2015-06-30T12:33:38-05:00 2014-08-31 ERNST & YOUNG US LLP 155 N Wacker Drive Chicago IL 60606 990 2013-09-01 362170833 Ann & Robert H Lurie Children's Hospital of Chicago % RON H BLAUSTEIN ANN& 3122277713 225 E Chicago Ave PR DEPT BOX 2 Suite CHICAGO IL 606112991 Ron Blaustein CFO 3122277133 2015-06-29 KATHERINE KURTZMAN P01236691 3122277133 2013 2016-02-25 16:41:14Z Lurie Children's Patrick M Magoon 225 E Chicago Ave Chicago IL 606112991 1812362706 false X www.luriechildrens.org X 1894 IL LURIE CHILDREN'S IS A PEDIATRIC ACADEMIC MEDICAL CTR PROVIDING PATIENT CARE & EDUC FOR PHYSICIANS & OTHER MED PROFESSIONALS, AND IS ALSO A LEADER IN PEDIATRIC RESEARCH & ADVOCACY. 107 92 5034 1391 1600002 977149 33666839 34762729 623112154 681383048 34311424 42925580 3084828 3435165 694175245 762506522 34726354 35813687 0 0 314534356 316727033 0 0 0 316084320 330882257 665345030 683422977 28830215 79083545 2112229339 2195275694 689405164 613546583 1422824175 1581729111 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 601073156 35813687 684270705 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 48 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 2014 which show that 56% of all transports into its NICU were from other Level III nurseries in metropolitan Chicago. In 2014, Lurie Children's has been ranked as the 8th 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. Lurie Children's is the home to the world's first pediatric center for autonomic medicine and was the first pediatric hospital in Illinois to perform the Berlin Heart procedure, a breakthrough technology that helps children awaiting heart transplants. In the fiscal year ending August 31, 2014, Lurie Children's, through more than 620,000 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. During this period there were 503,183 outpatient visits including 336,431 visits in Lincoln Park (including 4,317 observation cases) including 51,729 emergency room visits and 110,844 outpatient visits at the satellite facilities. Lurie Children's is the largest provider of Medicaid services to Illinois children. In total, during the State of Illinois' fiscal year 2014, Lurie Children's provided approximately 65% more outpatient and inpatient Medicaid services than the next highest Illinois hospital. 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. 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 the fiscal year ended August 31, 2014, the total unreimbursed care and community benefit (as reported in the FY 2014 audit of Lurie Children's and its affiliates) provided by Lurie Children's and its affiliates was approximately $125 million, including $84.7 million in costs associated with unreimbursed services and charity care provided by Lurie Children's and its affiliated physician groups and $41.7 million for other community benefit including, but not limited to, resident and fellow expenses of $16.8 million, research funding $7.7 million, operation of a community clinic support $2.8 million, child advocacy programs $1.7 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 $7.9 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 and 2010. Today, while the status is the most sought-after nation-wide honor in hospital nursing, fewer than 1% of hospitals have achieved the accomplishment of maintaining the designation three or more 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. In academic year 2013-2014, over 1,522 individuals applied for the 31 available positions. Lurie Children's has 212 pediatric residents and fellows in various pediatric training programs from NUFSM for which Lurie Children's serves as the primary site. Lurie Children's also offers clinical experiences in pediatrics to medical students, nursing students, and students in other allied health fields. Lurie Children's is affiliated with 20 nursing education programs. In academic year 2013-2014, there were 1,520 student placements, including 347 third and fourth year medical students, 833 nursing students, and 324 allied health students. Lurie Children's has completed construction of a new, 288-licensed bed, acute care, pediatric hospital to replace its old hospital facilities which is named the "Ann & Robert H. Lurie Children's Hospital of Chicago." This new facility which opened June 9, 2012, is in close proximity to NUFSM and will facilitate Lurie Children's ability to continue to build upon its academic and research ties in a family-centered environment and state-of-the-art pediatric care facility that will foster the provision of compassionate care. 