2025-07-10T16:26:02+00:00 2024-08-31 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2023-09-01 831650513 Lurie Children's Surgical Foundation Inc LURI 3122277133 225 E CHICAGO AVE BOX 282 CHICAGO IL 606112991 ALEX P MILLER SVP, CHIEF FINANCIAL OFFICER 3122277133 2025-07-10 true true Emily Upstrom P01765498 3128792000 2025-07-08 2023 2025-03-06 01:10:19Z EARL CHENG MD 225 E CHICAGO AVE BOX 282 CHICAGO IL 606112991 99815815 false X WWW.LURIECHILDRENS.ORG X 2018 IL LURIE CHILDREN'S SURGICAL FOUNDATION, INC. PROVIDES PEDIATRIC AND SUBSPECIALTY SURGICAL, RESEARCH, AND EDUCATIONAL SERVICES. 9 2 89 2 0 0 37960418 28121698 72280065 71694117 0 0 0 0 110240483 99815815 0 0 0 0 77190012 80769942 0 0 0 21279146 20909031 98469158 101678973 11771325 -1863158 12813217 9272650 2611964 1545808 10201253 7726842 PROVIDE PEDIATRIC AND SUBSPECIALTY SURGICAL, RESEARCH, AND EDUCATIONAL SERVICES. false false 100487536 0 71694117 SEE SCHEDULE O. 100487536 true true false false false false false false false false false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true X 8 0 true 89 true false false false false false false false false false false true false X 9 2 false false false false true true true true true false false true true true true true true false false false IL X ALEX P MILLER 3122277133 225 E CHICAGO AVE CHICAGO IL 606112991 Anthony Chin MD Director/Treasurer/Physician 40.0 0 X X 825704 0 85034 Earl Cheng MD Director/President/Chair/Physician 40.0 3.0 X X 819717 0 82034 Erik C King MD Director/Vice President/Vice Chair/Physician 40.0 0 X X 875052 0 43749 Robin Bowman MD Board Secretary/Physician 40.0 0 X X 1157897 0 87630 Andrea Pipitone Beirne Director 1.0 0 X 0 0 0 Brian Bell Director 1.0 0 X 0 0 0 Jeffrey Rastatter MD Director/Physician 40.0 0 X 575198 0 82034 Thomas Inge MD Ex-Officio Director/Surgeon-in-Chief 40.0 2.0 X 1328721 0 85084 Thomas P Shanley MD Ex-Officio Director/President & CEO LCH 1.0 46.0 X 0 1901209 631672 Alex P Miller SVP, Chief Financial Officer 1.0 46.0 X 0 701490 43308 Fatema Zanzi EVP, Chief Admin & Legal Officer, Corp Sec (begin 01/09/24) 1.0 46.0 X 0 726640 149202 Michael C Monge MD Physician 40.0 0 X 1316436 0 90084 Osama M Eltayeb MD Physician 40.0 0 X 1324712 0 66045 Sandi K Lam MD Physician 40.0 0 X 1196921 0 82034 Sunjay Kaushal MD Physician Through 10/31/23 40.0 0 X 1341226 0 43500 Tord D Alden MD Physician 40.0 0 X 1148081 0 88084 Brenda Davis Former Interim Chief Financial Officer Through 2/6/23 0.0 41.0 X 0 370034 32383 11909665 3699373 1691877 85 false true false RSM US LLP 331 W 3RD ST STE 200 DAVENPORT IL 52801 Audit Services 731527 1 28121698 28121698 PATIENT SERVICE REVENUE 621111 44318640 44318640 MED ADMIN AND EDUCATION 621111 3739614 3739614 PROF SVCS PROV TO RSCH 621111 5370879 5370879 PHYSICIAN CONTRACT 621111 7733807 7733807 MEDICARE/MEDICAID PAYMENTS 621111 8245308 8245308 2285869 2285869 0 0 71694117 0 0 0 0 0 0 0 0 0 99815815 71694117 0 0 5341328 5341328 0 63516584 62741707 774877 2804894 