FURP.ORG / PUBLIC DATA EXPLORER

ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO (EIN 36-2170833)
Tax period
2009-09-01 to 2010-08-31
Filed
2011-07-13
IRS object ID
201141949349301009
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

FieldValueIRS element (for citing)
Timestamp2011-07-13T15:00:20-04:00Timestamp
Tax Period End Date2010-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1155 NORTH WACKER DRIVEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362170833EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NamePaula M NobleName
TitleCFO & TreasurerTitle
Date Signed2011-07-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3128792000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPatrick M MagoonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12300 CHILDRENS PLAZA BOX 268AddressLine1
CityCHICAGOCity
StateILState
ZIP Code606143394ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1490945854GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.CHILDRENSMEMORIAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1894YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTHE HOSPITAL IS A PEDIATRIC ACADEMIC MEDICAL CENTER PROVIDING PATIENT CARE AND EDUCATION AND TRAINING FOR THE PHYSICIANS AND OTHER MEDICAL PROFESSIONALS. IT IS ALSO A LEADER IN PEDIATRIC RESEARCH AND ADVOCACY.ActivityOrMissionDescription
Nbr Voting Members Governing Body105NbrVotingMembersGoverningBody
Nbr Independent Voting Members91NbrIndependentVotingMembers
Total Nbr Employees4592TotalNbrEmployees
Total Nbr Volunteers1381TotalNbrVolunteers
Total Gross UBI309785TotalGrossUBI
Net Unrelated Business Txbl Income-40173NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year22212235ContributionsGrantsPriorYear
Contributions Grants Current Year38771094ContributionsGrantsCurrentYear
Program Service Revenue Prior Year510807447ProgramServiceRevenuePriorYear
Program Service Revenue CY540004869ProgramServiceRevenueCY
Investment Income Prior Year87831InvestmentIncomePriorYear
Investment Income Current Year20776943InvestmentIncomeCurrentYear
Other Revenue Prior Year849981OtherRevenuePriorYear
Other Revenue Current Year-206542OtherRevenueCurrentYear
Total Revenue Prior Year533957494TotalRevenuePriorYear
Total Revenue Current Year599346364TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year29118613GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY24129924GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year254803161SalariesEtcPriorYear
Salaries Etc Current Year265327945SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year255224837OtherExpensePriorYear
Other Expenses Current Year256919352OtherExpensesCurrentYear
Total Expenses Prior Year539146611TotalExpensesPriorYear
Total Expenses Current Year546377221TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-5189117RevenuesLessExpensesPriorYear
Revenues Less Expenses CY52969143RevenuesLessExpensesCY
Total Assets BOY1843761689TotalAssetsBOY
Total Assets EOY1952509066TotalAssetsEOY
Total Liabilities BOY820064982TotalLiabilitiesBOY
Total Liabilities EOY846750270TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1023696707NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1105758796NetAssetsOrFundBalancesEOY
Mission DescriptionSee Schedule O.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense480816486Expense
Grants24129924Grants
Revenue537870283Revenue
DescriptionSee Schedule O.Description
Total Program Service Expense480816486TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096311NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees4592NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members105NbrVotingGoverningBodyMembers
Number Independent Voting Members91NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPAULA M NOBLENamePerson
Telephone Number3125734578TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12300 CHILDRENS PLAZA BOX 268AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60614ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (127 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
John J Allen
Director1.0X000
John Amboian Jr
Director1.0X000
Sarah Baine
Ex-Officio Director w/vote1.0X000
Stephen W Baird
Director1.0X000
William L Bax
Director1.0X000
Peter B Bensinger
Director1.0X000
Andrew Berlin
Director1.0X000
Barbara L Bowles
Director1.0X000
Jill Brennan
Director1.0X000
David Bunning
Director1.0X000
Gregory C Case
Director1.0X000
John A Challenger
Director1.0X000
Alan Chapman
Director1.0X000
Mrs Charles F Clarke Jr
Director1.0X000
Kevin M Connelly
Director1.0X000
John D Cooney
Director1.0X000
John M Crocker Jr
Vice-Chair & Director1.0X000
Lester Crown
Director1.0X000
Paula H Crown
Director1.0X000
Leticia Peralta Davis
Director1.0X000
Susan DePree
Director1.0X000
James DeRose
Director1.0X000
William J Devers Jr
Director1.0X000
John Doerge Jr
Director1.0X000
James Donaldson MD
Ex-Officio Director w/vote1.0X0513368147901
Charles W Douglas
Director1.0X000
Dennis J Drescher
Director1.0X000
Michael Evangelides
Director1.0X000
Tyrone C Fahner
Director1.0X000
Diana S Ferguson
Director1.0X000
Michael W Ferro Jr
Director1.0X000
David Fox Jr
Director1.0X000
John S Gates Jr
Director1.0X000
Laurence S Geller
Director1.0X000
Bert A Getz Jr
Director1.0X000
Thomas P Green MD
Ex-Officio Dir/Pres&Chair PFF1.0X061625752871
David D Grumhaus
Director1.0X000
Arlington Guenther
Director1.0X000
Joseph D Gutman
Director1.0X000
Bruce R Hague
Director1.0X000
Paul F Hanzlik
Director1.0X000
Brett J Hart
Director1.0X000
Mary JC Hendrix PhD
Ex-Off Dir W/Vote/Pres/Sci Off1.0X054830642809
Daniel J Hennessy
Vice Chair & Director1.0X000
James Hickey
Director1.0X000
Gary E Holdren
Director1.0X000
Mark Hoppe
Director1.0X000
Charles H James III
Director1.0X000
J Larry Jameson MD
Ex-officio Director w/vote1.0X000
Kirk B Johnson
Director1.0X000
W Bruce Johnson
Director1.0X000
Bennett A Kaye MD
Ex-Officio Director w/vote1.0X000
George D Kennedy
Director1.0X000
Anthony K Kesman
Director1.0X000
Richard P Kiphart
Director1.0X000
Fred L Krehbiel
Director1.0X000
Adam A Kriger
Director1.0X000
William Lamar Jr
Director1.0X000
Gerald R Lanz
Director1.0X000
Eric Lefkofsky
Director1.0X000
Lyle Logan
Director1.0X000
Shelley A Longmuir
Director1.0X000
Patrick M Magoon
Ex-Officio Dir/CEO, CMH/CMMC40.0X11482780370308X
Mitchell J Manassa
Director1.0X000
John F Manley
Vice Chair & Director1.0X000
Roxanne Martino
Director1.0X000
Peter D McDonald
Director1.0X000
Jack L McGinley
Director1.0X000
Andrew J McKenna
Director1.0X000
William J McKenna
Director1.0X000
James J McNulty
Director1.0X000
Louise C Mills
Director1.0X000
Robert S Murley
Vice Chair & Director1.0X000
Leslie Newman
Director1.0X000
Nancy Pacher
Director1.0X000
Chaka Patterson
Director1.0X000
Peer Pedersen
Vice Chair & Director1.0X000
Lorna S Pfaelzer
Director1.0X000
David C Pisor
Director1.0X000
Ashish Prasad
Director1.0X000
Gerald D Putnam
Director1.0X000
Mohan Rao Phd
Director1.0X000
Andrea Redmond
Director1.0X000
Susan Regenstein
Director1.0X000
Thomas R Reusche
Director1.0X000
J Christopher Reyes
CMMC/CMH Chair7.0X000
Marleta Reynolds MD
Ex-Officio Director w/vote1.0X000
Peter C Roberts
Director1.0X000
Hilary Sallerson
Ex-Officio Director w/vote1.0X000
Manuel Sanchez
Director1.0X000
Deborah M Sawyer
Director1.0X000
Christopher Segal
Director1.0X000
H William Schnaper MD
Ex-Officio Director/ PFF MD1.0X028825247225
Mrs Donald Shoemaker
Director1.0X000
Stephen A Smith
Director1.0X000
Thomas S Souleles
Director1.0X000
Stephen T Steers
Director1.0X000
Edward S Traisman MD
Ex-Officio Director w/vote1.0X000
Monsignor Kenneth Velo
Director1.0X000
Matthew Walsh
Director1.0X000
Edward J Wehmer
Director1.0X000
Brian E Williams
Director1.0X000
Linda S Wolf
Director1.0X000
James Wooten Jr
Director1.0X000
Ms Jia Zhao
Director1.0X000
Edward Ogata MD
Chief Medical Officer, CMH40.0X6284310429886X
Elizabeth Perlman MD
ex-off dir/chair/path&lab med1.0X045791592538
Michelle Collins
Director1.0X000
Mr Gary Wolfson
Director1.0X000
Gordon B Bass
Chief Operating Officer40.05939890199454X
Barbara B Bowman
Chief HR Officer40.0693927019496X
Susan H Gordon
Chief Public Policy Officer40.0278958080348X
Monica Heenan
Chief Ambulatory Srv/Med Mgmt40.0251288029676X
Bruce Komiske
Chief New Hosp. Design/Const40.0458562028981X
Stanley B Krok
Chief Information Officer40.03561470109689X
Maureen T Mahoney
Chief Transition Occupancy40.0248107028226X
Maureen Murphy
Chief Mktg & Mngd Care Officer40.0349815058107X
Paula M Noble
CFO/Treasurer/CMMC& Affiliates40.05226360169224X
Michelle M Stephenson
Chief Nurse Executive40.0323979080106X
Donna S Wetzler
Gen Cnsl&Corp Sec/CMMC&Afflts40.03842760147900X
Sherwood D Zellermayer
Chief Communications Officer40.0245359031388X
Thomas Sullivan
President CMF40.01392684050841X
Ron H Blaustein
Controller40.0223956035040X
Nancy M Borders
Associate General Counsel40.0220450038062X
Morley I Kerschner
Admin Revenue Cycle40.0234048031138X
Robert D Mckenna
Admin New Hospital Development40.0210852028537X
Edward T Schubnell
Admin Med-Surgical Svcs40.0218661031487X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8984403TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2424098TotalReportableCompFrmRltdOrgs
Total Other Compensation2381238TotalOtherCompensation
Number Individuals GT100 K245NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MORTENSON POWER
25 NW POINT BLVDElk Grove VillageIL60007New Hospital Constr.138950702
McGaw Medical Center
303 E CHICAGO AVEChicagoIL60611Professional Med.Svc14574950
ZIMMER GUNSUL FRASCA
1350 AVENUE OF THE AMERICAS SUITENew YorkNY10019ARCHITECTS7809610
M A MORTENSON COMPANY
25 NW POINT BLVDElk Grove VillageIL60007CONSTRUCTION4236855
ARAMARK CORPORATION
10510 TWIN LAKES PKWYCharlotteNC28269fOOD SERVICES4207354
FieldValueIRS element (for citing)
Number Of Contractors GT100 K264NumberOfContractorsGT100K
Related Organizations7747247RelatedOrganizations
All Other Contributions31023847AllOtherContributions
Noncash Contributions1772271NoncashContributions
Total Contributions38771094TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Patient Care & Program Services621110330180795330180795
Medicare/Medicaid621110159021927159021927
GRANTS-FED/STATE/AGENCY/SUBCONTRACT/PRIVATE6211104603886346038863
REFERENCE LAB REVENUE6215001210056116768442372
PARKING GARAGES8129301059277476228$583,049

