2013-05-14T16:19:43-05:00 2012-06-30 420714325 MCGLADREY LLP ONE SOUTH WACKER DRIVE SUITE 800 CHICAGO IL 606063392 990 2011-07-01 362170143 La Rabida Children's Hospital LARA 7733636700 6501 S Promontory Drive Chicago IL 60649 Mark Renfree 7733636700 2013-05-13 1 Wayne Harder P00294296 3126343400 2011 2016-02-24 21:20:13Z Brenda Wolf 6501 S Promontory Drive Chicago IL 60649 128719196 0 X www.larabida.org X 1896 IL La 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. 37 34 588 294 0 0 3690556 4050987 46155233 44591481 5859035 4478399 409362 2229782 56114186 55350649 0 0 0 0 29560301 27725707 50000 113143 618512 21187489 20204737 50797790 48043587 5316396 7307062 135846582 142643625 11915202 19550597 123931380 123093028 X La 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. La Rabida provides comprehensive, interdisciplinary health services to children across a continuum of care, serving as a model for family - centered care. 0 0 25464133 33658280 The primary service provided by La Rabida is inpatient services to children with chronic illnesses and disabilities. In fiscal year 2012 we had 768 admissions and 8,266 patient days of care. La Rabida Children's Hospital 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. La Rabida Children's Hospital is a local expert and provides a site of training for residents and medical students. We train nearly 75 physician residents and medical students each year from the University of Chicago. La Rabida is also a training site for nursing, rehabilitation therapists, social work, psychology and respiratory therapy students. The hospital works to ensure that all hospital staff, both clinical and non-clinical, receives education on how to make the hospital a safe place for children. This includes 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. La Rabida also holds in-services as warranted for new products, policies and event-related occurrences. 10846284 8960213 The secondary services provided by La Rabida are various clinical outpatient services supportive of the special needs of our patients. These services include 5,301 treatment room visits, 12,189 physician clinic visits and 11,378 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. 3957693 4230163 In 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. 40268110 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 0 0 1 22 0 1 588 1 0 0 0 0 0 1 1 0 0 0 0 X 37 34 1 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X Mark Renfree 7736366700 6501 S Promontory Drive Chicago IL 606491935 X Robert L Aguilar 1.00 X 0 0 0 Patricia Brown Holmes 1.00 X 0 0 0 Richard M Burridge 1.00 X 0 0 0 Michele B Bush 1.00 X 0 0 0 Harry Cendrowski 1.00 X 0 0 0 John G Clifford 1.00 X 0 0 0 Brian B Devane 1.00 X 0 0 0 Terence Donnelly 1.00 X 0 0 0 Rosemarie C Donzanti 1.00 X 0 0 0 John M Eberle 1.00 X 0 0 0 John P Harney 1.00 X 0 0 0 Mark E Jacobs 1.00 X 0 0 0 Gloria Jacobson 1.00 X 0 0 0 Joyce C Johnson-Miller 1.00 X 0 0 0 Allen Kanter 1.00 X 0 0 0 Anthony R Kitchens 1.00 X 0 0 0 Allen I Kutchins 1.00 X 0 0 0 Randy Markowitz 1.00 X 0 0 0 Craig Miller 1.00 X 0 0 0 Kweku Obed 1.00 X 0 0 0 Lynne L Pantalena 1.00 X 0 0 0 David B Patzwald 1.00 X 0 0 0 Emilio Salvi 1.00 X 0 0 0 Cedric Shaw 1.00 X 0 0 0 Frederick B Thomas 1.00 X 0 0 0 Fred K Walz 1.00 X 0 0 0 Jeffrey Warner 1.00 X 0 0 0 Robert P Arthur 1.00 X 0 0 0 Sharon Barner 1.00 X 0 0 0 Fred Berglund 1.00 X 0 0 0 Dorothy E Bossung 1.00 X 0 0 0 Drew M Horowitz 1.00 X 0 0 0 Peggy P Gann 1.00 X X 0 0 0 John G Gyann 1.00 X X 0 0 0 Howard C Alper 1.00 X X 0 0 0 Daniel S Real 1.00 X X 0 0 0 Bruce R Pfaff 1.00 X X 0 0 0 James D McKinney 1.00 X 0 0 0 Nuria Fernandez 1.00 X 0 0 0 James J Gillespie 1.00 X 0 0 0 Mark D Renfree 50.00 X 218432 0 45910 Michael Cleavenger 50.00 X 155896 0 37906 Aden Henry 50.00 X 185947 0 25190 Brenda Wolf 50.00 X 266200 0 69703 Dilek Bishku MD 50.00 X 228205 0 0 Kevin Rath 50.00 X 159259 0 12580 Frances Lefkow 50.00 X 155396 0 5885 Timothy Diamond 50.00 X 137942 0 12923 Michael Gallery 50.00 X 135134 0 14975 Paul Pasinski 50.00 X 127166 0 24994 Sylvia Williams 50.00 X 122281 0 7132 Paula K Jaudes MD 32.00 X 413174 0 0 2305032 0 257198 20 1 1 0 University of Chicago Medical Center 5841 Maryland Avenue Chicago IL 60637 Physician Staffing & Ancillary Services 3400134 Pediatric Faculty