ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO (EIN 36-2170833)
Tax period
2010-09-01 to 2011-08-31
Filed
2012-06-08
IRS object ID
201221609349300407
Schema version
2010v3.7
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)
Timestamp2012-06-08T09:04:39-04:00Timestamp
Tax Period End Date2011-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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Address Line1155 NORTH WACKER DRIVEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362170833EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE CHILDREN'S MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHILNameControl
Phone3125734578Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12300 CHILDRENS PLAZA BOX 268AddressLine1
CityCHICAGOCity
StateILState
ZIP Code606143394ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePAULA M NOBLEName
TitleCFO & TREASURERTitle
Date Signed2012-06-07DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3128792000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Line12300 CHILDRENS PLAZA BOX 268AddressLine1
CityCHICAGOCity
StateILState
ZIP Code606143394ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1075095296GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHILDRENSMEMORIAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1894YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTHE HOSPITAL IS A PEDIATRIC ACADEMIC MEDICAL CENTER PROVIDING PATIENT CARE AND EDUCATION AND TRAINING FOR THE PHYSICIANS AND OTHER MEDICAL PROFESSIONALS. IT IS ALSO A LEADER IN PEDIATRIC RESEARCH AND ADVOCACY.ActivityOrMissionDescription
Nbr Voting Members Governing Body107NbrVotingMembersGoverningBody
Nbr Independent Voting Members91NbrIndependentVotingMembers
Total Nbr Employees4700TotalNbrEmployees
Total Nbr Volunteers1418TotalNbrVolunteers
Total Gross UBI498404TotalGrossUBI
Net Unrelated Business Txbl Income191048NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year38771094ContributionsGrantsPriorYear
Contributions Grants Current Year49693298ContributionsGrantsCurrentYear
Program Service Revenue Prior Year540004869ProgramServiceRevenuePriorYear
Program Service Revenue CY539278122ProgramServiceRevenueCY
Investment Income Prior Year20776943InvestmentIncomePriorYear
Investment Income Current Year3804118InvestmentIncomeCurrentYear
Other Revenue Prior Year-206542OtherRevenuePriorYear
Other Revenue Current Year574881OtherRevenueCurrentYear
Total Revenue Prior Year599346364TotalRevenuePriorYear
Total Revenue Current Year593350419TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year24129924GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY28319947GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year265327945SalariesEtcPriorYear
Salaries Etc Current Year282320559SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year256919352OtherExpensePriorYear
Other Expenses Current Year239202347OtherExpensesCurrentYear
Total Expenses Prior Year546377221TotalExpensesPriorYear
Total Expenses Current Year549842853TotalExpensesCurrentYear
Revenues Less Expenses Prior Year52969143RevenuesLessExpensesPriorYear
Revenues Less Expenses CY43507566RevenuesLessExpensesCY
Total Assets BOY1952509066TotalAssetsBOY
Total Assets EOY2042087930TotalAssetsEOY
Total Liabilities BOY846750270TotalLiabilitiesBOY
Total Liabilities EOY789111961TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1105758796NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1252975969NetAssetsOrFundBalancesEOY
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
Expense485878448Expense
Grants28319947Grants
Revenue540348288Revenue
DescriptionThe Children's Memorial Hospital ("CMH") in Chicago, Illinois owns and operates the only full-service, independent, freestanding pediatric hospital in Illinois. This not-for-profit, tertiary care hospital, founded in 1882, provides patient care 24 hours per day, 7 days per week. CMH has 270 licensed beds and provides a full range of inpatient and outpatient care and related ancillary services. CMH provides more care than any other hospital provider in Illinois in nearly every pediatric medical and surgical specialty. As a major academic tertiary care medical center, CMH has served patients from every county in Illinois, as well as patients from every state and 35 countries. CMH 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. CMH's ability to treat the most critically ill infants in its neonatal intensive care unit ("NICU") is demonstrated by statistics for calendar year 2011 which show that 60% of all transports into its NICU were from other Level III nurseries in metropolitan Chicago. CMH 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. CMH is 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, 2011, CMH, through nearly 549,700 patient visits, served more than 148,000 children who came from all over the State of Illinois and beyond to access the more than 70 specialties offered by CMH. During this period there were 465,818 visits including 315,658 outpatient visits in Lincoln Park (including 6,541 observation cases), including 61,691 emergency room visits and 88,469 outpatient visits at the satellite facilities. CMH is the largest provider of Medicaid services to Illinois children. In total, during the State of Illinois' fiscal year 2011, CMH provided approximately 55% more outpatient and inpatient Medicaid services than the next highest Illinois hospital. CMH's pediatric-specialist physicians provide more specialty care to children insured by the State of Illinois' All Kids (Medicaid) program than any other specialty care provider. CMH maintains a charity care policy under which it provides healthcare services free of charge or at a greatly reduced rate to children whose families are unable to pay for the charges associated with their medical care. For the fiscal year ended August 31, 2011, the total unreimbursed care and community benefit as reported in the Fiscal Year 2011 audit of CMH and its affiliates was approximately $100 million, including $66.2 million in costs associated with unreimbursed services provided by the Hospital and its affiliated physician groups to children on Medicaid and $34.9 million for charity care and other community benefit including, but not limited to, resident and fellow expenses $15.5 million, research funding $4.3 million, operation of a community clinic support $2.9 million, child advocacy programs $557 thousand and the provision of language assistance, pastoral care, social work, art and music therapies, hospital volunteer services, transplant family housing and other family support services $6.6 million. CMH undertakes a broad range of services and activities in addition to patient care that support its charitable mission. CMH functions as a teaching and research institution whose efforts have contributed considerably to improvements in the quality of life and healthcare for children. CMH supports community medical needs through a variety of outreach programs and educational programs. In December 2001, CMH became the first pediatric hospital in the nation and the first hospital in Illinois to receive the Magnet Award from the American Nurses Credentialing Center. CMH was awarded this designation again in November 2005. Only 6% of the nation's hospitals currently hold this distinction. CMH is one of the major pediatric teaching hospitals in the U.S., serving as the pediatric teaching facility and the primary pediatric practice site of Northwestern University's Feinberg School of Medicine ("NUFSM") for resident physicians, fellows and medical students in pediatric specialties and sub-specialties. This program is consistently one of the most sought after in the country. In fiscal year 2011, over 1,170 individuals applied for the 93 available positions. Including the NUFSM pediatric residents and fellows, CMH has 110 residents and 88 fellows in various training programs. CMH also offers clinical experiences in pediatrics to medical students, nursing students, and students in other allied health fields. CMH is affiliated with 19 nursing education programs. In fiscal year 2011, there were 1,297 student placements, including 315 third and fourth year medical students, 668 nursing students, and 314 allied health students. CMH is undertaking the development, construction and equipping of a new, 288-licensed bed, acute care, pediatric hospital to replace its existing hospital facilities which will be named the "Ann & Robert H. Lurie Children's Hospital of Chicago." This new facility, in close proximity to NUFSM, will facilitate CMH's ability to continue to build upon its academic and research ties in a family-centered environment and state-of-the-art pediatric care facility that will foster the provision of compassionate care. CMH's role as a regional referral center for a variety of pediatric diseases and illnesses has created many research opportunities to study and treat them and CMH's research arm, Children's