LA RABIDA CHILDRENS HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LA RABIDA CHILDRENS HOSPITAL (EIN 36-2170143)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201431349349301178
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-14T08:04:19-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN420714325EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCGLADREY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1ONE SOUTH WACKER DRIVE SUITE 800AddressLine1
CityCHICAGOCity
StateILState
ZIP Code606063392ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362170143EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1La Rabida Children's HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLARANameControl
Phone7733636700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16501 S Promontory DriveAddressLine1
CityChicagoCity
StateILState
ZIP Code60649ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMark RenfreeName
TitleCFO & VP AdministrationTitle
Phone7733636700Phone
Date Signed2014-05-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWayne HarderName
PTINP00294296PTIN
Phone3126343400Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBrenda WolfNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16501 S Promontory DriveAddressLine1
CityChicagoCity
StateILState
ZIP Code60649ZIPCode
FieldValueIRS element (for citing)
Gross Receipts126636590GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.larabida.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1896YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionLa Rabida Children's Hospital provides both inpatient and outpatient care to children with chronic illness, disabilities or who have been abused in a comprehensive, interdisciplinary family-centered care model.ActivityOrMissionDescription
Nbr Voting Members Governing Body32NbrVotingMembersGoverningBody
Nbr Independent Voting Members29NbrIndependentVotingMembers
Total Nbr Employees575TotalNbrEmployees
Total Nbr Volunteers243TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4050987ContributionsGrantsPriorYear
Contributions Grants Current Year8865188ContributionsGrantsCurrentYear
Program Service Revenue Prior Year44591481ProgramServiceRevenuePriorYear
Program Service Revenue CY41996723ProgramServiceRevenueCY
Investment Income Prior Year4478399InvestmentIncomePriorYear
Investment Income Current Year5183549InvestmentIncomeCurrentYear
Other Revenue Prior Year2229782OtherRevenuePriorYear
Other Revenue Current Year1959938OtherRevenueCurrentYear
Total Revenue Prior Year55350649TotalRevenuePriorYear
Total Revenue Current Year58005398TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year27725707SalariesEtcPriorYear
Salaries Etc Current Year27848409SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year113143TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY40642TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year436981TotalFundrsngExpCurrentYear
Other Expense Prior Year20204737OtherExpensePriorYear
Other Expenses Current Year19228036OtherExpensesCurrentYear
Total Expenses Prior Year48043587TotalExpensesPriorYear
Total Expenses Current Year47117087TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7307062RevenuesLessExpensesPriorYear
Revenues Less Expenses CY10888311RevenuesLessExpensesCY
Total Assets BOY142643625TotalAssetsBOY
Total Assets EOY158870914TotalAssetsEOY
Total Liabilities BOY19550597TotalLiabilitiesBOY
Total Liabilities EOY15932340TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY123093028NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY142938574NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionLa Rabida Children's Hospital (LRCH) is dedicated to excellence in caring for children with chronic illness, disabilities, or who have been abused, allowing them to achieve their fullest potential through expertise and innovation within the healthcare and academic communities. LRCH provides comprehensive, interdisciplinary health services to children across a continuum of care, serving as a model for family-centered care.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense23787901Expense
Revenue31279411Revenue
DescriptionThe primary service provided by La Rabida Children's Hospital (LRCH) is inpatient services to children with chronic illnesses and disabilities. In fiscal year 2013, LRCH had 683 admissions and 6,348 patient days of care. LRCH serves these children regardless of race, creed, sex, national origin, or ability to pay and is the most Medicaid- dependent hospital in the State of Illinois, with more than 92% of its patient days of care rendered for Medicaid program beneficiaries. LRCH is a local expert and provides a site of training for residents and medical students. LRCH trains nearly 95 physician residents and medical students each year from the University of Chicago. LRCH is also a training site for nursing, rehabilitation therapy, social work, psychology and respiratory therapy students. LRCH works to ensure that all hospital staff, both clinical and non-clinical, receive education on how to make the hospital a safe place for children. Efforts include quality initiatives for infection control, certification classes in CPR and Pediatric Advanced Life Support (PALS), running mock codes, classroom lectures for nurses, emergency preparedness training, and meetings on education and research. LRCH also holds in-services as warranted for new products, policies and event-related occurrences.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense11452757Expense
Revenue8667004Revenue
DescriptionThe secondary services provided by LRCH are various clinical outpatient services supportive of the special needs of our patients. These services include 4,283 treatment room visits, 11,347 physician clinic visits and 14,507 outpatient ancillary visits. The physician clinics are for children with chronic healthcare needs and their siblings. These services also include care coordinators, patient education, case management and numerous wrap- around services such as nutrition and behavioral health. Included in the ancillary visits are physical therapy, speech therapy, occupational therapy and infant development specialty visits.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense4267660Expense
Revenue3983548Revenue
DescriptionIn conjunction with the inpatient and outpatient services provided, LRCH also provides several primarily grant-funded program extensions. The largest are Children's Advocacy Center for children who have been abused, neglected or have experienced trauma; Child and Family Connections which is a healthcare system point of entry for early intervention services for residents of southeast Chicago; and Integrated Assessment which conducts mental health assessments for children entering custody of the Department of Children Family Services.Description
FieldValueIRS element (for citing)