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 ("Stanley 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, Stanley Manne Children's Research Institute (36-3357005). Alone, or in collaboration with other community partners, Lurie Children's provides programs 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. The hospital also engages in strategic organizational partnerships. An emphasis has been on school-based partnerships to support the learning and safety accommodations and socialization of students with special health care needs. The hospital provides training and staff development to school personnel to strengthen their clinical and classroom management of these children. Through its work with students directly and in providing staff training and development with Chicago Public Schools ("CPS") over the past 18 years, Lurie Children's has reached more than 30,000 students. Programs address specific conditions such as epilepsy, ADHD, HIV infection, and impaired hearing. Other programs educate personnel about managing technology-dependent children and aiding children transitioning from the hospital back to school. Collaborations with the Chicago Park District (CPD) have included playground safety inspections and coach training in concussion management that provides a safety net for all participants in park athletic programs and playground activities. Other community health activities include a partnership by Hospital 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. Lurie Children's is a driving member of the Consortium to Lower Obesity in Chicago Children (CLOCC) to confront childhood obesity in Chicago. CLOCC is currently working with the City of Chicago to promote healthy eating and physical activity and is also piloting programs in Englewood, Humboldt Park, Lower West Side, Rogers Park West Garfield Park, and West Town neighborhoods in Chicago. Lurie Children's recently unveiled an anti-violence movement called Strengthening Chicago's Youth ("SCY"). SCY's mission is to build capacity among hundreds of public and private stakeholders to collaborate and mobilize am 601073156 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 316 0 true 5034 true true true false false false false false false false false false X 107 92 true false false false true true true true true false false false true true true true true true true false IL X RON H BLAUSTEIN 3122277133 225 ECHICAGO AVE Chicago IL 606112991 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 AMBOIAN JR DIRECTOR 1.0 1.0 X 0 0 0 SARAH BAINE DIRECTOR 1.0 2.0 X 0 0 0 PETER B BENSINGER JR DIRECTOR 1.0 1.0 X 0 0 0 ANDREW T BERLIN DIRECTOR 1.0 1.0 X 0 0 0 MARGARET W BRENNAN 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EX-OFFICIO DIRECTOR 1.0 3.0 X 0 0 0 ANDREW J MCKENNA DIRECTOR & VICE CHAIR 1.0 1.0 X 0 0 0 WILLIAM J MCKENNA DIRECTOR 1.0 2.0 X 0 0 0 JAMES J MCNULTY DIRECTOR 1.0 1.0 X 0 0 0 DEIDRA MERRIWETHER DIRECTOR 1.0 1.0 X 0 0 0 LOUISE C MILLS DIRECTOR 1.0 2.0 X 0 0 0 JOHN C MOORE DIRECTOR 1.0 1.0 X 0 0 0 ROBERT S MURLEY VICE CHAIR & DIRECTOR 1.0 2.0 X 0 0 0 DANIEL J MURPHY DIRECTOR 1.0 1.0 X 0 0 0 ERIC G NEILSON MD EX-OFFICIO DIRECTOR 1.0 2.0 X 0 0 0 DAVID NEITHERCUT DIRECTOR 1.0 1.0 X 0 0 0 WILLIAM NEUSTADT DIRECTOR 1.0 2.0 X 0 0 0 LESLIE H NEWMAN DIRECTOR 1.0 2.0 X 0 0 0 NANCY A PACHER DIRECTOR 1.0 1.0 X 0 0 0 CHAKA M PATTERSON DIRECTOR 1.0 1.0 X 0 0 0 DOUGLAS A PERTZ DIRECTOR 1.0 1.0 X 0 0 0 LORNA S PFAELZER DIRECTOR 1.0 2.0 X 0 0 0 KENNETH PIGOTT DIRECTOR 1.0 1.0 X 0 0 0 ASHISH PRASAD DIRECTOR 1.0 1.0 X 0 0 0 MICHAEL PUCKER DIRECTOR 1.0 1.0 X 0 0 0 GERALD D PUTNAM 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 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Lurie Children's Hospital of Chicago ("Lurie Children's") 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 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 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 facility facilitates Lurie Children's ability to continue to build upon its academic and research ties in a family-centered environment and state-of-the-art facility 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; 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 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 54 freestanding children's teaching hospitals in the United States. 