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

View the entire original 990 at ProPublica ↗

Organization
ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO FOUNDATION (EIN 36-3357006)
Tax period
2010-09-01 to 2011-08-31
Filed
2012-06-08
IRS object ID
201221609349300502
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

FieldValueIRS element (for citing)
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)
EIN363357006EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1The Children's Memorial FoundationBusinessNameLine1
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 PersonThomas J SullivanNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12300 CHILDRENS PLAZA BOX 268AddressLine1
CityCHICAGOCity
StateILState
ZIP Code606143394ZIPCode
FieldValueIRS element (for citing)
Gross Receipts27169291GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHILDRENSMEMORIAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTO OPTIMIZE PHILANTHROPY IN SUPPORT OF THE MISSION AND FUTURE OF THE CHILDREN'S MEMORIAL MEDICAL CENTER.ActivityOrMissionDescription
Nbr Voting Members Governing Body149NbrVotingMembersGoverningBody
Nbr Independent Voting Members140NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI29665TotalGrossUBI
Net Unrelated Business Txbl Income14550NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year21014536ContributionsGrantsPriorYear
Contributions Grants Current Year24846108ContributionsGrantsCurrentYear
Program Service Revenue Prior Year257923ProgramServiceRevenuePriorYear
Program Service Revenue CY341433ProgramServiceRevenueCY
Investment Income Prior Year-139213InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year504565OtherRevenuePriorYear
Other Revenue Current Year-398757OtherRevenueCurrentYear
Total Revenue Prior Year21637811TotalRevenuePriorYear
Total Revenue Current Year24788784TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year7747247GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY12309466GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7616252SalariesEtcPriorYear
Salaries Etc Current Year8021458SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year782048TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY594513TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year12377571TotalFundrsngExpCurrentYear
Other Expense Prior Year4567426OtherExpensePriorYear
Other Expenses Current Year3761600OtherExpensesCurrentYear
Total Expenses Prior Year20712973TotalExpensesPriorYear
Total Expenses Current Year24687037TotalExpensesCurrentYear
Revenues Less Expenses Prior Year924838RevenuesLessExpensesPriorYear
Revenues Less Expenses CY101747RevenuesLessExpensesCY
Total Assets BOY1364292TotalAssetsBOY
Total Assets EOY712527TotalAssetsEOY
Total Liabilities BOY2468917TotalLiabilitiesBOY
Total Liabilities EOY2174081TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1104625NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-1461554NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO OPTIMIZE PHILANTHROPY IN SUPPORT OF THE MISSION AND FUTURE OF THE CHILDREN'S MEMORIAL MEDICAL CENTER.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense12309466Expense
Grants12309466Grants
Revenue311768Revenue