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column2493951TotalRevenueColumn
Related Or Exempt Function Income1111531RelatedOrExemptFunctionIncome
Exclusion$1,382,420ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue540004869TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10034648TotalRevenueColumn
Unrelated Business Revenue-209374UnrelatedBusinessRevenue
Exclusion$10,244,022ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column1489TotalRevenueColumn
Exclusion$1,489ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2087741Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2294283Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-206542Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-206542TotalRevenueColumn
Related Or Exempt Function Income349483RelatedOrExemptFunctionIncome
Exclusion-$556,025ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities900046013Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities889303531Securities
Other1676Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities10742482Securities
Other-1676Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column10740806TotalRevenueColumn
Unrelated Business Revenue559UnrelatedBusinessRevenue
Exclusion$10,740,247ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column599346364TotalRevenueColumn
Related Or Exempt Function Income537870283RelatedOrExemptFunctionIncome
Unrelated Business Revenue309785UnrelatedBusinessRevenue
Exclusion$22,395,202ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total24129924Total
Program Services24129924ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total10330957Total
Program Services1744506ProgramServices
Management And General8586451ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total208132446Total
Program Services184036227ProgramServices
Management And General24096219ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total9673347Total
Program Services8125612ProgramServices
Management And General1547735ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total23871511Total
Program Services20979174ProgramServices
Management And General2892337ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total13319684Total
Program Services11470400ProgramServices
Management And General1849284ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total245327Total
Management And General245327ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total642499Total
Management And General642499ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total4697381Total
Management And General4697381ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total18286170Total
Program Services11151172ProgramServices
Management And General7134998ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1289173Total
Program Services74ProgramServices
Management And General1289099ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total103972407Total
Program Services103626349ProgramServices
Management And General346058ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total14877149Total
Program Services12830939ProgramServices
Management And General2046210ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total10250976Total
Program Services9034204ProgramServices
Management And General1216772ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1013613Total
Program Services677799ProgramServices
Management And General335814ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1727955Total
Program Services1712482ProgramServices
Management And General15473ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total439321Total
Program Services382209ProgramServices
Management And General57112ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total44463582Total
Program Services41267948ProgramServices
Management And General3195634ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total10825581Total
Program Services10370830ProgramServices
Management And General454751ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medicaid provider tax1372911413729114
Medical admin & teaching1370316513703165
Bad debt provision38200643820064
EQUIPMENT REPAIR & MAINT.2762758267086291896
Dues and licenses26422384008662241372

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total7530879Total
Program Services4952566ProgramServices
Management And General2578313ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total546377221Total
Program Services480816486ProgramServices
Management And General65560735ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY320874462BOY
EOY356922225EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY140541760BOY
EOY109425109EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY23811051BOY
EOY24633786EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5963631BOY
EOY4719069EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY8319131BOY
EOY7260852EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1117638200LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec442943986LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY405076884BOY
EOY674694214EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY680091421BOY
EOY451146553EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY204184104BOY
EOY247607370EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY54899245BOY
EOY76099888EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1843761689BOY
EOY1952509066EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY90588631BOY
EOY119183716EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY550669835BOY
EOY550776275EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY15079468BOY
EOY15079468EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY163727048BOY
EOY161710811EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY820064982BOY
EOY846750270EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY514889627BOY
EOY568898374EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY349926999BOY
EOY375900235EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY158880081BOY
EOY160960187EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1023696707BOY
EOY1105758796EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1843761689BOY
EOY1952509066EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Public Support Pertcentage1700.79830PublicSupportPertcentage170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Political Expenditures0PoliticalExpenditures
Volunteer Hours0VolunteerHours
Amt Of4955 Tax0AmtOf4955Tax
Amt Of4955 Tax On Managers0AmtOf4955TaxOnManagers
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteerstrueVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MemberstrueMailingsMembers
Mailings Members$897MailingsMembersAmount
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$496,718DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$43,981OtherActivitiesAmount
Total Lobbying Expenditures IIB541596TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLobbying ActivityIdentifier
Return ReferenceSchedule C, Part II-BReturnReference
ExplanationTo further their collective mission, The Children's Memorial Hospital (the "Hospital") and its affiliates, by virtue of their role in providing complex care and care for children, partner with and frequently interact with members of the government in developing policies applicable to children's health and well-being. In 1994, the Hospital established a Public Policy Committee of the Board of Directors to recommend institutional positions on legislation and regulation that would enable the Hospital and its affiliates to enhance the health and well-being of children. Over the years the Public Policy Committee has attempted to shape public policy on matters affecting children's health and well-being and to garner government funding to support the exempt activities of the Hospital and its affiliates and for the development and construction of a new hospital, replacing the Hospital's existing facility, to be named Ann & Robert H. Lurie Children's Hospital. This new facility will facilitate the Hospital's ability to continue to build upon its academic and research ties in a family-centered environment and state-of-the-art facility that will foster the provision of compassionate care. Examples of policy initiatives for which the Hospital has advocated include: preventing transmission of HIV from mothers to newborn; prevention of childhood injury; prevention of child abuse; prevention of childhood obesity; and improving access to health insurance for children. Read more about our current institutional public positions at: http://www.childrensmemorial.org/newsroom/government-community/policy-posi tions.aspx. In addition, when state and federal legislators or committees need experts to analyze and testify as to how a pending bill would affect children's health in Illinois, they often look to the Hospital and its affiliates. In recent years, employees, officers and physicians of the Hospital and its affiliates have testified before elected officials and government policymakers in Washington, DC, Springfield and Chicago on issues ranging form the benefits of children passenger safety and helmet laws to window-falls prevention, funding for graduate medical education and Medicaid reform. In addition, the Hospital engages in lobbying activities to seek appropriate Medicaid funding of the substantial services provided by the Hospital and its affiliates to Medicaid-eligible patients in Illinois. The Hospital also seeks funding, on a state and federal level, for various initiatives that will enhance patient care. On the federal level, the Hospital, in connection with other children's teaching hospitals, works to protect and enhance funding for the Medicaid program and graduate medical education for 58 freestanding children's teaching hospitals in the United States.Explanation