390269609 5062066 25646001 8538431 1787234 410652011 380180030 4236209 14828946 8423615 551961 390269609 373934512 1354036 15030547 8001784 2137281 380180030 355075654 4592742 21332401 7066285 373934512 345631973 3257533 10720980 1635773 2899059 355075654 0.43060 0.38200 0.18740 false false 38541977 38541977 1055732174 280810333 774921841 20703981 0 20703981 148153738 78748220 69405518 131614475 89125463 42489012 946062329 Alternative Investments 369265260 F 369265260 0 SELF INSURANCE LIABILITY 105116074 DUE TO THIRD PARTIES 11290133 ACCRUED PENSION LIABILITY 30779440 ASSET RETIREMENT COSTS 3587936 LEASE OBLIGATIONS 9577232 160350815 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 Sub-Saharan Africa Program Services MEDICAL 45885 North America Investments 1142417 Central America and the Caribbean Investments 165490305 Europe (Including Iceland and Greenland) Investments 88211053 Middle East and North Africa Investments 685092 Sub-Saharan Africa Investments 414350 255989102 255989102 true false true true true false Schedule F, Part V Organization's Procedures for Monitoring Use of Grant Funds Outside the US Travel grants of approximately $2,000 - $2,500 are provided to third year medical residents that travel to the Republic of Tanzania, the Federal Democratic Republic of Nepal, the Plurinational State of Bolivia and the Togolese Republic to provide medical care on a volunteer basis. The travel grants are intended to cover some of the costs related to transportation costs, as well as housing and meals while outside the United States. The medical residents are provided approximately half of the grant prior to their departure and the remaining half upon their return to the United States. true true X true X 300. true X true true false true true 0 1388305 0 1388305 0.00200 0 260245335 206306373 53938962 0.07960 0 0 0 0 0.00000 0 261633640 206306373 55327267 0.08160 0 9518475 0 9518475 0.01400 0 20415624 2803691 17611933 0.02600 0 15315902 0 15315902 0.02260 0 46963422 39760467 7202955 0.01060 0 1495820 56072 1439748 0.00220 0 93709243 42620230 51089013 0.07540 0 355342883 248926603 106416280 0.15700 false 5649422 1868596 4786803 4795083 -8280 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 true X X X X X X X X X 14 true false true X X X X true false true true 300. true 400. true X X X X true true X X X X X X X true false X X X X true X false false Part V, Line 3 The Community Health Needs Assessment Committee ("CHNA Committee") which includes representatives of public health agencies, 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. The CHNA Committee input was prioritized based on Lurie Children's four priorities that drive all of its efforts in the Hospital and community. The four priorities include: 1) Pediatric health care delivery; 2) Research into prevention, causes and treatment of diseases that affect children; 3) Education for physicians, nurses, and allied health professionals; 4) Advocacy for general well being of all children. Members of the CHNA Committee included: -Roderick (Eric) Jones, PhD, Director of Epidemiology, Chicago Department of Public Health -Berneice Mills-Thomas, Executive Director, Near North Health Services Corporation -Lucy Gomez, Health Outreach Director, Logan Square Neighborhood Association -Omar Duque, President and CEO, Illinois Hispanic Chamber of Commerce -Pamela Spadino, Lurie Children's Family Advisory Board -Eric Schroeder, President, Lurie Children's Family Advisory Board -Tim Weaver, Student, DePaul University (Lurie Children's Patient) -AJ Williams, Student (Lurie Children's Patient) Part V, Line 13 -In an effort to make our patients, families and the broader community aware of Lurie Children's financial assistance program, Lurie Children's has taken a number of steps to widely publicize this policy including: -Posting of legible signage in heavily trafficked patient areas such as admitting, emergency department and ambulatory registration areas; -Providing pamphlets and brochures in plain language summaries, in both English and Spanish during the admission and/or discharge process and throughout the organization; -Providing notice of availability of free or discounted care and other forms of communications; -Offering patient and family counseling sessions with registrars, patient accounting staff, or financial counselors either before, during or after the time of service, as appropriate; -Ensuring Hospital staff of Financial Counselors are knowledgeable and available to assist the patient and family in completing necessary financial assistance applications: -Providing information regarding the Hospital's Financial Assistance policy on the Hospital's website. policy on the Hospital's website. Part V, Line 19d In calculating the amounts generally billed (AGB), Lurie Children's has selected the "look-back" method whereby the AGB is determined based on actual past claims paid to Lurie Children's by Medicare fee-for-service together with all private health insurers paying claims to the Hospital. The AGB percentage will be calculated at least annually by dividing the