CHILDRENS HOSPITAL OF CHICAGO MEDICAL CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS HOSPITAL OF CHICAGO MEDICAL CENTER (EIN 36-3357004)
- Tax period
- 2012-09-01 to 2013-08-31
- Filed
- 2014-07-11
- IRS object ID
- 201401929349300315
- Schema version
- 2012v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule F
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-07-11T10:01:31-05:00 | Timestamp |
| Tax Period End Date | 2013-08-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 NORTH WACKER DRIVE | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-09-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363357004 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Children's Hospital of Chicago Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % RON H BLAUSTEIN | InCareOfName |
| Name Control | CHIL | NameControl |
| Phone | 3122277133 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 E CHICAGO AVE PR DEPT BOX 26 | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 606112991 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RON H BLAUSTEIN | Name |
| Title | CFO | Title |
| Phone | 3122277133 | Phone |
| Date Signed | 2014-06-30 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3128792000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Patrick M Magoon | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 E CHICAGO AVE BOX 269 | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 606112991 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 20052325 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.luriechildrens.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | ESTABLISH, DEVELOP, PROMOTE & CONDUCT EDUCATIONAL PROGRAMS, SCIENTIFIC RESEARCH, HEALTHCARE FACILITIES & OTHER CHARITABLE & EDUCATIONAL ACTIVITIES DEVOTED TO HEALTH & WELFARE SERVICES TO INFANTS & CHILDREN. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 107 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 96 | NbrIndependentVotingMembers |
| Total Nbr Employees | 103 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1501525 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1308418 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 18676528 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 18743907 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 20178053 | TotalRevenuePriorYear |
| Total Revenue Current Year | 20052325 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1262421 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 15139559 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 16048734 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3640421 | OtherExpensePriorYear |
| Other Expenses Current Year | 4173948 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 18779980 | TotalExpensesPriorYear |
| Total Expenses Current Year | 21485103 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1398073 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1432778 | RevenuesLessExpensesCY |
| Total Assets BOY | 8491832 | TotalAssetsBOY |
| Total Assets EOY | 7120588 | TotalAssetsEOY |
| Total Liabilities BOY | 4210130 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 4271664 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4281702 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2848924 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 20105437 | Expense |
| Grants | 0 | Grants |
| Revenue | 18743907 | Revenue |
| Description | The Children's Hospital of Chicago Medical Center ("Medical Center"), an Illinois not-for-profit corporation, engages in budget approval, asset management, resource allocation, investment oversight and strategic planning for Affiliates. Affiliates include organizations for which the Medical Center is a controlling member. Currently, the Medical Center has the following affiliates: Ann & Robert H. Lurie Children's Hospital of Chicago, Ann & Robert H. Lurie Children's Hospital of Chicago Foundation, Ann & Robert H. Lurie Children's Hospital of Chicago Research Center, Lurie Children's Medical Group, LLC and Pediatric Faculty Foundation, Inc. Lurie Children's Medical Group, LLC ("Medical Group") is an Illinois limited liability company whose sole member is the Medical Center. By virtue of the Medical Center's tax-exempt status, the Medical Group is considered to be an organization described under Section 501(c)(3) of the Code. The Medical Group employs pathologists, radiologists, psychiatrists and dentists who practice at Ann & Robert H. Lurie Children's Hospital of Chicago ("Lurie Children's"). The Medical Group's pathologists comprise the Lurie Children's Department of Pathology and Laboratory Medicine which provides comprehensive services in both Anatomic and Clinical Pathology, utilizing extensive expertise and state-of-the-art technology. Consultative services are provided across the country in collaboration and coordination with Lurie Children's medical, surgical and ancillary departments. The children encompass a cross-section of diagnoses and the department assists in the diagnosis and management of acute and chronic diseases. The Medical Group psychiatrists practice within Lurie Children's Department of Child and Adolescent Psychiatry which offers children and their