Foundation 2300 Childrens Plaza Chicago IL 60614 Physician Staffing & Ancillary Services 1468862 Navin Haffty & Assoc LLC 1900 W Park Drive Suite 180 Westborough MA 01581 Consultant - Information Technology 635711 Beacon Partners Inc 97 Libbey Parkway Suite 310 Weymouth MA 02189 Professional Personnel Services 268680 TechAlliance 22397 Network Place Chicago IL 60673 MIS Consulting 206698 20 741981 3309006 82405 4050987 Net Patient Revenue 621500 40097468 40097468 Other Patient Service 621500 4494013 4494013 44591481 1538971 1538971 75976505 1033 73017188 20922 2959317 -19889 2939428 2939428 161924 741981 330437 -168513 -168513 EMR Incentive 900099 2257175 2257175 Cafeteria 722210 141120 141120 2398295 55350649 46848656 0 4451006 22619970 18534032 3818828 267110 5105737 4041819 994625 69293 269638 269638 142261 91630 46113 4518 113143 113143 218824 218824 6461795 5394853 946604 120338 4946697 4686215 245549 14933 712530 332443 380087 2665768 2665768 159198 92015 54031 13152 2681922 2681922 1005449 1005449 Bad Debt Expense 344228 344228 Education 82114 30538 51046 530 Books & Subscriptions 13696 7822 5625 249 500617 359376 125995 15246 48043587 40268110 7156965 618512 6635521 6973458 1750510 2242144 2675822 3582293 395160 447962 560186 437626 54485187 31625972 23450620 22859215 65620897 69589426 34757866 36511501 135846582 142643625 7420671 7809237 4494531 11741360 11915202 19550597 X 93703541 93151806 29131397 28834780 1096442 1106442 123931380 123093028 135846582 142643625 X 7307062 -8145414 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 1858 1 110000 0 1 11996 123854 0 Explanation of Lobbying Activities: Part II-B, Line 1: Illinois Hospital Association fees attributable to lobbying. Part IV, Supplemental Information: Part II-B, line 1(f) The grants to other organizations for lobbying purposes are made through the National Association of Children's Hospital Dues. Part II-B, line 1(g) Shea, Paige & Rogal, Inc. and Fletcher, O'Brien, Kasper, & Nottage, P.C. are firms hired by La Rabida to assist in educating legislators on the specific financial situation of La Rabida and the importance of appropriate Medicaid reimbursement. 34432134 19140558 15291576 2100847 1928790 172057 16629424 10426717 6202707 1322782 129907 1192875 22859215 City of Chicago License 3654966 Miscellaneous Accounts Receivable 4147463 Beneficial Interest in Assets Held by the Foundation 10366500 Interest in Restricted Net Assets of the Foundation 18342572 36511501 Payables to Third-Party Programs 730094 Pension Obligation 8102473 Self-Insurance 2908793 11741360 55350649 48043587 7307062 -1606050 -6539364 -8145414 -838352 54946786 -1606050 1090564 330437 -185049 55131835 218814 218814 55350649 49245774 1090564 330437 1421001 47824773 218814 218814 48043587 Description of Uncertain Tax Positions Under FIN 48: Part X: 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 (UBIT). The Hospital had no UBIT for the years ended June 30, 2012 and 2011. 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 2008 and prior. Part XI, Line 8 - Other Adjustments: Change in Interest of Foundation -1,077,883. Change in Pension Obligation -5,461,481. Total to Schedule D, Part XI, Line 8: -6,539,364. Part XII, Line 2d - Other Adjustments: Special Event Expenses 330,437. Part XII, Line 4b - Other Adjustments: Investment Management Fees 218,814. Part XIII, Line 2d - Other Adjustments: Special Event Expenses 330,437. Part XIII, Line 4b - Other Adjustments: Investment Management Fees 218,814. X X X X X X 1 PJH & Associates 205 West Wacker Drive Chicago IL 60606 Fundraiser/Awards/Benefit Dinner 0 674498 65813 603685 Grand Events 4828 S Michigan Avenue Chicago IL 60615 Fundraiser Cruise 0 59918 6392 53526 734416 72205 657211 IL Dinner 674498 634212 40286 2400 13303 96265 7500 69479 Golf Outing 139264 73330 65934 15666 16534 9309 52917 2 90143 34439 55704 40 19332 4259 300 23133 903905 741981 161924 18106 49169 109833 7800 145529 330437 -168513 1 1 1 X 1 X 150.000000000000 1 1 0 0 13338 0 13338 0.00030 38109182 37940518 168664 0.00350 0 0 38122520 37940518 182002 0.00380 16 487719 6000 481719 0.01000 13 703461 21404 682057 0.01420 889447 563346 326101 0.00680 0 0 0 0 29 2080627 590750 1489877 0.03100 29 40203147 38531268 1671879 0.03480 1 344229 36606 36606 X 1 1 1 1 La Rabida Children's Hospital

