2025-10-21T09:37:41+00:00 2024-12-31 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2024-09-01 371838535 Lurie Children's Pediatric Anesthesia Associates LURI 3122277201 225 E CHICAGO AVE BOX 282 CHICAGO IL 606112991 ALEX P MILLER SR. VP/CFO 3122277133 2025-10-21 true true Emily Beckerman P01765498 3128792000 2025-10-21 2024 2025-03-06 01:10:19Z X OLUWATOYIN OLUTOYE MD 225 E CHICAGO AVE BOX 282 CHICAGO IL 606112991 14156504 false X WWW.LURIECHILDRENS.ORG X 2016 IL SEE SCHEDULE O. X 7 2 46 2 0 8222929 6298751 24001339 7857753 0 0 32224268 14156504 0 0 32343994 10965185 0 0 5474921 1899652 37818915 12864837 -5594647 1291667 3214232 0 4868199 0 -1653967 0 X SEE SCHEDULE O. false true 12779394 7857753 SEE SCHEDULE O. 12779394 true true false false false false false false false false false false false false false 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 true false false true false false false false true X 0 0 46 true false false false false false false false false false false false false X 7 2 false false false false true true true true true false false false true true true true true true false false false false IL X ALEX P MILLER 3122277133 225 E CHICAGO AVE CHICAGO IL 606112991 OLUWATOYIN OLUTOYE MD EX-OFFICIO DIRECTOR/PRESIDENT/DEPT CHAIR ANESTHESIA 40.0 1.0 X X 984877 0 119046 ANN C MONAHAN MD DIRECTOR/PHYSICIAN 40.0 0.0 X 362408 0 64819 ERIN TOAZ MD DIRECTOR/PHYSICIAN 40.0 0.0 X 385174 0 24224 HUBERT BENZON MD DIRECTOR/PHYSICIAN 40.0 0.0 X 510692 0 64819 JAMES H ROTH DIRECTOR 1.0 0.0 X 0 0 0 THOMAS P SHANLEY MD EX-OFFICIO DIRECTOR/PRESIDENT & CEO LCH 1.0 46.0 X 0 1992705 624794 WILLIAM JAMES GREGORY HANIFEE DIRECTOR 1.0 0.0 X 0 0 0 ALEX P MILLER SVP, CHIEF FINANCIAL OFFICER 1.0 46.0 X 0 757988 158968 FATEMA ZANZI EVP, CHIEF ADMIN & LEGAL OFFICER, CORP SEC 1.0 46.0 X 0 932953 173884 ALINA LAZAR MD PHYSICIAN 40.0 0.0 X 521971 0 59819 LISA SOHN MD PHYSICIAN 40.0 0.0 X 546546 0 33026 RAVI SHAH MD PHYSICIAN 40.0 0.0 X 592617 0 59819 RICHARD M DSIDA MD PHYSICIAN 40.0 0.0 X 667792 0 47794 SCOTT A STENQUIST MD PHYSICIAN 40.0 0.0 X 553881 0 47794 BRENDA DAVIS FORMER INTERIM CHIEF FINANCIAL OFFICER THROUGH 2/6/23 0.0 42.0 X 0 354713 29463 5125958 4038359 1508269 44 true true false 0 6298751 6298751 PATIENT SERVICE REVENUE 621111 5831173 5831173 MED ADMIN AND TEACHING 621111 804433 804433 PHYSICIAN CONTRACT REVENUE 621111 218992 218992 MEDICARE/MEDICAID PAYMENTS 621111 884430 884430 OTHER PROGRAM SERVICE REVENUE 621111 118725 118725 0 0 0 0 7857753 0 0 0 0 0 0 0 0 0 0 14156504 7857753 0 0 921107 921107 8424934 8377738 47196 329636 327849 1787 1215367 1203096 12271 74141 73760 381 318446 294638 23808 0 3254 3254 77723 77723 8886 8886 353618 353618 BAD DEBT EXPENSE 777570 777570 BILLING AND COLLECTION FEES 307264 307264 DUES & LICENSES 32656 32656 RECRUITMENT 15667 15667 4568 4568 0 0 12864837 12779394 85443 0 2746376 0 0 0 0 0 159523 0 0 0 0 0 0 0 308333 0 3214232 0 4494057 0 0 0 374142 0 4868199 0 X -1653967 0 -1653967 0 3214232 0 X 1291667 362300 X false true 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 LURIE CHILDREN'S PEDIATRIC ANESTHESIA ASSOCIATES 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 false true false false false false false true false OLUWATOYIN OLUTOYE MD EX-OFFICIO DIRECTOR/PRESIDENT/DEPT CHAIR ANESTHESIA 884361 0 100000 0 516 0 104918 0 14128 0 1103923 0 0 0 THOMAS P SHANLEY MD EX-OFFICIO DIRECTOR/PRESIDENT & CEO LCH 0 1285552 0 449624 0 257529 0 590810 0 33984 0 2617499 0 0 ANN C MONAHAN MD DIRECTOR/PHYSICIAN 340765 0 21523 0 120 0 18975 0 45844 0 427227 0 0 0 ERIN TOAZ MD DIRECTOR/PHYSICIAN 364079 0 20987 0 108 0 18975 0 5249 0 409398 0 0 0 HUBERT BENZON MD DIRECTOR/PHYSICIAN 477017 0 33516 0 159 0 18975 0 45844 0 575511 0 0 0 BRENDA DAVIS FORMER INTERIM CHIEF FINANCIAL OFFICER THROUGH 2/6/23 0 300378 0 52988 0 1348 0 12986 0 16477 0 384177 0 0 FATEMA ZANZI EVP, CHIEF ADMIN & LEGAL OFFICER, CORP SEC 0 619075 0 235530 0 78348 0 170345 0 3539 0 1106837 0 0 ALEX P MILLER SVP, CHIEF FINANCIAL OFFICER 0 579360 0 177840 0 788 0 118228 0 40740 0 916956 0 0 RICHARD M DSIDA MD PHYSICIAN 636374 0 30626 0 792 0 18975 0 28819 0 715586 0 0 0 RAVI SHAH MD PHYSICIAN 524398 0 68039 0 180 0 18975 0 40844 0 652436 0 0 0 LISA SOHN MD PHYSICIAN 515649 0 30717 0 180 0 18975 0 14051 0 579572 0 0 0 ALINA