CHILDRENS HOSPITAL OF CHICAGO MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL OF CHICAGO MEDICAL CENTER (EIN 36-3357004)
Tax period
2011-09-01 to 2012-08-31
Filed
2013-07-11
IRS object ID
201301929349300720
Schema version
2011v1.5
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)
Timestamp2013-07-11T11:10:16-05:00Timestamp
Tax Period End Date2012-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1155 NORTH WACKER DRIVEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN363357004EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Children's Hospital of Chicago Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% PAULA M NOBLEInCareOfName
Name ControlCHILNameControl
Phone3122274306Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1225 E CHICAGO AVE PR DEPT BOX 26AddressLine1
CityChicagoCity
StateILState
ZIP Code606112991ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePAULA M NOBLEName
TitleCFO & TREASURERTitle
Date Signed2013-07-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3128792000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPatrick M MagoonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1225 E CHICAGO AVE BOX 269AddressLine1
CityChicagoCity
StateILState
ZIP Code606112991ZIPCode
FieldValueIRS element (for citing)
Gross Receipts20178053GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.luriechildrens.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionESTABLISH, DEVELOP, PROMOTE & CONDUCT EDUCATIONAL PROGRAMS, SCIENTIFIC RESEARCH, HEALTHCARE FACILITIES & OTHER CHARITABLE & EDUCATIONAL ACTIVITIES DEVOTED TO HEALTH & WELFARE SERVICES TO INFANTS & CHILDREN.ActivityOrMissionDescription
Nbr Voting Members Governing Body106NbrVotingMembersGoverningBody
Nbr Independent Voting Members91NbrIndependentVotingMembers
Total Nbr Employees75TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year743847ContributionsGrantsPriorYear
Contributions Grants Current Year1501525ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16817104ProgramServiceRevenuePriorYear
Program Service Revenue CY18676528ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year17560951TotalRevenuePriorYear
Total Revenue Current Year20178053TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2358107GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13181881SalariesEtcPriorYear
Salaries Etc Current Year15139559SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3836582OtherExpensePriorYear
Other Expenses Current Year3640421OtherExpensesCurrentYear
Total Expenses Prior Year19376570TotalExpensesPriorYear
Total Expenses Current Year18779980TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1815619RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1398073RevenuesLessExpensesCY
Total Assets BOY5532040TotalAssetsBOY
Total Assets EOY8491832TotalAssetsEOY
Total Liabilities BOY2648411TotalLiabilitiesBOY
Total Liabilities EOY4210130TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2883629NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4281702NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWE ARE DEDICATED TO THE HEALTH AND WELL-BEING OF ALL CHILDREN. AS THE PEDIATRIC TEACHING FACILITY FOR NORTHWESTERN UNIVERSITY'S FEINBERG SCHOOL OF MEDICINE, THIS COMMITMENT DRIVES US TO BE A LEADER IN: - PEDIATRIC HEALTH CARE DELIVERY - RESEARCH INTO THE PREVENTION, CAUSES AND TREATMENT OF DISEASES THAT AFFECT CHILDREN - EDUCATION FOR PHYSICIANS, NURSES AND ALLIED HEALTH PROFESSIONALS - ADVOCACY FOR CHILDREN AS A CHARITABLE ORGANIZATION, WE SERVE CHILDREN AND THEIR FAMILIES TO THE BEST OF OUR ABILITIES AND TO THE LIMITS OF OUR RESOURCES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense17093828Expense
Grants0Grants
Revenue18676528Revenue
DescriptionThe Children's Hospital of Chicago Medical Center ("Medical Center"), an Illinois not-for-profit corporation, engages in budget approval, asset management, resource allocation, investment oversight and strategic planning for Affiliates. Affiliates include organizations for which the Medical Center is either a controlling member or a controlling shareholder. Currently, the Medical Center has the following affiliates: Ann & Robert H. Lurie Children's Hospital of Chicago, Ann & Robert H. Lurie Children's Hospital of Chicago Foundation, Ann & Robert H. Lurie Children's Hospital of Chicago Research Center, Lurie Children's Medical Group, LLC and Pediatric Faculty Foundation, Inc. Lurie Children's Medical Group, LLC ("Medical