ASSESS THE HEALTH CARE 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. FOR EXAMPLE, LURIE CHILDREN'S HAS A VERY ACTIVE FAMILY ADVISORY BOARD WHICH THE HOSPITAL RELIES UPON TO ASSIST IN MAKING DECISIONS ABOUT PROGRAMMING AND POLICIES. FAMILY ADVISORY BOARD 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 ADVISORY BOARD 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. THE HOSPITAL HAS ALSO ESTABLISHED A COMMUNITY ADVISORY BOARD FOR PATIENTS/CAREGIVERS OF HIV-INFECTED CHILDREN, HIV-INFECTED HEALTH CARE WORKERS AND OTHER INTERESTED PEOPLE IN THE COMMUNITY. THIS ADVISORY BOARD SEEKS INPUT AND FEEDBACK REGARDING CLINIC OPERATIONS AND PATIENT NEEDS TO IMPROVE SERVICES AND RESEARCH FOR ALL HIV-AFFECTED PATIENTS AT LURIE CHILDREN'S. THE COMMUNITY ADVISORY BOARD MEETS TO DISCUSS IMPROVEMENTS FOR THE PROGRAM'S SERVICES; HELP IN IMPLEMENTING NEW PEDIATRIC, ADOLESCENT AND PERINATAL RESEARCH; REVIEW HIV EDUCATION MATERIALS USED IN THE COMMUNITY AND TO ASSESS THE EFFECTIVENESS OF THE LURIE CHILDREN'S HIV/AIDS PROGRAM. THE HOSPITAL ALSO HAS ESTABLISHED AN ADOLESCENT COMMUNITY ADVISORY BOARD ESTABLISHED TO ADDRESS SIMILAR ISSUES, SPECIFIC TO TEENS WITH HIV/AIDS. 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 ("STANLEY 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. LURIE CHILDREN'S ASSESSES PEDIATRIC HEALTH NEEDS IN THE COMMUNITY THROUGH ITS CHILD HEALTH DATA LAB, WHICH PROVIDES CURRENT AND ACCURATE DATA ON THE HEALTH OF CHILDREN AND ADOLESCENTS THROUGHOUT ILLINOIS IN A READILY UNDERSTANDABLE FORMAT. BY ANALYZING HEALTH STATUS IN PARTICULAR AREAS OVER PERIODS OF TIME, THE DATA LAB ASSISTS POLICY-MAKERS AND PUBLIC HEALTH PLANNERS TO IDENTIFY THE HEALTH PROMOTION AND DISEASE AND INJURY PREVENTION NEEDS IN LOCAL COMMUNITIES IN ILLINOIS. THE DATA LAB PUBLISHES REPORTS INCLUDING DETAILED ANALYSES OF CHILD AND ADOLESCENT INJURY, DEATH AND HOSPITALIZATION IN ILLINOIS BY COUNTY, AND CHILD INJURY AND WELL-BEING BY CHICAGO COMMUNITY AREA. THE DATA LAB PROVIDES STATISTICAL ANALYSIS AND PROPOSES SOLUTIONS TO ADDRESS THE LEADING CAUSES OF INJURY FOR DIFFERENT AGE GROUPS. THE DATA LAB ALSO HOUSES THE ILLINOIS HEALTH SURVEY WHICH IS THE FIRST BROAD-BASED SURVEY OF ILLINOIS YOUTH AND ADULTS, DESIGNED TO PROVIDE COUNTY-LEVEL ESTIMATES OF A BROAD RANGE OF HEALTH CONDITIONS FOR ILLINOIS YOUTH AND ADULTS AND IS INTENDED TO GUIDE HEALTH POLICY IN ILLINOIS. 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, 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 OF OUR FACILITIES, 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 OUR WEBSITE ENTITLED "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 FREESTANDING 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'S 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 STATE OF ILLINOIS AND ALL OTHER STATES AND 46 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 INPATIENTS TO THE HOSPITAL LIVE WITHIN 10 MILES OF THE HOSPITAL AND MORE THAN HALF OF OUTPATIENTS RESIDE WITHIN 10 MILES. OVER HALF OF THE PATIENTS TREATED AT THE HOSPITAL IN FISCAL YEAR 2016 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 FY16. 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 HEALTH CARE, RESEARCH, TEACHING AND ADVOCACY FOR THE PROMOTION OF CHILDREN'S WELL-BEING. LURIE CHILDREN'S IS A LEADER IN PROVIDING NECESSARY HEALTH CARE SERVICES AS WELL AS EDUCATION AND ADVOCACY ABOUT IMPORTANT ISSUES AFFECTING CHILDREN. LURIE CHILDREN'S IS A LEADER IN PEDIATRIC RESEARCH, INCLUDING CLINICAL RESEARCH AIMED AT PROMOTING THE HEALTH AND WELL-BEING OF CHILDREN IN THE COMMUNITY. LURIE CHILDREN'S PARTNERS WITH MANY COMMUNITY PROGRAMS INTENDED TO PROVIDE ACCESS TO HEALTH-RELATED SERVICES, HEALTH EDUCATION, INJURY