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CHILDRENS HOSPITAL COLORADO: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL COLORADO (EIN 84-0166760)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202223199349312652
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-15T18:30:49+00:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12323 VICTORY AVENUE SUITE 2000AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75219ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN840166760EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Children's Hospital ColoradoBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHILBusinessNameControlTxt
Phone7207771234PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line113123 EAST 16TH AVENUEAddressLine1Txt
CityAURORACityNm
State AbbreviationCOStateAbbreviationCd
ZIP80045ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJENA HAUSMANNPersonNm
Person TitlePRESIDENT AND CEOPersonTitleTxt
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJEFFREYPersonFirstNm
Person LastHARRINGTONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPatrick ShieldsPreparerPersonNm
PTINP01508556PTIN
Phone2149698000PhoneNum
Preparation2022-11-13PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1JENA HAUSMANNBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line113123 EAST 16TH AVENUEAddressLine1Txt
CityAURORACityNm
State AbbreviationCOStateAbbreviationCd
ZIP80045ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,555,750,005GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHILDRENSCOLORADO.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1908FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH-QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY.ActivityOrMissionDesc
Voting Members Governing Body27VotingMembersGoverningBodyCnt
Voting Members Independent26VotingMembersIndependentCnt
Total Employee9745TotalEmployeeCnt
Total Volunteers2481TotalVolunteersCnt
Total Gross UBI$6,289,545TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$455,916NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$67,569,948PYContributionsGrantsAmt
CY Contributions Grants$16,960,678CYContributionsGrantsAmt
PY Program Service Revenue$1,329,405,373PYProgramServiceRevenueAmt
CY Program Service Revenue$1,524,146,221CYProgramServiceRevenueAmt
PY Investment Income$2,639,776PYInvestmentIncomeAmt
CY Investment Income$2,433,591CYInvestmentIncomeAmt
PY Other Revenue-$10,215,125PYOtherRevenueAmt
CY Other Revenue$12,209,515CYOtherRevenueAmt
PY Total Revenue$1,389,399,972PYTotalRevenueAmt
CY Total Revenue$1,555,750,005CYTotalRevenueAmt
PY Grants And Similar Paid$435,050PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$608,800CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$699,222,900PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$741,839,172CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$687,826,052PYOtherExpensesAmt
CY Other Expenses$742,566,732CYOtherExpensesAmt
PY Total Expenses$1,387,484,002PYTotalExpensesAmt
CY Total Expenses$1,485,014,704CYTotalExpensesAmt
PY Revenues Less Expenses$1,915,970PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$70,735,301CYRevenuesLessExpensesAmt
Total Assets BOY$2,079,968,900TotalAssetsBOYAmt
Total Assets EOY$2,139,104,268TotalAssetsEOYAmt
Total Liabilities BOY$1,052,733,473TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,033,296,496TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,027,235,427NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,105,807,772NetAssetsOrFundBalancesEOYAmt
MissionTO IMPROVE THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH-QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,264,694,407ExpenseAmt
Grant$608,800GrantAmt
Revenue$1,524,146,221RevenueAmt
DescROUTINE INPATIENT SERVICES; ANCILLARY INPATIENT SERVICES SUCH AS LAB, RADIOLOGY, OPERATING ROOM, RECOVERY ROOM, CENTRAL SUPPLIES, ETC.; OUTPATIENT SERVICES SUCH AS EMERGENCY ROOM, MULTI-SPECIALTY AMBULATORY SERVICES INCLUDING ORTHO CLINIC, ONCOLOGY CLINIC, ETC. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.Desc
Total Program Service Expenses$1,264,694,407TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document87IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee9745EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members27GoverningBodyVotingMembersCnt
Independent Voting Member26IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JEFFREY HARRINGTONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7207771234PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line113123 EAST 16TH AVENUEAddressLine1Txt
CityAuroraCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80045ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (42 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Jena Hausmann
President and CEO40.07.0Yes (X)Yes (X)$1,957,036$0$333,397
Annita Menogan
Borad Member1.00.0Yes (X)$0$0$0
Anthony Spikes
Board Member1.00.0Yes (X)$0$0$0
Barth Whitham
Board Member1.04.0Yes (X)$0$0$0
Brian Smith
Board Member1.00.0Yes (X)$0$0$0
Bruce Wagner
Board Member1.00.0Yes (X)$0$0$0
Craig Ponzio
Board Member1.00.0Yes (X)$0$0$0
David Honeyfield
Board Member/Treasurer1.04.0Yes (X)$0$0$0
David Hoover
Board Member/Chair1.07.0Yes (X)$0$0$0
Donald Elliman
Board Member1.04.0Yes (X)$0$0$0
Fred Taylor
Board Member1.07.0Yes (X)$0$0$0
Jack Wold
Board Member/Chair Elect1.04.0Yes (X)$0$0$0
Jim Johnson
Board Member1.00.0Yes (X)$0$0$0
John Ikard
Board Member (Pt-Yr)1.00.0Yes (X)$0$0$0
John Reilly MD
Board Member1.00.0Yes (X)$0$0$0
Judith Koff
Board Member1.00.0Yes (X)$0$0$0
KRISTIN RICHARDSON
BOARD MEMBER (PT-YR)1.00.0Yes (X)$0$0$0
Laura Barton
Board Member1.03.0Yes (X)$0$0$0
Leroy Williams
Board Member1.00.0Yes (X)$0$0$0
Martha Middlemist MD
Board Member1.00.0Yes (X)$0$0$0
Megan Fearnow
Board Member1.00.0Yes (X)$0$0$0
Melissa McDowell
Board Member1.00.0Yes (X)$0$0$0
Michael Gould
Board Member1.00.0Yes (X)$0$0$0
Mike Asher
Board Member1.07.0Yes (X)$0$0$0
Phyllis Wise
Board Member1.00.0Yes (X)$0$0$0
Rick Stoddard
Board Member1.03.0Yes (X)$0$0$0
Rob Joyce
Board Member1.00.0Yes (X)$0$0$0
Robert Cuculich
Board Member1.00.0Yes (X)$0$0$0
Shen Nagel MD
Board Member1.00.0Yes (X)$0$0$0
Soledad Hurst
Board Member (Pt-Yr)1.00.0Yes (X)$0$0$0
Victoria Quintana
Board Member1.00.0Yes (X)$0$0$0
Jeffrey Harrington
SVP and CFO40.07.0Yes (X)$976,764$0$176,820
Michelle Lucero
Chief Legal Officer, General Counsel/Secretary40.04.0Yes (X)$712,075$0$154,478
Dana Moore
SVP and CIO40.00.0$643,946$0$159,246Yes (X)
David Biggerstaff
EVP and COO40.00.0$1,048,237$0$201,231Yes (X)
Elizabeth Rodriguez
SVP Chief HR Officer40.00.0$591,168$0$127,920Yes (X)
Raphe Schwartz
SVP and Chief Strategy Officer40.00.0$582,123$0$143,292Yes (X)
Amy Feaster
VP IT Associate CIO40.00.0$571,323$0$105,746Yes (X)
Gregory Raymond
SVP Colorado Springs President40.00.0$490,086$0$130,644Yes (X)
Margaret Sabin
Past President Colorado Springs40.00.0$725,043$0$133,013Yes (X)
Patricia Givens
SVP Patient Care Svcs & CNO40.00.0$563,295$0$108,354Yes (X)
Suzanne Jaeger
SVP Experience and Access40.00.0$536,513$0$135,399Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,397,609TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,909,540TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1122IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
UNIVERSITY OF COLORADO MEDICINE
13199 EAST MONTVIEW BLVDAURORACO80045PHYSICIAN SERVICES$123,820,853
UNIVERSITY OF COLORADO DENVER
13123 EAST 16TH AVEAURORACO80045EDUCATION SERVICES$25,004,005BOD B-219
UNIVERSITY HOSPITAL
12605 E 16TH AVEAURORACO80045PHYS/MEDICAL SERVICE$16,119,604
CROTHALL HEALTHCARE INC
13028 COLLECTION CENTER DRIVECHICAGOIL60693ENVIRONMENTAL SVCS$11,465,638
HSS SECURITY LLC
990 S BROADWAY 100DENVERCO80209SECURITY SERVICES$6,377,913
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K130CntrctRcvdGreaterThan100KCnt
Related Organizations$5,629,468RelatedOrganizationsAmt