DescriptionThe Children's Memorial Foundation ("CMF"), an Illinois not for profit corporation and an organization described under Section 501(c)(3) of the Code, is responsible for fundraising for the Parent, Children's Memorial Medical Center ("CMMC")(FEIN 36-3357004), CMF's sole corporate member, and CMMC's affiliated tax-exempt organizations. Gifts received by CMF are available for distribution to The Children's Memorial Hospital ("CMH"), Children's Memorial Research Center, and to the other tax-exempt affiliates of CMMC, as appropriate, or as may be designated by the donor. CMF seeks to secure the financial resources CMH and its affiliates need to remain a leader in pediatric health care, research, education and advocacy. CMF's fundraising activities include programs to develop major gifts, leadership gifts, planned giving and annual gifts. CMF receives fundraising support from more than 25 fundraising organizations and an active team of volunteers to cultivate and secure contributions that advance the mission of CMH and its affiliates. These organizations devote fundraising efforts entirely or in part to CMH and its affiliates. Fundraising appeals by such organizations are coordinated with CMF's fundraising activities in order to avoid conflicting solicitations and to focus support on identified priorities. In addition to the fundraising efforts described above, in connection with the decision to construct a new state-of-the-art hospital, the Boards of Directors of CMMC and CMH unanimously resolved that CMH, through CMF, undertake a comprehensive fundraising campaign for construction of a new hospital and to support medical research and other programs critical to CMH's mission. It is because of this substantial capital campaign that CMF's historically modest fundraising expenses have increased accordingly.Description
Total Program Service Expense12309466TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingtrueGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss 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 With109630NumberFormsTransmittedWith1096
Number W2 G Included14NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members149NbrVotingGoverningBodyMembers
Number Independent Voting Members140NumberIndependentVotingMembers
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 Code606143394ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (168 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Randolph T Abrahams
Director1.0X000
Janette Acton
Ex-Officio Director1.0X000
Sarah Baine
Ex-Officio Director1.0X000
Emily L Barr
Director1.0X000
Glenn Basgall
Ex-Officio Director1.0X000
Robert R Bellick
Director1.0X000
Irwin Benuck MD
Director1.0X000
Meredith Bluhm-Wolf
Director1.0X000
Michael Borkowski
Director1.0X000
Jill Brennan
Director1.0X000
Suzanne M Burns
Director1.0X000
John J Buttita
Director1.0X000
Michael S Canmann
Director1.0X000
Alan Chapman
Director1.0X000
Mohini Chopra
Director1.0X000
Mrs Charles F Clarke Jr
Director1.0X000
James M Clary
Director1.0X000
Thomas Coleman Jr
Director1.0X000
John D Cooney
Director1.0X000
Adam C Cooper
Director1.0X000
Lester Crown
Vice Chair/Director1.0X000
Paula H Crown
Vice Chair/Director1.0X000
Thomas P Danis Jr
Director1.0X000
Susan B DePree
Director1.0X000
Maureen C DeRose
Director1.0X000
Labeed Diab
Director1.0X000
John O Doerge Jr
Director1.0X000
Holly K Duran
Director1.0X000
Scott Eisen
Director1.0X000
