CHILDRENS HEALTH CARE: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HEALTH CARE (EIN 41-1754276)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-15
IRS object ID: 202423209349309312
Schema version: 2023v5.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-15T10:51:47-06:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	350 NORTH 5TH ST STE 600	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55401	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	411754276	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HEALTH CARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CHIL	BusinessNameControlTxt
Phone	6128136000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2525 CHICAGO AVENUE SOUTH	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	554041844	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BRENDA MCCORMICK	PersonNm
Person Title	SVP & CFO	PersonTitleTxt
Phone	6128136000	PhoneNum
Signature	2024-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	HOLLY K MOEN	PreparerPersonNm
PTIN	P01800653	PTIN
Phone	6123055000	PhoneNum
Preparation	2024-11-07	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HOSPITALS & CLINICS OF MN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	BRENDA MCCORMICK	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2525 CHICAGO AVENUE SOUTH	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	554041844	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,432,470,735	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHILDRENSMN.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1995	FormationYr
Legal Domicile State	MN	LegalDomicileStateCd
Activity Or Mission	CHILDREN'S HOSPITALS AND CLINICS OF MN CHAMPIONS THE SPECIAL NEEDS OF CHILDREN.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	6590	TotalEmployeeCnt
Total Volunteers	332	TotalVolunteersCnt
Total Gross UBI	$4,254,102	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,567,114	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$43,917,099	PYContributionsGrantsAmt
CY Contributions Grants	$34,777,014	CYContributionsGrantsAmt
PY Program Service Revenue	$993,122,491	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,053,511,267	CYProgramServiceRevenueAmt
PY Investment Income	$18,753,193	PYInvestmentIncomeAmt
CY Investment Income	$49,987,335	CYInvestmentIncomeAmt
PY Other Revenue	$1,523,345	PYOtherRevenueAmt
CY Other Revenue	$185,404	CYOtherRevenueAmt
PY Total Revenue	$1,057,316,128	PYTotalRevenueAmt
CY Total Revenue	$1,138,461,020	CYTotalRevenueAmt
PY Grants And Similar Paid	$4,501,967	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$4,992,456	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$577,642,721	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$628,422,052	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$437,537,544	PYOtherExpensesAmt
CY Other Expenses	$490,727,038	CYOtherExpensesAmt
PY Total Expenses	$1,019,682,232	PYTotalExpensesAmt
CY Total Expenses	$1,124,141,546	CYTotalExpensesAmt
PY Revenues Less Expenses	$37,633,896	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$14,319,474	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,731,037,973	TotalAssetsBOYAmt
Total Assets EOY	$1,849,417,742	TotalAssetsEOYAmt
Total Liabilities BOY	$504,683,787	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$533,668,660	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,226,354,186	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,315,749,082	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE CHAMPION THE HEALTH NEEDS OF CHILDREN AND FAMILIES. WE ARE COMMITTED TO IMPROVING CHILDREN'S HEALTH BY PROVIDING THE HIGHEST-QUALITY, FAMILY CENTERED CARE, ADVANCED THROUGH RESEARCH AND EDUCATION.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$956,564,758	ExpenseAmt
Grant	$4,992,456	GrantAmt
Revenue	$1,038,334,932	RevenueAmt
Desc	HOSPITAL PROGRAM SERVICES: FAMILIES LOOK TO CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA FOR THE FINEST IN PEDIATRIC CARE. WITH TWO PEDIATRIC HOSPITAL FACILITIES AND 462 STAFFED BEDS, WE CHAMPION THE SPECIAL HEALTH NEEDS OF CHILDREN AND THEIR FAMILIES AND ARE COMMITTED TO PROVIDING HIGH-QUALITY, FAMILY CENTERED PEDIATRIC SERVICES. THE LEAPFROG GROUP'S ANNUAL LIST OF TOP HOSPITALS NAMED CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA'S MINNEAPOLIS AND ST. PAUL HOSPITALS AS TWO OF THE TOP TEN PEDIATRIC HOSPITALS IN THE COUNTRY FOR QUALITY AND EFFICIENCY.SEE SCHEDULE O.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$8,891,270	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$2,003,576	RevenueAmt
Desc	EDUCATION: MANY EFFORTS TO IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN AND YOUTH REQUIRE LONG-TERM INVESTMENT IN THEIR FUTURE. CHILDREN'S PROVIDES EDUCATION AND TRAINING PROGRAMS FOR PROVIDERS, HEALTH CARE STUDENTS, AND OTHER HEALTH PROFESSIONALS IN THE FOLLOWING AREAS: 1) COMMUNITY MEDICAL EDUCATION FOR COMMUNITY PHYSICIANS: DURING THE 2023 CALENDAR YEAR, CHILDREN'S PROVIDED TRAINING TO 471 AFFILIATED RESIDENTS AND FELLOWS, AND HOSTED 398 MEDICAL STUDENT & 966 RESIDENT AND FELLOW ROTATIONS AT CHILDREN'S MINNEAPOLIS, CHILDREN'S ST PAUL, OR BOTH LOCATIONS.SEE SCHEDULE O.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$11,814,668	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$5,906,135	RevenueAmt
Desc	RESEARCH: CHILDREN'S HAS 353 OPEN RESEARCH STUDIES, OF WHICH 155 ARE ACTIVELY RECRUITING CLINICAL TRIALS. IN 2023 CHILDREN'S RECEIVED ABOUT $5.9 MILLION FROM INDUSTRY CONTRACTS AND FEDERAL STATE AND FOUNDATION SPONSORS. TYPES OF STUDIES AND TRIALS CONDUCTED AT CHILDREN'S ARE INVESTIGATOR-INITIATED STUDIES, EXTERNAL MULTI-CENTER TRIALS, OBSERVATIONAL STUDIES, REGISTRIES, AND SUPPORTIVE SERVICES SUCH AS CASE MANAGEMENT. CHILDREN'S HAD ONGOING RESEARCH IN GENETICS, CYSTIC FIBROSIS, DIABETES, INFECTIOUS DISEASE, CARDIOVASCULAR AND CRITICAL CARE, PAIN AND PALLIATIVE CARE, CANCER AND BLOOD DISORDERS, NEONATOLOGY, ENT AND REHAB. SEE SCHEDULE O.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$977,270,696	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	302	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	6590	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Foreign Country	EI	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BRENDA MCCORMICK SVP & CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6128136000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2525 CHICAGO AVENUE SOUTH	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55404	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (44 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
A KADE GOEPFERD
CHIEF OF ED & FORMER BOARD MEMBER (THRU 3/23)	50.00	0.00	Yes (X)	$476,194	$0	$17,613
ANDREW PUGH
SVP CHIEF LEGAL OFFICER	48.00	2.00	Yes (X)	$605,205	$0	$44,256	Yes (X)
ANNA RICHO
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
ARCHELLE GEORGIOU
BOARD MEMBER, CHAIR	1.00	3.00	Yes (X)	$0	$0	$0	Yes (X)
BRENDA MCCORMICK
SVP AND CFO	47.00	3.00	Yes (X)	$916,032	$0	$44,336	Yes (X)
BROOKE MOORE
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
CAROLYN SMALLWOOD
BOARD MEMBER (THRU 3/23)	1.00	0.00	Yes (X)	$0	$0	$0
CHRIS HEDBERG
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
DAMU MCCOY
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
DENEEN VOJTA
BOARD MEMBER (THRU (3/23)	1.00	0.00	Yes (X)	$0	$0	$0
GARFIELD BOWEN
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
GARY BLACKFORD
BOARD MEMBER, VICE CHAIR (THRU 3/23)	1.00	3.00	Yes (X)	$0	$0	$0	Yes (X)
JEAN KANE
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
JEFF VON GILLERN
BOARD MEMBER/TREASURER	1.00	2.00	Yes (X)	$0	$0	$0
JILL SCHURTZ
BOARD MEMBER (THRU (3/23)	1.00	0.00	Yes (X)	$0	$0	$0
JIM LESLIE
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
JJ KUHN
BOARD MEMBER, CHAIR ELECT	1.00	2.00	Yes (X)	$0	$0	$0
LINDA HALL
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
MARC GORELICK MD
PRESIDENT & CEO	47.00	3.00	Yes (X)	$1,732,513	$0	$356,578	Yes (X)
MATT BILUNAS
BOARD MEMBER, TREASURER (THRU 8/23)	1.00	2.00	Yes (X)	$0	$0	$0	Yes (X)
SHELLY CARTHEN WATSON
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
THOMAS GOODMANSON
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
WILLIAM MIZE
MD RADIOLOGY, BOARD MEMBER	47.00	3.00	Yes (X)	$763,064	$40,161	$31,184
CAROLINE NJAU
SVP PATIENT CARE SVCS & CN	50.00	0.00		$561,145	$0	$31,638	Yes (X)
DAVID LUNDAL
SVP CIO	50.00	0.00		$596,875	$0	$44,239	Yes (X)
EMILY CHAPMAN MD
SVP MEDICAL AFFAIRS & CMO	50.00	0.00		$863,236	$0	$30,941	Yes (X)
JAMES BURROUGHS
SVP GOVT & COMM RELATIONS/CEIO	50.00	0.00		$393,037	$0	$27,183	Yes (X)
JENNIFER OLSON MARKET
SVP & COO (THRU 9/23)	48.00	2.00		$1,174,878	$0	$860,360	Yes (X)
JENNY SODERHOLM
FOUNDATION PRESIDENT	18.00	32.00		$231,689	$430,279	$31,213	Yes (X)
ANDREW BERNDT
VP CLINICAL SERVICES	50.00	0.00		$236,932	$0	$39,964		Yes (X)
ANUPAM KHARBANDA MD
CLINICAL VP, CHIEF OF CRITICAL CARE	50.00	0.00		$502,601	$0	$23,567		Yes (X)
JAMES LESTE
VP OPERATIONS	50.00	0.00		$432,747	$0	$48,300		Yes (X)
LAURIN CATHEY
SVP & CHRO	50.00	0.00		$566,203	$0	$37,762		Yes (X)
MONICA SCHILLER
VP AMBULATORY SERVICES	40.00	10.00		$305,256	$76,314	$39,040		Yes (X)
PAMELA GIGI CHAWLA MD
VP CHIEF OF GENERAL PEDIAT	40.00	10.00		$409,679	$102,420	$45,281		Yes (X)
SUSAN SENCER
VP CHIEF SPECIALTY PEDIATR	50.00	0.00		$517,670	$0	$64,188		Yes (X)
SUSAN SLOCUM
CHIEF INVESTMENT OFFICER	50.00	0.00		$310,041	$0	$22,520		Yes (X)
TIMOTHY LANDER
CLINICAL VP, CHIEF OF SURGERY	47.00	3.00		$514,786	$27,094	$31,184		Yes (X)
ANDREA LAMPLAND MD
MEDICAL DIRECTOR NEONATOLO	50.00	0.00		$756,132	$0	$49,181			Yes (X)
KYLE HALVORSON MD
STAFF PHYSICIAN	50.00	0.00		$1,136,116	$0	$15,420			Yes (X)
MEYSAM KEBRIAEI MD
STAFF PHYSICIAN	50.00	0.00		$1,197,285	$0	$47,349			Yes (X)
SACHIN PATEL
STAFF PHYSICIAN	50.00	0.00		$751,404	$0	$47,483			Yes (X)
SHILPA HEDGE
STAFF PHYSICIAN	50.00	0.00		$698,106	$0	$23,733			Yes (X)
KRISTIN PETERSON
FORMER VP ACUTE CARE/CLINICAL OPS	50.00	0.00		$133,817	$0	$21,941				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$16,782,643	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$676,268	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,076,454	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1187	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MEDICAL STAFFING SOLUTIONS INC
PO BOX 101	RICE LAKE	WI	54868	NURSE STAFFING	$17,765,715
CHILDREN'S HEART CLINIC PA
2530 CHICAGO AVE S SUITE 500	MINNEAPOLIS	MN	55404	PHYSICIAN SERVICES	$17,468,272
CERNER CORPORATION
PO BOX 412702	KANSAS CITY	MO	64141	HARDWARE/SOFTWARE	$8,430,953
SODEXO INC
9801 WASHINGTON BLVD	GAITHERSBURG	MD	20878	FOOD SERVICES	$4,124,773
PEDIATRIC SURGICAL ASSOC LTD
2530 CHICAGO AVE SUITE 550	MINNEAPOLIS	MN	55404	PHYSICIAN SERVICES	$4,062,200

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	294	CntrctRcvdGreaterThan100KCnt
Related Organizations	$16,801,726	RelatedOrganizationsAmt
Government Grants	$17,975,288	GovernmentGrantsAmt
Noncash Contributions	$827,375	NoncashContributionsAmt
Total Contributions	$34,777,014	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT SERVICE REV.	621400	$777,097,657	$777,043,102	$54,555
MEDICARE/MEDICAID PAY.	621400	$159,261,546	$159,261,546
LAB REVENUE	621500	$109,727,528	$109,688,296	$39,232
PHARMACY REVENUE	621400	$3,703,764			$3,703,764
PARKING	812930	$3,469,073		$1,455,439	$2,013,634

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$251,699	TotalRevenueColumnAmt
Related Or Exempt Func Income	$251,699	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,053,511,267	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$45,866,203	TotalRevenueColumnAmt
Unrelated Business Revenue	$2,704,876	UnrelatedBusinessRevenueAmt
Exclusion	$43,161,327	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,387,264	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,692,216	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$304,952	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$304,952	TotalRevenueColumnAmt
Exclusion	-$304,952	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,295,917,557	SecuritiesAmt
Other	$521,074	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,292,234,083	SecuritiesAmt
Other	$83,416	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,683,474	SecuritiesAmt
Other	$437,658	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,121,132	TotalRevenueColumnAmt
Exclusion	$4,121,132	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
MARKETPLACE	459900	$434,741	$434,741
VENDING MACHINES	722514	$31,407	$31,407
CAFETERIA	722514	$18,120	$18,120

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,088	TotalRevenueColumnAmt
Exclusion	$6,088	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$490,356	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,138,461,020	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,046,244,643	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,254,102	UnrelatedBusinessRevenueAmt
Exclusion	$53,185,261	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$222,949	TotalAmt
Program Services	$222,949	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$4,769,507	TotalAmt
Program Services	$4,769,507	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,767,394	TotalAmt
Program Services	$851,624	ProgramServicesAmt
Management And General	$10,915,770	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$484,487,285	TotalAmt
Program Services	$426,723,218	ProgramServicesAmt
Management And General	$57,764,067	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$33,551,555	TotalAmt
Program Services	$30,544,328	ProgramServicesAmt
Management And General	$3,007,227	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$65,579,865	TotalAmt
Program Services	$58,088,048	ProgramServicesAmt
Management And General	$7,491,817	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$33,035,953	TotalAmt
Program Services	$29,082,073	ProgramServicesAmt
Management And General	$3,953,880	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$3,224,826	TotalAmt
Program Services	$2,779,780	ProgramServicesAmt
Management And General	$445,046	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$525,757	TotalAmt
Program Services	$54,072	ProgramServicesAmt
Management And General	$471,685	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$750,918	TotalAmt
Program Services	$260,000	ProgramServicesAmt
Management And General	$490,918	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$230,561	TotalAmt
Management And General	$230,561	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$8,122,388	TotalAmt
Program Services	$8,122,388	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$108,754,790	TotalAmt
Program Services	$95,122,901	ProgramServicesAmt
Management And General	$13,631,889	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,003,501	TotalAmt
Program Services	$74,632	ProgramServicesAmt
Management And General	$2,928,869	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,724,297	TotalAmt
Program Services	$10,676,491	ProgramServicesAmt
Management And General	$1,047,806	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$26,454,088	TotalAmt
Management And General	$26,454,088	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$16,982,281	TotalAmt
Program Services	$15,010,000	ProgramServicesAmt
Management And General	$1,972,281	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,420,398	TotalAmt
Program Services	$1,086,447	ProgramServicesAmt
Management And General	$333,951	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,339,181	TotalAmt
Program Services	$2,182,315	ProgramServicesAmt
Management And General	$156,866	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$11,400,996	TotalAmt
Program Services	$11,112,116	ProgramServicesAmt
Management And General	$288,880	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$47,195,894	TotalAmt
Program Services	$37,159,013	ProgramServicesAmt
Management And General	$10,036,881	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,623,787	TotalAmt
Program Services	$5,623,787	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$120,416,901	$120,416,901
TEMP LABOR	$41,052,007	$39,985,671	$1,066,336
MNCARE TAX	$15,256,432	$15,256,432
MEDICAID SURCHARGE	$12,030,524	$12,030,524

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$54,217,511	TotalAmt
Program Services	$50,035,479	ProgramServicesAmt
Management And General	$4,182,032	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,124,141,546	TotalAmt
Program Services	$977,270,696	ProgramServicesAmt
Management And General	$146,870,850	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$21,298,683	BOYAmt
EOY	$58,106,682	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,947,826	BOYAmt
EOY	$177,455	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,399,366	BOYAmt
EOY	$2,148,678	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$198,180,923	BOYAmt
EOY	$205,809,526	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,894,884	BOYAmt
EOY	$11,623,839	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$20,795,909	BOYAmt
EOY	$22,007,201	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$900,484,880	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$605,017,215	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$280,378,128	BOYAmt
EOY	$295,467,665	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$436,956,020	BOYAmt
EOY	$518,145,255	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$567,100,056	BOYAmt
EOY	$536,032,484	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$30,046,013	BOYAmt
EOY	$40,107,634	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$156,040,165	BOYAmt
EOY	$159,791,323	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,731,037,973	BOYAmt
EOY	$1,849,417,742	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$130,563,942	BOYAmt
EOY	$168,976,899	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,562,475	BOYAmt
EOY	$864,670	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$79,455,771	BOYAmt
EOY	$77,115,614	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$217,310,060	BOYAmt
EOY	$217,084,001	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$75,791,539	BOYAmt
EOY	$69,627,476	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$504,683,787	BOYAmt
EOY	$533,668,660	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,142,547,682	BOYAmt
EOY	$1,227,151,487	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$83,806,504	BOYAmt
EOY	$88,597,595	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,226,354,186	BOYAmt
EOY	$1,315,749,082	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,731,037,973	BOYAmt
EOY	$1,849,417,742	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$14,319,474	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$71,121,477	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$3,953,945	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$183,231	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$47,330	OtherActivitiesAmt
Total Lobbying Expenditures	$230,561	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	CHILDREN'S RETAINS A LOBBYIST TO ASSIST DIRECTLY WITH LOBBYING EFFORTS AT THE STATE AND LOCAL LEVELS. CHILDREN'S PUBLIC POLICY DIRECTOR IS ALSO RESPONSIBLE FOR LOBBYING ACTIVITIES ON THE CITY, STATE, AND FEDERAL LEVEL. THOSE RESPONSIBILITIES INCLUDE COORDINATING AND PROVIDING TESTIMONY AT HEARINGS, MAINTAINING RELATIONSHIPS, EDUCATING ELECTING OFFICIAL AND STAFF, AND WORKING WITH OUR REGULATORY AGENCIES. WITH RESPECT TO FEDERAL LOBBYING EFFORTS, CHILDREN'S SENIOR DIRECTOR OF CHILD HEALTH POLICY, PUBLIC POLICY DIRECTOR, AND CEO WILL OCCASIONALLY TRAVEL TO WASHINGTON TO MEET WITH FEDERAL LAWMAKERS. THIS IS GENERALLY DONE IN A COLLABORATION WITH INDUSTRY ORGANIZATIONS, SUCH AS NACHRI, WHO INDIRECTLY PROVIDE FEDERAL LOBBYING SUPPORT ON BEHALF OF CHILDREN'S. CHILDREN'S IS A MEMBER OF THE CHILDREN'S HOSPITAL ASSOCIATION (CHA). $31,958 OF MEMBERSHIP DUES PAID TO CHA RELATE TO LOBBYING ACTIVITIES. CHILDREN'S IS A MEMBER OF THE MINNESOTA HOSPITAL ASSOCIATION (MHA). $8,292 OF MEMBERSHIP DUES PAID TO MHA RELATE TO LOBBYING ACTIVITIES. CHILDREN'S IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA). $7,080 OF MEMBERSHIP DUES PAID TO AHA RELATE TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	0	InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$176,306,661	BeginningYearBalanceAmt
Contributions	$485,371	ContributionsAmt
Investment Earnings Or Losses	$21,139,096	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$7,205,714	GrantsOrScholarshipsAmt
End Year Balance	$190,725,414	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$203,877,914	BeginningYearBalanceAmt
Contributions	$905,579	ContributionsAmt
Investment Earnings Or Losses	-$21,107,044	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$7,369,788	GrantsOrScholarshipsAmt
End Year Balance	$176,306,661	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$181,082,325	BeginningYearBalanceAmt
Contributions	$2,426,002	ContributionsAmt
Investment Earnings Or Losses	$27,004,317	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$6,634,730	GrantsOrScholarshipsAmt
End Year Balance	$203,877,914	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$171,993,171	BeginningYearBalanceAmt
Contributions	$186,678	ContributionsAmt
Investment Earnings Or Losses	$14,916,660	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$6,014,184	GrantsOrScholarshipsAmt
End Year Balance	$181,082,325	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$155,118,943	BeginningYearBalanceAmt
Contributions	$2,564,577	ContributionsAmt
Investment Earnings Or Losses	$20,519,755	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$6,210,104	GrantsOrScholarshipsAmt
End Year Balance	$171,993,171	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.66530	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.20150	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.13320	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,390,195	OtherCostOrOtherBasisAmt
Book Value	$25,390,195	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$475,234,298	OtherCostOrOtherBasisAmt
Depreciation	$294,180,509	DepreciationAmt
Book Value	$181,053,789	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,567,575	OtherCostOrOtherBasisAmt
Depreciation	$10,810,671	DepreciationAmt
Book Value	$11,756,904	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$371,870,174	OtherCostOrOtherBasisAmt
Depreciation	$294,603,397	DepreciationAmt
Book Value	$77,266,777	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,422,638	OtherCostOrOtherBasisAmt
Depreciation	$5,422,638	DepreciationAmt
Book Value	$0	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$295,467,665	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	INVESTMENTS CARRIED AT NAV	Desc
Book Value	$536,032,484	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$536,032,484	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDesc	Book ValueBookValueAmt
EXECUTIVE BENEFIT PLANS	$9,731,777
PHYSICIAN RELOCATION LOANS REC	$168,567
PHARMACEUTICAL SERVICE DEPOSIT	$4,187,745
FACILITY DEPOSIT	$123,255
UNITED SHARED SERVICE ARRNGMT	$5,555,834
INVESTMENT IN MOTHER/BABY	$18,053,401
OTHER	$6,000,620
BENEFICIAL INT IN NA OF FDTN	$95,593,515
ROU-BASE ASSET	$20,376,609