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance376042568BeginningOfYearBalance
Contributions323812Contributions
Investment Earnings Or Losses-18808632InvestmentEarningsOrLosses
Grants Or Scholarships11500978GrantsOrScholarships
Other Expenditures424797OtherExpenditures
End Of Year Balance345631973EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.38820BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.45330PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.15840TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis304086463OtherCostOrOtherBasis
Depreciation236558605Depreciation
Book Value67527858BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis8920581OtherCostOrOtherBasis
Depreciation7276062Depreciation
Book Value1644519BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis274120007OtherCostOrOtherBasis
Depreciation199109319Depreciation
Book Value75010688BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis491221796OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value491221796BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings674694214TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionAlternative InvestmentsDescription
Book Value247607370BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities247607370TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
SELF INSURANCE LIABILITY$102,608,652
DUE TO THIRD PARTIES$10,926,774
ACCRUED PENSION LIABILITY$43,705,440
ASSET RETIREMENT COSTS$3,344,945
LEASE OBLIGATIONS$1,125,000
FieldValueIRS element (for citing)
Total Of Amounts161710811TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

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

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedtrueGrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionSub-Saharan AfricaRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedMEDICALSpecificServicesProvided
Total Expenditures18750TotalExpenditures
FieldValueIRS element (for citing)
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Total Amount Spent18750TotalAmountSpent

Form990 Schedule F Part IV Form990ScheduleFPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for Monitoring The Use of Grant Funds Outside the United StatesIdentifier
Return ReferenceSchedule F, Part I, Line 2ReturnReference
ExplanationTravel grants of $2,000 are provided to third year medical residents that travel to the Bugando Medical Center in the United Republic of Tanzania. The residents provide medical care and other volunteer services to children as part of The Children's Memorial Hospital's mission. The travel grants are intended to cover some of the costs related to travel to and from the united republic of Tanzania, as well as housing and meals while at the Bugando medical center. The medical residents are provided $1,000 prior to their departure and $1,000 upon their return to the U.S.Explanation

Schedule H IRS990ScheduleH

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

Other Percentage OtherPercentage

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1322669TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1322669NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense208554933TotalCommunityBenefitExpense
Direct Offsetting Revenue180940941DirectOffsettingRevenue
Net Community Benefit Expense27613992NetCommunityBenefitExpense
Percent Of Total Expense0.05090PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense209877602TotalCommunityBenefitExpense
Direct Offsetting Revenue180940941DirectOffsettingRevenue
Net Community Benefit Expense28936661NetCommunityBenefitExpense
Percent Of Total Expense0.05330PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense9190635TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense9190635NetCommunityBenefitExpense
Percent Of Total Expense0.01690PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense15493437TotalCommunityBenefitExpense
Direct Offsetting Revenue3301959DirectOffsettingRevenue
Net Community Benefit Expense12191478NetCommunityBenefitExpense
Percent Of Total Expense0.02250PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense818192TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense818192NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense58287042TotalCommunityBenefitExpense
Direct Offsetting Revenue10216048DirectOffsettingRevenue
Net Community Benefit Expense48070994NetCommunityBenefitExpense
Percent Of Total Expense0.08860PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense8705562TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense8705562NetCommunityBenefitExpense
Percent Of Total Expense0.01610PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense92494868TotalCommunityBenefitExpense
Direct Offsetting Revenue13518007DirectOffsettingRevenue
Net Community Benefit Expense78976861NetCommunityBenefitExpense
Percent Of Total Expense0.14560PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense302372470TotalCommunityBenefitExpense
Direct Offsetting Revenue194458948DirectOffsettingRevenue
Net Community Benefit Expense107913522NetCommunityBenefitExpense
Percent Of Total Expense0.19890PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$1,334,730BadDebtExpenseAmount
Costing Methodology UsedCostingMethodologyUsed
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (11 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalChildrens HospitalChildrensHospitalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursOtherOther
THE CHILDREN'S MEMORIAL HOSPITAL
2300 CHILDRENS PLAZA BOX 268CHICAGOIL606143394XXXX
Outpatient Center in Lincoln Park
2515 N Clark Street/467 W DemingChicagoIL60614Outpatient Medical Services
Outpatient Center in Arlington Heights
880 W Central Rd Suite 6400Arlington HeightsIL60005Outpatient Medical Services
Outpatient Center in Glenview
2150 Pfingsten RdGlenviewIL60025Outpatient Medical Services
Outpatient Center in New Lenox
1870 N Silver Cross Blvd Ste 100New LenoxIL60451Outpatient Medical Services
Outpatient Center in Westchester
2301 Enterprise DrWestchesterIL60154Outpatient Medical & Ambulatory Surgical Services
Outpatient Center in Westbrook
11301 W Cermak RdWestchesterIL60154OutPATIENT MEDICAL SERVICES
Clinic at Uplift Community School
900 W Wilson AvenueChicagoIL60640Outpatient Medical Services
Children's Memorial Uptown Clinic
4867 N Broadway AvenueChicagoIL60640Outpatient Medical Services
Outpatient Center in Lake Forest
900 N Westmoreland Suite 209Lake ForestIL60045Outpatient Medical Services
Outpatient Center at CDH
25 N WINFIELD ROADWinfieldIL60190OUtpatient Medical services