Memorial Research Center, is one of the nation's few centers dedicated solely to pediatric research. See the tax information return of CMH's affiliate, Children's Memorial Research Center [36-3357005]. Alone, or in conjunction with other community partners, CMH provides programs to support the health and well-being of children in our local community and beyond involving patient care and prevention; research; education and advocacy. Much of CMH's community work is in schools, particularly for children with special health and learning needs and the capacities of school personnel serving them. In the past 17 years, CMH has served more than 15,000 children and faculty of the Chicago Public Schools to enhance the health and safety programs and accommodations of chronically ill children. Programs address specific conditions such as epilepsy, ADHD, HIV infection, and impaired hearing. Other programs educate personnel about advanced medical technologies and aiding children transitioning from the CMH setting back to school. Other community health activities include a partnership by CMH hematologists with the American Red Cross Blood Services to launch a cooperative sickle cell blood donor program to increase the number of blood donations by African Americans to help children with sickle cell disease who require frequent blood transfusions. CMH is a driving member of the Consortium to Lower Obesity in Chicago Children (CLOCC) to confront childhood obesity in Chicago. CLOCC is currently working with the City of Chicago to promote healthy eating and physical activity and is also piloting programs in Englewood, Humboldt Park, Lower West Side, Rogers Park, West Garfield Park, and West Town neighborhoods in Chicago. CMH operates an Injury Prevention and Research Center to educate and to improve public policy and foster protective environments, in addition to coordinating injury prevention initiatives at CMH. CMH has also developed programs to teach children sports injury prevention. CMH's Consortium for Children with Complex Medical Needs seeks to assist children with special health care needs to overcome barriers in obtaining care by assuring a medical home, building alliances to facilitate increased access to care and services, raising awareness, and helping those children to obtain the services needed to transition to adulthood. CMH participates in a community partnership to create a one-stop center to coordinate medical, social and housing services for Chicago's most vulnerable youth. The Broadway Youth Center addresses the unique medical and psychological needs of youth who are homeless; those at risk for HIV; and young people who are lesbian, gay, bisexual or transgender. There are fewer than 10 such centers in the nation and this is the first in Chicago. CMH offers a summer internship for Latino high school students to introduce them to promising career opportunities and a mentoring program for high school students that promotes participation in community service and literacy. CMH also educates in child maltreatment awareness and child abuse prevention, lead poisoning detection, and automobile safety programs and has developed fitness programs fDescription
Total Program Service Expense485878448TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
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Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
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
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
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
Number Forms Transmitted With1096319NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees4700NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
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 Members107NbrVotingGoverningBodyMembers
Number Independent Voting Members91NumberIndependentVotingMembers
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 Number3125734578TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12300 CHILDRENS PLAZA BOX 268AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60614ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (129 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
John J Allen
Director1.0X000
John Amboian Jr
Director1.0X000
Sarah Baine
Ex-Officio Director w/vote1.0X000
Stephen W Baird
Director1.0X000
Peter B Bensinger
Director1.0X000
Andrew T 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
Mrs Charles F Clarke Jr
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 Director w/vote1.0X0518299136176
Charles W Douglas
Director1.0X000
Dennis J Drescher
Director1.0X000
Michael Evangelides
Director1.0X000
Tyrone C Fahner
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
Director1.0X000
Thomas P Green MD
Ex-Officio Dir/Pres&Chair PFF1.0X065369155432
Joseph Gregoire
Director1.0X000
David D Grumhaus
Director1.0X000
Arlington Guenther
Director1.0X000
Joseph D Gutman
Director1.0X000
Bruce R Hague
Director1.0X000
Paul F Hanzlik
Director1.0X000
Brett J Hart
Director1.0X000
Mary JC Hendrix PhD
EX-OFF DIR W/VOTE/PRES/SCI OFF1.0X060293344526
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
J Larry Jameson MD
Ex-officio Director w/vote1.0X000
Kirk B Johnson
Director1.0X000
W Bruce Johnson
Director1.0X000
Bennet A Kaye MD
Ex-Officio Director w/vote1.0X000
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
Director1.0X000
Patrick M Magoon
Ex-Officio Dir/CEO, CMH/CMMC40.0X12756340598066X
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
Robert S Murley
Vice Chair & Director1.0X000
David Neithercut
Director1.0X000
Leslie Newman
Director1.0X000
Edward Ogata MD
Chief Medical Officer, CMH40.0X2282434044336X
Nancy Pacher
Director1.0X000
Chaka Patterson
Director1.0X000
Peer Pedersen
Vice Chair & 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 Reusche
Director1.0X000
J Christopher Reyes
CMMC/CMH Chair7.0X000
Marleta Reynolds MD
Ex-Officio Director w/vote1.0X000
Peter C Roberts
Director1.0X000
Hilary Sallerson
Ex-Officio Director w/vote1.0X000
Manuel Sanchez
Director1.0X000
Deborah M Sawyer
Director1.0X000
H William Schnaper MD
Ex-Officio Director/PFF MD1.0X028594850017
Christopher Segal
Director1.0X000
Mrs Donald Shoemaker
Director1.0X000
Stephen A Smith
Director1.0X000
Thomas S Souleles
Director1.0X000
Stephen T Steers
Director1.0X000
Edward S Traisman MD
Ex-Officio Director w/vote1.0X000
Monsignor Kenneth Velo
Director1.0X000
Matthew Walsh
Director1.0X000
Edward J Wehmer
Director1.0X000
Brian E Williams
Director1.0X000
Linda S Wolf
Director1.0X000
James Wooten Jr
Director1.0X000
Ms Jia Zhao
Director1.0X000
Gordon B Bass
Chief Operating Officer40.01762990036531X
Barbara B Bowman
Chief HR Officer40.0503896031018X
Susan H Gordon
Chief Public Policy Officer40.0295362063189X
Monica Heenan
Chief Ambulatory Srv/Med MGMT40.0267197026265X
Bruce Komiske
Chief New Hosp. Design/Const40.0475748022296X
Stanley B Krok
Chief Information Officer40.03631610108322X
Maureen T Mahoney
Chief Transition Occupancy40.0254740026204X
Maureen Murphy
Chief MKTG & MNGD Care Officer40.0370708059075X
Paula M Noble
CFO/Treasurer/CMMC& AFFILIATES40.05179210139612X
Michelle M Stephenson
Chief Nurse Executive40.0324960058709X
Donna S Wetzler
Gen CNSL&Corp Sec/CMMC&Afflts40.0389284096604X
Sherwood D Zellermayer
Chief Communications Officer40.0260676028154X
Thomas Sullivan
President CMF40.0524687077387X
Ron H Blaustein
Associate CFO40.0233242031910X
Nancy M Borders
Associate General Counsel40.0233432034983X
Morley I Kerschner
Admin Revenue Cycle40.0223793022253X
Edward T Schubnell
Admin Med-Surgical Svcs40.0214763028218X
Philip V Spina
Chief Admin Officer CMRC40.0213988043030X
FieldValueIRS element (for citing)
Total Reportable Comp From Org10988616TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2060871TotalReportableCompFrmRltdOrgs
Total Other Compensation1862313TotalOtherCompensation
Number Individuals GT100 K272NumberIndividualsGT100K
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
MORTENSON POWER
25 NW POINT BLVDELK GROVE VILLAGEIL60007CONSTRUCTION256120624
MCGAW MEDICAL CENTER
303 E CHICAGO AVECHICAGOIL60611PROFESSIONAL MED SVC15317270
ZIMMER GUNSUL FRASCA
1350 AVENUE OF THE AMERICAS SUITENEW YORKNY10019ARCHITECTS6736445
CHILDREN'S SURGICAL FOUNDATION
2300 CHILDRENS PLAZACHICAGOIL60614PROF MED SVCS3858628
ANDERSON MIKOS ARCHITECTS
17W110 22ND ST SUITE 200OAKBROOKIL60181ARCHITECTS3184669
FieldValueIRS element (for citing)
Number Of Contractors GT100 K267NumberOfContractorsGT100K
Related Organizations7390062RelatedOrganizations
All Other Contributions42303236AllOtherContributions
Noncash Contributions1608766NoncashContributions
Total Contributions49693298TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Patient Care & Program Services621110339830398339830398
Medicare/Medicaid621110155043967155043967
Grants-Fed/State/Agency/Subcontract/Private6211103952232439522324
Reference Lab Revenue621500124000812356234385
Parking Garages8129301037912406271$631,641