Group") is an Illinois limited liability company whose sole member is the Medical Center. By virtue of the Medical Center's tax-exempt status, the Medical Group is considered to be an organization described under Section 501(c)(3) of the Code. The Medical Group employs pathologists, radiologists, psychiatrists and dentists who practice at Ann & Robert H. Lurie Children's Hospital of Chicago ("Lurie Children's"). The Medical Group's pathologists comprise the Lurie Children's Department of Pathology and Laboratory Medicine which provides comprehensive services in both Anatomic and Clinical Pathology, utilizing extensive expertise and state-of-the-art technology. Consultative services are provided across the country in collaboration and coordination with Lurie Children's medical, surgical and ancillary departments. The children encompass a cross-section of diagnoses and the department assists in the diagnosis and management of acute and chronic diseases. The Medical Group psychiatrists practice within Lurie Children's Department of Child and Adolescent Psychiatry which offers children and their families specialized services in pediatric mental health. Clinicians in the department provide state-of-the art psychiatric and psychological services, education, and advocacy. The Medical Group psychiatrists provide national leadership in the education of mental health care professionals and advancement of knowledge through research. The Medical Group psychiatrists treat children of all ages and from every socioeconomic background for a wide variety of problems including adjustment disorders, emotional problems related to pediatric disorders, psychoses, mood disorders, anxiety, developmental delays, behavior disorders, ADHD, autism spectrum disorders, and learning disabilities. The Medical Group dentists provide comprehensive and preventive oral health care for infants, children, adolescents, and patients of Lurie Children's with special health care needs. Lurie Children's dentistry service provides a child-centered environment and a comprehensive program emphasizing total health and prevention. The Medical Group dentists provide care related to infant oral healthcare with parent education; nursing and baby bottle caries; dental caries; oral trauma, anxious child; comprehensive oral healthcare for patients of the Lurie Children's medical specialties (including hematology, oncology, infectious disease, allergy, cardiology, neurology and services to address cleft lip and palate); and services requiring sedation and general anesthesia. Radiologists employed by the Medical Group staff the Lurie Children's Department of Medical Imaging which serves pediatric patients in a manner aimed to help minimize radiation dose used during each procedure. The Department performs approximately 109,000 procedures each year, including 9,800 MRIs of which 80 percent are done on medically complex and/or sedated children. All of the radiologists are board certified with subspecialty training in pediatric radiology, interventional radiology and/or neuroradiology. The Medical Group's physicians are members of the faculty practice plan at Lurie Children's, which represents the largest provider of pediatric Medicaid services in Illinois. In FY 2012, the Medical Group physicians had over 4,000 combined inpatient and outpatient Medicaid encounters for 2,269 patients. Medicaid represents over 43.1% of its payor mix. In FY 2012, Medicaid reimbursement for physician services for care to children treated by the Medical Group physicians was approximately $1.6 million less than the costs associated with providing such services. The Medical Center through its management and the Medical Group's services assists Lurie Children's, which owns and operates the only full-service, independent, freestanding pediatric hospital in Illinois, with 288 licensed beds as well as a full range of inpatient and outpatient care and related ancillary services. This not-for-profit, tertiary care hospital, founded in 1882, provides patient care 24 hours per day, 7 days per week and provides more pediatric healthcare than any other hospital provider in Illinois in nearly every pediatric medical and surgical specialty. As a major academic tertiary care medical center, Lurie Children's has served patients from 49 states, and 34 countries. Lurie Children's is a designated Level I pediatric trauma center for the City of Chicago, with a Level III neonatal