Total Program Service Expense39508318TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109637NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees575NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members32NbrVotingGoverningBodyMembers
Number Independent Voting Members29NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Mark RenfreeBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7736366700TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16501 S Promontory DriveAddressLine1
CityChicagoCity
StateILState
ZIP Code606491935ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (47 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Robert L Aguilar
Trustee1.00X000
Patricia Brown Holmes
Trustee1.00X000
Richard M Burridge
Trustee1.00X0002.00
Michele B Bush
Trustee1.00X000
Harry Cendrowski
Trustee1.00X000
John G Clifford
Trustee1.00X000
Brian B Devane
Trustee1.00X000
Terence Donnelly
Trustee1.00X000
Rosemarie C Donzanti
Trustee1.00X000
John M Eberle
Trustee1.00X000
John P Harney
Trustee1.00X000
Mark E Jacobs
Trustee1.00X000
Gloria Jacobson
Trustee1.00X000
Joyce C Johnson-Miller
Trustee1.00X000
Allen Kanter
Trustee1.00X000
Anthony R Kitchens
Trustee1.00X000
Allen I Kutchins
Trustee1.00X000
Randy Markowitz
Trustee1.00X000
Craig Miller
Trustee1.00X000
Kweku Obed
Trustee1.00X000
David B Patzwald
Trustee1.00X000
Emilio Salvi
Trustee1.00X000
Cedric Shaw
Trustee1.00X000
John Smith
Trustee1.00X000
Frederick B Thomas
Trustee1.00X000
Fred K Walz
Trustee1.00X000
Jeffrey Warner
Trustee1.00X000
Robert P Arthur
Trustee1.00X000
Sharon Barner
Trustee1.00X000
Fred Berglund
Trustee1.00X000
Dorothy E Bossung
Trustee1.00X000
Drew M Horowitz
Trustee1.00X000
John G Gyann
Chair1.00X000X
Howard C Alper
Vice Chair1.00X000X
Daniel S Real
Vice Chair1.00X000X
Bruce R Pfaff
Secretary1.00X000X
Mark D Renfree
CFO & VP Administration/Treasurer50.002656760460433.00X
Janet Haines
VP Fund Development & External Affairs50.00000X
Aden Henry
VP Patient Care Serv.50.00215846018767X
Brenda Wolf
President/CEO50.00344914072731X
Walid Maalouli
Chief Medical Officer50.0016181503449X
Marcene Dickes
Assistant VP Patient Care Serv.50.00140134015368X
Frances Lefkow
Director of Human Resources50.00161251035253X
Michael Gallery
Pharmacy Manager50.00134548036492X
Sylvia Williams
Director of Inpatient Nurs50.00123041028441X
Colleen Harper
Director of Rehab/Development50.00118611039615X
Kevin V Rath
VP Fund Development50.00117513019248X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1783349TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation315407TotalOtherCompensation
Number Individuals GT100 K20NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
University of Chicago Medical Center
5841 Maryland AvenueChicagoIL60637Physician Staffing & Ancillary Services3411252
Pediatric Faculty Foundation
2300 Childrens PlazaChicagoIL60614Physician Staffing & Ancillary Services1129578
Berglund Construction
8410 S Chicago AveChicagoIL60617General Contractor642166
VOA Associates Inc
224 S Michigan AveChicagoIL60604Professional Architectural & Engineering540238
Dell Marketing LP
One Dell WayRound RockTX78682Technology Project Services210750
FieldValueIRS element (for citing)
Number Of Contractors GT100 K21NumberOfContractorsGT100K
Fundraising Events886897FundraisingEvents
Related Organizations2000000RelatedOrganizations
All Other Contributions5978291AllOtherContributions
Noncash Contributions130179NoncashContributions
Total Contributions8865188TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Revenue6215003801317438013174
Other Patient Service62150039835493983549
FieldValueIRS element (for citing)
Total Program Service Revenue41996723TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1588416TotalRevenueColumn
Exclusion$1,588,416ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities71958128Securities
Other4000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities68365430Securities
Other1565Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3592698Securities
Other2435Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3595133TotalRevenueColumn
Exclusion$3,595,133ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events154118GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events886897CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses264197FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-110079TotalRevenueColumn
Exclusion-$110,079ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
EMR Incentive90009919332401933240
Cafeteria722210136777$136,777
FieldValueIRS element (for citing)
Total Other Revenue2070017TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column58005398TotalRevenueColumn
Related Or Exempt Function Income43929963RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$5,210,247ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total21618171Total
Program Services17661601ProgramServices
Management And General3802493ManagementAndGeneral
Fundraising154077Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6230238Total
Program Services5078260ProgramServices
Management And General1111918ManagementAndGeneral
Fundraising40060Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total191091Total
Management And General191091ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total182003Total
Program Services29550ProgramServices
Management And General141255ManagementAndGeneral
Fundraising11198Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total40642Total
Fundraising40642Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total197706Total
Management And General197706ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6659552Total
Program Services5381696ProgramServices
Management And General1135960ManagementAndGeneral
Fundraising141896Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4167855Total
Program Services3946038ProgramServices
Management And General180008ManagementAndGeneral
Fundraising41809Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total623195Total
Program Services294872ProgramServices
Management And General328323ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2762312Total
Program Services2762312ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total105922Total
Program Services77717ProgramServices
Management And General26975ManagementAndGeneral
Fundraising1230Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2573099Total
Program Services2573099ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total881284Total
Program Services881284ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Bad Debt Expense344135344135
Education770344145835576
Books & Subscriptions19360114007438522

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total443488Total
Program Services424896ProgramServices
Management And General13045ManagementAndGeneral
Fundraising5547Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total47117087Total
