STRATEGY STUDIO / PUBLIC DATA EXPLORER

LA RABIDA CHILDRENS HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
LA RABIDA CHILDRENS HOSPITAL (EIN 36-2170143)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201231369349305643
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-15T14:16:19-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCGLADREY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1ONE SOUTH WACKER DRIVE SUITE 800AddressLine1
CityCHICAGOCity
StateILState
ZIP Code606063392ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362170143EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1La Rabida Children's HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLARANameControl
Phone7736366700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16501 S Promontory DriveAddressLine1
CityChicagoCity
StateILState
ZIP Code60649ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMark RenfreeName
TitleCFO & VP AdministrationTitle
Phone7736366700Phone
Date Signed2012-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameZack FortschName
Phone3126343400Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBrenda WolfNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16501 S Promontory DriveAddressLine1
CityChicagoCity
StateILState
ZIP Code60649ZIPCode
FieldValueIRS element (for citing)
Gross Receipts161461395GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.larabida.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1896YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionLa Rabida Children's Hospital provides both inpatient and outpatient care to children with chronic illness, disabilities or who have been abused in a comprehensive, interdisciplinary family-centered care model.ActivityOrMissionDescription
Nbr Voting Members Governing Body36NbrVotingMembersGoverningBody
Nbr Independent Voting Members33NbrIndependentVotingMembers
Total Nbr Employees595TotalNbrEmployees
Total Nbr Volunteers317TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3709309ContributionsGrantsPriorYear
Contributions Grants Current Year3690556ContributionsGrantsCurrentYear
Program Service Revenue Prior Year46024029ProgramServiceRevenuePriorYear
Program Service Revenue CY46155233ProgramServiceRevenueCY
Investment Income Prior Year2455735InvestmentIncomePriorYear
Investment Income Current Year5859035InvestmentIncomeCurrentYear
Other Revenue Prior Year359909OtherRevenuePriorYear
Other Revenue Current Year409362OtherRevenueCurrentYear
Total Revenue Prior Year52548982TotalRevenuePriorYear
Total Revenue Current Year56114186TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year27179394SalariesEtcPriorYear
Salaries Etc Current Year29560301SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year50000TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY50000TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year621732TotalFundrsngExpCurrentYear
Other Expense Prior Year19300002OtherExpensePriorYear
Other Expenses Current Year21187489OtherExpensesCurrentYear
Total Expenses Prior Year46529396TotalExpensesPriorYear
Total Expenses Current Year50797790TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6019586RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5316396RevenuesLessExpensesCY
Total Assets BOY118589383TotalAssetsBOY
Total Assets EOY135846582TotalAssetsEOY
Total Liabilities BOY14533703TotalLiabilitiesBOY
Total Liabilities EOY11915202TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY104055680NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY123931380NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionLa Rabida Children's Hospital (LRCH) is dedicated to excellence in caring for children with chronic illness, disabilities, or who have been abused, allowing them to achieve their fullest potential through expertise and innovation within the healthcare and academic communities. La Rabida provides comprehensive, interdisciplinary health services to children across a continuum of care, serving as a model for family - centered care.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense24063857Expense
Revenue29250422Revenue
DescriptionThe primary service provided by La Rabida is inpatient services to children with chronic illnesses and disabilities. In fiscal year 2011 we had 852 admissions and 10,074 patient days of care. La Rabida Children's Hospital serves these children regardless of race, creed, sex, national origin, or ability to pay and is the most Medicaid dependent hospital in the State of Illinois, with more than 92% of its patient days of care rendered for Medicaid program beneficiaries. La Rabida Children's Hospital is a local expert and provides a site of training for residents and medical students. We train nearly 75 physician residents and medical students each year from the University of Chicago. La Rabida is also a training site for nursing, rehabilitation therapists, social work, psychology and respiratory therapy students. The hospital works to ensure that all hospital staff, both clinical and non-clinical, receives education on how to make the hospital a safe place for children. This includes quality initiatives for infection control, certification classes in CPR and Pediatric Advanced Life Support (PALS), running mock codes, classroom lectures for nurses, emergency preparedness training, and meetings on education and research. La Rabida also holds in-services as warranted for new products, policies and event-related occurrences.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense15050529Expense
Revenue12069612Revenue
DescriptionThe secondary services provided by La Rabida are various clinical outpatient services supportive of the special needs of our patients. These services include 5,765 treatment room visits, 12,981 physician clinic visits, and 12,296 outpatient ancillary visits. The physician clinics are for children and their siblings with chronic healthcare needs. Included in the ancillary visits are physical therapy, speech therapy, occupational therapy and infant development specialty visits. La Rabida also provides a child abuse program serving children who have been physically abused, neglected, sexually abused, or otherwise experienced trauma.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3508199Expense
Revenue4835199Revenue
DescriptionIn conjunction with providing direct clinical care to our patients, the hospital provides various education and outreach activities in support of our patients and their families. These include caregiver training, training for other agencies in g-tube and tracheostomy care, diabetes classes for caregivers and school staff, and transportation vouchers and bus passes for families having difficulty getting to La Rabida for clinic appointments or visiting an inpatient. Case management is provided for all inpatients.Description
FieldValueIRS element (for citing)