nursery that serves as a regional referral center in the State of Illinois Perinatal Network. Lurie Children's ability to treat the most critically ill infants in its neonatal intensive care unit ("NICU") is demonstrated by statistics for calendar year 2012 which show that 64% of all transports into its NICU were from other Level III nurseries in metropolitan Chicago. The Lurie Children's has also been ranked among the best in the nation in a U.S. News & World Report opinion-based survey of top pediatric hospitals for the past three years. Lurie Children's is the home to the world's first pediatric center for Autonomic Medicine and was the first pediatric hospital in Illinois to perform the Berlin Heart procedure, a breakthrough technology that helps children awaiting heart transplants. In the fiscal year ending August 31, 2012, Lurie Children's, through nearly 602,580 patient visits, served more than 149,450 children who came from all over the State of Illinois and beyond to access the more than 70 specialties offered by Lurie Children's. During this period there were 480,563 visits including 319,350 outpatient visits in Lincoln Park (including 6,760 observation cases) including 61,767 emergency room visits and 99,446 outpatient visits at the satellite facilities.Description
Total Program Service Expense17093828TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees75NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members106NbrVotingGoverningBodyMembers
Number Independent Voting Members91NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
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Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
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Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPAULA M NOBLENamePerson
Telephone Number3122274306TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1225 E CHICAGO AVE PR DEPT BOX 26AddressLine1
CityCHICAGOCity
StateILState
ZIP Code606112991ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (124 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
JOHN J ALLEN
DIRECTOR1.0X000
JOHN AMBOIAN JR
DIRECTOR1.0X000
SARAH BAINE
EX-OFFICIO DIRECTOR1.0X000
STEPHEN W BAIRD
DIRECTOR1.0X000
PETER B BENSINGER
DIRECTOR1.0X000
ANDREW BERLIN
DIRECTOR1.0X000
BARBARA L BOWLES
DIRECTOR1.0X000
JILL BRENNAN
DIRECTOR1.0X000
DAVID BUNNING
DIRECTOR1.0X000
GREGORY C CASE
DIRECTOR1.0X000
JOHN A CHALLENGER
DIRECTOR1.0X000
ALAN CHAPMAN
DIRECTOR1.0X000
ROBERT CLARK
DIRECTOR1.0X000
ELEANOR O CLARKE
DIRECTOR1.0X000
KEVIN M CONNELLY
DIRECTOR1.0X000
JOHN D COONEY
DIRECTOR1.0X000
JOHN M CROCKER JR
VICE-CHAIR & DIRECTOR1.0X000
LESTER CROWN
DIRECTOR1.0X000
PAULA H CROWN
DIRECTOR1.0X000
LETICIA PERALTA DAVIS
DIRECTOR1.0X000
SUSAN DEPREE
DIRECTOR1.0X000
JAMES DEROSE
DIRECTOR1.0X000
WILLIAM J DEVERS JR
DIRECTOR1.0X000
JOHN DOERGE JR
DIRECTOR1.0X000
JAMES DONALDSON MD
EX-OFFICIO DIRECTOR1.0X5333390218543
CHARLES W DOUGLAS
DIRECTOR1.0X000
DENNIS J DRESCHER
DIRECTOR1.0X000
ANA DUTRA
DIRECTOR1.0X000
MICHAEL EVANGELIDES
DIRECTOR1.0X000
TYRONE C FAHNER
DIRECTOR1.0X000
LESLI FALK
EX-OFFICIO DIRECTOR1.0X000
MITCHELL FEIGER
DIRECTOR1.0X000
DIANA S FERGUSON
DIRECTOR1.0X000
MICHAEL W FERRO JR
DIRECTOR1.0X000
DAVID FOX JR
DIRECTOR1.0X000
JOHN S GATES JR
DIRECTOR1.0X000
LAURENCE S GELLER
DIRECTOR1.0X000
BERT A GETZ JR
DIRECTOR1.0X000
JEFFREY GLASSROTH MD
EX-OFFICIO DIRECTOR1.0X000
LAUREN GORTER
DIRECTOR1.0X000
THOMAS P GREEN MD
EX-OFFICIO DIR/PRES&CHAIR PFF1.0X068625858102
JOSEPH GREGOIRE
DIRECTOR1.0X000
DAVID D GRUMHAUS
DIRECTOR1.0X000
ARLINGTON GUENTHER
DIRECTOR1.0X000
JOSEPH D GUTMAN
DIRECTOR1.0X000
BRUCE R HAGUE
DIRECTOR1.0X000
TODD M HAMILITON
DIRECTOR1.0X000
PAUL F HANZLIK
DIRECTOR1.0X000
BRETT J HART
DIRECTOR1.0X000
DAVID A HELFAND
DIRECTOR1.0X000
MARY J C HENDRIX PHD
EX-OFF DIR PRS/SI OFF RCH.CTR.1.0X057515587442
DANIEL J HENNESSY
VICE CHAIR & DIRECTOR1.0X000
JAMES HICKEY
DIRECTOR1.0X000
GARY E HOLDREN
DIRECTOR1.0X000
MARK HOPPE
DIRECTOR1.0X000
CHARLES H JAMES III
DIRECTOR1.0X000
KIRK B JOHNSON
DIRECTOR1.0X000
W BRUCE JOHNSON
DIRECTOR1.0X000
GEORGE D KENNEDY
DIRECTOR1.0X000
ANTHONY K KESMAN
DIRECTOR1.0X000
RICHARD P KIPHART
DIRECTOR1.0X000
FRED L KREHBIEL
DIRECTOR1.0X000
ADAM A KRIGER
DIRECTOR1.0X000
GERALD R LANZ
DIRECTOR1.0X000
ERIC LEFKOFSKY
DIRECTOR1.0X000
LYLE LOGAN
DIRECTOR1.0X000
SHELLEY A LONGMUIR
DIRECTOR1.0X000
DANIEL TW LUM MD
EX-OFFICIO DIRECTOR1.0X000
PATRICK M MAGOON
EX-OFF DIR/CEO, MED.CTR/HOSP.1.0X01169917417827X