JoAnn Eisenberg PhD
Ex-Officio Director1.0X000
Leon G Epstein MD
Director1.0X033088824500
Eleanor Evangelides
Director1.0X000
Tyrone C Fahner
Director1.0X000
Lesli Falk
Director1.0X000
Robert Feldgreber
Ex-Officio Director1.0X000
John D Fern
Director1.0X000
Walter C Florence
Director1.0X000
Theodore D Foxman
Director1.0X000
Alan Freeman
Director1.0X000
Ruth Geller
Director1.0X000
Catherine H Gledhill
Director1.0X000
Michael P Goldman
Director1.0X000
Sabrina P Gracias
Director1.0X000
James A Gray
Director1.0X000
Mathew Gray
Director1.0X000
Melvin Gray
Director1.0X000
Lisa Naparstek Green
Director1.0X000
Thomas P Green MD
Ex-Officio Director1.0X065369155432
John J Greisch
Director1.0X000
David D Grumhaus Jr
Director1.0X000
Thomas D Grusecki
Director1.0X000
Steven C Hall MD
Director1.0X000
Todd Hamilton
Director1.0X000
John A Hatherly
Director1.0X000
Robert W Hauswirth
Director1.0X000
Richard A Heise Jr
Director1.0X000
Mary JC Hendrix PhD
EX-OFF DIR W/VOTE PRES/SCI OFF1.0X060293344526
Daniel J Hennessy
Chair/Director4.0X000
Elizabeth B Herrington
Director1.0X000
David G Herro
Director1.0X000
Vicki S Heyman
Director1.0X000
Jeniece Higgins
Ex-Officio Director1.0X000
Gary E Holdren
Director1.0X000
Lauren Holinger MD
Director1.0X000
Diane C Holmes MD
Director1.0X000
Robert D Horne
Director1.0X000
Julie M Howard
Director1.0X000
Timothy M Hurd
Director1.0X000
Keith W Jaffee
Director1.0X000
Charles H James III
Director1.0X000
Brian E Johnson
Director1.0X000
Kirk B Johnson
Director1.0X000
Jennifer Just
Director1.0X000
Malcolm S Kamin
Director1.0X000
William K Kane
Director1.0X000
Bennett A Kaye MD
Ex-Officio Director1.0X000
Edward T Kennedy
Director1.0X000
Anthony K Kesman
Director1.0X000
Michael B Klein
Director1.0X000
Kurt F Kohlmeyer
Director1.0X000
Thomas J Kotel
Director1.0X000
Michael B Kraines
Director1.0X000
James A Kuehnle Jr
Director1.0X000
Ross S Laser
Director1.0X000
Zachary D Lazar Jr
Director1.0X000
Eric P Lefkofsky
Director1.0X000
Lyle Logan
Director1.0X000
G Anthony Lorenz
Director1.0X000
Daniel TW Lum MD
Director1.0X000
Patrick M Magoon
Ex-Officio Dir/CEO,CMH/CMMC1.0X01275634598066
Mitchell J Manassa
Director1.0X000
John F Manley
Director1.0X000
Peter J Marino
Director1.0X000
Stanley F Martin
Director1.0X000
Roxanne M Martino
Director1.0X000
Peter D McDonald
Director1.0X000
David McHugh
Ex-Officio Director1.0X000
William J McKenna
Director1.0X000
David G McLone MD
Director1.0X000
Louise C Mills
Director1.0X000
Steven H Mogul
Director1.0X000
Mimi Murley
Director1.0X000
Robert S Murley
Vice Chair/Director1.0X000
James C Murray
Director1.0X000
Satish Nandapurkar
Director1.0X000
Thomas J Nathan
Director1.0X000
Brian L Newman
Director1.0X000
Leslie H Newman
Ex-Officio Director1.0X000
Joseph P Nolan
Director1.0X000
Susan B Noyes
Director1.0X000
Edward Ogata MD
Ex-Officio Dir/CMO, CMH1.0X0228243444336
Sean O'Scannlain
Director1.0X000
Michelle Parekh
Director1.0X000
Peer Pedersen
Director1.0X000
Mrs Ellard Pfaelzer
Director1.0X000
Orren Pickell
Director1.0X000
Mark L Prager
Director1.0X000
Seth A Prostic
Director1.0X000
David P Purcell
Director1.0X000
Maureen M Raihle
Director1.0X000
Craig E Randall
Director1.0X000
Michael A Reinsdorf
Director1.0X000
J Christopher Reyes
Ex-Officio Director8.0X000
Marleta Reynolds MD
Ex-Officio Director1.0X000
Ellen S Robbins
Director1.0X000