Total Program Service Expense42622585TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109621NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees595NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members36NbrVotingGoverningBodyMembers
Number Independent Voting Members33NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Mark RenfreeBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7736366700TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16501 S Promontory DriveAddressLine1
CityChicagoCity
StateILState
ZIP Code606491935ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (50 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Robert L Aguilar
Trustee1.00X000
Robert P Arthur
Trustee1.00X000
Sharon Barner
Trustee1.00X000
Fred Berglund
Trustee1.00X000
Dorothy E Bossung
Trustee1.00X000
Richard M Burridge
Trustee1.00X000
Michele B Bush
Trustee1.00X000
Harry Cendrowski
Trustee1.00X000
John G Clifford
Trustee1.00X000
Brian B Devane
Trustee1.00X000
Terence Donnelly
Trustee1.00X000
Rosemarie C Donzanti
Trustee1.00X000
John M Eberle
Trustee1.00X000
Nuria I Fernandez
Trustee1.00X000
James J Gillespie
Trustee1.00X000
Drew M Horowitz
Trustee1.00X000
Mark E Jacobs
Trustee1.00X000
Gloria Jacobson
Trustee1.00X000
Joyce C Johnson-Miller
Trustee1.00X000
Allen Kanter
Trustee1.00X000
Anthony R Kitchens
Trustee1.00X000
Allen I Kutchins
Trustee1.00X000
Dana R Levenson
Trustee1.00X000
Alexander Sandy Lourie
Trustee1.00X000
Randy Markowitz
Trustee1.00X000
James D McKinney
Trustee1.00X000
Craig Miller
Trustee1.00X000
Lynne L Pantalena
Trustee1.00X000
David B Patzwald
Trustee1.00X000
Emilio Salvi
Trustee1.00X000
Cedric Shaw
Trustee1.00X000
Frederick B Thomas
Trustee1.00X000
Jeffrey Warner
Trustee1.00X000
Fred K Walz
Trustee1.00X000
Peggy P Gann
Co-Chair1.00X000X
John G Gyann
Co-Chair1.00X000X
Howard C Alper
Vice Chair1.00X000X
Daniel S Real
Vice Chair1.00X000X
Bruce R Pfaff
Secretary1.00X000X
Mark D Renfree
Treasurer/CFO40.00230387017554X
Paula K Jaudes MD
President/CEO32.00366264027515X
Michael Cleavenger
VP Development40.00166943023576X
Aden Henry
VP Patient Care Serv.40.00184642022124X
Brenda Wolf
Executive VP/COO40.00250450022940X
Dilek Bishku MD
VP Medical Affairs40.00163577025305X
Kevin Rath
Associate VP Bus. & Ext. A40.0015785906764X
Tim Diamond
Information Systems Direct40.00136002025697X
Mike Gallery
Pharmacy Director40.00135818027165X
Frances Lefkow
Human Resources Director40.00147447019515X
Paul J Pasinski
Director of Finance40.0012863708011X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2068026TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation226166TotalOtherCompensation
Number Individuals GT100 K20NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Navin Haffty & Associates
200 Cordwainer Drive Suite 100NorwellMA02061Consultant - Information Technology927273
Cross Country Staffing
PO Box 404674AtlantaGA30384Temporary Staffing396528
Bucher Technologies
402 Wall Street PO Box 1901ValparaisoIN46384Consultant - Information Technology222876
Beacon Partners Inc
97 Libbey Parkway Suite 310WeymouthMA02189Consultant - Information Technology164193
Mayer Brown LLP
230 S LaSalle StreetChicagoIL60604Legal125032
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Fundraising Events139909FundraisingEvents
All Other Contributions3550647AllOtherContributions
Noncash Contributions55623NoncashContributions
Total Contributions3690556TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Medicare/Medicaid6215004117771641177716
Other Patient Service62150034290093429009
Net Patient Revenue62150015485081548508
FieldValueIRS element (for citing)
Total Program Service Revenue46155233TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1400232TotalRevenueColumn
Exclusion$1,400,232ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities109499184Securities
Other1200Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities105021518Securities
Other20063Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities4477666Securities
Other-18863Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4458803TotalRevenueColumn
Exclusion$4,458,803ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events554189GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events139909CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses305628FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column248561TotalRevenueColumn
Exclusion$248,561ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCafeteriaDescription
Business Code722210BusinessCode
Total Revenue Column160801TotalRevenueColumn
Exclusion$160,801ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue160801TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column56114186TotalRevenueColumn
Related Or Exempt Function Income46155233RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$6,268,397ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1412257Total
Program Services1014927ProgramServices
Management And General230387ManagementAndGeneral
Fundraising166943Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total21982886Total
Program Services18438348ProgramServices
Management And General3372485ManagementAndGeneral
Fundraising172053Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1656747Total
Program Services1377601ProgramServices
Management And General255140ManagementAndGeneral
Fundraising24006Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2821668Total
Program Services2389770ProgramServices
Management And General405965ManagementAndGeneral
Fundraising25933Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1686743Total
Program Services1372923ProgramServices
Management And General275620ManagementAndGeneral
Fundraising38200Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total362154Total
Management And General362154ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total103404Total
Program Services12100ProgramServices
Management And General91304ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total84209Total
Program Services84209ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total50000Total
Fundraising50000Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total162259Total
Management And General162259ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3258743Total
Program Services2226941ProgramServices
Management And General969657ManagementAndGeneral
Fundraising62145Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total367145Total
Program Services367145ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1017143Total
Program Services987460ProgramServices
Management And General28129ManagementAndGeneral
Fundraising1554Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2426412Total
Program Services2426412ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total845830Total
Program Services845830ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PhD Fees50281214280323747798
Med./Non-Med. Supplies4825293458914420944626703
Miscellaneous Expense2573920207659644312954195