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$159,791,323	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
EXECUTIVE BENEFITS LIABILITY	$4,341,531
MN CARE TAX PAYABLE	$4,568,944
POST-RETIREMENT BENEFITS	$2,652,596
WORKERS COMP LIABILITY	$1,912,999
INTERCOMPANY PAYABLE	$22,555,840
LONG TERM DEFERRED REVENUE	$4,320,147
LEASE LIABILITY	$29,170,866
OTHER	$104,553

Field	Value	IRS element (for citing)
Total Liability	$69,627,476	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

EFFECTIVE NOVEMBER 1, 2016, THE CHILDREN'S BOARD OF DIRECTORS DESIGNATED $100 MILLION OF UNRESTRICTED INVESTMENTS FOR ENDOWMENT TO SUPPORT PROGRAMS AT CHILDREN'S HEALTH CARE. THE MAJORITY OF PERMANENT ENDOWMENT FUNDS ARE HELD BY CHILDREN'S HEALTH CARE FOUNDATION, A RELATED ORGANIZATION. THE INTENDED USE OF THE FUNDS IS TO SUPPORT THE PROGRAMS AT CHILDREN'S HEALTH CARE. THERE ARE ALSO TWO ENDOWMENT FUNDS THAT ARE HELD AND ADMINISTERED BY US BANK, AN UNRELATED ORGANIZATION, WHICH ARE ALSO USED TO SUPPORT THE PROGRAMS AT CHILDREN'S HEALTH CARE. REFER TO PART III, LINE 4 FOR A DESCRIPTION OF THE PROGRAMS OF CHILDREN'S HEALTH CARE.

PART X, LINE 2:

THE IRS HAS DETERMINED THAT CHILDREN'S AND ITS SUBSIDIARIES ARE EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE IRC. CHILDREN'S BELIEVES THAT IT CONTINUES TO MEET THE REQUIREMENTS OF THE IRC TO SUSTAIN ITS TAX-EXEMPT STATUS. IN ACCORDANCE WITH ASC SUBTOPIC 740-10, INCOME TAXES OVERALL, CHILDREN S RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. MANAGEMENT DETERMINED THERE WERE NO MATERIAL INCOME TAX POSITIONS FOR THE YEARS ENDED DECEMBER 31, 2023 OR 2022. CHILDREN'S IS NOT SUBJECT TO AN INCOME TAX EXAMINATION FOR YEARS BEFORE 2020.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (479 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
EUROPE (INCLUDING ICELAND AND GREENLAND)	INVESTMENTS	N/A	$12,528,950
CENTRAL AMERICA AND THE CARIBBEAN	INVESTMENTS	N/A	$81,661,834
CENTRAL AMERICA AND THE CARIBBEAN	PROGRAM SERVICES	SELF INSURANCE	$287,571
CENTRAL AMERICA AND THE CARIBBEAN	INVESTMENTS	N/A	$20,940,819
		N/A
		N/A
		N/A
		N/A
		N/A
		N/A
		N/A
		N/A
		N/A
		N/A
		N/A
		N/A
		N/A
		N/A
		N/A
		N/A
		N/A
		N/A
		N/A
		N/A
		N/A
		N/A
		N/A
		N/A
		N/A
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		N/A
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Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$115,419,174	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$115,419,174	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	275.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,087,013	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,047,013	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$515,184,020	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$336,665,345	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$178,518,675	NetCommunityBenefitExpnsAmt
Total Expense	0.15880	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$517,271,033	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$336,705,345	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$180,565,688	NetCommunityBenefitExpnsAmt
Total Expense	0.16060	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,111,691	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,764,680	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,347,011	NetCommunityBenefitExpnsAmt
Total Expense	0.01280	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,891,270	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,071,601	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,819,669	NetCommunityBenefitExpnsAmt
Total Expense	0.00520	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,024,019	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,980,886	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,043,133	NetCommunityBenefitExpnsAmt
Total Expense	0.01690	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,049,581	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,906,134	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,143,447	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$112,081,561	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$68,723,301	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,358,260	NetCommunityBenefitExpnsAmt
Total Expense	0.03860	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$629,352,594	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$405,428,646	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$223,923,948	NetCommunityBenefitExpnsAmt
Total Expense	0.19920	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,300	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$22,300	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,490	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$23,490	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$72,838	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$72,838	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$142,128	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$142,128	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$8,500,691	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,125,173	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$16,527	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$97,079	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$80,552	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HEALTH CARE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2525 CHICAGO AVENUE SOUTH	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55404	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTP://WWW.CHILDRENSMN.ORG/	WebsiteAddressTxt
State License	356144	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HEALTH CARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.CHILDRENSMN.ORG/CHNA	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.CHILDRENSMN.ORG/CHNA	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	275.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	REFER TO SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	REFER TO SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	REFER TO SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CHILDREN'S HEALTH CARE	PART V, SECTION B, LINE 5: OVER THE COURSE OF 2022, CHILDREN'S MINNESOTA CONNECTED WITH STAKEHOLDERS BOTH WITHIN THE ORGANIZATION AND IN THE SURROUNDING COMMUNITY TO LEARN ABOUT THEIR PERSPECTIVES ON CHILDREN'S HEALTH AND WELL-BEING BY CONDUCTING FOCUS GROUPS WITH YOUTH AND PARENTS/CAREGIVERS, UTILIZING DISCUSSION BOARDS TO ENGAGE WITH PEOPLE AT COMMUNITY EVENTS, CONDUCTING INTERVIEWS WITH REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS, DISCUSSION GROUPS WITH CHILDREN'S MINNESOTA EMPLOYEES AND INTERVIEWS WITH CHILDREN'S MINNESOTA CLINICIANS. THE 2022 CHNA WAS LED AND INFORMED BY THE COMMUNITY VIA A CHNA COMMUNITY ADVISORY COMMITTEE. THE PROCESS, SIMILAR TO 2019, INCLUDED GATHERING INPUT FROM THE COMMUNITY AND CHILDREN'S MINNESOTA STAFF AND REVIEWING EXISTING SECONDARY DATA TO IDENTIFY CRITICAL NEEDS, WHILE PLACING A SPECIFIC EMPHASIS ON THE IMPACT OF THE COVID-19 PANDEMIC AND OTHER LOCAL AND GLOBAL EVENTS. GIVEN THAT MOST OF THE 2019 PRIORITIES FOCUSED ON BROAD SOCIAL ISSUES THAT IMPACT HEALTH, IT WOULD BE UNREALISTIC TO ANTICIPATE SIGNIFICANT, MEASURABLE IMPROVEMENTS TO BE ACHIEVED IN THREE YEARS. TO THAT END, THE 2022 ASSESSMENT WAS DESIGNED TO BUILD UPON KEY LEARNINGS FROM 2019 AND CONTINUED EFFORTS ADDRESS CONCERNS THROUGH INVESTMENTS IN SERVICES AND COMMUNITY RELATIONSHIPS.A MORE DETAILED DESCRIPTION OF THE CHILDREN'S MINNESOTA COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND A COPY OF THE FULL 2022 CHNA REPORT IS AVAILABLE AT WWW.CHILDRENSMN.ORG/CHNACHILDREN'S MINNESOTA ACTIVELY PARTICIPATES IN SEVERAL COMMUNITY HEALTH COALITIONS AND MAINTAINS PARTNERSHIPS WITH MANY OF THE STAKEHOLDERS AND COMMUNITY ORGANIZATIONS THAT PARTICIPATED IN THE 2022 CHNA.
CHILDREN'S HEALTH CARE	PART V, SECTION B, LINE 11: BASED ON COMMUNITY INPUT AND EXISTING DATA EXAMINED BY CHILDREN'S MINNESOTA STAFF AND THE CHNA COMMUNITY ADVISORY COMMITTEE, THE FOLLOWING HEALTH PRIORITIES WERE DETERMINED IN THE 2023 ASSESSMENT: STRUCTURAL RACISM, HEALTH DISPARITIES, ECONOMIC OPPORTUNITY AND INCOME, MENTAL HEALTH, ACCESS TO RESOURCES AND COMMUNITY SAFETY.CHILDREN'S MINNESOTA CONTINUES TO PROVIDE THE FOLLOWING SERVICES TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN ITS CHNA, INCLUDING: ACCESS TO RESOURCES AND CARE:COMMUNITY CONNECT: COMMUNITY CONNECT IS A COMPREHENSIVE FAMILY SUPPORT MODEL THAT ADDRESSES THE BROADER SOCIAL CONDITIONS THAT IMPACT CHILDHOOD HEALTH THROUGH SCREENING, CUSTOMIZED RESOURCE NAVIGATION, AND CASE MANAGEMENT. EMBEDDED IN THE MINNEAPOLIS, ST. PAUL, WEST ST. PAUL AND BROOKLYN PARK PRIMARY CARE CLINICS AND STAFFED BY A TEAM OF MULTI-LINGUAL, MULTI-CULTURAL RESOURCE NAVIGATORS, THE PROGRAM HELPS CONNECT FAMILIES TO ESSENTIAL COMMUNITY SERVICES AND RESOURCES, INCLUDING FOOD, TRANSPORTATION, LEGAL ASSISTANCE, HOUSING SUPPORT, EARLY CHILDHOOD EDUCATION PROGRAMS, EMPLOYMENT SEARCH ASSISTANCE AND MUCH MORE. THE AVERAGE POSITIVE SCREEN RATE FOR 2023 WAS 31%, AS COMPARED TO 34% IN 2022. THIS RATE WAS IMPACTED BY AN OVERALL DECREASE IN THE NUMBER OF CHILDREN WHO RECEIVED WELL CHILD CHECKS IN 2023 AS WELL AS A SURGE IN CASES OF FLU, RSV AND OTHER RESPIRATORY DISEASES WHICH RESULTED IN A NEED TO FOCUS RESOURCES TO RESPOND TO THE SURGE. A TOTAL OF 1,187 FAMILIES MET WITH A COMMUNITY CONNECT RESOURCE NAVIGATOR FROM JANUARY 2023-DECEMBER 2023. HEALTHCARE LEGAL PARTNERSHIP: CHILDREN'S MINNESOTA LAUNCHED THE HEALTHCARE LEGAL PARTNERSHIP (HLP) IN OCTOBER 2017. THE PROGRAM SUPPORTS TWO ATTORNEYS BASED ON THE CHILDREN'S MINNESOTA ST. PAUL AND MINNEAPOLIS HOSPITAL CAMPUSES. THESE DEDICATED LAWYERS COLLABORATE WITH HEALTH CARE TEAMS TO IDENTIFY, PREVENT, AND REMEDY HEALTH-HARMING FACTORS THAT ARE ROOTED IN LEGAL PROBLEMS. DURING 2023, THE HEALTHCARE LEGAL PARTNERSHIP PROVIDED SERVICES IN 397 CASES ACROSS MULTIPLE LEGAL ISSUES INCLUDING: HOUSING, BENEFITS, FAMILY LAW, AND IMMIGRATION.FOOD SECURITY: IN 2023, THE CHILDREN'S MINNESOTA FOOD SUPPORT PROGRAM PROVIDED 370 INDIVIDUAL MEALS. IN PARTNERSHIP WITH SECOND HARVEST HEARTLAND, A COMMUNITY-BASED NONPROFIT WHOSE MISSION INCLUDES EXPANDING ACCESS TO HEALTHY FOOD, 467 "FOODRX BOXES" (TAKE-HOME GROCERIES) WERE DISTRIBUTED TO PATIENT FAMILIES. FOODRX BOX TYPES INCLUDE TRADITIONAL, LATINX AND SOMALI/VEGETARIAN TO MEET PATIENT FAMILIES' CULTURAL NEEDS. FAMILY RESOURCE CENTER: IN 2023, THE TOTAL NUMBER OF VISITS TO CHILDREN'S FAMILY RESOURCE CENTERS IN ST. PAUL AND MINNEAPOLIS WAS 2,829. FAMILY RESOURCE CENTER STAFF PROVIDED HANDS-ON HELP AND SUPPORT IN THESE FAMILY ENCOUNTERS INCLUDING PERSONAL CARE ITEMS, BUSINESS SERVICES (FAX, COPIER, PRINTER), CONSUMER HEALTH RESEARCH/REFERENCE REQUESTS, NOTARY TRANSACTIONS, TECHNOLOGY SUPPORT, ETC. FINANCIAL COUNSELING: IN 2023 THE CHILDREN'S MINNESOTA FINANCIAL COUNSELING TEAM ASSISTED 1,190 PATIENTS WITH APPOINTMENTS FOR ASSISTANCE AND PROCESSED FINANCIAL ASSISTANCE APPLICATIONS FOR 1,854 PATIENTS. INTERPRETER SERVICES: OVERALL, THE TOTAL NUMBER OF INTERPRETING ENCOUNTERS FOR 2023 WAS 120,516 IN A TOTAL OF 68 LANGUAGES. THE TOP THREE LANGUAGES INTERPRETED AT CHILDREN'S ARE: SPANISH, SOMALI AND KAREN. SIBLING PLAY AREA: DUE TO COVID-19, THE SIBLING PLAY AREA WAS CLOSED IN JANUARY AND FEBRUARY 2023. THE SIBLING PLAY AREA REOPENED ON MARCH 14TH 2023. THERE WERE A TOTAL OF 1,075 VISITS IN THE YEAR. SCHOOL RE-ENTRY PROGRAM: WHEN A CHILD RETURNS TO SCHOOL AFTER A SIGNIFICANT DIAGNOSIS OR PROLONGED PERIOD OF TIME DUE TO MEDICAL CARE, THE SCHOOL RE-ENTRY PROGRAM HELPS THE CHILD, FAMILY, AND SCHOOL STAFF FEEL CONFIDENT DURING THAT TRANSITION. IN 2023, CHILDREN'S MINNESOTA'S CHILD LIFE TEAM PROVIDED 18 SCHOOL VISITS. THE TEAM DOES BOTH VIRTUAL AND IN-PERSON VISITS TO ACCOMMODATE THE INDIVIDUAL NEEDS OF EACH CHILD AND CLASSROOM. REACH OUT AND READ: CHILDREN'S MINNESOTA HAS BEEN A LONG-TIME PARTICIPANT IN REACH OUT AND READ, A PROGRAM THAT TRAINS DOCTORS AND NURSES TO GIVE BOOKS TO CHILDREN AND GIVE DEVELOPMENTAL GUIDANCE TO PARENTS AND CAREGIVERS AT THEIR CHILDREN'S ROUTINE WELL-CHILD VISITS. IN 2023, 21,295 BOOKS WERE DISTRIBUTED AT WELL-CHILD VISITS. STRUCTURAL RACISM & HEALTH DISPARITIES EQUITY AND INCLUSION: THE CHILDREN'S MINNESOTA CAMPUS IS LOCATED IN THE HEART OF ONE OF THE LARGEST AND MOST VIBRANT URBAN COMMUNITIES IN THE COUNTRY. RECOGNIZING THE CRITICAL ROLE CULTURE AND TRADITIONS PLAY IN A CHILD'S HEALTH AND WELL-BEING, CHILDREN'S MINNESOTA CONTINUES TO PARTNER WITH COMMUNITY ORGANIZATIONS TO HELP PROVIDE A MORE CULTURALLY RESPONSIVE AND RESPECTFUL APPROACH TO HEALTH CARE. SPECIFIC EQUITY PROGRAMS AND PARTNERSHIPS INCLUDE: HEALTH EQUITY INDEX: IN 2023, CHILDREN'S MINNESOTA CONTINUED TO UTILIZE A PATIENT FOCUSED EQUITY INDEX THAT HIGHLIGHTS DISPARITIES IN CLINICAL OUTCOMES. STRATEGIES CONTINUE TO BE DEVELOPED TO ADDRESS DISPARITIES IN SEVERAL CORE PEDIATRIC QUALITY METRICS OF THE IDENTIFIED DISPARITIES (ASTHMA WELL-CONTROLLED, COMBO 10 VACCINES, AND A PATIENT-EXPERIENCE MEASURE OF WHETHER THE FAMILY FELT LISTENED TO DURING THEIR CARE) AND PERFORMANCE OUTCOMES ARE TIED TO MANAGEMENT AND EXECUTIVE INCENTIVE PLANS. IN 2023 PROCESS CHANGES WERE TESTED IN POPULATIONS WITH THE WORST OUTCOMES AND IMPLEMENTED TO IMPROVE OUTCOMES FOR ALL PATIENTS. QUALITY-EQUITY ALIGNMENT: IN PARTNERSHIP WITH THE VALUE & CLINICAL EXCELLENCE DEPT, THE EQUITY TEAM CONTINUES TO AFFIRM EQUITY AND INCLUSION AS A CORE ELEMENT OF CHILDREN'S VALUE PROGRAM INCLUDING RE-SHAPING THE ORGANIZATION'S PERSPECTIVE ON HOW AND WHERE TO FOCUS QUALITY IMPROVEMENT EFFORTS. SPECIFIC EFFORTS INCLUDE THE IMPLEMENTATION AND ADVANCEMENT OF RESPECT AND DIGNITY SAFETY LEARNING REPORTS AND TOOLS FOR CONDUCTING ROOT CAUSE ANALYSES THROUGH AN EQUITY LENS. RESPECT & DIGNITY SAFETY LEARNING REPORTS: UTILIZING AN EXISTING REPORTING PLATFORM CHILDREN'S MINNESOTA IS ABLE TO COLLECT, ANALYZE, AND TRACK EVENTS THAT RESULT IN EMOTIONAL HARM. THESE INCLUDE BUT ARE NOT LIMITED TO MICRO-AGGRESSIONS AGAINST PATIENTS AND STAFF, EVENTS RELATED TO IMPLICIT BIAS, AND OPPORTUNITIES TO IMPROVE HEALTH EQUITY. THE REPORTS ARE REVIEWED BY PATIENT EXPERIENCE COACHES AND HEALTH EQUITY COACHES IN COLLABORATION WITH A PATIENT SAFETY TEAM TO INITIATE REAL-TIME ROOT CAUSE ANALYSIS AND REMEDIATION. REAL DATA: CHILDREN'S MINNESOTA ACKNOWLEDGES THAT ACCURATE DEMOGRAPHIC DATA IS FOUNDATIONAL TO UNDERSTANDING WHERE HEALTH DISPARITIES EXIST AND QUANTIFYING POTENTIAL IMPROVEMENT IMPACT. A MULTI-DISCIPLINARY TEAM IS WORKING TO LEVERAGE TECHNOLOGY AND ESTABLISH ORGANIZATION-WIDE PROCESSES TO ACCURATELY AND RELIABLY CAPTURE RACE, ETHNICITY, AND LANGUAGE DATA FOR EVERY PATIENT AND GUARDIAN. TALKING PEDIATRICS PODCAST EQUITY ACTIONS: THE CHILDREN'S MINNESOTA TALKING PEDIATRICS PODCAST INCLUDES A SPECIFIC EQUITY ACTIONS SERIES HOSTED BY THE CHILDREN'S MINNESOTA CHIEF EQUITY AND INCLUSION OFFICER AND HEALTH EQUITY MANAGER. THE SERIES INCLUDES REGULAR INTERVIEWS WITH LEADERS FROM ACROSS THE COUNTRY TO DISCUSS ISSUES RELATED TO HEALTH EQUITY, WORKPLACE DIVERSITY AND CREATING INCLUSIVE ENVIRONMENTS. LISTENING SESSIONS: THE EQUITY AND INCLUSION (E&I) TEAM IS WORKING CROSS-FUNCTIONALLY WITH HUMAN RESOURCES AND ORGANIZATIONAL LEARNING AND DEVELOPMENT TO CONDUCT LISTENING SESSIONS ACROSS CHILDREN'S MINNESOTA. THESE SESSIONS ARE DESIGNED TO GAIN A DEEPER UNDERSTANDING OF THE MEANINGFULNESS OF THE EMPLOYEE WORK EXPERIENCE IN CLINICAL AND NON-CLINICAL AREAS. THIS INFORMATION WILL BE UTILIZED TO IMPROVE RETENTION RATES FOR DIVERSE EMPLOYEES AND TO CONTINUE TO ADVANCE AN EQUITABLE, DIVERSE AND INCLUSIVE ORGANIZATION. CLINICAL DEPARTMENT WORK: THE E&I TEAM IS WORKING IN PARTNERSHIP WITH SEVERAL CLINICAL DEPARTMENTS WITHIN CHILDREN'S MINNESOTA TO REINFORCE EQUITY AND INCLUSION. THIS IS BEING SPEARHEADED BY THE CLINICAL DIRECTOR OF EQUITY AND INCLUSION. THESE ARE LONG-TERM PROJECTS AIMED TO CREATE SUSTAINABILITY IN THE EQUITY AND INCLUSION EFFORTS. URBAN PRIMARY CARE RESEARCH: CHILDREN'S MINNESOTA IS PARTNERING WITH PATIENT EXPERIENCE AND CHILDREN'S RESEARCH INSTITUTE ON A QUALITATIVE RESEARCH PROJECT TO UNDERSTAND CHALLENGES AND OPPORTUNITIES IN DELIVERING EQUITABLE PRIMARY CARE BY CENTERING PATIENT CAREGIVER PERSPECTIVE. THE ORGANIZATION IS INTERESTED IN UNDERSTANDING AND SYSTEMATICALLY DESCRIBING THE EXPERIENCES AND NEEDS OF DIVERSE PATIENT COMMUNITIES TO BETTER DESIGN EFFECTIVE AND EQUITABLE PRIMARY CARE SERVICE DELIVERY, WITH THE BROADER GOAL OF ADDRESSING AND ELIMINATING DISPARITIES.
CHILDREN'S HEALTH CARE	PART V, SECTION B, LINE 15E: CHILDREN'S HOSPITALS AND CLINICS HAS A WRITTEN FINANCIAL ASSISTANCE POLICY. THE POLICY OUTLINES THE GUIDELINES, SCOPE OF SERVICES COVERED, AVAILABILITY OF INFORMATION, HOW TO APPLY, THE PATIENT/GUARANTOR'S RESPONSIBILITY FOR PROVIDING INFORMATION AND THE HOSPITALS RESPONSIBILITY FOR REVIEW AND COMMUNICATION OF DETERMINATION. THE POLICY IS BASED ON THE FEDERAL POVERTY GUIDELINES, UPDATED ANNUALLY WITH A DIFFERENTIATION FOR THOSE FAMILIES WITH INSURANCE AND THOSE WITHOUT AND INCLUDES AN EXCEPTION PROCESS. AMOUNTS GENERALLY BILLED IS DEFINED AND CHILDREN'S HAS CHOSEN THE LOOK BACK METHOD INCLUSIVE OF ALL CLAIMS.
FORM 990, SCHEDULE H, PART V, LINE 11 CONTINUED:	IDI: THE INTERCULTURAL DEVELOPMENT INVENTORY IS BEING ADMINISTERED BY THE E&I TEAM TO VARIOUS AREAS OF CHILDREN'S MINNESOTA. THIS ASSESSMENT HELPS TO GAUGE WHERE A GROUP OF PEOPLE AS WELL AS INDIVIDUALS ARE IN NAVIGATING CULTURAL DIFFERENCES. THIS IDI IS ALSO BEING ADMINISTERED EXTERNALLY THROUGH THE CHILDREN'S HEALTH NETWORK TO INDIVIDUAL CLINICS AROUND THE TWIN CITIES. INCLUSIVE LEADERSHIP: LEADERS AT VARIOUS LEVELS ARE PARTICIPATING IN ONGOING INCLUSIVE LEADERSHIP SESSIONS THAT ARE BEING FACILITATED BY SANKOFA LEADERSHIP NETWORK. THE E&I TEAM IS PROVIDING INTERNAL SUPPORT AND SUPPLEMENTAL ACTIVITIES FOR THE LEADERS AS THEY WIDEN THEIR TOOLBOX TO BE MORE INCLUSIVE LEADERS FOR CHILDREN'S MINNESOTA. THESE SESSIONS STARTED LATE IN 2023 AND WILL PROGRESS THROUGH THE END OF 2024. A NEW 2025 COHORT WILL BE DETERMINED THIS FALL/WINTER. EMPLOYEE RESOURCE GROUPS (ERGS): E&I STAFF CONTINUE TO WORK VERY CLOSELY WITH THE ERG'S. THIS IS TO SUPPORT CULTURAL PROGRAMMING, EXTERNAL PARTNERSHIPS, EDUCATIONAL OPPORTUNITIES, RECRUITMENT AND RETENTION AND COMMUNITY OUTREACH. THESE ARE THE ERGS: O ASIAN ERG O BLACK EMPLOYEE EMPOWERMENT NETWORK (BEEN) O DISABILITY ADVOCACY ERG O MILITARY AND VETERANS ERG O MUSLIM ERG O NURSES OF COLOR (NOC) ERG O PEOPLE RESPECTING INDIVIDUAL DIFFERENCES EQUALLY (PRIDE) ERG O VOCES ERG ECONOMIC OPPORTUNITY AND INCOME EQUITY AND INCLUSION SUMMER INTERNSHIP: IN PARTNERSHIP WITH TALENT ACQUISITION, THE E&I IS IMPLEMENTING THIS INTERNSHIP PROGRAM TO PROVIDE PRACTICAL WORK OPPORTUNITIES WITHIN CHILDREN'S MINNESOTA IN A CLINICAL AND NON-CLINICAL SETTING FOR HIGH SCHOOL AND COLLEGE STUDENTS. DURING THEIR TIME, INTERNS WILL ALSO ENGAGE IN LEADERSHIP DEVELOPMENT SESSIONS THAT EXPLORE DIVERSITY, EQUITY AND INCLUSION, CAREER GROWTH, PUBLIC SPEAKING AND PRACTICAL WORK SKILL BUILDING. O EXTERNAL PARTNERS INCLUDE: ST. PAUL RIGHT TRACK MINNEAPOLIS STEP UP ACHIEVE TWIN CITIES WALLIN PARTNERS DOUGHERTY FAMILY COLLEGE UPTURNSHIPSSUPPLIER DIVERSITY: THE E&I TEAM IS DEVELOPING A SUSTAINABLE FRAMEWORK FOR SUPPLIER DIVERSITY. THIS WILL ENABLE CHILDREN'S MINNESOTA TO ENGAGE WITH DIVERSE-OWNED, COMMUNITY BUSINESS WITH MORE INTENTIONALITY. IT IS THE GOAL OF THIS WORK TO INCREASE SPENDING WITH THE BUSINESSES IN ORDER TO PROVIDE MORE ACCESS TO BUSINESS OPPORTUNITIES AND PARTNERSHIPS TO THE COMMUNITIES WE SERVE. ALSO, WITHIN SUPPLIER DIVERSITY, THE E&I TEAM IS WORKING WITH THE MUSLIM EMPLOYEE RESOURCE GROUP TO HELP ROLLOUT A MODESTY GOWN WITH A SMALL MUSLIM-OWNED BUSINESS CALLED HENNA & HIJABS. THESE GOWNS WILL PROVIDE MORE COVERAGE FOR ALL PATIENTS AND HAVE THE ABILITY TO CONNECT AN OPTIONAL HIJAB. THE ANTICIPATED ROLL OUT OF THESE GOWNS WILL BE SEPTEMBER 2024.MENTAL HEALTH:IN ADDITION TO THE EXPANSION OF ACUTE MENTAL HEALTH SERVICES TO INCLUDE 2 PARTIAL HOSPITALIZATION PROGRAMS (2022 AND 2024) AND A NEW INPATIENT MENTAL HEALTH UNIT (2023) CHILDREN'S MINNESOTA ALSO CONTINUES TO IMPLEMENT THE FOLLOWING PROGRAMS:MIDWEST CHILDREN'S RESOURCE CENTER (MCRC): MCRC IS A HOSPITAL-BASED PROGRAM THAT PROVIDES CLINICAL EVALUATIONS AND SERVICES TO CHILDREN WHO HAVE BEEN ABUSED OR NEGLECTED. MCRC BRINGS SUBSPECIALTY MEDICAL CONSULTATION, SKILLED CASE MANAGEMENT AND EXPERT PSYCHOLOGICAL SERVICES TO COMMUNITIES THROUGHOUT THE REGION AND PROMOTES AND DELIVERS EXPERT SERVICE IN CHILD ABUSE RESPONSE. IN 2023, MCRC PERFORMED OVER 1200 MEDICAL EVALUATIONS FOR SUSPECTED ABUSE VICTIMS. ACHIEVING OPTIMAL OUTCOMES FOR MALTREATED CHILDREN REQUIRES CLOSE COLLABORATION WITH COMMUNITY PARTNERS IN LAW ENFORCEMENT, CHILD PROTECTION, ADVOCACY, MEDICINE, AND MENTAL HEALTH. SERVICES INCLUDE: MEDICAL EVALUATIONS AND HEALTH ASSESSMENTS FOR CHILD SEXUAL AND PHYSICAL ABUSE; PSYCHOLOGICAL ASSESSMENTS; PROFESSIONAL CONSULTATIONS; AND PREVENTION PROGRAMS RELATED TO TEEN PARENTING. MCRC ALSO ADMINISTERS THE NATIONALLY RECOGNIZED RUNAWAY INTERVENTION PROGRAM (RIP). RIP PROVIDES STRENGTH BASED MEDICAL CARE AND THERAPY TO RUN-AWAY AND EXPLOITED YOUTH. CARE IS PROVIDED BY EXPERIENCED TRAUMA-FOCUSED THERAPISTS AND ADVANCED PRACTICE NURSES THROUGH A COMMUNITY-BASED DELIVERY MODEL OVER THE COURSE OF A YEAR. RIP HAS BEEN DEMONSTRATED TO DRAMATICALLY IMPROVE HEALTH OUTCOMES FOR THESE YOUTH. IN 2023 RIP PROVIDED INTENSIVE SERVICES TO 99 YOUTH. THE MCRC ALSO FUNCTIONS AS ONE OF THE FOUR REGIONAL CHILDREN'S ADVOCACY CENTERS ACROSS THE NATION, PROVIDING TRAINING AND TECHNICAL ASSISTANCE TO CHILD ABUSE PROFESSIONALS ACROSS THE MIDWEST AND NATION. IN 2022 MRCAC PROVIDED TRAINING OR TECHNICAL ASSISTANCE TO 1,125 ORGANIZATIONS ACROSS THE COUNTRY. HEALTHY STEPS: HEALTHYSTEPS IS A NATIONAL PROGRAM SUPPORTED BY ZERO TO THREE AS AN EVIDENCE-BASED MODEL OF INTEGRATED BEHAVIORAL HEALTH IN PRIMARY CARE FOR VERY YOUNG PATIENTS (BIRTH TO THREE YEARS OLD). THE PROGRAM SUPPORTS THE RELATIONSHIP BETWEEN CAREGIVERS AND THEIR BABIES TO PROMOTE NURTURING PARENTING AND HEALTHY DEVELOPMENT. AN INFANT AND EARLY CHILDHOOD MENTAL HEALTH SPECIALIST, KNOWN AS A HEALTHYSTEPS SPECIALIST, CONNECTS WITH FAMILIES DURING WELL-CHILD VISITS AS PART OF THE PRIMARY CARE TEAM. THE HEALTHY STEPS SPECIALIST BRINGS FOCUS TO THE IMPORTANT SKILLS NEEDED FOR FAMILIES TO FOSTER HEALTHY CHILD DEVELOPMENT AND LIFE-LONG WELL-BEING. HEALTHYSTEPS IS CURRENTLY OFFERED IN THE MINNEAPOLIS PRIMARY CARE CLINIC. IN AUGUST OF 2023 A FULL-TIME HEALTHYSTEPS SPECIALIST AND A PART-TIME PROGRAM COORDINATOR WERE ADDED TO THE INTEGRATIVE BEHAVIORAL TEAM. COMMUNITY SAFETYGUN BUYBACK EVENT: IN 2023 CHILDREN'S MINNESOTA PARTNERED WITH COMMUNITY VIOLENCE PREVENTION ORGANIZATIONS AND HEALTH CARE INSTITUTIONS TO HOST A GUN BUYBACK EVENT WHERE MORE THAN 100 GUNS WERE COLLECTED. THIS EVENT SPURRED THE DEVELOPMENT OF A NEW PARTNERSHIP WITH NEXT STEP, A HOSPITAL VIOLENCE INTERVENTION PROGRAM. TRAUMA AND INJURY PREVENTION: THE CHILDREN'S MINNESOTA TRAUMA AND INJURY PREVENTION DEPARTMENT WORKS IN THE COMMUNITY TO PROVIDE INFORMATION AND EDUCATIONAL RESOURCES TO SUPPORT CAREGIVERS IN THEIR EFFORTS TO KEEP THEIR CHILDREN SAFE IN THEIR HOMES AND OTHER ENVIRONMENTS. ACTIVITIES INCLUDE BUT ARE NOT LIMITED TO: CAR SEAT SAFETY CHECKS, BIKE SAFETY EDUCATION AND HELMET GIVE AWAYS AND THE DEVELOPMENT OF AN ANIMATED VIDEO SERIES THAT SEEKS TO ENGAGE ALL CULTURAL COMMUNITIES WITH INFORMATION ABOUT INJURY PREVENTION IN THE HOME AS WELL AS PARENTAL WELLNESS.ADVOCACY AND ENGAGEMENT:PUBLIC HEALTH AND POLICY COALITIONS: IN ORDER TO ADDRESS THE POLICIES, SYSTEMS AND ENVIRONMENTS THAT IMPACT CHILD HEALTH, CHILDREN'S ACTIVELY PARTICIPATED IN SEVERAL BROAD-BASED COALITIONS AND COLLABORATIVES, INCLUDING: THE MENTAL HEALTH LEGISLATIVE NETWORK, THE THIS IS MEDICAID COALITION, THE PRENATAL TO THREE COALITION, THE MINNESOTA COALITION FOR TARGETED FAMILY HOME VISITING, MINNESOTANS FOR A SMOKE FREE GENERATION, THE HUNGER FREE SCHOOLS COALITION, THE MINNESOTA BUSINESS COALITION FOR RACIAL EQUITY, THE GROUNDBREAK COALITION AND LITTLE MOMENTS COUNT. THESE GROUPS ADDRESS A VARIETY OF HEALTH ISSUES IN THE COMMUNITY, INCLUDING MENTAL HEALTH, IMPROVED BIRTH OUTCOMES, ACCESS TO HEALTHY FOOD, EARLY CHILDHOOD DEVELOPMENT, ACCESS TO HEALTH CARE, MENTAL HEALTH, RACIAL EQUITY, ECONOMIC EQUITY, HOUSING AND COMMUNITY HEALTH OVERALL. ADDITIONALLY, CHILDREN'S MINNESOTA PARTICIPATES IN THE MINNESOTA HOSPITAL ASSOCIATION AND THE NATIONAL CHILDREN'S HOSPITAL ASSOCIATION BOTH OF WHOM ARE FOCUSED ON IMPROVING THE HEALTH CARE DELIVERY SYSTEM AND ENHANCING BOTH QUALITY AND ACCESS TO CARE. PATIENT AND FAMILY ENGAGEMENTFAMILIES AS PARTNERS (FAP)THE CHILDREN'S MINNESOTA FAMILIES AS PARTNERS PROGRAM PROMOTES, COORDINATES AND SUPPORTS PATIENT FAMILY ENGAGEMENT THROUGHOUT THE ORGANIZATION. THE PATHWAYS TO GET INVOLVED INCLUDE THE FAMILY-TO- FAMILY PROGRAM, FAMILY ADVISORY COUNCIL, FAMILY ADVOCATES, FAMILY ADVISORS, FAMILIES AS FACULTY AND THE FAMILY SPEAKER'S BUREAU. IN 2023, THE FAMILIES AS PARTNERS (FAP) PROGRAM HAD A TOTAL OF 75 ACTIVE PATIENT FAMILY VOLUNTEERS THAT CONTRIBUTED A COMBINED TOTAL OF 3,180 VOLUNTEER HOURS. YOUTH ADVISORY COUNCIL THE YOUTH ADVISORY COUNCIL CONSISTS OF PATIENTS AND SIBLINGS AGED 10-18 YEARS OF AGE THAT PROVIDE INSIGHT TO IMPROVE THE CHILDREN'S MINNESOTA CARE EXPERIENCE FOR CHILDREN AND TEENS. THIRTY-NINE YOUTH PARTICIPATED IN THE YOUTH ADVISORY COUNCIL IN 2023 AND THE MEMBERS VOLUNTEERED A COMBINED TOTAL OF 300 HOURS OF SERVICE.
FORM 990, SCHEDULE H, PART V, LINE 16A:	HTTPS://WWW.CHILDRENSMN.ORG/YOUR-VISIT/AFTER-YOUR-VISIT/BILLING-AND-FINANCIAL-MATTERS/BILLING-POLICIES/FORM 990, SCHEDULE H, PART V, LINE 16B:HTTPS://WWW.CHILDRENSMN.ORG/YOUR-VISIT/AFTER-YOUR-VISIT/BILLING-AND-FINANCIAL-MATTERS/FINANCIAL-COUNSELING-AND-ASSISTANCE/FORM 990, SCHEDULE H, PART V, LINE 16C:HTTPS://WWW.CHILDRENSMN.ORG/YOUR-VISIT/AFTER-YOUR-VISIT/BILLING-AND-FINANCIAL-MATTERS/FINANCIAL-COUNSELING-AND-ASSISTANCE/FORM 990, SCHEDULE H, PART V, LINE 16J:CHILDREN'S HOSPITALS AND CLINICS HAS A WRITTEN FINANCIAL ASSISTANCE POLICY AND A PLAIN LANGUAGE SUMMARY OF OUR POLICY. OUR POLICY IS POSTED ON OUR WEBSITE AS WELL AS AVAILABLE AT ALL REGISTRATION AREAS THROUGHOUT THE HOSPITAL AND OUR CLINICS. A COPY OF THE PLAIN LANGUAGE SUMMARY OF OUR POLICY IS PROVIDED TO ANY PATIENT WITHOUT INSURANCE AT EACH VISIT AND ANNUALLY TO ALL PATIENTS. THE POLICY AND PLAIN LANGUAGE SUMMARY IS CURRENTLY AVAILABLE IN ENGLISH, SPANISH, SOMALI, HMONG, RUSSIAN, VIETNAMESE, ARABIC AND KAREN. WE ALSO HAVE POSTERS IDENTIFYING KEY POINTS OF OUR POLICY DISPLAYED IN ALL REGISTRATION AREAS. IN ADDITION, WE HAVE A FINANCIAL ASSISTANCE CALCULATOR ON OUR WEBSITE WHERE FAMILIES ARE ABLE TO KEY IN THEIR INCOME AND FAMILY SIZE TO ASSESS WHETHER THEY MAY MEET OUR POLICY GUIDELINES.

