LURIE CHILDRENS MEDICAL GROUP INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- LURIE CHILDRENS MEDICAL GROUP INC (EIN 36-3279680)
- Tax period
- 2009-09-01 to 2010-08-31
- Filed
- 2011-07-13
- IRS object ID
- 201121949349301252
- 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 | 2011-07-13T16:31:14-04:00 | 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 | 363279680 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEDIATRIC FACULTY FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PEDI | 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 | Thomas P Green MD | 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 | 94654649 | 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 | PEDIATRIC FACULTY FOUNDATION, INC., EMPLOYS PEDIATRIC MEDICINE SPECIALISTS AND SUBSPECIALISTS WHO PRACTICE AT THE CHILDREN'S MEMORIAL HOSPITAL AND PROVIDE QUALITY HEALTH CARE TO CHILDREN IN THE COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 4 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 2 | NbrIndependentVotingMembers |
| Total Nbr Employees | 331 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 6274037 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 10303728 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 68067845 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 84350384 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 8969 | InvestmentIncomePriorYear |
| Investment Income Current Year | 537 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 74350851 | TotalRevenuePriorYear |
| Total Revenue Current Year | 94654649 | 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 | 57027003 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 74171484 | 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 | 17794147 | OtherExpensePriorYear |
| Other Expenses Current Year | 21023444 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 74821150 | TotalExpensesPriorYear |
| Total Expenses Current Year | 95194928 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -470299 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -540279 | RevenuesLessExpensesCY |
| Total Assets BOY | 5476707 | TotalAssetsBOY |
| Total Assets EOY | 4868553 | TotalAssetsEOY |
| Total Liabilities BOY | 3381005 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3313130 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2095702 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1555423 | NetAssetsOrFundBalancesEOY |
| Mission Description | See Schedule O. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 87679284 | Expense |
| Revenue | 84350384 | Revenue |
| Description | SEE SCHEDULE O. | Description |
| Total Program Service Expense | 87679284 | 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 | false | 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 | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | 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 |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 331 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| 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 | 4 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 2 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| 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 | 60614 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (12 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| THOMAS P GREEN MD | ||||||||
| President/Chairman | 40.0 | X | X | 616257 | 0 | 52871 | ||
| Kirk B Johnson | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| PATRICK M MAGOON | ||||||||
| Ex-Officio Dir./CEO CMH/CMMC | 1.0 | X | 0 | 1148278 | 370307 | |||
| Steve Rosen MD | ||||||||
| At-Large Director | 1.0 | X | 0 | 0 | 0 | |||
| PAULA M NOBLE | ||||||||
| CFO/Treasurer/CMMC& Affiliates | 1.0 | X | 0 | 522636 | 169224 | |||
| DONNA S WETZLER | ||||||||
| GEN CNSL&CORP SEC/CMMC&AFFLTS | 1.0 | X | 0 | 384276 | 147900 | |||
| BARBARA DEAL MD | ||||||||
| Physician | 40.0 | 378914 | 0 | 54913 | X | |||
| MARY J C HENDRIX PHD | ||||||||
| Pres & Scien Off/CMRC | 40.0 | 548306 | 0 | 42809 | X | |||
| ANNETTE WAGNER MD | ||||||||
| Physician | 40.0 | 391714 | 0 | 43413 | X | |||
| Robin H Steinhorn MD | ||||||||
| Physician | 40.0 | 415576 | 0 | 28433 | X | |||
| PETER F WHITINGTON MD | ||||||||
| Physician | 40.0 | 415323 | 0 | 49913 | X | |||
| H WILLIAM SCHNAPER MD | ||||||||
| Former VP PFF/Current MD | 40.0 | 288252 | 0 | 47225 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3054342 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2055190 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1007008 | TotalOtherCompensation |
| Number Individuals GT100 K | 195 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SPRINGFIELD SERVICE CORP | |||||
| 8151 W 183RD ST SUITE B | TINLEY PARK | IL | 60477 | Billing Services | 3877171 |
| WELL CARE NEONATOLOGISTS SC | |||||
| 36W128 SILVER GLEN CT | ST CHARLES | IL | 60175 | Neonatal Physicians | 397833 |
| CENTRAL DUPAGE HEALTH | |||||
| 25 North Winfield Road | WINFIELD | IL | 60190 | Rent | 137830 |
| Northwestern Medical Faculty Founda | |||||
