Form 990 for tax year 2024

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $18,436,797

• 2a · Program service revenue: PATIENT SERVICE REVENUE

  total $16,805,332 · related or exempt $16,805,332

• 2b · Program service revenue: MEDICAL ADMIN & TEACHING

  total $1,572,467 · related or exempt $1,572,467

• 2c · Program service revenue: PROF SVCS PROV TO RSCH

  total $301,129 · related or exempt $301,129

• 2d · Program service revenue: PHYSICIAN CONTRACT

  total $714,842 · related or exempt $714,842

• 2e · Program service revenue: MEDICARE/MEDICAID PAYMENTS

  total $1,824,747 · related or exempt $1,824,747

• 2f · All other program service revenue

  total $544,886 · related or exempt $544,886 · unrelated business $0 · excluded $0

• 6c · Rental income or loss

  real property $0 · personal property $0

• 7b · Less cost or other basis and sales expenses

  other assets $978,253

• 7c · Gain or loss

  securities $0 · other assets -$978,253

• 7d · Net gain or loss

  total -$978,253 · excluded -$978,253

• 11d · All other revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 11e · Other revenue, total

  $0

Functional expenses

Part IX, the statement of functional expenses.

• 7 · Other salaries and wages

  total $22,084,665 · program services $17,982,832 · management and general $4,101,833

• 9 · Other employee benefits

  total $4,154,190 · program services $3,476,003 · management and general $678,187

• 10 · Payroll taxes

  total $359,042 · program services $292,356 · management and general $66,686

• 11a · Fees: management

  total $23,627 · program services $886 · management and general $22,741

• 11b · Fees: legal

  total $96,089 · management and general $96,089

• 11g · Fees: other

  total $954,427 · program services $499,047 · management and general $455,380 · fundraising $0

• 13 · Office expenses

  total $60,080 · program services $17,243 · management and general $42,837

• 14 · Information technology

  total $26,215 · program services $9,310 · management and general $16,905

• 16 · Occupancy

  total $4,267,139 · program services $684,825 · management and general $3,582,314

• 17 · Travel

  total $23,052 · program services $21,875 · management and general $1,177

• 19 · Conferences, conventions and meetings

  total $108,601 · program services $106,483 · management and general $2,118

• 22 · Depreciation, depletion and amortization

  total $117,421 · program services $117,421

• 23 · Insurance

  total $563,063 · program services $563,063

• 24a · Other expenses: Goodwill

  total $3,759,000 · management and general $3,759,000

• 24b · Other expenses: Vaccines

  total $2,952,741 · program services $2,952,741

• 24c · Other expenses: Billing and Collection Fees

  total $976,531 · program services $976,531

• 24d · Other expenses: Bad Debt Provision

  total $464,441 · program services $464,441

• 24e · All other expenses

  total $1,059,294 · program services $805,408 · management and general $253,886 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $0 · end of year $0

• 4 · Accounts receivable

  beginning of year $3,171,106 · end of year $278,345

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 8 · Inventories for sale or use

  beginning of year $608,819 · end of year $0

• 9 · Prepaid expenses and deferred charges

  beginning of year $73,173 · end of year $75,846

• 10a · Land, buildings and equipment: cost or other basis

  $0

• 10b · Land, buildings and equipment: accumulated depreciation

  $0

• 10c · Land, buildings and equipment, net

  beginning of year $1,386,090 · end of year $0

• 12 · Investments: other securities

  beginning of year $0

• 13 · Investments: program-related

  beginning of year $0

• 14 · Intangible assets

  beginning of year $5,176,706

• 15 · Other assets

  beginning of year $9,717,252 · end of year $9,503

• 17 · Accounts payable and accrued expenses

  beginning of year $11,182,282 · end of year $2,206,447

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 25 · Other liabilities

  beginning of year $8,613,774 · end of year $0

• 27 · Net assets without donor restrictions

  beginning of year $337,090 · end of year -$1,842,753

The filer's explanations (Part III)

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 board of directors of the Medical Center is charged with reviewing and approving senior executive compensation for the Medical Center and its affiliates and the compensation for any physician who meets the criteria for review and approval by the Committee. The Compensation Committee has adopted a written executive compensation philosophy which it follows when it reviews and approves the compensation and benefits of the organization's senior management, including the President. The compensation philosophy is subject to periodic review by the Compensation Committee for continued appropriateness in the current market. With the assistance of independent compensation consultants and information from a variety of sources (specified on Schedule J), the Compensation Committee confirmed the total amounts to be paid to identified executives and physicians were reasonable and comparable to amounts paid by similarly situated organizations to individuals in functionally similar positions. Legal counsel periodically advises the Compensation Committee with respect to federal tax requirements in setting compensation and the establishment of the "rebuttable presumption of reasonableness" under the federal tax law intermediate sanctions rules. The process followed by the Compensation Committee, including a description of the data relied upon and the Compensation Committee's decisions, was thoroughly and contemporaneously documented. The Compensation Committee has expressly reviewed the reasonableness of compensation paid to identified executives and physicians, and has concluded, as the result of a process that is designed to qualify for the rebuttable presumption of reasonableness, that all such amounts are reasonable and do not exceed fair market value for the services provided. The Compensation Committee is comprised of members of the Medical Center and Lurie Children's boards 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 take appropriate action with respect to anyone having an interest with respect to one or more executives so as to preserve the disinterested status of the committee and, as a result, the application of the rebuttable presumption of reasonableness.

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

Ann & Robert H. Lurie Children's Hospital of Chicago ("Lurie Children's") 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, for Lurie Children's and its affiliates. 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): Cynthia K. Rigsby, MD $80,760 Fatema Zanzi, Esq. $77,376 John T. Walkup, MD $123,000 Thomas P. Shanley, MD $253,173 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 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. 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 individual is not compensated by the reporting organization for their service as a director or officer of the reporting organization. Rather, the compensation reported on Form 990, Part VII and on Schedule J, Part II reflects compensation for the individual's substantial and full-time services as an employee paid by Lurie Children's Surgical Foundation, Inc. until December 31, 2024 and then by Lurie Children's Medical Group, Inc. beginning January 1, 2025 following a merger of the Medical Center's medical groups. For more details, please refer to the 2024 Form 990 of Lurie Children's Surgical Foundation, Inc., FEIN 83-1650513. Earl Cheng, MD 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 for the individual's substantial and full-time services as an employee paid by Ann & Robert H. Lurie Children's Hospital of Chicago ("Lurie Children's"). For more details, please refer to the 2024 Form 990 of Lurie Children's, FEIN 36-2170833. Alex P. Miller Brenda Davis Courtney A. Hardy, MD Fatema Zanzi, Esq. Thomas P. Shanley, MD

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• LURIE CHILDREN'S MEDICAL GROUP LLC

  HEALTH CARE · IL · income $9,886,852 · assets $0

  Directly controlled by MEDICAL CTR

• LURIE CHILDRENS HEALTH SERVICES LLC

  CARE COORDINATION, PHYSICAL THERAPY · IL · income $3,655,519 · assets $278,205

  Directly controlled by MEDICAL CTR

• LURIE CHILDREN'S PRIMARY CARE LLC

  HEALTH CARE · IL · income $8,810,996 · assets $0

  Directly controlled by MEDICAL CTR

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• LURIE CHILDRENS CIN LLC

  CONTRACTING SVCS · IL · 94.222% owned · general or managing partner

  Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• CMMC INSURANCE CO LTD

  C Corporation · SELF INSURANCE · 100% owned · controlled entity

  Directly controlled by MEDICAL CTR