2769761 35133 7379549 7178081 201468 1727587 1707608 19979 1268581 1157469 111112 0 30497 30497 71741 71741 20934 20934 1325379 1325379 507938 507938 28297 28297 5487626 5487626 BILLING COLLECTION FEES 4744123 4744123 PATIENT EXPENSES 2581857 2581857 PLAN TAX 2458933 2458933 BAD DEBT EXPENSE 1840730 1840730 542395 524024 18371 0 101678973 100487536 1191437 0 12583874 9102650 0 0 0 0 13553 0 0 0 0 0 0 0 215790 170000 12813217 9272650 2611964 1321451 0 0 0 224357 2611964 1545808 X 10201253 7726842 10201253 7726842 12813217 9272650 X -1863158 -611253 X false true X true false X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0.0 X 0 0 0 0 0 0 Schedule A, Part I, Line 3 DISCLOSURE FOR NOT FILING SCHEDULE H THE ORGANIZATION DOES NOT FILE A SCHEDULE H EVEN THOUGH THE ENTITY MARKS THE HOSPITAL BOX IN SCHEDULE A BECAUSE IT IS NOT REQUIRED TO BE LICENSED, REGISTERED OR SIMILARLY RECOGNIZED BY THE STATE AS A HOSPITAL. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED PENSION LIABILITY 224357 224357 true true false false false false false true false Earl Cheng MD Director/President/Chair/Physician 818925 0 0 0 792 0 43500 0 38534 0 901751 0 0 0 Robin Bowman MD Board Secretary/Physician 1157381 0 0 0 516 0 43500 0 44130 0 1245527 0 0 0 Erik C King MD Director/Vice President/Vice Chair/Physician 874536 0 0 0 516 0 43500 0 249 0 918801 0 0 0 Anthony Chin MD Director/Treasurer/Physician 825428 0 0 0 276 0 43500 0 41534 0 910738 0 0 0 Thomas P Shanley MD Ex-Officio Director/President & CEO LCH 0 1161265 0 573513 0 166431 0 596393 0 35279 0 2532881 0 0 Thomas Inge MD Ex-Officio Director/Surgeon-in-Chief 1135079 0 193126 0 516 0 43500 0 41584 0 1413805 0 0 0 Jeffrey Rastatter MD Director/Physician 575018 0 0 0 180 0 43500 0 38534 0 657232 0 0 0 Brenda Davis Former Interim Chief Financial Officer Through 2/6/23 0 305869 0 62909 0 1256 0 15629 0 16754 0 402417 0 0 Fatema Zanzi EVP, Chief Admin & Legal Officer, Corp Sec (begin 01/09/24) 0 512206 0 213651 0 783 0 145228 0 3974 0 875842 0 0 Alex P Miller SVP, Chief Financial Officer 0 480682 0 220304 0 504 0 16500 0 26808 0 744798 0 0 Sunjay Kaushal MD Physician Through 10/31/23 740770 0 0 0 600456 0 43500 0 0 0 1384726 0 0 0 Sandi K Lam MD Physician 1196741 0 0 0 180 0 43500 0 38534 0 1278955 0 0 0 Tord D Alden MD Physician 1147565 0 0 0 516 0 43500 0 44584 0 1236165 0 0 0 Osama M Eltayeb MD Physician 1324196 0 0 0 516 0 43500 0 22545 0 1390757 0 0 0 Michael C Monge MD Physician 1316256 0 0 0 180 0 43500 0 46584 0 1406520 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation PURSUANT TO THE BYLAWS OF CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER ("MEDICAL CENTER"), THE COMPENSATION COMMITTEE OF THE MEDICAL CENTER IS CHARGED WITH REVIEWING AND APPROVING SENIOR EXECUTIVE COMPENSATION FOR THE MEDICAL CENTER AND ITS AFFILIATES AND THE COMPENSATION FOR ANY PHYSICIAN WHO MEETS THE CRITERIA FOR REVIEW AND APPROVAL BY THE COMMITTEE. THE COMPENSATION 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. THE