MITCHELL J MANASSA
DIRECTOR1.0X000
JOHN F MANLEY
VICE CHAIR & DIRECTOR1.0X000
ROXANNE MARTINO
DIRECTOR1.0X000
PETER D MCDONALD
DIRECTOR1.0X000
JACK L MCGINLEY
DIRECTOR1.0X000
ANDREW J MCKENNA
DIRECTOR1.0X000
WILLIAM J MCKENNA
DIRECTOR1.0X000
JAMES J MCNULTY
DIRECTOR1.0X000
LOUISE C MILLS
DIRECTOR1.0X000
JOHN C MOORE
DIRECTOR1.0X000
ROBERT S MURLEY
VICE CHAIR & DIRECTOR1.0X000
ERIC G NEILSON MD
DIRECTOR1.0X000
DAVID NEITHERCUT
DIRECTOR1.0X000
LESLIE NEWMAN
DIRECTOR1.0X000
EDWARD OGATA MD
EX-OFFICIO DIR/CMO/HOSP.1.0X069938551203
NANCY PACHER
DIRECTOR1.0X000
CHAKA PATTERSON
DIRECTOR1.0X000
PEER PEDERSEN
VICE CHAIR & DIRECTOR1.0X000
DOUGLAS A PERTZ
DIRECTOR1.0X000
LORNA S PFAELZER
DIRECTOR1.0X000
DAVID C PISOR
DIRECTOR1.0X000
ASHISH PRASAD
DIRECTOR1.0X000
SETH PROSTIC
DIRECTOR1.0X000
GERALD D PUTNAM
DIRECTOR1.0X000
MOHAN RAO PHD
DIRECTOR1.0X000
ANDREA REDMOND
DIRECTOR1.0X000
SUSAN REGENSTEIN
DIRECTOR1.0X000
THOMAS R REUSCH
DIRECTOR1.0X000
J CHRISTOPHER REYES
MED. CNTR/HOSP. CHAIR1.0X000
MARLETA REYNOLDS MD
EX-OFFICIO DIRECTOR1.0X000
PETER C ROBERTS
DIRECTOR1.0X000
MANUEL SANCHEZ
DIRECTOR1.0X000
DEBORAH M SAWYER
DIRECTOR1.0X000
H WILLIAM SCHNAPER MD
EX OFFICIO DIRECTOR/PFF MD1.0X029363351915
CHRISTOPHER SEGAL
DIRECTOR1.0X000
STEPHEN A SMITH
DIRECTOR1.0X000
THOMAS S SOULELES
DIRECTOR1.0X000
STEPHEN T STEERS
DIRECTOR1.0X000
DIANE SWONK
DIRECTOR1.0X000
EDWARD S TRAISMAN MD
EX-OFFICIO DIRECTOR1.0X000
MONSIGNOR KENNETH VELO
DIRECTOR1.0X000
MATTHEW WALSH
DIRECTOR1.0X000
EDWARD J WEHMER
DIRECTOR1.0X000
MRS DERRY WEYERHAEUSER
DIRECTOR1.0X000
BRIAN E WILLIAMS
DIRECTOR1.0X000
LINDA S WOLF
DIRECTOR1.0X000
JAMES WOOTEN JR
DIRECTOR1.0X000
MS JIA ZHAO
DIRECTOR1.0X000
PAULA M NOBLE
CFO/TREAS/MED.CTR.&AFFLTS1.00543142229178X
DONNA S WETZLER
GEN CNSL&CORP SEC/MED.CTR.&AFF1.00408331381116X
ELIZABETH J PERLMAN MD
CHAIR/DEPT OF PATH & LAB MED40.04659490167707X
FRANK M PRENDERGAST MD
CHAIR/DEPT OF PATH & LAB MED40.0410684044635X
CYNTHIA K RIGSBY MD
VICE CHAIRMAN MEDICAL IMAGING40.0433298054732X
MARTHA C SAKER MD
STAFF RADIOLOGIST40.0390162033518X
RICHARD M SHORE MD
STAFF RADIOLOGIST40.0421771040737X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2655203TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4375821TotalReportableCompFrmRltdOrgs
Total Other Compensation1836655TotalOtherCompensation
Number Individuals GT100 K38NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Northwestern Medical Faculty Founda
375 N ST CLAIRCHICAGOIL60611PHYSICIAN SERVICES855092
Arnold Shkolnik MD
225 E CHICAGO AVECHICAGOIL60611PHYSICIAN SERVICES118551
Medcentrix Inc
15620 S Wood StreetHARVEYIL60426BILLING SERVICES564629
SPI HEALTHCARE
8151 W 83RD ST BTINLEY PARKIL60487BILLING SERVICES257300
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Related Organizations1501525RelatedOrganizations
All Other Contributions0AllOtherContributions
Total Contributions1501525TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net patient revenue6211101059662210596622
Medical, Administrative, & Teaching62111030048413004841
MISCELLANEOUS OPERATING INCOME62111014780911478091
Medicaid62111035969743596974
FieldValueIRS element (for citing)
Total Program Service Revenue18676528TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column20178053TotalRevenueColumn
Related Or Exempt Function Income18676528RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total797624Total
Program Services762672ProgramServices
Management And General34952ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11538826Total
Program Services11033085ProgramServices
Management And General505741ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1922803Total
Program Services1823087ProgramServices
Management And General99716ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total880306Total
Program Services853975ProgramServices
Management And General26331ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total13500Total
Management And General13500ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total102745Total
Program Services102745ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total42603Total
Program Services42603ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total77548Total
Program Services77548ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total627Total
Program Services627ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total480158Total
Program Services477083ProgramServices
