ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO FOUNDATION (EIN 36-3357006)
Tax period
2011-09-01 to 2012-08-31
Filed
2013-07-11
IRS object ID
201331929349300418
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)
EIN363357006EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ANN & ROBERT H LURIE CHILDREN'S HOSPITALBusinessNameLine1
Business Name Line2OF CHICAGO FOUNDATIONBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% PAULA M NOBLEInCareOfName
Name ControlANN&NameControl
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 PersonThomas J SullivanNameOfPrincipalOfficerPerson

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 Receipts32824661GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.luriechildrens.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTO OPTIMIZE PHILANTHROPY IN SUPPORT OF THE MISSION AND FUTURE OF THE CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER.ActivityOrMissionDescription
Nbr Voting Members Governing Body150NbrVotingMembersGoverningBody
Nbr Independent Voting Members141NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers146TotalNbrVolunteers
Total Gross UBI29728TotalGrossUBI
Net Unrelated Business Txbl Income22066NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year24846108ContributionsGrantsPriorYear
Contributions Grants Current Year29193377ContributionsGrantsCurrentYear
Program Service Revenue Prior Year341433ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year-398757OtherRevenuePriorYear
Other Revenue Current Year-3731124OtherRevenueCurrentYear
Total Revenue Prior Year24788784TotalRevenuePriorYear
Total Revenue Current Year25462253TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year12309466GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY13150333GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8021458SalariesEtcPriorYear
Salaries Etc Current Year8733389SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year594513TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY396053TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year13575382TotalFundrsngExpCurrentYear
Other Expense Prior Year3761600OtherExpensePriorYear
Other Expenses Current Year4445940OtherExpensesCurrentYear
Total Expenses Prior Year24687037TotalExpensesPriorYear
Total Expenses Current Year26725715TotalExpensesCurrentYear
Revenues Less Expenses Prior Year101747RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1263462RevenuesLessExpensesCY
Total Assets BOY712527TotalAssetsBOY
Total Assets EOY660573TotalAssetsEOY
Total Liabilities BOY2174081TotalLiabilitiesBOY
Total Liabilities EOY3439067TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1461554NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-2778494NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO OPTIMIZE PHILANTHROPY IN SUPPORT OF THE MISSION AND FUTURE OF THE CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense13150333Expense
Grants13150333Grants
Revenue0Revenue