COMPENSATION PHILOSOPHY IS SUBJECT TO PERIODIC REVIEW BY THE COMPENSATION COMMITTEE FOR CONTINUED APPROPRIATENESS IN THE CURRENT MARKET. WITH THE ASSISTANCE OF INDEPENDENT COMPENSATION CONSULTANTS AND INFORMATION FROM A VARIETY OF SOURCES (SPECIFIED ON SCHEDULE J), THE COMPENSATION COMMITTEE CONFIRMED THE TOTAL AMOUNTS TO BE PAID TO IDENTIFIED EXECUTIVES AND PHYSICIANS WERE REASONABLE AND COMPARABLE TO AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS TO INDIVIDUALS IN FUNCTIONALLY SIMILAR POSITIONS. LEGAL COUNSEL PERIODICALLY ADVISES THE COMPENSATION COMMITTEE WITH RESPECT TO FEDERAL TAX REQUIREMENTS IN SETTING COMPENSATION AND THE ESTABLISHMENT OF THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE FEDERAL TAX LAW INTERMEDIATE SANCTIONS RULES. THE PROCESS FOLLOWED BY THE COMPENSATION COMMITTEE, INCLUDING A DESCRIPTION OF THE DATA RELIED UPON AND THE COMPENSATION COMMITTEE'S DECISIONS, WAS THOROUGHLY AND CONTEMPORANEOUSLY DOCUMENTED. THE COMPENSATION COMMITTEE HAS EXPRESSLY REVIEWED THE REASONABLENESS OF COMPENSATION PAID TO IDENTIFIED EXECUTIVES AND PHYSICIANS, AND HAS CONCLUDED, AS THE RESULT OF A PROCESS THAT IS DESIGNED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS, THAT ALL SUCH AMOUNTS ARE REASONABLE AND DO NOT EXCEED FAIR MARKET VALUE FOR THE SERVICES PROVIDED. THE COMPENSATION COMMITTEE IS COMPRISED OF MEMBERS OF THE MEDICAL CENTER BOARD OF DIRECTORS HAVE BEEN DETERMINED TO BE DISINTERESTED (WHICH MEANS NO COMMITTEE MEMBER HAS A CONFLICT OF INTEREST) FOR THESE PURPOSES. THE COMPENSATION COMMITTEE CONDUCTS AN ONGOING, REGULAR REVIEW OF THE DISINTERESTED STATUS OF ITS MEMBERS, AND WILL TAKE APPROPRIATE ACTION WITH RESPECT TO ANYONE HAVING AN INTEREST WITH RESPECT TO ONE OR MORE EXECUTIVES SO AS TO PRESERVE THE DISINTERESTED STATUS OF THE COMMITTEE AND, AS A RESULT, THE APPLICATION OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS. Schedule J, Part I, Line 4a Severance or change-of-control payment SUNJAY KAUSHAL, MD RECEIVED A PAYMENT DURING THE CALENDAR YEAR PURSUANT TO A CONFIDENTIAL AGREEMENT. THE PAYMENT IS INCLUDED IN PART VII, COLUMN D AND SCHEDULE J, PART II, COLUMN B(III). Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO MAINTAINS A DEFINED CONTRIBUTION SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("DC SERP"), WHICH WAS ESTABLISHED ON JANUARY 1, 2017 AND IS A NONQUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN EMPLOYEES IN EXECUTIVE POSITIONS. THE BENEFITS IN THE DC SERP ARE IN THE FORM OF A FIXED ANNUAL CONTRIBUTION RATE AND AN EARNINGS CREDIT. EACH YEAR'S CONTRIBUTION AND EARNINGS ARE AT RISK AND WILL BECOME FULLY VESTED AND TAXABLE ONLY AFTER FIVE YEARS OF FUTURE EMPLOYMENT SERVICE, OR UPON REACHING AGE 62 WITH AT LEAST THREE YEARS OF SERVICE. SEVERAL LISTED PERSONS IN THIS FORM 990 PARTICIPATE IN THE DC SERP, AND THE UNVESTED CONTRIBUTIONS MADE FOR THEM ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). THE FOLLOWING INDIVIDUAL PARTICIPATED IN THE DC SERP