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - CHILDREN'S CLINICS - WOODWINDS
628 BIELENBERG DR STE 200	WOODBURY	MN	55125	SPECIALTY AND REHABILITATION CLINIC
2 - CHILDREN'S - MAPLE GROVE
7767 ELM CREEK BLVD SUITE 300	MAPLE GROVE	MN	55369	SPECIALTY AND REHABILITATION CLINIC
3 - CHILDREN'S REHAB CLINIC
5950 CLEARWATER DRIVE SUITE 500 510	MINNETONKA	MN	55343	REHABILIATION CLINIC
4 - CHILDREN'S - ROSEVILLE
1835 W COUNTY RD C	ROSEVILLE	MN	55113	SPECIALTY AND REHABILITATION CLINIC
5 - CHILDREN'S REHAB LAKEVILLE
18432 KENDRICK AVE	LAKEVILLE	MN	55044	REHABILIATION CLINIC
6 - CHILDRENS'S SPECIALTY CLINIC
6060 CLEARWATER DRIVE STE 100	MINNETONKA	MN	55343	SPECIALTY CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	FEDERAL POVERTY GUIDELINES ARE THE PRIMARY MEASUREMENT USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, POLICY EXCEPTIONS MAY BE GRANTED FOR FAMILIES WHO HAVE MEDICAL DEBT EXCEEDING 10 PERCENT OF THEIR INCOME OR HAVE OTHER SPECIFIC DOCUMENTED NEEDS WHERE THEY ARE NOT ABLE TO PAY ALL OR A PORTION OF THEIR BALANCE.
PART I, LINE 6A:	CHILDREN'S INCLUDES INFORMATION ON COMMUNITY BENEFIT EXPENDITURES IN THE ORGANIZATION'S ANNUAL REPORT. THE 2023 ANNUAL REPORT IS AVAILABLE ONLINE AT HTTPS://WWW.CHILDRENSMN.ORG/ABOUT-US/ANNUAL-REPORT/.
PART I, LINE 7:	THE ECMO PROGRAM AT CHILDREN'S MINNESOTA IS THE LARGEST PROVIDER OF NEONATAL AND PEDIATRIC ECMO IN THE STATE AND HAS RECEIVED THE EXTRACORPOREAL LIFE SUPPORT ORGANIZATION AWARD FOR EXCELLENCE IN LIFE SUPPORT SINCE 2008: $1,798,889THE INFANT APNEA PROGRAM INCLUDES PEDIATRIC SPECIALISTS WHO UNDERSTAND THE SCIENCE BEHIND A BABY'S BREATHING PROCESS. OUR TEAM OF PULMONARY, NEONATOLOGY AND NURSE EXPERTS PROVIDES COMPREHENSIVE EVALUATIONS, FAMILY EDUCATION, ONGOING MANAGEMENT AND SUPPORT TO FAMILIES OF INFANTS DIAGNOSED WITH APNEA OR GASTROESOPHAGEAL REFLUX (GER), A REGURGITATION OF FOOD THAT CAN INTERFERE WITH BREATHING: $808,202THE EATING DISORDERS CLINIC USES LEADING EVIDENCE-BASED TREATMENTS TO PATIENTS OF ALL AGES AND WITH ALL TYPES OF EATING DISORDERS. THE CENTER FOR THE TREATMENT OF EATING DISORDERS IS THE ONLY HOSPITAL-BASED PROGRAM IN THE TWIN CITIES TO OFFER IMMEDIATE ACCESS FOR MEDICAL STABILIZATION:$512,684OUR GENDER HEALTH PROGRAM IS AN EXCLUSIVELY PEDIATRIC, MULTIDISCIPLINARY GENDER HEALTH PROGRAM, AND INCLUDES PEDIATRIC GENDER HEALTH, ENDOCRINOLOGY AND GYNECOLOGY PHYSICIANS. THE GENDER HEALTH PROGRAM PROVIDES COMPASSIONATE AND COMPREHENSIVE CARE FOR TRANSGENDER AND GENDER-DIVERSE YOUTH. WE'RE DEDICATED TO SERVING AS AN ESSENTIAL MEDICAL PARTNER AND RESOURCE FOR TRANSGENDER YOUTH AND FAMILIES ALONG THEIR JOURNEY: $104,927THE DEVELOPMENT PEDIATRIC CLINIC ADDRESSES CONCERNS ABOUT YOUR CHILD'S DEVELOPMENTAL, BEHAVIORAL, SOCIAL OR LEARNING CHALLENGES. THE PROGRAM APPROACHES BEHAVIORAL AND DEVELOPMENTAL CONDITIONS, SUCH AS AUTISM AND DOWN SYNDROME, FROM ALL ANGLES: $1,204,388HOME HEALTH CARE ALLOWS KIDS TO RECEIVE THESE SERVICES NOT AT A HOSPITAL BEDSIDE, BUT AT HOME WITH THEIR FAMILIES. EDUCATION IS ALSO A BIG PART OF A HOME CARE NURSES' ROLE AND THEY ARE ALWAYS AVAILABLE TO ANSWER ANY QUESTIONS OR PROVIDE ASSISTANCE: $1,248,042THE PERFUSION TEAM CARES FOR THE ESSENTIAL BODILY FUNCTIONS OF THE PATIENT DURING SURGERY. WHILE THE HEART-LUNG MACHINE PUMPS FRESH OXYGENATED BLOOD INTO THE BODY, THE PERFUSIONIST MONITORS THE PATIENT'S BLOOD FLOW, SUPPORTS OPTIMAL SURGICAL CONDITIONS, COMMUNICATES WITH BOTH THE SURGEON AND ANESTHESIOLOGIST, MAINTAINS THE PATIENT'S BODY TEMPERATURE AND EXTENDS SUPPORT OF THE PATIENT'S CIRCULATION AFTER SURGERY: $178,711ST PAUL PRIMARY CARE CLINIC PROVIDES A WIDE VARIETY OF PRIMARY CARE SERVICES THAT KIDS NEED DURING A TYPICAL CHILDHOOD. AND, IF SOMETHING IS OUT OF THE ORDINARY, THEY CONNECT YOU TO THE REST OF THE SERVICES THROUGHOUT THE CHILDREN'S MINNESOTA SYSTEM: $190,020THE GENETICS CLINIC HELPS FAMILIES UNDERSTAND GENETIC CONDITIONS, LIKE CHROMOSOMAL DISORDERS AND SINGLE-GENE DISORDERS. WITH ONE OF THE LARGEST GENETICS PROGRAMS IN THE REGION, WE SEE MORE THAN 2,000 CHILDREN AND TEENS EVERY YEAR AND WE ARE THE ONLY GENETICS CLINIC IN MINNESOTA THATFOCUSES ENTIRELY ON CARING FOR KIDS WITH GENETIC CONDITIONS: $1,198,967OUR PHARMACOGENOMICS TEAM EVALUATES PATIENTS WHO DO NOT RESPOND OR MAY HAVE ADVERSE SIDE EFFECTS TO MEDICATIONS. THEY IDENTIFY GENETIC CHANGES THAT IMPACT HOW CHILDREN RESPOND TO MEDICATION IN ORDER TO USE THEM MORE SAFELY AND EFFECTIVELY AND PERFORM SAFE CLINICAL TRIAL TO SEE HOW MUCH BETTER NEW TREATMENTS CAN BE: $356,899THE NEUROLOGY CLINIC PROVIDES EXPERT DIAGNOSIS AND TREATMENT FOR KIDS' BRAIN AND NERVOUS SYSTEM CONDITIONS LIKE BRAIN TUMORS, EPILEPSY, HEAD TRAUMA, CEREBRAL PALSY AND OTHERS: $1,942,858CHILDREN'S CONCUSSION CLINIC PROVIDES COMPREHENSIVE MEDICAL EVALUATION AND TREATMENT FOR CHILDREN AND YOUNG ADULTS WHO HAVE CONCUSSIONS CAUSED BY SPORTS, ACCIDENTS OR FALLS. THE PEDIATRIC CONCUSSION CLINIC IS PART OF CHILDREN'S NEUROSCIENCE PROGRAM THAT INCLUDES HEALTH SPECIALISTS IN NEUROSURGERY, NEUROLOGY, NEUROPSYCHOLOGY, REHABILITATION AND OTHER DEPARTMENTS THAT CARE FOR BRAIN AND SPINE ISSUE: $39,914THE NEUROSURGERY CLINIC USES CUTTING EDGE SURGICAL TECHNIQUES AND TECHNOLOGY TO TREAT TUMORS, EPILEPSY AND OTHER BRAIN AND NERVOUS SYSTEM CONDITIONS. WE PERFORM HUNDREDS OF SURGERIES EACH YEAR ON BABIES, KIDS AND TEENS. THAT MAKES US ONE THE MOST EXPERIENCED PEDIATRIC NEUROSURGERYCENTERS ANYWHERE: $1,564,020THE RHEUMATOLOGY CLINIC USES ADVANCED TOOLS TO DIAGNOSE THESE COMPLEX CONDITIONS, ALLEVIATE PAIN AND RESTORE FUNCTION IN KIDS AND TEENS: $58,338PSYCHIATRIC SERVICES PROVIDES ASSESSMENT AND CONSULTATION TO CHILDREN. THEY CAN ALSO PRESCRIBE AND MANAGE MEDICATIONS USED TO TREAT EMOTIONAL AND BEHAVIORAL PROBLEMS: $751,379PSYCHOLOGICAL SERVICES MEETS WITH CHILDREN FOR OUTPATIENT THERAPY, PSYCHOLOGICAL AND NEUROPSYCHOLOGICAL ASSESSMENTS, AND CONSULTATION TO OUTPATIENT AND INPATIENT MEDICAL SERVICE: $1,985,904OUR INFECTIOUS DISEASE PROGRAM HAS EXPERTISE WITH BACTERIAL, VIRAL, FUNGAL AND PARASITIC INFECTIONS AND EVALUATES CHILDREN WITH RECURRENT FEVERS FOR POSSIBLE PERIODIC FEVER SYMPTOMS. WE ARE ALSO KNOWN FOR OUR MINNESOTA PERINATAL AND PEDIATRIC HIV PROGRAM: $1,212,887IN OUR IMMUNOLOGY PROGRAM, EVERY DOCTOR HAS HAD DEDICATED TRAINING IN BOTH PEDIATRIC INFECTIOUS DISEASES AND PEDIATRIC IMMUNOLOGY. WE COORDINATE CARE WITH OTHER DEPARTMENTS WITHIN THE HOSPITAL SO THAT PATIENTS CAN SEE EVERYONE THEY NEED, ALL AT THE SAME TIME AND IN THE SAME PLACE. WE COLLABORATE WITH CLINICAL IMMUNOLOGISTS NATIONALLY TO PROVIDE THE MOST ADVANCED DIAGNOSTIC TESTS AND TREATMENTS AVAILABLE, AND WE STAY UP TO DATE BY ATTENDING THE ANNUAL CLINICAL IMMUNOLOGY SOCIETY MEETING: $471,132CHILDREN'S MINNESOTA IS THE LARGEST PEDIATRIC CANCER AND BLOOD DISORDERS PROGRAM IN THE UPPER MIDWEST. WE CARE FOR MORE THAN 58 PERCENT OF CHILDREN DIAGNOSED WITH CANCER OR BLOOD DISORDERS IN MINNESOTA, AND 74 PERCENT OF THOSE DIAGNOSED IN THE TWIN CITIES METRO. EACH YEAR, MORE THAN 1,000 CHILDREN ARE ADMITTED AS INPATIENTS TO THE JIM AND COLLEEN RYAN PEDIATRIC CANCER AND BLOOD DISORDERS CENTER AT CHILDREN'S MINNESOTA MINNEAPOLIS HOSPITAL: $517,954THE DIABETES AND ENDOCRINE CLINIC DIAGNOSES AND TREATS ALL KINDS OF ENDOCRINE DISORDERS IN CHILDREN AND TEENS, INCLUDING GROWTH DISORDERS, ABNORMALLY EARLY OR DELAYED PUBERTY AND DISEASES OF THE THYROID, PITUITARY AND ADRENAL GLANDS: $671,857THE SEDATION AND PROCEDURAL SERVICES (SPS) UNIT PROVIDES A BROAD RANGE OF SCHEDULED AND UNSCHEDULED SERVICES INCLUDING, NON-SURGICAL PROCEDURES, DIAGNOSTIC TESTING, MINIMAL, MODERATE, AND DEEP SEDATION, NURSE-ONLY VISITS, AND VASCULAR ACCESS SERVICES FOR THE HOSPITAL SITES. THE SPSUNITS ADMIT SCHEDULED AND UNSCHEDULED MEDICAL AND SURGICAL OBSERVATION STATUS PATIENTS AND CARE FOR INPATIENT OVERFLOW VOLUME IN TIMES OF HIGH CENSUS: $2,225,161
PART II, COMMUNITY BUILDING ACTIVITIES:	CAREER READINESS:ACHIEVE STEP-UP: STEP-UP IS MINNEAPOLIS' LARGEST TRAINING PROGRAM WHICH PROVIDES JOB OPPORTUNITIES TO YOUTH. SINCE 2006 CHILDREN'S MINNESOTA HAS HIRED STEP-UP SUMMER INTERNS. THE STUDENTS WORK IN A VARIETY OF AREAS TO GAIN KNOWLEDGE IN PATIENT CARE AND NON-PATIENT CARE DEPARTMENTS. MANY OF THE CHILDREN'S STEP-UP STUDENTS ATTENDED OR WILL BE ATTENDING HIGHER EDUCATION INSTITUTIONS. STUDENTS MAY RETURN TO THEIR POSITIONS DURING BREAKS IN A CASUAL CAPACITY WHILE ATTENDING SCHOOL OR VOLUNTEERING. THE PROGRAM AT CHILDREN'S FOCUSES ON IMMERSING AND INTEGRATING STUDENTS IN THE HOSPITAL WORK ENVIRONMENT TO ASSIST WITH BUILDING SKILLS AND COMPETITIVE EMPLOYMENT IN HEALTHCARE. IN THE SUMMER OF 2023, CHILDREN'S MINNESOTA HOSTED 5 COLLEGE LEVEL INTERNS AND 3 HIGH SCHOOL LEVEL INTERNS. UNIVERSITY OF SAINT THOMAS-DOUGHERTY FAMILY COLLEGE: THE DOUGHERTY FAMILY COLLEGE PROVIDES COLLEGE AGE STUDENTS WITH A CAREER DEVELOPMENT OPPORTUNITY THROUGH THEIR CORPORATE INTERNSHIP PROGRAM. THIS PROGRAM ALLOWS STUDENTS TO HAVE THE OPPORTUNITY TO DEVELOP REAL-WORLD, PROFESSIONAL EXPERIENCE IN PAID INTERNSHIPS AT LEADING ORGANIZATIONS THROUGHOUT THE TWIN CITIES WHERE THEY'LL START USING THEIR EDUCATION TO BUILD A CAREER THAT MAKES A DIFFERENCE. IN THE SUMMER OF 2023, CHILDREN'S MINNESOTA HOSTED 4 COLLEGE LEVEL INTERNS. CRISTO REY JESUIT HIGH SCHOOL: CHILDREN'S IS ONE OF THE PIONEER ORGANIZATIONS IN THE TWIN CITIES THAT IS INVOLVED IN THE CRISTO REY SCHOOL INITIATIVE. THIS PROGRAM PROVIDES COLLEGE PREPARATORY SCHOOLING TO INNER CITY MINORITY STUDENTS AS WELL AS TARGETED WORK-STUDY OPPORTUNITIES. CHILDREN'S MINNESOTA HAS PROVIDED WORK-STUDY AND MENTOR OPPORTUNITIES TO STUDENTS SINCE 2007. THE GOAL OF THIS INITIATIVE IS TO PROVIDE REAL-LIFE WORK EXPERIENCES THAT WILL BROADEN THE MINORITY TALENT POOL WHILE ALLOWING STUDENTS TO EARN A PORTION OF THE COST OF THEIR EDUCATION. IN THE 2023-2024 ACADEMIC YEAR, CHILDREN'S MINNESOTA HOSTED 2 STUDENT INTERNS. PROJECT SEARCH: CHILDREN'S MINNESOTA PARTNERED WITH THE MINNEAPOLIS PUBLIC SCHOOLS TRANSITIONS PLUS PROGRAM TO LAUNCH PROJECT SEARCH IN 2011. CHILDREN'S MINNESOTA WAS ONE OF THE FIRST HEALTHCARE ORGANIZATIONS TO LAUNCH PROJECT SEARCH IN THE 5-STATE AREA. PROJECT SEARCH IS A UNIQUE BUSINESS-LED TRANSITION PROGRAM FOR STUDENTS WITH DISABILITIES TO WORK, EXPLORE CAREERS AND DEVELOP TRANSFERABLE JOB SKILLS, WITH THE GOAL OF WORKING IN A COMPETITIVE ENVIRONMENT. DESIGNED AS AN UNPAID INTERNSHIP PROGRAM, PROJECT SEARCH PLACES STUDENTS IN REAL SITUATIONS WHERE THEY LEARN ALL ASPECTS OF GAINING AND MAINTAINING A JOB. THIS PROCESS OF IMMERSION FACILITATES THE TEACHING AND LEARNING OF NEW WORK SKILLS ON-SITE. INDIVIDUALIZED JOB DEVELOPMENT AND PLACEMENT OCCURS BASED ON THE STUDENT'S EXPERIENCES, STRENGTHS, AND SKILLS. A SERIES OF JOB ROTATIONS ALLOW STUDENTS TO FIND POSITIONS THAT BEST SUIT THEIR PREFERENCES. STUDENTS RECEIVE SUPPORT WITH ACCOMMODATION, ADAPTATIONS, AND ON-THE-JOB COACHING VIA MINNEAPOLIS SCHOOL EMPLOYEES. IN 2023-2024 ACADEMIC YEAR, CHILDREN'S MINNESOTA HOSTED 6 INTERNS FROM PROJECT SEARCH AND HIRED 1 PREVIOUS INTERN INTO A STERILE PROCESSING TECH ROLE. PROJECT FOR PRIDE IN LIVING (PPL): PPL HELPS LOW-INCOME PEOPLE ACHIEVE SELF-SUFFICIENCY THROUGH HOUSING, EMPLOYMENT TRAINING, SUPPORT SERVICES AND EDUCATION. CHILDREN'S MINNESOTA PARTNERS WITH AND PROVIDES FINANCIAL SUPPORT TO PPL IN THEIR TRAIN TO WORK INITIATIVE, WHICH HAS TRAINED HUNDREDS OF PEOPLE TO MEET ENTRY-LEVEL STAFFING NEEDS OF CHILDREN'S MINNESOTA AND OTHER MAJOR AREA HEALTHCARE PARTNERS. TRAIN TO WORK OFFERS TRAINING IN HEALTHCARE-SPECIFIC DETAILS, SUCH AS MEDICAL TERMINOLOGY AND ELECTRONIC HEALTH RECORDS, AS WELL AS A JOB SHADOWING INTERNSHIP THAT HAS BEEN AN ESSENTIAL COMPONENT OF THE PROGRAM'S SUCCESS. THE INTERNSHIP GIVES PARTICIPANTS HANDS-ON EXPERIENCE IN HEALTHCARE AND GIVES EMPLOYERS AN OPPORTUNITY TO OBSERVE POTENTIAL EMPLOYEES. IN 2023, CHILDREN'S MINNESOTA PARTNERED ON THEIR NURSING ASSISTANT AND PHARMACY TECH PROGRAMS WITH ACTIVITIES SUCH AS PRESENTATIONS, AND MOCK INTERVIEWS, AND WAS ABLE TO HIRE 3 PARTICIPANTS INTO NURSING ASSISTANT ROLES, 1 INTO AN ENVIRONMENTAL SERVICES ROLE, AND 1 INTO A UNIT OPERATIONS COORDINATOR ROLE. URBAN SCHOLARS: THE URBAN SCHOLARS PROGRAM INTENTIONALLY CONNECTS STUDENTS AND ORGANIZATIONS IN PURSUIT OF AN EQUITABLE WORKFORCE. URBAN SCHOLARS IS A PAID, FULL TIME, 10-WEEK SUMMER INTERNSHIP PROGRAM. SCHOLARS SPEND 32 HOURS IN THEIR WORK PLACEMENT, AND 8 HOURS IN THE URBAN SCHOLARS LEADERSHIP INSTITUTE EVERY WEEK. IN THE SUMMER OF 2023, CHILDREN'S MINNESOTA HOSTED 2 URBAN SCHOLARS INTERNS. RIGHTTRACK: RIGHT TRACK BRINGS TOGETHER THE CITY OF SAINT PAUL, THE SAINT PAUL PUBLIC SCHOOLS, LOCAL BUSINESSES, AND COMMUNITY-BASED ORGANIZATIONS TO PROVIDE EMPLOYMENT OPPORTUNITIES AND PROFESSIONAL SKILLS TRAINING FOR HIGH SCHOOL YOUTH. IN THE SUMMER OF 2023, CHILDREN'S MINNESOTA HOSTED 2 RIGHT TRACK HIGH SCHOOL INTERNS.WALLIN EDUCATION PARTNERS: WALLIN EDUCATION PARTNERS WORKS WITH STUDENTS TO PROVIDE FINANCIAL AID, ADVISING, AND ACCESS TO COMMUNITY AND CAREER OPPORTUNITIES. IN THE SUMMER OF 2023 CHILDREN'S MINNESOTA HOSTED 2 COLLEGE LEVEL INTERNS.INTERNATIONAL INSTITUTE OF MINNESOTA: IIOFMN HELPS NEW AMERICANS ACHIEVE SELF-SUFFICIENCY AND FULL MEMBERSHIP IN AMERICAN LIFE. CHILDREN'S MINNESOTA CONSULTS WITH THE INTERNATIONAL INSTITUTE OF MINNESOTA ON HIGH NEEDS AREAS, HOSTS INFORMATION SESSIONS, MOCK INTERVIEWS AND PROVIDES EMPLOYMENT ASSISTANCE AND SITE VISITS FOR NURSING ASSISTANT, HOUSEKEEPING, DIETARY, AND RN STUDENTS. IN 2023, CHILDREN'S MINNESOTA HIRED 1 STUDENT INTO AN ENVIRONMENTAL SERVICES AIDE POSITION. SUMMIT ACADEMY: IN SEPTEMBER 2022 CHILDREN'S MINNESOTA BEGAN WORKING WITH THE SUMMIT ACADEMY OIC PROGRAM WHICH OFFERS TRAINING FOR IN-DEMAND CAREERS, INCLUDING HEALTHCARE. CHILDREN'S MINNESOTA PARTICIPATES IN INFORMATION SESSIONS, MOCK INTERVIEWS AND CAREER FAIRS WHILE ALSO PROVIDING EMPLOYMENT ASSISTANCE. IN 2023 CHILDREN'S MINNESOTA HIRED 8 STUDENTS FROM THE SUMMIT OIC MEDICAL ADMINISTRATIVE ASSISTANT CLASS INTO ADMINISTRATIVE ROLES. CHILDREN'S MINNESOTA ALSO HOSTED A STUDENT AS AN INFORMATION TECHNOLOGY SERVICES INTERN. CAPI: CAPI CONNECTS IMMIGRANTS, REFUGEES, AND US-BORN PERSONS OF COLOR WITH RESOURCES THEY NEED TO THRIVE. CHILDREN'S MINNESOTA WORKS WITH CAPI ON THEIR NURSING ASSISTANT TRAINING BY OFFERING INFO SESSIONS, MOCK INTERVIEWS, AND JOB ASSISTANCE FOR REFERRALS. IN 2023, CHILDREN'S MINNESOTA ABLE TO HIRE ONE OF THEIR REFERRALS INTO A FAMILY RESOURCE REP POSITION.CLUES: CLUES ADVANCES SOCIAL AND ECONOMIC EQUITY AND WELLBEING FOR LATINOS. CHILDREN'S MINNESOTA WORKS WITH CLUES NURSING ASSISTANT, HEALTHCARE TECH, AND PHLEBOTOMY TRAINING BY GOING TO THEIR EVENTS, MOCK INTERVIEWING, INFO SESSIONS, AND OFFERING JOB ASSISTANCE. IN 2023, WE WERE ABLE TO HIRE 2 STUDENTS FROM CLUES INTO CLINICAL SUPPORT ASSOCIATE ROLES.HIRED: HIRED SUPPORTS PARTICIPANTS WITH RESOURCES AND CONNECTING THEM TO THE RIGHT TRAINING TO BUILD SUSTAINABLE CAREERS. CHILDREN'S MINNESOTA PARTNERS WITH THEM ON THEIR MEDICAL CALL CENTER AND OFFICEADMIN TRAINING BY DOING INFORMATION SESSIONS AND EMPLOYMENT ASSISTANCE. IN 2023, CHILDREN'S MINNESOTA HIRED 1 PARTICIPANT INTO A CLINIC ASSISTANT ROLE.HMONG AMERICA PARTNERSHIP: HAP EMPOWERS THE COMMUNITY WITH CULTURALLY SENSITIVE SOCIAL SERVICES, PROMOTING THE RICH HERITAGE OF THEIR ETHNIC COMMUNITIES, AND OFFERING HOUSING AND ECONOMIC DEVELOPMENT OPPORTUNITIES. CHILDREN'S MINNESOTA PARTNERS WITH THEM ON THEIR NURSING ASSISTANT TRAINING PROGRAM AND THEIR JOB FAIRS.TWIN CITIES R!SE: TCR TRANSFORMS THE LIVES OF THOSE IMPACTED BY RACIAL OR SOCIO-ECONOMIC BARRIERS THROUGH PERSONAL EMPOWERMENT, CAREER TRAINING, AND MEANINGFUL EMPLOYMENT. CHILDREN'S MINNESOTA PARTNERS WITH THEM ON INFORMATION SESSIONS, MOCK INTERVIEWING, AND JOB FAIRS.JOB CORPS: JOB CORPS PROVIDES FREE CAREER TRAINING AND EDUCATION FOR 16 THROUGH 24-YEAR-OLDS TO BEGIN A CAREER OR ADVANCE HIGHER EDUCATION. CHILDREN'S MINNESOTA PARTNERS WITH THEM ON THEIR JOB FAIRS AND GENERAL EMPLOYMENT ASSISTANCE.
PART III, LINE 2:	BAD DEBT IS DEFINED AS THE UNPAID OBLIGATION FOR CARE PROVIDED TO PATIENTS WHO HAVE BEEN DETERMINED TO BE ABLE TO PAY, BUT HAVE NOT DEMONSTRATED A WILLINGNESS TO PAY. THE AMOUNTS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY ARE DETERMINED BY A PATIENT'S WILLINGNESS TO PAY WITH A DOCUMENTED INABILITY TO PAY PER MEASURES ESTABLISHED BY OUR POLICY. BAD DEBT IS ESTIMATED BY APPLYING THE RATIO OF PATIENT CARE COST TO CHARGES, AS CALCULATED ON FORM 990, SCHEDULE H, WORKSHEET 2, TO THE ACTUAL PATIENT CHARGES.
PART III, LINE 3:	THE ORGANIZATION ESTIMATES THAT TWENTY-FIVE PERCENT OF BAD DEBT EXPENSES ARE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY (BUT WERE EITHER UNWILLING OR UNABLE TO PROVIDE SUFFICIENT INFORMATION TO MAKE A DETERMINATION OF THEIR ELIGIBILITY WHILE IN OUR CARE). THE ESTIMATE OF TWENTY-FIVE PERCENT IS BASED ON A REVIEW OF ACCOUNTS CLASSIFIED AS BAD DEBT AND MANAGEMENT JUDGMENT.
PART III, LINE 4:	GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. CHILDREN'S ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. CHILDREN'S ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCES AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. CONSISTENT WITH CHILDREN'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, CHILDREN'S HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES (E.G., CO-PAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS CHILDREN'S EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS. PATIENTS WHO MEET CHILDREN'S CRITERIA FOR CHARITY CARE ARE PROVIDED CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SUCH AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE ARE NOT REPORTED AS REVENUE.
PART III, LINE 8:	UNREIMBURSED MA: ACTUAL MEDICAID REIMBURSEMENT RATE FOR FY 2023 LESS ACTUAL PAYMENTS RECEIVED, MN CARE PROVIDER TAX, MA SURCHARGE AND COSTS DERIVED VIA A COST ACCOUNTING METHODOLOGY THAT ALLOCATES OVERHEAD TO OPERATING DEPARTMENTS. FOR 2023, THE REMAINING COVID RELIEF GRANTS NOT COUNTED IN OTHER CATEGORIES WERE APPLIED AS DIRECT OFFSETTING REVENUE.COMMUNITY HEALTH IMPROVEMENT SERVICES: A COST ACCOUNTING METHODOLOGY THAT ALLOCATES OVERHEAD TO OPERATING DEPARTMENTS AND REMOVES DIRECT COMMUNITY BENEFITS COSTS ACCOUNTED FOR IN OTHER PORTION OF THE SCHEDULE TO ENSURE WE DO NOT DOUBLE COUNT LESS DIRECT OFFSETTING REVENUE. THIS METHODOLOGY ADDRESSES ALL PATIENT SEGMENTS AND IS A DIFFERENT METHODOLOGY THAN USED IN WORKSHEET 2.COMMUNITY BENEFIT OPERATIONS: ACTUAL AND ESTIMATED COSTS INCURRED FOR SUPPORTING CHNA AND COMMUNITY BENEFITS OPERATIONS INCLUDING EXTERNAL COSTS, INTERNAL DEPARTMENT TIME AND A PERCENTAGE OF FOUNDATION SUPPORT COSTS BASED ON ACTUAL COMMUNITY BENEFIT REVENUE ACTIVITIES.HEALTH PROFESSIONS EDUCATION: A COST ACCOUNTING METHODOLOGY THAT ALLOCATES OVERHEAD TO OPERATING DEPARTMENTS AND REMOVES DIRECT COMMUNITY BENEFITS COSTS ACCOUNTED FOR IN OTHER PORTION OF THE SCHEDULE TO ENSURE WE DO NOT DOUBLE COUNT LESS DIRECT OFFSETTING REVENUE. THIS METHODOLOGY ADDRESSES ALL PATIENT SEGMENTS AND IS A DIFFERENT METHODOLOGY THAN USED IN WORKSHEET 2.SUBSIDIZED HEALTH SERVICES: A COST ACCOUNTING METHODOLOGY THAT ALLOCATES OVERHEAD TO OPERATING DEPARTMENTS AND REMOVES DIRECT COMMUNITY BENEFITS COSTS ACCOUNTED FOR IN OTHER PORTION OF THE SCHEDULE TO ENSURE WE DO NOT DOUBLE COUNT LESS DIRECT OFFSETTING REVENUE. THIS METHODOLOGY ADDRESSES ALL PATIENT SEGMENTS AND IS A DIFFERENT METHODOLOGY THAN USED IN WORKSHEET 2. FOR 2023, THE REMAINING COVID RELIEF GRANTS NOT COUNTED IN OTHER CATEGORIES WERE APPLIED AS DIRECT OFFSETTING REVENUE.RESEARCH: A COST ACCOUNTING METHODOLOGY IS THAT ALLOCATES OVERHEAD TO OPERATING DEPARTMENTS AND REMOVES DIRECT COMMUNITY BENEFITS COSTS ACCOUNTED FOR IN OTHER PORTION OF THE SCHEDULE TO ENSURE WE DO NOT DOUBLE COUNT LESS DIRECT OFFSETTING REVENUE. THIS METHODOLOGY ADDRESSES ALL PATIENT SEGMENTS AND IS A DIFFERENT METHODOLOGY THAN USED IN WORKSHEET 2.THE ORGANIZATION PRIMARILY SERVES PEDIATRIC PATIENTS AND DOES NOT GENERATE SIGNIFICANT MEDICARE REVENUES. THE ORGANIZATION FILES A MEDICARE COST REPORT ANNUALLY. FORM 990, SCHEDULE H, WORKSHEET 3 - UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS WAS USED TO CALCULATE THE COSTS ASSOCIATED WITH MEDICARE CHARGES REPORTED IN PART III, LINE 6. THE ORGANIZATION DOES NOT REPORT ANY AMOUNTS FROM PART III, LINE 7 AS COMMUNITY BENEFIT.
PART III, LINE 9B:	WHEN COLLECTING MEDICAL DEBT, CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA TREATS ITS PATIENT FAMILIES WITH HONOR, DIGNITY, AND RESPECT; DEMONSTRATES COMPASSION; AND ARE GOOD STEWARDS OF HEALTH CARE RESOURCES. THERE IS A ZERO TOLERANCE FOR ABUSIVE, HARASSING, OPPRESSIVE, FALSE, DECEPTIVE, OR MISLEADING LANGUAGE OR COLLECTIONS CONDUCT BY CHILDREN'S EMPLOYEES AND CONTRACTORS WHO COLLECT MEDICAL DEBT FROM PATIENT FAMILIES. THIS POLICY APPLIES BROADLY TO ALL PATIENT FAMILIES WE SERVE.COMPONENTS OF CHILDREN'S COLLECTION POLICY INCLUDE: DURING THE PRE-REGISTRATION, REGISTRATION, OR ADMISSION PROCESS, CHILDREN'S ATTEMPTS TO IDENTIFY AND INFORM PATIENT FAMILIES WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE OR DISCOUNTED CARE THROUGH THE UNINSURED DISCOUNT OR FINANCIAL ASSISTANCE POLICY. IN ADDITION, ALL FAMILIES ARE PROVIDED WITH A PLAIN LANGUAGE SUMMARY OF OUR FINANCIAL ASSISTANCE POLICY AT REGISTRATION. INFORMATION ON OUR FINANCIAL ASSISTANCE POLICY IS POSTED IN EACH CLINIC AND REGISTRATION AREA, OUR WELCOME CENTER AND ON OUR WEBSITE.ALL CHILDREN'S EMPLOYEES AND CONTRACTED STAFF WHO HAVE DIRECT CONTACT WITH PATIENTS ARE EDUCATED ON AN ANNUAL BASIS OF CHILDREN'S FINANCIAL ASSISTANCE POLICIES. THE EDUCATION INFORMS STAFF OF PROGRAMS AVAILABLE AND HOW A PATIENT FAMILY MAY OBTAIN MORE INFORMATION AND SUBMIT AN APPLICATION FOR FINANCIAL ASSISTANCE.A COPY OF THE FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY IS INCLUDED ON THE BACK OF EACH HOSPITAL PATIENT STATEMENT EXPLAINING THE PROCESS AND PHONE NUMBERS TO CONTACT FOR QUESTIONS FOR OBTAINING FINANCIAL ASSISTANCE FOR ALL PATIENT FAMILIES THE LOCATION ON CHILDREN'S WEB SITE WHERE THE POLICIES AND APPLICATIONS RESIDE IS ALSO REFERENCED. .. IF A PATIENT FAMILY INDICATES THE NEED FOR FINANCIAL ASSISTANCE DURING THE REGISTRATION PROCESS OR THROUGHOUT THE COLLECTION PROCESS, FINANCIAL ASSISTANCE INFORMATION IS PROVIDED TO THE FAMILY BY STAFF. ALL PATIENTS WHO ARE REGISTERED AS SELF PAY ARE OFFERED THE FINANCIAL ASSISTANCE INFORMATION AT THE TIME OF REGISTRATION.ALL CORRESPONDENCE SEEKING COLLECTION OF MEDICAL DEBTS CONTAIN A REFERENCE TO THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THE FINAL NOTICE PRIOR TO BAD DEBT PLACEMENT INCLUDE THE REQUIRED LANGUAGE RELATED TO EXTRAORDINARY COLLECTION EFFORTS.MINNESOTA HOSPITAL PROVIDERS HAVE JOINTLY DEVELOPED CONSISTENT COLLECTION GUIDELINES SET OUT IN FORMAL AGREEMENTS WITH THE MINNESOTA ATTORNEY GENERAL'S OFFICE. THIS AGREEMENT IS CONSISTENT WITH CHILDREN'S COLLECTION POLICY. THE AUDIT COMMITTEE OF OUR BOARD OF DIRECTORS ANNUALLY REVIEWS THIS POLICY AND ALL POLICIES CONCERNING COLLECTION OF MEDICAL DEBT, UNINSURED DISCOUNT, AND CHARITY CARE. THE AUDIT COMMITTEE ALSO REVIEWS THE RESULTS OF AN ANNUAL AUDIT RELATED TO THESE AREAS IN ACCORDANCE WITH THE MINNESOTA ATTORNEY GENERAL'S AGREEMENT.
PART VI, LINE 2:	IN 2023, CHILDREN'S MINNESOTA COMPLETED ITS FOURTH COMMUNITY HEALTH NEEDS ASSESSMENT, AS REQUIRED UNDER THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 ("PPACA"). THE CHNA AND ACCOMPANYING IMPLEMENTATION STRATEGY WERE APPROVED BY THE EXECUTIVE COMMITTEE OF THE CHILDREN'S MINNESOTA BOARD OF DIRECTORS. THE COMPLETE DOCUMENTS ARE AVAILABLE TO THE PUBLIC AT COMMUNITY HEALTH NEEDS ASSESSMENT \| CHILDREN'S MINNESOTA (CHILDRENSMN.ORG)IN CONDUCTING THE ASSESSMENT, CHILDREN'S MINNESOTA CONSIDERED THE FOLLOWING TOPICS AND DATA: DEMOGRAPHICS; ECONOMIC ISSUES THAT AFFECT CHILDREN; COMMUNITY ISSUES; HEALTH STATUS INDICATORS; HEALTH ACCESS INDICATORS; HEALTH DISPARITIES INDICATORS AND AVAILABILITY OF HEALTHCARE FACILITIES AND RESOURCES.IN ADDITION TO THE CHNA PROCESS, CHILDREN'S MINNESOTA ALSO REGULARLY ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IN THE FOLLOWING WAYS:A. BOARD OF DIRECTORS: THE ORGANIZATION'S GOVERNING BODY, COMPRISED PRIMARILY OF COMMUNITY MEMBERS WHO RESIDE LOCALLY, PROVIDES GOVERNANCE OVERSIGHT AND INPUT ON THE HEALTH CARE SERVICES CHILDREN'S MINNESOTA PROVIDES TO THE LOCAL COMMUNITY.B. CHILDREN'S MINNESOTA EMPLOYED PHYSICIANS, INDEPENDENT PHYSICIANS WHO PROVIDE CARE AT CHILDREN'S, AND NUMEROUS CLINICAL CARE PROVIDERS ASSESS COMMUNITY NEEDS DAILY THROUGH THE PEDIATRIC CARE PROVIDED THROUGHOUT THE COMMUNITY.C. COMMUNITY PARTNERSHIPS/RELATIONSHIPS: THE CHILDREN'S MINNESOTA COLLECTIVE FOR COMMUNITY HEALTH, EQUITY AND INCLUSION DEPARTMENT, HEALTH EQUITY TEAM AND OTHERS CONTINUE TO DEVELOP A CORE STRATEGY BASED ON ACTIVE AND SUBSTANTIVE ENGAGEMENT OF THE COMMUNITY, IN ITS VARYING FORMS. THIS INCLUDES COLLABORATION WITH COMMUNITY-BASED ORGANIZATIONS AND LEADERS, ALIGNED NON-PROFITS, SERVICE DELIVERY AGENCIES AND ASSOCIATIONS. CHILDREN'S MINNESOTA ALSO ENGAGES IN LOCAL AND STATE GOVERNMENT-DRIVEN INITIATIVES AROUND CHILD HEALTH ISSUES. THROUGH THESE PARTNERSHIPS CHILDREN'S MINNESOTA GAINS INSIGHT AND SUPPORTS PROGRESS ON A NUMBER OF KEY ISSUES IMPACTING CHILDREN, INCLUDING: MENTAL HEALTH, ACCESS TO HEALTH CARE, HEALTH AND RACIAL EQUITY, COMMUNITY SAFETY AND OTHER SOCIAL CONDITIONS THAT IMPACT HEALTH. D. THE FAMILIES AS PARTNERS (FAP) PROGRAM: THE CHILDREN'S MINNESOTA FAP PROGRAM PROMOTES, COORDINATES, AND SUPPORTS PATIENT FAMILY ENGAGEMENT THROUGHOUT THE ORGANIZATION. THE PATHWAYS TO GET INVOLVED INCLUDE THE -FAMILY-TO- FAMILY PROGRAM, FAMILY ADVISORY COUNCIL, FAMILY ADVOCATES, FAMILY ADVISORS, FAMILIES AS FACULTY AND FAMILY SPEAKER'S BUREAU. -FAMILY-TO-FAMILY PROGRAM CHILDREN'S MINNESOTA PATIENT FAMILIES THAT MENTOR AND SUPPORT OTHER HOSPITALIZED PATIENTS AND FAMILIES-FAMILY ADVISORY COUNCIL (FAC) A DIVERSE GROUP OF FAMILIES WHO COLLABORATE WITH STAFF TO ENHANCE THE PATIENT AND FAMILY EXPERIENCE-FAMILY ADVOCATES PATIENT FAMILIES WHO ADVOCATE FOR PEDIATRIC HEALTH POLICIES-FAMILY ADVISORS REPRESENT THE FAMILY PERSPECTIVE ON COMMITTEES, EXPERIENCE TEAMS, FACILITY DESIGN TEAMS AND FOCUS GROUPS -FAMILIES AS FACULTY PARTICIPATE IN SESSIONS THAT PROVIDE PATIENT AND FAMILY CENTERED CARE EDUCATION FOR PHYSICIANS, NURSES AND STAFF-FAMILY SPEAKER'S BUREAU SHARE INFORMATION ABOUT THEIR INDIVIDUAL EXPERIENCE AT SPECIAL EVENTS AND MEETINGSE. YOUTH ADVISORY COUNCIL (YAC) -- THIS IS A DEDICATED GROUP OF PATIENTS; AGES 10 TO 18, WHO HELP HOSPITAL STAFF, LEADERS, CLINICIANS AND PARENTS UNDERSTAND WHAT IS IMPORTANT TO CHILDREN, TEENS AND SIBLINGS DURING HOSPITAL STAYS, CLINIC VISITS AND EMERGENCY CARE. THE YAC BRINGS A VALUABLE PERSPECTIVE AND VOICE TO CHILDREN'S MINNESOTA BY PARTICIPATING IN ACTIVITIES THAT PROMOTE DISCUSSION AND THOUGHT ABOUT HEALTH CARE SERVICES FOR PEDIATRIC AND YOUNG ADULT PATIENTS. THE COUNCIL ALSO BRINGS GREAT PERSPECTIVE TO LET OTHER CHILDREN KNOW HOW TO MAKE THEIR STAY AT CHILDREN'S MINNESOTA A MORE COMFORTABLE AND POSITIVE EXPERIENCE. F. OTHER METHODS INCLUDE AND ARE NOT LIMITED TO PARTNERSHIPS AND PROJECTS WITH THIRD PARTY-PAYERS AND OTHER COMMUNITY PHYSICIANS AND HOSPITALS, MONITORING AND REPORTING OF INFECTIOUS DISEASE DATA, DISASTER READINESS EFFORTS, RESEARCH AND EDUCATION, SUPPORT GROUPS, AND OTHERS.
PART VI, LINE 3:	COMPONENTS OF CHILDREN'S COLLECTION POLICY INCLUDE:DURING THE PRE-REGISTRATION, REGISTRATION, OR ADMISSION PROCESS, CHILDREN'S WILL ATTEMPT TO IDENTIFY AND INFORM PATIENT FAMILIES WHO MAY BE ELIGIBLE FOR CHARITY CARE OR DISCOUNTED CARE THROUGH THE UNINSURED DISCOUNT OR CHARITY CARE POLICY.ALL CHILDREN'S EMPLOYEES AND CONTRACTED STAFF WHO HAVE DIRECT CONTACT WITH PATIENTS WILL BE EDUCATED ON AN ANNUAL BASIS OF CHILDREN'S FINANCIAL ASSISTANCE POLICIES. THE EDUCATION WILL INFORM STAFF OF PROGRAMS AVAILABLE AND HOW A PATIENT FAMILY MAY OBTAIN MORE INFORMATION AND SUBMITAN APPLICATION FOR FINANCIAL ASSISTANCE.A FINANCIAL ASSISTANCE APPLICATION WILL BE SENT WITH THE INITIAL LETTER EXPLAINING THE PROCESS FOR OBTAINING FINANCIAL ASSISTANCE TO ALL SELF-PAY PATIENT FAMILIES. IF A PATIENT FAMILY INDICATES THE NEED FOR FINANCIAL ASSISTANCE DURING THE REGISTRATION PROCESS, FINANCIAL ASSISTANCE INFORMATION IS PROVIDED TO THE FAMILY BY THE REGISTRATION STAFF.ALL CORRESPONDENCE SEEKING COLLECTION OF MEDICAL DEBTS WILL CONTAIN A REFERENCE TO THE AVAILABILITY OF FINANCIAL ASSISTANCE.MINNESOTA HOSPITAL PROVIDERS HAVE JOINTLY DEVELOPED CONSISTENT COLLECTION GUIDELINES SET OUT IN FORMAL AGREEMENTS WITH THE MINNESOTA ATTORNEY GENERAL'S OFFICE. THIS AGREEMENT IS CONSISTENT WITH CHILDREN'S COLLECTION POLICY. THE BOARD OF DIRECTORS (AUDIT COMMITTEE) PERFORMS AN ANNUAL REVIEW OF THIS POLICY AND ALL POLICIES CONCERNING COLLECTION OF MEDICAL DEBT, UNINSURED DISCOUNT, AND CHARITY CARE. THE AUDIT COMMITTEE SHALL ALSO REVIEW THE RESULTS OF AN ANNUAL AUDIT RELATED TO THESE AREAS IN ACCORDANCE WITH THE MINNESOTA ATTORNEY GENERAL'S AGREEMENT.
PART VI, LINE 4:	CHILDREN'S MINNESOTA SERVES THE FIVE-STATE AREA OF THE UPPER MIDWEST (MINNESOTA, NORTH DAKOTA, SOUTH DAKOTA, IOWA, AND WISCONSIN). IN 2023, CHILDREN'S MINNESOTA SERVED PATIENTS FROM 100 PERCENT OF MINNESOTA COUNTIES AND 59 PERCENT OF THE TOTAL COUNTIES IN THE FIVE-STATE AREA. IN SUPPORT OF A HIGHLY DIVERSE PATIENT POPULATION, CHILDREN'S MINNESOTA PROVIDED INTERPRETER SERVICES FOR 68 LANGUAGES WITH THE MOST FREQUENT LANGUAGES BEING SPANISH, SOMALI, AND KAREN. CHILDREN'S MINNESOTA ALSO SERVES A DISPROPORTIONATE SHARE OF ECONOMICALLY DISADVANTAGED PATIENTS WITH APPROXIMATELY 47 PERCENT OF THE CHILDREN'S MINNESOTA PATIENT POPULATION BEING ELIGIBLE FOR MEDICAID IN 2023. THE MINNEAPOLIS CAMPUS IS LOCATED WITHIN THE PHILLIPS-POWDERHORN NEIGHBORHOOD, HOME TO ONE OF THE MOST RACIALLY AND ETHNICALLY DIVERSE COMMUNITIES IN MINNESOTA.
PART VI, LINE 5:	AS A TAX-EXEMPT ORGANIZATION, CHILDREN'S MINNESOTA MAINTAINS AN OPEN MEDICAL STAFF AND IS GOVERNED BY A VOLUNTEER, COMMUNITY BOARD. CHILDREN'S MINNESOTA PROVIDES A BROAD SPECTRUM OF BENEFITS TO THE COMMUNITIES IT SERVES THAT WOULD OTHERWISE BE UNAVAILABLE OR INSUFFICIENT TO MEET PATIENT DEMAND. CHILDREN'S MINNESOTA DOES THIS FOR THE EXPRESS PURPOSE OF IMPROVING THE HEALTH STATUS OF CHILDREN IN THE COMMUNITY. THESE SERVICES AND DONATIONS ACCOUNT FOR A MEASURABLE PORTION OF THE HOSPITAL'S COSTS AND HELP TO PROMOTE HEALTHY LIFESTYLES, COMMUNITY DEVELOPMENT, HEALTH EDUCATION AND AFFORDABLE ACCESS TO CARE. EXAMPLE PROGRAMS INCLUDE:THE COLLECTIVE FOR COMMUNITY HEALTH AT CHILDREN'S MINNESOTA PROMOTES THE HEALTH OF THE COMMUNITY THROUGH PROGRAMS AND SERVICES THAT ADDRESS PATIENTS' SOCIAL NEEDS AS WELL AS ACTIVE AND INTENTIONAL ADVOCACY AND ENGAGEMENT WITH THE COMMUNITY TO BUILD PARTNERSHIPS THAT CAN SUPPORT THE HEALTH AND WELL-BEING OF CHILDREN IN THE COMMUNITIES CHILDREN'S MINNESOTA SERVES.THE MINNESOTA EMERGENCY MEDICAL SERVICES FOR CHILDREN (EMSC) PROGRAM WAS ESTABLISHED IN 1996 TO REDUCE CHILD AND YOUTH MORTALITY AND MORBIDITY RESULTING FROM SEVERE ILLNESS OR TRAUMA. IT IS THE ONLY PROGRAM IN THE UNITED STATES THAT IS FOCUSED ON PEDIATRIC EMERGENCY CARE AND IS HOUSED AT CHILDREN'S MINNESOTA. EMSC WORKS TO ENSURE ALL CHILDREN AND ADOLESCENTS, NO MATTER WHERE THEY LIVE OR TRAVEL, RECEIVE THE BEST CARE POSSIBLE IN AN EMERGENCY SITUATION. IN 2023, EMSC PROVIDED OVER 20 HOURS OF PEDIATRIC CONTINUING EDUCATION TO ROUGHLY 3,900 PRE-HOSPITAL AND HOSPITAL-BASED PROVIDERS. ADDITIONALLY, EMSC HAS DISTRIBUTED OVER 4,300 PEDIATRIC RESOURCES (PEDIATRIC PROCEDURES FOR EMERGENCY CARE, PEDIATRIC VITAL SIGN CARDS, COMMUNICATION CARDS, AND COLORING/ACTIVITY BOOKS) TO THE COMMUNITY THIS PAST YEAR. CLINIC IN THE CLASSROOM IS A WEBINAR SERIES HOSTED AS A COLLABORATIVE EFFORT BETWEEN THE CHILDREN'S MINNESOTA COLLECTIVE FOR COMMUNITY HEALTH AND MEDICAL EDUCATION TEAMS. THE SERIES WAS LAUNCHED IN 2023 AND RETURNED IN THE FALL OF 2023 AND SUPPORTS SCHOOL NURSES ACROSS THE STATE WITH EDUCATIONAL CONTENT THAT IS ELIGIBLE FOR CONTINUING EDUCATION CREDITS. IN 2023 1,450 SCHOOL HEALTH STAFF ATTENDED A WEBINAR LIVE OR VIEWED THE RECORDING LATER FOR CREDIT. CONTENT WAS FOCUSED ON MENTAL HEALTH, DIABETES, ASTHMA AND HEALTH EQUITY.THE SIMULATION CENTER IS A MOTOR COACH OUTFITTED WITH SIMULATION EQUIPMENT AND STAFFED WITH CHILDREN'S MINNESOTA TRAINERS THAT TRAVELS THROUGHOUT THE MIDWEST TO TRAIN STAFF FROM HOSPITALS IN THE BEST PRACTICES WHEN RESPONDING TO PEDIATRIC OR NEONATAL MEDICAL EMERGENCIES. CHILDRENS MN SIMULATION PROGRAM CONSISTS OF SIM CENTERS IN MINNEAPOLIS, ST. PAUL, AND EDINA, A SIMULATION BUS, AND THE ABILITY TO DEPLOY EDUCATION IN-SITU. CHILDREN'S MINNESOTA'S SIMULATION TEAM HOSTS SIMULATION AND EDUCATION OPPORTUNITIES FOR INTERNAL STAFF, PATIENT FAMILIES AND CAREGIVERS, AND THE BROADER COMMUNITY. COMMUNITY OUTREACH - AT SIMULATION CENTERS OR OUT IN THE COMMUNITY, THE SIMULATION TEAM HOSTS EVENTS WITH DIVERSE STUDENTS OF ALL AGES, FROM ELEMENTARY SCHOOL THROUGH COLLEGE, DEMONSTRATING WHAT SIMULATION IS AND PROVIDING THE ABILITY TO EXPLORE HEALTHCARE CAREERS. THE SIMULATION TEAM ALSO PROVIDES MENTORSHIP AND SHADOWING OPPORTUNITIES FOR THOSE WHO ARE INTERESTED IN OR ARE NEW TO THE SIMULATION FIELD TO HELP TRAIN THEM IN PEDIATRIC SIMULATION BEST PRACTICES. COMMUNITY EDUCATION - THE SIMULATION BUS TRAVELS AROUND THE BROADER COMMUNITY TO TRAIN EXTERNAL HOSPITAL AND CLINIC STAFF ON BEST PRACTICES IN RESPONDING TO PEDIATRIC OR NEONATAL MEDICAL EMERGENCIES.FOR THOSE CARING FOR CHILDREN WITH COMPLEX CARDIAC CONDITIONS, FEEDING TUBES, OR TRACHEOSTOMY/VENTILATORS, CAREGIVER SIMULATIONS GIVE PATIENT FAMILIES AND CAREGIVERS THE OPPORTUNITY TO PRACTICE COMPLEX MEDICAL CARE SKILLS IN A SAFE ENVIRONMENT WITH THE GOAL OF INCREASED SELF-CONFIDENCE, DECREASED ANXIETY, AND IMPROVED PERFORMANCE OF THE CARES THEY WILL BE PROVIDING AT HOME. IN PARTNERSHIP WITH THE TELEHEALTH DEPT, THE SIMULATION TEAM HOSTS SIMULATION DAYS FOR SITES WHO UTILIZE VIRTUAL CARE CARTS. THESE CARTS CONNECT HOSPITALS WHO MAY NOT HAVE THE STAFF OR EXPERTISE IN NEONATAL AND INFANT EMERGENCIES, WITH CHILDREN'S MINNESOTA EXPERTS. THESE SIMULATIONS HELP PREPARE THEIR TEAM IN BEST PRACTICES IN UTILIZING THE CARTS DURING AN EMERGENCY. THE SIMULATION TEAM ALSO PROVIDES CONTINUING EDUCATION WITH THESE PARTNER SITES TO REFRESH TEAMWORK SKILLS POST IMPLEMENTATION.THE EMERGENCY RESPONSE TRAINING CENTER, A DEPARTMENT WITHIN THE SIMULATION TEAM, HOSTS BLS, ACLS, PEARS, PALS COURSES THAT ARE OPEN TO THE PUBLIC. LEARNERS CAN TRAIN ALONGSIDE CHILDREN'S MINNESOTA EMPLOYEES ON BEST PRACTICES IN RESPONDING TO PEDIATRIC EMERGENCIES. NEONATAL TRANSPORT SIMULATIONS ALLOW THE NEONATAL TRANSPORT TEAM TO TRAIN IN SIMULATION ALONGSIDE THE FIRST RESPONDERS THAT THEY WORK WITH DURING TRANSPORT CALLS, PREPARING THEM TO QUICKLY AND EFFECTIVELY WORK WITH CHILDREN'S MINNESOTA TEAM IN EMERGENT SITUATIONS. THE CHILDREN'S MINNESOTA MOBILE CLINIC IS A MOTOR COACH OUTFITTED WITH THE APPROPRIATE MEDICAL EQUIPMENT AND STAFF TO PROVIDE HEALTH SCREENINGS, VACCINATIONS AND OTHER SERVICES AT COMMUNITY EVENTS, SCHOOLS AND OTHER LOCATIONS.PERINATAL HIV PREVENTION PROGRAM: OPTIMAL PRENATAL CARE FOR WOMEN WITH HIV IS ESSENTIAL IN PREVENTING TRANSMISSION OF THE DISEASE TO INFANTS. THE CHILDREN'S MINNESOTA INFECTION PREVENTION DEPARTMENT WORKS WITH HIV POSITIVE PREGNANT WOMEN TO HELP THEM GET THIS CARE BY BUILDING RELATIONSHIPS WITH MEDICAL PROVIDERS THROUGHOUT THE STATE TO REFER EXPECTING MOTHERS INTO THE PROGRAM.PERINATAL HIV PREVENTION (ADULT): CHILDREN'S PROVIDED PERINATAL CARE COORDINATION TO 50 HIV POSITIVE PREGNANT PEOPLE IN 2023. PERINATAL HIV PREVENTION (INFANT): CHILDREN'S PROVIDED CARE COORDINATION AND SURVEILLANCE FOR 25 HIV EXPOSED INFANTS IN 2023 AND EMERGENCY CONSULTATION AND ASSISTANCE ON PERINATAL HIV PREVENTION TO 8 DIFFERENT HEALTH CARE SYSTEMS ACROSS THE STATE. MEDICAL CASE MANAGEMENT WAS ALSO PROVIDED FOR 85 FAMILIES, CHILDREN AND YOUTH LIVING WITH HIV AND HEALTH EDUCATION/RISK REDUCTION COUNSELING TO 12 PATIENTS/FAMILIES IN 2023. IN ADDITION, CHILDREN'S MINNESOTA HAS ALSO PROVIDED PERINATAL HIV CAPACITY BUILDING SUPPORT FOR 8 HEALTHCARE SITES ACROSS THE STATE, AND CREATED AND DISTRIBUTED AN EDUCATIONAL E-LEARNING ABOUT PERINATAL HIV PREVENTION TO EXTERNAL AND INTERNAL HEALTH CARE PROVIDERS.
PART VI, LINE 7, REPORTS FILED WITH STATES	MN