| 676 N St Clair | CHICAGO | IL | 60611 | Physician Services | 190235 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Related Organizations | 10303728 | RelatedOrganizations |
| Total Contributions | 10303728 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Program Service Revenue | 900099 | 48000026 | 48000026 |
| Medical Administration and Education | 900099 | 6048807 | 6048807 |
| Professional Services Provided to CMRC | 900099 | 5946478 | 5946478 |
| Other Operating Income | 900099 | 8645381 | 8645381 |
| Medicare/Medicaid Payments | 900099 | 11680210 | 11680210 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4029482 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4029482 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 84350384 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 537 | TotalRevenueColumn |
| Exclusion | $537 | ExclusionAmount |
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 | 94654649 | TotalRevenueColumn |
| Related Or Exempt Function Income | 84350384 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $537 | 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 | 669836 | Total |
| Management And General | 669836 | 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 | 60214366 | Total |
| Program Services | 57522202 | ProgramServices |
| Management And General | 2692164 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4569070 | Total |
| Program Services | 4508872 | ProgramServices |
| Management And General | 60198 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5461063 | Total |
| Program Services | 5112859 | ProgramServices |
| Management And General | 348204 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3257149 | Total |
| Program Services | 3111804 | ProgramServices |
| Management And General | 145345 | 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 | 11250 | Total |
| Management And General | 11250 | 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 | 2250493 | Total |
| Program Services | 2137733 | ProgramServices |
| Management And General | 112760 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 277774 | Total |
| Program Services | 274861 | ProgramServices |
| Management And General | 2913 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2002648 | Total |
| Program Services | 2002648 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25970 | Total |
| Program Services | 11940 | ProgramServices |
| Management And General | 14030 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 431402 | Total |
| Program Services | 416790 | ProgramServices |
| Management And General | 14612 | ManagementAndGeneral |
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 | 6197479 | Total |
| Program Services | 6152718 | ProgramServices |
| Management And General | 44761 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| Billing and Collection | 3309874 | 3309874 | |
| Bad Debt | 3636376 | 3636376 | |
| FAC. PRAC. PLAN TAX | 2385887 | 2385887 | |
| Transcription | 60681 | 60681 | |
| Miscellaneous | 433610 | 89697 | 343913 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95194928 | Total |
| Program Services | 87679284 | ProgramServices |
| Management And General | 7515644 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66657 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 400837 | BOY |
| EOY | 24453 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4686803 | BOY |
| EOY | 4365260 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 322410 | BOY |
| EOY | 478840 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5476707 | BOY |
| EOY | 4868553 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3381005 | BOY |
| EOY | 3313130 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3381005 | BOY |
| EOY | 3313130 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2095702 | BOY |
| EOY | 1555423 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2095702 | BOY |
| EOY | 1555423 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5476707 | BOY |
| EOY | 4868553 | 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
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Children's Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362170833 | EIN |
| Type Of Organization | 03 | TypeOfOrganization |
| Listed In Governing Doc | true | ListedInGoverningDoc |
| Supported Organization Notified | true | SupportedOrganizationNotified |
| Organized In US | true | OrganizedInUS |
| Amount | $87,679,284 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 87679284 | 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 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 | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BARBARA DEAL MD | |||||||||||||
| 355621 | 0 | 22777 | 0 | 516 | 0 | 24500 | 0 | 30413 | 0 | 433827 | 0 | 0 | 0 |
| THOMAS P GREEN MD | |||||||||||||
| 464151 | 0 | 151314 | 0 | 792 | 0 | 24500 | 0 | 28371 | 0 | 669128 | 0 | 0 | 0 |
| MARY J C HENDRIX PHD | |||||||||||||
| 455680 | 0 | 92110 | 0 | 516 | 0 | 24500 | 0 | 18309 | 0 | 591115 | 0 | 0 | 0 |
| PATRICK M MAGOON | |||||||||||||
| 0 | 651796 | 0 | 410470 | 0 | 86012 | 0 | 355320 | 0 | 14987 | 0 | 1518585 | 0 | 137833 |