Government Grants$11,331,210GovernmentGrantsAmt
Total Contributions$16,960,678TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICES REVENUE622110$1,406,487,518$1,406,487,518
RESEARCH FUNDING541900$12,880,270$12,880,270
LAB BILLING561000$5,623,723$411,380$5,212,343
CAFETERIA722210$3,964,172$3,964,172
PARKING LOT REVENUE461790$1,850,521$1,850,521

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$93,340,017TotalRevenueColumnAmt
Related Or Exempt Func Income$92,262,815RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,077,202UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,524,146,221TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,749,295TotalRevenueColumnAmt
Exclusion$2,749,295ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$974,430RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$974,430RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$974,430TotalRevenueColumnAmt
Exclusion$974,430ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities-$315,704SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$315,704SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$315,704TotalRevenueColumnAmt
Exclusion-$315,704ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescGAIN/LOSS INTEREST RATE SWAPSDesc
Total Revenue Column$11,235,085TotalRevenueColumnAmt
Exclusion$11,235,085ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$11,235,085OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,555,750,005TotalRevenueColumnAmt
Related Or Exempt Func Income$1,517,856,676RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$6,289,545UnrelatedBusinessRevenueAmt
Exclusion$14,643,106ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$608,800TotalAmt
Program Services$608,800ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,807,733TotalAmt
Program Services$6,613,961ProgramServicesAmt
Management And General$1,193,772ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$598,501,033TotalAmt
Program Services$506,992,519ProgramServicesAmt
Management And General$91,508,514ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$19,542,932TotalAmt
Program Services$16,554,893ProgramServicesAmt
Management And General$2,988,039ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$72,568,888TotalAmt
Program Services$61,473,383ProgramServicesAmt
Management And General$11,095,505ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$43,418,586TotalAmt
Program Services$36,780,051ProgramServicesAmt
Management And General$6,638,535ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,556,694TotalAmt
Management And General$1,556,694ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$39,299TotalAmt
Management And General$39,299ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$613,412TotalAmt
Program Services$613,412ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$131,090TotalAmt
Management And General$131,090ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$235,686,713TotalAmt
Program Services$199,651,119ProgramServicesAmt
Management And General$36,035,594ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$12,532,065TotalAmt
Program Services$10,615,960ProgramServicesAmt
Management And General$1,916,105ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,444,392TotalAmt
Program Services$2,917,758ProgramServicesAmt
Management And General$526,634ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$26,065,932TotalAmt
Program Services$22,080,551ProgramServicesAmt
Management And General$3,985,381ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$31,551,195TotalAmt
Program Services$26,727,138ProgramServicesAmt
Management And General$4,824,057ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,192,230TotalAmt
Program Services$1,009,943ProgramServicesAmt
Management And General$182,287ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$326,317TotalAmt
Program Services$276,424ProgramServicesAmt
Management And General$49,893ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$20,753,490TotalAmt
Program Services$17,580,361ProgramServicesAmt
Management And General$3,173,129ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$85,755,158TotalAmt
Program Services$72,643,523ProgramServicesAmt
Management And General$13,111,635ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,797,872TotalAmt
Program Services$7,452,711ProgramServicesAmt
Management And General$1,345,161ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL/PHARM SUPPLIES$221,559,782$187,684,141$33,875,641
HOSPITAL PROVIDER FEE$52,381,324$52,381,324
EQUIPMENT RENTAL & MAINT$16,759,499$14,197,036$2,562,463
FOOD$5,205,620$4,409,701$795,919

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$18,214,648TotalAmt
Program Services$15,429,698ProgramServicesAmt
Management And General$2,784,950ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,485,014,704TotalAmt
Program Services$1,264,694,407ProgramServicesAmt
Management And General$220,320,297ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$105,016,227BOYAmt
EOY$83,407,260EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,310,490BOYAmt
EOY$4,574,150EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$228,394,577BOYAmt
EOY$257,006,364EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$19,275,525BOYAmt
EOY$23,889,438EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$14,063,149BOYAmt
EOY$17,827,786EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,982,980,029LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$743,944,798LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,264,974,424BOYAmt
EOY$1,239,035,231EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$217,776,448BOYAmt
EOY$285,642,294EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$6,447,302BOYAmt
EOY$10,182,528EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$218,710,758BOYAmt
EOY$217,539,217EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,079,968,900BOYAmt
EOY$2,139,104,268EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$194,641,853BOYAmt
EOY$198,596,342EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$6,430,891BOYAmt
EOY$10,739,125EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$70,472BOYAmt
EOY$410,272EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$649,514,254BOYAmt
EOY$653,395,104EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$17,431,479BOYAmt
EOY$17,064,602EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$184,644,524BOYAmt
EOY$153,091,051EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,052,733,473BOYAmt
EOY$1,033,296,496EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$881,287,198BOYAmt
EOY$957,626,627EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$145,948,229BOYAmt
EOY$148,181,145EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,027,235,427BOYAmt
EOY$1,105,807,772EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,079,968,900BOYAmt
EOY$2,139,104,268EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$70,735,301ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,962,110NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$9,799,154OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$79,581FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$533,831FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$613,412FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,264,080,995FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,264,694,407FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$515,459CurrentYearMinus3Amt
Current Year Minus2$614,169CurrentYearMinus2Amt
Current Year Minus1$541,563CurrentYearMinus1Amt
Current Year$613,412CurrentYearAmt
Total$2,284,603TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$62,898CurrentYearMinus3Amt
Current Year Minus2$107,453CurrentYearMinus2Amt
Current Year Minus1$90,731CurrentYearMinus1Amt
Current Year$79,581CurrentYearAmt
Total$340,663TotalAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$53,372,712BeginningYearBalanceAmt