PREVENTION AND ADVOCACY FOR IMPORTANT INITIATIVES TO IMPROVE CHILDREN'S 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. FOLLOWING ARE EXAMPLES OF SOME OF Lurie Childrens 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 INJURY PREVENTION AND RESEARCH CENTER ("IPRC") AT LURIE CHILDREN'S STRIVES TO EDUCATE THE PUBLIC ABOUT INJURY PREVENTION, IMPROVE PUBLIC POLICY AND FOSTER PROTECTIVE ENVIRONMENTS FOR CHILDREN, WHILE COORDINATING ALL INJURY PREVENTION INITIATIVES AT LURIE CHILDREN'S. LURIE CHILDREN'S PROVIDES EDUCATION ON CAR SEAT SAFETY AND PROVIDES CAR SEATS TO PATIENTS WHO DO NOT HAVE THE MEANS TO PURCHASE A CAR SEAT FOR THEIR CHILD. LURIE CHILDREN'S ALSO EDUCATES AND ADVOCATES FOR PREVENTION OF CHILDHOOD INJURIES, INCLUDING INJURY PREVENTION IN CHILDREN (PARTICULARLY UNINTENTIONAL INJURIES SUCH AS PREVENTION OF FALLS, PLAYGROUND SAFETY AND BUTTON BATTERIES), AS WELL AS HAS BEEN A LEADER IN ISSUES RELATED TO EARLY HIV TESTING FOR NEWBORNS. 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) ARE COMPRISED OF 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 2016, OVER HALF OF ALL TRANSPORTS INTO ITS NEONATAL INTENSIVE CARE UNIT WERE FROM OTHER LEVEL III NURSERIES IN THE CHICAGO METROPOLITAN AREA. IN FISCAL YEAR 2016, LURIE CHILDREN'S SERVED MORE THAN 174,000 PATIENTS FROM THE STATE OF ILLINOIS AND ELSEWHERE IN 70 PEDIATRIC SPECIALTIES OFFERED BY THE HOSPITAL. IN KEEPING WITH ITS 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 CONSTRUCTING A NEW, MODERN HOSPITAL FACILITY LOCATED ON THE CAMPUS OF NORTHWESTERN UNIVERSITY'S FEINBERG SCHOOL OF MEDICINE ("NUFSM"), DESIGNED TO CONTINUE 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 OUR 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 COVERAGE THROUGH NEONATOLOGISTS, PEDIATRIC INTENSIVISTS, PEDIATRIC HOSPITALISTS AND PEDIATRIC EMERGENCY MEDICINE PHYSICIANS AT FOURTEEN OTHER HOSPITALS LOCATED IN CHICAGO AS WELL AS THE SUBURBAN AREAS. CURRENTLY, LURIE CHILDREN'S PROVIDES THESE SERVICES TO NORTHWESTERN MEMORIAL HOSPITAL'S PRENTICE WOMEN'S HOSPITAL, NORTHWESTERN CENTRAL DUPAGE HOSPITAL, NORTHWESTERN DELNOR HOSPITAL, NORTHWESTERN LAKE FOREST HOSPITAL, NORTHWEST COMMUNITY HOSPITAL, VISTA HEALTH, PRESENCE MERCY, SILVER CROSS HOSPITAL, SWEDISH COVENANT HOSPITAL, NORWEGIAN AMERICAN HOSPITAL, WEST SUBURBAN MEDICAL CENTER, WESTLAKE MEDICAL CENTER, ADVENTIST HINSDALE HOSPITAL AND LA RABIDA CHILDREN'S HOSPITAL, A SPECIALTY CHILDREN'S HOSPITAL IN CHICAGO SERVING CHILDREN WITH CHRONIC MEDICAL CONDITIONS. AGAIN, 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 APPROXIMATELY 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 20 NURSING TRAINING PROGRAMS. IN ACADEMIC YEAR 2015-16 THERE WERE 1,679 STUDENT PLACEMENTS INCLUDING 310 THIRD AND FOURTH YEAR MEDICAL STUDENTS, 926 NURSING STUDENTS, AND 358 ALLIED HEALTH STUDENTS STUDYING IN THE FIELDS OF RESPIRATORY THERAPY, EXERCISE PHYSIOLOGY, REHABILITATION SERVICES, SOCIAL WORK, NUTRITION, RADIOLOGY, PHARMACY, CHILD LIFE, ART THERAPY, AND PSYCHIATRY-RELATED STUDIES. STUDENTS TRAINING TO BE OPERATING ROOM TECHNICIANS AND CARDIAC PERFUSION TECHNICIANS ALSO HAD CLINICAL PLACEMENTS AT LURIE CHILDREN'S. THE HOSPITAL HAS AN OPEN MEDICAL STAFF, WHICH IS COMPRISED OF PEDIATRICIANS AND PEDIATRIC SPECIALISTS WHOSE PRACTICE IS BASED AT LURIE CHILDREN'S AS WELL AS COMMUNITY-BAS 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 2016, THESE PHYSICIAN AFFILIATES WERE PAID $40.6 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. IN FISCAL YEAR 2016, THERE WERE MORE THAN 200 PHYSICIAN-SCIENTISTS ENGAGED IN RESEARCH. IN ADDITION, THERE WERE OVER 400 FUNDED RESEARCH PROJECTS WHICH RECEIVED OVER $32 MILLION IN ANNUAL FUNDING FROM EXTERNAL SPONSORS SUCH AS THE NATIONAL INSTITUTES OF HEALTH. SEE THE TAX INFORMATION RETURN OF STANLEY MANNE CHILDREN'S RESEARCH INSTITUTE, EIN #36-3357005 FOR ADDITIONAL INFORMATION. 