Management And General3075ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad debt provision389054389054
Billing and collection fee983340983340
Patient expenses11974061197406
Plan tax182668182668

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total170772Total
Program Services151275ProgramServices
Management And General19497ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18779980Total
Program Services17093828ProgramServices
Management And General1686152ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4360044BOY
EOY5817337EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY601747BOY
EOY2189839EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY120000BOY
EOY120000EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY450249BOY
EOY364656EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5532040BOY
EOY8491832EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2648411BOY
EOY4210130EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2648411BOY
EOY4210130EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2883629BOY
EOY4281702EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2883629BOY
EOY4281702EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5532040BOY
EOY8491832EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1398073ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (4 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
ANN & ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO
36217083303truetruetrue$17,093,828
ANN & ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO FDN
36335700607truetruetrue$0
PEDIATRIC FACULTY FOUNDATION INC
3632796800truetruetrue$0
ANN & ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO RES CTR
36335700504truetruetrue$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs4TotalNumberOfSupportedOrgs
Sum Of Amounts17093828SumOfAmounts

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 F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedINSURANCESpecificServicesProvided
Total Expenditures3504866TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent3504866SubtotalAmountSpent
Total Amount Spent3504866TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgtrueCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base 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
JAMES DONALDSON MD
4417140895260209901969790215640751882000
THOMAS P GREEN MD
048658701988790792024500033602074436000
MARY J C HENDRIX PHD
04779240967150516065528021914066259700
PATRICK M MAGOON
06699040460460039553039508002274701587744054248
EDWARD OGATA MD
03909210219482088982025687025516075058800
H WILLIAM SCHNAPER MD
02540590387820792024500027415034554800
PAULA M NOBLE
03593240182200016180214043015135077232000
DONNA S WETZLER
02687580137717018560364116017000078944700
ELIZABETH J PERLMAN MD
386626078383094001521250155820633656000
FRANK M PRENDERGAST MD
299887011034304540207140239210455319000
CYNTHIA K RIGSBY MD
3098370121778016830241340305980488030000
MARTHA C SAKER MD
299453072143018566024956085620423680000
RICHARD M SHORE MD
3175610102043021670284830122540462508000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental Compensation InformationIdentifier
Return ReferenceSchedule J, Part I, Line 3ReturnReference
ExplanationPursuant to the bylaws of Children's Hospital of Chicago Medical Center ("Medical Center"), the Governance Committee of the Medical Center is charged to review and approve senior executive compensation for the Medical Center and its affiliates. The Governance Committee has adopted a written executive compensation philosophy which it follows when it reviews and approves the compensation and benefits of the organization's senior management, including the President/Chief Executive Officer and the other senior managers. The compensation philosophy is subject to periodic review for continued appropriateness by the Governance Committee. With the assistance of a compensation consultant and information from a variety of sources (specified on Schedule J), the Governance Committee confirmed the total amounts to be paid were reasonable and comparable to amounts paid by similarly situated organizations. Outside legal counsel also serves an integral role in advising the Governance Committee with respect to federal tax requirements in setting compensation and the establishment of the "rebuttable presumption of reasonableness" under the federal tax law intermediate sanctions rules. The process followed by the Governance Committee, including a description of the data