Program Services39508318ProgramServices
Management And General7171788ManagementAndGeneral
Fundraising436981Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6973458BOY
EOY6040677EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2242144BOY
EOY1913214EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3582293BOY
EOY2139304EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY447962BOY
EOY384149EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY437626BOY
EOY456300EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis63083934LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec34058605LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY22859215BOY
EOY29025329EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY69589426BOY
EOY77334161EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY36511501BOY
EOY41577780EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY142643625BOY
EOY158870914EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7809237BOY
EOY7935706EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY11741360BOY
EOY7996634EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY19550597BOY
EOY15932340EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY93151806BOY
EOY112098278EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY28834780BOY
EOY29733854EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1106442BOY
EOY1106442EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY123093028BOY
EOY142938574EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY142643625BOY
EOY158870914EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses10888311ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1517856ReconciliationUnrealizedInvest
Reconcilation Other Changes7439379ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$2,826GrantsOtherOrganizationsAmount
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$114,000DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$12,574OtherActivitiesAmount
Total Lobbying Expenditures IIB129400TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart IV, Supplemental Information:Identifier
ExplanationPart II-B, line 1(f) The grants to other organizations for lobbying purposes are made through dues paid to the National Association of Children's Hospitals. Part II-B, line 1(g) Shea, Paige & Rogal, Inc. and Fletcher, O'Brien, Kasper, & Nottage, P.C. are firms hired by LRCH to assist in educating legislators on the specific financial situation of La Rabida and the importance of appropriate Medicaid reimbursement. Part II-B, line 1(i) A portion of the dues paid to Illinois Hospital Association and American Hospital Association are attributable to lobbying.Explanation

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis34434818OtherCostOrOtherBasis
Depreciation20246101Depreciation
Book Value14188717BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2100847OtherCostOrOtherBasis
Depreciation1970936Depreciation
Book Value129911BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis17144818OtherCostOrOtherBasis
Depreciation11693677Depreciation
Book Value5451141BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9403451OtherCostOrOtherBasis
Depreciation147891Depreciation
Book Value9255560BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings29025329TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
City of Chicago License3583293
Grants Receivable6674755
Beneficial Interest in Assets Held by the Foundation8066500
Interest in Restricted Net Assets of the Foundation21081220
Insurance Recoveries Receivable2172012
FieldValueIRS element (for citing)
Total Book Value Other Assets41577780TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Payables to Third-Party Programs$622,500
Pension Obligation$4,273,815
Self-Insurance$3,100,319
FieldValueIRS element (for citing)
Total Of Amounts7996634TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt67181639TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1517856NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities496650DonatedSrvcAndUseOfFacilities
Other Revenues7703576OtherRevenues
Revenue Not Rptd F9909718082RevenueNotRptdF990
Revenue Subtotal57463557RevenueSubtotal
Investment Expenses Not Included197706InvestmentExpensesNotIncluded
Other Revenues Not Included344135OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt541841RevenueNotRptdOnFinStmt
Total Revenue Per Form99058005398TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt47336093TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities496650DonatedServicesUseOfFacilities
Other Expenses Included264197OtherExpensesIncluded
Expenses Not Rptd F990760847ExpensesNotRptdF990
Expenses Subtotal46575246ExpensesSubtotal
Investment Expenses Not Included2197706InvestmentExpensesNotIncluded2
Other Expenses Not Included344135OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt541841ExpensesNotRptdOnFinStmt
Total Expenses Per Form99047117087TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Uncertain Tax Positions Under FIN 48:Part X, Line 2:The Hospital is a tax-exempt organization under Internal Revenue Code Section 501(c)(3), and accordingly, no income taxes are provided for in the accompanying financial statements. The Hospital follows the Financial Accounting Standards Board (FASB)-issued guidance for accounting for uncertainty in income taxes. The Hospital files a Form 990 (Return of Organization Exempt from Income Tax) annually. When this return is filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others may be subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. Examples of tax positions common to not-for-profit hospitals include such matters as the following: the tax exempt status of the entity, the nature, characterization and taxability of joint venture income and various positions relative to potential sources of unrelated business taxable income (UBTI). The Hospital had no UBTI for the years ended June 30, 2013 and 2012. The benefit of a tax position is recognized in the financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions are not offset or aggregated with other positions. Tax positions that meet the "more likely than not" recognition threshold are measured as the largest amount of tax benefit that is more than 50 percent likely to be realized on settlement with the applicable taxing authority. The portion of the benefits associated with tax positions taken that exceeds the amount measured as described above is reflected as a liability for unrecognized tax benefits in the accompanying balance sheets along with any associated interest and penalties that would be payable to the taxing authorities upon examination. Forms 990 filed by the Hospital are subject to examination by the Internal Revenue Service (IRS) up to three years from the extended due date of each return. Forms 990 filed by the Hospital are no longer subject to examination for the tax years 2009 and prior.