Investment Earnings Or Losses$6,486,957InvestmentEarningsOrLossesAmt
Other Expenditures$582,885OtherExpendituresAmt
Administrative Expenses$117,107AdministrativeExpensesAmt
End Year Balance$59,159,677EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$48,474,391BeginningYearBalanceAmt
Investment Earnings Or Losses$5,882,427InvestmentEarningsOrLossesAmt
Other Expenditures$883,405OtherExpendituresAmt
Administrative Expenses$100,701AdministrativeExpensesAmt
End Year Balance$53,372,712EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$41,279,296BeginningYearBalanceAmt
Investment Earnings Or Losses$8,349,894InvestmentEarningsOrLossesAmt
Other Expenditures$1,059,492OtherExpendituresAmt
Administrative Expenses$95,307AdministrativeExpensesAmt
End Year Balance$48,474,391EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$44,803,998BeginningYearBalanceAmt
Investment Earnings Or Losses-$2,040,626InvestmentEarningsOrLossesAmt
Other Expenditures$1,390,736OtherExpendituresAmt
Administrative Expenses$93,340AdministrativeExpensesAmt
End Year Balance$41,279,296EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$39,760,313BeginningYearBalanceAmt
Investment Earnings Or Losses$5,959,341InvestmentEarningsOrLossesAmt
Other Expenditures$826,784OtherExpendituresAmt
Administrative Expenses$88,872AdministrativeExpensesAmt
End Year Balance$44,803,998EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.0PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$70,323,552OtherCostOrOtherBasisAmt
Book Value$70,323,552BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,246,341,343OtherCostOrOtherBasisAmt
Depreciation$357,515,877DepreciationAmt
Book Value$888,825,466BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,346,247OtherCostOrOtherBasisAmt
Depreciation$13,526,190DepreciationAmt
Book Value$25,820,057BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$614,997,806OtherCostOrOtherBasisAmt
Depreciation$371,170,702DepreciationAmt
Book Value$243,827,104BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,971,081OtherCostOrOtherBasisAmt
Depreciation$1,732,029DepreciationAmt
Book Value$10,239,052BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,239,035,231TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDescBook ValueBookValueAmt
OPERATING LEASES$72,236,803
TAMMEN TRUST$59,159,677
MISC. RECEIVABLES$32,044,674
OTHER NON CURRENT ASSETS$17,833,320
INTERCOMPANY OTHER AFFILIATES$16,155,316
457 ASSETS$11,138,707
MISC. NOTE RECEIVABLES$6,494,768
SELF INSURANCE TRUST LT REC.$2,475,952
FieldValueIRS element (for citing)
Total Book Value Other Assets$217,539,217TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
LEASE LIABILITY LT-OPERATING$85,474,619
VALUE OF INTEREST RATE SWAP$27,939,076
SELF INSURANCE TRUST LIABILITY$15,125,126
OTHER LT LIABILITIES
CURRENT PORTION LT DEBT$13,247,417
457 LIABILITIES$11,304,813
FieldValueIRS element (for citing)
Total Liability$153,091,051TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsTHE HOSPITAL IS THE INCOME BENEFICIARY OF THE H.H. TAMMEN TRUST, A PERPETUAL TRUST UNDER WHICH THE HOSPITAL HAS THE IRREVOCABLE RIGHT TO RECEIVE THE INCOME EARNED ON THE TRUST ASSETS IN PERPETUITY. FUNDS ARE USED TO SUPPORT HOSPITAL ACTIVITIES.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteMANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,754,614TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$955,649DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,798,965NetCommunityBenefitExpnsAmt
Total Expense0.0039TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$630,322,508TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$415,583,912DirectOffsettingRevenueAmt
Net Community Benefit Expns$214,738,596NetCommunityBenefitExpnsAmt
Total Expense0.1446TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$637,077,122TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$416,539,561DirectOffsettingRevenueAmt
Net Community Benefit Expns$220,537,561NetCommunityBenefitExpnsAmt
Total Expense0.1485TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,545,664TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,426,118DirectOffsettingRevenueAmt
Net Community Benefit Expns$26,119,546NetCommunityBenefitExpnsAmt
Total Expense0.0176TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,650,954TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,346,035DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,304,919NetCommunityBenefitExpnsAmt
Total Expense0.0170TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,025,519TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,389,978DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,635,541NetCommunityBenefitExpnsAmt
Total Expense0.0051TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,964,422TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,201,360DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,763,062NetCommunityBenefitExpnsAmt
Total Expense0.0140TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,156,265TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,156,265NetCommunityBenefitExpnsAmt
Total Expense0.0008TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$136,342,824TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$55,363,491DirectOffsettingRevenueAmt
Net Community Benefit Expns$80,979,333NetCommunityBenefitExpnsAmt
Total Expense0.0545TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$773,419,946TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$471,903,052DirectOffsettingRevenueAmt
Net Community Benefit Expns$301,516,894NetCommunityBenefitExpnsAmt
Total Expense0.2030TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$50,274TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,021DirectOffsettingRevenueAmt
Net Community Benefit Expns$39,253NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$53,695TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$53,695NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$951,099TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$142,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$809,099NetCommunityBenefitExpnsAmt
Total Expense0.0005TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$1,055,068TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$153,021DirectOffsettingRevenueAmt
Net Community Benefit Expns$902,047NetCommunityBenefitExpnsAmt
Total Expense0.0006TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$9,855,457BadDebtExpenseAmt
Bad Debt Expense Attributable$9,343,371BadDebtExpenseAttributableAmt
Reimbursed By Medicare$2,130,088ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$3,048,535CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$918,447MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities5HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (5 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndChildrens HospitalChildrensHospitalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdOtherOtherDesc
CHILDREN'S HOSPITAL COLORADO (CHCO) - ANSCHUTZ MEDICAL CAMPUS
113123 EAST 16TH AVENUEAURORACO80045WWW.CHILDRENSCOLORADO.ORG010417Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
CHCO - SOUTH CAMPUS
21811 PLAZA DRIVEHIGHLANDS RANCHCO80129WWW.CHILDRENSCOLORADO.ORG01F105Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
CHCO - AT PARKER ADVENTIST HOSPITAL
39395 CROWN CREST BLVDPARKERCO80138WWW.CHILDRENSCOLORADO.ORG13Z405Yes (X)Yes (X)Yes (X)AHospital Unit or Hospital-within-Hospital
CHCO - COLORADO SPRINGS
44090 BRIARGATE PARKWAYCOLORADO SPRINGSCO80920WWW.CHILDRENSCOLORADO.ORG01b436Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
CHCO - NORTH CAMPUS
5469 STATE HIGHWAY 7BROOMFIELDCO80023WWW.CHILDRENSCOLORADO.ORG017MU3Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