| PAULA M NOBLE | |||||||||||||
| 0 | 342210 | 0 | 166349 | 0 | 14078 | 0 | 154718 | 0 | 14506 | 0 | 691860 | 0 | 0 |
| H WILLIAM SCHNAPER MD | |||||||||||||
| 250086 | 0 | 37650 | 0 | 516 | 0 | 24500 | 0 | 22725 | 0 | 335477 | 0 | 0 | 0 |
| ANNETTE WAGNER MD | |||||||||||||
| 247079 | 0 | 144455 | 0 | 180 | 0 | 24500 | 0 | 18913 | 0 | 435127 | 0 | 0 | 0 |
| Robin H Steinhorn MD | |||||||||||||
| 360156 | 0 | 55144 | 0 | 276 | 0 | 24500 | 0 | 3933 | 0 | 444009 | 0 | 0 | 0 |
| DONNA S WETZLER | |||||||||||||
| 0 | 257445 | 0 | 125735 | 0 | 1096 | 0 | 133090 | 0 | 14810 | 0 | 532176 | 0 | 0 |
| PETER F WHITINGTON MD | |||||||||||||
| 409690 | 0 | 4841 | 0 | 792 | 0 | 24500 | 0 | 25413 | 0 | 465236 | 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, QUESTION 4B | ReturnReference |
| Explanation | 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") - Patrick Magoon $322,280 Paula M. Noble $129,159 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. Benefits under the SERP vest at age 62. If the employee were to have left the organization voluntarily during the year for which these amounts are being reported, the benefits would not have to be paid (except at the sole discretion of the board, and only if the participant has reached at least age 55 and has 10 years of service). Participants who are less Than age 55 and who voluntarily terminate employment forfeit their entire SERP benefit upon termination. Supplemental compensation information SCHEDULE J, PART I, QUESTION 5A Employed physicians are compensated in part on the basis of personal professional productivity that takes into account, in part, the revenues of the organization generated by the personally performed patient services of the physician. Supplemental compensation information Schedule J, part I, question 7 The organization provides annual incentive compensation to senior management under a senior management incentive compensation plan. These Amounts are included in schedule J, part II, column B (ii). The plan is designed to offer opportunities for additional compensation tied to performance against pre-determined financial, patient satisfaction, patient safety and individual goals approved in advance by the Governance Committee of the Children's Memorial Hospital and the Children's Memorial Medical Center which serves as the Compensation Committee of The Children's Memorial Hospital and Pediatric Faculty Foundation, Inc. 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. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990, PART III, LINE 1 | WE VALUE EXCELLENCE AND INNOVATION IN CLINICAL AND BASIC RESEARCH, COORDINATED AND COMPREHENSIVE PATIENT CARE, ONGOING PHYSICIAN EDUCATION, AND SOUNDLY-BASED CHILD ADVOCACY. OUR GOAL IS TO PROVIDE LEADERSHIP IN ENDEAVORS THAT PROMOTE THE HEALTH OF CHILDREN LOCALLY, NATIONALLY, AND INTERNATIONALLY. |
| STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS FOR YEAR ENDED AUG 31, 2010 | FORM 990, PART III, 4A | INTRODUCTION Pediatric Faculty Foundation, Inc. ("PFF") is an Illinois not for profit corporation and an organization described under Section 501(c)(3) of the Code whose sole corporate member is The Children's Memorial Medical Center ("Parent") (FEIN 36-3357004). PFF employs pediatric medicine specialists, subspecialists and hospitalists. Such physicians are based and practice at The Children's Memorial Hospital (the "Hospital"), another affiliated entity of PFF, and at the Hospital's outreach locations. The Hospital offers over 70 types of pediatric subspecialty care, more than any other Illinois hospital. PFF employs 345 pediatric medicine specialists, subspecialists and hospitalists who provide specialty services to patients of the Hospital in the areas of allergy, cardiology, immunology, neonatology, neurology, dermatology, emergency medicine, endocrinology, gastroenterology, general academic pediatrics, genetics, hematology and oncology, hospital-based medicine, infectious diseases, nephrology and pulmonary and critical care medicine. In addition, PFF employs approximately 40 full-time research faculty which assist in the CMH mission. Currently, the President of PFF also serves as the Chairman of the Department of Medicine at the Hospital and the Chairman of the Department of Pediatrics of Northwestern University's Feinberg School of Medicine ("NUFSM"). PFF'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, Pediatric Faculty Foundation, Inc. physicians had approximately 147,034 combined inpatient and outpatient Medicaid patient encounters for 47,185 pediatric patients. Medicaid represents over 45% of its payor mix. The Hospital's pediatric-specialist physicians (which include PFF physicians) provide a substantial portion of the specialty care to children insured by the State of Illinois' All Kids program. In FY 2010, Medicaid reimbursement for physician services for specialty care to children treated by PFF physicians was over $14.9 million less than the costs associated with providing such services. Children's Memorial Hospital serves as the primary pediatric teaching site for NUFSM's resident physicians, fellows