AND RECEIVED A VESTED PAYMENT DURING 2023 WHICH IS REPORTED IN COLUMN B (III): THOMAS P. SHANLEY, MD $162,149 CEO DEFERRED COMPENSATION LISTED INDIVIDUAL THOMAS SHANLEY MD IS THE SOLE PARTICIPANT IN AN ADDITIONAL SUPPLEMENTAL RETIREMENT BENEFIT ARRANGEMENT THAT BEGAN IN 2021. HE IS ELIGIBLE TO EARN A BENEFIT THAT WILL NOT BECOME VESTED FOR SEVERAL YEARS. A PRORATED PORTION OF THE BENEFIT (REPRESENTING THE PORTION EARNED IN 2023) IS REPORTED IN COLUMN (C) AS UNVESTED DEFERRED COMPENSATION, AND WILL BE REPORTED AGAIN AS COMPENSATION IF AND WHEN THE FULL BENEFIT BECOMES VESTED AND IS SUBJECT TO TAX. THE INDEPENDENT COMPENSATION COMMITTEE OF THE CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER BOARD, WHOSE DILIGENT REVIEW AND APPROVAL PROCESS IS DESCRIBED ELSEWHERE IN THESE NARRATIVES, HAS REVIEWED AND APPROVED DR. SHANLEY'S TOTAL COMPENSATION IN A MANNER THAT QUALIFIES FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL TAX LAW INTERMEDIATE SANCTIONS RULES, AND AS PART OF THIS REVIEW PROCESS TOOK INTO ACCOUNT THE BENEFIT BEING EARNED UNDER THIS ADDITIONAL ARRANGEMENT. Schedule J, Part I, Line 7 Non-fixed payments 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 COMPENSATION COMMITTEE OF THE CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER (MEDICAL CENTER) BOARD OF DIRECTORS, WHICH SERVES AS THE COMPENSATION COMMITTEE OF LURIE CHILDREN'S AND LURIE CHILDREN'S SURGICAL FOUNDATION, INC. THE COMPENSATION COMMITTEE HAS EXPRESSLY REVIEWED THE REASONABLENESS OF ALL SUCH PAYMENTS AND HAS CONCLUDED, AS THE RESULT OF A PROCESS THAT IS DESIGNED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER FEDERAL TAX LAW, THAT ALL SUCH AMOUNTS ARE REASONABLE AND DO NOT EXCEED FAIR MARKET VALUE FOR THE SERVICES PROVIDED. Schedule J, Part II RELATED COMPENSATION THE FOLLOWING INDIVIDUALS ARE NOT COMPENSATED BY THE REPORTING ORGANIZATION FOR HIS OR HER SERVICE AS A DIRECTOR OR OFFICER. RATHER, THE COMPENSATION REPORTED ON FORM 990, PART VII AND ON SCHEDULE J, PART II REFLECTS COMPENSATION PAID BY ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO (LURIE CHILDREN'S) FOR THE INDIVIDUAL'S SUBSTANTIAL AND FULL-TIME SERVICES AS AN EMPLOYEE. FOR MORE DETAILS, PLEASE REFER TO THE 2023 FORM 990 OF LURIE CHILDREN'S, FEIN 36-2170833. ALEX P. MILLER BRENDA DAVIS FATEMA ZANZI THOMAS P. SHANLEY, MD Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION LURIE CHILDREN'S SURGICAL FOUNDATION, INC. ("LCSF") IS AN ILLINOIS NOT FOR PROFIT CORPORATION AND AN ORGANIZATION DESCRIBED UNDER SECTION 501(C)(3) OF THE CODE. ON JANUARY 1, 2019, CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER ("PARENT") (FEIN 36-3357004) BECAME THE SOLE CORPORATE MEMBER OF LCSF. LCSF EMPLOYS PEDIATRIC SURGICAL SPECIALISTS AND SUBSPECIALISTS. SUCH PHYSICIANS ARE BASED AND PRACTICE AT ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO ("LURIE CHILDREN'S"), ANOTHER AFFILIATED ENTITY OF LCSF, AND AT THE LURIE CHILDREN'S OUTREACH LOCATIONS. LURIE CHILDREN'S OFFERS OVER 