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column2603513TotalRevenueColumn
Related Or Exempt Function Income1167393RelatedOrExemptFunctionIncome
Exclusion$1,436,120ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue539278122TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column12389259TotalRevenueColumn
Unrelated Business Revenue87748UnrelatedBusinessRevenue
Exclusion$12,301,511ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column1224TotalRevenueColumn
Exclusion$1,224ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3015661Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2440780Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real574881Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column574881TotalRevenueColumn
Related Or Exempt Function Income1070166RelatedOrExemptFunctionIncome
Exclusion-$495,285ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities470717732Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities479304097Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-8586365Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-8586365TotalRevenueColumn
Exclusion-$8,586,365ExclusionAmount

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 Column593350419TotalRevenueColumn
Related Or Exempt Function Income537869871RelatedOrExemptFunctionIncome
Unrelated Business Revenue498404UnrelatedBusinessRevenue
Exclusion$5,288,846ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total28319947Total
Program Services28319947ProgramServices

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)
Total9488446Total
Program Services3003900ProgramServices
Management And General6484546ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total213474866Total
Program Services190692033ProgramServices
Management And General22782833ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total10298820Total
Program Services8490820ProgramServices
Management And General1808000ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total32966942Total
Program Services28218647ProgramServices
Management And General4748295ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total16091485Total
Program Services14240744ProgramServices
Management And General1850741ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1519553Total
Management And General1519553ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total405999Total
Management And General405999ManagementAndGeneral

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)
Total4851427Total
Management And General4851427ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total19114005Total
Program Services11405493ProgramServices
Management And General7708512ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2232652Total
Program Services1009442ProgramServices
Management And General1223210ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total89417932Total
Program Services89037280ProgramServices
Management And General380652ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total15464386Total
Program Services13298173ProgramServices
Management And General2166213ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9925263Total
Program Services8880473ProgramServices
Management And General1044790ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total955861Total
Program Services563832ProgramServices
Management And General392029ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1832437Total
Program Services1815547ProgramServices
Management And General16890ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1368402Total
Program Services1190510ProgramServices
Management And General177892ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total38633916Total
Program Services36382373ProgramServices
Management And General2251543ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total7936149Total
Program Services7934696ProgramServices
Management And General1453ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL ADMIN & TEACHING1376892113768921
Medicaid provider tax1372911413729114
Bad debt provision36810373681037
Dues & licenses30436797785432265136
Board designated expenses25972232597223