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 ADDITION, 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 REHABILITATION INSTITUTE OF CHICAGO. FOR ACADEMIC YEAR 2015-2016, MCGAW MEDICAL CENTER OF NORTHWESTERN UNIVERSITY MANAGED THE TRAINING OF APPROXIMATELY 791 RESIDENT-LEVEL TRAINEES AND 301 TRAINEES AT THE FELLOW LEVEL. OF THOSE, LURIE CHILDREN'S IS THE PRIMARY TEACHING SITE FOR APPROXIMATELY 115 PEDIATRIC RESIDENTS AND 97 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. 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) 40061420 MISSION SUPPORT CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CTR 225 E CHICAGO AVE CHICAGO IL 606112991 363357004 501(c)(3) 465517 MISSION SUPPORT PEDIATRIC FACULTY FOUNDATION INC 225 E CHICAGO AVE CHICAGO IL 606112991 363279680 501(c)(3) 22626745 MISSION SUPPORT ALMOST HOME KIDS 7 S 721 ROUTE 53 NAPERVILLE IL 60540 363822010 501(c)(3) 1262493 MISSION SUPPORT HEALTH PARTNERS CARE COORDINATION LLC 225 E CHICAGO AVE CHICAGO IL 606112991 352503476 501(C)(3) 1653213 MISSION SUPPORT Lurie Children's Primary Care LLC 225 E Chicago Ave CHICAGO IL 606112991 320476042 501(C)(3) 3628373 MISSION SUPPORT LURIE CHILDRENS MEDICAL GROUP LLC 225 E CHICAGO AVE CHICAGO IL 606112991 364187449 501(c)(3) 3078086 MISSION SUPPORT STANLEY MANNE CHILDREN'S RESEARCH INSTITUTE 225 E CHICAGO AVE CHICAGO IL 606112991 363357005 501(c)(3) 4196417 MISSION SUPPORT PEDIATRIC FACULTY FOUNDATION INC 225 E CHICAGO AVE CHICAGO IL 606112991 363279680 501(c)(3) 9330986 MISSION SUPPORT LURIE CHILDRENS MEDICAL GROUP LLC 225 E CHICAGO AVE CHICAGO IL 606112991 364187449 501(c)(3) 813668 RELEASED FROM RESTRICTION ALMOST HOME KIDS 7 S 721 ROUTE 53 NAPERVILLE IL 60540 363822010 501(c)(3) 70461 Released from restriction AMERICAN HEART ASSOCIATION 7272 Greenville Ave Dallas TX 75231 135613797 501(C)(3) 15000 MISSION SUPPORT 8 Form 990, Schedule I WE REVIEW 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 false false false true false Mina K Dulcan MD DIRECTOR/CHIEF CHILD PSYCH 322135 0 50443 0 4237 0 18881 0 47965 0 443661 0 0 0 Patrick M Magoon Ex-Offic Dir/CEO-Med Ctr, Hosp 809539 0 489041 0 5297317 0 31047 0 24640 0 6651584 0 4892016 0 William H Schnaper MD Ex-Officio Director/PFF MD 0 265407 0 42400 0 1524 0 26500 0 25071 0 360902 0 0 Thomas P Shanley MD Ex-Officio Dir/Pres&Chair PFF 0 357600 0 50226 0 115 0 22083 0 12034 0 442058 0 0 Mary JC Hendrix PHD Ex-Officio Dir/Pres Sci Off 0 576634 0 93151 0 792 0 26500 0 20793 0 717870 0 0 Michael D Kelleher MD Ex-Officio Director/CMO/HOSP. 0 445376 0 145683 0 516 0 26500 0 31372 0 649447 0 0 Ron Blaustein Chief Financial Officer 323875 0 104452 0 332 0 16614 0 27452 0 472725 0 0 0 Joni M Duncan CHIEF HR OFFICER 258431 0 82317 0 574 0 16994 0 21576 0 379892 0 0 0 Susan H Gordon CHIEF COMMUNIC & EXT AFFAIRS 303904 0 95394 0 1275 0 170817 0 6834 0 578224 0 0 0 Monica Heenan CHIEF AMBULATORY EXECUTIVE 332093 0 106908 0 1460 0 19589 0 19850 0 479900 0 0 0 Stanley B Krok CHIEF INFORMATION OFFICER 321817 0 123589 0 141775 0 23734 0 25911 0 636826 0 137294 0 Michelle M Stephenson CHIEF PT CARE OFCR/NURSE EXEC 364944 0 119480 0 20402 0 32610 0 29419 0 566855 0 0 0 Nancy M Borders Gen Counsel & Corp Secretary 308656 0 128005 0 1337 0 18586 0 33445 0 490029 0 0 0 Jessica Strausbaugh Treasurer 171732 0 21635 0 142 0 10500 0 21246 0 225255 0 0 0 Lisa M Dykstra CHIEF INFORMATION OFFICER 311247 0 79053 0 475 0 9132 0 10850 0 410757 0 0 0 Francia E Harrington President Foundation 338709 0 148005 0 45024 0 13250 0 17307 0 