DescriptionAnn & Robert H. Lurie Children's Hospital of Chicago Foundation ("Lurie Children's Foundation"), an Illinois not for profit corporation and an organization described under Section 501(c)(3) of the Code, is responsible for fundraising for the Children's Hospital of Chicago Medical Center ("Parent") (FEIN 36-3357004), Lurie Children's Foundation's sole corporate member, and the Parent's affiliated tax-exempt organizations. Gifts received by Lurie Children's Foundation are available for distribution to Ann & Robert H. Lurie Children's Hospital of Chicago ("Lurie children's"), Ann & Robert H. Lurie Children's Hospital of Chicago Research Center (Lurie Children's Research Center), and to the other tax-exempt affiliates of the Parent, as appropriate, or as may be designated by the donor. Lurie Children's Foundation seeks to secure the financial resources for Lurie Children's and its affiliates needed to remain leaders in pediatric health care, research, education and advocacy. Lurie Children's Foundation fundraising activities include programs to develop major gifts, leadership gifts, planned giving and annual gifts. Lurie Children's Foundation receives fundraising support from more than 25 fundraising organizations and an active team of volunteers to cultivate and secure contributions that advance the mission of Lurie Children's and its affiliates. These organizations devote fundraising efforts entirely or in part to Lurie Children's and its affiliates. Fundraising appeals by such organizations are coordinated with the Foundation's fundraising activities in order to avoid conflicting solicitations and to focus support on identified priorities. In addition to the fundraising efforts described above, in connection with the construction of a new state-of-the-art hospital, the Boards of Directors of the Parent and Lurie Children's unanimously resolved that Lurie Children's, through Lurie Children's Foundation, undertake a comprehensive fundraising campaign for construction of a new hospital and to support medical research and other programs critical to the Lurie Children's mission. It is because of this substantial capital campaign that Lurie Children's Foundation's historically modest fundraising expenses have increased accordingly.Description
Total Program Service Expense13150333TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
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 ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
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 RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With109615NumberFormsTransmittedWith1096
Number W2 G Included6NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form1098 C FiledtrueForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members150NbrVotingGoverningBodyMembers
Number Independent Voting Members141NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
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 (172 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
RANDOLPH T ABRAHAMS
DIRECTOR1.0X000
JANETTE ACTON
EX-OFFICIO DIRECTOR1.0X000
SARAH BAINE
EX-OFFICIO DIRECTOR1.0X000
EMILY L BARR
DIRECTOR1.0X000
GLENN BASGALL
EX-OFFICIO DIRECTOR1.0X000
ROBERT R BELLICK
DIRECTOR1.0X000
IRWIN BENUCK MD
DIRECTOR1.0X000
MEREDITH BLUHM-WOLF
DIRECTOR1.0X000
MICHAEL BORKOWSKI
DIRECTOR1.0X000
MARGARET W BRENNAN
DIRECTOR1.0X000
SUZANNE M BURNS
DIRECTOR1.0X000
JOHN J BUTTITA
DIRECTOR1.0X000
MICHAEL S CANMANN
DIRECTOR1.0X000
ALAN CHAPMAN
DIRECTOR1.0X000