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8724391Total
Program Services6839700ProgramServices
Management And General1884691ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total549842853Total
Program Services485878448ProgramServices
Management And General63964405ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY277812336BOY
EOY148262276EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY109425109BOY
EOY95284016EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY24633786BOY
EOY28987889EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4719069BOY
EOY4027088EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7260852BOY
EOY6569785EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1337693748LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec483686937LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY674694214BOY
EOY854006811EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY530256442BOY
EOY572286175EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY247607370BOY
EOY290191017EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY76099888BOY
EOY42472873EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1952509066BOY
EOY2042087930EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY119183716BOY
EOY90876396EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY550776275BOY
EOY550882715EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY15079468BOY
EOY15079468EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY161710811BOY
EOY132273382EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY846750270BOY
EOY789111961EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY568898374BOY
EOY722301893EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY375900235BOY
EOY390048649EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY160960187BOY
EOY140625427EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1105758796BOY
EOY1252975969EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1952509066BOY
EOY2042087930EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses43507566ReconcilationRevenueExpenses
Reconcilation Other Changes103709607ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year0CurrentYear
Total0Total
FieldValueIRS element (for citing)
Lobbying Ceiling$0LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year0CurrentYear
Total0Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year0CurrentYear
Total0Total
FieldValueIRS element (for citing)
Grassroots Ceiling$0GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year0CurrentYear
Total0Total
FieldValueIRS element (for citing)
VolunteerstrueVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MemberstrueMailingsMembers
Mailings Members$2,342MailingsMembersAmount
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$522,223DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$57,694OtherActivitiesAmount
Total Lobbying Expenditures IIB582259TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return Reference2010 FORM 990 SCHEDULE CReturnReference
ExplanationTo further their collective mission, The Children's Memorial Hospital ("CMH") and its affiliates, by virtue of their role in providing complex care for children, partner with and frequently interact with members of the government in developing policies applicable to children's health and well-being. In 1994, CMH established a Public Policy Committee of the Board of Directors to recommend institutional positions on legislation and regulation that would enable CMH and its affiliates to enhance the health and well-being of children. Over the years, the Public Policy Committee has recommended positions on public policy matters affecting children's health and well-being and to garner government funding to support the exempt activities of CMH and its affiliates and for the development and construction of a new hospital, replacing CMH'S existing facility, to be named "Ann & Robert H. Lurie Children's Hospital of Chicago." This new facility will facilitate CMH's ability to continue to build upon its academic and research ties in a family-centered environment and state-of-the-art facility that will foster the provision of compassionate care. Examples of policy initiatives for which CMH has advocated include: preventing transmission of HIV from mothers to newborns; prevention of childhood injury; prevention of child abuse; prevention of childhood obesity; and improving access to health insurance for children. Read more about our current institutional public positions at: http://www.childrensmemorial.org/newsroom/government-community/policy-posi tions.aspx. In addition, when state and federal legislators or committees need experts to analyze and testify as to how a pending bill would affect children's health in Illinois, they often look to CMH and its affiliates. In recent years, employees, officers and physicians of CMH and its affiliates have testified before elected officials and government policymakers in Washington, DC, Springfield and Chicago on issues ranging from the benefits of children passenger safety and helmet laws to the prevention of concussions in youth, funding for graduate medical education and Medicaid reform. In addition, CMH engages in lobbying activities to seek appropriate Medicaid funding of the substantial services provided by CMH and its affiliates to Medicaid-eligible patients in Illinois. CMH also seeks funding, on a state and federal level, for various initiatives that will enhance patient care. On the federal level, CMH, in connection with other children's teaching hospitals, works to protect and enhance funding for the Medicaid program and graduate medical education for 55 freestanding children's teaching hospitals in the United States.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance355075654BeginningOfYearBalance
Contributions4592742Contributions
Investment Earnings Or Losses21332401InvestmentEarningsOrLosses
Grants Or Scholarships7066285GrantsOrScholarships
End Of Year Balance373934512EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance345631973BeginningOfYearBalance
Contributions3257533Contributions
Investment Earnings Or Losses10720980InvestmentEarningsOrLosses
Grants Or Scholarships1635773GrantsOrScholarships
Other Expenditures2899059OtherExpenditures
End Of Year Balance355075654EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance376042568BeginningOfYearBalance
Contributions323812Contributions
Investment Earnings Or Losses-18808632InvestmentEarningsOrLosses
Grants Or Scholarships11500978GrantsOrScholarships
Other Expenditures424797OtherExpenditures
End Of Year Balance345631973EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.46930BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.37610PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.15470TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis39289353OtherCostOrOtherBasis
Book Value39289353BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis306370108OtherCostOrOtherBasis
Depreciation254234761Depreciation
Book Value52135347BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis12181129OtherCostOrOtherBasis
Depreciation8569714Depreciation