Bad Debt Expense132856132856

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total50797790Total
Program Services42622585ProgramServices
Management And General7553473ManagementAndGeneral
Fundraising621732Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6600776BOY
EOY6635521EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3305218BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1880900BOY
EOY1750510EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3446541BOY
EOY2675822EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY358547BOY
EOY395160EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY504507BOY
EOY560186EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis52468571LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec29017951LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY22030156BOY
EOY23450620EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY50948114BOY
EOY65620897EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY29514624BOY
EOY34757866EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY118589383BOY
EOY135846582EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5157649BOY
EOY7420671EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY9376054BOY
EOY4494531EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY14533703BOY
EOY11915202EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY79562924BOY
EOY93703541EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY23396314BOY
EOY29131397EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1096442BOY
EOY1096442EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY104055680BOY
EOY123931380EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY118589383BOY
EOY135846582EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5316396ReconcilationRevenueExpenses
Reconcilation Other Changes14559304ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

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)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$209GrantsOtherOrganizationsAmount
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$84,000DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$8,639OtherActivitiesAmount
Total Lobbying Expenditures IIB92848TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Explanation of Other Lobbying Activities:Part II-B, Line 1i:Illinois Hospital Association fees attributable to lobbying.
Part IV, Supplemental Information:Part II-B, line 1(g) Shea, Paige & Rogal is a firm hired by La Rabida to assist in educating legislators on the specific financial situation of La Rabida and the importance of improved funding to support our chronic, indigent population of children with chronic lifelong illnesses.

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis34419241OtherCostOrOtherBasis
Depreciation17991685Depreciation
Book Value16427556BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2080932OtherCostOrOtherBasis
Depreciation1873252Depreciation
Book Value207680BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis15698443OtherCostOrOtherBasis
Depreciation9047545Depreciation
Book Value6650898BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis269955OtherCostOrOtherBasis
Depreciation105469Depreciation
Book Value164486BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings23450620TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
City of Chicago Lease3726638
Miscellaneous Accounts Receivable123242
Beneficial Interest in Assets Held by the Foundation11487531
Interest in Restricted Net Assets of the Foundation19420455
FieldValueIRS element (for citing)
Total Book Value Other Assets34757866TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Payables to Third-Party Programs$1,030,000
Pension Obligation$2,793,128
Self-Insurance$671,403
FieldValueIRS element (for citing)
Total Of Amounts4494531TotalOfAmounts
Total Revenue56114186TotalRevenue
Total Expenses50797790TotalExpenses
Excess Or Deficit For Year5316396ExcessOrDeficitForYear
Net Unrealized GL On Investments4760259NetUnrealizedGLOnInvestments
Other$9,799,045OtherAmount
Total Adjustments14559304TotalAdjustments
Excess Or Deficit Per FS19875700ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt61017814TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments4760259NetUnrealizedGainsInvestments
Other Revenues305628OtherRevenues
Revenue Not Rptd F9905065887RevenueNotRptdF990
Revenue Subtotal55951927RevenueSubtotal
Other Revenues Not Included162259OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt162259RevenueNotRptdOnFinStmt
Total Revenue Per Form99056114186TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt50941159TotExpensesEtcAuditedFinclStmt
Other Expenses Included305628OtherExpensesIncluded
Expenses Not Rptd F990305628ExpensesNotRptdF990
Expenses Subtotal50635531ExpensesSubtotal
Other Expenses Not Included162259OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt162259ExpensesNotRptdOnFinStmt
Total Expenses Per Form99050797790TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Uncertain Tax Positions Under FIN 48:Part X:The Hospital is a tax-exempt organization under Internal Revenue Code Section 501(c)(3), and accordingly, no income taxes are provided for in the accompanying financial statements. The Hospital follows the Financial Accounting Standards Board (FASB)-issued guidance for accounting for uncertainty in income taxes. The Hospital files a Form 990 (Return of Organization Exempt from Income Tax) annually. When this return is filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others may be subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. Examples of tax positions common to not-for-profit hospitals include such matters as the following: the tax exempt status of the entity, the nature, characterization and taxability of joint venture income and various positions relative to potential sources of unrelated business taxable income (UBIT). The Hospital had no UBIT for the years ended June 30, 2011 and 2010. The benefit of a tax position is recognized in the financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions are not offset or aggregated with other positions. Tax positions that meet the "more likely than not" recognition threshold are measured as the largest amount of tax benefit that is more than 50 percent likely to be realized on settlement with the applicable taxing authority. The portion of the benefits associated with tax positions taken that exceeds the amount measured as described above is reflected as a liability for unrecognized tax benefits in the accompanying balance sheets along with any associated interest and penalties that would be payable to the taxing authorities upon examination. Forms 990 filed by the Hospital are subject to examination by the Internal Revenue Service (IRS) up to three years from the extended due date of each return. Forms 990 filed by the Hospital are no longer subject to examination for the tax years 2007 and prior.