Lynn Rosinsky
Director1.0X000
Nancy Rodkin Rotering
Director1.0X000
William J Ryan
Director1.0X000
Gregory H Sachs
Director1.0X000
Scott Sagerman MD
Director1.0X000
Hilary Sallerson
Ex-Officio Director1.0X000
Robert E Sarazen
Director1.0X000
Joseph F Scoby
Director1.0X000
Peter K Shagory
Director1.0X000
Joseph W Shenton Jr
Director1.0X000
Derry Shoemaker
Vice Chair/Director1.0X000
John S Smith
Director1.0X000
Molly South
Director1.0X000
Thomas Stat
Director1.0X000
W Rick Stearns
Director1.0X000
Robin H Steinhorn MD
Director PFF/MD1.0X044077527561
Gary C Stephans
Director1.0X000
Lisbeth C Stiffel
Director1.0X000
Daniel P Sullivan
Director1.0X000
Thomas J Sullivan
President/Ex-Offico Director1.0X052468777387X
Roslynne Supera
Director1.0X000
Richard Tannenbaum
Director1.0X000
Mark Taylor
Director1.0X000
Roger R Taylor
Director1.0X000
T Sands Thompson
Director1.0X000
Todd W Tillemans
Director1.0X000
Edward S Traisman MD
Ex-Officio Director1.0X000
Monsignor Kenneth Velo
Director1.0X000
Kenneth A Viellieu
Director1.0X000
John S Vishneski III
Director1.0X000
Edward Wanandi
Director1.0X000
Edward J Wehmer
Director1.0X000
Kevin W Willer
Director1.0X000
Donald R Wilson Jr
Director1.0X000
Robert J Winter Jr
Director1.0X000
Linda S Wolf
Director1.0X000
Don Yannias
Director1.0X000
Ms Jia Zhao
Director1.0X000
John D Ziegelman
Director1.0X000
Alice G Archabal
Vice President Development,CMF1.0024996233975X
Paula M Noble
CFO/Treasurer/CMMC&Affiliates1.00517921139612X
Donna S Wetzler
Gen Cnsl&Corp Sec/CMMC&Afflts1.0038928496604X
Sherwood D Zellermayer
Chief Communications Officer1.0026067628154X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs7528885TotalReportableCompFrmRltdOrgs
Total Other Compensation1170153TotalOtherCompensation
Number Individuals GT100 K11NumberIndividualsGT100K
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
AMI Marketing
350 S Northwest Hwy STE 300PARK RIDGEIL60068CONSULTING870614
AgencyEA
311 W Walton StreetCHICAGOIL60610MARKETING545969
CHILDREN'S MIRACLE NETWORK
205 WEST 700 SOUTHSALT LAKE CITYUT84101FUNDRAISING498566
Manifest Solutions LLC
600 W Chicago Ave Ste 290CHICAGOIL60610Consulting455950
TELECOMP INC
3375 BRIGHTON HENRETTA TOWNLINE RDROCHESTERNY14623TELEPHONE SOLICITING400387
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Fundraising Events7276707FundraisingEvents
All Other Contributions17569401AllOtherContributions
Noncash Contributions164184NoncashContributions
Total Contributions24846108TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
Descriptionfounders' board activitiesDescription
Business Code900099BusinessCode
Total Revenue Column341433TotalRevenueColumn
Related Or Exempt Function Income311768RelatedOrExemptFunctionIncome
Unrelated Business Revenue29665UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue341433TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events1324519GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events7276707CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses2082508FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-757989TotalRevenueColumn
Exclusion-$757,989ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming657231GrossIncomeGaming
Gaming Direct Expenses297999GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column359232TotalRevenueColumn
Exclusion$359,232ExclusionAmount