Part XI, Line 2d - Other Adjustments:Special Event Expenses 264,197. Change in pension obligation 4,700,731. Change in interest in net assets of the Foundation 2,738,648.
Part XI, Line 4b - Other Adjustments:Bad Debt Expense 344,135.
Part XII, Line 2d - Other Adjustments:Special Event Expenses 264,197.
Part XII, Line 4b - Other Adjustments:Bad Debt Expense 344,135.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeActivityActivityFundraiser Control Of FundsFundraiserControlOfFundsGross ReceiptsGrossReceiptsAmount Retained By ContractorAmountRetainedByContractorNet To OrganizationNetToOrganization
PJH & Associates
205 West Wacker DriveChicagoIL60606Fundraiser/Awards/Benefit Dinner080741964688742731
Grand Events
4828 S Michigan AvenueChicagoIL60615Fundraiser Cruise059918639253526
FieldValueIRS element (for citing)
Total Gross Receipts867337TotalGrossReceipts
Total Retained By Contractors71080TotalRetainedByContractors
Total Net To Organization796257TotalNetToOrganization
Licensed StatesILLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GalaNameOfEvent1
Gross Receipts Event1807419GrossReceiptsEvent1
Charitable Contributions Event1749599CharitableContributionsEvent1
Gross Revenue Event157820GrossRevenueEvent1
Non Cash Prizes Event1100NonCashPrizesEvent1
Rent Facility Costs Event115436RentFacilityCostsEvent1
Food And Beverage Event195307FoodAndBeverageEvent1
Entertainment Event16500EntertainmentEvent1
Other Direct Expenses Event167198OtherDirectExpensesEvent1
Name Of Event2Golf OutingNameOfEvent2
Gross Receipts Event2173678GrossReceiptsEvent2
Charitable Contributions Event297087CharitableContributionsEvent2
Gross Revenue Event276591GrossRevenueEvent2
Non Cash Prizes Event218392NonCashPrizesEvent2
Rent Facility Costs Event216192RentFacilityCostsEvent2
Food And Beverage Event220744FoodAndBeverageEvent2
Other Direct Expenses Event23410OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events59918GrossReceiptsOtherEvents
Charitable Contrib Other Events40211CharitableContribOtherEvents
Gross Revenue Other Events19707GrossRevenueOtherEvents
Rent Facility Costs Other Events16225RentFacilityCostsOtherEvents
Entertainment Other Events1350EntertainmentOtherEvents
Other Direct Expenses Other Events3342OtherDirectExpensesOtherEvents
Gross Receipts Total1041015GrossReceiptsTotal
Charitable Contributions Total886897CharitableContributionsTotal
Gross Revenue Total Events154118GrossRevenueTotalEvents
Non Cash Prizes Total Events18492NonCashPrizesTotalEvents
Rent Facility Costs Total Events47853RentFacilityCostsTotalEvents
Food And Beverage Total Events116051FoodAndBeverageTotalEvents
Entertainment Total Events7850EntertainmentTotalEvents
Other Direct Expenses Total Events73950OtherDirectExpensesTotalEvents
Direct Expense Summary Events264196DirectExpenseSummaryEvents
Net Income Summary-110078NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage150.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense39801TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense39801NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense35267260TotalCommunityBenefitExpense
Direct Offsetting Revenue35859172DirectOffsettingRevenue
Net Community Benefit Expense-591912NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense35307061TotalCommunityBenefitExpense
Direct Offsetting Revenue35859172DirectOffsettingRevenue
Net Community Benefit Expense-552111NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense472922TotalCommunityBenefitExpense
Direct Offsetting Revenue6000DirectOffsettingRevenue
Net Community Benefit Expense466922NetCommunityBenefitExpense
Percent Of Total Expense0.00990PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense544502TotalCommunityBenefitExpense
Direct Offsetting Revenue3477DirectOffsettingRevenue
Net Community Benefit Expense541025NetCommunityBenefitExpense
Percent Of Total Expense0.01150PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense831138TotalCommunityBenefitExpense
Direct Offsetting Revenue680048DirectOffsettingRevenue
Net Community Benefit Expense151090NetCommunityBenefitExpense
Percent Of Total Expense0.00320PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1848562TotalCommunityBenefitExpense
Direct Offsetting Revenue689525DirectOffsettingRevenue
Net Community Benefit Expense1159037NetCommunityBenefitExpense
Percent Of Total Expense0.02460PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense37155623TotalCommunityBenefitExpense
Direct Offsetting Revenue36548697DirectOffsettingRevenue
Net Community Benefit Expense606926NetCommunityBenefitExpense
Percent Of Total Expense0.02540PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$344,135BadDebtExpenseAmount
Amount Reimbursed By Medicare30909AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare30909CostOfCareReimbursedByMedicare

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1La Rabida Children's HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line16501 S Promontory DriveAddressLine1
CityChicagoCity
StateILState
ZIP Code60649ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
Childrens HospitalXChildrensHospital
Teaching HospitalXTeachingHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1La Rabida Children's HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities1OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent150.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities5NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityTypeAddress Line2Address/AddressLine2
The Chicago Child Trauma Center
1111 E 87th Street Suite 8000ChicagoIL60619Trauma Center
La Rabida Joli Burrell Center
200 Lakewood BoulevardPark ForestIL60466Children's Advocacy Trauma Center
Child & Family Connections
1525 E 55th Street Suite 203ChicagoIL60615Office Building - Provide Child Early Intervention Services
Community Hospital Oupatient Center
9660 Wicker AvenueSt JohnIN46373Medical Office Facility
Ann & Robert Lurie Outpatient Center
1870 Silver Cross Bouvelard SuiteNew LenoxIL60451Outpatient Center100

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
Part I, Line 7: A cost to charge ratio, calculated using the IRS worksheet, was used for the Part I, Line 7 table.