MOHINI CHOPRA
DIRECTOR1.0X000
ELEANOR O CLARKE
DIRECTOR1.0X000
JAMES M CLARY
DIRECTOR1.0X000
THOMAS COLEMAN JR
DIRECTOR1.0X000
JOHN D COONEY
DIRECTOR1.0X000
ADAM C COOPER
DIRECTOR1.0X000
SAMANTHA A COSTANZO
DIRECTOR1.0X000
LESTER CROWN
VICE CHAIR/DIRECTOR1.0X000
PAULA H CROWN
VICE CHAIR/DIRECTOR1.0X000
THOMAS P DANIS JR
DIRECTOR1.0X000
SUSAN B DEPREE
DIRECTOR1.0X000
MAUREEN C DEROSE
DIRECTOR1.0X000
LABEED DIAB
DIRECTOR1.0X000
JOHN O DOERGE JR
DIRECTOR1.0X000
HOLLY K DURAN
DIRECTOR1.0X000
SCOTT EISEN
DIRECTOR1.0X000
LEON G EPSTEIN MD
DIRECTOR1.0X033837424500
ELEANOR EVANGELIDES
DIRECTOR1.0X000
LESLI FALK
EX-OFFICIO DIRECTOR1.0X000
ROBERT FELDGREBER
EX-OFFICIO DIRECTOR1.0X000
JOHN D FERN
DIRECTOR1.0X000
WALTER C FLORENCE
DIRECTOR1.0X000
THEODORE D FOXMAN
DIRECTOR1.0X000
ALAN FREEMAN
DIRECTOR1.0X000
KIMBERLY G FRIESEN
DIRECTOR1.0X000
PHILIP K FUENTES
DIRECTOR1.0X000
PATRICK R GALLAGHER
DIRECTOR1.0X000
RUTH GELLER
DIRECTOR1.0X000
CATHERINE H GLEDHILL
DIRECTOR1.0X000
MICHAEL P GOLDMAN
DIRECTOR1.0X000
LAUREN GORTER
EX-OFFICIO DIRECTOR1.0X000
LOUIS J GRABOWSKY
DIRECTOR1.0X000
SABRINA P GRACIAS
DIRECTOR1.0X000
JAMES A GRAY
DIRECTOR1.0X000
MATHEW GRAY
DIRECTOR1.0X000
MELVIN GRAY
DIRECTOR1.0X000
LISA NAPARSTEK GREEN
DIRECTOR1.0X000
THOMAS P GREEN MD
EX-OFFICIO DIR/PRES&CHAIR PFF1.0X068625858102
JOHN J GREISCH
DIRECTOR1.0X000
DAVID D GRUMHAUS JR
DIRECTOR1.0X000
THOMAS D GRUSECKI
DIRECTOR1.0X000
STEVEN C HALL MD
DIRECTOR1.0X000
TODD HAMILTON
DIRECTOR1.0X000
ANDEE HARRIS
DIRECTOR1.0X000
JOHN A HATHERLY
DIRECTOR1.0X000
ROBERT W HAUSWIRTH
DIRECTOR1.0X000
RICHARD A HEISE JR
DIRECTOR1.0X000
MARY J C HENDRIX PHD
EX-OFF DIR PRS/SI OFF RCH.CTR.1.0X057515587442
DANIEL J HENNESSY
CHAIR/DIRECTOR4.0X000
ELIZABETH B HERRINGTON
DIRECTOR1.0X000
DAVID G HERRO
DIRECTOR1.0X000
VICKI S HEYMAN
DIRECTOR1.0X000
JENIECE HIGGINS
EX-OFFICIO DIRECTOR1.0X000
GARY E HOLDREN
DIRECTOR1.0X000
LAUREN HOLINGER MD
DIRECTOR1.0X000
DIANE C HOLMES MD
DIRECTOR1.0X000
ROBERT D HORNE
DIRECTOR1.0X000
JULIE M HOWARD
DIRECTOR1.0X000
TIMOTHY M HURD
DIRECTOR1.0X000
KEITH W JAFFEE
DIRECTOR1.0X000
CHARLES H JAMES III
DIRECTOR1.0X000
BRIAN E JOHNSON
DIRECTOR1.0X000
KIRK B JOHNSON
DIRECTOR1.0X000
JENNIFER JUST
DIRECTOR1.0X000
MALCOLM S KAMIN
DIRECTOR1.0X000
WILLIAM K KANE
DIRECTOR1.0X000
BRIAN P KERWIN
DIRECTOR1.0X000
ANTHONY K KESMAN
DIRECTOR1.0X000
MICHAEL B KLEIN
DIRECTOR1.0X000
KURT F KOHLMEYER
DIRECTOR1.0X000
THOMAS J KOTEL
DIRECTOR1.0X000
MICHAEL B KRAINES
DIRECTOR1.0X000
JAMES A KUEHNLE JR
DIRECTOR1.0X000
ROSS S LASER
DIRECTOR1.0X000
BERNARD L LAYTON
DIRECTOR1.0X000
ZACHARY D LAZAR JR
DIRECTOR1.0X000
BRUCE K LEE
DIRECTOR1.0X000
ERIC P LEFKOFSKY
DIRECTOR1.0X000
G ANTHONY LORENZ
DIRECTOR1.0X000
DANIEL T W LUM MD
EX-OFFICIO DIRECTOR1.0X000
ROBERT D LUSE
DIRECTOR1.0X000
PATRICK M MAGOON
EX-OFF DIR/CEO, MED.CTR/HOSP.1.0X01169917417827
MITCHELL J MANASSA
DIRECTOR1.0X000
JOHN F MANLEY
DIRECTOR1.0X000
PETER J MARINO
DIRECTOR1.0X000
STANLEY F MARTIN
DIRECTOR1.0X000
PETER D MCDONALD
DIRECTOR1.0X000
DAVID MCHUGH
EX-OFFICIO DIRECTOR1.0X000
WILLIAM J MCKENNA
DIRECTOR1.0X000
DAVID G MCLONE MD
DIRECTOR1.0X000
LIGIA MENDEZ
DIRECTOR1.0X000
LOUISE C MILLS
DIRECTOR1.0X000
STEVEN H MOGUL
DIRECTOR1.0X000
MIMI MURLEY
DIRECTOR1.0X000
ROBERT S MURLEY