sum of all claims that have been paid in full during the prior 12 month period by the sum of the gross charges for those claims. This resulting percentage is then applied to an individual's gross charges to reduce the bill. 13 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 Glenview 2150 Pfingsten Rd Glenview IL 60025 Outpatient Medical 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 Part I, Line 3c: N/A 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 Primary Care and Dentistry clinic are $2,803,812. Both programs are operated despite financial losses to the organization. The clinics provide healthcare to a largely underserved community. Lurie Children's supports the following affiliates by subsidizing losses to allow the organizations to provide charity care services to medicaid patients and other charitable activities: Pediatrics Faculty Foundation, Inc. $11,150,350 Lurie Children's Medical Group, LLC $ 376,302 Lurie Children's Health Partners Care Coordination $ 985,438 Part I, line 7, column (f) Our total expense from Form 990, Part IX, Line 25, column (A) was $683,422,977. The bad debt expense included in this amount was $5,649,422. This left us with a total expense of $677,773,555 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 2014 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. Part II N/A Part III, line 4 Please note, similar to FY 2013 we do not have an AFS footnote for the bad debt calculation for FY 2014. 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 is unwilling or unable to pay an outstanding account balance. The most common patient bad debt scenarios include unpaid self-pay portions of account balances after insurance or third party assistance payments or unpaid account balances after a bankruptcy filing. 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. It is possible that because of these circumstances, a portion of bad debt expense could represent patients that 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 attempt to contact the patient/family by telephone. Should the Hospital receive no reply, 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, line 8 The medicare shortfall has not been treated as community benefit for FY14. 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 qualify them 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 community health needs assessment required under 501(r) of the Internal Revenue Code and has established a committee to review the health needs of the community and develop a community health needs assessment report, Lurie Children's has 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 also has 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 primary 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 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, the Hospital'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 50 other states and 48 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 48% of inpatients to the Hospital live within 10 miles of the Hospital and more than 51% of outpatients reside within 10 miles. 52.3% of the patients treated at the Hospital in fiscal year 2014 were Medicaid recipients. Lurie Children's is the largest provider of Medicaid pediatric services in the State of Illinois, serving 65% more inpatients and outpatients than the next leading provider. 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 expends close to $1.2 million in translation services annually. PART VI, LINE 5 Promotion of Community Health COMMUNITY BUILDING ACTIVITIES: Lurie Children's spends a substantial amount each year to build and promote the general health of the community it serves. These community-building activities are health-related, and the amounts expended are included in the community benefits reported in Part I, line 7e. 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 and beyond. 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 the community-building initiatives in which Lurie Children's participates. 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. Lurie Children's is a leading member of The Consortium to Lower Obesity in Chicago Children (CLOCC) which brings together hundreds of organizations to confront childhood obesity in Chicago, by facilitating connections between researchers, public health advocates and practitioners, corporations, policymakers, children, families and communities. 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 also strives to serve children who have special health care needs and approximately 18.5 percent of children under 18 have such needs. Such children and their families often encounter uncoordinated care and other significant barriers while seeking multiple health resources. 