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
CHILDRENS MINNESOTA FOUNDATION
5901 LINCOLN DR	EDINA	MN	55436	411814223	501(C)(3)	$5,250	$0	N/A	N/A	GALA SPONSORSHIP AND MEMORIAL
MINNEAPOLIS FOUNDATION
800 IDS CENTER	MINNEAPOLIS	MN	55402	416029402	501(C)(3)	$12,500	$0	N/A	N/A	BTC GOLF & WINTER WONDERLAND
RONALD MCDONALD HOUSE-UPPER MIDWEST
818 FULTON ST SE	MINNEAPOLIS	MN	55414	411313107	501(C)(3)	$13,750	$0	N/A	N/A	BREW LOVE & RMH GALA
WOMENS HEALTH LEADERSHIP TRUST
191 CLARKSBILLE ROAD	PRINCETON JUNCTION	NJ	08550	411402148	501(C)(6)	$11,250	$0	N/A	N/A	FORUM SPONSORSHIP
CHILDRENS SURGERY INTERNATIONAL
99 5TH AVE NW SUITE 100	NEW BRIGHTON	MN	55112	412013739	501(C)(3)	$7,500	$0	N/A	N/A	CSI GALA
GREATER MSP
400 ROBERT STREET NORTH SUITE 1600	ST PAUL	MN	55101	274026636	501(C)(3)	$10,000	$0	N/A	N/A	BUSINESS BRIDGE SPONSORSHIP
NATIVE AMERICAN COMMUNITY CLINIC
1213 E FRANKLIN AVE	MINNEAPOLIS	MN	55404	030445789	501(C)(3)	$10,000	$0	N/A	N/A	FIRST GIFT AND 5K SPONSORSHIP
PHYLLIS WHEATLEY COMMUNITY CENTER
1301 10TH AVE N	MINNEAPOLIS	MN	55411	410706132	501(C)(3)	$21,168	$0	N/A	N/A	MENTAL HEALTH COMM COLLABORATION
RAE MACKENZIE GROUP INC
333 WASHINGTON AVE N SUITE 300	MINNEAPOLIS	MN	55401	411888541	501(C)(3)	$20,000	$0	N/A	N/A	PEOPLE OF COLOR CAREER FAIR