relied upon and the Governance Committee's decisions, was thoroughly and contemporaneously documented. The Governance Committee has expressly reviewed the reasonableness of all such payments, and has concluded, as the result of a process that is designed to qualify for the rebuttable presumption of reasonableness, that all such amounts are reasonable and do not exceed fair market value for the services provided. The Governance Committee was comprised of members of the Medical Center and the Ann and Robert H. Lurie Children's Hospital of Chicago Boards of Directors who were determined to be disinterested for these purposes. The Governance Committee conducts an ongoing, regular review of the disinterested status of its members, and will take appropriate action with respect to anyone having an interest with respect to one or more executives so as to preserve the application of the rebuttable presumption of reasonableness. Schedule J, Part I, Question 4b The following listed individuals have an amount included in Schedule J, Part II, Column (C) for an amount accrued but not vested under a supplemental executive retirement plan ("SERP"): James Donaldson, MD $166,689 Patrick M. Magoon $361,818 Paula M. Noble $188,823 Elizabeth J. Perlman $129,761 Donna S. Wetzler $342,069 Benefits earned under the SERP are non-vested forms of deferred compensation that fund the employee's eventual retirement benefit. These benefits are provided in exchange for all of the employee's years of service to the organization, and the cost of the benefits will vary from year to year based on interest rates, age, and many other factors. The amounts are at risk and will not be paid unless and until the employee has provided substantial future services to the organization. Benefits under the SERP vest at age 62, and are forfeited if the employee leaves the organization voluntarily before age 62 (except upon the sole discretion of the Board, and only if the participant has reached at least age 55 with at least 10 years of service). Participants who voluntarily leave the organization before age 55 forfeit their entire SERP benefit upon termination. Schedule J, Part I, Question 5a Employed physicians are compensated on the basis of personal professional productivity that takes into account, in part, the revenues of the organization generated by the physician. Schedule J, Part II The following individuals are not compensated by the reporting organization for his or her service as a director. Rather, the compensation reported on Form 990, Part VII and on Schedule J, Part II reflects compensation paid by Pediatric Faculty Foundation for the individual's substantial and full-time services as an employee. For more details, please refer to the 2011 Form 990 of Pediatric Faculty Foundation, EIN 36-3279680. Thomas P. Green, MD Mary J. C. Hendrix, PhD H. William Schnaper, MD The following individuals are not compensated by the reporting organization for his or her service as a director or officer. Rather, the compensation reported on Form 990, Part VII and on Schedule J, Part II reflects compensation paid by Ann & Robert H. Lurie Children's Hospital of Chicago (Lurie Children's) for the individual's substantial and full-time services as an employee. For more details, please refer to the 2011 Form 990 of Lurie Children's, FEIN 36-2170833. Patrick M. Magoon Edward Ogata, MD Paula M. Noble Donna S. WetzlerExplanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
JP Morgan Chase
L. Crown is a director137727Financial Servicesfalse
JP Morgan Chase
P. Crown is a director137727Financial Servicesfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of RelationshipsForm 990, Part VI, Question 2*Allan Bulley III serves as an officer for a firm that provided construction services to Thomas Souleles. *Allan Bulley III serves as an officer for a firm which provided construction services to Donald J. Edwards. *Gregory Case serves as an officer for a firm in which Andrew McKenna served as a director during the reporting period. *Edward J. Wehmer serves as an officer for a company for which Charles James III and Bert Getz serve as a director. *Lester Crown is the father-in-law of Paula H. Crown. *William Devers, Jr. serves as a director for a company for which Andrew McKenna serves as an officer. *Andrew J. McKenna is the father of William J. McKenna. *Linda Wolf serves as a director for a company for which Eric Lefkofsky serves as a director.