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 Office of Child Advocacy at Lurie Children's emphasizes prevention and health promotion and addressing the leading causes of hospitalization and death among children, which stem from behavioral, environmental and social factors. Lurie Children's is also a leader in advocating for the prevention of violence against children and, for the past several years, has led the effort to create the Illinois Violent Death Reporting system, to create a state-wide database correlating information on violent deaths, in an effort to determine emerging patterns and develop more effective violence prevention policies and programs. 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 as well as the various advisory boards (Family Advisory Board, Kids' Advisory Board and Community Advisory Boards) is 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, serving 65% more inpatients and outpatients than the next leading provider. 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 2014, 56% of all transports into its neonatal intensive care unit were from other Level III nurseries in the Chicago metropolitan area. In fiscal year 2014, Lurie Children's served more than 174,000 patients from the State of Illinois and elsewhere in more than 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 has 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 provid 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 2014, these physician affiliates were paid $22.7 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 2014, there were more than 200 physician-scientists engaged in research and more than 450 papers related to the research activities by Lurie Children's researchers were published in peer-reviewed journals. In addition, there were over 400 funded research projects which received over $29 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, including the establishment and construction of the new hospital that is currently underway. Fundraising by Lurie Children's Foundation and Lurie Children's for fiscal year 2014 was $50.9 million from more than 49,000 donors. 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. Through McGaw, its member institutions provide training to approximately 764 residents and 301 fellows during academic year 2013-14 and Lurie Children's serves as the primary teaching site for approximately 113 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. true STANLEY MANNE CHILDREN'S RESEARCH INSTITUTE 225 E CHICAGO AVE CHICAGO IL 606112991 363357005 501(c)(3) 7216419 0 MISSION SUPPORT CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CTR 225 E CHICAGO AVE CHICAGO IL 606112991 363357004 501(c)(3) 510138 0 MISSION SUPPORT PEDIATRICS FACULTY FOUNDATION INC 225 E CHICAGO AVE CHICAGO IL 606112991 363279680 501(c)(3) 9527403 0 MISSION SUPPORT STANLEY MANNE CHILDREN'S RESEARCH INSTITUTE 225 E CHICAGO AVE CHICAGO IL 606112991 363357005 501(c)(3) 4150721 0 Released from ristriction PEDIATRICS FACULTY FOUNDATION INC 225 E CHICAGO AVE CHICAGO IL 606112991 363279680 501(c)(3) 7197461 0 RELEASED FROM RESTRICTION LURIE CHILDRENS MEDICAL GROUP LLC 225 E CHICAGO AVE CHICAGO IL 606112991 364187449 501(c)(3) 805258 0 RELEASED FROM RESTRICTION LURIE CHILDRENS MEDICAL GROUP LLC 225 E CHICAGO AVE CHICAGO IL 606112991 364187449 501(c)(3) 1424192 0 MISSION SUPPORT ALMOST HOME KIDS 7 S 721 ROUTE 53 NAPERVILLE IL 60540 363822010 501(c)(3) 1406998 0 MISSION SUPPORT ALMOST HOME KIDS 7 S 721 ROUTE 53 NAPERVILLE IL 60540 363822010 501(c)(3) 56072 0 Released from restriction CHILDREN'S SURGICAL FOUNDATION 225 E CHICAGO AVE CHICAGO IL 60610 363283051 501(C)(3) 2500837 ACADEMIC GRANT VOICES FOR ILLINOIS CHILDREN INC 208 S LASALLE ST STE 1490 CHICAGO IL 60604 363480909 501(C)(3) 10000 MISSION SUPPORT HEALTH PARTNERS CARE COORDINATION LLC 225 E CHICAGO AVE CHICAGO IL 606112991 352503476 501(C)(3) 985438 MISSION SUPPORT 8 0 Description of Organization's Procedures for Monitoring the Use of Grants We review all grant funds on a monthly basis. Financial reports are generaYed 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 true true X X X X true true false false false false false true false JAMES S DONALDSON MD EX-OFFICIO DIRECTOR 0 483854 0 93741 0 2291 0 211402 0 26726 0 818014 0 0 THOMAS P GREEN MD EX-OFFICIO DIR/PRES&CHAIR PFF 0 538805 0 224858 0 1524 0 25500 0 31704 0 822391 0 0 MARY JC HENDRIX PHD EX-OFFICIO DIR/PRES/SCI OFF 0 527585 0 104014 0 792 0 66528 0 21402 0 720321 0 0 MICHAEL D KELLEHER MD EX-OFFICIO DIRECTOR/CMO/HOSP. 0 408793 0 154264 0 516 0 25500 0 29711 