Field	Value	IRS element (for citing)
Total501c3 Org	8	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	CHARITY CARE ASSISTANCE TO INDIVIDUALS	GrantTypeTxt
Recipient	1076	RecipientCnt
Non Cash Assistance	$4,769,507	NonCashAssistanceAmt
Valuation Method Used	CHARGES	ValuationMethodUsedDesc
Non Cash Assistance	CHARITY CARE TO INDV	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	FROM TIME TO TIME, CHILDREN'S GRANTS MONIES TO OTHER ORGANIZATIONS CONDUCTING PROGRAMS AND/OR RESEARCH THAT WILL BENEFIT THE CHILDREN THAT CHILDREN'S SERVES. CHILDREN'S ALSO OCCASIONALLY PROVIDES MONETARY SUPPORT TO ORGANIZATIONS THAT PROMOTE CAREERS IN THE HEALTH CARE FIELD AND COMMUNITY ORGANIZATIONS THAT SUPPORT THE ECONOMIC DEVELOPMENT OF THE AREA SURROUNDING THE CHILDREN'S MINNEAPOLIS CAMPUS. CHILDREN'S RECEIVES PERIODIC UPDATES REGARDING THE USE OF THE FUNDS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	0	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARC GORELICK MD
PRESIDENT & CEO	$1,277,144	$0	$435,965	$0	$19,404	$0	$332,398	$0	$24,180	$0	$2,089,091	$0	$0	$0
JENNIFER OLSON MARKET
SVP & COO (THRU 9/23)	$326,753	$0	$200,000	$0	$648,125	$0	$842,586	$0	$17,774	$0	$2,035,238	$0	$257,514	$0
MEYSAM KEBRIAEI MD
STAFF PHYSICIAN	$937,456	$0	$205,001	$0	$54,828	$0	$19,800	$0	$27,549	$0	$1,244,634	$0	$40,638	$0
KYLE HALVORSON MD
STAFF PHYSICIAN	$894,641	$0	$199,167	$0	$42,308	$0	$8,885	$0	$6,535	$0	$1,151,536	$0	$39,368	$0
BRENDA MCCORMICK
SVP AND CFO	$671,566	$0	$163,219	$0	$81,247	$0	$16,376	$0	$27,960	$0	$960,368	$0	$70,901	$0
EMILY CHAPMAN MD
SVP MEDICAL AFFAIRS & CMO	$635,532	$0	$150,332	$0	$77,372	$0	$19,800	$0	$11,141	$0	$894,177	$0	$68,590	$0
WILLIAM MIZE
MD RADIOLOGY, BOARD MEMBER	$582,517	$40,161	$132,191	$0	$48,356	$0	$19,800	$0	$11,384	$0	$794,248	$40,161	$34,594	$0
ANDREA LAMPLAND MD
MEDICAL DIRECTOR NEONATOLO	$645,311	$0	$80,000	$0	$30,821	$0	$19,800	$0	$29,381	$0	$805,313	$0	$27,939	$0
SACHIN PATEL
STAFF PHYSICIAN	$625,146	$0	$102,841	$0	$23,417	$0	$19,800	$0	$27,683	$0	$798,887	$0	$20,814	$0
SHILPA HEDGE
STAFF PHYSICIAN	$587,039	$0	$83,841	$0	$27,226	$0	$19,800	$0	$3,933	$0	$721,839	$0	$22,854	$0
JENNY SODERHOLM
FOUNDATION PRESIDENT	$231,689	$263,097	$0	$117,237	$0	$49,945	$0	$19,800	$0	$11,413	$231,689	$461,492	$0	$43,155
ANDREW PUGH
SVP CHIEF LEGAL OFFICER	$476,222	$0	$118,449	$0	$10,534	$0	$19,800	$0	$24,456	$0	$649,461	$0	$0	$0
DAVID LUNDAL
SVP CIO	$456,299	$0	$115,900	$0	$24,676	$0	$19,800	$0	$24,439	$0	$641,114	$0	$17,968	$0
LAURIN CATHEY
SVP & CHRO	$433,519	$0	$106,949	$0	$25,735	$0	$19,800	$0	$17,962	$0	$603,965	$0	$18,502	$0
CAROLINE NJAU
SVP PATIENT CARE SVCS & CN	$430,766	$0	$101,800	$0	$28,579	$0	$17,728	$0	$13,910	$0	$592,783	$0	$27,215	$0
SUSAN SENCER
VP CHIEF SPECIALTY PEDIATR	$388,069	$0	$80,921	$0	$48,680	$0	$42,089	$0	$22,099	$0	$581,858	$0	$38,228	$0
TIMOTHY LANDER
CLINICAL VP, CHIEF OF SURGERY	$401,315	$27,094	$86,200	$0	$27,271	$0	$19,800	$0	$11,384	$0	$545,970	$27,094	$21,311	$0
PAMELA GIGI CHAWLA MD
VP CHIEF OF GENERAL PEDIAT	$297,047	$102,420	$83,880	$0	$28,752	$0	$25,218	$0	$20,063	$0	$454,960	$102,420	$25,769	$0
ANUPAM KHARBANDA MD
CLINICAL VP, CHIEF OF CRITICAL CARE	$401,057	$0	$80,898	$0	$20,646	$0	$19,800	$0	$3,767	$0	$526,168	$0	$17,662	$0
A KADE GOEPFERD
CHIEF OF ED & FORMER BOARD MEMBER (T	$393,959	$0	$57,258	$0	$24,977	$0	$13,651	$0	$3,962	$0	$493,807	$0	$23,141	$0
JAMES LESTE
VP OPERATIONS	$330,450	$0	$88,200	$0	$14,097	$0	$19,321	$0	$28,979	$0	$481,047	$0	$12,286	$0
MONICA SCHILLER
VP AMBULATORY SERVICES	$226,089	$76,314	$62,726	$0	$16,441	$0	$18,058	$0	$20,982	$0	$344,296	$76,314	$14,039	$0
JAMES BURROUGHS
SVP GOVT & COMM RELATIONS/CEIO	$310,290	$0	$77,300	$0	$5,447	$0	$16,532	$0	$10,651	$0	$420,220	$0	$0	$0
SUSAN SLOCUM
CHIEF INVESTMENT OFFICER	$266,047	$0	$43,293	$0	$701	$0	$13,799	$0	$8,721	$0	$332,561	$0	$0	$0
ANDREW BERNDT
VP CLINICAL SERVICES	$202,885	$0	$33,831	$0	$216	$0	$13,229	$0	$26,735	$0	$276,896	$0	$0	$0
KRISTIN PETERSON
FORMER VP ACUTE CARE/CLINICAL OPS	$103,611	$0	$30,089	$0	$117	$0	$8,280	$0	$13,661	$0	$155,758	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	MARC GORELICK WAS REIMBURSED FOR HIS MEMBERSHIP FEES FOR THE MINNEAPOLIS CLUB, WHICH IS USED SOLELY FOR BUSINESS PURPOSES.
PART I, LINE 4A	JENNIFER OLSON MARKET: $212,260.
PART I, LINE 4B	CERTAIN EMPLOYEES OF CHILDREN'S HEALTH CARE, PARENT OF CHILDREN'S CLINIC NETWORK, ARE PROVIDED THE OPPORTUNITY TO PARTICIPATE IN THE 457(F) DEFERRAL PLAN (THE DEFERRAL PLAN). THE DEFERRAL PLAN REQUIRES THAT THE EMPLOYEE IS A PHYSICIAN OR EXECUTIVE AND IS A .5 FTE OR MORE IN ORDER TO BE ELIGIBLE TO PARTICIPATE IN THE DEFERRAL PLAN. PAYMENTS FROM THE DEFERRAL PLAN OCCUR AT VESTING AND ARE BASED ON PERCENTAGE OF SALARY. THE FOLLOWING AMOUNTS REPRESENT THE AMOUNT PAID UNDER THE DEFERRAL PLAN IN 2023: JENNIFER OLSON MARKET - $257,514 BRENDA MCCORMICK - $70,901 EMILY CHAPMAN - $68,590 CAROLINE NJAU - $27,215 ANUPAM KHARBANDA - $17,662 LAURIN CATHEY - $18,502 PAMELA GIGI CHAWLA - $25,769 JAMES LESTE - $12,286 MONICA SCHILLER - $14,039 SUSAN SENCER - $38,228 DAVID LUNDAL - $17,968 JENNY SODERHOLM - $43,155 WILLIAM MIZE - $34,594 TIMOTHY LANDER - $21,311 KYLE HALVORSON - $39,368 MEYSAM KEBRIAEI - $40,638 ANDREA LAMPLAND - $27,939 SACHIN PATEL - $20,814 SHIPLA HEDGE - $22,854 ANGELA GOEPFERD - $23,141