families specialized services in pediatric mental health. Clinicians in the department provide state of the art psychiatric and psychological services, education, and advocacy. The Medical Group psychiatrists provide national leadership in the education of mental health care professionals and advancement of knowledge through research. The Medical Group psychiatrists treat children of all ages and from every socioeconomic background for a wide variety of problems including adjustment disorders, emotional problems related to pediatric disorders, psychoses, mood disorders, anxiety, developmental delays, behavior disorders, ADHD, autism spectrum disorders, and learning disabilities. The Medical Group dentists provide comprehensive and preventive oral health care for infants, children, adolescents, and patients of Lurie Children's with special health care needs. Lurie Children's dentistry service provides a child-centered environment and a comprehensive program emphasizing total health and prevention. The Medical Group dentists provide care related to infant oral healthcare with parent education; nursing and baby bottle caries; dental caries; oral trauma, anxious child; comprehensive oral healthcare for patients of the Lurie Children's medical specialties (including hematology, oncology, infectious disease, allergy, cardiology, neurology and services to address cleft lip and palate); and services requiring sedation and general anesthesia. Radiologists employed by the Medical Group staff the Lurie Children's Department of Medical Imaging which serves pediatric patients in a manner aimed to help minimize radiation dose used during each procedure. The Department performs approximately 115,000 procedures each year, helping Lurie Children's specialists care for their patients with the best imaging procedures possible. All of the radiologists are board certified with subspecialty training in pediatric radiology, interventional radiology and/or neuroradiology. The Medical Group's physicians are members of the faculty practice plan at Lurie Children's, which represents the largest provider of pediatric Medicaid services in Illinois. In FY 2013, the Medical Group physicians had 128,626 combined inpatient and outpatient Medicaid encounters for 39,111 patients. Medicaid represents over 41.6% of its payor mix. In FY 2013, Medicaid reimbursement for physician services for care to children treated by the Medical Group physicians was approximately $2.4 million less than the costs associated with providing such services. The Medical Center through its management and the Medical Group's services assists Lurie Children's, which owns and operates the only full-service, independent, freestanding pediatric hospital in Illinois, with 288 licensed beds as well as a full range of inpatient and outpatient care and related ancillary services. This not-for-profit, tertiary care hospital, founded in 1882, provides patient care 24 hours per day, 7 days per week and provides more pediatric healthcare 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 44 states, and 47 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 2013 which show that 59% of all transports into its NICU were from other Level III nurseries in metropolitan Chicago. In 2013, 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 ended August 31, 2013, Lurie Children's, through nearly 604,880 patient visits, served more than 153,000 children who came from all over the State of Illinois and beyond to access the more than 70 specialties offered by the Lurie Children's. During this period there were 483,027 visits including 323,257 outpatient visits in Lincoln Park (including 5,292 observation cases) including 57,122 emergency room visits and 102,648 outpatient visits at the satellite facilities. | Description |
| Total Of Other Program Service Exp | 0 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 0 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 20105437 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | false | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | true | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 103 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 107 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 96 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | RON H BLAUSTEIN | NamePerson |
| Telephone Number | 3122277133 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 ECHICAGO AVEPR DEPT BOX 1 | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 606112991 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (124 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JOHN J ALLEN | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| JOHN AMBOIAN JR | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| STEPHEN W BAIRD | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| PETER B BENSINGER | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| ANDREW T BERLIN | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| MARGARET BRENNAN | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| JULIA BROWN | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| ALAN BULLEY III | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| DAVID BUNNING | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| GREGORY C CASE | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| JOHN A CHALLENGER | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| ALAN CHAPMAN | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| ROBERT CLARK | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| ELEANOR O CLARKE | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| KEVIN M CONNELLY | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| JOHN D COONEY | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| JOHN M CROCKER JR | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| LESTER CROWN | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| CONSTANCE CURRAN RN | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| LETICIA PERALTA DAVIS | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| PATRICE PURCELL DECORREVONT | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| SUSAN DEPREE | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| JAMES DEROSE | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| WILLIAM J DEVERS JR | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| JOHN DOERGE JR | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| JAMES S DONALDSON MD | ||||||||
| EX-OFFICIO DIRECTOR | 40.0 | 1.0 | X | 559558 | 0 | 195027 | ||
| CHARLES W DOUGLAS | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| DENNIS J DRESCHER | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| ANA DUTRA | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| DONALD J EDWARDS | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| MICHAEL EVANGELIDES | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| TYRONE C FAHNER | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| LESLI FALK | ||||||||
| EX-OFFICIO DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| MITCHELL FEIGER | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| DIANA S FERGUSON | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| MICHAEL W FERRO JR | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| DAVID FOX JR | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| JOHN S GATES JR | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| BERT A GETZ JR | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| LAUREN GORTER | ||||||||
| EX-OFFICIO DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| THOMAS P GREEN MD | ||||||||
| EX-OFFICIO DIRECTOR | 1.0 | 40.0 | X | 0 | 711642 | 56990 | ||
| JOSEPH GREGOIRE | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| JOHN GREISCH | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| DAVID D GRUMHAUS | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| DAVID D GRUMHAUS JR | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| ARLINGTON GUENTHER | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| BRUCE R HAGUE | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| TODD M HAMILTON | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| DAVID A HELFAND | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| MARY JC HENDRIX PHD | ||||||||
| EX-OFFICIO DIRECTOR | 1.0 | 40.0 | X | 0 | 592224 | 87015 | ||
| DANIEL J HENNESSY | ||||||||
| VICE CHAIR & DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| JAMES P HICKEY | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| MARK A HOPPE | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| CHARLES H JAMES III | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| KIRK B JOHNSON | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| W BRUCE JOHNSON | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| MICHAEL KELLEHER MD | ||||||||
| EX-OFFICIO DIRECTOR | 1.0 | 40.0 | X | 0 | 342351 | 54083 | ||
| ANTHONY K KESMAN | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| RICHARD P KIPHART | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| FRED L KREHBIEL | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| ADAM M KRIGER | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| GERALD R LANZ | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| ERIC P LEFKOFSKY | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| LYLE LOGAN | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| SHELLEY A LONGMUIR | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| DANIEL TW LUM MD | ||||||||
| EX-OFFICIO DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| PATRICK M MAGOON | ||||||||
| PRESIDENT/CEO | 1.0 | 40.0 | X | 0 | 1475376 | 888042 | ||
| MITCHELL J MANASSA | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| ROXANNE MARTINO | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| PETER D MCDONALD | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| ANDREW J MCKENNA | ||||||||
| DIRECTOR & VICE CHAIR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| WILLIAM J MCKENNA | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| JAMES J MCNULTY | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| DEIDRA MERRIWETHER | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| LOUISE C MILLS | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| JOHN C MOORE | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| ROBERT S MURLEY | ||||||||
| VICE CHAIR & DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| DANIEL J MURPHY | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| ERIC G NEILSON MD | ||||||||