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaN/AIncomeBasedCriteria
Annual Community Benefit ExplnThe Children's Memorial Hospital prepares an annual community benefit report. The report can be found at: http://www.childrensmemorial.org/newsroom/serving-our-communities.aspx The calculation for "Charity Care and Certain Other Community Benefits at Cost" reflects the Form 990 definitions and will not necessarily correspond to calculations prepared for similar State of Illinois reporting requirements and our Audited Financial Statement reporting, each of which may require the use of specified methodologies that may differ from Form 990.AnnualCommunityBenefitExpln
Costing Method UsedCost to Charge Ratio is calculated using the total expense reflected in our FY 2010 audited financial statements reduced by community benefits reflected on Schedule H, bad debt, provider tax, and non-patient related activity expenses found in the CMH cost report divided by gross patient charges.CostingMethodUsed
Subsidized Health Services ExplnSubsidized health services reported in Section I Line 7g include details from two different community benefit programs of Children's Memorial Hospital ("CMH"), namely the Uptown Primary Care and Dentistry Clinics. Both clinics are Primary Care and Dentistry clinics. The operating costs attributable to Primary Care and Dentistry clinic are $818,192. Both programs are operated despite financial losses to the organization. The clinics provide healthcare to a largely underserved community.SubsidizedHealthServicesExpln
Percent Of Total Expense ExplnOur total expense from Form 990, Part IX, line 25, column (A) was $546,377,221. The bad debt expense included in this amount was $3,820,064. This left us with a total expense of $542,557,157 for purposes of calculating line 7, column (f).PercentOfTotalExpenseExpln
Bad Debt FootnoteCMH considers self-pay as bad debt when a family is not eligible for financial assistance and is unwilling or unable to pay an outstanding account balance. The most common patient bad debt scenarios include unpaid self-pay portions of account balances after insurance or third party assistance payments or unpaid account balances after a bankruptcy filing. CMH is sensitive to the financial health of our patients and their families and recognizes that family financial concerns may not always be shared. As such, the Hospital is committed to managing collection efforts in a sensitive and respectful manner. In this regard, CMH sends a minimum of four letters/statements to the families before taking further action. For high balance accounts, the Hospital will attempt to contact the patient/family by telephone. Should the Hospital receive no reply after these numerous attempts, the self-pay balances are sent to a collection agency for further action. With few exceptions, CMH does not credit list its patients or take court action in its attempts to collect the outstanding balances, and CMH does not take these actions unless and until eligibility for financial assistance has been determined. The allowance for uncollectible accounts at the amount of charges written off is presented as a separate line item on the face of the financial statements. Bad debt expense on Part III Line 2 of Schedule H is calculated based on aging accounts receivable and applying historical bad debt percentages.BadDebtFootnote
Shortfall As Community BenefitN/AShortfallAsCommunityBenefit
Debt Collection PolicyCollection policies are the same for all CMH patients. If at any point in the collection process, documentation is received that indicates the patient is potentially eligible for financial assistance but has not applied for it, the account is referred back for a financial assistance review. Through the use of numerous pamphlets, signage and website notices, patients are notified of CMH's financial assistance policy. On receipt of the information, we will determine eligibility for financial assistance and notify the patient as quickly as possible. The Hospital does not pursue collection of amounts from patients who are being reviewed for financial assistance eligibility or who are determined to qualify for charity care. In addition, all patients having difficulty paying their bills are directed to financial counselors. The financial counselors will work with our patients to qualify them for charity care or government program such as Medicaid. After a patient meets the qualifications for financial assistance, the account balance is either partially or entirely written off in accordance with our financial assistance policy. If there is any remaining balance, only that balance would be subject to our debt collection policy. If a patient has requested and/or filled out a financial aid application, all debt collection activities stop until eligibility for financial assistance can be determined. Our policy provides that once we have received the necessary documentation we will not refer any accounts for collection while we can determine whether the individual is eligible for financial assistance.DebtCollectionPolicy
Number Of Facility Type ExplnN/ANumberOfFacilityTypeExpln
Needs AssessmentChildren's Memorial assesses the health care needs of the larger and diverse community it serves in a variety of ways. Community needs are identified by the CMH board of directors as well as several advisory boards which are comprised of individuals from the community served who are active members of the community and attuned to community needs. For example, Children's Memorial has a very active Family Advisory Board which the Hospital relies upon to assist in making decisions about programming and policies. Family Advisory Board members, comprised of parents of children who have had extensive inpatient and outpatient experiences at the Hospital, advise administration and medical leadership on patient needs and hospital priorities from the family perspective. Family Advisory Board Members contribute through participation in planning, operating and policy committees of Children's Memorial. Similarly, the Kids' Advisory Board is intended to give a voice to children who have been treated at the Hospital. The Kids' Advisory Board makes recommendations on issues related to patient care from the perspective of a child, teenager and sibling of a patient. The Hospital also has established a Community Advisory Board for patients/caregivers of HIV-infected children, HIV-infected health care workers and other interested people in the community. This advisory board seeks input and feedback regarding clinic operations and patient needs to improve services and research for all HIV-affected patients at Children's Memorial. The Community Advisory Board meets to discuss improvements for the program's services; help in implementing new pediatric, adolescent and perinatal research; review HIV education materials used in the community; and to assess the effectiveness of the Children's Memorial HIV/AIDS program. The Hospital also has established an adolescent community advisory board established to address similar issues, specific to teens with HIV/AIDS. Moreover, Children's Memorial has strong relationships with other not-for-profit organizations (such as health clinics and social service agencies) and community leaders who help identify existing community needs and ways to address such needs. Children's Memorial is also a leader in pediatric research aimed at advancements in the prevention, diagnosis and treatment of diseases that affect the development of children through adolescence as well as adult disorders that derive from them. Children's Memorial Research Center is one of a few institutions in the U.S. dedicated exclusively to pediatric research. This research aids in the identification of unmet needs faced by the community and, in particular, the children Children's Memorial is privileged to serve. Children's Memorial assesses pediatric health needs in the community through its Child Health Data Lab, which provides current and accurate data on the health of children and adolescents throughout Illinois in a readily understandable format. By analyzing health status in particular areas over periods of time, the data lab assists policy-makers and public health planners to identify the health promotion and disease and injury prevention needs in local communities in Illinois. The data lab publishes reports including detailed analyses of child and adolescent injury, death and hospitalization in Illinois by county, and child injury and well-being by Chicago community area. The data lab provides statistical analysis and proposes solutions to address the leading causes of injury for different age groups. The data lab also houses the Illinois health survey which is the first broad-based survey of Illinois youth and adults, designed to provide county-level estimates of a broad range of health conditions for Illinois youth and adults and is intended to guide health policy in Illinois. Based upon all these varied assessments, Children's Memorial, in concert with others in the community, strives to address identified needs which it is positioned to assist with, particularly those related to the health and well-being of children, through education, research and patient care programs, in keeping with its primary mission as a tax-exempt entity. For specific examples of community building activities of Children's Memorial, please see Question 5 below.NeedsAssessment