Part XI, Line 8 - Other Adjustments:Change in Interest of Foundation 5,257,527. Change in Pension Obligation 4,541,518.
Part XII, Line 2d - Other Adjustments:Special Event Expenses 305,628.
Part XII, Line 4b - Other Adjustments:Investment Management Fees 162,259.
Part XIII, Line 2d - Other Adjustments:Special Event Expenses 305,628.
Part XIII, Line 4b - Other Adjustments:Investment Management Fees 162,259.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

FieldValueIRS element (for citing)
Business Name Line1PJH & AssociatesBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1205 West Wacker DriveAddressLine1
CityChicagoCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
ActivityFundraiser/Awards/Benefit DinnerActivity
Fundraiser Control Of Funds0FundraiserControlOfFunds
Gross Receipts431151GrossReceipts
Amount Retained By Contractor50000AmountRetainedByContractor
Net To Organization381151NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts431151TotalGrossReceipts
Total Retained By Contractors50000TotalRetainedByContractors
Total Net To Organization381151TotalNetToOrganization
Licensed StatesALLicensedStates
Licensed StatesAKLicensedStates
Licensed StatesAZLicensedStates
Licensed StatesARLicensedStates
Licensed StatesCALicensedStates
Licensed StatesCOLicensedStates
Licensed StatesCTLicensedStates
Licensed StatesDELicensedStates
Licensed StatesFLLicensedStates
Licensed StatesGALicensedStates
Licensed StatesHILicensedStates
Licensed StatesIDLicensedStates
Licensed StatesILLicensedStates
Licensed StatesINLicensedStates
Licensed StatesIALicensedStates
Licensed StatesKSLicensedStates
Licensed StatesKYLicensedStates
Licensed StatesLALicensedStates
Licensed StatesMELicensedStates
Licensed StatesMDLicensedStates
Licensed StatesMALicensedStates
Licensed StatesMILicensedStates
Licensed StatesMNLicensedStates
Licensed StatesMSLicensedStates
Licensed StatesMOLicensedStates
Licensed StatesMTLicensedStates
Licensed StatesNELicensedStates
Licensed StatesNVLicensedStates
Licensed StatesNHLicensedStates
Licensed StatesNJLicensedStates
Licensed StatesNMLicensedStates
Licensed StatesNYLicensedStates
Licensed StatesNCLicensedStates
Licensed StatesNDLicensedStates
Licensed StatesOHLicensedStates
Licensed StatesOKLicensedStates
Licensed StatesORLicensedStates
Licensed StatesPALicensedStates
Licensed StatesRILicensedStates
Licensed StatesSCLicensedStates
Licensed StatesSDLicensedStates
Licensed StatesTNLicensedStates
Licensed StatesTXLicensedStates
Licensed StatesUTLicensedStates
Licensed StatesVTLicensedStates
Licensed StatesVALicensedStates
Licensed StatesWALicensedStates
Licensed StatesWVLicensedStates
Licensed StatesWILicensedStates
Licensed StatesWYLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1DinnerNameOfEvent1
Gross Receipts Event1431151GrossReceiptsEvent1
Charitable Contributions Event1116451CharitableContributionsEvent1
Gross Revenue Event1314700GrossRevenueEvent1
Rent Facility Costs Event176811RentFacilityCostsEvent1
Entertainment Event1400EntertainmentEvent1
Other Direct Expenses Event170218OtherDirectExpensesEvent1
Name Of Event2Golf OutingNameOfEvent2
Gross Receipts Event2175170GrossReceiptsEvent2
Charitable Contributions Event27440CharitableContributionsEvent2
Gross Revenue Event2167730GrossRevenueEvent2
Non Cash Prizes Event216170NonCashPrizesEvent2
Rent Facility Costs Event240559RentFacilityCostsEvent2
Food And Beverage Event210039FoodAndBeverageEvent2
Other Direct Expenses Event232387OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events87777GrossReceiptsOtherEvents
Charitable Contrib Other Events16018CharitableContribOtherEvents
Gross Revenue Other Events71759GrossRevenueOtherEvents
Rent Facility Costs Other Events24961RentFacilityCostsOtherEvents
Food And Beverage Other Events8266FoodAndBeverageOtherEvents
Entertainment Other Events2350EntertainmentOtherEvents
Other Direct Expenses Other Events23467OtherDirectExpensesOtherEvents
Gross Receipts Total694098GrossReceiptsTotal
Charitable Contributions Total139909CharitableContributionsTotal
Gross Revenue Total Events554189GrossRevenueTotalEvents
Non Cash Prizes Total Events16170NonCashPrizesTotalEvents
Rent Facility Costs Total Events142331RentFacilityCostsTotalEvents
Food And Beverage Total Events18305FoodAndBeverageTotalEvents
Entertainment Total Events2750EntertainmentTotalEvents
Other Direct Expenses Total Events126072OtherDirectExpensesTotalEvents
Direct Expense Summary Events305628DirectExpenseSummaryEvents
Net Income Summary248561NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage600.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense135492TotalCommunityBenefitExpense