| EX-OFFICIO DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| DAVID NEITHERCUT | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| LESLIE NEWMAN | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| EDWARD OGATA MD | ||||||||
| EX-OFFICIO DIR/CMO/HOSP. | 1.0 | 40.0 | X | 0 | 631873 | 44664 | ||
| NANCY A PACHER | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| CHAKA M PATTERSON | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| DOUGLAS A PERTZ | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| LORNA S PFAELZER | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| KENNETH PIGOTT | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| ASHISH PRASAD | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| MICHAEL PUCKER | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| GERALD D PUTNAM | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| MOHAN RAO PHD | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| DIANA M RAUNER PhD | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| THOMAS R REUSCHE | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| J CHRISTOPHER REYES | ||||||||
| MED. CNTR./HOSP. CHAIR | 1.0 | 7.0 | X | 0 | 0 | 0 | ||
| MARLETA REYNOLDS MD | ||||||||
| EX-OFFICIO DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| PETER C ROBERTS | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| PHILMER ROHRBAUGH | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| MANUEL SANCHEZ | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| H WILLIAM SCHNAPER MD | ||||||||
| EX-OFFICIO DIRECTOR/ PFF MD | 1.0 | 40.0 | X | 0 | 301698 | 51964 | ||
| CHRISTOPHER SEGAL | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| SMITA N SHAH | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| STEPHEN A SMITH | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| THOMAS S SOULELES | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| STEPHEN T STEERS | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| EMILY H STOECKEL | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| DIANE SWONK | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| EDWARD S TRAISMAN MD | ||||||||
| EX-OFFICIO DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| MONSIGNOR KENNETH VELO | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| MATTHEW M WALSH | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| ROBERT WK WEBB | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| EDWARD J WEHMER | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| DERRY WEYERHAEUSER | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| BRIAN E WILLIAMS | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| LINDA S WOLF | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| JAMES WOOTEN JR | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| MS JIA ZHAO | ||||||||
| DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| DEBORAH M SAWYER | ||||||||
| SENIOR DIRECTOR | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| PAULA M NOBLE | ||||||||
| CFO/TREAS/MED. CNTR. & AFFLTS | 1.0 | 40.0 | 0 | 611982 | 219546 | X | ||
| DONNA S WETZLER | ||||||||
| GEN CNSL&CORP SEC/MED. CNTR. & | 1.0 | 40.0 | 0 | 1212966 | 41772 | X | ||
| JENNIFER L NICHOLAS | ||||||||
| STAFF RADIOLOGIST | 40.0 | 0.0 | 391797 | 0 | 28172 | X | ||
| ELIZABETH J PERLMAN | ||||||||
| CHAIR/DEPT OF PATH & LAB MED | 40.0 | 0.0 | 487832 | 0 | 104798 | X | ||
| CYNTHIA K RIGSBY | ||||||||
| VICE CHRMN MEDICAL IMAGING | 40.0 | 0.0 | 434517 | 0 | 56181 | X | ||
| MARTHA C SAKER | ||||||||
| STAFF RADIOLOGIST | 40.0 | 0.0 | 419373 | 0 | 34281 | X | ||
| RICHARD M SHORE | ||||||||
| STAFF RADIOLOGIST | 40.0 | 0.0 | 444601 | 0 | 41884 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2737678 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 5880112 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1904419 | TotalOtherCompensation |
| Number Individuals GT100 K | 40 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Northwestern Medical Faculty Founda | |||||
| 375 N ST CLAIR | CHICAGO | IL | 60611 | PHYSICIAN SERVICES | 853874 |
| Medcentrix Inc | |||||
| 15620 S Wood Street | HARVEY | IL | 60426 | BILLING SERVICES | 572581 |
| SPI HEALTHCARE | |||||
| 8151 W 83RD ST B | TINLEY PARK | IL | 60487 | BILLING SERVICES | 372099 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 355 | NumberOfContractorsGT100K |
| Fundraising Events | 0 | FundraisingEvents |
| Related Organizations | 1308418 | RelatedOrganizations |
| Noncash Contributions | 0 | NoncashContributions |
| Total Contributions | 1308418 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Net patient revenue | 621110 | 10287964 | 10287964 | 0 | $0 |
| MEDICAL, ADMINISTRATION, & TEACHING | 621110 | 3099378 | 3099378 | 0 | $0 |
| Misc operating income | 621110 | 1759591 | 1759591 | 0 | $0 |
| Medicaid | 621110 | 3596974 | 3596974 | 0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 18743907 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Direct Expenses | 0 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 20052325 | TotalRevenueColumn |
| Related Or Exempt Function Income | 18743907 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1262421 | Total |