Patient Education AssistanceChildren's Memorial's financial assistance policy is communicated to the public and patients frequently and in many ways. New patients receive a written notice informing them about Children's Memorial's financial assistance policy and are requested to sign a statement at least annually confirming that they have received this policy. Signs are posted at all areas of registration, lobbies of our facilities, bathrooms, reception, clinical areas, waiting rooms, and the emergency department directing patients who have need of financial assistance to contact our financial counselors. Pamphlets, distributed through the hospital [and other facilities], titled "Billing/Financial Assistance and Understanding Your Bill" provide information about the bills that the patients can be expected to have received and direct patients who may need financial assistance to contact our financial counselors. In addition, a link is shown on our website entitled "About Financial Assistance." Clicking on this link will take someone to the hospital's application form and instructions. Availability of financial assistance is also noted on the front and back of the first page of the patient statement. Children's Memorial has financial counselors who are trained to assist and advise patients as to the availability of a variety of social services and resources, including state Medicaid, Allkids (another State insurance program available to children from families whose income exceeds the thresholds for Medicaid eligibility), and the Hospital's charitable assistance program. The Hospital's staff actively assists inpatients and outpatient surgery patients who are eligible for Medicaid in applying for and obtaining these benefits. In the ambulatory clinic setting, applications for AllKids, are provided to patients. Where individuals are not eligible for such programs and there is need for financial assistance, the Hospital's financial counselors assist patients and families in applying for charitable assistance available from the Hospital. A patient may qualify for financial assistance at any time, including after applicable insurance limits may have been exhausted.PatientEducationAssistance
Community InformationChildren's Memorial Hospital is unique in the community and the State of Illinois as it is the only freestanding pediatric hospital in the State and its tertiary services includes a Level I trauma center and Level III neonatal nursery which serves as a regional referral center for the State of Illinois' Perinatal Network. In addition, for more than 60 years, Children's Memorial has served as the pediatric training site for Northwestern University's Feinberg School of Medicine, training residents, medical students and fellows who will comprise the next generation of health care providers. While Children's Memorial Hospital serves patients from all over the State of Illinois and from every state and 36 countries, the primary community served by the Hospital is children from the Chicago metropolitan area, with the primary service area defined as being the City of Chicago and Cook, DuPage, Kane, Kendall, Lake, McHenry, and Will Counties in Illinois. Over 50% of inpatients to the Hospital live within 10 miles of the Hospital and more than 66% of outpatients reside within 10 miles. 52.5% of the patients treated at the Hospital in fiscal year 2010 were Medicaid recipients. Children's Memorial is the largest provider of Medicaid services in the State of Illinois, with 24% more inpatient and 53% more outpatient Medicaid services than the next highest Illinois hospital. The poverty level in the primary service area, according to the most recent Census Bureau data is 11.8%. Patient demographics are diverse and include a large number of families whose primary language is not English, demonstrated by the fact that Children's Memorial expends over $1 million in translation services annually.CommunityInformation
Community Building ActivitiesChildren's Memorial spends a substantial amount each year to build and promote the general health of the community it serves. These community-building activities are health-related, and the amounts expended are included in the community benefits reported in Part I, line 7e. Children's Memorial engages in a broad spectrum of activities in furtherance of its mission to provide health care, research, teaching and advocacy for the promotion of children's well-being. Children's Memorial is a leader in providing necessary health care services as well as education and advocacy about important issues affecting children. Children's Memorial is a leader in pediatric research, including clinical research aimed at promoting the health and well-being of children in the community and beyond. Children's Memorial partners with many community programs intended to provide access to health-related services, health education, injury prevention and advocacy for important initiatives to improve children's health. Children's Memorial also spends significant resources toward graduate medical education, providing specialized training in pediatric specialty medicine, including specialty areas where there are severe shortages of clinicians and few graduates each year. Following are examples of some of the community-building initiatives in which Children's Memorial participates. Children's Memorial operates a primary care clinic in Chicago's Uptown neighborhood, providing needed primary care services, including check-ups, back-to-school and sports physicals, immunizations, vision and hearing screening and sick-child care by pediatric staff residents, supervised by attending physicians. Children's Memorial also has established collaborations with community resources and agencies, including Chicago Public Schools for various programs to support HIV-affected children attending school, assisting children with cochlear implants in re-entering school, and supporting children with epilepsy who attend Chicago Public Schools and suburban schools. In addition, Children's Memorial collaborates with the Division of Specialized Care for Children as a means to meet identified needs in the patients it serves. Children's Memorial is a leading member of The Consortium to Lower Obesity in Chicago Children (CLOCC) which brings together hundreds of organizations to confront childhood obesity in Chicago, by facilitating connections between researchers, public health advocates and practitioners, corporations, policymakers, children, families and communities. The Injury Prevention and Research Center (IPRC) at Children's Memorial strives to educate the public about injury prevention, improve public policy and foster protective environments for children, while coordinating all injury prevention initiatives at Children's Memorial. Children's Memorial also strives to serve children who have special health care needs and approximately 13-18 percent of children under 18 have such needs. Such children and their families often encounter uncoordinated care and other significant barriers while seeking multiple health resources. The Consortium for Children with Complex Medical Needs (of which Children's Memorial is a member along with other medical professions, government agencies and community leaders) seeks to overcome these barriers by attempting to assure a medical home for all children with special health care needs; build alliances to facilitate increased access to care and services; raise awareness through advocacy and lobbying; and assure youth with special health care needs receive transitional services needed to facilitate a productive adult life. Children's Memorial provides education on car seat safety and provides car seats to patients who do not have the means to purchase a car seat for their child. Children's Memorial also educates and advocates for prevention of childhood injuries, including injury prevention in children (particularly unintentional injuries such as prevention of falls, playground safety and button batteries), as well as has been a leader in issues related to early HIV testing for newborns. The Office of Child Advocacy at Children's Memorial emphasizes prevention and health promotion and addresses the leading causes of hospitalization and death among children, which stem from behavioral, environmental and social factors. Children's Memorial is also a leader in advocating for the prevention of violence against children and, for the past several years, has led the effort to create the Illinois Violent Death Reporting system, to create a state-wide database correlating information on violent deaths, in an effort to determine emerging patterns and develop more effective violence prevention policies and programs. The Hospital devotes significant resources to family support services which include social work, pastoral care, parent education and other family amenities to address emotional, social and spiritual needs of hospitalized children and their families.CommunityBuildingActivities
Other InformationThe Children's Memorial Hospital's mission is to provide pediatric health care, research, teaching and advocacy for issues related to children. Children's Memorial's governing board as well as the various advisory boards (Family Advisory Board, Kids' Advisory Board, Community Advisory Boards) are comprised of volunteers from the community who have knowledge of the community and a broad range of expertise. The Hospital provides more pediatric patient care than any other hospital in Illinois in nearly every pediatric and surgical specialty. Children's Memorial operates a 24 hour, 7 day per week pediatric emergency room, including a Level I trauma center and Level III neonatal nursery that serves as a regional referral center for the State of Illinois' Perinatal Network. The Hospital is the largest provider of Medicaid services to Illinois children, serving 50% more inpatients and outpatients than the next leading provider. The Hospital's pediatric physician specialists provide more services to children insured by the State of Illinois' AllKids insurance program (Medicaid) than any other provider. The Hospital's ability to treat the most critically ill infants is demonstrated by the fact that in calendar year 2010, 55.4% of all transports into its neonatal intensive care unit were from other Level III nurseries in the Chicago metropolitan area and the Hospital treated three times more NICU babies with medically complex problems than the next leading nursery in the metropolitan Chicago area. In fiscal year 2010, Children's Memorial served approximately 146,000 patients from the State of Illinois and elsewhere in more than 70 pediatric specialties offered by the Hospital. In keeping with its exempt purposes, surplus funds of the hospital are utilized to improve the quality of patient care, expand or improve its facilities, and advance medical training, education and research programs. Children's Memorial is currently in the process of constructing a new, modern, hospital facility located on the campus of Northwestern University's Feinberg School of Medicine, designed to continue to provide the highest quality medical care, better serve patients and families and enhance the ability to recruit high quality physician faculty to provide clinical services, conduct research and train residents and fellows. Among the key design features aimed at improving the care and privacy of our pediatric patients is private patient rooms. Further, the Kids' Advisory Board and Family Advisory Board were actively involved in making suggestions about the design of the new hospital from the perspective