6501 S Promontory Drive Chicago IL 60649

X X X La Rabida Children's Hospital 1 1 1 100.000000000000 1 150.000000000000 1 X X X X X X 1 0 1 0 1 X 0 0 6 The Chicago Child Trauma Center

1111 E 87th Street Suite 8000 Chicago IL 60619

Trauma Center La Rabida Joli Burrell Center

200 Lakewood Boulevard Park Forest IL 60466

Children's Advocacy Trauma Center Child & Family Connections

1525 E 55th Street Suite 203 Chicago IL 60615

Office Building - Provide Child Early Intervention Services Community Hospital Oupatient Center

9660 Wicker Avenue St John IN 46373

Medical Office Facility Ann & Robert Lurie Outpatient Center

1870 Silver Cross Bouvelard Suite 100 New Lenox IL 60451

Outpatient Center Ariston Family Medicine

120 East Ogden Avenue Suite 203 Hinsdale IL 60521

Medical Office Facility 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 $353,554 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 hospitals Patient Financial Services Department. Complete and submit the form to request a review of your elegibility for assistance. La Rabida Children's Hospital Part V, Section B, Line 19d: 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%. Part VI, Line 2: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 La Rabida 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, La Rabida 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: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:While La Rabida Children's Hospital provides services to children throughout the metropolitan Chicago area, most of the patients reside in Chicago's South Side communities. The population served by La Rabida 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:La Rabida serves over 500 children and families through hospitalizations and 8400 through outpatient clinics annually. Almost half of La Rabida's patients (approximately 44%) are age five and under. La Rabida serves children and their families through age 18 and ensures that ongoing care is provided through referrals to local hospitals and clinics. In addition, La Rabida assists families in negotiating the new bureaucracies they will encounter once the child is no longer eligible for Medicaid upon reaching age 18. La Rabida 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:La Rabida 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. La Rabida also provides outreach, training and consultation to child service programs in the community. La Rabida 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. La Rabida also assists DCFS in providing initial health screenings prior to placement for abused and neglected children who come into custody. La Rabida 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:La Rabida Children's Hospital is a NCQA-recognized Patient-Centered Medical Home 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, La Rabida 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 drive; and culturally sensitive. La Rabida's "one stop shopping" medical home is a particularly important model when working with families who are not only burdened with having a child with special needs, but also have other economic stressors. This allows for better and easier access, as well as maximizing positive outcomes over the long term as well as 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 La Rabida 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. Whilepatients 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. Car Seat Clinics:La Rabida also provides specialized car seats, along with training and installation, for families who have children with special needs. This includes hosting the quarterly meeting for the Illinois special needs car seat technicians. La Rabida also holds 2-3 monthly "car seat clinics" at which patients and their siblings can have their car seats checked. In FY12, 213 families were assisted with car seat checks, with both hands on and written educational information provided. The program also distributed 190 free car seats to low-income families, 46 of which were special needs seats and provide 123 consultations at 15 area hospitals for families with children with special needs. In addition, 480 health care professionals were trained in proper car seat installation and program staff attended 13 health fairs and conferences, reaching over 3075 attendees. 