Part I, L7 Col(f): Bad debt expense of $344,135 was removed from total expenses.
Part III, Line 4: Bad debt expense at cost is based upon the actual charges that are the responsibility of the patient guarantor multiplied by a calculation ratio of cost to charges using the IRS worksheet.
Part III, Line 8: Medicare costs are based upon the actual charges that are the responsibility of the patient guarantor multiplied by a calculation ratio of cost to charges calculated using the IRS worksheet.
Part III, Line 9b: La Rabida offers financial assistance to patients who qualify. With the application process, decisions will be communicated by mail or telephone within 10 days of hospital's receipt of your completed application. Eligibility is determined using the Financial Assistance Application. The application is available on our website and is also available for pick-up at the hospital's Patient Financial Services Department.
Part V, Section B, Line 3: As part of the Community Health Needs Assessment, there were five Key Informant Focus Groups held in the region. These key informant focus groups allowed for input from persons with special knowledge of or expertise in public health, as well as others who represent the broad interests of the community served by La Rabida Children's Hospital. Participants included 61 key informants in the region, including physicians, other health professionals, social service providers, business leaders and other community leaders.Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Participants included a representative of public health, as well as several individuals who work with low-income, minority or other medically underserved populations, and those who work with persons with chronic disease conditions. Specific names/titles of those participating are available upon request.La Rabida Children's Hospital
Part V, Section B, Line 4: The CHNA was sponsored by a collaboration of community partners, including La Rabida Children's Hospital, Metropolitan Chicago Healthcare Council and the University of Chicago Hospitals.La Rabida Children's Hospital
Part V, Section B, Line 5c: This Community Health Needs Assessment is available to the public using the following URL: http://LRCH.healthforecast.net. HealthForecast.net is an interactive, dynamic tool designed to share CHNA data with community partners and the public at large. This site:- Informs readers that the CHNA Report is available and provides instructions for downloading it;- Offers the CHNA Report document in a format that, when accessed, downloaded, viewed, and printed in hard copy, exactly reproduces the image of the report;- Grants access to download, view, and print the document without special computer hardware or software required for that format (other than software that is readily available to members of the public without payment of any fee) and without payment of a fee to the hospital organization or facility or to another entity maintaining the website.Links to this dedicated HealthForecast.net site are also made available at LRCH's hospital website at: http://www.larabida.orgLRCH will provide any individual requesting a copy of the written report with the direct website address, or URL, where the document can be accessed. LRCH will also maintain at its facilities a hard copy of the CHNA report that may be viewed by anyone who requests it.La Rabida Children's Hospital
Part V, Section B, Line 7: In acknowledging the wide range of priority health issues that emerged from the CHNA process, La Rabida Children's Hospital determined that it could only effectively focus on those which it deemed most pressing, most under-addressed, and most within its ability to influence.La Rabida Children's Hospital
Part V, Section B, Line 20d: La Rabida is a children's hospital that provides care primarily to children on Medicaid. Approximately 90% of La Rabida's patients are insured through Medicaid. La Rabida charges all patients near cost with a cost to charge ratio of 99%.La Rabida Children's Hospital
Part VI, Line 2: Needs Assessment:La Rabida Children's Hospital assesses the needs of its surrounding community and the community of children with complex medical conditions through a variety of methods. One is through our community outreach programs. We have staff in funded outreach programs and in the public relations/outreach department that are regularly in the community. They report to administration the strengths and weaknesses of the community and the expressed healthcare needs by event participants. The medical home program at LRCH also has a community advisory board through which more formal feedback is sought. This group meets on a regular basis and is staffed by the program director. Finally, LRCH has a number of mechanisms in place to receive comments and input from community members regarding healthcare needs, healthcare resources and priorities. These mechanisms will continue and include at least the following:-participation in various consortia throughout the Chicagoland area. These represent the interests of geographic areas (South Side Coalition), health conditions (Sickle cell disease association, Chicago Asthma Consortium, Juvenile Diabetes Research Foundation) and population groups (Illinois Maternal and Child Health Association and Illinois Premature Health Network). -La Rabida Children's Hospital staff: Approximately 400 people work here and we have another 200 volunteers. Comments from staff, family and friends are continuously brought to our attention.-Results of patient satisfaction surveys, both inpatient and outpatient.-A patient advocate who focuses on receiving, communicating and resolving patient concerns.