of patients and families and the new hospital will reflect many of their insightful recommendations. Children's Memorial also increases access to its services by operating numerous outpatient specialty clinics in various locations throughout the Chicago metropolitan area, convenient for patients and families to access the scarce, pediatric specialty and sub-specialty services that would not otherwise be immediately available. Children's Memorial also provides physician coverage through neonatologists, pediatric intensivists and pediatric hospitalists at nine other hospitals located in Chicago as well as the suburban areas. Currently, Children's Memorial provides these services to Northwestern Memorial Hospital's Prentice Women's Hospital, Central DuPage Hospital, Northwestern Lake Forest Hospital, Northwest Community Hospital, Sherman Hospital, Silver Cross Hospital, Swedish Covenant Hospital, West Suburban Medical Center, and La Rabida Children's Hospital, a specialty children's hospital in Chicago serving children with chronic medical conditions. Again, these specialized services would not otherwise be readily available. Children's Memorial is involved with numerous partnerships with community organizations and leaders to promote the health and well-being of the children it serves. Children's Memorial also serves as a leading member of the nationally recognized Consortium to Lower Obesity in Chicago Children ("CLOCC") which brings together hundreds of organizations and individuals to confront childhood obesity in Chicago. CLOCC is intended to foster and facilitate connections between researchers, public health advocates and practitioners, corporations, policymakers and children, families and communities. Children's Memorial also serves as a major academic tertiary care medical center and serves as the primary pediatric practice site for Northwestern University's Feinberg School of Medicine ("NUFSM") and provides the clinical training for NUFSM's resident physicians, fellows and medical students in pediatric specialties and sub-specialties. Each year, the Children's Memorial Department of Pediatrics trains approximately 200 physicians. Almost half are pediatric residents and the remainder are fellows in various pediatric sub-specialties including cardiology, hematology/oncology and neonatology. In addition, the Children's Memorial Department of Surgery provides formal resident education to NUFSM in each of its ten divisions and trains rotating residents from various other medical schools. Among the training opportunities for residents, supervised by attending physicians, is to provide primary care at the Uptown Clinic in Chicago, where primary care pediatric services are provided. These primary services would not otherwise be available to the patients treated at the site. In addition to training medical students, residents and fellows of McGaw and other institutions, CMH offers clinical experiences in pediatrics to nursing students and students in other allied health fields. Students in clinical placements must be candidates for a degree in their particular field of study. CMH is affiliated with 18 nursing training programs. In fiscal year 2010 there were 1,204 student placements at CMH including 268 third and fourth year medical students, 587 nursing students, and 349 allied health students studying in the fields of respiratory therapy, exercise physiology, rehabilitate services, social work, nutrition, radiology, pharmacy, child life, art therapy, and psychiatry-related studies. Students training to be operating room technicians and cardiac perfusion technicians also had clinical placements at CMH. The Hospital has an open medical staff, which is comprised of pediatricians and pediatric specialists whose practice is based at Children's Memorial Hospital as well as community-based pediatricians. As of December 31, 2009, there were 1,108 physicians on Children's Memorial Hospital medical staff. Of these physicians, 439 are employed by affiliates of the hospital.OtherInformation
Affiliated Health Care SystemAs described in detail in Question 6, Children's Memorial employs, through affiliated faculty practice plans entities, pediatric specialists and sub-specialists who provide patient care at locations in Chicago and the surrounding communities. In accordance with the mission of Children's Memorial, these physician groups provide more services to Medicaid patients than any other physician providers in Illinois. In connection with their extensive treatment of Medicaid patients, in fiscal year 2010 these physician affiliates were paid $20.7 million less than the costs of providing the services. In addition, Children's Memorial, through its affiliate, Children's Memorial Research Center ("CMRC"), performs 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. CMRC, one of a few institutions in the U.S. dedicated exclusively to pediatric research, operates, in part, in a five-story, 125,000 square foot state-of-the-art laboratory and research administration facility as well as in the hospital and the campus of Northwestern University. CMRC research encompasses basic research studies as well as those with potential clinical applications. In fiscal year 2010, there were 206 physician-scientists engaged in research and more than 370 papers related to the research activities by Children's Memorial researchers were published in peer-reviewed journals. In addition, there were over 351 funded research projects which received over $38.1 million in annual funding from external sponsors such as the National Institutes of Health. See the tax information return of CMRC, EIN #36-3357005 for additional information. The Children's Memorial Foundation ("CMF"), another affiliate of CMH, is responsible for fundraising for the hospital and its affiliated tax-exempt organizations. These philanthropic dollars support the programs in furtherance of the hospital's mission and benefit the community served, including the establishment and construction of the new hospital that is currently underway. Fundraising by CMF and CMH for fiscal year 2010 was $53.8 million from more than 47,500 donors. See the tax information return of CMF, EIN #36-3357006 for additional information. In addition, in connection with its relationship with NUFSM, CMH is a member institution of The McGaw Medical Center of Northwestern University ("McGaw"). McGaw is an Illinois not-for-profit corporation, exempt from federal income taxation pursuant to Section 501(c)(3) of the Internal Revenue Code. McGaw is a charitable and educational consortium of four independent hospitals and NU. The goal of McGaw is to facilitate education and coordinate NUFSM medical residency and fellowship programs among the member institutions: CMH, Northwestern Memorial Hospital, NUFSM and the Rehabilitation Institute of Chicago. Through McGaw, its member institutions provide training to approximately 730 residents and 270 fellows during academic year July 1, 2009-June 30, 2010. CMH serves as the primary teaching site for approximately 112 pediatric residents and 94 pediatric subspecialty fellows. In addition, trainees from the adult programs of McGaw rotate to CMH for varying lengths of time to fulfill the pediatric component of their training program.AffiliatedHealthCareSystem
Reports Filed With StatesILReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
The Children's Memorial Research Center
2300 Childrens PlazaChicagoIL60614363357005501(C)(3)8784916Net asset transfer
The Children's Memorial Medical Center
2300 Childrens PlazaChicagoIL60614363357004501(c)(3)569674Net Asset Transfer
Pediatric Faculty Foundation Inc
2300 Childrens PlazaChicagoIL60614363279680501(c)(3)7083921NET ASSET TRANSFER
The Children's Memorial Medical Center
2300 Childrens PlazaChicagoIL60614363357004501(c)(3)1521641NET ASSET TRANSFER
The Children's Memorial Research Center
2300 Childrens PlazaChicagoIL60614363357005501(c)(3)2487659FUNDS RELEASED FROM RESTRICTION
Pediatric Faculty Foundation Inc
2300 Childrens PlazaChicagoIL60614363279680501(c)(3)3219807Funds released from restriction
The Children's Memorial Medical Center
2300 Childrens PlazaChicagoIL60614363357004501(c)(3)462306Funds released from restriction
Children's Surgical Foundation
2300 Childrens PlazaChicagoIL60614363283051501(c)(3)1142776
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule I, Line 2Identifier
Return ReferenceDescription of Organization's Procedures for Monitoring the Use of GrantsReturnReference
ExplanationWe review all grant funds on a monthly basis. Financial reports are generated monthly and distributed electronically to all fund directors and the Office of Sponsored Projects (OSP) for review. Expenditures are reviewed for appropriateness and against budgetary guidelines by the Finance Office (Fund Accounting). OSP and Fund Accounting work with the investigators to monitor their activity and make sure they are in compliance with the terms of the award.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (25 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
James Donaldson MD
0428936082425020070127265020636066126900
Thomas P Green MD
046415101513140792024500028371066912800
Mary JC Hendrix PhD
04556800921100516024500018309059111500
Patrick M Magoon
651796041047008601203553210149870151858601378330
H William Schnaper MD
02500860376500516024500022725033547700
Gordon B Bass
388145017807402777001817980176560793443000
Barbara B Bowman
223722087797038240804736014760071342302915540
Susan H Gordon
2018580666910104080588170215300359305000
Monica Heenan
18924206165303930163570133190280964000
Bruce Komiske
3240420120492014028019576094060487544000
Stanley B Krok
2495800822380243290912430184460465836000
Maureen T Mahoney
1782140576020122910163040119220276333000
Maureen Murphy
254283082380013152048648094590407922000
Paula M Noble
342210016634901407801547180145060691860000
Edward Ogata MD
4167090170225041497040519802468801058317000
Michelle M Stephenson
226144088938088970603980197080404085000
Donna S Wetzler
25744501257350109601330900148100532176000
Sherwood D Zellermayer
184275059994010900182470131410276747000
Thomas Sullivan
337621011286909421940262530245880144352506690980
Ron H Blaustein
18564403812501870140140210250258995000
Nancy M Borders
20205501793804570165580215030258511000
Morley I Kerschner
1915110236420188950147750163630265186000
Robert D Mckenna
179280022889086830121730163640239389000
Edward T Schubnell
177325026018015319021524099630250148000
Elizabeth Perlman MD
0367830055458034627077245015293055045300