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Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3ECHCO - Colorado Springs was placed into service in May 2019. A single Schedule H, Part V, Section B was completed for facility reporting group A. The following hospital facilities are included in facility reporting Group A: (1) Children's Hospital Colorado (CHCO) - Anschutz (2) CHCO - South Campus (3) CHCO - At Parker Adventist Hospital (4) CHCO - Colorado Springs In 2021, Children's Hospital Colorado conducted two Community Health Needs Assessments (CHNA's). A joint assessment was conducted for licensed hospital facilities in the Denver Metro area, which included CHCO -Anschutz Medial Campus, CHCO - South Campus, and CHCO - AT Parker Adventist (hospital unit license). A second CHNA was conducted for the CHCO - Colorado Springs hospital, licensed in 2019. This meets the requirement that newly licensed hospital facilities complete a CHNA by the last day of the second taxable year. Both CHNA's were approved by the Children's Hospital Colorado Board of Directors on December 16, 2021. Children's Hospital Colorado included in each of the CHNA's reports a prioritized list and description of the community's significant health needs identified through the CHNA process. In both the Anschutz and Colorado Springs CHNA's, child mental health emerged as the top community concern through every method of data collection included in the assessments. Children's Hospital Colorado will address this community driven priority through a commitment of resources with specific programs and services as outlined in the corresponding implementation plans. "2021 CHNA's: https://www.childrenscolorado.org/community/community-health/community-health-needs-assessment/"
Schedule H, Part V, Section B, Line 5 Facility A, 1Facility A, 1 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 5 APPLIES TO ALL FACILITIES INCLUDED IN GROUP A. Children's Colorado embraced the opportunity to engage with our community, better understand their interests and concerns, and design programs that directly respond to community needs. The primary purpose of the assessment is to fulfill our mission of improving the health of all Colorado children. The assessments connect us with communities and identifies priorities for our community-focused health goals and programs. Our methods for the 2021 CHNA's were informed by previous CHNAs and feedback we received on our 2018 CHNA from key stakeholders. We gathered both primary and secondary data for our communities and, when possible, gathered data that would demonstrate the impact of the COVID pandemic on community health and well-being. Additionally, in response to our 2018 CHNA feedback, Children's Colorado revised our prior data collection approach in two main ways: 1) gathered secondary data first to inform our primary data collection strategy and 2) developed a more dedicated approach to equity in our data collection process. For the first revision, we used our secondary data to inform what primary data we would collect that could provide context to and fill gaps from the secondary data. For the second revision, we examined our practices for data collection, analysis and communication with an awareness of the historical impacts, potential biases, and explored more demographic data, such as race, ethnicity, sexual orientation, and intersectionality to better understand the disparate impacts of health across populations. We then embarked on a significant community engagement process to understand prevailing interests and concerns in the neighborhoods and counties our hospitals serve. We prioritized input from families of color, families that speak diverse languages, and families facing barriers to care due to socioeconomic conditions. Through collaborations, caregiver surveys, stakeholder interviews, and community meetings, we were able to gain input from a diverse cross-section of the community. Data collection instruments are in the appendix of each of the CHNA's. Stakeholder Interviews: Stakeholders provide critical insights regarding the root causes of community health needs, as well as context and nuance that is often missed in secondary data. Stakeholders included leaders and representatives of ethnically diverse, medically underserved populations, as well as local health departments and agencies that gather data and other information relevant to current community health needs. We conducted a total of 54 interviews. A detailed list of stakeholder names, roles, and organizations are listed in each of the CHNA's. Caregiver Survey: This survey provided an opportunity to hear from parents and caregivers of children aged 0 to 25 living in counties where we have facilities and most of our patient population resides. To ensure that a broad cross-section of the community had an opportunity to respond, we had the survey reviewed through several channels to assess literacy level and cultural responsiveness. The survey was translated into eight languages: Amharic, Arabic, Burmese, English, French, Karen, Somali and Spanish to gain greater input from the community. For the Anschutz (Denver Metro area) CHNA, we hired four cultural connectors to collect caregiver survey data in Burmese, Karen, Nepali, Spanish, Swahili and French. For our Colorado Springs CHNA, we partnered with Catholic Charities to gather caregiver surveys to expand accessibility from diverse community members. In total, we collected 498 caregiver surveys to inform our work. Health Care Worker Survey: This survey was administered to pediatric providers: physicians, nurses and allied health professionals. Approximately 30% of respondents were physicians and 25% were registered nurses. Community Meetings: We held a series of community meetings to present the data we'd gathered from internal and external sources, as well as the results of our interviews and surveys. Participants asked questions and advocated for the issues they found most compelling, then voted for their top health and social issues. Details on these community meetings can be found in each of the CHNA's. Prioritization of Health Needs: Once our teams completed collection of primary and secondary data, including input from seven community meetings, the final step of the assessment was to seek input on how to prioritize the needs identified. Our Population Health committee, comprising both clinical and nonclinical leaders at Children's Colorado, carefully considered prioritization criteria and agreed on six key factors: impact, community importance, viability, sustainability, scale, and health equity. Mental health emerged as the top community concern through every method of data collection included in this assessment. Caregivers, health care team members, and community leaders all reported that mental of children in our community is a critical issue. Internal utilization data and public health surveillance data demonstrate a continued and increasing need for mental health and suicide prevention services for children and youth in Colorado, including services that address disparities in mental health outcomes within populations. Mental health has long been identified as a health priority among our community stakeholders as persistent systemic challenges have prevented mental health parity from being achieved. As Children's Colorado joins our community partners in embracing whole child, whole health approaches to child health, we recognize the need to place a consistent focus on mental health to meaningfully integrate mental health into our holistic approaches to care. Children's Colorado recognizes that the public health needs of the community are extensive, and many needs are not explicitly addressed through our priority and goals. Access to health care, including mental health services, and several social determinants of health were identified as top needs by the community and within the data, such as food insecurity, housing, access to benefits, mother and infant health, and economic issues. Work will continue to address other needs as identified by the community and highlighted throughout this reporting.