562295 0 0 0 Maureen T Mahoney VP, Center for Excellence 245947 0 76236 0 14149 0 19585 0 19725 0 375642 0 0 0 Scott T Wilkerson Executive Director LCHPCIN 403792 0 98572 0 5796 0 13250 0 25259 0 546669 0 0 0 Philip V Spina Chief Admin Officer SMCRI 233860 0 69725 0 1529 0 20697 0 29722 0 355533 0 0 0 Jill E Keats VP Program Development 236108 0 55837 0 2638 0 20031 0 30481 0 345095 0 0 0 MARIE A BUFALINO Associate General Counsel 248267 0 50904 0 903 0 11000 0 9263 0 320337 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 Governance Committee of the Medical Center is charged to review and approve senior executive compensation for the Medical Center and its affiliates. The Governance 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 and the other senior managers. The compensation philosophy is subject to periodic review for continued appropriateness by the Governance Committee. With the assistance of a compensation consultant and information from a variety of sources (specified on Schedule J), the Governance Committee confirmed the total amounts to be paid were reasonable and comparable to amounts paid by similarly situated organizations. Outside legal counsel also serves an integral role in advising the Governance 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 Governance Committee, including a description of the data relied upon and the Governance Committee's decisions, was thoroughly and contemporaneously documented. The Governance 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 Governance Committee was comprised of members of the Medical Center and the Ann and Robert H. Lurie Children's Hospital of Chicago Boards of Directors who were determined to be disinterested for these purposes. The Governance 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 application of the rebuttable presumption of reasonableness. Form 990, Schedule J, Part I, Question 4b Benefits earned under the Supplemental Executive Plan ("SERP") are non-vested forms of deferred compensation that fund the employee's eventual retirement benefit. 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 many 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 SERP vest at age 62, and are forfeited if the employee leaves the organization voluntarily before age 62 (except upon the sole discretion of the 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 SERP benefit upon termination. The following individuals participated in the SERP and earned unvested benefits during 2015 which are reported in Column (C): Susan H. Gordon and Michelle M. Stephenson Also in response to question 4B, the following individuals received vested payments from the supplemental retirement benefits under the Supplemental Executive Retirement Plan (called the 'SERP') described in the preceding paragraph: Stan Krok, $137,294 and Patrick M. Magoon $4,892,016. These vested payments were included in taxable income in 2015, but until then the payments were 'at risk' (because, had the executives left the organization, the executive would have forfeited this retirement benefit). The SERP benefits were earned over many years of service to the organization, and the amounts earned during those past years were already reported on past Form 990s. In Schedule J, the final column (column F) shows the amount that was included in the executives compensation on past Form 990s. These are not new amounts provided in 2015, but are only the time when these retirement benefits were no longer at risk. The Governance Committee of the organization's Board of Directors annually reviews all forms of executive compensation and benefits, including all reported vested and nonvested SERP benefits, and has concluded, as the result of a process that it is designed to qualify for the rebuttable presumption of reasonableness, that total compensation and the benefits provided are reasonable. 