Part VI, Line 3: Patient Education of Eligibility for Assistance:At the time of registration, families are asked to provide any insurance information that may be used in paying for the services being rendered. If insurance is not available, the family is advised of the availability of Public Assistance and the need to complete the necessary paperwork. Preliminary paperwork is completed by the Hospital and provided to the necessary Agency for follow up by the family. It is the family's responsibility to meet with the Agency to ensure eligibility. The family is also notified about our financial assistance policy and the necessary forms for qualification are provided if requested.
Part VI, Line 4: Community Information:While LRCH provides services to children throughout the metropolitan Chicago area, most of the patients reside in Chicago's South Side communities. The population served by LRCH is approximately 90% African-American; the remainder of the population is almost equally divided between White (4-5%) and Hispanic (4-5%). Females are a majority of the population at 55%. Over 60% of the households with children under 18 are female-headed households. Based on census data, approximately 39% of the children in these communities are living in poverty. Based on recent census tract data, the average annual salary in the area was $19,000, compared to an average of $32,000 for the rest of the Chicago area.
Part VI, Line 5: Promotion of Community Health:LRCH serves over 500 children and families through hospitalizations and 8,400 through outpatient clinics annually. Almost half of LRCH's patients (approximately 44%) are age 5 and under. LRCH serves children and their families through age 18 and ensures that ongoing care is provided through referrals to local hospitals and clinics. In addition, LRCH assists families in negotiating the new bureaucracies they will encounter once the child is no longer eligible for Medicaid upon reaching age 18. LRCH is the most public insurance dependent hospital in the state of Illinois with Medicaid comprising over 80% of the hospital's income. The following are some of the programs used to meet the needs within our community.Trauma/Abuse Program:LRCH has one of the largest child abuse/trauma programs of any children's hospital in the country and has national recognition for cutting edge community based treatment and training programs. This program serves one of Chicago's most low-income areas, as well as 39% of the poorest municipalities in the southern suburbs. Adjunct services include case management, court services (i.e. accompanying children to court to testify against the perpetrator), liaison with community hospitals and community agencies. LRCH also provides outreach, training and consultation to child service programs in the community. LRCH currently provides ongoing consultation to the Chicago Department of Public Health Safe State Program, Ada S. McKinley Emergency Foster Care program, the Chicago Police Department Crisis Intervention team and the Vernon Park Church of God, among others. The program has provided training to many agencies, including: The Little City Foundation, Cook County State Attorney's Office, Cook County Public Guardian's Office, various Chicago Public Schools, the University of Chicago Department of Psychiatry and Department of Developmental and Behavioral Pediatrics, Casa Central and the Illinois Violence Prevention Authority. In addition, the Behavioral Sciences Department gives a number of lectures and community presentations throughout the year to school and professional groups.With assistance from the Illinois Department of Children and Family Services (DCFS), the hospital coordinates interviews of child sexual abuse victims. Participants include the police department, state's attorney's office and DCFS. LRCH also assists DCFS in providing initial health screenings prior to placement for abused and neglected children who come into custody. LRCH assists the Illinois Department of Healthcare and Family Services as an enrollment site for a health insurance program for low income children and families.Medical Home Program:LRCH is a NCQA-recognized Patient-Centered Medical Home (PCMH) that offers children from birth and older with developmental problems and/or medically complex conditions an interdisciplinary model for primary care. The program utilizes a cross-disciplinary pediatric care team to work in partnership with patients and families to ensure all of the medical and non-medical needs of the patient are met. Through the use of shared patient data in the EMR and robust case management, the program focuses on outcomes while reducing costs associated with duplicate and fragmented care. The American Journal of Managed Care recently published results from a study that showed pediatric PCMH patients were 23% less likely to be hospitalized, required 17% fewer ED services and cost 14.5% less than pediatric non-PCMH patients. Through the medical home program, LRCH provides ongoing healthcare and social supports to children with special needs and their families from infancy until adulthood. This program delivers care and service that is family centered; comprehensive, holistically addressing the child's needs; coordinated; team driven; and culturally sensitive. LRCH's "one stop shopping" medical home is a particularly important model when working with families who are not only have a child with special needs, but also are burdened with other economic stressors. This allows for better and easier access to care, as well as maximizing positive outcomes over the long term while lowering the use of high cost services like duplication of diagnostic procedures and treatments, unnecessary emergency room use and inpatient hospitalization.Case Management Program:The La Rabida Children's Hospital Case Management Program goal is to provide care coordination, assessment, and education across the inpatient and outpatient spectrum of care to children with chronic conditions and developmental delays and disabilities. The Program's team of case managers (nurses and social workers) has extensive experience and knowledge uniquely qualifying them to serve La Rabida's patients and families. Most of the social workers are Licensed Clinical Social Workers (LCSW). Nurse expertise includes Nurse Practitioners (who also serve as providers in the outpatient clinics), those trained to case manage specific chronic conditions, failure to thrive and technology dependent children.Together they provide services to over half of the hospital's patientpopulation each year. While case management services are available to all patients and families, their most intensive interventions focus on patients that are medically complex and with more than one health condition and/or health care provider. The Case Management Program makes it possible to effectively provide continuous chronic care to large groups of children with various conditions from infancy to adulthood.The program also assists the families of children with chronic conditions to navigate the necessary support systems. Each child and family is assessed to determine which community linkages need to be established. Case management coordinates care between LRCH providers and external providers such as subspecialists, Child and Family Connections, Chicago Board of Education and other Education Programs, Ounce of Prevention, Division of Specialized Care for Children (DSCC). Children's Home and Aid Society, Erickson Institute, Department of Child and Family Services, home health care agencies and medical equipment vendors. The Case Management Program has a significant impact on the ability of the family to provide necessary home care and to minimize hospitalization.The Case Management Program performs a large array of activities. While patients and their families may receive services anywhere from a few months to many years, these activities must occur year round on an ongoing basis to ensure children and their families receive needed services in a timely manner. Following is a list of the most common activities performed by Case Management staff.