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 Column24788784TotalRevenueColumn
Related Or Exempt Function Income311768RelatedOrExemptFunctionIncome
Unrelated Business Revenue29665UnrelatedBusinessRevenue
Exclusion-$398,757ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total12309466Total
Program Services12309466ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6532164Total
Fundraising6532164Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total348192Total
Fundraising348192Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total745826Total
Fundraising745826Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total395276Total
Fundraising395276Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total594513Total
Fundraising594513Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total395689Total
Fundraising395689Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total381231Total
Fundraising381231Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1131753Total
Fundraising1131753Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total408295Total
Fundraising408295Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total41302Total
Fundraising41302Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total74745Total
Fundraising74745Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total9625Total
Fundraising9625Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total362927Total
Fundraising362927Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalFundraisingFundraising
DUES AND LICENSES492962492962
EVENTS139879139879
ENTERTAINMENT110107110107
FUNDRAISING5100051000
EDUCATION39183918

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total158167Total
Fundraising158167Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total24687037Total
Program Services12309466ProgramServices
Management And General0ManagementAndGeneral
Fundraising12377571Fundraising

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY711686BOY
EOY422848EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2372647LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2082968LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY652606BOY
EOY289679EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1364292BOY
EOY712527EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2468917BOY
EOY2174081EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2468917BOY
EOY2174081EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1104625BOY
EOY-1461554EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1104625BOY
EOY-1461554EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1364292BOY
EOY712527EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses101747ReconcilationRevenueExpenses
Reconcilation Other Changes-458676ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years126239780CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years51640114CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28663831CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21014536CurrentTaxYearMinus1Year
Current Tax Year27173904CurrentTaxYear
Total254732165Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years126239780CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years51640114CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28663831CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21014536CurrentTaxYearMinus1Year
Current Tax Year27173904CurrentTaxYear
Total254732165Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total15009543AmountsSubstContributorsTotal
Public Support Total170239722622PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3989552CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5209946CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total9199498Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3123CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years110224CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total113347Total
FieldValueIRS element (for citing)
Total Support264045010TotalSupport
Gross Receipts From Admissions Etc11267817GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.90789PublicSupportPertcentage170
Public Support Pertcent Prior Year0.84120PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

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

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2372647OtherCostOrOtherBasis
Depreciation2082968Depreciation
Book Value289679BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings289679TotalOfBookValueLandBuildings

Schedule G IRS990ScheduleG