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	2020A - SEE PART VI	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	416005375	BondIssuerEIN
Bond Issued	2020-10-23	BondIssuedDt
Issue Price	$84,560,000	IssuePriceAmt
Purpose	REFUNDING OF HEALTHCARE REVENUE BONDS 2007A	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$4,585,000	RetiredAmt
Total Proceeds	$84,560,000	TotalProceedsAmt
Other Spent Proceeds	$84,560,000	OtherSpentProceedsAmt
Substantial Completion	2009	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	Yes (1)	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	Yes (1)	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	PIPER SANDLER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of Hedge	19.800000000000	TermOfHedgePct
Superintegrated Hedge	0	SuperintegratedHedgeInd
Hedge Terminated	0	HedgeTerminatedInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, COL. (A):	PART I: THE REPORT PERIODS SELECTED FOR SERIES 2020A BONDS RECORDED ON SCHEDULE K ARE NOT THE SAME AS THE FISCAL YEAR END FOR THE REST OF THE FORM 990. SCHEDULE K USES THE BOND YEAR ENDING OF AUGUST 15, 2023. SCHEDULE K, PART I, LINE 1 COLUMN A HEALTH CARE FACILITIES REVENUE BONDS 2020A - ISSUER OF THE BOND IS CITY OF MINNEPOLIS, MN (41-6005375) AND HOUSING AND REDEVELOPMENT AUTHORITY OF THE CITY OF ST. PAUL, MN (41-6005521).
PART I, COL. (F):	THE PURPOSE OF THESE BONDS IS A REFUNDING OF HEALTH CARE REVENUE BONDS 2007A ISSUED NOVEMBER 15TH, 2007.
PART-II LINE-13	YEAR OF SUBSTANTIAL COMPLETION REFERS TO THE COMPLETION DATE FROM THE REFUNDED SERIES 2007A PROJECT.