| Program Services | 1262421 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 754585 | Total |
| Program Services | 717820 | ProgramServices |
| Management And General | 36765 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12374110 | Total |
| Program Services | 11771214 | ProgramServices |
| Management And General | 602896 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2076100 | Total |
| Program Services | 1957566 | ProgramServices |
| Management And General | 118534 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 843939 | Total |
| Program Services | 813133 | ProgramServices |
| Management And General | 30806 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13500 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 13500 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Fundraising | 0 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1418043 | Total |
| Program Services | 1418043 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33123 | Total |
| Program Services | 33123 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79747 | Total |
| Program Services | 79747 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 589 | Total |
| Program Services | 589 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 819335 | Total |
| Program Services | 819335 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| BILLING AND COLLECTION FEES | 621882 | 44717 | 577165 | 0 |
| Plan tax | 683742 | 683742 | 0 | 0 |
| DUES AND LICNESES | 78796 | 78796 | 0 | 0 |
| BAD DEBT | 425191 | 425191 | 0 | 0 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21485103 | Total |
| Program Services | 20105437 | ProgramServices |
| Management And General | 1379666 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Joint Costs TotalJointCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5817337 | BOY |
| EOY | 4547925 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2189839 | BOY |
| EOY | 2002105 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 0 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 0 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 120000 | BOY |
| EOY | 120000 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 364656 | BOY |
| EOY | 450558 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8491832 | BOY |
| EOY | 7120588 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4210130 | BOY |
| EOY | 4271664 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4210130 | BOY |
| EOY | 4271664 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4281702 | BOY |
| EOY | 2848924 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4281702 | BOY |
| EOY | 2848924 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8491832 | BOY |
| EOY | 7120588 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -1432778 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type3 Func Int | X | SupportingOrg509a3Type3FuncInt |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (4 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| ANN & ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO | |||||
| 362170833 | 03 | true | true | true | $20,105,437 |
| ANN & ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO FDN | |||||
| 363357006 | 07 | true | true | true | $0 |
| PEDIATRIC FACULTY FOUNDATION INC | |||||
| 363279680 | 0 | true | true | true | $0 |
| ANN & ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO RES CTR | |||||
| 363357005 | 04 | true | true | true | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 4 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 20105437 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years | |
| Land | Land | |
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements | |
| Equipment | Equipment | |
| Other Land Buildings | OtherLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM CMMC INSURANCE | 76025 |
| NONPATIENT RECEIVABLE | 374532 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 450557 | TotalBookValueOtherAssets |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | Region |
| Type Of Activities Conducted | Program Services | TypeOfActivitiesConducted |
| Specific Services Provided | INSURANCE | SpecificServicesProvided |
| Total Expenditures | 3155800 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Amount Spent | 3155800 | SubtotalAmountSpent |
| Total Amount Spent | 3155800 | TotalAmountSpent |
| Transfer To Foreign Corp | true | TransferToForeignCorp |
| Interest In Foreign Trust | false | InterestInForeignTrust |
| Own Foreign Corp | true | OwnForeignCorp |
| Passive Foreign Invest Co | false | PassiveForeignInvestCo |
| Foreign Partnership | false | ForeignPartnership |
| Boycott Countries | false | BoycottCountries |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LURIE CHILDREN'S | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 E CHICAGO AVE | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60611 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 362170833 | EINOfRecipient |
| IRC Section | 501(c)(3) | IRCSection |
| Amount Of Cash Grant | 1262421 | AmountOfCashGrant |
| Purpose Of Grant | NET ASSET TRANSFER | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Form 990, Schedule I | Identifier |