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 tracheostomy 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 on expanding 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 37 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 attended 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 three to four 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 training (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. X 1 1 X X X 0 0 0 0 0 0 0 0 0 Mark D Renfree 218432 0 0 0 0 0 17310 0 28600 0 264342 0 0 0 Michael Cleavenger 155896 0 0 0 0 0 16446 0 21460 0 193802 0 0 0 Aden Henry 185947 0 0 0 0 0 7595 0 17595 0 211137 0 0 0 Brenda Wolf 266200 0 0 0 0 0 62360 0 7343 0 335903 0 0 0 Dilek Bishku MD 228205 0 0 0 0 0 0 0 0 0 228205 0 0 0 Kevin Rath 159259 0 0 0 0 0 11516 0 1064 0 171839 0 0 0 Frances Lefkow 155396 0 0 0 0 0 0 0 5885 0 161281 0 0 0 Timothy Diamond 137942 0 0 0 0 0 0 0 12923 0 150865 0 0 0 Michael Gallery 135134 0 0 0 0 0 0 0 14975 0 150109 0 0 0 Paul Pasinski 127166 0 0 0 0 0 0 0 24994 0 152160 0 0 0 Paula K Jaudes MD 413174 0 0 0 0 0 0 0 0 0 413174 0 0 0 Part I, Line 1a The 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. Physicians Amount Paid Amount Allowed Dilek Bishku $2,317 $2,500 Alper Services Howard Alper, Trustee, is an owner of Alper Services 160875 Insurance premiums in which Howard Alper received commissions for brokerage services 0 Mesirow Insurance Services Inc John Harney, Trustee, is the Chief Operating Officer at Mesirow 744108 Professional and medical malpractice insurance 0 Meghan McKinney Trustee, James McKinney's daughter 27665 Employees compensation 0 X 4 82405 Market Quote 0 0 0 1 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. Form 990, Part VI, Section A, line 2 Brenda Wolf, Officer, her spouse has a business relationship with Allen Kutchins, Trustee. Form 990, Part VI, Section A, line 6 Members of LRCH governing body consists of Active Trustees and Special Trustees of LRCH. Form 990, Part VI, Section B, line 11 The federal Form 990 and appurtenant schedules are prepared by an outside accounting firm using information provided by financial management. The Form 990 is reviewed by La Rabida's finance leaders, Audit Committee, Executive Committee and Board of Directors before filing. Form 990, Part VI, Section B, line 12c On 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. Form 990, Part VI, Section B, line 15 The 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 19 LRCH 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. Hours Devoted to Related Organization Form 990, Part VII The following Trustees and Officers have devoted time to La Rabida Children's Foundation: Richard M. Burridge - 2 hours Mark D. Renfree - 3 hours Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -1,606,050. Change in Interest of Foundation -1,077,883. Change in Pension Obligation -5,461,481. Total to Form 990, Part XI, Line 5: -8,145,414. La Rabida Children's Foundation 6501 S Promontory Drive Chicago IL 606491935 363240477 Support Organization IL 501(C)(3) 11-Type III-F1 La Rabida Children's Hospital 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 La Rabida Children's Foundation C 1300000 FMV