and medical students in pediatric specialties and sub-specialties. Each year, PFF physicians in the Children's Memorial Hospital Department of Pediatrics train approximately 200 physicians. Almost half are pediatric residents and the remainder are fellows in various pediatric sub-specialties including cardiology, hematology/oncology and neonatology. PFF physicians also provide pediatric training to medical students, residents and fellows from institutions other than NUFSM. In addition, PFF physicians perform research aimed at advancements in the prevention, diagnosis and treatment of diseases that affect the development of children through adolescence as well as adult disorders that derive from them. Such research is conducted in connection with affiliate, Children's Memorial Research Center ("CMRC"), one of a few institutions in the U.S. dedicated exclusively to pediatric research, which operates in a five-story, 125,000 square foot state-of-the-art laboratory and research administration facility. Research encompasses basic research studies as well as those with potential clinical applications. In 2010, hospitalist medicine services were moved from CMMC to PFF. This move resulted in a significant year over year increase in reported revenue and expense. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 THE CHILDREN'S MEMORIAL MEDICAL CENTER ("CMMC") IS THE ORGANIZATION'S SOLE CORPORATE MEMBER. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A THE ORGANIZATION'S SOLE CORPORATE MEMBER, THE CHILDREN'S MEMORIAL MEDICAL CENTER, HAS CERTAIN RESERVED POWERS, INCLUDING THE POWER TO APPOINT AND REMOVE certain DIRECTORS OF THE ORGANIZATION. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B THE CHILDREN'S MEMORIAL MEDICAL CENTER, THROUGH ITS BOARD OF DIRECTORS OR DESIGNATED COMMITTEE, AS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, HAS CERTAIN RESERVE POWERS WITH RESPECT TO APPOINTMENT AND REMOVAL OF certain 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 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 BOARD OF DIRECTORS OF THE ORGANIZATION'S PARENT (THE CHILDREN'S MEMORIAL MEDICAL CENTER ("CMMC")) PURSUANT TO ITS BYLAWS HAS DELEGATED THE AUTHORITY TO REVIEW AND APPROVE EXECUTIVE COMPENSATION OF THE CMMC AFFILIATES TO THE GOVERNANCE COMMITTEE OF THE CMMC/CMH 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 A COMPENSATION CONSULTANT AND INFORMATION FROM A VARIETY OF EXTERNAL SOURCES, 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 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. HOURS WORKED FOR RELATED ORGANIZATIONS FORM 990, PART VII, SECTION A, LINE 1A THOMAS P. GREEN, MD is an EMPLOYEE OF PEDIATRIC FACULTY FOUNDATION AND GENERALLY WORKs 40 HOURS PER WEEK. APPROXIMATELY 10 HOURS OF his REGULAR WORK WEEK are SPENT PROVIDING SERVICES TO PFF AFFILIATES. MARY J.C. HENDRIX, PHD is an employee of Pediatric faculty foundation and is an officer and director of CMRC. She generally works 40 hours per week. APPROXIMATELY 30 HOURS OF her REGULAR WORK WEEK are SPENT PROVIDING SERVICES TO related organizations. THE FOLLOWING INDIVIDUALS ARE EMPLOYEES OF THE CHILDREN'S MEMORIAL HOSPITAL (CMH) AND GENERALLY WORK 40 HOURS PER WEEK. APPROXIMATELY 10 HOURS OF THEIR REGULAR WORK WEEKs ARE SPENT PROVIDING SERVICES TO CMH AFFILIATES including Pediatric Faculty Foundation: PATRICK M. MAGOON PAULA M. NOBLE DONNA WETZLER Information about Supported Organizations Schedule A, Part I For a description of the manner in which Pediatric Faculty Foundation supports The Children's Memorial Hospital, please see the statement of program accomplishments included in Schedule O. For a description of the manner in which Pediatric Faculty Foundation supports The Children's Memorial Hospital, please see the statement of program accomplishments included in Schedule O. |
Schedule R IRS990ScheduleR
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 Foundation | |||||||||
| 2300 Childrens Plaza | Chicago | IL | 60614 | 363357006 | Fundraising | IL | 501(C)(3) | 7 | CMMC |
| The Children's Memorial Medical Center | |||||||||
| 2300 Childrens Plaza | Chicago | IL | 60614 | 363357004 | Health Care | IL | 501(C)(3) | 11 III-FI | NA |
| The Children's Memorial Hospital | |||||||||
| 2300 Childrens Plaza | Chicago | IL | 60614 | 362170833 | Hospital | IL | 501(C)(3) | 3 | CMMC |
| CMH Self Insurance Foundation | |||||||||
| 2300 Childrens Plaza | Chicago | IL | 60614 | 366638400 | Insurance | IL | 501(c)(3) | 11 III-FI | 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 | 000000000 | 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 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | CORPORATION | TypeOfEntity |
| 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 | true | 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 | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| The Children's Memorial Hospital | |
| C | 10303728 |
| The Children's Memorial Hospital | |
| O | 21279747 |
| The Children's Memorial Hospital | |
| J | 1622696 |
| The Children's Memorial Research Center | |
| P | 4764473 |
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