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$51,683	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST/SELLING PRICE	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$683,959	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST/SELLING PRICE	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	59	ContributionCnt
Noncash Contributions Rpt F990	$39,228	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST/SELLING PRICE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	ENTERTAINMENT	Desc
Contribution	15	ContributionCnt
Noncash Contributions Rpt F990	$52,505	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST/SELLING PRICE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A:	PROGRAM SERVICE ACCOMPLISHMENTS: U.S. NEWS & WORLD REPORT HAS NAMED CHILDREN'S AS ONE OF THE TOP 50 PEDIATRIC FACILITIES ACROSS THE US. OUR MAYO CLINIC & CHILDREN'S COLLABORATIVE RANKED 40TH IN CARDIOLOGY AND HEART SURGERY PROGRAM. OUR NEPHROLOGY PROGRAM, IN PARTNERSHIP WITH MASONIC CHILDREN'S HOSPITAL, RANKED 48TH. AND OUR PULMONOLOGY PROGRAM RANKED 48TH. IN 2021, MPLS.STPAUL MAGAZINE RECOGINIZED 168 OF CHILDREN'S MINNESOTA PHYISICANS AS TOP DOCTORS. THE 25TH EDITION OF THE LIST INCLUDES 816 LOCAL PHYSICIANS FROM ACROSS THE TWIN CITIES IN 46 SPECIALTIES. ARE MINNESOTA'S LARGEST PROVIDER OF CARE TO CHILDREN WITH COMPLEX SURGICAL CONDITIONS, HEART DISEASE, CANCER, DIABETES, AND EXTREME PRE-MATURITY. IN 2023, CHILDREN'S CARED FOR 14,510 INPATIENT ADMISSIONS REPRESENTING 105,938 PATIENT DAYS, PERFORMED 19,339 SURGICAL CASES, TREATED 85,200 EMERGENCY ROOM VISITS AND CARED FOR 389,372 OUTPATIENT CLINIC VISITS, MANY OF WHICH PROVIDED TO INNER CITY MINNEAPOLIS AND ST. PAUL RESIDENTS. CHILDREN'S CONTINUES TO SERVE A DIVERSE POPULATION WITH 120,522 FAMILY ENCOUNTERS FOR LANGUAGE INTERPRETATION IN 72 DIFFERENT LANGUAGES. CHILDREN'S CONSIDERS CERTAIN MAJOR PROGRAMS AS DESTINATION PROGRAMS, WHICH ARE SOUGHT OUT DUE TO THEIR HIGH QUALITY OUTCOMES. THESE PROGRAMS MEET RIGOROUS CRITERIA FOR EXCELLENCE, INCLUDING OUTSTANDING USE OF EVIDENCE-BASED PRACTICES, CLINICAL RESEARCH, AND ADVANCED TECHNOLOGIES. - CARDIOVASCULAR - CHILDREN'S PEDIATRIC CARDIOVASCULAR PROGRAM IS ONE OF THE LARGEST IN THE REGION WITH SOME OF THE MOST IMPRESSIVE OUTCOMES IN THE U.S. TEAM MEMBERS CARE FOR THOUSANDS OF THE REGION'S SICKEST CHILDREN WITH HEART CONDITIONS, INCLUDING FETUSES, NEWBORNS, INFANTS, CHILDREN, ADOLESCENTS, AND ADULT, LONG-TERM PATIENTS WITH PEDIATRIC CARDIOVASCULAR CONDITIONS. - NEONATAL INTENSIVE CARE & SPECIAL CARE NURSERY - CHILDREN'S SPECIALIZES IN CARING FOR MULTIPLES, BABIES WITH CONGENITAL ANOMALIES, VERY PREMATURE AND VERY LOW BIRTH WEIGHT BABIES, AND INFANTS BORN WITH OTHER COMPLEX DIAGNOSES. WE OFFER EXCEPTIONAL TERTIARY AND QUATERNARY CARE FOR BABIES, WITH SURVIVAL OUTCOMES AMONG THE BEST IN THE WORLD. CHILDREN'S NEONATAL PROGRAM IS ONE OF THE NATION'S LARGEST PROGRAMS WITH 196 STAFFED BEDS AND MORE THAN 42,500 PATIENT DAYS. OUR NEONATAL TEAM INCLUDES HIGHLY-TRAINED AND EXPERIENCED PROFESSIONALS FROM A FULL SPECTRUM OF MEDICAL SPECIALTIES. WE HAVE OUR MOTHER BABY CENTER AT ABBOTT & CHILDREN'S MINNEAPOLIS AND IN 2015 WE OPENED OUR SECOND AND THIRD MOTHER BABY CENTERS AT MERCY HOSPITAL IN COON RAPIDS AND UNITED HOSPITAL AND CHILDREN'S - ST. PAUL. - HEMATOLOGY/ONCOLOGY - THE HEMATOLOGY/ONCOLOGY PROGRAM AT CHILDREN'S IS THE LARGEST IN THE UPPER MIDWEST WITH TREATMENT OUTCOMES THAT CONSISTENTLY RANK CHILDREN'S AS ONE OF THE TOP TEN PROGRAMS IN THE U.S. IN OUR NATIONALLY UNIQUE MODEL, YOUR CHILD'S OR TEEN'S CARE IS SPEARHEADED AND COORDINATED BY A BOARD-CERTIFIED HEMATOLOGIST/ONCOLOGIST, WHO LEADS A HIGHLY EXPERIENCED TEAM OF MULTIDISCIPLINARY PROFESSIONALS. - CYSTIC FIBROSIS - THE CYSTIC FIBROSIS (CF) CENTER AT CHILDREN'S OF MINNESOTA DIAGNOSES AND TREATS CHILDREN IN ALL STAGES OF CF. OUR DEDICATION TO FAMILY-CENTERED CARE AND EDUCATION HELPS CHILDREN AND THEIR FAMILIES LEARN TO LIVE WITH CF. CARE AT CHILDREN'S FOR PATIENTS WITH CF RANKS AMONG THE TOP 10 PROGRAMS NATIONALLY IN KEY OUTCOMES MEASURED BY THE NATIONAL CYSTIC FIBROSIS REGISTRY. CHILDREN'S PROVIDES A CONTINUUM OF CARE THROUGH COORDINATED INPATIENT AND OUTPATIENT SERVICES, FROM DIAGNOSIS THROUGH LONG-TERM FOLLOW-UP. THE CYSTIC FIBROSIS CENTER OF CHILDREN'S PROVIDES STATE-OF-THE ART COMPREHENSIVE CARE FOR CHILDREN WITH CF. - DIABETES/ENDOCRINOLOGY - THE MCNEELY PEDIATRIC DIABETES CENTER IS THE ONLY DIABETES CENTER IN THE REGION TO SPECIALIZE IN WORKING SOLELY WITH CHILDREN AND TEENS. THE STAFF PROVIDES EXPERT HEALTH CARE TO HELP MAINTAIN A CHILD'S TARGETED BLOOD SUGAR RANGES. MOST CHILDREN SEEN IN THE DIABETES CENTER HAVE TYPE 1 DIABETES. A SMALL BUT GROWING NUMBER HAVE TYPE 2. IN ADDITION TO DIABETES, THE CLINIC PROVIDES DIAGNOSTIC SERVICES AND TREATMENT FOR CHILDREN WITH DISORDERS OF GROWTH, ADVANCED OR DELAYED SEXUAL DEVELOPMENT, PITUITARY DISORDERS, THYROID ABNORMALITIES, DISORDERS OF CALCIUM BALANCE, ADRENAL DISORDERS, AND HYPOGLYCEMIA. THE MCNEELY PEDIATRIC DIABETES CENTER HAS RECEIVED RECOGNITION FOR ITS DIABETES EDUCATION PROGRAM FROM THE AMERICAN DIABETES ASSOCIATION, BY MEETING THE ASSOCIATION'S HIGH EDUCATIONAL STANDARDS. - CHILDREN'S PROVIDES OTHER HIGH QUALITY PROGRAMS SUCH AS SURGERY. CHILDREN'S SURGERY TEAMS DELIVER NEXT-GENERATION CARE IN AN AWARD-WINNING ENVIRONMENT THAT IS EXCLUSIVELY DEDICATED TO PEDIATRICS. HEALTH PROFESSIONALS OF MANY DISCIPLINES WORK TOGETHER TO PROVIDE CHILDREN WITH THE BEST POSSIBLE SURGERY EXPERIENCE. CHILDREN'S BODIES ARE DIFFERENT THAN ADULTS. FOR EXAMPLE, THEY OFTEN REQUIRE SPECIALLY-SIZED SURGICAL EQUIPMENT. THEY REACT DIFFERENTLY TO ANESTHESIA AND TO PAIN. THEIR BODIES RESPOND DIFFERENTLY TO ILLNESS AND TREATMENT, IN PART BECAUSE THEY ARE STILL GROWING. THAT'S WHY CHILDREN BENEFIT FROM OUR HIGHLY ACCOMPLISHED, PEDIATRIC-SPECIFIC SURGERY TEAMS. AT CHILDREN'S, ALMOST 17,000 SURGERIES ARE PERFORMED EACH YEAR ON FETUSES, NEWBORNS, CHILDREN, ADOLESCENTS, AND YOUNG ADULTS FROM THROUGHOUT THE UPPER MIDWEST. SURGICAL TREATMENT RESULTS RANK CHILDREN'S AMONG THE TOP HOSPITALS IN THE U.S. IN PEDIATRIC SURGICAL CARE. CHILDREN'S HAS SOME OF THE LOWEST RATES IN THE U.S. OF POST-SURGERY COMPLICATIONS AND SOME OF THE HIGHEST RATES OF PATIENT AND FAMILY SATISFACTION. ADDITIONAL DESTINATION PROGRAMS INCLUDE NEUROSCIENCES, ENT AND FACIAL PLASTIC SURGERY, AND TRAUMA CARE. WITH CHILDREN'S VERIFIED AS A LEVEL I CHILDREN'S SURGERY CENTER BY THE AMERICAN COLLEGE OF SURGEONS (ACS) CHILDREN'S SURGERY VERIFICATION QUALITY IMPROVEMENT PROGRAM, CHILDREN'S IS AT THE HIGHEST LEVEL OF DISTINCTION FOR HEALTH SYSTEMS THAT PERFORM COMPLEX SURGICAL PROCEDURES IN NEWBORNS, CHILDREN AND TEENS. AS A CHARITABLE ORGANIZATION, CHILDREN'S HOSPITALS & CLINICS OF MINNESOTA ALSO PROVIDES A BROAD SPECTRUM OF BENEFITS TO THE COMMUNITIES WE SERVE. THESE SERVICES AND DONATIONS ACCOUNT FOR A MEASURABLE PORTION OF THE HOSPITALS' COSTS AND HELP TO PROMOTE HEALTHY LIFESTYLES, COMMUNITY DEVELOPMENT, HEALTH EDUCATION, AND AFFORDABLE ACCESS TO CARE. PLEASE SEE IRS FORM 990, SCHEDULE H FOR A SUMMARY OF THESE COMMUNITY BENEFITS.
FORM 990, PART III, LINE 4B:	PROGRAM SERVICE ACCOMPLISHMENTS: THE ROTATIONS WERE PERFORMED IN CHILDREN'S EMERGENCY DEPARTMENT, INPATIENT MEDICAL/SURGICAL, PICU AND NEONATAL INPATIENT CARE UNITS, SURGERY AND ANESTHESIA, ENT SURGERY, UROLOGY, AND SUBSPECIALTY CLINICS. IN ADDITION, CHILDREN'S OFFERED 71 CONTINUING MEDICAL EDUCATION COURSES, AND PRODUCED 216 PEER REVIEWED PUBLICATIONS. CULTIVATING MEDICAL LEADERS ENSURES THAT WE CONTINUE OUR MISSION - CHAMPIONING THE SPECIAL HEALTH NEEDS OF CHILDREN AND THEIR FAMILIES. 2) EDUCATION AND TRAINING OF HEALTH CARE AND OTHER PROVIDERS OF SERVICES TO CHILDREN: I) THE MIDWEST REGIONAL CHILDREN'S ADVOCACY CENTER AT CHILDREN'S IS A LEADER IN IMPROVING THE CARE OF ABUSED AND NEGLECTED CHILDREN WHOSE GOAL IS TO IMPROVE SERVICES FOR ABUSED CHILDREN IN LOCAL COMMUNITIES THROUGHOUT THE REGION. THE CENTER OFFERS INFORMATION, CONSULTATION, TECHNICAL ASSISTANCE, AND TRAINING TO PHYSICIANS, NURSES, AND NON-MEDICAL MEMBERS OF COMMUNITY CHILD ABUSE TEAMS, INCLUDING LAW ENFORCEMENT PERSONNEL, ATTORNEYS AND CHILD PROTECTION WORKERS. II) RECOGNIZED, AS THE NATION'S LEADER IN PALLIATIVE CARE EDUCATION, CHILDREN'S INSTITUTE FOR PALLIATIVE CARE (CIPC) DEVELOPED A MODEL FOR A REGIONAL TRAINING AND CONSULTATION CENTER. CIPC DEVELOPS AND LEADS TRAINING SEMINARS USING RECOGNIZED CURRICULUM FOR PEDIATRIC PALLIATIVE CARE, PROVIDES HOSPITAL-BASED CONSULTATION TO CHILDREN WHO ARE IN NEED OF HOSPICE OR PALLIATIVE CARE WHILE THEY ARE HOSPITALIZED, OFFERS A REGIONAL 24/7 TELEPHONE CONSULTATION PROGRAM PROVIDING EDUCATION, SUPPORT, AND GUIDANCE TO FAMILIES AND PROFESSIONAL PROVIDERS, AND SERVES AS A RESOURCE CENTER FOR PEDIATRIC PALLIATIVE CARE. III) THE EMERGENCY MEDICAL SERVICES FOR CHILDREN (EMSC) RESOURCE CENTER HOUSED AT CHILDREN'S CREATES AWARENESS REGARDING THE SPECIAL NEEDS OF CHILDREN IN EMERGENCY MEDICAL SITUATIONS. EMSC EDUCATIONAL PROGRAMS ARE DESIGNED TO TRAIN PRE-HOSPITAL PERSONNEL, FIRST RESPONDERS, PHYSICIANS, NURSES, AND SCHOOL NURSES IN THE UNIQUE NEEDS OF INFANTS AND CHILDREN IN EMERGENCY SITUATIONS. THE EMSC RESOURCE CENTER ALSO PROVIDES TECHNICAL ASSISTANCE, PARTICIPATES IN STATEWIDE PEDIATRIC EMERGENCY/DISASTER PREPAREDNESS PLANNING, DEVELOPS AND DISSEMINATES PEDIATRIC EMERGENCY ARE GUIDELINES, AND CONDUCTS MORTALITY REVIEWS AND RESEARCH. EDUCATION AND EMPLOYMENT - BECAUSE DISPARITIES IN CHILD HEALTH ARE SO CLOSELY ASSOCIATED WITH LOW EDUCATIONAL ATTAINMENT AND POOR JOB SKILLS, CHILDREN'S IS ENGAGED IN SEVERAL KEY COMMUNITY PARTNERSHIPS TO IMPROVE EDUCATIONAL SUCCESS AND EARNING POTENTIAL AMONG YOUTH AND ADULTS. EXAMPLES INCLUDE THE ROOSEVELT HIGH SCHOOL AND CRISTO REY JESUIT HIGH SCHOOL HEALTH CAREERS PROGRAM THAT PROVIDES STUDENTS INTERESTED IN HEALTH CARE CAREERS THE OPPORTUNITY TO RECEIVE HEALTH CARE SPECIFIC EDUCATION AND OBTAIN INTERNSHIPS WITH HEALTH CARE ORGANIZATIONS, THE ACHIEVE MINNEAPOLIS/STEP-UP SUMMER JOBS PROGRAM THAT PLACES YOUTH IN SUPERVISED SUMMER INTERNSHIPS AT PARTICIPATING COMPANIES AND ORGANIZATIONS, AND A PARTNERSHIP WITH PROJECT FOR PRIDE IN LIVING THAT RECOGNIZES THAT A HEALTHY, SUSTAINABLE COMMUNITY REQUIRES RESIDENTS WITH WELL-PAYING JOBS.
FORM 990, PART III, LINE 4C:	PROGRAM SERVICE ACCOMPLISHMENTS: WE CONTINUE TO PARTICIPATE IN MULTIPLE PRESTIGIOUS NATIONAL COLLABORATIONS AND CLINICAL TRIALS. WE ARE ALSO GENERATING LANDMARK INVESTIGATOR-INITIATED RESEARCH, AIMED AT NOVEL WAYS TO DELIVER LIFE-SAVING TREATMENTS, MANAGE PAIN AND SYMPTOMS AND DEVELOP NEW METHODS FOR PREVENTING OR TREATING CHILDHOOD DISEASES. EVERY DAY, CHILDREN'S RESEARCHERS EXPRESS THEIR COMMITMENT TO BUILDING BETTER OUTCOMES FOR OUR CHILDREN. THESE OUTCOMES WILL HAVE BOTH IMMEDIATE AND LASTING IMPACT FOR CHILDREN RECEIVING STATE OF THE SCIENCE CARE AT OUR SPECIALTY CENTERS. CHILDREN WITH CARDIAC DISEASE, CANCER, GENETIC AND BLOOD DISORDERS, DIABETES, CYSTIC FIBROSIS, AND OTHER LIFE-IMPACTING CONDITIONS ALL HAVE BENEFITED FROM RESEARCH AT CHILDREN'S. THE VISION AND STRATEGIC INNOVATION OF OUR RESEARCH LEADERS HAVE BROUGHT US TO IMPRESSIVE MILESTONES IN THE PAST YEAR. WE CONTINUE TO TAKE STEPS TOWARD ADVANCING OUR RESEARCH AND COMMITTED TO THRIVING INTO THE FUTURE WITH OUR CHILDREN AND FAMILIES.
FORM 990, PART VI, SECTION B, LINE 11B	CHILDREN'S SENIOR MANAGEMENT REVIEWS THE DRAFT FORM 990 WITH THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY PRIOR TO FILING OF THE FORM. THIS REVIEW INCLUDES AN OVERVIEW OF THE FORM AND DISCUSSION RELATED TO KEY SECTIONS. COPIES OF THE FINAL FORM 990 ARE MADE AVAILABLE TO MEMBERS OF THE COMMITTEE AND ALL DIRECTORS PRIOR TO THE FORM BEING FILED. THE AUDIT AND COMPLIANCE COMMITTEE HAS BEEN DELEGATED THE AUTHORITY TO OVERSEE THE COMPLETION AND FILING OF THE FORM 990 BY THE FULL BOARD, AND THE COMMITTEE REPORTS THE RESULTS OF ITS REVIEW AND APPROVAL TO THE FULL BOARD AT A REGULARLY SCHEDULED BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12C	MANAGEMENT OF CHILDREN'S ENSURE THAT CONFLICT OF INTEREST DISCLOSURE FORMS ARE COMPLETED BY ALL MEMBERS OF THE GOVERNING BODY AND BOARD COMMITTEES AT LEAST ANNUALLY. FORMS ARE COMPLETED AT THE BEGINNING OF THE YEAR, AND DIRECTORS AND COMMITTEE MEMBERS ARE INSTRUCTED TO PROVIDE ADDITIONAL DISCLOSURES IF NECESSARY DURING THE COURSE OF THE YEAR. THE GOVERNANCE COMMITTEE OF THE GOVERNING BODY, ALONG WITH SENIOR MANAGEMENT (CEO AND GENERAL COUNSEL) REVIEW ALL DISCLOSURES PROVIDED BY GOVERNING BOARD MEMBERS. THE RESULTS OF THIS REVIEW AND ANY CONCERNS, LIMITATIONS, ETC., ARE REPORTED BY THE GOVERNANCE COMMITTEE TO THE FULL BOARD. IF CONFLICTS ARE IDENTIFIED, THE GOVERNANCE COMMITTEE AND MANAGEMENT WORK TO ENSURE THAT DIRECTORS DO NOT PARTICIPATE IN DISCUSSION OR VOTING ON THE AFFECTED MATTER.
FORM 990, PART VI, SECTION B, LINE 15	CHILDREN'S FOLLOWS THE REQUIREMENTS SET FORTH IN THE IRS REBUTTABLE PRESUMPTION OF REASONABLENESS IN DETERMINING COMPENSATION FOR THE CEO AND OTHER OFFICERS AND EXECUTIVE LEADERS OF CHILDREN'S. THIS FUNCTION IS PERFORMED BY THE COMPENSATION COMMITTEE OF THE GOVERNING BOARD, WHICH IS COMPOSED OF ONLY INDEPENDENT DIRECTORS. THE PROCESS INCLUDES REVIEW OF COMPARABILITY DATA, RETENTION OF AN OUTSIDE COMPENSATION CONSULTANT AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION THROUGH DETAILED MINUTES OF THE COMPENSATION COMMITTEE AND FULL BOARD MEETINGS WHERE EXECUTIVE COMPENSATION IS CONSIDERED.
FORM 990, PART VI, SECTION C, LINE 19	CHILDREN'S MAKES FINANCIAL STATEMENT INFORMATION PUBLIC THROUGH A SUMMARY OF FINANCIAL PERFORMANCE IN ITS ANNUAL REPORT. IN ADDITION, FINANCIAL STATEMENTS ARE PROVIDED PUBLICLY THROUGH DIGITAL ASSURANCE CERTIFICATION, A DISSEMINATION AGENT, WHO THEREFORE MAKE THIS INFORMATION PUBLICLY AVAILABLE. CHILDREN'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC.
FORM 990, PART VI, LINE 16A:	CURRENTLY CHILDREN'S DOES NOT HAVE ANY JOINT VENTURES WITH A TAXABLE ENTITY THAT ARE MISSION RELATED OR JOINT VENTURES THAT ARE NOT MISSION RELATED. WITHIN THE CONTEXT OF THEIR INVESTMENT PORTFOLIO, THE ORGANIZATION HAS INVESTED IN A NUMBER OF LIMITED PARTNERSHIP OPPORTUNITIES.
FORM 990, PART XI, LINE 9:	RSVP RETIREMENT PLAN-RELATED CHANGES -788,575. CHANGE IN VALUE OF INTEREST RATE SWAP VALUATION 347,270. CHANGE IN PERPETUAL TRUSTS AND OTHER 4,395,250.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
CHILDREN'S HC SVCS INC DBA MINNETONKA
2525 CHICAGO AVE S	MINNEAPOLIS	MN	55404	411756478	HEALTHCARE	MN	501(C)(3)	LINE 3	N/A	Yes (1)
CHILDREN'S HEALTH CARE FOUNDATION
2525 CHICAGO AVE S	MINNEAPOLIS	MN	55404	411814223	HEALTHCARE	MN	501(C)(3)	LINE 7	N/A	Yes (1)
CHILDREN'S CLINIC NETWORK
2525 CHICAGO AVE S	MINNEAPOLIS	MN	55404	453765330	HEALTHCARE	MN	501(C)(3)	LINE 3	N/A	Yes (1)
MOTHER BABY FACILITY LLC
2525 CHICAGO AVE S	MINNEAPOLIS	MN	55404	454078371	HEALTHCARE	MN	501(C)(3)	LINE 12A	N/A	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MRP SMA III LP	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	520 NICOLLET MALL SUITE 700	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55402	ZIPCd

Field	Value	IRS element (for citing)
EIN	920688935	EIN
Primary Activities	INVESTMENTS	PrimaryActivitiesTxt
Legal Domicile State	MN	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CHC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	EXCLUDED	PredominantIncomeTypeTxt
Share Of Total Income	$3,573,455	ShareOfTotalIncomeAmt
Share Of EOY Assets	$48,996,852	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
UBI Code V	$843,848	UBICodeVAmt
General Or Managing Partner	0	GeneralOrManagingPartnerInd
Ownership	0.98360	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	EINEIN	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CHILDREN'S HEALTH INSURANCE NETWORK LTD
PO BOX 30600	GRAND CAYMAN	MN	55404	INSURANCE	CJ	N/A	C	$1,214,731	$20,445,915	1.00000	Yes (1)
CHILDREN'S HEALTH NETWORK
910 EAST 26TH STREET SUITE 330	MINNEAPOLIS	MN	55404	MEDICAL SERVICES		N/A	C	$354,628	-$185,436	1.00000	Yes (1)	463226418	MN
CHILDREN'S MN HOME MEDICAL EQUIPMENT
2525 CHICAGO AVE	MINNEAPOLIS	MN	55404	MED. EQ. SERVICES			C	-$3,357	$7,258	1.00000	Yes (1)	842915398	MN	CHC

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (21 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CHILDREN'S HEALTH CARE FOUNDATION
C	$16,801,726	ACCRUAL
CHILDREN'S HEALTH CARE FOUNDATION
L	$5,661,275	ACCRUAL
CHILDREN'S HEALTH CARE FOUNDATION
O	$3,588,105	ACCRUAL
CHILDREN'S HEALTH CARE FOUNDATION
R	$11,623,341	ACCRUAL
CHILDREN'S HEALTH CARE SERVICES INC
Q	$6,929,327	ACCRUAL
CHILDREN'S HEALTH CARE SERVICES INC
P	$4,293,795	ACCRUAL
CHILDREN'S CLINIC NETWORK
L	$819,338	ACCRUAL
CHILDREN'S CLINIC NETWORK
P	$32,829,711	ACCRUAL
CHILDREN'S CLINIC NETWORK
Q	$35,220,755	ACCRUAL
CHILDREN'S CLINIC NETWORK
R	$123,710	ACCRUAL
CHILDREN'S CLINIC NETWORK
O	$307,733	ACCRUAL
CHILDREN'S MN HOME MEDICAL EQUIPMENT
L	$2,065	ACCRAUL
CHILDREN'S HEALTH NETWORK
P	$1,232,923	ACCRUAL
CHILDREN'S HEALTH NETWORK
Q	$10,085,161	ACCRUAL
CHILDREN'S HEALTH NETWORK
L	$739,609	ACCRUAL
CHILDREN'S HEALTH NETWORK
M	$3,496,492	ACCRUAL
CHILDREN'S HEALTH NETWORK
L	$1,619,602	ACCRUAL
CHILDREN'S HEALTH NETWORK
R	$8,926,009	ACCRUAL
CHILDREN'S HEALTH NETWORK
S	$22,322	ACCRUAL
MRP SMA III LP
B	$5,250,000	ACCRUAL
MRP SMA III LP
C	$2,353,411	ACCRUAL