VICE CHAIR/DIRECTOR EX-OFFICIO1.0X000
JAMES C MURRAY
DIRECTOR1.0X000
SATISH NANDAPURKAR
DIRECTOR1.0X000
BRIAN L NEWMAN
DIRECTOR1.0X000
LESLIE H NEWMAN
EX-OFFICIO DIRECTOR1.0X000
SUSAN B NOYES
DIRECTOR1.0X000
TIMOTHY O'BRIEN
DIRECTOR1.0X000
EDWARD OGATA MD
EX-OFFICIO DIR/CMO/HOSP.1.0X069938551203
SEAN O'SCANNLAIN
DIRECTOR1.0X000
MICHELLE PAREKH
DIRECTOR1.0X000
PEER PEDERSEN
DIRECTOR1.0X000
MRS ELLARD PFAELZER
DIRECTOR1.0X000
ORREN PICKELL
DIRECTOR1.0X000
MARC E PIERCE
DIRECTOR1.0X000
SETH A PROSTIC
EX-OFFICIO DIRECTOR1.0X000
MAUREEN M RAIHLE
DIRECTOR1.0X000
MICHAEL A REINSDORF
DIRECTOR1.0X000
J CHRISTOPHER REYES
EX-OFFICIO DIRECTOR8.0X000
MARLETA REYNOLDS MD
EX-OFFICIO DIRECTOR1.0X000
ELLEN S ROBBINS
DIRECTOR1.0X000
LYNN ROSINSKY
DIRECTOR1.0X000
NANCY RODKIN ROTERING
DIRECTOR1.0X000
WILLIAM J RYAN
DIRECTOR1.0X000
GREGORY H SACHS
DIRECTOR1.0X000
SCOTT SAGERMAN MD
DIRECTOR1.0X000
ROBERT E SARAZEN
DIRECTOR1.0X000
JOSEPH F SCOBY
DIRECTOR1.0X000
PETER K SHAGORY
DIRECTOR1.0X000
JEFFREY R SHAW
DIRECTOR1.0X000
JOSEPH W SHENTON JR
DIRECTOR1.0X000
JOHN S SMITH
DIRECTOR1.0X000
KRISTI SNYDERMAN
DIRECTOR1.0X000
MOLLY SOUTH
DIRECTOR1.0X000
THOMAS STAT
DIRECTOR1.0X000
W RICK STEARNS
DIRECTOR1.0X000
ROBIN H STEINHORN MD
DIRECTOR PFF/MD1.0X045999627638
GARY C STEPHANS
DIRECTOR1.0X000
LISBETH C STIFFEL
DIRECTOR1.0X000
DANIEL P SULLIVAN
DIRECTOR1.0X000
THOMAS J SULLIVAN
PRESIDENT &EX-OFFICIO DIRECTOR1.0X056932384231X
SHELLY A SUN
DIRECTOR1.0X000
ROSLYNNE SUPERA
DIRECTOR1.0X000
RICHARD TANNENBAUM
DIRECTOR1.0X000
MARK TAYLOR
DIRECTOR1.0X000
ROGER R TAYLOR
DIRECTOR1.0X000
T SANDS THOMPSON
DIRECTOR1.0X000
TODD W TILLEMANS
DIRECTOR1.0X000
EDWARD S TRAISMAN MD
EX-OFFICIO DIRECTOR1.0X000
MONSIGNOR KENNETH VELO
DIRECTOR1.0X000
KENNETH A VIELLIEU
DIRECTOR1.0X000
JOHN S VISHNESKI III
DIRECTOR1.0X000
EDWARD J WEHMER
DIRECTOR1.0X000
DERRY WEYERHAEUSER
VICE CHAIR/DIRECTOR1.0X000
KEVIN W WILLER
DIRECTOR1.0X000
DONALD R WILSON JR
DIRECTOR1.0X000
ROBERT J WINTER JR
DIRECTOR1.0X000
LINDA S WOLF
DIRECTOR1.0X000
DON YANNIAS
DIRECTOR1.0X000
MS JIA ZHAO
DIRECTOR1.0X000
JOHN D ZIEGELMAN
DIRECTOR1.0X000
ALICE G ARCHABAL
VP DEVELOPMENT FNDTN1.0025304540168X
PAULA M NOBLE
CFO/TREAS/MED.CTR.&AFFLTS1.00543142229178X
DONNA S WETZLER
GEN CNSL&CORP SEC/MED.CTR &AFF1.00408331381116X
SHERWOOD D ZELLERMAYER
CHIEF PUBLC AFFAIRS COMMUNCTNS1.0027336133856X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5976287TotalReportableCompFrmRltdOrgs
Total Other Compensation1435261TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CHILDREN'S MIRACLE NETWORK
205 WEST 700 SOUTHSALT LAKE CITYUT84101FUNDRAISING649711
AMI MARKETING
350 S NORTHWEST HWY STE 300PARK RIDGEIL60068DIRECT MAIIL MKTG555102
AGENCY EA
311 W WALTON STREETCHICAGOIL60610MKTG EVENT/CNSLTNG482087
RUSS REID COMPANY
2 NORTH LAKE AVEPASADENACA91101DIRECT MAIL CNSLTNG411779
KORZENOWSKI DESIGN
266 W LAKE STREETELMHURSTIL60126GRAPHIC DESIGN/PRNT293547
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
Fundraising Events12766246FundraisingEvents
Related Organizations3344144RelatedOrganizations
All Other Contributions13082987AllOtherContributions
Noncash Contributions205420NoncashContributions
Total Contributions29193377TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