Schedule H, Part V, Section B, Line 6a Facility A, 1Facility A, 1 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 6a APPLIES TO ALL FACILITIES INCLUDED IN GROUP A. For the joint 2021 CHNA, Children's Colorado defined community as all children aged 0 to 25 living in the four-county area from which most of the hospital's patient population resides and in which we have facilities: Adams, Arapahoe, Denver, and Douglas Counties. Within these counties, Children's Colorado has three licensed hospital facilities located at the Anschutz Medical Campus, South Campus, and Parker Adventist Campus and our associated networks of care. The Colorado Springs Hospital CHNA defined community as all children aged 0 to 25 living in the El Paso County area from which most of the hospital's patient population resides and in which we have facilities.
Schedule H, Part V, Section B, Line 7 Facility A, 1Facility A, 1 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 7D APPLIES TO ALL FACILITIES INCLUDED IN GROUP A. The CHNA is posted on the hospital's external facing website and is made available upon request either digitally or written format. As part of the CHNA communication plan, results of the CHNA and the subsequent implementation plan are shared at various stakeholder meetings and community forums with the goal of identifying opportunities to engage in collaborative efforts to address areas of need. A dedicated community benefit email also provides an opportunity for input and questions. In 2019, the State of Colorado enacted HB19-1320, Hospital Community Benefit Accountability. A pivotal requirement of the legislation is an annual community benefit public meeting. The purpose of the public meeting is to inform the community of the hospital's community benefit expenditures, provide an opportunity for the community to learn about the most recent CHNA and the strategies that address the identified priority needs. The community is also provided the opportunity to advise on health and social service needs that continue to be of concern for the community.
Schedule H, Part V, Section B, Line 11 Facility A, 1Facility A, 1 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11 APPLIES TO ALL FACILITIES INCLUDED IN GROUP A. To create the 2019 implementation plan, Children's Colorado used the information gathered through our 2018 CHNA and incorporated additional insights from five strategic planning sessions with internal and external community partners. A framework was developed that focused on five types of activities which had the most potential to impact child health outcomes: education and training, direct services and support, screening, referrals and navigation, and policy and advocacy. The priority health needs addressed in the 2019 implementation plan are mental and behavioral health, injury prevention, prematurity, asthma and respiratory health, obesity, nutrition, and physical activity. The plan outlines our three-year goals and objectives for each of the priorities and details the strategies that are identified to address these complex needs. Each of these objectives is quantifiable and time-limited, which allows for effective evaluation. The 2019 Community Health Implementation Plan (CHIP) and the 2019-2022 CHIP Evaluation https://www.childrenscolorado.org/community/community-health/community-health-needs-assessment/ Children's Hospital Colorado recognizes that the health needs of children in our community are extensive. As we transition to the 2022 implementation plan the five health priorities identified through the 2018 CHNA process will remain as sustaining priorities. The highlighted activities are examples of work addressing the five priorities and is not all inclusive of our extensive community-level work. Nutrition: Children's Colorado is acutely aware of the inextricable link between access to quality, affordable, nutritious food, and health. This is particularly important in serving communities with higher rates of poverty who struggle with food security. The Food as Medicine initiative at CHCO aims to integrate the importance of nutrition and health by not only providing food, but also education to help connect food to health. This is done by screening families, identifying those who identify as food insecure and providing resources and education to help overcome barriers to access. In 2021, the Healthy Roots Food Clinic received 1,149 referrals from primary care clinics in our Health Pavilion and served 2,851 people (1,237 children and 1,614 adults). One hundred percent of visits were "successful," meaning that all families who sought food were provided nutritious groceries and basic food education. In the summer of 2021, we launched pilot replications of the Healthy Roots Food Clinic and Resource Connect model in two schools within the Aurora Public School district (APS). The program is implemented in partnership with the communities we serve. At Children's Colorado's Aurora Public School food clinic partnership sites, we served approximately 1,185 students in 2021. Both schools are part of the APS ACTION Zone, a network of five schools that serves 4,200+ students, roughly 10% of all APS students, and demographics include: Students come from 50+ different countries and speak over 150 languages, 66% of students are Hispanic, 15% Black, 12% Asian, 1% Native American and 4% White, 82% qualified for Free or Reduced Lunch, 75% English Language Developers. Asthma and Respiratory Health: The community-based asthma programs in the Breathing Institute within Children's Colorado focuses on reducing emergency department visits and inpatient admissions among asthma patients by improving families' ability to appropriately manage their children's asthma at home. Research shows that the incidence of asthma and outcomes for children with asthma are related to the environments in which they live, their social determinants of health, and their ability to make healthy choices. The AsthmaCOMP program has demonstrated significant improvement in clinical asthma outcomes including improved school attendance rates, reduced frequency of asthma symptoms and decreased ER/Urgent Care visits for asthma. The program has also helped train school nurses to become certified asthma educators. In 2021, this team completed 162 visits with students in 41 elementary schools. Of these students, 94% are eligible for free or reduced school lunch, 84% are insured by Medicaid, 87% identify as Black, Indigenous, or other people of color, and one in four have a caregiver who is Spanish speaking only. The Just Keep Breathing program has four community health navigators and a nurse dedicated to conducting asthma education in the home setting. The program focuses on improving care for pediatric patients with high-risk asthma in Metro Denver; this year they were able to serve families in rural communities using telehealth. The navigators conduct multiple home visits with each family, focusing on tailored health education, care coordination, barrier identification and navigation, and environmental assessment and remediation. In 2021, 183 eligible patients were identified, 87 of those patients enrolled in the program, and the team completed 79 home visits. Due to the COVID-19 pandemic, all visits were completed by telehealth. Prematurity: Children's Colorado's Black Health Initiative (BHI), centers around community voices and experiences to develop a framework for interrelated projects and services to improve African American patient and family experiences and health outcomes. At the forefront of this work, Children's Colorado collaborates directly with Black families and community members to conceptualize and pilot programs to address infant mortality. Borne out of the crucial need to have community members' experiences inform how health care providers address issues of healthy equity in health care settings, BHI partnered with the Center for Advancing Professional Excellence (CAPE) within the University of Colorado School of Medicine to develop provider trainings that immerse providers in simulated scenarios developed by community members. These trainings are an effort to shine a light on the challenges that African American woman face in clinical settings and bridge the gaps that can result in negative patient experiences and poor patient outcomes. By engaging providers in practice-based simulated visits, providers are immersed in situations that increase their appreciation for the needs of their patients, while building their skills around how to meaningfully address their patients' needs in a culturally responsive manner. Injury Prevention: In 2021, the car seat program at Children's Colorado distributed 205 harnessed car seats and 42 booster seats. Additionally, car seat installation/inspections were conducted for more than 350 children in conventional car seats and consultations were provided for more than 50 children with special healthcare needs requiring adaptive car seats. Car seat checks were conducted in 14 languages with help from Spanish-speaking Child Passenger Safety Technicians (CPST) along with virtual and in-person translation support. Three Safe Kids CPST certification courses were conducted, certifying 15 hospital employees and 34 community partners as CPSTs to support car seat education in the community. Safe sleep initiatives included distributing 37 pack-n-play cribs to families without safe sleep spaces and 1,380 sleep sacks to patient families through the Child Health Clinic. Forty medication lock boxes and 60 gun trigger locks were donated to community partners who work directly with populations in need of these resources. Educational resources were also provided to families on poison prevention and gun safety. Sixty-three bike helmets were distributed to families and 189 low-cost bike helmets were sold through our hospital-based Safety Store. Mental and Behavioral Health: In 2021, our Government Affairs team coordinated virtual or written testimony from 32 experts on pending legislation at committee hearings, trained 154 new advocates at our 11th Annual Speak Up for Kids Day, and empowered constituents to send almost 646 emails to state lawmakers on pending kids' health legislation. Advocacy and policy change is critical in increasing equable health care access. An example of our statewide advocacy work included advocacy to improve behavioral healthcare services for children.
