Almost Home Kids

“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. Outside 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.”

“Children's hospital of chicago medical center is the organization's sole corporate member.”

“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, including the power to appoint and remove all directors of the organization.”

“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 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.”

“A full copy of the organization's form 990 was provided to each member of the children's hospital of chicago medical center board's audit and compliance committee ("committee") for review and approval, as well as the respective filing organization's board following the committee's approval. The committee is charged with the oversight of audit, tax and compliance matters for the parent and affiliates. During a special 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 committee members' questions and afforded them the opportunity for detailed discussion of form 990, prior to the committee taking action to approve the filing of form 990. 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 committee, the organization's team, including its advisors, met frequently to discuss and review drafts of the form. Subsequent to the committee review and approval, form 990 was provided to the respective filing organization's board of directors.”

“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 purchasing personnel 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 its nominating and governance committee. Pursuant to the conflicts of interest policy of the corporation, directors, officers, physician leaders, and others who are subject to the policy are required to promptly and fully disclose in writing any actual, apparent or potential conflict of interest to the president of the corporation and chief legal officer. Disclosures are provided to the nominating and governance committee of the medical center board of directors, which considers all conflicts of interest issues and, if appropriate, provides such written disclosure to the directors and/or board committees considering the proposed transaction or other appropriate parties. In addition, on an annual basis, the corporation surveys each individual subject to the policy as to the existence of actual or potential conflicts of interest. The corporation will not enter into an agreement, transaction or other arrangement involving a conflict of interest unless the disinterested members of the nominating and governance committee of the corporation's board of directors determine by a majority vote that appropriate safeguards to protect the charitable mission of the corporation have been implemented. The subject interested person may not be present when the vote is taken. If it is determined that a conflict of interest exists, a disinterested person or committee of disinterested members may be assigned to investigate alternatives to the proposed transaction or arrangement. After exercising due diligence, the board or committee shall determine whether the corporation can obtain a more advantageous transaction or arrangement, with reasonable efforts, from a person or entity that would not give rise to a conflict of interest. If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the board or committee shall determine by a majority vote of the disinterested directors whether the transaction is in the corporation's best interest and for its own benefit and whether the transaction is fair and reasonable to the corporation, and shall make its decision as to whether to enter into the transaction or arrangement.”

“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.”

“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).”

“Almost home kids provides a bridge from hospital to home through an innovative community-based care system for children with medical complexities. Almost home kids responds to the needs of families, train caregivers, offer respite care, advocate for accessibility and inclusion and educate healthcare professionals.”

“The transitional care program is the link between hospital and home for the child who has medical complexities and is clinically ready for discharge from a hospital, yet important factors need to be considered in order to bring the child home safely. The family may need further support through training and equipment education regarding the clinical needs of the child and/or nursing agency staffing plan. The respite care program is a short-term stay for a child who is medically complex and/or may be technology dependent. From a 24-hour stay to one lasting up to 14 days, a child is provided with medical/nursing care and recreational activities in a secure and therapeutic environment. Families may choose this program for a variety of circumstances, such as temporary absence of private duty nursing care at home, parent illness, vacations, family emergencies and much needed rest. In addition, the following program services occur onsite at both of our 12-bed facilities in a home-like setting with 24/7 clinical care: -transitional care, which includes parent/guardian training and a detailed home plan developed over 120 days, -respite care programs, which includes emergency respite for when a family needs immediate and unplanned respite care for their child due to a death in the family, illness of primary care giver or any other unforeseen circumstance, -respite transportation to help children with complex medical conditions transport their medical equipment and supplies with them to ahk for respite care, -case management and social work support to help families connect with and navigate the complex government systems, in-home shift nursing, providing a coordinated medical team, counseling community support to the family, -physical, occupational and speech therapies, as well as music and pet therapies via its child life program, onsite nutritionist, and wound care consultation which reduce costly ambulance transportations to visits. -an onsite child life specialist helps children prepare for and adjust to procedures, develop communication skills including work with their siblings to help them bond with their new brother or sister. -medical education programs, designed to educate medical students, residents and aprns on the wide variety of clinical and non-clinical issues related to the care of children with complex healthcare needs.”

“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.”

“Ann & robert h. Lurie children's hospital of chicago pays and issues forms w-2 to employees who work for almost home kids. The allocation of the salary costs are disclosed on form 990, part ix, statement of functional expenses.”