| Explanation | In FY 2013 Medical Center provided assistance to Lurie Children's to support its mission through a $1,262,421 net asset transfer. It did not provide grants to other organizations. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | true | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES S DONALDSON MD | ||||||||||||||
| EX-OFFICIO DIRECTOR | 463426 | 0 | 93974 | 0 | 2158 | 0 | 172644 | 0 | 22383 | 0 | 754585 | 0 | 0 | 0 |
| THOMAS P GREEN MD | ||||||||||||||
| EX-OFFICIO DIRECTOR | 0 | 511961 | 0 | 198889 | 0 | 792 | 0 | 25000 | 0 | 31990 | 0 | 768632 | 0 | 0 |
| MARY JC HENDRIX PHD | ||||||||||||||
| EX-OFFICIO DIRECTOR | 0 | 502280 | 0 | 89428 | 0 | 516 | 0 | 66028 | 0 | 20987 | 0 | 679239 | 0 | 0 |
| MICHAEL KELLEHER MD | ||||||||||||||
| EX-OFFICIO DIRECTOR | 0 | 322917 | 0 | 18918 | 0 | 516 | 0 | 25000 | 0 | 29083 | 0 | 396434 | 0 | 0 |
| PATRICK M MAGOON | ||||||||||||||
| PRESIDENT/CEO | 0 | 706384 | 0 | 740395 | 0 | 28597 | 0 | 873442 | 0 | 14600 | 0 | 2363418 | 0 | 53837 |
| EDWARD OGATA MD | ||||||||||||||
| EX-OFFICIO DIR/CMO/HOSP. | 0 | 385385 | 0 | 226065 | 0 | 20423 | 0 | 26980 | 0 | 17684 | 0 | 676537 | 0 | 0 |
| H WILLIAM SCHNAPER MD | ||||||||||||||
| EX-OFFICIO DIRECTOR/ PFF MD | 0 | 257063 | 0 | 43843 | 0 | 792 | 0 | 25000 | 0 | 26964 | 0 | 353662 | 0 | 0 |
| PAULA M NOBLE | ||||||||||||||
| CFO/TREAS/MED. CNTR. & AFFLTS | 0 | 379215 | 0 | 216308 | 0 | 16459 | 0 | 206069 | 0 | 13477 | 0 | 831528 | 0 | 0 |
| DONNA S WETZLER | ||||||||||||||
| GEN CNSL&CORP SEC/MED. CNTR. & | 0 | 280850 | 0 | 164602 | 0 | 767514 | 0 | 23176 | 0 | 18596 | 0 | 1254738 | 0 | 757282 |
| JENNIFER L NICHOLAS | ||||||||||||||
| STAFF RADIOLOGIST | 280449 | 0 | 108114 | 0 | 3234 | 0 | 12453 | 0 | 15719 | 0 | 419969 | 0 | 0 | 0 |
| ELIZABETH J PERLMAN | ||||||||||||||
| CHAIR/DEPT OF PATH & LAB MED | 404536 | 0 | 82301 | 0 | 995 | 0 | 87680 | 0 | 17118 | 0 | 592630 | 0 | 0 | 0 |
| CYNTHIA K RIGSBY | ||||||||||||||
| VICE CHRMN MEDICAL IMAGING | 317085 | 0 | 115728 | 0 | 1704 | 0 | 24863 | 0 | 31318 | 0 | 490698 | 0 | 0 | 0 |
| MARTHA C SAKER | ||||||||||||||
| STAFF RADIOLOGIST | 309137 | 0 | 109714 | 0 | 522 | 0 | 26214 | 0 | 8067 | 0 | 453654 | 0 | 0 | 0 |
| RICHARD M SHORE | ||||||||||||||
| STAFF RADIOLOGIST | 327670 | 0 | 105614 | 0 | 11317 | 0 | 29900 | 0 | 11984 | 0 | 486485 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Compensation Information | Identifier |
| Return Reference | Schedule J, Part I, Line 3 | ReturnReference |
| Explanation | 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. Schedule J, Part I, Question 4b The following listed individuals have an amount included in Schedule J, Part II, Column (C) for an amount accrued but not vested under THE MEDICAL CENTER supplemental executive retirement plan ("SERP"): James Donaldson, MD $142,939 Patrick M. Magoon $719,218 Paula M. Noble $179,575 Elizabeth J. Perlman $ 64,169 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, Donna S. Wetzler received a vested payment of $765,622 from the supplemental retirement benefits under the SERP, and therefore had multi-year SERP benefits included in her taxable income. In this case, the taxable amount represents the vested value of benefits earned over many years of service to the organization, and which were taxable and paid in 2012. The vast majority of the SERP payment was reported on prior Form 990's as deferred compensation as the benefits were being earned. Schedule J, Part I, Question 5a Employed physicians are compensated on the basis of personal professional productivity that takes into account, in part, the revenues of the organization generated by the physician. 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 2012 Form 990 of Pediatric Faculty Foundation, EIN 36-3279680. Thomas P. Green, MD Mary J.C. Hendrix, PhD The following individuals are not compensated by the reporting organization for his or her service as a director or officer. Rather, the compensation reported on Form 990, Part VII and on Schedule J, Part II reflects compensation paid by the Ann & Robert H. Lurie Children's Hospital of Chicago (Lurie Children's) for the individual's substantial and full-time services as an employee. For more details, please refer to the 2012 Form 990 of Lurie Children's, FEIN 36-2170833. Patrick M. Magoon Edward Ogata, MD Paula M. Noble Donna S. Wetzler | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| AON | |||
| CASE IS PRESIDENT/CEO | 288300 | INSURANCE BROKERAGE SERVICES | false |
| JPMorgan Chase | |||
| L. Crown is a director | 180106 | Financial Services | false |
| JPMorgan Chase | |||
| P. Crown is a director | 180106 | Financial Services | false |
| JPMorgan Chase | |||