Net Community Benefit Expense135492NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense44018174TotalCommunityBenefitExpense
Direct Offsetting Revenue45976458DirectOffsettingRevenue
Net Community Benefit Expense-1958284NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense44153666TotalCommunityBenefitExpense
Direct Offsetting Revenue45976458DirectOffsettingRevenue
Net Community Benefit Expense-1822792NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense505497TotalCommunityBenefitExpense
Direct Offsetting Revenue192318DirectOffsettingRevenue
Net Community Benefit Expense313179NetCommunityBenefitExpense
Percent Of Total Expense0.00620PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense505497TotalCommunityBenefitExpense
Direct Offsetting Revenue192318DirectOffsettingRevenue
Net Community Benefit Expense313179NetCommunityBenefitExpense
Percent Of Total Expense0.00620PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense44659163TotalCommunityBenefitExpense
Direct Offsetting Revenue46168776DirectOffsettingRevenue
Net Community Benefit Expense-1509613NetCommunityBenefitExpense
Percent Of Total Expense0.00890PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$132,856BadDebtExpenseAmount

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1La Rabida Children's HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line16501 S Promontory DriveAddressLine1
CityChicagoCity
StateILState
ZIP Code60649ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
Childrens HospitalXChildrensHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1La Rabida Children's HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

ExplanationExplanation
Part I, Line 7: A cost to charge ratio, calculated using the IRS worksheet, was used for the Part I, Line 7 table.
Part I, L7 Col(f): Bad debt expense of $132,856 was removed from total expenses.
Part III, Line 4: Bad debt expense at cost is based upon the actual charges that are the responsibility of the patient guarantor multiplied by a calculation ratio of cost to charges using the IRS worksheet.
Part III, Line 8: Medicare costs are based upon the actual charges that are the responsibility of the patient guarantor multiplied by a calculation ratio of cost to charges calculated using the IRS worksheet.
Part III, Line 9b: La Rabida offers financial assistance to patients who qualify. With the application process, decisions will be communicated by mail or telephone within 10 days of hospital's receipt of your completed application. Eligibility is determined using the Financial Assistance Application. The application is available on our website and is also available for pick-up at the hospitals Patient Financial Services Department. Complete and submit the form to request a review of your elegibility for assistance.
Part VI, Line 2:La Rabida provides specialty physicians and services for children with chronic illnesses. We work with many local institutions and physicians in identifying the needs of these children and their families. We constantly assess our capabilities to meet the social as well as the physical need of these children and work to provide a medical home for the children and their families.Part VI, Line 3:At the time of registration, families are asked to provide any insurance information that may be used in paying for the services being rendered. If insurance is not available, the family is advised of the availability of Public Assistance and the need to complete the necessary paperwork. Preliminary paperwork is completed by the Hospital and provided to the necessary Agency for follow-up by the family. It is the family's responsibility to meet with the Agency to insure eligibility. The family is also notified about our financial assistance policy and the necessary forms for qualification are provided is so requested.Part VI, Line 4:While La Rabida provides services to children throughout the metropolitan Chicago area most of the patients reside in Chicago's South Side communities. The population served by La Rabida is approximately 90% African American; the remainder of the population is almost equally divided between White (4-5%) and Hispanic (4-5%). Less than 1% of the community identify themselves as Asian or other. Females are a majority of the population at 55%, over 60% of the households with children under 18 are female-headed households. Based on census data, approximately 39% of the children in these communities are living in poverty and 32% of all families receive some form of Public Aid. Based on recent census tract data, the average annual salary in the area was $19,000, compared to an average of $32,000 for the rest of the Chicago area.