70 TYPES OF PEDIATRIC SUBSPECIALTY CARE, MORE THAN ANY OTHER ILLINOIS HOSPITAL. LCSF EMPLOYS PEDIATRIC SURGICAL SPECIALISTS AND SUBSPECIALISTS WHO PROVIDE SURGICAL SERVICES TO PATIENTS OF LURIE CHILDREN'S IN THE AREAS OF CARDIAC SURGERY, FETAL SURGERY, NEUROSURGERY, OPHTHALMOLOGY, ORTHOPAEDICS, OTOLARYNGOLOGY, PEDIATRIC SURGERY, PLASTIC SURGERY, TRANSPLANT SURGERY, AND UROLOGY. LCSF PROVIDES SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY. IT ACCEPTS PATIENTS COVERED BY MEDICARE AND MEDICAID AND PROVIDES FINANCIAL ASSISTANCE UNDER ITS FINANCIAL ASSISTANCE POLICY. Form 990, Part V, Line 2a ALLOCATION OF SALARY EXPENSES ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO PAYS AND ISSUES FORMS W-2 TO EMPLOYEES WHO WORK FOR LURIE CHILDREN'S SURGICAL FOUNDATION, INC. THE ALLOCATION OF THE SALARY COSTS ARE DISCLOSED ON FORM 990, PART IX, STATEMENT OF FUNCTIONAL EXPENSES. Form 990, Part VI, Line 15 EXECUTIVE COMPENSATION THE AUTHORITY TO REVIEW AND APPROVE EXECUTIVE COMPENSATION HAS BEEN DELEGATED TO THE COMPENSATION COMMITTEE OF CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER BOARD OF DIRECTORS ("COMPENSATION COMMITTEE"). THE COMPENSATION 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. THE COMPENSATION PHILOSOPHY IS SUBJECT TO PERIODIC REVIEW FOR CONTINUED APPROPRIATENESS BY THE COMPENSATION COMMITTEE. WITH THE ASSISTANCE OF A COMPENSATION CONSULTANT AND INFORMATION FROM A VARIETY OF EXTERNAL SOURCES (SPECIFIED ON SCHEDULE J), THE COMPENSATION COMMITTEE CONFIRMED THE TOTAL AMOUNTS TO BE PAID WERE REASONABLE AND COMPARABLE TO AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. LEGAL COUNSEL ADVISES THE COMPENSATION COMMITTEE WITH RESPECT TO FEDERAL TAX REQUIREMENTS IN SETTING COMPENSATION AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS. THE PROCESS FOLLOWED BY THE COMPENSATION COMMITTEE, INCLUDING A DESCRIPTION OF THE DATA RELIED UPON AND THE COMPENSATION COMMITTEE'S DECISIONS, WAS THOROUGHLY AND CONTEMPORANEOUSLY DOCUMENTED. THE COMPENSATION COMMITTEE HAS EXPRESSLY REVIEWED THE REASONABLENESS OF COMPENSATION PAID TO IDENTIFIED EXECUTIVES, 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 COMPENSATION COMMITTEE IS COMPRISED OF MEMBERS OF CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER BOARD OF DIRECTORS HAVE BEEN DETERMINED TO BE DISINTERESTED FOR THESE PURPOSES. THE COMPENSATION 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. Form 990, Part VI, Line 6 Classes of members or stockholders CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER IS THE ORGANIZATION'S SOLE CORPORATE MEMBER. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE ORGANIZATION'S SOLE CORPORATE MEMBER, CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER, HAS CERTAIN RESERVED POWERS, INCLUDING THE POWER TO APPOINT AND REMOVE PHYSICIAN DIRECTORS OF THE ORGANIZATION'S BOARD. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER, THROUGH ITS BOARD OF DIRECTORS OR DESIGNATED COMMITTEE, AS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, HAS CERTAIN RESERVED POWERS WITH RESPECT TO APPOINTMENT AND REMOVAL OF CERTAIN DIRECTORS, APPOINTMENT OF CERTAIN OFFICERS, APPROVAL OF AMENDMENTS TO GOVERNING DOCUMENTS, APPROVAL OF FINANCIAL MATTERS, AND APPROVAL OF SIGNIFICANT TRANSACTIONS INCLUDING, BUT NOT LIMITED TO, MERGER, DISSOLUTION, DISPOSITION OF ASSETS OTHER THAN IN THE ORDINARY COURSE OF BUSINESS, AND CREATION OF SUBSIDIARIES. Form 990, Part VI, Line 11b Review of form 990 by governing body THE AUDIT AND COMPLIANCE COMMITTEE IS THE COMMITTEE OF THE CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER ("MEDICAL CENTER") BOARD CHARGED WITH THE OVERSIGHT OF AUDIT, TAX AND COMPLIANCE MATTERS FOR THE PARENT AND AFFILIATES. DURING A SPECIAL AUDIT AND COMPLIANCE COMMITTEE MEETING, AND BEFORE FORM 990 WAS FILED, THE AUDIT AND COMPLIANCE COMMITTEE WAS PROVIDED A REVIEW OF FORM 990 BY THE CHIEF FINANCIAL OFFICER ("CFO"). THE CFO AND OUTSIDE TAX ADVISOR ALSO RESPONDED TO THE AUDIT AND COMPLIANCE COMMITTEE MEMBERS' QUESTIONS AND AFFORDED THEM THE OPPORTUNITY FOR DETAILED DISCUSSION OF FORM 990, PRIOR TO THE AUDIT AND COMPLIANCE COMMITTEE TAKING ACTION TO APPROVE THE FILING OF FORM 990. A FULL COPY OF THE ORGANIZATION'S FORM 990 WAS THEN PROVIDED TO THE RESPECTIVE FILING ORGANIZATION'S BOARD FOLLOWING THE COMMITTEE'S APPROVAL. AS PART OF ITS ANNUAL RETURN PREPARATION PROCESS, THE ORGANIZATION, ON AN ONGOING BASIS, CONSULTED ITS TAX CONSULTING FIRM AND OUTSIDE TAX LEGAL COUNSEL, BOTH OF WHICH POSSESS EXPERTISE IN HEALTH CARE AND TAX-EXEMPT RETURN PREPARATION, TO ADVISE AND ASSIST IN THE PREPARATION OF FORM 990. THESE ADVISORS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER MEMBERS OF THE ORGANIZATION'S TEAM ASSEMBLED TO PARTICIPATE IN THE PREPARATION OF FORM 990. PRIOR TO PRESENTING FORM 990 TO THE MEDICAL CENTER BOARD'S AUDIT AND COMPLIANCE COMMITTEE, THE ORGANIZATION'S TEAM, INCLUDING ITS ADVISORS, MET FREQUENTLY TO DISCUSS AND REVIEW DRAFTS OF FORM 990. SUBSEQUENT TO THE AUDIT AND COMPLIANCE COMMITTEE REVIEW AND APPROVAL, FORM 990 WAS PROVIDED TO THE RESPECTIVE FILING ORGANIZATION'S BOARD OF DIRECTORS. Form 990, Part VI, Line 12c Conflict of interest policy ON AN ANNUAL BASIS, CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER (THE "MEDICAL CENTER") AND ITS AFFILIATES (COLLECTIVELY THE "CORPORATION") PROVIDE A COMPREHENSIVE QUESTIONNAIRE TO ITS BOARD MEMBERS, SENIOR MANAGEMENT AND OTHER KEY EMPLOYEES POSING QUESTIONS ABOUT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE MEDICAL CENTER INITIATES FOLLOW UP CONTACT TO THOSE WHO DO NOT RESPOND AND TO CLARIFY RESPONSES, WHERE NECESSARY. THE MEDICAL CENTER REVIEWS EACH DISCLOSURE AND PROVIDES A SUMMARY OF RELEVANT DISCLOSURES FOR THE REVIEW AND APPROVAL OF THE MEDICAL CENTER BOARD'S NOMINATING AND GOVERNANCE COMMITTEE. BOARD MEMBERS, SENIOR MANAGEMENT, AND KEY EMPLOYEES ARE SUBJECT TO AN APPLICABLE MEDICAL CENTER CONFLICT OF INTEREST POLICY AND TO A CODE OF CONDUCT, WHICH INCLUDES THE