0 618784 0 0 PATRICK M MAGOON EX-OFFIC DIR/CEO, MED CTR/HOSP 742070 0 485310 0 44834 0 482009 0 14536 0 1768759 0 59857 0 H WILLIAM SCHNAPER MD EX-OFFICIO DIRECTOR/ PFF MD 0 263151 0 41543 0 792 0 25500 0 23892 0 354878 0 0 RON BLAUSTEIN CFO MED. CNTR. & AFFLTS 236302 0 107868 0 4581 0 19193 0 23072 0 391016 0 0 0 JONI M DUNCAN CHIEF HR OFFICER 225913 0 89529 0 9027 0 19729 0 23498 0 367696 0 0 0 SUSAN H GORDON CHIEF COMMUNIC & EXT AFFAIRS 255437 0 98825 0 7224 0 100652 0 10160 0 472298 0 0 0 MONICA HEENAN CHIEF AMBULATORY EXECUTIVE 261783 0 101393 0 1120 0 21627 0 15764 0 401687 0 0 0 STANLEY B KROK CHIEF INFORMATION OFFICER 281299 0 111059 0 146164 0 27057 0 22102 0 587681 0 0 0 MAUREEN T MAHONEY CHIEF EXCELLENCE OFFICER 226551 0 87229 0 497 0 21418 0 13613 0 349308 0 0 0 MAUREEN MURPHY CHIEF MARKETING & MANAGED CARE 292852 0 37814 0 13866 0 27429 0 16783 0 388744 0 0 0 PAULA M NOBLE CFO/TREAS/MED CT&AFF-THRU 5/14 398661 0 190837 0 2796 0 209940 0 13622 0 815856 0 0 0 ROBERT J POWELL CHIEF HR OFFICER, THRU 10/12 0 0 0 0 268968 0 0 0 0 0 268968 0 0 0 MICHELLE M STEPHENSON CHIEF PT CARE OFCR/NURSE EXEC 316456 0 123302 0 19016 0 78504 0 19401 0 556679 0 0 0 DONNA S WETZLER GEN CNSL&CORP SEC MED/CR.&AFF 294847 0 144238 0 159530 0 24079 0 19970 0 642664 0 0 0 SHERWOOD D ZELLERMAYER CHF PUBLC AFF COMM,THRU 12/12 31349 0 20303 0 215285 0 173 0 0 0 267110 0 0 0 THOMAS J SULLIVAN PRESIDENT FNDTN, THRU 10/13 337044 0 178686 0 11811 0 25106 0 21991 0 574638 0 0 0 NANCY M BORDERS ASSOCIATE GENERAL COUNSEL 255075 0 93055 0 1104 0 22327 0 26280 0 397841 0 0 0 SHERRI R EWING ASSOC CHIEF NURSE EXECUTIVE 193968 0 47950 0 779 0 18217 0 9278 0 270192 0 0 0 MORLEY I KERSCHNER ADMIN REVENUE CYCLE 218665 0 32008 0 8682 0 18623 0 12428 0 290406 0 0 0 EDWARD T SCHUBNELL ADMIN MED-SURG SVC 205336 0 29990 0 12618 0 26763 0 12034 0 286741 0 0 0 PHILIP V SPINA CHIEF ADMINISTRATIVE OFFC LCRC 215303 0 36470 0 888 0 22998 0 24010 0 299669 0 0 0 Form 990, Schedule J, Part I, Question 1a The organization provides membership in a club and a professional organization used by Patrick Magoon, the Medical Center and Lurie Children's Chief Executive Officer, for business purposes. Such membership is treated by the organization as a working-condition fringe benefit and is, therefore, excluded from the individual's taxable income. The organization provides for business purposes only membership in a club used by Thomas Sullivan, who in the fiscal year relating to this Form 990 served as President of the Ann & Robert H. Lurie Children's Hospital of Chicago Foundation. Such membership is treated by the organization as a working-condition fringe benefit and is therefore, excluded from the individual's taxable income. 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 4a The following listed individuals received severance payments during the applicable year under a mutual separation agreement that qualifies for disclosure under line 4a. Robert J. Powell $250,675 Sherwood D. Zellermayer $201,859 Form 990, Schedule J, Part I, Question 4b The following listed individuals participated in the organization's supplemental executive retirement plan ("SERP") and earned unvested benefits during 2013, which are reported in Column (C): James S. Donaldson, MD $180,496 Susan H. Gordon $ 76,506 Patrick M. Magoon $445,645 Paula M. Noble $182,391 Michelle M. Stephenson $ 53,277 Benefits earned under the 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. Also in response to question 4b, the following individuals received vested payments from the supplemental retirement benefits under the SERP, and therefore had SERP benefits included in their taxable income: Stan Krok, $144,239 and Donna S. Wetzler $157,524. In each case, the taxable amount represents the vested amount of benefits for service to the organization, and which became paid and taxable in 2013. 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. Due to the CEO's unique role in setting and driving the long-term strategic mission and operational performance of the entire organization, the Governance Committee of Lurie Children's and Medical Center previously established a long-term incentive plan ("LTI") under which the CEO, Patrick Magoon, was the sole participant. Mr. Magoon was eligible to earn additional compensation for achievement of very challenging, long-term goals that were established in advance by the Governance Committee. The LTI also served as a means for retention since amounts earned became vested on a rolling basis over a multi-year period. The LTI has been completed, and the final award was determined and previously reported on a Form 990 as having been earned but not yet vested and taxable. During the reporting year, Schedule J, Part II, Column (B)(ii) includes $59,857, which represents the portion of the final LTI incentive award that became vested and payable in 2013. 