Book Value3611415BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis273454486OtherCostOrOtherBasis
Depreciation220882462Depreciation
Book Value52572024BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis706398672OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value706398672BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings854006811TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionALTERNATIVE INVESTMENTSDescription
Book Value290191017BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities290191017TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
SELF INSURANCE LIABILITY$105,342,973
DUE TO THIRD PARTIES$5,234,793
ACCRUED PENSION LIABILITY$17,772,947
ASSET RETIREMENT COSTS$3,428,569
LEASE OBLIGATIONS$494,100
FieldValueIRS element (for citing)
Total Of Amounts132273382TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierINTENDED USES OF ENDOWMENT FUNDSIdentifier
Return ReferenceSchedule D, Part V, Line 4ReturnReference
ExplanationCMH's endowment fund consists of individual donor-restricted endowment funds and funds designated by its Board to function as endowments. The net assets associated with endowment funds, including those funds designated by the Board to function as endowments, are classified and reported based on the existence or absence of donor-imposed restrictions. Effective June 30, 2009, Illinois passed Uniform Prudent Management of Institutional Funds Act ("UPMIFA"). CMh has, after obtaining advice of outside counsel, interpreted UPMIFA as sustaining the preservation of the original gift as of the gift date of the donor-restricted endowment funds absent explicit donor stipulations to the contrary. As a result of this interpretation, Cmh classifies as permanently restricted net assets, (a) the original value of gifts donated to the permanent endowment, (b) the original value of subsequent gifts to the permanent endowment, and (c) accumulations to the permanent endowment made in accordance with the direction of the applicable donor gift instrument at the time the accumulation is added to the fund. The remaining portion of the donor-restricted endowment fund that is not classified in permanently restricted net assets is classified as temporarily restricted net assets until those amounts are appropriated for expenditure by CMh in a manner consistent with the donor intent and standard of prudence prescribed by UPMIFA. Where the Board designates unrestricted funds to function as endowments they are classified as unrestricted net assets.Explanation

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedtrueGrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable (5 entries)

RegionRegionNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployeesType Of Activities ConductedTypeOfActivitiesConductedSpecific Services ProvidedSpecificServicesProvidedTotal ExpendituresTotalExpenditures
Sub-Saharan Africa00Program ServicesMedical20000
South Asia00Investments906387
Central America and the Caribbean00Investments78485887
Europe (Including Iceland and Greenland)00Investments53823041
North America00Investments372745
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent133608060SubtotalAmountSpent
Total Amount Spent133608060TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CotruePassiveForeignInvestCo
Foreign PartnershiptrueForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierOrganization's Procedures for Monitoring Use of Grant Funds Outside the USIdentifier
Return ReferenceSchedule F, Part VReturnReference
ExplanationTravel grants of $2,500 are provided to third year medical residents that travel to the Bugando Medical Center in the United Republic of Tanzania to provide medical care on a volunteer basis. The travel grants are intended to cover some of the costs related to travel to and from the United Republic of Tanzania, as well as housing and meals while at the Bugando Medical Center. The medical residents are provided $1,250 prior to their departure and $1,250 upon their return to the U.S.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage300.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Benefit Expense1147944TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1147944NetCommunityBenefitExpense
Percent Of Total Expense0.00210PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Benefit Expense219957945TotalCommunityBenefitExpense
Direct Offsetting Revenue176263488DirectOffsettingRevenue
Net Community Benefit Expense43694457NetCommunityBenefitExpense
Percent Of Total Expense0.08000PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Benefit Expense221105889TotalCommunityBenefitExpense
Direct Offsetting Revenue176263488DirectOffsettingRevenue
Net Community Benefit Expense44842401NetCommunityBenefitExpense
Percent Of Total Expense0.08210PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Benefit Expense9435150TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense9435150NetCommunityBenefitExpense
Percent Of Total Expense0.01730PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Benefit Expense15493437TotalCommunityBenefitExpense
Direct Offsetting Revenue2873341DirectOffsettingRevenue
Net Community Benefit Expense12620096NetCommunityBenefitExpense
Percent Of Total Expense0.02310PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Benefit Expense817097TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense817097NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Benefit Expense57022795TotalCommunityBenefitExpense
Direct Offsetting Revenue11566173DirectOffsettingRevenue
Net Community Benefit Expense45456622NetCommunityBenefitExpense
Percent Of Total Expense0.08320PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Benefit Expense7747693TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense7747693NetCommunityBenefitExpense
Percent Of Total Expense0.01410PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Benefit Expense90516172TotalCommunityBenefitExpense
Direct Offsetting Revenue14439514DirectOffsettingRevenue
Net Community Benefit Expense76076658NetCommunityBenefitExpense
Percent Of Total Expense0.13920PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Benefit Expense311622061TotalCommunityBenefitExpense
Direct Offsetting Revenue190703002DirectOffsettingRevenue
Net Community Benefit Expense120919059NetCommunityBenefitExpense
Percent Of Total Expense0.22130PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$1,147,944BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare0AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare0CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall0MedicareSurplusOrShortfall
Costing Methodology UsedCostingMethodologyUsed
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE CHILDREN'S MEMORIAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12300 CHILDRENS PLAZA BOX 268AddressLine1
CityCHICAGOCity
StateILState
ZIP Code606143394ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
Childrens HospitalXChildrensHospital
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1THE CHILDREN'S MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities10NumberOfOtherFacilities