ONGOING RESPONSIBILITY TO PROMPTLY DISCLOSE CONFLICTS OF INTERESTS OR DUALITY OF INTERESTS TO A DESIGNATED INDIVIDUAL(S). DISCLOSURES ARE PROVIDED TO THE NOMINATING AND GOVERNANCE COMMITTEE OF THE MEDICAL CENTER BOARD OF DIRECTORS, WHICH CONSIDERS ALL CONFLICT AND DUALITY OF INTERESTS ISSUES. IF THE DISINTERESTED MEMBERS OF THE NOMINATING AND GOVERNANCE COMMITTEE HAVE DETERMINED THAT A POTENTIAL OR ACTUAL CONFLICT OF INTEREST OR DUALITY OF INTEREST EXISTS, THE NOMINATING AND GOVERNANCE COMMITTEE SHALL DETERMINE IF PREPARATION OF CONFLICTS MANAGEMENT GUIDELINES WILL SUFFICIENTLY MITIGATE THE POTENTIAL OR ACTUAL CONFLICT OF INTEREST AND/OR DUALITY OF INTEREST. IF THE NOMINATING AND GOVERNANCE COMMITTEE DETERMINES THAT CONFLICTS MANAGEMENT GUIDELINES WILL SUFFICIENTLY MITIGATE THE POTENTIAL OR ACTUAL CONFLICT OF INTEREST AND/OR DUALITY OF INTEREST, THE CHIEF LEGAL OFFICER WILL PREPARE SAID CONFLICTS MANAGEMENT GUIDELINES REGARDING THE PARTICULAR PERSON'S POTENTIAL OR ACTUAL CONFLICT OF INTEREST AND/OR DUALITY OF INTEREST FOR REVIEW, APPROVAL, AND OVERSIGHT BY THE NOMINATING AND GOVERNANCE COMMITTEE. THE CHIEF LEGAL OFFICER SHARES THE CONFLICT MANAGEMENT GUIDELINES WITH THE APPLICABLE PERSON FOLLOWING APPROVAL BY THE NOMINATING AND GOVERNANCE COMMITTEE. THE CONFLICTS MANAGEMENT GUIDELINES MAY REQUIRE ANY OR ALL OF THE ASPECTS BELOW. 1. THE RELEVANT PERSON SHALL RECUSE THEMSELVES FROM ALL OR A PORTION OF THE MEETING OF THE BOARD OR COMMITTEE ON WHICH THE PERSON SERVES WHILE THE PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT GIVING RISE TO THE CONFLICT OF INTEREST AND/OR THE SITUATION GIVING RISE TO A DUALITY OF INTEREST IS DISCUSSED. IN ADDITION, THE PERSON SHALL RECUSE THEMSELVES FROM ALL OR A PORTION OF THE MEETING OF THE BOARD OR COMMITTEE ON WHICH THE PERSON SERVES WHILE THE MATTER IS VOTED ON, AND ONLY DISINTERESTED DIRECTORS OR COMMITTEE MEMBERS, AS THE CASE MAY BE, MAY VOTE TO DETERMINE WHETHER TO APPROVE THE CONTRACT, TRANSACTION, ARRANGEMENT, OR SITUATION GIVING RISE TO THE CONFLICT OF INTEREST OR DUALITY OF INTEREST. IN DETERMINING WHETHER AND WHEN TO REQUIRE THE PERSON TO RECUSE THEMSELVES DURING DISCUSSION OF THE PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT GIVING RISE TO THE CONFLICT OF INTEREST AND/OR THE SITUATION GIVING RISE TO A DUALITY OF INTEREST, THE DISINTERESTED BOARD DIRECTORS OR COMMITTEE MEMBERS, AS THE CASE MAY BE, SHALL BALANCE THE NEED TO FACILITATE THE DISCUSSION BY HAVING SUCH PERSON ON HAND TO PROVIDE ADDITIONAL INFORMATION WITH THE NEED TO PRESERVE THE INDEPENDENCE OF THE DETERMINATION PROCESS. 