Describe the Process used by Management &/or Governing Body to Review 990Form 990, Part VI, Question 11BA copy of the organization's fiscal year 2012 tax return ("Form 990") was provided to each member of the organization's Audit Committee (of the Board) before a special Audit Committee meeting and before the Form 990 was filed. The Audit Committee is the Committee of the Medical Center charged with the oversight of audit and tax matters for the parent and affiliates. The audit committee was provided a detailed overview of the form 990 by the chief financial Officer ("CFO") and the organization's director of tax compliance. The CFO and director of tax compliance also responded to the Audit Committee members' questions and afforded the opportunity for detailed discussion of the Form 990, prior to the audit committee taking action to approve The filing of the Form 990. As part of its tax preparation process, the Organization on an ongoing basis consulted its tax consulting firm and outside tax legal counsel, both of which possess expertise in health care and tax-exempt return preparation, to advise and assist in the preparation of Form 990. These advisors worked closely with the organization's Finance and internal legal personnel and other members of the organization's team assembled to participate in the preparation of The Form 990. Prior to presenting the Form 990 to the board's audit Committee, the organization's team, including its advisors, met frequently to discuss and review drafts of the form.
Description of Process to Monitor Transactions for Conflicts of InterestForm 990, Part VI, Question 12cOn an annual basis, the Medical Center and its affiliates provide a comprehensive questionnaire to its board members, senior management and purchasing personnel posing questions about actual or potential conflicts of interest. The Medical Center initiates follow up contact to those who do not respond and to clarify responses, where necessary. The Medical Center reviews each disclosure and provides a summary of relevant disclosures for the review and approval of its governance committee. Pursuant to the conflicts of interest policy of the Medical Center and affiliates ("Corporation"), directors, officers, physician leaders, and others who are subject to the policy are required to promptly and fully disclose in writing any actual, apparent or potential conflict of interest to the president of the Corporation and General Counsel. This disclosure shall be provided to the Governance Committee of the Corporation which shall consider all conflicts of interest issues and, if appropriate, shall provide such written disclosure to the directors, board committees considering the proposed transaction or other appropriate parties. In addition, on an annual basis, the corporation surveys each individual subject to the policy as to the existence of actual or potential conflicts of interest. The corporation will not enter into an agreement, transaction or other arrangement involving a conflict of interest unless the disinterested members of the Governance Committee of the Corporation's Board of Directors determine by a majority vote that appropriate safeguards to protect the charitable mission of the Corporation have been implemented. The subject interested person may not be present when the vote is taken. If it is determined that a conflict of interest exists, a disinterested person or committee of disinterested members may be assigned to investigate alternatives to the proposed transaction or arrangement. After exercising due diligence, the board or committee shall determine whether the Corporation can obtain a more advantageous transaction or arrangement, with reasonable efforts, from a person or entity that would not give rise to a conflict of interest. If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the board or committee shall determine by a majority vote of the disinterested directors whether the transaction is in the Corporation's best interest and for its own benefit and whether the transaction is fair and reasonable to the Corporation, and shall make its decision as to whether to enter into the transaction or arrangement.