Other Facilities OtherFacilities (10 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Outpatient Center in Lincoln Park
2515 N Clark Street/467 W DemingChicagoIL60614Outpatient Medical Services
Outpatient Center in Westchester
2301 Enterprise DrWestchesterIL60154Outpatient Medical & Ambulatory Surgical Services
Outpatient Center in Glenview
2150 Pfingsten RdGlenviewIL60025Outpatient Medical Services
Outpatient Center in Westbrook
11301 W Cermak RdWestchesterIL60154OutPATIENT MEDICAL SERVICES
Outpatient Center in Arlington Heights
880 W Central Rd Suite 6400Arlington HeightsIL60005Outpatient Medical Services
Outpatient Center in New Lenox
1870 N Silver Cross Blvd Ste 100New LenoxIL60451Outpatient Medical Services
Outpatient Center at CDH
25 N WINFIELD ROADWinfieldIL60190OUtpatient Medical services
Outpatient Center in Lake Forest
900 N Westmoreland Suite 209Lake ForestIL60045Outpatient Medical Services
Children's Memorial Uptown Clinic
4867 N Broadway AvenueChicagoIL60640Outpatient Medical Services
Clinic at Uplift Community School
900 W Wilson AvenueChicagoIL60640Outpatient Medical Services

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
ExplanationPart I, Line 3c: N/A Part I, line 6a: The Children's Memorial Hospital prepares an annual community benefit report. The report can be found at: http://www.childrensmemorial.org/newsroom/serving-our-communities.aspx. The calculation for "charity care and certain other community benefits at cost" reflects the Form 990 definitions and will not necessarily correspond to calculations prepared for similar state of Illinois reporting requirements and our audited financial statement reporting, each of which may require the use of specified methodologies that may differ from Form 990. Part I, line 7g: Subsidized health services reported in Part I, Line 7g include details from two different community benefit programs of the Children's Memorial Hospital ("CMH"), namely the Uptown Primary Care and Dentistry Clinics. The operating costs attributable to Primary Care and Dentistry clinics are $817,097. Both programs are operated despite financial losses to the organization. The clinics provide healthcare to a largely underserved community. Part I, line 7, column (f): Total expense from Form 990, Part IX, Line 25, column (A) was $549,842,853. The bad debt expense included in this amount was $3,681,037. Therefore, total expense of $546,161,816 was used for purposes of calculating Form 990, Schedule H, Part I, line 7, column (f). Part I, Line 7: Cost to charge ratio is calculated using the total expense reflected in the FY 2011 audited financial statements reduced by community benefits reflected on Schedule H, bad debt, provider tax, and non-patient related activity expenses found in the CMH cost report divided by gross patient charges. Part II: N/A Part III, line 4: CMH considers self-pay as bad debt when a family is not eligible for financial assistance and is unwilling or unable to pay an outstanding account balance. The most common patient bad debt scenarios include unpaid self-pay portions of account balances after insurance or third party assistance payments or unpaid account balances after a bankruptcy filing. CMH is sensitive to the financial health of our patients and their families and recognizes that family financial concerns may not always be shared. At times, a patient may be reluctant to complete a financial assessment to determine their eligibility for charity care. It is possible that because of these circumstances, a portion of bad debt expense could represent patients that are unable to pay and might qualify for financial assistance. However, accurate data to estimate this amount is unavailable. CMH is committed to managing collection efforts in a sensitive and respectful manner. In this regard, CMH sends a minimum of four letters/statements to the families before taking further action. For high balance accounts, CMH will attempt to contact the patient/family by telephone. Should CMH receive no reply, the self-pay balances are sent to a collection agency for further action. With few exceptions, CMH does not credit list its patients or take court action in its attempts to collect the outstanding balances. The allowance for uncollectible accounts at the amount of charges written off (net of contractuals and discounts) is presented as a separate line item on the face of the financial statements. Bad debt expense on Schedule H, Part III, Line 2 is calculated based on aging accounts receivable and applying historical bad debt percentages. Part III, line 8: N/A Part III, line 9b : Collection policies are the same for all CMH patients. If, at any point in the collection process, documentation is received that indicates the patient is potentially eligible for financial assistance but has not applied for it, the account is referred back for a financial assistance review. Through the use of numerous pamphlets, signage and website notices, patients are notified of CMH's financial assistance policy. On receipt of the information, CMH will determine eligibility for financial assistance and notify the patient as quickly as possible. The Hospital does not pursue collection of amounts from patients who are being reviewed for financial assistance eligibility or who are determined to qualify for charity care. In addition, all patients having difficulty paying their bills are directed to financial counselors. The financial counselors will work with patients to qualify them for charity care or government programs such as Medicaid. After a patient meets the qualifications for financial assistance, the account balance is either partially or entirely written off in accordance with our financial assistance policy. If there is any remaining balance, only that balance would be subject to the debt collection policy. If a patient has requested and/or filled out a financial aid application, all debt collection activities stop until eligibility for financial assistance can be determined. Our policy provides that once we have received the necessary documentation we will not refer any accounts for collection until we can determine whether the individual is insured and not eligible for financial assistance. Part III: N/A Part VI, Line 2 Needs Assessment: CMH assesses the health care needs of the larger and diverse community it serves in a variety of ways. Community needs are identified by the CMH board of directors as well as several advisory boards which are comprised of individuals from the community served who are active members of the community and attuned to community needs. For example, CMH has a very active Family Advisory Board which CMH relies upon to assist in making decisions about programming and policies. Family Advisory Board members, comprised of parents of children who have had extensive inpatient and outpatient experiences at CMH, advise administration and medical leadership on patient needs and hospital priorities from the family perspective. Family Advisory Board Members contribute through participation in planning, operating and policy committees of CMH. Similarly, the Kids' Advisory Board is intended to give a voice to children who have been treated at CMH. The Kids' Advisory Board makes recommendations on issues related to patient care from the perspective of a child, teenager and sibling of a patient. CMH also has established a Community Advisory Board for patients/caregivers of HIV-infected children, HIV-infected health care workers and other interested people in the community. This advisory board seeks input and feedback regarding clinic operations and patient needs to improve services and research for all HIV-affected patients at CMH. The Community Advisory Board meets to discuss improvements for the program's services; help in implementing new pediatric, adolescent and perinatal research; review HIV education materials used in the community; and to assess the effectiveness of the CMH HIV/AIDS program. CMH also has established an adolescent community advisory board established to address similar issues, specific to teens with HIV/AIDS. Moreover, CMH has strong relationships with other not-for-profit organizations (such as health clinics and social service agencies) and community leaders who help identify existing community needs and ways to address such needs. CMH is also a leader in pediatric research aimed at advancements in the prevention, diagnosis and treatment of diseases that affect the development of children through adolescence as well as adult disorders that derive from them. Children's Memorial Research Center is one of a few institutions in the U.S. dedicated exclusively to pediatric research. This research aids in the identification of unmet needs faced by the community and, in particular, the children Children's Memorial is privileged to serve. CMH assesses pediatric health needs in the community through its Child Health Data Lab, which provides current and accurate data on the health of children and adolescents throughout Illinois in a readily understandable format. By analyzing health status in particular areas over periods of time, the data lab assists policy-makers and public health planners to identify the health promotion and disease and injury prevention needs in local communities in Illinois. The data lab publishes reports including detailed analyses of child and adolescent injury, death and hospitalization in Illinois by county, and child injury and well-being by Chicago community area. The data lab provides statistical analysis and proposes solutions to address the leading causes of injury for different age groups. The data lab also houses the Illinois health survey which is the first broad-based survey of Illinois youth and adults, designed to provide county-level estimates of a broad range of health conditions for Illinois youth and adults and is intended to guide health policy in Illinois. Based upon all these varied assessments, CMH, in concert with others in the community, strives to address identified needs which it is positioned to assist with, particularly those related to the health and well-being of chExplanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