Schedule H, Part V, Section B, Line 11 Facility A, 2Facility A, 2 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11 APPLIES TO ALL FACILITIES INCLUDED IN GROUP (CONT.). In 2021, the Government Affairs team worked with partners to build a better system of care for all children, youth, and families. We supported House Bill 1097 to help implement a key recommendation of the Colorado Behavioral Health Task Force to create a Behavioral Health Administration, a new state agency to lead, promote and coordinate Colorado's behavioral health priorities. We also worked to expand access to behavioral healthcare for children and youth by supporting House Bill 1021 to fund behavioral health services provided by peer support professionals and House Bill 1258, which provided access to up to six telehealth therapy appointments for all school aged children regardless of insurance coverage. professionals and House Bill 1258, which provided access to up to six telehealth therapy appointments for all school aged children regardless of insurance coverage.
Schedule H, Part V, Section B, Line 2CHCO - NORTH CAMPUS WAS PLACED INTO SERVICE IN MARCH 2020. A CHNA IS SCHEDULED TO BE COMPLETED IN DECEMBER 2022 FOR OUR NORTH CAMPUS HOSPITAL LICENSED IN 2020. THIS MEETS THE IRS REQUIREMENT THAT NONPROFIT HOSPITALS TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WITHIN THE FIRST 2 YEARS OF LICENSING TO BE COMPLETED BY THE LAST DAY OF THE SECOND TAXABLE YEAR.
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Facility12FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
CHILDREN'S HOSPITAL CO OP SPECIALTY CARE
4125 BRIARGATE PKWYCOLORADO SPRINGSCO80920SPECIALTY CARE, ONCOLOGY CLINICS, URGENT CARE
CHILDREN'S CO HEALTH PAVILION
860 NORTH POTOMAC CIRCLEAURORACO80011OT/PT, SPEECH & AUDIOLOGY, MULTI-SPECIALTY CLINICS,DENTAL CLINCIS, SPECIALTY PHARMACY
CHILDREN'S HOSPITAL CO - THERAPY CARE
9139 SOUTH RIDGELINE BLVD 100HIGHLANDS RANCHCO80129REHABILITATION & THERAPY SERVICES
CHILDREN'S HOSPITAL CO - THERAPY CARE
8401 ARISTA PLACEBROOMFIELDCO80021OT/PT, SPEECH & AUDIOLOGY SERVICES
KIDSTREET
860 N POTOMAC CIRAURORACO80011REHABILITATION & THERAPY SERVICES
CHILDREN'S HOSPITAL CO - SPECIALTY CARE
9399 CROWN CREST BLVD SUITE 300PARKERCO80138SPECIALTY CARE, SPORTS MEDICINE
CHILDREN'S HOSPITAL CO - THERAPY CARE
PRINTERS PARK MEDICAL PLAZACOLORADO SPRINGSCO80910OT/PT, SPEECH & AUDIOLOGY SERVICES
CHILDREN'S HOSPITAL CO - UPTOWN
1830 FRANKLIN STDENVERCO80218EMERGENCY CARE, UC, OP SPCLTY, DIAGNOSTIC, OBSERVATION LICENSEDC CMTY CLINIC 18M127
CHILDREN'S HOSPITAL CO - THERAPY CARE
19284 COTTONWOOD DRIVEPARKERCO80138OT/PT, SPEECH & AUDIOLOGY SERVICES
CHILDREN'S HOSPITAL CO - ORTHOPEDIC CARE
9094 E MINERAL AVE SUITE 110CENTENNIALCO80112ORTHOPEDIC CARE, RADIOLOGY SERVICES, SPORTS MEDDICINE
CHILDREN'S HOSPITAL CO - UC & OP CARE
3455 LUTHERAN PKWYWHEATRIDGECO80033URGENT CARE, SPECIALIST CARE SPORTS MEDICINE
CHILDREN'S HOSPITAL CO - THERAPY CARE
704 FORTINO BOULEVARD SUITE APUEBLOCO81008SPEECH THERAPY, LEARNING DISABILITIES

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 6aCHILDREN'S COLORADO PUBLISHES AN ANNUAL COMMUNITY BENEFIT REPORT. THE 2021 REPORT WILL BE PUBLISHED AFTER THE FINALIZATION OF THE 2021 SCHEDULE H 990 REPORTING. THE 2020 REPORT CAN BE FOUND AT HTTPS://WWW.CHILDRENSCOLORADO.ORG/COMMUNITY/COMMUNITY-HEALTH/. PRIOR TO THE COMPLETION OF THE REPORT A DISTRIBUTION LIST OF COMMUNITY MEMBERS, PARTNERS AND STATE AND LOCAL OFFICIALS IS DEVELOPED, AND THE REPORT IS DISTRIBUTED UPON COMPLETION. COINCIDING WITH THE PHYSICAL DISTRIBUTION THE REPORT IS THEN PUBLISHED ON THE CHCO WEBSITE.
Schedule H, Part I, Line 7IN 2021, CHILDREN'S HOSPITAL COLORADO PROVIDED $301,516,894 IN BENEFIT TO THE COMMUNITY. MEDICAID AT CHILDREN'S HOSPITAL COLORADO ACCOUNTED FOR $214,738,596 OF NET COMMUNITY BENEFIT EXPENSE WITH $5,798,965 IN FINANCIAL ASSISTANCE. OTHER BENEFITS ACCOUNTED FOR $80,979,333 IN NET COMMUNITY BENEFIT EXPENSE. OF THAT $26,119,546 IN COMMUNITY HEALTH IMPROVEMENT, $25,304,919 IN HEALTH PROFESSION EDUCATION, $7,635,541 IN SUBSIDIZED HEALTH SERVICES, $20,763,062 IN RESEARCH AND $1,156,265 IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT. INCLUDED IN SUBSIDIZED HEALTH SERVICES ARE THOSE WHICH CHILDREN'S HOSPITAL COLORADO PROVIDES TO ITS PATIENT POPULATION AT A LOSS. IN 2021, PROGRAMS ASSOCIATED WITH THESE LOSSES ARE REHABILITATION, NEONATOLOGY AND OTHOPEDICS. THE NUMBER REFLECTED IN SUBSIDIZED HEALTH SERVICES EXCLUDES BAD DEBT, MEDICAID AND OTHER MEANS TESTED PROGRAMS SHORTFALLS AND FINANCIAL ASSISTANCE. CHILDREN'S HOSPITAL COLORADO IS COMMITTED TO SERVING ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.