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

Fundraiser Activity Information FundraiserActivityInformation (4 entries)

Name Of IndividualNameOfIndividualActivityActivityFundraiser Control Of FundsFundraiserControlOfFundsGross ReceiptsGrossReceiptsAmount Retained By ContractorAmountRetainedByContractorNet To OrganizationNetToOrganization
RuffaloCODYTele- Marketingfalse062396-62396
Thompson AssociatesSee Part IVfalse066000-66000
ArtsMarketing ServicesSee Part IVfalse047063-47063
AMI Marketingdirect mail consultantfalse765013419054345959
FieldValueIRS element (for citing)
Total Gross Receipts765013TotalGrossReceipts
Total Retained By Contractors594513TotalRetainedByContractors
Total Net To Organization170500TotalNetToOrganization
Licensed StatesILLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1E & K RadiothonNameOfEvent1
Gross Receipts Event11425280GrossReceiptsEvent1
Charitable Contributions Event11425280CharitableContributionsEvent1
Gross Revenue Event10GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event10NonCashPrizesEvent1
Rent Facility Costs Event10RentFacilityCostsEvent1
Food And Beverage Event1750FoodAndBeverageEvent1
Entertainment Event12348EntertainmentEvent1
Other Direct Expenses Event125556OtherDirectExpensesEvent1
Name Of Event2Golf eventNameOfEvent2
Gross Receipts Event21205068GrossReceiptsEvent2
Charitable Contributions Event21005443CharitableContributionsEvent2
Gross Revenue Event2199625GrossRevenueEvent2
Cash Prizes Event20CashPrizesEvent2
Non Cash Prizes Event20NonCashPrizesEvent2
Rent Facility Costs Event259942RentFacilityCostsEvent2
Food And Beverage Event230773FoodAndBeverageEvent2
Entertainment Event292527EntertainmentEvent2
Other Direct Expenses Event266553OtherDirectExpensesEvent2
Total Number Of Other Events220TotalNumberOfOtherEvents
Gross Receipts Other Events5970878GrossReceiptsOtherEvents
Charitable Contrib Other Events4845984CharitableContribOtherEvents
Gross Revenue Other Events1124894GrossRevenueOtherEvents
Cash Prizes Other Events0CashPrizesOtherEvents
Non Cash Prizes Other Events0NonCashPrizesOtherEvents
Rent Facility Costs Other Events0RentFacilityCostsOtherEvents
Food And Beverage Other Events0FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Other Direct Expenses Other Events1804059OtherDirectExpensesOtherEvents
Gross Receipts Total8601226GrossReceiptsTotal
Charitable Contributions Total7276707CharitableContributionsTotal
Gross Revenue Total Events1324519GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events0NonCashPrizesTotalEvents
Rent Facility Costs Total Events59942RentFacilityCostsTotalEvents
Food And Beverage Total Events31523FoodAndBeverageTotalEvents
Entertainment Total Events94875EntertainmentTotalEvents
Other Direct Expenses Total Events1896168OtherDirectExpensesTotalEvents
Direct Expense Summary Events2082508DirectExpenseSummaryEvents
Net Income Summary-757989NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming657231GrossRevenueOtherGaming
Cash Prizes Other Gaming240000CashPrizesOtherGaming
Non Cash Prizes Other Gaming19001NonCashPrizesOtherGaming
Rent Facility Costs Other Gaming0RentFacilityCostsOtherGaming
Other Direct Expenses Other Gaming38998OtherDirectExpensesOtherGaming
Volunteer Labor Other GamingfalseVolunteerLaborOtherGaming
Gross Revenue Total Gaming657231GrossRevenueTotalGaming
Cash Prizes Total Gaming240000CashPrizesTotalGaming
Non Cash Prizes Total Gaming19001NonCashPrizesTotalGaming
Rent Facility Costs Total Gaming0RentFacilityCostsTotalGaming
Other Direct Expenses Total Gaming38998OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming297999DirectExpenseSummaryGaming
Net Gaming Income Summary359232NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedILStatesWhereGamingConducted
LicensedtrueLicensed
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmembersfalseGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Own Facility0.00000PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper PersonALICE ARCHABAL CO CHILDREN'S MEMONameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line12300 CHILDRENS PLAZAAddressLine1
CityChicagoCity
StateILState
ZIP Code60614ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev
Gaming Manager Name PersonAlice ArchabalGamingManagerNamePerson
Gaming Manager Compensation0GamingManagerCompensation
Gaming Manager Services ProvidedVP of DevelopmentGamingManagerServicesProvided
Gaming Manager Is Director OfficerXGamingManagerIsDirectorOfficer
Charitable Distrib RequiredfalseCharitableDistribRequired

Form990 Schedule G Part IV Form990ScheduleGPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Professional Fundraising ActivitiesPart I, Line 2b, Column (ii)Thompson & Associates provides deferred-giving consulting services to The Children's Memorial Foundation. ArtsMarketing Services provides planned giving telemarketing services to The Children's Memorial Foundation.
Explanation of Direct Mail - Professional FundraisingCMF paid a flat fee of $419,054 to AMI Marketing to provide direct mail packages and design services. Additional expenses for printing, postage and paper related to the direct mailing totaling $717,797 were paid by CMF. CMF received $765,013 in contributions as a result of the direct mailing event which is reported in Statement of Revenue (Part VIII, Line 1f).

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Children's Memorial Hospital
2300 Childrens PlazaChicagoIL60614362170833501(c)(3)7277511Restricted funds from fundraising
Children's Memorial Hospital
2300 Childrens PlazaChicagoIL60614362170833501(c)(3)5031955Net asset transfer
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule IIdentifier
Return ReferenceDescription of Organization's Procedures for Monitoring the Use of GrantsReturnReference
ExplanationCMF Finance Management reviews all philanthropic funds on a regular basis. Financial fund management reports are generated monthly and distributed electronically to all Fund Administrators and Directors for review. Fund Accountants work with Administrators and Directors regularly to monitor activity, to ensure compliance with donor intent, and to review appropriateness of expenditures against budgetary guidelines and donor direction.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Leon G Epstein MD
0303087027009079202450000035538800
Thomas P Green MD
046349101894080792024500030932070912300
Mary JC Hendrix PhD
045530701471100516024500020026064745900
Patrick M Magoon
065296605871460355220583079014987018737000137833
Edward Ogata MD
04171870213082016521650196470246890232677001216586
Robin H Steinhorn MD
0370499070000027602450003061046833600
Thomas J Sullivan
03372580173649013780051801025586060207400
Alice G Archabal
019209104960308268010330023645028393700
Paula M Noble
03428460173529015460125105014507065753300
Donna S Wetzler
0256438013115901687080490016114048588800
Sherwood D Zellermayer
018448507509801093015011013143028883000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental Compensation InformationIdentifier
Return ReferenceSchedule J, Part I, Line 3ReturnReference
ExplanationPursuant to the bylaws of 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 an independent compensation consultant and information from a variety of sources, such as compensation surveys, the governance committee confirmed the total amounts to be paid were reasonable and comparable to amounts paid by similarly situated organizations. Outside legal counsel also serves an integral role in advising the Governance Committee with respect to federal tax requirements in setting compensation and the establishment of the rebuttable presumption of reasonableness 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 have an amount included in Schedule J, Part II, Column (C) for an amount accrued but not vested under a supplemental executive retirement plan ("SERP"): Patrick M. Magoon $448,147 Paula M. Noble $105,908 Donna S. 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. 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. Leon G. Epstein, MD Thomas P. Green, MD Mary J.C. Hendrix, PhD The following individuals are not compensated by the reporting organization for his or her service as a director or officer. Rather, the compensation reported on Form 990, Part VII and on Schedule J, Part II reflects compensation paid by The Children's Memorial Hospital 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 Hospital, EIN 36-2170833. Alice G. Archabal Patrick M. Magoon Paula M. Noble Edward Ogata, MD Thomas J. Sullivan Donna S. Wetzler Sherwood D. ZellermayerExplanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonNorthern TrustNamePerson
FieldValueIRS element (for citing)
RelationshipLogan is an officerRelationship
Amount Of Transaction158470AmountOfTransaction
Description Of TransactionBANKING SERVICESDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

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 Contributions10NumberOfContributions
Noncash Contribs Rptd F990164184NoncashContribsRptdF990
Method Of Determining RevenuesMarketMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedtrueThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ALLOCATION OF SALARY EXPENSESFORM 990, PART V, QUESTION 2THE CHILDREN'S MEMORIAL HOSPITAL PAYS AND ISSUES FORMS W-2 TO EMPLOYEES WHO WORK FOR THE CHILDREN'S MEMORIAL FOUNDATION. THE ALLOCATION OF THE SALARY COSTS ARE DISCLOSED ON FORM 990, PART IX, STATEMENT OF FUNCTIONAL EXPENSES. Description of Relationships Form 990, Part VI, Question 2 *Lester Crown and Paula H. Crown have a business relationship with Michael S. Canmann. *Lester Crown has a family relationship with Paula H. Crown. *Edward S. Traisman, MD has a business relationship with Irwin Benuck, MD. *Richard A. Heise Jr. has a business relationship with Eric P. Lefkofsky. *Edward J. Wehmer has a business relationship with Charles H. James III. *Matthew Gray has a family relationship with James A. Gray. *Anthony K. Kesman has a business relationship with Daniel J. Hennessy. *Linda S. Wolf, Eric P. Lefkofsky and Richard A. Heise Jr. have a business relationship.
Description of Classes of Members or StockholdersForm 990, Part VI, Question 6THE CHILDREN'S MEMORIAL MEDICAL CENTER ("CMMC") IS THE ORGANIZATION'S SOLE CORPORATE MEMBER.
Description of Classes of Persons and the Nature of Their RightsForm 990, Part VI, Question 7aTHE ORGANIZATION'S SOLE CORPORATE MEMBER, THE 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 RESERVED POWERS WITH RESPECT TO APPOINTMENT AND REMOVAL OF DIRECTORS, APPOINTMENT OF CERTAIN OFFICERS, APPROVAL OF AMENDMENTS TO GOVERNING DOCUMENTS, APPROVAL OF FINANCIAL MATTERS, AND APPROVAL OF SIGNIFICANT TRANSACTIONS INCLUDING, BUT NOT LIMITED TO, MERGER, DISSOLUTION, DISPOSITION OF ASSETS OTHER THAN IN THE ORDINARY COURSE OF BUSINESS, AND CREATION OF SUBSIDIARIES.
Describe the Process used by Management &/or Governing Body to Review 990Form 990, Part VI, Question 11BA PUBLIC DISCLOSURE COPY OF THE ORGANIZATION'S FISCAL YEAR 2011 FORM 990 WAS PROVIDED TO EACH MEMBER OF THE CHILDREN'S MEMORIAL MEDICAL CENTER AND THE CHILDREN'S MEMORIAL HOSPITAL ("CMMC/CMH") AUDIT COMMITTEE (OF THE BOARD). THE AUDIT COMMITTEE IS THE COMMITTEE OF THE PARENT ORGANIZATION (CMMC) CHARGED WITH THE OVERSIGHT OF AUDIT AND TAX MATTERS FOR THE PARENT AND AFFILIATES. DURING A SPECIAL AUDIT COMMITTEE MEETING, AND BEFORE THE FORM 990 WAS FILED, THE AUDIT COMMITTEE WAS PROVIDED A DETAILED REVIEW 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 ANNUAL RETURN 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 THE 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") SUBMIT A COMPREHENSIVE QUESTIONNAIRE TO BOARD MEMBERS, SENIOR MANAGEMENT AND PURCHASING PERSONNEL REQUIRING DISCLOSURE OF ALL INTERESTS THAT COULD GIVE RISE TO ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. CMMC INITIATES FOLLOW UP CONTACT WITH 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, Questions 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 and the other senior managers. The compensation philosophy is subject to periodic review for continued appropriateness by the Governance Committee. With the assistance of an independent compensation consultant and information from a variety of sources, such as compensation surveys, the governance committee confirmed the total amounts to be paid were reasonable and comparable to amounts paid by similarly situated organizations. Outside legal counsel also serves an integral role in advising the Governance Committee with respect to federal tax requirements in setting compensation and the establishment of the rebuttable presumption of reasonableness. The process followed by the Governance Committee, including a description of the data relied upon and the Governance Committee's decisions, was thoroughly and contemporaneously documented. The Governance Committee has expressly reviewed the reasonableness of all such payments, and has concluded, as the result of a process that is designed to qualify for the rebuttable presumption of reasonableness under federal tax law, that all such amounts are reasonable and do not exceed fair market value for the services rendered. The Governance Committee was comprised of members of The 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.
AVERAGE HOURS WORKED FOR RELATED ORGANIZATIONSFORM 990, QUESTION VIITHE 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 DONNA S. WETZLER THE FOLLOWING INDIVIDUALS, THOMAS J. SULLIVAN, SHERWOOD D. ZELLERMAYER AND ALICE G. ARCHABAL, WORK 40 HOURS A WEEK AND ARE EMPLOYED BY CMH. MOST OF THEIR TIME IS DEVOTED TO THE FOUNDATION. THE FOLLOWING INDIVIDUALS ARE EMPLOYEES OF PEDIATRIC FACULTY FOUNDATION, INC. AND GENERALLY WORK 40 HOURS PER WEEK. APPROXIMATELY 2 HOURS OF ADDITIONAL TIME EACH WEEK IS SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS: THOMAS P. GREEN, MD MARY J.C. HENDRIX, PHD ROBIN H. STEINHORN, MD LEON G. EPSTEIN, MD OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 5 FOUNDERS' BOARD ACTIVITIES 311,768 PRIOR PERIOD ADJUSTMENTS 117,243 ------- 429,011

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 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 MEDICAL CENTER
2300 CHILDRENS PLAZACHICAGOIL60614363357004HEALTH CAREIL501(c)(3)11 III-FINA
THE CHILDREN'S MEMORIAL HOSPITAL
2300 CHILDRENS PLAZACHICAGOIL60614362170833HOSPITALIL501(c)(3)3CMMC
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

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 OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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