The Children's Memorial Research Center
2300 Childrens PlazaChicagoIL60614363357005501(C)(3)2561497Net asset transfer
The Children's Memorial Medical Center
2300 Childrens PlazaChicagoIL60614363357004501(C)(3)443930Net Asset Transfer
Pediatric Faculty Foundation Inc
2300 Childrens PlazaChicagoIL60614363279680501(C)(3)7647693NET ASSET TRANSFER
The Children's Memorial Research Center
2300 Childrens PlazaChicagoIL60614363357005501(C)(3)3152327FUNDS RELEASED FROM RESTRICTION
Pediatric Faculty Foundation Inc
2300 Childrens PlazaChicagoIL60614363279680501(C)(3)8172773FUNDS RELEASED FROM RESTRICTION
The Children's Memorial Medical Center
2300 Childrens PlazaChicagoIL60614363357004501(C)(3)299917Funds released from restriction
Children's Surgical Foundation
2300 Childrens PlazaChicagoIL60614363283051501(C)(3)1041810ACADEMIC GRANT
Ronald McDonald House Charities
622 WEST DEMING PLACECHICAGOIL60614362861369501(c)(3)5000000CONSTRUCTION SUPPORT FOR NEW FACILITY
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants5TotalNbrOf501C3AndGovtGrants
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
ExplanationWe review all grant funds on a monthly basis. Financial reports are generated monthly and distributed electronically to all fund directors and the Office of Sponsored Projects (OSP) for review. Expenditures are reviewed for appropriateness and against budgetary guidelines by the Finance Office (Fund Accounting). OSP and Fund Accounting work with the investigators to monitor their activity and make sure they are in compliance with the terms of the award.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
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 OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (24 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
0429422086890019870115539020637065447500
Thomas P Green MD
046349101894080792024500030932070912300
Mary JC Hendrix PhD
045530701471100516024500020026064745900
Patrick M Magoon
652966058714603552205830790149870187370001378330
Edward Ogata MD
41718702130820165216501964702468902326770012165860
H William Schnaper MD
02490670360890792024500025517033596500
Gordon B Bass
3883720197861011767570183750181560179952107842000
Barbara B Bowman
22515909158401871530167510142670534914000
Susan H Gordon
20616408348605712059376038130358551000
Monica Heenan
18958807718904200129340133310293462000
Bruce Komiske
3248840130913019951013365089310498044000
Stanley B Krok
24854101029510116690863870219350471483000
Maureen T Mahoney
177043072124055730131420130620280944000
Maureen Murphy
2544330103120013155049297097780429783000
Paula M Noble
34284601735290154601251050145070657533000
Michelle M Stephenson
227491092774046950446800140290383669000
Donna S Wetzler
2564380131159016870804900161140485888000
Sherwood D Zellermayer
184485075098010930150110131430288830000
Thomas Sullivan
33725801736490137800518010255860602074000
Ron H Blaustein
18567704741401510105580213520265152000
Nancy M Borders
20200203099704330128500221330268415000
Morley I Kerschner
193276027210033070112150110380246046000
Edward T Schubnell
177325027000010438018255099630242981000
Philip V Spina
18453202872307330188670241630257018000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental Compensation InformationIdentifier
Return ReferenceSchedule J, Part I, Question 1aReturnReference
ExplanationThe organization provides membership in a club and a professional organization used by Patrick Magoon, CMH/CMMC Chief Executive Officer, for business purposes. Such membership is treated by the organization as a working-condition fringe benefit and is, therefore, excluded from the individual's taxable income. The organization provides membership in a professional organization used by Edward Ogata, M.D., Chief Medical Officer, for business purposes. Such membership is treated by the organization as a working-condition fringe benefit and is, therefore, excluded from the individual's taxable income. The organization provides membership in a club used by Thomas Sullivan, President of the Children's Memorial Foundation, for business purposes. Such membership is treated by the organization as a working-condition fringe benefit and is therefore, excluded from the individual's taxable income. Schedule J, Part I, Line 3 Pursuant to the bylaws of The Children's Memorial Medical Center ("CMMC"), the Governance Committee of CMMC is charged to review and approve senior executive compensation for CMMC 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 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 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 Children's Memorial Medical Center and The Children's Memorial Hospital 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 participated in the organization's supplemental executive retirement plan ("SERP") and earned unvested benefits during 2010, which are reported in Column (C): James Donaldson, MD $ 93,402 Susan H. Gordon $ 42,786 Stanley B. Krok $ 67,612 Patrick Magoon $448,147 Maureen Murphy $ 30,199 Paula M. Noble $105,908 Michelle M. Stephenson $ 28,163 Donna Wetzler $ 64,327 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 became vested in supplemental retirement benefits under the SERP, and therefore had multi-year SERP benefits included in their taxable income: Gordon Bass, $1,162,035; Barbara Bowman, $185,735; and Edward Ogata, MD $1,623,308. In each case, the vested and taxable amount represents the value of benefits earned over many years of service to the organization, and which became vested and taxable in 2010. These benefits were subject to a substantial risk of forfeiture before 2010. Of the amounts reported on Form 990, the amounts already reported on Forms 990 in prior years were $784,200 for Gordon Bass and $1,216,586 for Dr. Ogata, and these amounts are reported in Schedule J-1, column (F). The Governance Committee of the organization's Board of Directors annually reviews all forms of executive compensation and benefits, including all reported vested and nonvested SERP benefits, and has concluded, as the result of a process that it is designed to qualify for the rebuttable presumption of reasonableness, that total compensation and the benefits provided are reasonable. Schedule J, Part I, Question 7 The organization provides annual incentive compensation to senior management under a senior management incentive compensation plan. These amounts are included in Schedule J, Part II, Column B (ii). The plan is designed to offer opportunities for additional compensation tied to performance against pre-determined financial, patient satisfaction, patient safety and individual goals approved in advance by the Governance Committee of the Children's Memorial Hospital and the Children's Memorial Medical Center, which serves as the Compensation Committee of The Children's Memorial Medical Center, and The Children's Memorial Hospital. Due to the CEO's unique role in setting and driving the long term strategic mission and operational performance of the entire organization, the Governance Committee of the Children's Memorial Hospital and The Children's Memorial Medical Center has established a long term incentive Program ("LTI") under which the CEO, Patrick Magoon, is the sole participant. Mr. Magoon is eligible to earn additional compensation for achievement of very challenging, long term goals that are established in advance by the Governance Committee. The LTI also serves as a retention vehicle since amounts earned are vested on a rolling basis over a multi-year period. During the reporting year and included in schedule J, Part II, column B (ii), are $138,718 of LTI paid to the CEO, and of this amount, $137,833 was previously reported as deferred compensation. 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. 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 2010 Form 990 of Pediatric Faculty Foundation, EIN 36-3279680. Thomas P. Green, MD Mary J.C. Hendrix, PhD H. William Schnaper, MD James Donaldson, MD is not compensated by the reporting organization for his service as a director. Rather, the compensation reported on Form 990, Part VII and on Schedule J, Part II reflects compensation paid by The Children's Memorial Medical Center for the individual's substantial and full-time services as an employee. For more details, please refer to the 2010 Form 990 of The Children's Memorial Medical Center, EIN 36-3357004.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Illinois Finance Authority
86109196745200FGC72008-05-15377043130SEE SCHEDULE K PART Vfalsefalsefalse
ILLINOIS FINANCE AUTHORITY
86109196745200FGR42008-05-15173490000SEE SCHEDULE K PART Vfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindWorking Capital ExpendituresWorkingCapitalExpenditures
383717102145469684533215903119559630519731440392302012falsefalsefalsetrue
173514604001727145945892025276402006truefalsetruetrue158044