LAZAR MD PHYSICIAN 488270 0 33451 0 250 0 18975 0 40844 0 581790 0 0 0 SCOTT A STENQUIST MD PHYSICIAN 528211 0 24681 0 989 0 18975 0 28819 0 601675 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 (INCLUDING ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO (LURIE CHILDREN'S) AND LURIE CHILDREN'S PEDIATRIC ANESTHESIA ASSOCIATES) 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 WHO 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 SEEK THE RECUSAL FROM DECISIONMAKING OF 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 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 individuals participated in the DC SERP and received a vested payment during 2024 which is reported in Column B (iii): Thomas P. Shanley, MD $253,173 Fatema Zanzi $77,376 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 2024) 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 Pediatric Anesthesia Associates. 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 THEIR SERVICE AS DIRECTORS OR OFFICERS OF THE REPORTING ORGANIZATION. 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 2024 Form 990 of Lurie Children's, FEIN 36-2170833. Alex P. Miller Brenda Davis Fatema Zanzi Thomas P. Shanley, MD NET ASSETS TRANSFERRED IN MERGER 2024-12-31 362300 FAIR MARKET VALUE 363279680 LCMG Inc FKA PFF 225 E Chicago Ave Box 282 Chicago IL 606112991 501(c)(3) true true false false true true true true false Schedule N, Part I, Line 2a Interested person is a director or trustee of successor org. 1. Thomas P. Shanley, MD 2. Oluwatoyin Olutoye, MD 3. Erin Toaz, MD 4. James H. Roth Schedule N, Part I, Line 2b Interested person is an employee or ind. contractor of successor org. 1. Oluwatoyin Olutoye, MD 2. Richard M. Dsida, MD 3. Ravi Shah, MD 4. Scott A. Stenquist, MD 5. Alina Lazar, MD 6. Lisa Sohn, MD 7. Hubert Benzon, MD 8. Ann C. Monahan, MD 9. Erin Toaz, MD Form 990, Part I, Line 1 THE ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES In pursuit of such purposes, the corporation may: (i) engage in the professional enterprise of furnishing information, research, and clinical studies and performing other services associated with the specialty of pediatric anesthesia and all its related fields; (ii) provide information and instruction to graduate physicians and other healthcare personnel in medical specialty education related to pediatrics and pediatric anesthesia; (iii) conduct research in all branches of clinical medicine, with specialties in pediatrics and pediatric anesthesia; (iv) provide medical information to patients in connection with the foregoing, without regard to the patient's ability to pay; (v) propose, encourage and stimulate research, experiments and studies related to diseases affecting pediatric patients and foster the education of the medical community and the dissemination of information relating to maladies and illnesses affecting pediatric patients and the alleviation thereof; and (vi) engage in such other activities of a charitable and/or medical and educational nature as may be permitted under the provisions of the Illinois act. Form 990, Part III, Line 1 ORGANIZATION'S MISSION In pursuit of such purposes, the corporation may: (i) engage in the professional enterprise of furnishing information, research, and clinical studies and performing other services associated with the specialty of pediatric anesthesia and all its related fields; (ii) provide information and instruction to graduate physicians and other health care personnel in medical specialty education related to pediatrics and pediatric anesthesia; (iii) conduct research in all branches of clinical medicine, with specialties in pediatrics and pediatric anesthesia; (iv) provide medical information to patients in connection with the foregoing, without regard to the patient's ability to pay; (v) propose, encourage and stimulate research, experiments and studies related to diseases affecting pediatric patients and foster the education of the medical community and the dissemination of information relating to maladies and illnesses affecting pediatric patients and the alleviation thereof; and (vi) engage in such other activities of a charitable and/or medical and educational nature as may be permitted under the provisions of the Illinois act. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION Lurie Children's Pediatric Anesthesia Associates ("LCPAA") 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 (FEIN 36-3357004) became the sole corporate member of LCPAA. LCPAA is the exclusive provider of pediatric anesthesiology services to patients of Ann & Robert H. Lurie Children's Hospital of Chicago ("Lurie Children's"). LCPAA is composed of trained pediatric anesthesiologists who are best equipped to safely care for children because of their deep understanding of how children's bodies work, how children react to medications and anesthesia, and how the illnesses children suffer from differ from those in older patients. LCPAA provides specialized programs, including post-operative pain relief, chronic pain services, and patient-controlled analgesia. In addition to providing a wide range of pediatric anesthesia services, LCPAA engages in research and education. Anesthesiologists employed by LCPAA provide information and instruction to medical students, graduate physicians in residencies and fellowships, and other health care professionals in medical specialty education related to pediatrics and pediatric anesthesia. LCPAA conducts research in all branches of clinical medicine, with specialties in pediatrics and pediatric anesthesia, and proposes, encourages and stimulates research, experiments, and studies related to diseases affecting pediatric patients. Through this work, LCPAA fosters the education of the medical community and the dissemination of information relating to maladies and illnesses affecting pediatric patients and the alleviation of those conditions. LCPAA 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 III, Line 3 Significant changes in program services Effective January 1, 2025, Lurie Children's Surgical Foundation, Inc., Children's Hospital of Chicago Faculty Practice Plan, Inc., Lurie Children's Pediatric Anesthesia Associates, Lurie Children's Primary Care, Inc., and Lurie Children's Multispecialty Group, Inc. merged with and into Pediatric Faculty Foundation, Inc. Also effective on January 1, 2025, Pediatric Faculty Foundation, Inc. changed its name to Lurie Children's Medical Group, Inc. 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 PEDIATRIC ANESTHESIA ASSOCIATES. THE ALLOCATION OF THE SALARY COSTS ARE DISCLOSED ON FORM 990, PART IX, STATEMENT OF FUNCTIONAL EXPENSES. Form 990, Part V, Line 1a Form 1099/1096 Filing VENDORS FOR THE FILING ORGANIZATION ARE PAID BY ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO ("LURIE CHILDREN'S") (EIN 36-2170833). AS SUCH, ALL REQUIRED FORM 1099 AND FORMS 1096 REPORTING IS FILED UNDER THE LURIE CHILDREN'S EIN. Form 990, Part VI, Line 15 EXECUTIVE COMPENSATION DESCRIPTION OF THE PROCESS BY WHICH THE COMPENSATION OF CERTAIN EXECUTIVES WAS DETERMINED 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 WHO 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 Lurie Children's Pediatric Anesthesia Associates 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 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 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 Audit and Compliance 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 financial statements are publicly available online at www.dacbond.com. The organization's Articles of Incorporation and annual reports are available through the Illinois Secretary of State. The organization also makes its general governing documents available to the general public upon request. Form 990, Part VII, Section B, Line 1 INDEPENDENT CONTRACTORS VENDORS FOR THE FILING ORGANIZATION ARE PAID BY ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO ("LURIE CHILDREN'S"). AS SUCH, THE FIVE HIGHEST COMPENSATED INDEPENDENT CONTRACTORS ARE REPORTED ON THE FORM 990 FOR LURIE CHILDREN'S (EIN 36-2170833). Form 990, Part XI, Line 9 Other changes in net assets or fund balances Net Assets Transferred to Pediatric Faculty Foundation, Inc. In Merger - 362300; 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 SURGICAL FOUNDATION INC 225 E CHICAGO AVE CHICAGO IL 60611 831650513 HLTH CRE/RSCH 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 NA C Corporation false false false true false false false false false false false false false false false true true false true false