2. WITH RESPECT TO A CONFLICT OF INTEREST OR DUALITY OF INTEREST, THE DISINTERESTED MEMBERS OF THE NOMINATING AND GOVERNANCE COMMITTEE SHALL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER THE CONTRACT, TRANSACTION, OR ARRANGEMENT PRESENTED BY THE CONFLICT OF INTEREST OR DUALITY OF INTEREST IS FAIR AND REASONABLE AND IN THE BEST INTEREST TO THE CORPORATION. IN REACHING SUCH DETERMINATION, THE NOMINATING AND GOVERNANCE COMMITTEE SHALL DETERMINE WHETHER THERE ARE ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST OR DUALITY OF INTEREST. IF A MORE ADVANTAGEOUS CONTRACT, TRANSACTION, OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST OR DUALITY OF INTEREST IS NOT REASONABLY ATTAINABLE UNDER THE CIRCUMSTANCES, THE DISINTERESTED MEMBERS OF THE NOMINATING AND GOVERNANCE COMMITTEE MUST DETERMINE BY A MAJORITY VOTE THAT THE CONTRACT, TRANSACTION, OR ARRANGEMENT PRESENTED BY THE CONFLICT OF INTEREST OR DUALITY OF INTEREST IS FAIR AND REASONABLE AND IN THE BEST INTEREST TO THE CORPORATION BEFORE SUCH CONTRACT, TRANSACTION, OR ARRANGEMENT MAY BE APPROVED FOR EXECUTION BY THE BOARD OF DIRECTORS OF ITS EXECUTIVE COMMITTEE. IF THE NOMINATING AND GOVERNANCE COMMITTEE DETERMINES THAT CONFLICTS MANAGEMENT GUIDELINES WILL NOT SUFFICIENTLY MITIGATE THE POTENTIAL OR ACTUAL CONFLICT OF INTEREST AND/OR DUALITY OF INTEREST, THE NOMINATING AND GOVERNANCE COMMITTEE SHALL DETERMINE THE APPROPRIATE STEPS. THE CHIEF LEGAL OFFICER SHARES THE NOMINATING AND GOVERNANCE COMMITTEE'S DECISION WITH THE APPLICABLE PERSON FOLLOWING APPROVAL BY THE NOMINATING AND GOVERNANCE COMMITTEE. Form 990, Part VI, Line 19 Required documents available to the public 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. Form 990, Part VIII, Line 2f Other Program Service Revenue MISCELLANEOUS - Total Revenue: 2285869, Related or Exempt Function Revenue: 2285869, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances PENSION ADJUSTMENT - -611253; ALMOST HOME KIDS 7 S 721 ROUTE 53 NAPERVILLE IL 60540 363822010 TRANSITION CR IL 501(c)(3) 10 MEDICAL CTR false STANLEY MANNE CHILDREN'S RESC INSTITUTE 225 E CHICAGO AVE CHICAGO IL 60611 363357005 RESEARCH IL 501(c)(3) 4 MEDICAL CTR false LURIE CHILDREN'S HOSPITAL OF CHICAGO FDN 225 E CHICAGO AVE CHICAGO IL 60611 363357006 FUNDRAISING IL 501(c)(3) 7 MEDICAL CTR false CHILDREN'S HOSPITAL OF CHICAGO MED CTR 225 E CHICAGO AVE CHICAGO IL 60611 363357004 HEALTH CARE IL 501(c)(3) 10 NA false PEDIATRIC FACULTY FOUNDATION INC 225 E CHICAGO AVE CHICAGO IL 60611 363279680 HLTH CRE/RSCH IL 501(c)(3) 10 MEDICAL CTR false LURIE CHILDRENS LIABILITY PROTECTION PRG 225 E CHICAGO AVE CHICAGO IL 60611 366638400 INSURANCE IL 501(c)(3) Type III-FI MEDICAL CTR false LURIE CHILDREN'S 225 E CHICAGO AVE CHICAGO IL 60611 362170833 HOSPITAL IL 501(c)(3) 3 MEDICAL CTR false CHILDREN'S HOSPITAL OF CHICAGO FPP 737 NORTH MICHIGAN AVE 2040 CHICAGO IL 60611 363393780 SUPPORTING ORG IL 501(c)(3) Type I MEDICAL CTR false LURIE CHILDREN'S PEDIATRIC ANESTHESIA ASSOCIATES 225 E CHICAGO AVE CHICAGO IL 60611 371838535 HEALTH CARE IL 501(c)(3) 3 MEDICAL CTR false LURIE CHILDRENS CIN LLC 225 E CHICAGO AVE CHICAGO IL 60611 901025439 CONTRACTING SVCS IL NA CMMC INSURANCE CO LTD 225 E CHICAGO AVE CHICAGO IL 60611 981049532 SELF INSURANCE CJ NA C Corporation false false false true false false false false false false false true false false false true true false false false