Schedule H, Part VI, Line 5 ContinuationTo address the depth and breadth of community health Children's Colorado continues to build on our long and strong record of collaborating with community-based organizations, K-12, academic institutions, and governmental and non-governmental organizations, with the goal of improving health outcomes and reducing health disparities for children and their families. Additionally, significant resources were allocated in 2021 to support efforts to engage community members advocating for access to healthcare as well as providing educational sessions for both policymakers and advocates on child health issues of importance. Children's Colorado engages in an array of activities addressing community health needs that are not counted in our Schedule H 990 reporting due to IRS guidelines for reporting community benefit. Nonetheless, numerous other investments and activities are designed to benefit the communities we serve. Below, please find details of some of these additional community activities and investments. COVID-19 The COVID-19 pandemic has presented challenges that will have long lasting effects on both the field of pediatric healthcare and the lives of the patients and families we serve. Since March 2020, Children's Colorado has been committed to a systematic response to the COVID-19 pandemic. In addition to maintaining our focus on providing exceptional, quality care for patients and families, Children's Colorado has dedicated financial, people and physical resources to help mitigate the effects of the pandemic on our community. The state has been able to rely on Children's Colorado's dedicated partnership to support the COVID-19 response and to improve the health of Colorado's children and families. At the request of the governor and state public health department, Children's Colorado rapidly instituted a COVID-19 response infrastructure that included mobile testing sites, lab services, public health education resources and webinars for medical professionals as well as community members, mask decontamination for community-based providers, lab services for community-based testing, and shared medical supplies to manage statewide needs. Throughout the pandemic, our system was committed to providing the most up-to date family-friendly information and resources to support kids and families through the pandemic including operating a coronavirus hotline where our clinical teams answered questions about COVID-19 symptoms, vaccines and where to access healthcare. In 2021, there were 12 pages on our website dedicated to sharing the latest information on essential COVID-19 topics with parents and caregivers, with more than 551,000 unique visitors to those pages. COVID-19 vaccine deliberation resources were also created for caregivers and translated into the top eight languages of patient families who utilize our primary care clinics. The 2020-2021 and 2021-2022 school years were particularly challenging for the school and childcare sites we serve. Early in the pandemic, the school health nursing team found that some needs like fielding calls from educators and parents with questions about how to manage a child's diabetes or asthma - could be met virtually, via telehealth. The school health nursing team continued to serve as an advisory partner for school staff and parents throughout the pandemic, delivering trainings and consultations virtually for both individual health needs and systemwide safety guidance. Additionally, after the state issued their public health guidance to schools in September 2020, Children's continued to offer these town halls and participation grew to nearly 700 registered participants from across Colorado. These town halls became an effective venue to share the latest information on the COVID-19 vaccine and equip school leaders with the information they need to encourage it among their staff and school community. This school leader town hall series conducted 34 virtual meetings between April 2020 and December 2021. Children's Colorado opened a COVID-19 vaccine clinic in December 2020, initially serving frontline healthcare workers and community providers, then school staff and eventually opened our clinic to patients and the public throughout 2021. We administered more than 140,000 COVID-19 vaccines in 2021. Additionally, we hosted the Colorado Department of Public Health and Environment's mobile vaccine busses on each of our hospital campuses during the pediatric vaccine rollouts in late 2021 and plan to again beginning in June 2022 when the youngest age group (6 months+) is authorized. The provided summary does not fully capture the investment of financial resources and staff time to rapidly build and implement new infrastructure, clinic operations, public health education initiatives, research programs and cross-system activities that continued to be necessary in the second year of the COVID-19 pandemic. Social Determinants of Health The immediate impact of the pandemic imposed complex social and economic challenges for many families. The complexity of needs continued to be paramount throughout 2021. Critical needs included baby formula, diapers, food, utility assistance, housing and eviction prevention, and public benefits. Prior to the pandemic, Children's Colorado had systems in place to address social determinants of health within our walls and in the community and we were able to rapidly adjust to address the most pressing needs of our families and the community. Health Navigation is a patient-centric evidence-based model focused on addressing the social determinants of health. Navigators reduce barriers that keep patients from getting timely treatment by identifying patient needs and supporting them in accessing clinical, financial, or social supports. More than 20 navigators work in multiple clinical and primary care settings across our health care system. In 2021, resource support was provided to 13,855 unique patients and their families. In 2019, Children's Colorado opened Resource Connect in our Health Pavilion facility. Resource Connect anchors the Children's Colorado's strategy for population health-delivering healthcare that lasts beyond a clinic visit and enhances care for patient and families by creating a centralized place to access their most common social needs. The services provided through Resource Connect promote equitable access to the resources that all families. This is all accomplished through robust partnerships between Children's Hospital Colorado and community-based organizations. In 2021, Children's Colorado providers and other team members referred nearly 1,700 families to Resource Connect. More than 85% of Children's Colorado's Health Pavilion patients are insured by Medicaid/publicly funded insurance or underinsured/not insured. Families seen at the Health Pavilion are ethnically and racially diverse; many identify as Latino and there is a growing population of immigrant families from Africa, Nepal, and southeast Asia. Approximately 60% of children seen are age 3 and under. As a not-for-profit hospital, Children's Colorado is proud to provide investments that respond to community needs and serve our community. This summary is a snapshot of our responsiveness to community need. Another component of addressing community need is ensuring equitable access to health care for all children. Children's Colorado provides more health care services to children covered by Colorado Medicaid than any other provider in the State. In 2021, the health insurance coverage mix among our patient population included 48% of patients covered by Medicaid, 43.6% managed/commercial care, 6.5% other government programs, and 1.8% self-pay, indigent, or uninsured. Oral Health Promotion and Community Outreach Although, oral health has not been identified as a priority through the Community Health Needs Assessment process the community has expressed concern about the cost and lack of providers in their communities. In response, the Child Health Advocacy Institute provides various oral health services to increase access to dental care, help address barriers, and improve the oral health of children in our community. The strategies include oral health promotion through community outreach, increasing access to care by providing preventive oral health services at the School-Based Dental Clinic (SBDC) and increasing preventive dental services at primary medical visits. There were approximately 440 patient encounters in the SBDC with 444 referrals from the SBHCs. The majority of referrals (44%) qualified for the Aurora Public Schools Dental Program Fund, followed by Medicaid (24%).