Part VI, Line 6:La Rabida serves over 500 children and families through hospitalizations and 8400 through outpatient clinics annually. Almost half of La Rabida's patients (approximately 44%) are age five and under. La Rabida serves children and their families through age 18 and ensure that ongoing care is provided through referrals to local hospitals and clinics. In addition, La Rabida assists families negotiate the new bureaucracies they will encounter once the child is no longer eligible for Medicaid upon reaching age 18. La Rabida is the most public insurance dependent hospital in the state of Illinois with Medicaid comprising over 80% of the hospital's income. The following are some of the programs used to meet the needs within our community.Trauma/Abuse Program:La Rabida has one of the largest child abuse/trauma programs of any children's hospital in the country and has national recognition for cutting edge community based treatment and training programs. This program services one of Chicago's most low-income areas, as well as 39 of the poorest municipalities in the southern suburbs. Adjunct services include case management, court services (i.e. accompanying children to court to testify against the perpetrator), liaison with community hospitals and community agencies, etc. La Rabida also provides outreach, training and consultation to child service programs in the community. La Rabida currently provides ongoing consultation to the Chicago Department of Public Health Safe State Program, Ada s. McKinley Emergency Foster Care program, the Chicago Police Department Crisis Intervention team and the Vernon Park Church of God, among others. The program has provided training to many agencies, including: the Little City Foundation, Cook County State Attorney's Office, Cook County Public Guardian's Office, various Chicago Public Schools, the University of Chicago Department of Psychiatry and Department of Developmental and Behavioral Pediatrics, Casa Central, and the Illinois Violence Prevention Authority. In addition, the Behavioral Sciences Department gives a number of lectures and community presentations throughout the year to school and professional groups. With assistance from the Illinois Department of Children and Family Services (DCFS), the hospital coordinates interviews of child sexual abuse victims. Participants include the police department, state's attorney's office and DCFS. La Rabida Children's Hospital also assists DCFS in providing initial health screenings prior to placement for abused and neglected children who come into custody. La Rabida assists the Illinois Department of Healthcare and Family Services as an enrollment site for KidCare, a health insurance program for low income children and families.Premier Kids:Unlike the typical hospital that focuses on treating the child as quickly as possible and then sends them back to the community, La Rabida provides ongoing healthcare and social supports to special needs children and their families from infancy until adulthood. Premier Kids offers primary care for infants and children who are at risk due to development problems and/or medically complex conditions. Targeted and comprehensive medical management early can enhance overall health later. The Premier Kids Program is a hospital-based outpatient program, conveniently providing an array of services on site. Meeting the definition of a medical home, the program delivers care and service that is family centered; comprehensive, holistically addressing the child's needs; coordinated; team driven; and culturally sensitive. It is recognized by the National Committee for Quality Assurance for The Medical Home Program (NCQA).Children, five years of age and younger, enter the Premier Kids Program after having:-Graduated from a neonatal intensive care unit (NICU) or its follow-up program-An inpatient stay, following delivery-Neonatal drug exposure-Received a diagnosis that may challenge physical, motor, cognitive, and nutritional development plus emotional and social growthEach Premier Kid receives routine check-ups, immunizations and urgent care through a board certified pediatrician who also coordinates the care for the child's unique medical condition. The physician leads an interdisciplinary team of clinicians (nurses, dietician, infant development specialist, social workers and advocate) who work in partnership with each family to identify and then access the services and resources the family requires to optimize the child's health and development. By the time the child ages out of the program at age six, he or she is enrolled into the appropriate educational program. La Rabida's "one-stop shopping" medical home program is a particularly important model when working with families who are not only burdened with having a child with special needs but also have other economic stressors. This not only allows for better and easier access, its comprehensive nature maximizes positive outcomes over the long term and minimizes the use of higher cost services like duplication of diagnostic procedures and treatments, unnecessary emergency room use and inpatient hospitalization.Case Management Program:La Rabida Children's Hospital Case Management Program goal is to provide care coordination, assessment and education across the inpatient and outpatient spectrum of care to children with chronic conditions and developmental delays and disabilities. The Program's team of seventeen Case Managers (12 nurses and 5 social workers) has extensive experience and knowledge uniquely qualifying them to serve La Rabida's patients and families. Most of the social workers are Licensed Clinical Social Workers (LCSW). Nurse expertise includes Nurse Practitioners (who also serve as providers in the outpatient clinics), those trained to case manage specific chronic conditions, failure to thrive and technology dependent children. Together they provide services to over half of the hospital's patient population each year. While Case Management services are available to all patients and families, their most intensive interventions focus on patients that are medically complex and with more than one health condition and/or health care provider. The Case Management Program makes it possible to effectively provide continuous chronic care to large groups of children with various conditions from infancy to adulthood. La Rabida's Case Management program assists the families of children with chronic conditions to navigate the necessary support systems. Each child and family is assessed to determine which community linkages need to be established. Case Management coordinates care between La Rabida providers and external providers such as subspecialists (e.g., neurologists, orthopedists, endocrinologists, hematologists, etc.), Child and Family Connections, Chicago Board of Education and other Education Programs, Ounce of Prevention, Division of Specialized Care for Children (DSCC), Children's Home and Aid Society, Erickson Institute, Department of Child and Family Services, home health care agencies and medical equipment vendors. The Case Management Program has a significant impact on the ability of the family to provide necessary home care and to minimize hospitalizations.The Case Management Program performs a large array of activities. While patients and their families may receive services anywhere from a few months to many years, these activities must occur year round on an ongoing basis to ensure children and their families receive needed services in a timely manner. Following is a list of the most common activities performed by Case Management staff.