| DeCorrevont is an ofcr | 180106 | Financial Services | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Relationships | Form 990, Part VI, Question 2 | *Doug Pertz served as a director for a company for which Todd Hamilton served as a director. *John Challenger serves as an officer for a firm that provides services to the firm of which John P. Amboian serves as an officer. *Allan Bulley III serves as an officer for a firm which provided construction services to a firm for which Andrew McKenna serves as an officer. *Allan Bulley III serves as an officer for a firm that provided construction services to Thomas Souleles. *Allan Bulley III and Bert A. Getz, Jr. have a business relationship. *Allan Bulley III and Greg Case have a business relationship. *Allan Bulley III and Andrew McNally IV have a business relationship. *Robert S. Murley and Patrick J. Allin have a business relationship. *Allan Bulley III serves as an officer for a firm which provided construction services to Donald J. Edwards. *Lester Crown is the father-in-law of Paula H. Crown. *William Devers, Jr. serves as a director for a company for which Andrew McKenna serves as an officer. *Andrew J. McKenna is the father of William J. McKenna. *Adam Kriger serves as a officer for a company for which Andrew J. McKenna serves as a director. *David D. Grumhaus is the father of David D. Grumhaus, Jr. |
| Describe the Process used by Management &/or Governing Body to Review 990 | Form 990, Part VI, Question 11B | A public disclosure copy of the organization's fiscal year 2013 tax return ("Form 990") was provided to each member of the organization's Audit Committee (of the board) before a special Audit Committee meeting and before the Form 990 was filed. The Audit Committee is the committee of the organization charged with oversight of audit and tax matters. The Audit Committee was provided a detailed overview of the Form 990 by the Chief Financial Officer ("CFO") and the organization's Director of Tax Compliance. The CFO and Director of Tax Compliance 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 tax preparation process, the organization on an ongoing basis consulted its tax consulting firm and outside tax legal counsel, both of which possess expertise in health care and tax-exempt return preparation, to advise and assist in the preparation of Form 990. These advisors worked closely with the organization's finance 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. |
| Description of Process to Monitor Transactions for Conflicts of Interest | Form 990, Part VI, Question 12c | 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. |
| Offices & Positions for Which Process was Used, & Year Process was Begun | Form 990, Part VI, questions 15a and 15b | The authority to review and approve executive compensation has been delegated to the Governance Committee of the 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 the Medical Center and the Medical Center 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. |
| Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public | Form 990, Part VI, Question 19 | 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. |
| INFORMATION ABOUT SUPPORTED ORGANIZATION | SCHEDULE A, PART I | For a description of the manner in which the Medical Center supports Lurie Children's, please see the statement of program accomplishments included in Schedule O. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LURIE CHILDREN'S MEDICAL GROUP LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 E CHICAGO AVE | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60611 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364187449 | EIN |
| Primary Activities | HEALTH CARE | PrimaryActivities |
| Legal Domicile State | IL | LegalDomicileState |
| Total Income | 19141825 | TotalIncome |
| EOY Assets | 6924562 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL CTR | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| LURIE CHILDREN'S HOSP OF CHIC RSCH CTR | ||||||||||
| 225 E CHICAGO AVE | CHICAGO | IL | 60611 | 363357005 | RESEARCH | IL | 501(C)(3) | 4 | Medical Ctr | true |
| LURIE CHILDREN'S HOSPITAL OF CHICAGO FDN | ||||||||||
| 225 E CHICAGO AVE | CHICAGO | IL | 60611 | 363357006 | FUNDRAISING | IL | 501(C)(3) | 7 | Medical Ctr | true |
| PEDIATRIC FACULTY FOUNDATION INC | ||||||||||
| 225 E CHICAGO AVE | CHICAGO | IL | 60611 | 363279680 | HLTH CRE/RSCH | IL | 501(C)(3) | 11 III-FI | Medical Ctr | true |
| LURIE CHILDREN'S | ||||||||||
| 225 E CHICAGO AVE | CHICAGO | IL | 60611 | 362170833 | HOSPITAL | IL | 501(C)(3) | 3 | Medical Ctr | true |
| CMH Self Insurance Foundation | ||||||||||
| 225 E CHICAGO AVE | Chicago | IL | 60611 | 366638400 | Insurance | IL | 501(C)(3) | 11 III-FI | MEDICAL CTR | true |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CMMC INSURANCE CO LTD | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 E CHICAGO AVE | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60611 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 000000000 | EIN |
| Primary Activity | SELF INSURANCE | PrimaryActivity |
| Legal Domicile Foreign Country | CJ | LegalDomicileForeignCountry |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL CTR | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | CORPORATION | TypeOfEntity |
| Share Of Total Income | 73200 | ShareOfTotalIncome |
| Share Of EOY Assets | 13815008 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Controlled Org | true | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| LURIE CHILDREN'S | ||
| b | 1262421 | COST |
| LURIE CHILDREN'S | ||
| c | 1308418 | COST |
| LURIE CHILDREN'S | ||
| p | 5809626 | COST |
| CMMC INSURANCE CO LTD | ||
| s | 3155800 | COST |
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