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. 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 Pediatrics Faculty Foundation for the individual's substantial and full-time services as an employee. For more details, please refer to the 2013 Form 990 of Pediatrics Faculty Foundation, FEIN 36-3279680. Thomas P. Green, MD Michael D. Kelleher, MD Mary J.C. Hendrix, PhD H. William Schnaper, MD James Donaldson, 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 the individual's substantial and full-time services as an employee. For more details, please refer to the 2013 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 0 0 383720219 0 45353927 0 3119559 6305197 0 328941535 0 0 2012 false false true true A false false true true true true 0.00000 0.00000 0.00000 false false 0.00000 false true A false false 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: June 1, 2011 Alexis Baby Family Member of Baine 51093 Employment false JPMorgan Chase L.Crown's son is a Dir 417518 Financial Services false Northern Trust L.Crown's daught is a Dir 280583 Financial Services false JPMorgan Chase DeCorrevont is an Ofcr 417518 Financial Services false Sidley Austin LLP Douglas is Ptnr & CoChair 364760 Legal Services false Merge Healthcare Ferro is an Officer 491528 Information Technology Svcs false Northern Trust Logan is an Officer 280583 Financial Services false W W Grainger Merriwether is an Officer 189313 Material Supplies false Rachel Foote Family Member of P.Magoon 13996 Employment false Robert Sullivan Family Mbr of A.Mckenna 25474 Employment false Catherine Watkins Family Mbr of H.T.Watkins 20448 Employment false X 30 6624052 MARKET false true true Schedule M, Part I-13, Line 32b Third parties hired to process noncash contributions ALL SECURITIES (NON-CASH DONATIONS) ARE SENT DIRECTLY TO NORTHERN TRUST. NORTHERN TRUST AS CUSTODIAN AND BROKER SELLS THE SECURITIES IMMEDIATELY. FOR DONOR RECOGNITION PURPOSES, GIFTS ARE VALUED AT THE MEDIAN PRICES ON THE DAY THE SECURITIES ARE RECEIVED. FOR ACCOUNTING PURPOSES, VALUES ARE RECONCILED FOR ANY GAIN/LOSS ON THE SALE OF SECURITIES. Form 990, Part VI, Question 2 Description of Relationships *Peter Bensinger is the father of Peter Bensinger, Jr. *Peter Bensinger Jr. and Peter Bensinger have a business relationship. *David Bunning and Daniel J. Hennessy have a business relationship. *Bert A. Getz, Jr. and Edward J. Wehmer have a business relationship. *Doug Pertz and Todd Hamilton have a business relationship. *Allan Bulley III and Thomas Souleles have a business relationship. *Allan Bulley III and Bert A. Getz, Jr. have a business relationship. *Allan Bulley III and Greg Case have a business relationship. *Robert S. Murley and Patrick J. Allin have a business relationship. *Allan Bulley III and Donald J. Edwards have a business relationship. *William Devers, Jr. and Michael W. Ferro, Jr. have a business relationship. *Andrew J. McKenna is the father of William J. McKenna. *Adam Kriger and Andrew J. McKenna have a business relationship. *David D. Grumhaus is the father of David D. Grumhaus, Jr. *Michael W. Ferro, Jr., Linda Wolf and John Canning, Jr. have a business relationship. *Mark A. Hoppe and Mitchell Feiger have a business relationship. Form 990, Part VI, Question 7b Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights 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 public disclosure copy of the organization's fiscal year 2014 form 990 Was provided to each member of the medical center 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 Detailed 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, met 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 Board 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 appropriateness 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 $1,606,639 NET ASSETS TRANSF FROM NEWLY AFFL ORGANIZATIONS $3,738,353 OTHER (RESTRICTED) $ 931,015 PLEDGE RECEIVABLE WRITE-OFFS ($ 247,042) PENSION ADJUSTMENT ($7,065,378) FOUNDERS' BOARD ACTIVITIES $ 165,536 CHANGE IN FAIR VALUE OF PERPETUAL TRUSTS $3,223,000 ---------- $2,352,123 ---------- 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) 11 III-FI NA false Pediatrics Faculty Foundation Inc 225 E CHICAGO AVE Chicago IL 60611 363279680 HLTH CRE/RSCH IL 501(C)(3) 11 III-FI 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 LURIE CHILDRENS CIN LLC 225 E CHICAGO AVE 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 false false