-Coordination of multiple medical services and providers, including coordination of the management of technology dependent children in the home -Patient and caregiver education. For example, diabetes classes are given for caregivers, extended family and school personnel to understand how to manage the disease. The State of Illinois mandates special classes for caretakers before a medically complex child can be released to the home. These weekly classes run in four week intervals, and include: G-tube care (feeding tube), Tracheotomy Care, Ventilator care, and CPR/airway obstruction care. -Ordering of home care services (nursing and equipment)-Telephone Management (Diabetes). Toll free call in number for patients and their families staffed by diabetes specialists. In addition to providing children and their families with a way to update the Diabetes team on their current glucose readings, it provides patients and their families with 24/7 access to a clinical nurse specialist who gives recommendations on medication, nutrition and exercise adjustments over the telephone. -Feeding evaluations, including children with Failure to Thrive -Follow up of newborn screening results (sickle cell diseases) -Wound management consultation -Coordination of inpatient and outpatient rehabilitation programs -Collaboration with community agencies, such as Division of Specialized Care for Children (DSCC)-Coordination of school needs, including: assistance in preparation of 504 plans (written plan for students with disabilities that spells out the modifications and accommodations that will be needed for these students to have an opportunity perform at the same level as their peers, and might include such things as wheelchair ramps, blood sugar monitoring, an extra set of textbooks, a peanut-free lunch environment, home instruction, or a tape recorder or keyboard for taking notes and Individualized Education Plans (a legally binding document that spells out exactly what special education services the child will receive and why. It includes the child's specific disability placement, services such as a one-on-one aide and therapies, academic and behavioral goals, a behavior plan if needed, percentage of time in regular education, and progress reports from teachers and therapists. Many services take place after discharge from an inpatient stay and in between clinic/doctor visits. Case Managers that work with medically complex, including technology dependent, children have an average ongoing caseload of about 50 patients each in addition to their day to day responsibilities for inpatient and for seeing patients in the clinics with the physicians. Each patient in the caseload requires frequent follow up, assessment and updating of written home treatment plans and orders. Updates are done every 60 days for the home nursing agencies and a more formal review is required every six months for DSCC. This requires the Case Manager to be very familiar with the child and family and, in conjunction with the primary care provider, regularly review what is/is not working and what needs to be changed.Car Seat Clinics:La Rabida also provides specialized car seats, along with training and installation, for families who have children with special needs. This includes hosting the quarterly meeting of the Illinois special needs car seat technicians. La Rabida also holds 2-3 monthly "car seat clinics" at which patients and their siblings can have their car seats checked. Both hands on and written educational information is provided at the appointments. The total number of car seat inspections in FY11 was 214. 179 seats were distributed and 37 special needs car seats were distributed. 51 inpatients were assessed for car seats, 16 of which had never been home. 21 inpatients who received car seats were monitored for their tolerance of sitting in a car seat. No patients failed the test. Education Programs:As a result of "bounce backs" of children receiving care in the home, a new initiative was developed in 2009 to educate home health nurses in ventilator and tracheostomy care. To date, four day-long courses have been offered to home health nurses, each of which was filled to capacity. The demand for this training is high and is something the hospital plans on expanding using video and web technology. Education is also provided for professionals in the community who work with children with special needs. In FY 2011 La Rabida hosted a lecture for outside healthcare workers about accessing home health services for their patients. Some of the forums in which we provide such education includes our annual Perspectives in Care Symposium, our Nursing Recharge Event, and specialized courses for rehab specialists. La Rabida also develops conferences on specialized topics, such as ventilator care. The therapists in the rehabilitation department are very engaged in providing educational opportunities for their peers. La Rabida has one of only three NCAST (Nursing Child Assessment Satellite Training) instructors in the State of Illinois. (NCAST is a program which trains health professionals in the use of interactive assessment scales, both feeding and teaching, whose goal is to identify problems before they develop and when intervention is most effective.) In FY11, La Rabida also hosted 2 educational sessions for people employed in the social services sector and 2 sessions for managed care organizations. La Rabida provides educational programs for parents and caregivers. These are provided in multiple forms, one of which is to offer "101-type" classroom setting education for families. This allows families to meet each other, learn together, and receive materials, in their own language, to take home and review and use as reference when their child is discharged home. Families who have a child with a chronic disease often must spend a disproportionate amount of time and energy on that child, and can struggle with the nurturing of healthy siblings. La Rabida offers a tutoring program for patients and their siblings to address some of these needs. The program is offered five hours per week and provides tutoring for 35 children throughout the school year. The Diabetes program offers extensive education for parents and children. Teaching is conducted by nurses, nurse practitioners and dieticians. Once a year, a program called "Diabetes 101 for Caregivers" is held. Audience members include child care providers, aunts, uncles, grandparents, and parents needing a refresher. Approximately 30 people attend each year. In addition, an advanced concept program is offered each year. This may cover issues like pancreas transplants, pumps, sensors, and the newest research. In the hospital, diabetic patients and their families attend a series of classes to ensure that they are familiar with all aspects of disease management. This training program takes place over three to four 90 minute sessions. Insulin pump classes are also available, for which La Rabida recently received a national award. The first class is in the home and the second class is in the hospital. The patient calls or faxes blood sugar information three times a week and follows up several weeks later by attending a more advanced class, for a total of three classes. These classes usually last about three hours each.Community Events:La Rabida Children's Hospital participates in community events to disseminate information on chronic disease management to affected individuals. Diabetes management, because it can be complex and overwhelming for families, children and school staff, is a good example. La Rabida holds two regional trainings (one in Chicago, one in Indiana) for personnel of schools where diabetic patients attend. La Rabida also hosted an informational table at the Diabetes Expo and provided information to more than 1,000 families about Type I and Type II diabetes and sponsored an informational booth at two Juvenile Diabetes Research Foundation walk-a-thons. In the summer, the diabetes nurses host a Back to School Jamboree for children with diabetes to complete their school forms, network with similarly affected children, and celebrate the back to school season with free school supplies. In the spring, La Rabida hosted a full day educational event for families and patients affected by diabetes. Lectures were provided free of charge and speakers were brought in from various institutions. The educational programs offered at La Rabida for families, staff, health care providers and the community are provided at significant cost to the hospital. However, it is our responsibility and desire to create the best possible environment at home and at the hospital for children with chronic disease.
