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ERNST & YOUNG US LLP
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Children's Hospital of Chicago Medical Center
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ESTABLISH, DEVELOP, PROMOTE & CONDUCT EDUCATIONAL PROGRAMS, SCIENTIFIC RESEARCH, HEALTHCARE FACILITIES & OTHER CHARITABLE & EDUCATIONAL ACTIVITIES DEVOTED TO HEALTH & WELFARE SERVICES TO INFANTS & CHILDREN.
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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.
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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.
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LURIE CHILDREN'S
225 E CHICAGO AVE
CHICAGO
IL
60611
362170833
501(c)(3)
1262421
NET ASSET TRANSFER
1
0
Form 990, Schedule I
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.
X
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JAMES S DONALDSON MD
EX-OFFICIO DIRECTOR
463426
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93974
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2158
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172644
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22383
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754585
0
0
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THOMAS P GREEN MD
EX-OFFICIO DIRECTOR
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511961
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198889
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792
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25000
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31990
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768632
0
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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
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23176
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18596
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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
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11317
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29900
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11984
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486485
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Supplemental Compensation Information
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. 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
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
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.
LURIE CHILDREN'S MEDICAL GROUP LLC
225 E CHICAGO AVE
CHICAGO
IL
60611
364187449
HEALTH CARE
IL
19141825
6924562
MEDICAL CTR
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)
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Medical Ctr
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CMH Self Insurance Foundation
225 E CHICAGO AVE
Chicago
IL
60611
366638400
Insurance
IL
501(C)(3)
11 III-FI
MEDICAL CTR
true
CMMC INSURANCE CO LTD
225 E CHICAGO AVE
CHICAGO
IL
60611
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SELF INSURANCE
CJ
MEDICAL CTR
CORPORATION
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LURIE CHILDREN'S
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1262421
COST
LURIE CHILDREN'S
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p
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COST
CMMC INSURANCE CO LTD
s
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