-Coordination of multiple medical services and providers, includingcoordination of the management of technology dependent children in the home.-Patient and caregiver education. For example, diabetes classes are given to caregivers, extended family and school personnel to understand how to manage the disease.-The State of Illinois mandates special classes for caregivers before a medically complex child can be released to the home. These weekly classes run in four week intervals, and include: G-tube care, Tracheotomy Care, Ventilator care, and CPR/airway obstruction care.-Ordering of home care services (nursing and equipment).-Telephone Management (Diabetes). Toll free call in numbers for patients and their families staffed by diabetes specialists. In addition to providing children and their families with a way to update the Diabetes team on their current glucose readings, it provides patients and their families with 24/7 access to a clinical nurse specialist who gives recommendations on medication, nutrition and exercise adjustments over the telephone.-Feeding evaluations.-Follow up of newborn screening results (sickle cell diseases).-Wound management consultation.-Coordination of inpatient and outpatient rehabilitation program.-Collaboration with community agencies, such as Division of SpecializedCare for children (DSCC).-Coordination of school needs, including: assistance in preparation of 504 Plans, a legally binding document that spells out exactly what special education services the child will receive and why. It includes the child's specific disability placement, services such as a one-on-one aide and therapies, academic and behavioral goals, a behavior plan if needed, percentage of time in regular education, and progress reports from teachers and therapists.
Education Programs:As a result of "bounce backs" of children receiving care in the home, a new initiative was developed in 2009 to educate home health nurses in ventilator and tracheotomy care. Multiple day-long courses are offered to home health nurses, each of which is filled to capacity. The demand for this training is high and is something the hospital plans to expand using video and web technology. Education is also provided for professionals in the community who work with children with special needs. Some of the forums in which we provide such education include our annual Perspectives in Care Symposium, our Nursing Recharge Event, and specialized courses for rehab specialists.La Rabida also develops conferences on specialized topics, such as ventilator care. The therapists in the rehabilitation department are very engaged in providing educational opportunities for their peers. La Rabida provides educational programs for parents and caregivers. These are provided in multiple forms, one of which is to offer "101-type" classroom setting education for families. This allows families to meet each other, learn together, and receive materials in their own language, to take home and review and use as a reference when their child is discharged home.Families who have a child with a chronic disease often must spend a disproportionate amount of time and energy on that child, and can struggle with the nurturing of healthy siblings. La Rabida offers a tutoring program for patients and their siblings to address some of these needs. The program is offered five hours per week and provides tutoring for 41 children throughout the school year.The Diabetes program offer extensive education for parents and children. Teaching is conducted by nurses, nurse practitioners and dieticians. Once a year, a program called "Diabetes 101 for Caregivers" is held. Audience members include child care providers, aunts, uncles, grandparents and parents needing a refresher. Approximately 30 people attend each year. In addition, an advanced concept program is offered each year. This may cover issues like pancreas transplants, pumps, sensors, and the newest research. In the hospital, diabetic patients and their families attend a series of classes to ensure that they are familiar with all aspects of disease management. This training program takes place over 3 to 4 90 minute sessions. Insulin pump classes are also available, for which La Rabida recently received a national award. The first class is in the home and the second class is in the hospital. The patient calls or faxes blood sugar information three times a week and follows up several weeks later by attending a more advanced class, for a total of three classes. Theseclasses usually last about three hours each.Community Events:La Rabida Children's Hospital participates in community events to disseminate information on chronic disease management to affected individuals. Diabetes management, because it can be complex and overwhelming for families, children and school staff, is a good example. La Rabida holds two regional trainings (one in Chicago, one in Indiana) for personnel of schools where diabetic patients attend. La Rabida also hosted an informational table at the Diabetes Expo and provided information to more than 1,000 families about Type I and Type II diabetes and sponsored a booth at two Juvenile Diabetes Research Foundation walk-a-thons. In the summer, the diabetes nurses host a Back to School Jamboree for children with diabetes to complete their school forms, network with similarly affected children, and celebrate the back to school season with free school supplies. In the spring, La Rabida hosted a full day educational event for families and patients affected by diabetes. Lectures were provided free of charge and speakers were brought in from various institutions. The educational programs offered at La Rabida for families, staff, health care providers and the community are provided at significant cost to the hospital. However, it is our responsibility and desire to create the best possible environment at home and at the hospital for children with chronic disease.Space for Community:La Rabida provides space free of charge for several community organizations including a Nursing Consortium for partner hospitals; a Neonatal Network of providers; Health Leads, a volunteer organization that mobilizes undergraduate volunteers to connect low income patients with basic resources such as food, housing and heating assistance, that they need to be healthy; and the Barr-Harris Children's Grief Center which specializes in the treatment of children and who have lost a parent through death, divorce or abandonment.The majority of LRCH's governing body is comprised of persons who reside in or around the primary service areas and are not employees or independent contractors of LRCH, or family members thereof.LRCH uses surplus funds for capital expenditures and expansion of patient service programs.