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 Governance Committee of the Ann & Robert H. Lurie Children's Hospital of Chicago (Lurie Children's) and the Children's Hospital of Chicago Medical Center (Medical Center), which serves as the Compensation Committee of Lurie Children's and Medical Center. Form 990, Schedule J, Part II The following individuals are not compensated by the reporting organization for his or her service as a director. 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 2015 Form 990 of Pediatric Faculty Foundation, FEIN 36-3279680. Thomas P. Shanley, MD Michael D. Kelleher, MD Mary J.C. Hendrix, PhD Mina K. Dulcan, MD William H. Schnaper, MD is not compensated by the reporting organization for his service as a director. 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 his substantial and full-time services as an employee. For more details, please refer to the 2015 Form 990 of the Children's Hospital of Chicago Medical Center, FEIN 36-3357004. A Illinois Finance Authority 861091967 45200FGC7 2008-05-15 377043130 SEE SCHEDULE K PART VI false false false A 4890000 0 383720219 0 45353927 0 3119559 6305197 0 328941535 0 0 2012 false false true true A false false true true true true 0 false false false true A false true false false 0 false 0 false true A true . FORM 990, SCHEDULE K, PART I Line A: Illinois Finance Authority Revenue Bonds, Series 2008A and Series 2008B (The Children's Memorial Hospital) The proceeds of the sale of the series 2008A/B Bonds were used to (i) pay or reimburse the payment of a portion of the costs of constructing and equipping the Ann & Robert H. Lurie Children's Hospital of Chicago ("Lurie Children's"), (ii) pay a portion of the interest on the Series 2008A and Series 2008B Bonds during the construction period, (iii) fund a debt service reserve fund for the Series 2008B Bonds, and (iv) pay certain expenses incurred in connection with the issuance of the Series 2008A and Series 2008B Bonds. The proceeds initially used to fund a debt service reserve were subsequently used to reimburse the payment of additional costs of constructing and equipping Lurie Children's. Form 990, Schedule K, Part II, Line 3 Column A: The amount of $383,720,219 reported in Part I Line 3 includes total issue proceeds of $377,043,130 and investment income of $6,677,089. FORM 990, SCHEDULE K, PART IV, LINE 2C COLUMN A: MAY 15, 2013 Alexis Baby Family Member of Director 48887 Employment false Substantial Contributor Substantial Contributor 1802640 Services false Elizabeth Cooney Family Member of Dir/ofcr 34844 Employment false Great Lakes Coca-Cola Distr LLC DIRECTOR IS OWNER & OFFCR 114253 Services false Rachel Foote Family Member of Dir/ofcr 53843 Employment false Substantial Contributor Substantial Contributor 375492 Services false Substantial Contributor Substantial Contributor 399490 Services false Substantial Contributor Substantial Contributor 758651 Services false Substantial Contributor Substantial Contributor 9331425 Services false Substantial Contributor Substantial Contributor 146765 Services false Substantial Contributor Substantial Contributor 605479 Services false X 42 1556663 MARKET false true true SCHEDULE M, PART I, LINE 9B EXPLANATION OF NUMBER OF CONTRIBUTIONS OR ITEMS CONTRIBUTED THE NUMBER OF CONTRIBUTIONS REPORTED ON PART I, LINE 9(B) IS THE NUMBER OF STOCK CONTRIBUTIONS RECEIVED AND NOT THE NUMBER OF SHARES. FORM 990, SCHEDULE M, PART I, LINE 32B USE OF OUTSIDE PARTIES TO SOLICIT, PROCESS, OR SELL NON-CASH CONTRIBUTIONS ALL SECURITIES (NON-CASH DONATIONS) ARE SENT DIRECTLY TO NORTHERN TRUST. NORTHERN TRUST AS CUSTODIAN AND BROKER SELLS THE SECURITIES. FOR DONOR RECOGNITION PURPOSES, GIFTS ARE VALUED AT THE MEDIAN PRICES ON THE DAY THE SECURITIES ARE RECEIVED. FOR ACCOUNTING PURPOSES, VALUES ARE RECONCILED MONTHLY FOR ANY GAIN/LOSS ON THE SALE OF SECURITIES. 