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsetrue0.000000.000000.00000true
falsetruetruetruetrue0.000000.000000.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsefalsefalsefalsefalsefalse
truetruefalsefalsefalsefalse

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (11 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Alexis Baby
Family Member of Baine55926Employmentfalse
AON
Case is President/CEO607478Insurance Brokerage Servicesfalse
JPMorgan Chase
L.Crown's son is a Dir1396346Financial Servicesfalse
JPMorgan Chase
P.Crown's spouse is a Dir1396346Financial Servicesfalse
Sidley Austin LLP
Douglas is Ptnr & CoChair274783Legal Servicesfalse
Merge Healthcare
Ferro is an Officer133937Information Technology Svcsfalse
Northern Trust
Logan is an Officer500726Financial Servicesfalse
AON
A. McKenna is a Director607478Insurance Brokerage Servicesfalse
Mauricio Santiago
Family Member of Ogata46912Employmentfalse
US Equities Realty
Pacher is an Officer117449Real Estate Consulting Svcsfalse
Element79 Partners LLC
Williams is President/CEO392194Advertising Servicesfalse

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 VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions35NumberOfContributions
Noncash Contribs Rptd F9901608766NoncashContribsRptdF990
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)
IdentifierThird parties hired to process 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 for any gain/loss on the sale of securities.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of RelationshipsForm 990, Part VI, Question 2*Gregory C. Case has a business relationship with Andrew J. McKenna. *Lester Crown has a family relationship with Paula H. Crown. *William J. McKenna has a family and business relationship with Andrew J. McKenna. *Lyle Logan has a business relationship with Charles H. James III. *William J. Devers Jr. has a business relationship with Andrew J. McKenna *William J. Devers Jr. has a business relationship with Michael W. Ferro Jr. *John M. Crocker Jr. had a business relationship with Bert A. Getz Jr. *Bert A. Getz Jr. has a business relationship with Edward J. Wehmer and Charles H. James III. *Anthony K. Kesman has a business relationship with Daniel J. Hennessy. *Adam A. Kriger has a business relationship with Andrew J. McKenna. *Stephen A. Smith has a business relationship with Peer Pedersen. *Linda S. Wolf and Eric Lefkofsky have a business relationship. Description of Classes of Members or Stockholders Form 990, Part VI, Question 6 THE CHILDREN'S MEMORIAL MEDICAL CENTER ("CMMC") IS THE ORGANIZATION'S SOLE CORPORATE MEMBER. Description of Classes of Persons and the Nature of Their Rights Form 990, Part VI, Question 7a THE ORGANIZATION'S SOLE CORPORATE MEMBER, THE CHILDREN'S MEMORIAL 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 CHILDREN'S MEMORIAL MEDICAL CENTER, THROUGH ITS BOARD OF DIRECTORS OR DESIGNATED COMMITTEE, AS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, HAS CERTAIN RESERVE 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 PUBLIC DISCLOSURE COPY OF THE ORGANIZATION'S FISCAL YEAR 2011 TAX RETURN ("FORM 990") WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S AUDIT COMMITTEE (OF THE BOARD) BEFORE A REGULARLY SCHEDULED AUDIT COMMITTEE MEETING AND BEFORE THE FORM 990 WAS FILED. THE AUDIT COMMITTEE IS THE COMMITTEE OF THE ORGANIZATION CHARGED WITH OVERSIGHT OF AUDIT AND TAX MATTERS. THE AUDIT COMMITTEE WAS PROVIDED A DETAILED OVERVIEW OF THE FORM 990 BY THE CHIEF FINANCIAL OFFICER ("CFO") AND THE ORGANIZATION'S DIRECTOR OF TAX COMPLIANCE. THE CFO AND DIRECTOR OF TAX COMPLIANCE ALSO RESPONDED TO THE AUDIT COMMITTEE MEMBERS' QUESTIONS AND AFFORDED THE OPPORTUNITY FOR DETAILED DISCUSSION OF THE FORM 990, PRIOR TO THE AUDIT COMMITTEE TAKING ACTION TO APPROVE THE FILING OF THE FORM 990. AS PART OF ITS TAX PREPARATION PROCESS, THE ORGANIZATION ON AN ONGOING BASIS CONSULTED ITS TAX CONSULTING FIRM AND OUTSIDE TAX LEGAL COUNSEL, BOTH OF WHICH POSSESS EXPERTISE IN HEALTH CARE AND TAX-EXEMPT RETURN PREPARATION, TO ADVISE AND ASSIST IN THE PREPARATION OF FORM 990. THESE ADVISORS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE AND INTERNAL LEGAL PERSONNEL AND OTHER MEMBERS OF THE ORGANIZATION'S TEAM ASSEMBLED TO PARTICIPATE IN THE PREPARATION OF THE FORM 990. PRIOR TO PRESENTING THE FORM 990 TO THE BOARD'S AUDIT COMMITTEE, THE ORGANIZATION'S TEAM, INCLUDING ITS ADVISORS, MET FREQUENTLY TO DISCUSS AND REVIEW DRAFTS OF THE FORM.
Description of Process to Monitor Transactions for Conflicts of InterestForm 990, Part VI, Question 12cON AN ANNUAL BASIS, THE CHILDREN'S MEMORIAL MEDICAL CENTER AND ITS AFFILIATES ("CMMC") PROVIDE A COMPREHENSIVE QUESTIONNAIRE TO ITS BOARD MEMBERS, SENIOR MANAGEMENT AND PURCHASING PERSONNEL POSING QUESTIONS ABOUT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. CMMC INITIATES FOLLOW UP CONTACT TO THOSE WHO DO NOT RESPOND AND TO CLARIFY RESPONSES, WHERE NECESSARY. CMMC 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 Children's Memorial 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, Question 15a & 15bThe authority to review and approve executive compensation has been delegated to the Governance Committee of the Children's Memorial 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 Children's Memorial Medical Center and The Children's Memorial Hospital 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.
AVG. HOURS WORKED FOR RELATED ORGANIZATIONSFORM 990, PART VII, SECTION A, LINE 1ATHE FOLLOWING INDIVIDUALS ARE EMPLOYEES OF THE CHILDREN'S MEMORIAL HOSPITAL 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 THOMAS SULLIVAN DONNA S. WETZLER SHERWOOD D. ZELLERMAYER THE FOLLOWING INDIVIDUAL IS AN EMPLOYEE OF THE CHILDREN'S MEMORIAL MEDICAL CENTER AND GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 10 HOURS OF HIS REGULAR WORK WEEK IS SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS: JAMES DONALDSON, MD 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 OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 5 Net unrealized gains on investments 84,841,236 Grants released from restrictions 1,910,282 Other (restricted) 222,653 Pension adjustment 14,000,336 Founders' Board Activities 311,764 Change in fair value of perpetual trusts 2,423,336 ---------- 103,709,607
Tax-exempt Bonds Description of PurposeForm 990 Schedule K Part IBond 1: Illinois Finance Authority Revenue Bonds, Series 2008 A/B, The Children's Memorial Hospital (borrower) The proceeds of the sale of the series 2008 A/B bonds will be used to (i) Pay or reimburse the borrower for the payment of a portion of the costs of acquiring, constructing and equipping the Ann & Robert H. Lurie Children's Hospital of Chicago ("Lurie children's"), (ii) pay a portion of the interest on the series 2008 A/B bonds during the period of construction of Lurie Children's, (iii) fund a debt service reserve fund for the series 2008 B bonds, and (iv) pay certain expenses incurred in connection with the issuance of the series 2008 A/B bonds. Bond 2: Illinois Finance Authority Revenue Bonds, Series 2008 C/D The Children's Memorial Hospital (borrower) The borrower utilized the proceeds of the series 2008 C/D bonds to (i) refund the outstanding principal amount of the series 1999 B-1 bonds (issued: 9/1/99), 1999 B-2 bonds (issued: 9/1/99), 2003 A bonds (issued: 11/18/03), 2003 B bonds (issued: 11/18/03) and 2004 bonds (issued: 4/14/04) and, (ii) pay certain expenses incurred in connection with the issuance of the series 2008 C/D bonds. Form 990 Schedule K Part I Line 3 Bond 1: The amount of $383,717,102 reported in Part I Line 3, includes total issue proceeds of $377,043,130 and investment income of $6,673,972. Bond 2: The amount of $173,514,604 reported in Part I Line 3, includes total issue proceeds of $173,513,033 and investment income of $1,571. Form 990 Schedule K Part II Line 9 Working capital expenditure includes monies remaining from the initial allocation of bonds towards bond issuance costs (and placed in the Expense Funds) that were then transferred per the requirements of the bond documents and used towards interest payments.

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/BusinessNameLine1
The Children's Memorial Research Center
2300 Childrens PlazaChicagoIL60614363357005RESEARCHIL501(c)(3)4CMMC
The Children's Memorial Foundation
2300 Childrens PlazaChicagoIL60614363357006FUNDRAISINGIL501(c)(3)7CMMC
The Children's Memorial Medical Center
2300 Childrens PlazaChicagoIL60614363357004HEALTH CAREIL501(c)(3)11 III-FINA
Pediatric Faculty Foundation Inc
2300 Childrens PlazaChicagoIL60614363279680HLTH CRE/RSCHIL501(c)(3)11 III-FICMMC
CMH Self Insurance Foundation
2300 Childrens PlazaChicagoIL60614366638400INSURANCEIL501(c)(3)11 III-FICMMC
MCGAW MEDICAL CTR OF NORTHWESTERN UNIV
645 NORTH MICHIGAN AVE 1058CHICAGOIL60611362656113SUPPORTNG ORGIL501(C)(3)11 III-FINA

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 Line12300 Childrens PlazaAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60614ZIPCode
FieldValueIRS element (for citing)
EIN000000000EIN
Primary ActivitySELF INSURANCEPrimaryActivity
Legal Domicile Foreign CountryCJLegalDomicileForeignCountry

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCORPORATIONTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
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 OrgstrueRentalOfFacilitiesToOtherOrgs
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 OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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