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

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real12000Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real12000Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column12000TotalRevenueColumn
Exclusion$12,000ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1000Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events1945839GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events12766246CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses5930043FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-3984204TotalRevenueColumn
Exclusion-$3,984,204ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming11450GrossIncomeGaming
Gaming Direct Expenses12044GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column-594TotalRevenueColumn
Exclusion-$594ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory1660995GrossSalesOfInventory
Cost Of Goods Sold1419321CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column241674TotalRevenueColumn
Unrelated Business Revenue29728UnrelatedBusinessRevenue
Exclusion$211,946ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column25462253TotalRevenueColumn
Unrelated Business Revenue29728UnrelatedBusinessRevenue
Exclusion-$3,760,852ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total13150333Total
Program Services13150333ProgramServices

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)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6734787Total
Fundraising6734787Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total381530Total
Fundraising381530Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1198767Total
Fundraising1198767Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total418305Total
Fundraising418305Fundraising

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)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total396053Total
Fundraising396053Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total762330Total
Fundraising762330Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total406724Total
Fundraising406724Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total861306Total
Fundraising861306Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total347577Total
Fundraising347577Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total92981Total
Fundraising92981Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total117378Total
Fundraising117378Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total13394Total
Fundraising13394Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total250751Total
Fundraising250751Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalFundraisingFundraising
FUNDRAISING DEVLOP PROJ PLNG750000750000
Dues and Licenses504883504883
MEALS & ENTERTAINMENT121444121444
Special Items5161151611

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total165561Total
Fundraising165561Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total26725715Total
Program Services13150333ProgramServices
Management And General0ManagementAndGeneral
Fundraising13575382Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

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)
BOY0BOY
EOY0EOY

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)
BOY422848BOY
EOY621646EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2372646LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2333719LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY289679BOY
EOY38927EOY

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)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY712527BOY
EOY660573EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2174081BOY
EOY3439067EOY

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)
BOY2174081BOY
EOY3439067EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1461554BOY
EOY-2778494EOY

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)
BOY-1461554BOY
EOY-2778494EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY712527BOY
EOY660573EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1263462ReconcilationRevenueExpenses
Reconcilation Other Changes-53478ReconcilationOtherChanges
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)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years51640114CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28663831CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21014536CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24846108CurrentTaxYearMinus1Year
Current Tax Year29193377CurrentTaxYear
Total155357966Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years51640114CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28663831CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21014536CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24846108CurrentTaxYearMinus1Year
Current Tax Year29193377CurrentTaxYear
Total155357966Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total16432337AmountsSubstContributorsTotal
Public Support Total170138925629PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5209946CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total5209946Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years110224CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29665CurrentTaxYearMinus1Year
Current Tax Year29728CurrentTaxYear
Total169617Total
FieldValueIRS element (for citing)
Total Support160737529TotalSupport
Gross Receipts From Admissions Etc11500253GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.86430PublicSupportPertcentage170
Public Support Pertcent Prior Year0.90790PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2372646OtherCostOrOtherBasis
Depreciation2333719Depreciation
Book Value38927BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings38927TotalOfBookValueLandBuildings