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 FORMS 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, PEDIATRIC FACULTY FOUNDATION, INC, AND STANLEY MANNE CHILDREN'S RESEARCH INSTITUTE. THE ALLOCATION OF THE SALARY COSTS ARE DISCLOSED ON FORM 990, PART IX, STATEMENT OF FUNCTIONAL EXPENSES. Form 990, Part VI, Question 2 Description of Relationships *Bruce Hague has a business relationship with J. Christopher Reyes. *Bruce Hague has a business relationship with James DeRose. *Michael Ferro has a business relationship with William Devers. *Michael Ferro has a business relationship with Linda Wolf. *Michael Ferro has a business relationship with Lester Crown. *Michael Ferro has a business relationship with J. Christopher Reyes. *Michael Ferro has a business relationship with Andrew McKenna. *Allan Bulley has a business relationship with Andrew McKenna. *Allan Bulley has a business relationship with Donald Edwards and Gregory Case. *Andrew McKenna and William McKenna have a family and business relationship. *Julie Howard and Linda Wolf have a business relationship. FORM 990, PART VI, QUESTION 4 BYLAWS WERE AMENDED AND RESTATED ON 8/18/16 TO MODIFY THE DESIGNATION OF CERTAIN OFFICERS AND TO INCLUDE OTHER CLARIFICATIONS AND CONFORMING CHANGES. Form 990, Part VI, Question 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 Describe the Process used by Management &/or Governing Body to Review Form 990 A full copy of the organization's fiscal year 2016 form 990 Was provided to each member of the medical center's and Lurie Children's Audit committee (of the board). The audit committee is the committee of The medical center charged with the oversight of audit and tax matters For the parent and affiliates. During a special audit committee meeting, And before the form 990 was filed, the audit committee was provided a review of the form 990 by the chief financial officer ("CFO"). The cfo and outside tax advisor also responded to the audit committee members' questions and afforded the opportunity for detailed discussion of the Form 990, prior to the audit committee taking action to approve the filing of the 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 the form 990. These advisors worked closely with the organization's finance and Internal legal personnel and other members of the organization's team assembled to participate in the preparation of the form 990. Prior to presenting the form 990 to the board's audit committee, the Organization's team, including its advisors, collaborated frequently to discuss and review drafts of the form. Form 990, Part VI, Question 12c Description of Process to Monitor Transactions for Conflicts of Interest On an annual basis, the Medical Center and its affiliates 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 Medical Center and affiliates ("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 General Counsel. This disclosure shall be provided to the Governance Committee of the Corporation which shall consider all conflicts of interest issues and, if appropriate, shall provide such written disclosure to the directors, 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 Governance Committee of the Corporation's Board of Directors determine by a majority vote that appropriate safeguards to protect the charitable mission of the Corporation have been