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental Compensation InformationIdentifier
Return ReferenceSchedule J, part I, Question 1aReturnReference
ExplanationThe organization provides membership in a club and a professional organization used by Patrick Magoon, CMH/CMMC Chief Executive Officer, for business purposes. Such membership is treated by the organization as a working-condition fringe benefit and is, therefore, excluded from the individual's taxable income. The organization provides membership in a professional organization used by Edward Ogata, M.D., Chief Medical Officer, for business purposes. Such membership is treated by the organization as a working-condition fringe benefit and is, therefore, excluded from the individual's income. The organization provides membership in a club used by Thomas Sullivan, President of the Children's Memorial Foundation, for business purposes. Such membership is treated by the organization as a working-condition fringe benefit and is, therefore, excluded from the individual's income. Supplemental Compensation Information Schedule J, part I, Line 3 Pursuant to the bylaws of the Children's Memorial Medical center ("CMMC"), the Governance Committee of CMMC is charged to review and approve senior executive compensation for CMMC and its affiliates. The Governance Committee has adopted a written executive compensation philosophy which it follows when it reviews and approves the compensation and benefits of the organization's senior management, including the President/Chief Executive Officer and the other senior managers. The compensation philosophy is subject to periodic review for continued appropriateness by the Governance Committee. With the assistance of a compensation consultant and information from a variety of sources (specified on Schedule J), the Governance Committee confirmed the total amounts to be paid were reasonable and comparable to amounts paid by similarly situated organizations. 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. SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, QUESTION 4b The following listed individuals participated in the organization's supplemental executive retirement plan ("SERP") and earned unvested benefits during 2009, which are reported in Column (C): Gordon B. Bass $156,865 James Donaldson $98,732 Susan H. Gordon $38,637 Stanley B. Krok $67,946 Patrick Magoon $322,280 Maureen Murphy $25,031 Paula M. Noble $129,159 Edward Ogata, M.D. $379,048 Michelle M. Stephenson $39,827 Donna Wetzler $112,184 Elizabeth Perlman, MD $54,141 Benefits earned 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 the employee's years of service to the organization, and the cost of the benefits will vary from year to year based on interest rates, age, and many other factors. The amounts are at risk and will not be paid unless and until the employee has provided substantial future services to the organization. Benefits under the SERP vest at age 62, and are forfeited if the employee leaves the organization voluntarily before age 62 (except upon the sole discretion of the Board, and only if the participant has reached at least age 55 with at least 10 years of service). Participants who voluntarily leave the organization before age 55 forfeit their entire SERP benefit upon termination. Also included in Schedule J, Part II, Column (C) is the estimated value of amounts contributed to a qualified pension plan and the section 403(b) matching contributions. Also in response to question 4b, the following listed individuals became vested in supplemental retirement benefits under the SERP, and therefore had SERP benefits included in their taxable income: Thomas Sullivan, $898,309; and Barbara Bowman, $380,988. In each case, the vested and taxable amount represents the value of benefits earned over many years of service to the organization, and which became vested and taxable in 2009. These benefits were subject to a substantial risk of forfeiture before 2009. Of the amounts reported on the 990, the amounts already reported on Forms 990 in prior years were $669,098 for Mr. Sullivan and $291,554 for Ms. Bowman, and these amounts are reported in Schedule J-1, column (F). The Governance Committee of the organization's Board of Directors annually reviews all forms of executive compensation and benefits, including all reported vested and nonvested SERP benefits, and has concluded, as the result of a process that is designed to qualify for the rebuttable presumption of reasonableness, that total compensation and the benefits provided are reasonable. 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 Medical Center, and The Children's Memorial Hospital. Due to the CEO's unique role in setting and driving the long term strategic mission and operational performance of the entire organization, the Governance Committee of the Children's Memorial Hospital and The Children's Memorial Medical Center has established a long term incentive Program ("LTI") under which the CEO, Patrick Magoon, is the sole participant. Mr. Magoon is eligible to earn additional compensation for achievement of very challenging, long term goals that are established in advance by the Governance Committee. The LTI also serves as a retention vehicle since amounts earned are vested on a rolling basis over a multi-year period. During the reporting year and included in schedule J, Part II, column B (ii), is $139,334 of LTI paid to the CEO. of this amount, $137,833 was previously reported as deferred compensation. The governance committee has expressly reviewed the reasonableness of all such payments, and has concluded, as the result of a process that is designed to qualify for the rebuttable presumption of reasonableness under federal tax law, that all such amounts are reasonable and do not Exceed fair market value for the services provided.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
ILLNOIS FINANCE AUTHORITY
86109196745200FGC72008-05-15377043130SEE SCHEDULE Ofalsefalse
ILLINOIS FINANCE AUTHORITY
86109196745200FGR42008-05-15173490000SEE SCHEDULE Ofalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundAmount DefeasedAmountDefeasedAmount UnspentAmountUnspentIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindYear Of Subst CompletionYearOfSubstCompletion
383696314145522520335031594247560356367396falsefalsefalsetrue
17351460400064196500truefalsetruetrue2006