The Community Benefit Report is filed with Illinois.Part VI, Line 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Discretionary Spending AccountXDiscretionarySpendingAccount
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Mark D Renfree
CFO & VP Administration/Treasurer24473302080001430250230210200311719000
Aden Henry
VP Patient Care Serv.199356016400090011975067920234613000
Brenda Wolf
President/CEO295518045000043960596660130650417645000
Walid Maalouli
Chief Medical Officer13628701500001052800034490165264000
Marcene Dickes
Assistant VP Patient Care Serv.115095010000015039000153680155502000
Frances Lefkow
Director of Human Resources1579350300003160229160123370196504000
Michael Gallery
Pharmacy Manager1332740100002740200290164630171040000
Sylvia Williams
Director of Inpatient Nurs12290300013802792605150151482000
Colleen Harper
Director of Rehab/Development1183530002580227950168200158226000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 1aReturnReference
ExplanationThe discretionary spending account allows for research related trips, medical books, medical subscriptions, medical classes, organization dues, academic memberships, mailing costs, parking, computer hardware & software, and resident and/or medical student lunches. Physician Amount Paid Amount Allowed Walid Maalouli $22,868 $25,000Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Alper Services
Howard Alper, Trustee, is an owner of Alper Services165380Insurance premiums in which Howard Alper received commissions for brokerage services0
Mesirow Insurance Services Inc
John Harney, Trustee, is the Chief Operating Officer at Mesirow747604Professional and medical malpractice insurance0
Berglund Construction Company
Fred Berglund, Trustee is the President of Berglund Construction Company7036690Warehouse leasing and building renovation services0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions4NumberOfContributions
Noncash Contribs Rptd F99097213NoncashContribsRptdF990
Method Of Determining RevenuesMarket QuoteMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used1ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Method for Determining Number of Contributions:Part I, Column (b):The number in Column (b) represents the number of contributions.
Third Party Use:Part I, Line 32b:La Rabida utilizes UBS Financial Services to accept and liquidate stock contributions. The stock contributions are usually sold on the same date of donation with the resulting cash proceeds imediately transferred to La Rabida.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 2Spouse of Brenda Wolf, Officer, has a business relationship with Allen Kutchins, Trustee.
Form 990, Part VI, Section A, line 6Members of LRCH governing body consists of Active Trustees and Special Trustees of LRCH.
Form 990, Part VI, Section B, line 11Federal Form 990 and appurtenant schedules are prepared by an outside accounting firm using information provided by financial management. The Form 990 is reviewed by LRCH's finance leaders, Audit Committee, Executive Committee and Board of Trustees before filing.
Form 990, Part VI, Section B, line 12cOn a yearly basis, all Trustees and Officers are required to complete a conflict of interest document in accordance with hospital policy. A report of the disclosures is presented to the Contracts and Professional Services Committee for review and determination of any conflicts and their findings are presented to the Board of Trustees. Potential conflicts are regularly monitored throughout the year. Should a conflict arise, the Committee will determine the necessary action such as recusing the Trustee or Officer from decision-making regarding the transaction.
Form 990, Part VI, Section B, line 15The Compensation Committee of the Board of Trustees, as needed, engages external compensation consultants to advise it on competitive pay rates for the officers of the Hospital. The Compensation Committee is composed of non-employee independent members. Discussion is held by the committee and a recommendation is presented to the Executive Committee of the Board of Trustees for approval. All compensation discussions and work performed is documented contemporaneously in the board minutes.
Form 990, Part VI, Section C, line 19LRCH does not make its governing documents or conflict of interest policy available to the public. Financial Statements are available on Illinois Attorney General's website.
Form 990, Part IX, line 11gPhysician fees: Program service expenses 4,341,206. Management and general expenses 12,000. Fundraising expenses 0. Total expenses 4,353,206. Other professional service fees: Program service expenses 1,040,490. Management and general expenses 1,123,960. Fundraising expenses 141,896. Total expenses 2,306,346.Other Fees
Form 990, Part XI, line 9:Change in Interest of Foundation 2,738,648. Change in Pension Obligation 4,700,731.Changes in Net Assets or Fund Balances:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1La Rabida Children's FoundationBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16501 S Promontory DriveAddressLine1
CityChicagoCity
StateILState
ZIP Code606491935ZIPCode
FieldValueIRS element (for citing)
EIN363240477EIN
Primary ActivitiesSupport OrganizationPrimaryActivities
Legal Domicile StateILLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status11-Type III-F1PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1La Rabida Children's HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
La Rabida Children's Foundation
C2000000FMV
La Rabida Children's Foundation
S3600000FMV
La Rabida Children's Foundation
Q19045FMV

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