implemented. The subject interested person may not be present when the vote is taken. If it is determined that a conflict of interest exists, a disinterested person or committee of disinterested members may be assigned to investigate alternatives to the proposed transaction or arrangement. After exercising due diligence, the board or committee shall determine whether the Corporation can obtain a more advantageous transaction or arrangement, with reasonable efforts, from a person or entity that would not give rise to a conflict of interest. If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the board or committee shall determine by a majority vote of the disinterested directors whether the transaction is in the Corporation's best interest and for its own benefit and whether the transaction is fair and reasonable to the Corporation, and shall make its decision as to whether to enter into the transaction or arrangement. Form 990, Part VI, Questions 15a & 15b OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN THE AUTHORITY TO REVIEW AND APPROVE EXECUTIVE COMPENSATION HAS BEEN DELEGATED TO THE GOVERNANCE COMMITTEE OF CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER AND ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO BOARDS OF DIRECTORS ("GOVERNANCE COMMITTEE"). THE GOVERNANCE 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 AND THE OTHER SENIOR MANAGERS. THE COMPENSATION PHILOSOPHY IS SUBJECT TO PERIODIC REVIEW FOR CONTINUED APPRORIATENESS BY THE GOVERNANCE COMMITTEE. WITH THE ASSISTANCE OF A COMPENSATION CONSULTANT AND INFORMATION FROM A VARIETY OF EXTERNAL SOURCES (SPECIFIED ON SCHEDULE J), THE GOVERNANCE COMMITTEE CONFIRMED THE TOTAL AMOUNTS TO BE PAID WERE REASONABLE AND COMPARABLE TO AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. OUTSIDE LEGAL COUNSEL ALSO SERVES AN INTEGRAL ROLE IN ADVISING THE GOVERNANCE COMMITTEE WITH RESPECT TO FEDERAL TAX REQUIREMENTS IN SETTING COMPENSATION AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS. THE PROCESS FOLLOWED BY THE GOVERNANCE COMMITTEE, INCLUDING A DESCRIPTION OF THE DATA RELIED UPON AND THE GOVERNANCE COMMITTEE'S DECISIONS, WAS THOROUGHLY AND CONTEMPORANEOUSLY DOCUMENTED. THE GOVERNANCE 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 GOVERNANCE COMMITTEE WAS COMPRISED OF MEMBERS OF CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER AND ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO BOARDS OF DIRECTORS WHO WERE DETERMINED DISINTERESTED FOR THESE PURPOSES. THE GOVERNANCE 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 GRANTS RELEASED FROM RESTRICTIONS $1,651,359 Net Assets Transferred from newly aff Org ($4,050,000) OTHER (RESTRICTED) $3,775,269 PLEDGE RECEIVABLE WRITE-OFFS $ (299,686) PENSION ADJUSTMENT ($13,847,027) FOUNDERS' BOARD ACTIVITIES $ 227,461 CHANGE IN FAIR VALUE OF PERPETUAL TRUSTS $ 267,337 ------------ ($12,275,287) 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) 9 NA false Pediatric Faculty Foundation Inc 225 E CHICAGO AVE Chicago IL 60611 363279680 HLTH CRE/RSCH IL 501(C)(3) 9 Medical Ctr false CMH Self Insurance Foundation 225 E CHICAGO AVE Chicago IL 60611 366638400 INSURANCE IL 501(C)(3) 11 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) 11 III-FI NA false ALMOST HOME KIDS 7 S 721 ROUTE 53 NAPERVILLE IL 60540 363822010 TRANSITION CR IL 501(C)(3) 9 MEDICAL CTR false Children's Hospital of Chicago FPP 737 North Michigan Ave Chicago IL 60611 363393780 Supportng Org IL 501(c)(3) 11 Type I NA false LURIE CHILDRENS CIN 225E 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 MEDICAL CTR CORPORATION false true true false false false false false false true false false false false false true true true true