Offices & Positions for Which Process was Used, & Year Process was BegunForm 990, Part VI, questions 15a and 15bThe authority to review and approve executive compensation has been delegated to the Governance Committee of the Medical Center Board of Directors ("Governance Committee"). The Governance Committee has adopted a written executive compensation philosophy which it follows when it reviews and approves the compensation and benefits of the organization's senior management, including the President/Chief Executive Officer and the other senior managers. The compensation philosophy is subject to periodic review for continued appropriateness by the Governance Committee. With the assistance of a compensation consultant and information from a variety of external sources (specified on Schedule J), the Governance Committee confirmed the total amounts to be paid were reasonable and comparable to amounts paid by similarly situated organizations for functionally similar positions. Outside legal counsel also serves an integral role in advising the Governance Committee with respect to federal tax requirements in setting compensation and the establishment of the rebuttable presumption of reasonableness. The process followed by the Governance Committee, including a description of the data relied upon and the Governance Committee's decisions, was thoroughly and contemporaneously documented. The Governance Committee has expressly reviewed the reasonableness of all such payments, and has concluded, as the result of a process that is designed to qualify for the rebuttable presumption of reasonableness under federal tax law, that all such amounts are reasonable and do not exceed fair market value for the services provided. The Governance Committee was comprised of members of the Medical Center and the Medical Center Boards of Directors who were determined disinterested for these purposes. The Governance Committee conducts an ongoing and periodic review of the disinterested status of its members, and will take appropriate action with respect to anyone having an interest with respect to one or more executives so as to preserve the application of the rebuttable presumption of reasonableness.
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen PublicForm 990, Part VI, Question 19The organization's financial statements are publicly available online at www.dacbond.com. The organization's articles of incorporation and annual reports are available through the Illinois Secretary of State. The organization also makes its general governing documents available to the general public upon request.
AVERAGE HOURS PER WEEK FOR RELATED ORGANIZATIONSFORM 990, PART VIIElizabeth J. Perlman, MD and James Donaldson, MD are employees of the Medical Center and generally work 40 hours per week. Approximately 2 hours of additional time each week is spent providing services to related organizations. The following individuals are employees of the children's memorial hospital and generally work 40 hours per week. In general, approximately 2 hours of additional time each week is spent providing services to related organizations: Patrick M. Magoon Paula M. Noble Edward Ogata, MD Donna S. Wetzler The following individuals are employees of Pediatric Faculty Foundation and generally work 40 hours per week. Approximately 2 hours of additional time each week is spent providing services to related organizations: Thomas P. Green, MD Mary J. C. Hendrix, PhD H. William Schnaper, MD
INFORMATION ABOUT SUPPORTED ORGANIZATIONSCHEDULE A, PART IFor a description of the manner in which the Medical Center supports Lurie Children's, please see the statement of program accomplishments included in Schedule O.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1LURIE CHILDREN'S MEDICAL GROUP LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1225 E CHICAGO AVEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60611ZIPCode
FieldValueIRS element (for citing)
EIN364187449EIN
Primary ActivitiesHEALTH CAREPrimaryActivities
Legal Domicile StateILLegalDomicileState
Total Income19493727TotalIncome
EOY Assets8295807EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MEDICAL CTRBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
LURIE CHILDREN'S HOSP OF CHIC RSCH CTR
225 E CHICAGO AVECHICAGOIL60611363357005RESEARCHIL501(C)(3)4Medical Ctrtrue
LURIE CHILDREN'S HOSPITAL OF CHICAGO FDN
225 E CHICAGO AVECHICAGOIL60611363357006FUNDRAISINGIL501(C)(3)7Medical Ctrtrue
PEDIATRIC FACULTY FOUNDATION INC
225 E CHICAGO AVECHICAGOIL60611363279680HLTH CRE/RSCHIL501(C)(3)11 III-FIMedical Ctrtrue
LURIE CHILDREN'S
225 E CHICAGO AVECHICAGOIL60611362170833HOSPITALIL501(C)(3)3Medical Ctrtrue
CMH Self Insurance Foundation
225 E CHICAGO AVEChicagoIL60611366638400InsuranceIL501(C)(3)11 III-FIMEDICAL CTRtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CMMC INSURANCE CO LTDBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1225 E CHICAGO AVEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60611ZIPCode
FieldValueIRS element (for citing)
EIN000000000EIN
Primary ActivitySELF INSURANCEPrimaryActivity
Legal Domicile Foreign CountryCJLegalDomicileForeignCountry

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MEDICAL CTRBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCORPORATIONTypeOfEntity
Share Of Total Income73199ShareOfTotalIncome
Share Of EOY Assets16672135ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Lurie Childrens
c1501525cost
Lurie Childrens
o5585910cost
CMMC INSURANCE CO LTD
q3504866cost

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