Space for Community:La Rabida provides meeting space free of charge for several community organizations including a Nursing Consortium for partner hospitals, a Neonatal Network of providers, Health Leads, a volunteer organization that mobilizes undergraduate volunteers to connect low income patients with basic resources such as, food, housing and heating assistance, that they need to be healthy, and the Barr-Harris Children's Grief Center which specializes in the treatment of children who have lost a parent through death, divorce or abandonment.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Discretionary Spending AccountXDiscretionarySpendingAccount
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 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
Mark D Renfree
21496501542200000175540247941000
Paula K Jaudes MD
3662640000019600079150393779000
Michael Cleavenger
15686001008300000235760190519000
Aden Henry
1766990794300000221240206766000
Brenda Wolf
23778101266900000229400273390000
Dilek Bishku MD
16357700000130860122190188882000
Kevin Rath
154359035000000067640164623000
Tim Diamond
1360020000000256970161699000
Mike Gallery
1358180000000271650162983000
Frances Lefkow
1474470000000195150166962000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aThe discretionary spending account allows for research related trips, medical books, medical subscriptions, medical classes, organization dues, academic memberships, mailing costs, parking, computer hardware & software, and resident and/or medical student lunches. Physicians Amount Paid Amount Allowed Dilek Bishku 641 4,000 Paula K. Jaudes 3,627 4,000
Part I, line 3, Independent Compensation Consultant: La Rabida used an independent compensation consultant in 2008 and since then has annually adjusted compensation according to the market.
Part IIIPaula Jaudes received compensation from the University of Chicago as follows: Base Compensation: 366,264 Bonus & Incentive Compensation: 0 Deferred Compensation: 19,600 Nontaxable Benefits: 7,915 Dilek Bishku received compensation from the University of Chicago as follows: Base Compensation: 163,577 Bonus & Incentive Compensation: 0 Deferred Compensation: 13,086 Nontaxable Benefits: 12,219Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Alper Services
Howard Alper, Trustee, is an owner of Alper Services164818Insurance premiums in which Howard Alper received commissions for brokerage services0
Berglund Construction Company
Fred Berglund, Trustee, is a owner of Berglund Contruction Company120474Provides construction services and leases warehouse space to La Rabida0
Meghan McKinney
James McKinney, Trustee, is the father of Meghan McKinney26243Employee of La Rabida0
Chicago Hospitals Risk Pooling Program
Mark Renfree, Officer, is trustee of Chicago Hospitals Risk Pooling Program327466Insurance cooperative0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions4NumberOfContributions
Noncash Contribs Rptd F99055623NoncashContribsRptdF990
Method Of Determining RevenuesMarket QuoteMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 2Dr. Paula Jaudes, President, and Timothy Goodsell, Trustee, have a business relationship. Brenda Wolf, Officer, her spouse has a business relationship with Allen Kutchins, Trustee.
Form 990, Part VI, Section A, line 6Members of LRCH consist of Active Trustees and Special Trustees of LRCH. In addition, the Women's Board may select up to ten (10) of its officers and/or directors to be members of LRCH. Other members may be appointed and removed by the Board of Trustees from time to time.
Form 990, Part VI, Section B, line 11The federal Form 990 and appurtenant schedules are prepared by an outside accounting firm using information provided by financial management. The forms are reviewed by the La Rabida Children's Hospital treasurer. The finalized Form 990 will be posted for the Board of Directors to review before filing.
On a yearly basis, all Trustees and Officers are required to complete a conflict of interest document in accordance with hospital policy. A report of the disclosures is presented to the Conflicts Committee for review and determination of any conflicts and their findings are presented to the Board of Trustees.Form 990, Part VI, Section B, line 12c
The compensation committee of the Board of Trustees, as needed, engages external compensation consultants to advise it on competitive pay rates for the officers of the Hospital. The compensation committee is composed of non-employee independent members. Discussion is held by the committee and a recommendation is presented to the Executive Committee of the Board of Trustees for approval. All compensation discussions and work performed is documented contemporaneously in the board minutes.Form 990, Part VI, Section B, line 15
LRCH does not make its governing documents or conflict of interest policy available to the public. Financial Statements are available on Illinois Attorney General's website.Form 990, Part VI, Section C, line 19
Changes in Net Assets or Fund Balances:Net unrealized gains on investments: 4,760,259. Change in Interest of Foundation 5,257,527. Change in Pension Obligation 4,541,518. Total to Form 990, Part XI, Line 5: 14,559,304.Form 990, Part XI, line 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1La Rabida Children's FoundationBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16501 S Promontory DriveAddressLine1
CityChicagoCity
StateILState
ZIP Code606491935ZIPCode
FieldValueIRS element (for citing)
EIN363240477EIN
Primary ActivitiesSupport OrganizationPrimaryActivities
Legal Domicile StateILLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status11-Type III-F1PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1La Rabida Children's FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved1200000AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination