CHILDRENS HOSPITAL OF CHICAGO MEDICAL CENTER: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS HOSPITAL OF CHICAGO MEDICAL CENTER (EIN 36-3357004)
- Tax period
- 2009-09-01 to 2010-08-31
- Filed
- 2011-07-13
- IRS object ID
- 201111949349301016
- Schema version
- 2009v1.7
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-07-13T16:10:19-04:00 | Timestamp |
| Tax Period End Date | 2010-08-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 NORTH WACKER DRIVE | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-09-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363357004 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Children's Memorial Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CHIL | NameControl |
| Phone | 3125734578 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 CHILDRENS PLAZA BOX 268 | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 606143394 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Paula M Noble | Name |
| Title | CFO & Treasurer | Title |
| Date Signed | 2011-07-13 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3128792000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Patrick M Magoon | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 Childrens Plaza Box 268 | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 606143394 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 20098462 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.CHILDRENSMEMORIAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | ESTABLISH, DEVELOP, PROMOTE & CONDUCT EDUCATIONAL PROGRAMS, SCIENTIFIC RESEARCH, HEALTHCARE FACILITIES & OTHER CHARITABLE & EDUCATIONAL ACTIVITIES DEVOTED TO HEALTH & WELFARE SERVICES TO INFANTS & CHILDREN. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 105 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 91 | NbrIndependentVotingMembers |
| Total Nbr Employees | 157 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3594207 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2553621 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 31703971 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 17544841 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 35298178 | TotalRevenuePriorYear |
| Total Revenue Current Year | 20098462 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 26047037 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 13226816 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8906963 | OtherExpensePriorYear |
| Other Expenses Current Year | 4839304 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 34954000 | TotalExpensesPriorYear |
| Total Expenses Current Year | 18066120 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 344178 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2032342 | RevenuesLessExpensesCY |
| Total Assets BOY | 6263464 | TotalAssetsBOY |
| Total Assets EOY | 7523416 | TotalAssetsEOY |
| Total Liabilities BOY | 3596558 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2824168 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2666906 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4699248 | NetAssetsOrFundBalancesEOY |
| Mission Description | SEE SCHEDULE O. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 16480473 | Expense |
| Revenue | 17544841 | Revenue |
| Description | SEE SCHEDULE O. | Description |
| Total Program Service Expense | 16480473 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 157 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 105 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 91 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | PAULA M NOBLE | NamePerson |
| Telephone Number | 3125734578 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 CHILDRENS PLAZA BOX 268 | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 606143394 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (116 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| John J Allen | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| John Amboian Jr | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Sarah Baine | |||||||
| Ex-Official Director w/vote | 1.0 | X | 0 | 0 | 0 | ||
| Stephen W Baird | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| William L Bax | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Peter B Bensinger | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Andrew Berlin | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Barbara L Bowles | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Jill Brennan | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| David Bunning | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Gregory C Case | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| John A Challenger | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Alan Chapman | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Mrs Charles F Clarke Jr | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Kevin M Connelly | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| John D Cooney | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| John M Crocker Jr | |||||||
| Vice-Chair & Director | 1.0 | X | 0 | 0 | 0 | ||
| Lester Crown | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Paula H Crown | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Leticia Peralta Davis | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Susan DePree | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| James DeRose | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| William J Devers Jr | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| John Doerge Jr | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| JAMES DONALDSON MD | |||||||
| Ex-Officio Director w/vote | 40.0 | X | 513368 | 0 | 147902 | ||
| Charles W Douglas | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Dennis J Drescher | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Michael Evangelides | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Tyrone C Fahner | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Diana S Ferguson | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Michael W Ferro Jr | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| David Fox Jr | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| John S Gates Jr | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Laurence S Geller | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Bert A Getz Jr | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| THOMAS P GREEN MD | |||||||
| Ex-Officio Dir/Pres&Chair PFF | 1.0 | X | 0 | 616257 | 52871 | ||
| David D Grumhaus | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Arlington Guenther | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Joseph D Gutman | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Bruce R Hague | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Paul F Hanzlik | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Brett J Hart | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| MARY J C HENDRIX PHD | |||||||
| EX-OFF DIR W/VOTE/PRES/SCI OFF | 1.0 | X | 0 | 548306 | 42809 | ||
| Daniel J Hennessy | |||||||
| Vice Chair & Director | 1.0 | X | 0 | 0 | 0 | ||
| James Hickey | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Gary E Holdren | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Mark Hoppe | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Charles H James III | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| J Larry Jameson MD | |||||||
| Ex-officio Director w/vote | 1.0 | X | 0 | 0 | 0 | ||
| Kirk B Johnson | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| W Bruce Johnson | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Bennett A Kaye MD | |||||||
| Ex-Officio Director w/vote | 1.0 | X | 0 | 0 | 0 | ||
| George D Kennedy | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Anthony K Kesman | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Richard P Kiphart | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Fred L Krehbiel | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Adam A Kriger | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Gerald R Lanz | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Eric Lefkofsky | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Lyle Logan | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Shelley A Longmuir | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| PATRICK M MAGOON | |||||||
| Ex-Officio Dir/CEO, CMH/CMMC | 1.0 | X | 0 | 1148278 | 370308 | X | |
| Mitchell J Manassa | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| John F Manley | |||||||
| Vice Chair & Director | 1.0 | X | 0 | 0 | 0 | ||
| Roxanne Martino | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Peter D McDonald | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Jack L McGinley | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Andrew J McKenna | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| William J McKenna | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| James J McNulty | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Louise C Mills | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Robert S Murley | |||||||
| Vice Chair & Director | 1.0 | X | 0 | 0 | 0 | ||
| Leslie Newman | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| EDWARD OGATA MD | |||||||
| Ex-Officio Director/CMO, CMH | 1.0 | X | 0 | 628431 | 429886 | ||
| Nancy Pacher | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Chaka Patterson | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Peer Pedersen | |||||||
| Vice Chair & Director | 1.0 | X | 0 | 0 | 0 | ||
| ELIZABETH PERLMAN MD | |||||||
| Chair/Dept of Path & Lab Med | 1.0 | X | 457915 | 0 | 92537 | ||
| Lorna S Pfaelzer | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| David C Pisor | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Ashish Prasad | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Gerald D Putnam | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Mohan Rao Phd | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Andrea Redmond | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Susan Regenstein | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Thomas R Reusche | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| J Christopher Reyes | |||||||
| CMMC/CMH Chair | 1.0 | X | 0 | 0 | 0 | ||
| Marleta Reynolds MD | |||||||
| Ex-Officio Director w/vote | 1.0 | X | 0 | 0 | 0 | ||
| Peter C Roberts | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Hilary Sallerson | |||||||
| Ex-Officio Director w/vote | 1.0 | X | 0 | 0 | 0 | ||
| Manuel Sanchez | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Deborah M Sawyer | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Christopher Segal | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| H WILLIAM SCHNAPER MD | |||||||
| Ex Officio Director/PFF MD | 1.0 | X | 0 | 288252 | 47225 | ||
| Mrs Donald Shoemaker | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Stephen A Smith | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Thomas S Souleles | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Stephen T Steers | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Edward S Traisman MD | |||||||
| Ex-Officio Director w/vote | 1.0 | X | 0 | 0 | 0 | ||
| Monsignor Kenneth Velo | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Matthew Walsh | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Edward J Wehmer | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Brian E Williams | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Linda S Wolf | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| James Wooten Jr | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Ms Jia Zhao | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Michelle Collins | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| William Lamar Jr | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| Gary Wolfson | |||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||
| PAULA M NOBLE | |||||||
| CFO/Treasurer/CMMC& Affiliates | 1.0 | 0 | 522636 | 169224 | X | ||
| DONNA S WETZLER | |||||||
| GEN CNSL&CORP SEC/CMMC&AFFLTS | 1.0 | 0 | 384276 | 147900 | X | ||
| FRANCINE M KIM MD | |||||||
| Staff RadiologisT | 40.0 | 382571 | 0 | 33846 | X | ||
| JEFFREY L LOUGHEAD MD | |||||||
| Attending Physician | 40.0 | 376657 | 0 | 44250 | X | ||
| JACKSON T NORMAN | |||||||
| Staff Radiologist | 40.0 | 372654 | 0 | 44818 | X | ||
| CYNTHIA K RIGSBY MD | |||||||
| DIVISION HEAD, BODY IMAGING | 40.0 | 398831 | 0 | 56685 | X | ||
| RICHARD M SHORE MD | |||||||
| Staff Radiologist | 40.0 | 413362 | 0 | 55990 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2915358 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4136436 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1736251 | TotalOtherCompensation |
| Number Individuals GT100 K | 91 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MEDCENTRIX INC | |||||
| 15620 S WOOD ST | HARVEY | IL | 60426 | Billing Services | 981824 |
| WELL CARE NEONATOLOGISTS SC | |||||
| 36W128 SILVER GLEN CT | ST CHARLES | IL | 60175 | Neonatology Phs Serv | 783167 |
| SPRINGFIELD SERVICE CORP | |||||
| 2960 PROFESSIONAL DRIVE | SPRINGFIELD | IL | 62703 | Billing Services | 529493 |
| NORTHWESTERN MEDICAL FACULTY FOUNDA | |||||
| 375 N St Clair | CHICAGO | IL | 60611 | Physician Services | 463100 |
| NORTHSHORE UNIVERSITY | |||||
| 1301 CENTRAL | EVANSTON | IL | 60201 | Neonatology Services | 147519 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Related Organizations | 2553621 | RelatedOrganizations |
| Total Contributions | 2553621 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 622110 | 7629207 | 7629207 |
| Medical Administration and Teaching | 923110 | 3253116 | 3253116 |
| OTHER OPERATING INCOME | 622110 | 1324758 | 1324758 |
| Medicaid | 622110 | 5337760 | 5337760 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 17544841 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 20098462 | TotalRevenueColumn |
| Related Or Exempt Function Income | 17544841 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1211722 | Total |
| Program Services | 1160357 | ProgramServices |
| Management And General | 51365 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9545541 | Total |
| Program Services | 9140903 | ProgramServices |
| Management And General | 404638 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18927 | Total |
| Program Services | 17981 | ProgramServices |
| Management And General | 946 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1915228 | Total |
| Program Services | 1819467 | ProgramServices |
| Management And General | 95761 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 535398 | Total |
| Program Services | 515759 | ProgramServices |
| Management And General | 19639 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15750 | Total |
| Management And General | 15750 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 143004 | Total |
| Program Services | 142985 | ProgramServices |
| Management And General | 19 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57251 | Total |
| Program Services | -349 | ProgramServices |
| Management And General | 57600 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8123 | Total |
| Program Services | 8123 | ProgramServices |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2263 | Total |
| Program Services | 2263 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131285 | Total |
| Program Services | 131285 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2142 | Total |
| Program Services | 2142 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 622848 | Total |
| Program Services | 608498 | ProgramServices |
| Management And General | 14350 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Bad debts | 1126906 | 1126906 | |
| Billing and collection fees | 924679 | 924679 | |
| Patient expenses | 986064 | 986064 | |
| Plan tax | 659617 | 659617 | |
| Dues and licenses | 95617 | 95617 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63755 | Total |
| Program Services | 62855 | ProgramServices |
| Management And General | 900 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18066120 | Total |
| Program Services | 16480473 | ProgramServices |
| Management And General | 1585647 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1528297 | BOY |
| EOY | 6396584 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3064934 | BOY |
| EOY | 561468 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 120000 | BOY |
| EOY | 120000 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1550233 | BOY |
| EOY | 445364 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6263464 | BOY |
| EOY | 7523416 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3596558 | BOY |
| EOY | 2824168 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3596558 | BOY |
| EOY | 2824168 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2666906 | BOY |
| EOY | 4699248 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2666906 | BOY |
| EOY | 4699248 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6263464 | BOY |
| EOY | 7523416 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type3 Func Int | X | SupportingOrg509a3Type3FuncInt |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (4 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| THE CHILDREN'S MEMORIAL HOSPITAL | |||||
| 362170833 | 03 | true | true | true | $16,487,060 |
| THE CHILDREN'S MEMORIAL FOUNDATION | |||||
| 363357006 | 07 | true | true | true | $0 |
| PEDIATRIC FACULTY FOUNDATION | |||||
| 363279680 | 0 | true | true | true | $0 |
| THE CHILDREN'S MEMORIAL RESEARCH CENTER | |||||
| 363357005 | 04 | true | true | true | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 4 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 16487060 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Land | Land | |
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements | |
| Equipment | Equipment | |
| Other Land Buildings | OtherLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM CMMC INSURANCE | 76025 |
| MISCELLANEOUS | 369339 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 445364 | TotalBookValueOtherAssets |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | true | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES DONALDSON MD | |||||||||||||
| 428936 | 0 | 82425 | 0 | 2007 | 0 | 127265 | 0 | 20636 | 0 | 661269 | 0 | 0 | 0 |
| THOMAS P GREEN MD | |||||||||||||
| 0 | 464151 | 0 | 151314 | 0 | 792 | 0 | 24500 | 0 | 28371 | 0 | 669128 | 0 | 0 |
| MARY J C HENDRIX PHD | |||||||||||||
| 0 | 455680 | 0 | 92110 | 0 | 516 | 0 | 24500 | 0 | 18309 | 0 | 591115 | 0 | 0 |
| PATRICK M MAGOON | |||||||||||||
| 0 | 651796 | 0 | 410470 | 0 | 86012 | 0 | 355321 | 0 | 14987 | 0 | 1518586 | 0 | 137833 |
| PAULA M NOBLE | |||||||||||||
| 0 | 342210 | 0 | 166349 | 0 | 14078 | 0 | 154718 | 0 | 14506 | 0 | 691860 | 0 | 0 |
| EDWARD OGATA MD | |||||||||||||
| 0 | 416709 | 0 | 170225 | 0 | 41497 | 0 | 405198 | 0 | 24688 | 0 | 1058317 | 0 | 0 |
| ELIZABETH PERLMAN MD | |||||||||||||
| 367830 | 0 | 55458 | 0 | 34627 | 0 | 77245 | 0 | 15293 | 0 | 550453 | 0 | 0 | 0 |
| H WILLIAM SCHNAPER MD | |||||||||||||
| 0 | 250086 | 0 | 37650 | 0 | 516 | 0 | 24500 | 0 | 22725 | 0 | 335477 | 0 | 0 |
| DONNA S WETZLER | |||||||||||||
| 0 | 257445 | 0 | 125735 | 0 | 1096 | 0 | 133090 | 0 | 14810 | 0 | 532176 | 0 | 0 |
| FRANCINE M KIM MD | |||||||||||||
| 297543 | 0 | 84579 | 0 | 449 | 0 | 20696 | 0 | 13150 | 0 | 416417 | 0 | 0 | 0 |
| JEFFREY L LOUGHEAD MD | |||||||||||||
| 361123 | 0 | 14797 | 0 | 737 | 0 | 21191 | 0 | 23059 | 0 | 420907 | 0 | 0 | 0 |
| JACKSON T NORMAN | |||||||||||||
| 283845 | 0 | 70379 | 0 | 18430 | 0 | 21893 | 0 | 22926 | 0 | 417473 | 0 | 0 | 0 |
| CYNTHIA K RIGSBY MD | |||||||||||||
| 297454 | 0 | 93621 | 0 | 7756 | 0 | 23838 | 0 | 32847 | 0 | 455516 | 0 | 0 | 0 |
| RICHARD M SHORE MD | |||||||||||||
| 299674 | 0 | 83779 | 0 | 29909 | 0 | 27766 | 0 | 28224 | 0 | 469352 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Compensation Information | Identifier |
| Return Reference | SCHEDULE J, PART I, Line 3 | ReturnReference |
| Explanation | 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. SUPPLEMENTAL COMPENSATION INFORMATION - SERP SCHEDULE J, PART I, QUESTION 4B THE FOLLOWING INDIVIDUALS HAVE AN AMOUNT INCLUDED IN SCHEDULE J, PART II, COLUMN (C) FOR AN AMOUNT ACCRUED BUT NOT VESTED UNDER A SUPPLEMENTAL RETIREMENT PLAN ("SERP")- JAMES DONALDSON $98,732 PATRICK MAGOON $322,280 PAULA M. NOBLE $129,159 EDWARD OGATA $379,048 ELIZABETH PERLMAN $54,141 DONNA WETZLER $112,184 BENEFITS ACCRUED UNDER THE SERP ARE NONVESTED 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. THE AMOUNTS ARE AT RISK AND WILL NOT BE PAID UNLESS THE EMPLOYEE PROVIDES SUBSTANTIAL FUTURE SERVICES. IF THE EMPLOYEE WERE TO LEAVE THE ORGANIZATION VOLUNTARILY DURING THE YEAR FOR WHICH THESE AMOUNTS ARE BEING REPORTED, THE BENEFITS WILL NOT HAVE TO BE PAID (EXCEPT AT THE SOLE DISCRETION OF THE BOARD, ONLY IF THE PARTICIPANT HAS REACHED AT LEAST AGE 55). PARTICIPANTS WHO ARE LESS THAN AGE 55 AND WHO TERMINATE VOLUNTARILY FORFEIT THEIR ENTIRE SERP BENEFIT UPON TERMINATION. SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, QUESTION 5A EMPLOYED PHYSICIANS ARE COMPENSATED ON THE BASIS OF personal professional PRODUCTIVITY THAT TAKES INTO ACCOUNT, IN PART, THE REVENUES OF THE ORGANIZATION GENERATED BY THE personal professional PRODUCTIVITY OF THE PHYSICIAN. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | See Schedule O | NamePerson |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990, PART III, LINE 1 | We 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. |
| PROGRAM SERVICE EXPENSES | FORM 990, PART III, 4A | The Children's Memorial Medical Center ("CMMC"), an Illinois not-for-profit corporation, engages in budget approval, asset management, resource allocation, investment oversight and strategic planning for Affiliates. Affiliates include organizations for which CMMC is either a controlling member or a controlling shareholder. Currently, CMMC has the following affiliates: The Children's Memorial Hospital, The Children's Memorial Foundation, Children's Memorial Research Center, Children's Memorial Medical Group, LLC and Pediatric Faculty Foundation, Inc. Children's Memorial Medical Group, LLC ("CMMG") is an Illinois limited liability company whose sole member is CMMC. By virtue of CMMC's tax-exempt status, CMMG is considered to be an organization described under Section 501(c)(3) of the Code. CMMG employs pathologists, radiologists, psychiatrists and dentists who practice at The Children's Memorial Hospital ("Hospital"). CMMG's pathologists comprise the Hospital's Department of Pathology and Laboratory Medicine which provides comprehensive services in both Anatomic and Clinical Pathology, utilizing extensive expertise and state-of-the-art technology. Consultative services are provided across the country in collaboration and coordination with the Hospital's medical, surgical and ancillary departments. The children encompass a cross-section of diagnoses and the department assists in the diagnosis and management of acute and chronic diseases. CMMG psychiatrists practice within the Hospital's Department of Child and Adolescent Psychiatry which offers children and their families specialized services in pediatric mental health. Clinicians in the department provide state-of-the art psychiatric and psychological services, education, and advocacy. CMMG psychiatrists provide national leadership in the education of mental health care professionals and advancement of knowledge through research. CMMG psychiatrists treat children of all ages and from every socioeconomic background for a wide variety of problems including adjustment disorders, emotional problems related to pediatric disorders, psychoses, mood disorders, anxiety, developmental delays, behavior disorders, ADHD, autism spectrum disorders, and learning disabilities. CMMG dentists provide comprehensive and preventive oral health care for infants, children, adolescents, and patients of the Hospital with special health care needs. The Hospital's dentistry service provides a child-centered environment and a comprehensive program emphasizing total health and prevention. CMMG dentists provide care related to infant oral healthcare with parent education; nursing and baby bottle caries; dental caries; oral trauma, anxious child; comprehensive oral healthcare for patients of the Hospital's medical specialties (including hematology, oncology, infectious disease, allergy, cardiology, neurology and services to address cleft lip and palate); and services requiring sedation and general anesthesia. Radiologists employed by CMMG staff the Hospital's Department of Medical Imaging which serves pediatric patients in a manner aimed to help minimize radiation dose used during each procedure. The Department performs approximately 109,000 procedures each year, including 9,800 MRIs of which 80 percent are done on medically complex and/or sedated children. All of the radiologists are board certified with subspecialty training in pediatric radiology, interventional radiology and/or neuroradiology. CMMG's physicians are members of the faculty practice plan at the Hospital, which represents the largest provider of pediatric Medicaid services in Illinois. In FY 2010, CMMG physicians had approximately 83,499 combined inpatient and outpatient Medicaid encounters for 19,777 patients. Medicaid represents over 42.1% of its payor mix. In FY 2010, Medicaid reimbursement for physician services for care to children treated by CMMG physicians was over $ 5.8 million less than the costs associated with providing such services. CMMC through its management and CMMG's services assists the Hospital, which, owns and operates the only full-service, independent, freestanding pediatric hospital in Illinois, with 270 licensed beds as well as a full range of inpatient and outpatient care and related ancillary services. This not-for-profit, tertiary care hospital, founded in 1882, provides patient care 24 hours per day, 7 days per week. The Hospital has 270 licensed beds and provides a full range of inpatient and outpatient care and related ancillary services. The Hospital 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, the Hospital has served patients from every county in Illinois, as well as patients from every state and 36 countries. The Hospital 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. The Hospital's ability to treat the most critically ill infants in its neonatal intensive care unit ("NICU") is demonstrated by statistics for calendar year 2010 which show that 55.4% of all transports into its NICU were from other Level III nurseries in metropolitan Chicago and the Hospital treated three times more NICU babies with complex problems than the next leading hospital in metropolitan Chicago. The Hospital 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. The Hospital is the home to the world's first pediatric center for Autonomic Medicine and was the first pediatric hospital in Illinois to perform the Berlin Heart procedure, a breakthrough technology that helps children awaiting heart transplants. In the fiscal year ending August 31, 2010, the Hospital, through nearly 531,000 patient visits, served more than 146,000 children who came from all over the State of Illinois and beyond to access the more than 70 specialties offered by the Hospital. During this period there were 12,835 inpatient admissions. In addition, there were over 524,950 outpatient visits, including 293,263 outpatient visits at the Lincoln Park campus, 150,581 outpatient visits at satellite facilities, 97,359 emergency room visits and 5,496 observation visits in Lincoln Park and our satellite facilities. There were also 20,342 surgical procedures performed in our Lincoln Park and satellite facilities. In 2010, hospitalist medicine services were moved from CMMC to PFF. This move resulted in a significant year over year decrease in reported revenue and expense. |
| DESCRIPTION OF RELATIONSHIPS | FORM 990, PART VI, QUESTION 2 | -Gregory Case has a business relationship with Andrew McKenna. -William J. Devers, Jr. has a business relationship with Andrew McKenna. -Adam Kriger has a business relationship with Andrew McKenna. -Lester Crown and Paula Crown have a family and business relationship. -Edward Ogata has a business relationship with Jack McGinley. -William McKenna has a family and business relationship with Andrew McKenna. -Lyle Logan has a business relationship with Charles H. James III. -Michelle Collins has a business relationship with Fred Krehbiel. -John M. Crocker, Jr. had a business relationship with Bert A. Getz, Jr. -Eric Lefkofsky has a business relationsip with Linda S. Wolf. -Edward J. Wehmer, Charles H. James III and Bert A. Getz, Jr. have a business relationship. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11 A Public Disclosure COPY OF THE ORGANIZATION'S FISCAL YEAR 2010 TAX RETURN ("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 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 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 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 INTEREST FORM 990, PART VI, QUESTION 12C ON AN ANNUAL BASIS, THE CHILDREN'S MEMORIAL MEDICAL CENTER AND ITS AFFILIATES ("CMMC") SUBMIT A COMPREHENSIVE QUESTIONNAIRE TO ITS 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 CONTACTS 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. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15A & 15B ON AN ANNUAL BASIS, THE ORGANIZATION'S BOARD OF DIRECTORS PURSUANT TO ITS BYLAWS HAS DELEGATED THE AUTHORITY TO REVIEW AND APPROVE EXECUTIVE COMPENSATION TO THE GOVERNANCE COMMITTEE OF THE 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. 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 PUBLIC FORM 990, PART VI, QUESTION 19 THE ORGANIZATION'S FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE ONLINE AT WWW.DACBOND.COM. THE ORGANIZATION'S ARTICLES OF INCORPORATION AND ANNUAL REPORTS ARE AVAILABLE THROUGH THE ILLINOIS SECRETARY OF STATE. THE ORGANIZATION ALSO MAKES ITS GENERAL GOVERNING DOCUMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. AVERAGE HOURS PER WEEK FOR RELATED ORGANIZATIONS FORM 990, PART VII Elizabeth Perlman, MD and James Donaldson, MD are employees of The Children's Memorial Medical Center (CMMC) and generally work 40 hours per week. Approximately 10 hours of their regular work weeks are spent providing services to CMMC affiliates. The following individuals are employees of The Children's Memorial Hospital(CMH) and generally work 40 hours per week. In general, approximately 10 hours of their regular work week is spent providing services to CMH affiliates. Patrick M. Magoon Paula M. Noble Edward Ogata, MD Donna Wetzler The following individuals are employees of Pediatric Faculty Foundation and generally work 40 hours per week. Approximately 10 hours of their regular work week is spent providing services to related affiliates: Thomas P. Green, MD Mary J. C. Hendrix, PHD Information About Supported Organization Schedule A, Part I For a description of the manner in which The Children's Memorial Medical Center supports the Children's Memorial Hosptial, please see the statement of Program Accomplishments included in Schedule O. Form 990, Schedule L, Part IV Business Transactions Involving Interested Persons Name: David W. Fox Jr. Relationship: Director Amount of Transaction: $149,467 Description of Transaction: CMMC purchases financial services from the bank of which Mr. Fox serves as the Chairman. Name: Lester Crown Relationship: Director Amount of Transaction: $149,467 Description of Transaction: CMMC purchases financial services from the bank of which Mr. Crown's son serves as a Director. Name: Paula Crown Relationship: Director Amount of Transaction: $149,467 Description of Transaction: CMMC purchases financial services from the bank of which Ms. Crown's spouse serves as a Director. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Children's Memorial Medical Grp LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 Childrens Plaza | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 60614 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364187449 | EIN |
| Primary Activities | Health Care | PrimaryActivities |
| Legal Domicile State | IL | LegalDomicileState |
| Total Income | 18007147 | TotalIncome |
| EOY Assets | 7305934 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CMMC | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| THE CHILDREN'S MEMORIAL RESEARCH CENTER | |||||||||
| 2300 CHILDRENS PLAZA | CHICAGO | IL | 60614 | 363357005 | RESEARCH | IL | 501(C)(3) | 4 | CMMC |
| THE CHILDREN'S MEMORIAL HOSPITAL | |||||||||
| 362170833 | HOSPITAL | IL | 501(C)(3) | 3 | CMMC | ||||
| PEDIATRIC FACULTY FOUNDATION | |||||||||
| 363279680 | HLTH CRE/RSCH | IL | 501(C)(3) | 11 III-FI | CMMC | ||||
| CMH SELF INSURANCE FOUNDATION | |||||||||
| 366638400 | INSURANCE | IL | 501(C)(3) | 11 III-FI | CMMC | ||||
| THE CHILDREN'S MEMORIAL FOUNDATION | |||||||||
| 363357006 | FUNDRAISING | IL | 501(C)(3) | 7 | CMMC | ||||
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CMMC INSURANCE CO LTD | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 CHILDRENS PLAZA | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60614 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 366638400 | EIN |
| Primary Activity | SELF INSURANCE | PrimaryActivity |
| Legal Domicile Foreign Country | CJ | LegalDomicileForeignCountry |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CMMC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | CORPORATION | TypeOfEntity |
| Share Of Total Income | 78793 | ShareOfTotalIncome |
| Share Of EOY Assets | 15313061 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| THE CHILDREN'S MEMORIAL HOSPITAL | |
| C | 2553621 |
| THE CHILDREN'S MEMORIAL HOSPITAL | |
| O | 5993671 |
| CMMC INSURANCE CO LTD | |
| Q | 4004491 |
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