Schedule G IRS990ScheduleG

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

Fundraiser Activity Information FundraiserActivityInformation (4 entries)

Name Of IndividualNameOfIndividualActivityActivityFundraiser Control Of FundsFundraiserControlOfFundsGross ReceiptsGrossReceiptsAmount Retained By ContractorAmountRetainedByContractorNet To OrganizationNetToOrganization
Ruffalo CodySEE PART IVfalse3000056481-26481
Thompson AssociatesSEE PART IVfalse66000-66000
Russ Reid CompanySEE PART IVfalse878128215779662349
Donor Care Center IncSEE PART IVfalse893725779331579
FieldValueIRS element (for citing)
Total Gross Receipts997500TotalGrossReceipts
Total Retained By Contractors396053TotalRetainedByContractors
Total Net To Organization601447TotalNetToOrganization
Licensed StatesILLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GalaNameOfEvent1
Gross Receipts Event14522549GrossReceiptsEvent1
Charitable Contributions Event14371819CharitableContributionsEvent1
Gross Revenue Event1150730GrossRevenueEvent1
Rent Facility Costs Event11025525RentFacilityCostsEvent1
Food And Beverage Event1207480FoodAndBeverageEvent1
Entertainment Event14950EntertainmentEvent1
Other Direct Expenses Event1394810OtherDirectExpensesEvent1
Name Of Event2Radiothon -MixNameOfEvent2
Gross Receipts Event21573201GrossReceiptsEvent2
Charitable Contributions Event21573201CharitableContributionsEvent2
Rent Facility Costs Event236488RentFacilityCostsEvent2
Food And Beverage Event2579FoodAndBeverageEvent2
Entertainment Event23552EntertainmentEvent2
Other Direct Expenses Event239449OtherDirectExpensesEvent2
Total Number Of Other Events318TotalNumberOfOtherEvents
Gross Receipts Other Events8616335GrossReceiptsOtherEvents
Charitable Contrib Other Events6821226CharitableContribOtherEvents
Gross Revenue Other Events1795109GrossRevenueOtherEvents
Other Direct Expenses Other Events4217210OtherDirectExpensesOtherEvents
Gross Receipts Total14712085GrossReceiptsTotal
Charitable Contributions Total12766246CharitableContributionsTotal
Gross Revenue Total Events1945839GrossRevenueTotalEvents
Rent Facility Costs Total Events1062013RentFacilityCostsTotalEvents
Food And Beverage Total Events208059FoodAndBeverageTotalEvents
Entertainment Total Events8502EntertainmentTotalEvents
Other Direct Expenses Total Events4651469OtherDirectExpensesTotalEvents
Direct Expense Summary Events5930043DirectExpenseSummaryEvents
Net Income Summary-3984204NetIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedILStatesWhereGamingConducted

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

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

Form990 Schedule G Part IV Form990ScheduleGPartIV

FieldValueIRS element (for citing)
IdentifierRUFFALO CODY - professional telemarketing servicesIdentifier
ExplanationFoundation paid $56,481 to Ruffalo Cody for their telemarketing services to support the Give Kids a Hand fundraising effort. The Foundation received $30,000 in unrestricted contributions as a result of the direct telemarketing efforts which is reported in Statement of Revenue (Part VIII, line 1f). Thompson & Associates - Planned Giving consultant Foundation paid $66,000 to Thompson & Associates for their services for their planned giving expertise leading donors through a personalized and comprehensive charitable estate planning process. The fundraising efforts are long term in nature and matching the contributions to the expenses is not administratively feasible. Therefore, we do not credit money raised to the expenses. RUSS REID - Direct response / annual giving fundraising Foundation paid a total of $994,579 to Russ Reid during FY12 to provide direct mail packages, design and services. The total piece that is related to their consulting fee is only $215,779 and the other $778,800 relates to printing, production, material design, etc. Russ Reid provides a monthly invoice to Foundation Director of Annual Programs which contains a breakdown of the charges, including consulting fees. Foundation received $878,128 in unrestricted contributions as a result of the direct mail efforts which is reported in the Statement of Revenue (Part VIII, Line 1f). DONOR CARE CENTER, INC - telemarketing Foundation paid a total of $57,793 to Donor Care, Inc. to provide direct fundraising phone solicitation services. Foundation received $89,372 in unrestricted contributions as a result of the direct mail efforts which is reported in the Statement of Revenue (Part VIII, Line 1f).Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Lurie Childrens
225 E CHICAGO AVECHICAGOIL60611362170833501(c)(3)5426966Net asset transfer-BD Funds
Lurie Childrens
225 E CHICAGO AVECHICAGOIL60611362170833501(c)(3)7723367Restricted event revenue
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule IIdentifier
Return ReferenceDescription of Organization's Procedures for Monitoring the Use of GrantsReturnReference
ExplanationFoundation Finance Management reviews all philanthropic funds on a regular basis. Financial fund management reports are generated monthly and distributed electronically to all Fund Administrators and Directors for review. Fund Accountants work with Administrators and Directors regularly to monitor activity, to ensure compliance with donor intent, and to review appropriateness of expenditures against budgetary guidelines and donor direction. Part II, Line 1, column H - Purpose of grant or assistance $5.4 million was included as a net asset transfer from the Foundation to the Hospital to be used for the New Hospital Project and was primarily raised from the Gala Benefit. This transfer appears on the Foundation 990 return as a Grant to the Hospital and appears on the Hospital return as a Contribution from the Foundation.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
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 (11 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
LEON G EPSTEIN MD
03094020274480152402450000036287400
THOMAS P GREEN MD
048658701988790792024500033602074436000
MARY J C HENDRIX PHD
04779240967150516065528021914066259700
PATRICK M MAGOON
06699040460460039553039508002274701587744054248
EDWARD OGATA MD
03909210219482088982025687025516075058800
ROBIN H STEINHORN MD
0392440067040051602450003138048763400
THOMAS J SULLIVAN
029915201597570110414057720026511065355400
ALICE G ARCHABAL
019756304720708275015167025001029321300
PAULA M NOBLE
03593240182200016180214043015135077232000
DONNA S WETZLER
02687580137717018560364116017000078944700
SHERWOOD D ZELLERMAYER
019334607884901166020077013779030721700

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"): Patrick Magoon $361,818 Paula M. Noble $188,823 Donna 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. Also in response to question 4b, the following listed individuals received credited interest from the supplemental retirement benefits under the SERP, and therefore had multi-year SERP benefits included in their taxable income: Thomas J. Sullivan, $96,642 and Edward Ogata M.D. $65,215. In each case, the taxable amount represents the credited interest on the value of benefits earned over many years of service to the organization, and which became taxable and paid in 2011. 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, FEIN 36-3279680. Leon G. Epstein, MD Thomas P. Green, MD Mary J. C. Hendrix, PhD Robin H. Steinhorn, 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. Alice G. Archabal Patrick M. Magoon Paula M. Noble Edward Ogata, MD Thomas J. Sullivan Donna S. Wetzler Sherwood D. ZellermayerExplanation

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods

Cars And Other Vehicles CarsAndOtherVehicles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9901000NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions14NumberOfContributions
Noncash Contribs Rptd F990204420NoncashContribsRptdF990
Method Of Determining RevenuesmarketMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedtrueThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierUSE OF OUTSIDE PARTIES TO SOLICIT, PROCESS, OR SELL NONCASH CONTRIBUTIONSIdentifier
Return ReferenceSCHEDULE M, PART I, LINE 32BReturnReference
ExplanationALL SECURITIES (NON-CASH DONATIONS) ARE SENT DIRECTLY TO NORTHERN TRUST. NORTHERN TRUST AS CUSTODIAN AND BROKER SELLS THE SECURITIES IMMEDIATELY. FOR DONOR RECOGNITION PURPOSES, GIFTS ARE VALUED AT THE MEDIAN PRICES ON THE DAY THE SECURITIES ARE RECEIVED. FOR ACCOUNTING PURPOSES, VALUES ARE RECONCILED MONTHLY FOR ANY GAIN/LOSS ON THE SALE OF SECURITIES.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Explanation of Negative Net Assets/Fund BalancePart I, Line 22In 2009, the Board of the Hospital approved the consolidation of ownership of the investment assets on the books of the Hospital. All balances of cash, restricted investments, restricted net assets, pledge receivable, annuities, and securities lending that were previously on the Foundation's books were re-designated to the Hospital's books. While the Foundation no longer reports these restricted assets of cash contributions from donors or donor related events on its books, the Foundation does still bear the expenses related to all Fundraising events and activities. ALLOCATION OF SALARY EXPENSES FORM 990, PART V, QUESTION 2 Ann & Robert H. Lurie Children's Hospital of Chicago ("Lurie Children's") pays and issues Forms W-2 to employees who work for Ann & Robert H. Lurie Children's Hospital of Chicago Foundation (Lurie Children's Foundation). The allocation of the salary costs are disclosed on Form 990, Part IX, Statement of Functional Expenses. DESCRIPTION OF RELATIONSHIPS FORM 990, PART VI, QUESTION 2 *Paula Crown has a business relationship with Michael Canmann. *Lester Crown has a business relationship with Michael Canmann. *Linda Wolf serves as a director for a company for which Rich Heise serves as a director.
Description of Classes of Members or StockholdersForm 990, Part VI, Question 6Children's Hospital of Chicago Medical Center ("Medical Center") is the organization's sole corporate member.
Description of Classes of Persons and the Nature of Their RightsForm 990, Part VI, Question 7aThe organization's sole corporate member, the Medical Center, has certain reserved powers, including the power to appoint and remove all directors of the organization.
Descr Classes of Persons, Decisions Requiring Appr & Type of Voting RightsForm 990, Part VI, Question 7bThe Medical Center, through its board of directors or designated committee, as the sole corporate member of the organization, has certain reserved powers with respect to appointment and removal of directors, appointment of certain officers, approval of amendments to governing documents, approval of financial matters, and approval of significant transactions including, but not limited to, merger, dissolution, disposition of assets other than in the ordinary course of business, and creation of subsidiaries.
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 submit a comprehensive questionnaire to Board Members, senior management and purchasing personnel requiring disclosure of all interests that could give rise to actual or potential conflicts of interest. The Medical Center initiates follow up contact with 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 & 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 and the other senior managers. The compensation philosophy is subject to periodic review for continued appropriateness by the Governance Committee. With the assistance of an independent compensation consultant and information from a variety of sources, such as compensation surveys, 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. 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 rendered. The Governance Committee was comprised of members of the Medical Center and the Lurie Children's 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 WORKED FOR RELATED ORGANIZATIONSFORM 990, QUESTION VIIThe following individuals are employees of Lurie Children's and generally work 40 hours per week. 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, Thomas J. Sullivan, Sherwood D. Zellermayer and Alice G. Archabal, work 40 hours a week and are employed by Lurie Children's. Most of their time is devoted to the Foundation. The following individuals are employees of Pediatric Faculty Foundation, Inc. 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 Robin H. Steinhorn, MD Leon G. Epstein, MD OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 5 PRIOR PERIOD ADJUSTMENTS -$53,478

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 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 Ctrfalse
PEDIATRIC FACULTY FOUNDATION INC
225 E CHICAGO AVECHICAGOIL60611363279680HLTH CRE/RSCHIL501(C)(3)11 III-FIMedical Ctrfalse
CHILDREN'S HOSPITAL OF CHICAGO MED CTR
225 E CHICAGO AVECHICAGOIL60611363357004Health CareIL501(C)(3)11 III-FINAfalse
LURIE CHILDREN'S
225 E CHICAGO AVECHICAGOIL60611362170833HospitalIL501(C)(3)3Medical Ctrfalse
CMH SELF INSURANCE FOUNDATION
225 E CHICAGO AVECHICAGOIL60611366638400INSURANCEIL501(C)(3)11 III-FIMedical Ctrfalse
KINDNESS IS DOING SOMETHING SPCL FR KIDS
1 S DEARBORN STCHICAGOIL60603363778441SUPPORTIL501(C)(3)7medical ctrfalse

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
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 OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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