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsetruetruetrue0.000000.000000.00000true
falsefalsetruetruetruetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

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

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonSee Schedule ONamePerson

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions39NumberOfContributions
Noncash Contribs Rptd F9901772271NoncashContribsRptdF990
Method Of Determining RevenuesMARKETMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedtrueThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierThird parties hired to process noncash contributionsIdentifier
Return ReferenceSchedule M, Part I, line 32bReturnReference
ExplanationAll securities (non-cash donations) are sent directly to Northern Trust. Northern Trust as Custodian and broker sells the securities immediately. For donor recognition purposes, gifts are valued at the median prices on the day the securities are received. For accounting purposes, values are reconciled for any gain/loss on the sale of securities.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1WE 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 ACCOMPLISHMENTSFORM 990, PART III, LINE 4The Children's Memorial Hospital ("Hospital") in Chicago, Illinois owns and operates the only full-service, independent, freestanding pediatric hospital in Illinois. This not-for-profit, tertiary care hospital, founded in 1882, provides patient care 24 hours per day, 7 days per week. 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. The Hospital is the largest provider of Medicaid services to Illinois children. In total, during the State of Illinois' fiscal year 2010, the Hospital provided approximately 50% more outpatient and inpatient Medicaid services than the next highest Illinois hospital. The Hospital's pediatric-specialist physicians provide more specialty care to children insured by the State of Illinois' All Kids (Medicaid) program than any other specialty care provider. The Hospital maintains a charity care policy under which it provides healthcare services free of charge or at a greatly reduced rate to children whose families are unable to pay for the charges associated with their medical care. For the fiscal year ended August 31, 2010, the total unreimbursed care and community benefit provided by the Hospital and its affiliates was approximately $100 million, including $60.1 million in costs associated with unreimbursed services provided by the Hospital and its affiliated physician groups to children on Medicaid and $39.8 million for charity care and other community benefit including, but not limited to, resident and fellow expenses ($14.9 million), research funding ($8.5 million), operation of a community clinic support ($2.8 million), child advocacy programs ($786 thousand) and the provision of language assistance, pastoral care, social work, art and music therapies, hospital volunteer services, transplant family housing and other family support services ($6.9 million). The Hospital undertakes a broad range of services and activities in addition to patient care that support its charitable mission. The Hospital functions as a teaching and research institution whose efforts have contributed considerably to improvements in the quality of life and healthcare for children. The Hospital supports community medical needs through a variety of outreach programs and educational programs. In December 2001, the Hospital became the first pediatric hospital in the nation and the first hospital in Illinois to receive the Magnet Award from the American Nurses Credentialing Center. The Hospital was awarded this designation again in November 2005. Only 6% of the nation's hospitals currently hold this distinction. The Hospital is one of the major pediatric teaching hospitals in the U.S., serving as the pediatric teaching facility and the primary pediatric practice site of Northwestern University's Feinberg School of Medicine ("NUFSM") for resident physicians, fellows and medical students in pediatric specialties and sub-specialties. This program is consistently one of the most sought after in the country. In fiscal year 2010, over 1,000 individuals applied for the 31 available positions. Including the NUFSM pediatric residents and fellows, the Hospital has 112 residents and 94 fellows in various training programs. The Hospital also offers clinical experiences in pediatrics to medical students, nursing students, and students in other allied health fields. The Hospital is affiliated with 18 nursing education programs. In fiscal year 2010, there were 1,204 student placements, including 268 third and fourth year medical students, 587 nursing students, and 349 allied health students.
.The Hospital is undertaking the development, construction and equipping of a new, 288-licensed bed, acute care, pediatric hospital to replace its existing hospital facilities which will be named the "Ann & Robert H. Lurie Children's Hospital of Chicago." This new facility, in close proximity to NUFSM, will facilitate the Hospital's ability to continue to build upon its academic and research ties in a family-centered environment and state-of-the-art pediatric care facility that will foster the provision of compassionate care. The Hospital's role as a regional referral center for a variety of pediatric diseases and illnesses has created many research opportunities to study and treat them and the Hospital's research arm, Children's Memorial Research Center, is one of the nation's few centers dedicated solely to pediatric research. See the tax information return of the Hospital's affiliate, Children's Memorial Research Center [36-3357005]. Alone, or in conjunction with other community partners, the Hospital provides programs to support the health and well-being of children in our local community and beyond involving patient care and prevention; research; education and advocacy. Much of the Hospital's community work is in schools, particularly for children with special health and learning needs and the capacities of school personnel serving them. In the past 15 years, the Hospital has served more than 15,000 children and faculty of the Chicago Public Schools to enhance the health and safety programs and accommodations of chronically ill children. Programs address specific conditions such as epilepsy, ADHD, HIV infection, and impaired hearing. Other programs educate personnel about advanced medical technologies and aiding children transitioning from the hospital setting back to school. Other community health activities include a partnership by Hospital hematologists with the American Red Cross Blood Services to launch a cooperative sickle cell blood donor program to increase the number of blood donations by African Americans to help children with sickle cell disease who require frequent blood transfusions. The Hospital is a driving member of the Consortium to Lower Obesity in Chicago Children (CLOCC) to confront childhood obesity in Chicago. CLOCC is currently working with the City of Chicago to promote healthy eating and physical activity and is also piloting programs in Englewood, Humboldt Park, Lower West Side, Rogers Park, West Garfield Park, and West Town neighborhoods in Chicago. The Hospital operates an Injury Prevention and Research Center to educate and to improve public policy and foster protective environments, in addition to coordinating injury prevention initiatives at the Hospital. The Hospital also has developed programs to teach children sports injury prevention. The Hospital's Consortium for Children with Complex Medical Needs seeks to assist children with special health care needs to overcome barriers in obtaining care by assuring a medical home, building alliances to facilitate increased access to care and services, raising awareness; and helping those children to obtain the services needed to transition to adulthood. The Hospital offers a summer internship for Latino high school students to introduce them to promising career opportunities and a mentoring program for high school students that promotes participation in community service and literacy. The Hospital also educates in child maltreatment awareness and child abuse prevention, lead poisoning detection, and automobile safety programs and has developed fitness programs for special needs children.
Family and business relationshipsFORM 990, PART VI, QUESTION 2-Gregory Case has a business relationship wtih 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 relationship with Linda S. Wolf. -Edward J. Wehmer, Charles H. James III and Bert A. Getz, Jr. have a business relationship. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 THE CHILDREN'S MEMORIAL MEDICAL CENTER ("CMMC") IS THE ORGANIZATION'S SOLE CORPORATE MEMBER. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A THE ORGANIZATION'S SOLE CORPORATE MEMBER, THE CHILDREN'S MEMORIAL MEDICAL CENTER, HAS CERTAIN RESERVED POWERS, INCLUDING THE POWER TO APPOINT AND REMOVE ALL DIRECTORS OF THE ORGANIZATION. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING 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 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 11A A PUBLIC DISCLOSURE COPY OF THE ORGANIZATION'S FISCAL YEAR 2010 TAX RETURN ("FORM 990")WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S AUDIT COMMITTEE (OF THE BOARD) BEFORE A REGULARLY SCHEDULED AUDIT COMMITTEE MEETING AND BEFORE THE FORM 990 WAS FILED. THE AUDIT COMMITTEE IS THE COMMITTEE OF THE ORGANIZATION CHARGED WITH OVERSIGHT OF AUDIT AND TAX MATTERS. THE AUDIT COMMITTEE WAS PROVIDED A DETAILED OVERVIEW OF THE FORM 990 BY THE CHIEF FINANCIAL OFFICER ("CFO") AND THE ORGANIZATION'S DIRECTOR OF TAX COMPLIANCE. THE CFO AND DIRECTOR OF TAX COMPLIANCE ALSO RESPONDED TO THE AUDIT COMMITTEE MEMBERS' QUESTIONS AND AFFORDED THE OPPORTUNITY FOR DETAILED DISCUSSION OF THE FORM 990, PRIOR TO THE AUDIT COMMITTEE TAKING ACTION TO APPROVE THE FILING OF THE FORM 990. AS PART OF ITS TAX PREPARATION PROCESS, THE ORGANIZATION ON AN ONGOING BASIS CONSULTED ITS TAX CONSULTING FIRM AND OUTSIDE TAX LEGAL COUNSEL, BOTH OF WHICH POSSESS EXPERTISE IN HEALTH CARE AND TAX-EXEMPT RETURN PREPARATION, TO ADVISE AND ASSIST IN THE PREPARATION OF 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") PROVIDES A COMPREHENSIVE QUESTIONNAIRE TO ITS BOARD MEMBERS, SENIOR MANAGEMENT AND PURCHASING PERSONNEL POSING QUESTIONS ABOUT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. CMMC INITIATES FOLLOW UP 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.
AVG. HOURS WORKED FOR RELATED ORGANIZATIONSFORM 990, PART VII, SECTION A, LINE 1ATHE 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 WEEK IS SPENT PROVIDING SERVICES TO CMH AFFILIATES: PATRICK M. MAGOON PAULA M. NOBLE EDWARD OGATA, MD THOMAS SULLIVAN DONNA WETZLER SHERWOOD D. ZELLERMAYER THE FOLLOWING INDIVIDUALS ARE EMPLOYEES OF THE CHILDREN'S MEMORIAL MEDICAL CENTER (CMMC) AND GENERALLY WORK 40 HOURS PER WEEK. APPROXIMATELY 10 HOURS OF THEIR REGULAR WORK WEEK IS SPENT PROVIDING SERVICES TO RELATED AFFILIATES: ELIZABETH PERLMAN, MD JAMES DONALDSON, MD CONSOLIDATED FINANCIAL STATEMENTS FORM 990, PART XI, QUESTION 2 AND PART IV, QUESTION 12 THE CHILDREN'S MEMORIAL MEDICAL CENTER, MAINTAINS AN AUDIT COMMITTEE THAT IS RESPONSIBLE FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS, THE SELECTION OF THE INDEPENDENT AUDITORS, AND THE PROCESS FOR PREPARING THE FORM 990. TAX-EXEMPT BONDS DESCRIPTION OF PURPOSE FORM 990 SCHEDULE K PART I BOND 1: ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008 A/B, THE CHILDREN'S MEMORIAL HOSPITAL (BORROWER) THE PROCEEDS OF THE SALE OF THE SERIES 2008A/B BONDS WILL BE USED TO (I) PAY OR REIMBURSE THE BORROWER FOR THE PAYMENT OF A PORTION OF THE COSTS OF ACQUIRING, CONSTRUCTING AND EQUIPPING THE ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO ("LURIE CHILDREN'S"), (II) PAY A PORTION OF THE INTEREST ON THE SERIES 2008A/B BONDS DURING THE PERIOD OF CONSTRUCTION OF LURIE CHILDREN'S, (III) FUND A DEBT SERVICE RESERVE FUND FOR THE SERIES 2008B BONDS, AND (IV) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2008A/B BONDS. BOND 2: ILLINOIS FINANCE AUTHORITY VARIABLE RATE DEMAND REVENUE BONDS, SERIES 2008 C/D, THE CHILDREN'S MEMORIAL HOSPITAL (BORROWER). THE BORROWER UTILIZED THE PROCEEDS OF THE SERIES 2008C/D BONDS TO (I) REFUND THE OUTSTANDING PRINCIPAL AMOUNT OF THE SERIES 1999 B-1 BONDS (ISSUED: 9/1/99), 1999 B-2 BONDS (ISSUED: 9/1/99), 2003A BONDS (ISSUED: 11/18/03), 2003 B BONDS (ISSUED: 11/18/03) AND 2004 BONDS (ISSUED: 4/14/04) AND, (II) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2008C/D BONDS. PART II, LINE 5/ISSUANCE COSTS OF $708,103 INCLUDES $52,764 OF CREDIT ENHANCEMENTS. Issuance Cost From Proceeds Schedule K, Part II, Line 5 Reported on Schedule K Part II Line 5 Columns A and B are cumulative amounts of proceeds used to pay fees for credit enhancement that are taken into account in determining the yield on the bond issue for purposes of IRC Sec. 148(h). Specifically, the total Column A, Line 5 issuance costs of $9,424,756 includes $6,305,197 for bond insurance. In addition the total Colum B Line 5 issuance cost of $641,965 includes $52,764 related to letter of credit fees. Business Transactions with Interested Persons Schedule L, Part IV Name: Greg Case Relationship: Director Amount of Transaction: $244,500 Description of Transaction: CMH purchases insurance brokerage services from the company of which Mr. Case serves as the President/CEO. Name: Lester Crown Relationship: Director Amount of Transaction: $1,613,997 Description of Transaction: CMH purchases financial services from the bank of which Mr. Crown's son serves as a director. Name: Paula Crown Relationship: Director Amount of Transaction: $1,613,997 Description of Transaction: CMH purchases financial services from the bank of which Ms. Crown's spouse serves as a director. Name: Charles W. Douglas Relationship: Director Amount of Transaction: $614,391 Description of Transaction: CMH purchases legal services from the law firm of which Mr. Douglas is a partner and chairman of the management committee. Name: David W. Fox Jr. Relationship: Director Amount of Transaction: $1,613,997 Description of Transaction: CMH purchases financial services from the bank of which Mr. Fox is the Vice Chairman. Name: Andrew J. McKenna Relationship: Director Amount of Transaction: $244,500 Description of Transaction: CMH purchases insurance brokerage services from the company of which Mr. McKenna serves as a Director. Name: Edward Ogata, MD Relationship: Officer/Director Amount of Transaction: $45,874 Description of Transaction: CMH employs the son-in-law of Dr. Ogata. Name: Brian Williams Relationship: Director Amount of Transaction: $261,561 Description of Transaction: CMH purchases advertising services from the company for which Mr. Williams serves as President and CEO.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
The Children's Memorial Research Center
2300 Childrens PlazaChicagoIL60614363357005RESEARCHIL501(c)(3)4CMMC
The Children's Memorial Foundation
2300 Childrens PlazaChicagoIL60614363357006FUNDRAISINGIL501(c)(3)7CMMC
The Children's Memorial Medical Center
2300 Childrens PlazaChicagoIL60614363357004HEALTH CAREIL501(c)(3)11 III-FINA
Pediatric Faculty Foundation Inc
2300 Childrens PlazaChicagoIL60614363279680HLTH CRE/RSCHIL501(c)(3)11 III-FICMMC
CMH Self Insurance Foundation
2300 Childrens PlazaChicagoIL60614366638400INSURANCEIL501(c)(3)11 III-FICMMC
McGaw Medical Ctr of Northwestern Univ
362656113Supportng OrgIL501(c)(3)11 iii-FINA

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CMMC Insurance Co LTDBusinessNameLine1

Address US AddressUS

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCORPORATIONTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Pediatric Faculty Foundation
I1622696
Children's Memorial Foundation
c7747247
Children's Memorial Medical Center
b2553621
The Children's Memorial Research Center
b11272575
Pediatric Faculty Foundation Inc
b10303728
CMH Self Insurance Foundation
o13448000
Pediatric Faculty Foundation Inc
p21279747
Children's Memorial Foundation
p14949629
Children's Memorial Medical Center
p5993671
The Children's Memorial Research Center
p11102430
CMH Self Insurance Foundation
p13000000