Schedule H, Part VI, Line 7IN 2019, COLORADO LAWMAKERS PASSED HB19-1320 REQUIRING NONPROFIT HOSPITALS TO SUBMIT AN ANNUAL COMMUNITY BENEFIT REPORT.
Schedule H, Part II, Line 10IN 2021, CHILDREN'S HOSPITAL COLORADO PROVIDED $ 902,047 IN COMMUNITY BUILDING ACTIVITIES. THESE ACTIVITIES ARE DESIGNED TO PROMOTE THE HEALTH OF THE BROADER COMMUNITY. WE CONTINUE TO BUILD ON OUR LONG AND STRONG RECORD OF COLLABORATION WITH COMMUNITY GROUPS, BUSINESSES, ACADEMIC INSTITUTIONS AND GOVERNMENTAL AND NON-GOVERNMENTAL ORGANIZATIONS, WITH THE GOAL OF IMPROVING HEALTH OUTCOMES AND REDUCING HEALTH DISPARITIES FOR CHILDREN AND THEIR FAMILIES.
Schedule H, Part VI, Line 5 CONTINUATION 2Over 3,000 oral health promotion items have been distributed within the community including toothbrushes, toothpaste, oral health education, toothbrushing charts, and books. Four virtual parent coffees and school events, three Back-to-School events, and a city-wide community event were attended. Screening events happened at three schools. A total of over 300 students received oral health education and 134 students received screenings. Planning for an additional 5 school screening events for the remaining 2021- 2022 school year also occurred. Pediatric Mental Health Institute At Children's Colorado, our commitment to mental health has been longstanding and unwavering. Child and youth mental health is a top priority for us across the entire organization. But the mental health crisis in Colorado is still growing and continues to challenge children and families, as well as Children's Colorado's care teams and our system's capacity. Children's Colorado is one of the most comprehensive providers of youth mental health services in Colorado, treating kids from all 64 counties. Across four hospitals, we treat the most children in crisis through our emergency departments, are one of the largest providers of outpatient care and provide inpatient care to the most complex pediatric patients. Children's Colorado is stepping up as a trusted community resource to help fill the gaps in Colorado's public systems. * We hosted 53 virtual lunch-and-learn sessions reaching more than 520 providers. * More than 60 community mental health education events were hosted, directed toward parents, schools, coaches, and other adults. * More than 70,000 kids are reached by our school nurse consultation program, which provides mental health consultations across hundreds of schools and childcare centers. * We crafted more than 20 state policy initiatives aimed at prevention and comprehensive, community-based youth mental health treatment options. Other Health Profession Education As part of our mission to improve the health of children, Children's Colorado offers a broad spectrum of training, education, and certification programs for healthcare professionals, aimed at developing and sustaining pediatric expertise. In addition to providing training opportunities in clinical settings we provide a wide range of professional development opportunities to support community-based health care professionals As a Level One Trauma Center, we also connect with first responders, hospital providers and other medical facilities via our Outreach and Education team. Many of these providers live and work in rural communities across Colorado and the surrounding six states. Our team leverages evidence-based research and guidelines developed by Children's Colorado to provide training opportunities that often change the way Emergency Medical Services teams respond to pediatric emergencies, helping them achieve improved outcomes. Workforce Development Founded at Children's in 1998, the Medical Career Collaborative program (MC2), is a hands-on learning program that serves low-income minority youth interested in pursuing a career in the health care field. MC2 serves as an educational and supportive outlet for high achieving and driven students who often lack necessary supports in their communities. The program's mission of helping high school students from diverse backgrounds explore the world of healthcare and discover the opportunities available to them in the medical industry, is a strategic program as part of HR's workforce development efforts. As the program invests in these students it is essentially increasing the diversity and cultural awareness of the healthcare workforce as it builds the next generation of professionals here at Children's Colorado and in the community. Medical Faculty Profile Our open medical staff arrangement allows community practitioners to hold privileges at our hospitals, and more than half of our approximately 1,700 medical staff of providers and advanced practice nurses are community-based. Among the thousands of referring providers throughout our seven-state region, these community staff members are frontline partners not only in establishing a seamless continuum of care for our young patients, but in providing training opportunities in primary care for the medical students and residents who will become tomorrow's pediatric professionals. Through our affiliation with family medicine residency programs in Colorado and Wyoming, we're able to provide pediatric rotation at our hospitals, which offers significant benefit to a region with a large rural population and a shortage of rural care providers. These affiliations also ensure that a primary care perspective is central to our strategies for providing the region's children with the broadest spectrum of care. Research Research is woven into Children's Colorado's mission to improve the health of children through the provision of high-quality, coordinated programs of patient care, education, research, and advocacy. We offer our patients the most innovative treatments available, and in affiliation with the University of Colorado School of Medicine, Children's Colorado has been a national center for pediatric research for more than 50 years. Our Pediatric Clinical Translational Research Center accelerates the translation of innovative science to get advanced treatments to patients more quickly. Our physician-scientists have pioneered seminal research in the treatment of pediatric liver disease, infectious disease and vaccines, pediatric and adolescent HIV and AIDS, cystic fibrosis, pulmonary hypertension, pediatric cardiology, and neonatology. Board of Directors At the time of filing this form 990, Children's Hospital Colorado's Board of Directors is made up of twenty-six volunteers and the associated executive leaders from the hospital and affiliated institutions. Board service is a commitment to help further the hospital's mission of improving the health of children through the provision of high quality, coordinated programs of patient care, education, research, and advocacy. Kids are Our Bottom Line As a non-profit organization, surplus funds are invested back into providing health care services and resources to the community, including but not limited to new patient care locations and equipment, expanded programs and services, community health promotion, research, and training of physicians, nurses, and other allied health professionals.
Schedule H, Part VI, Line 6AFFILIATIATED HC SYSTEM - N/A
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountTHE ORGANIZATION RECOGNIZES NET PATIENT SERVICE REVENUE IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) 606, REVENUE FROM CONTRACTS WITH CUSTOMERS. THE ADOPTION OF ASC 606 RESULTED IN CHANGES TO THE PRESENTATION FOR NET PATIENT SERVICES REVENUE RELATED TO UNINSURED OR UNDERINSURED PATIENTS. UNDER ASC 606, THE ESTIMATED UNCOLLECTABLE AMOUNTS DUE FROM THESE PATIENTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE, RATHER THAN AS A PROVISION FOR BAD DEBTS, AND ARE BASED PRIMARILY ON HISTORICAL COLLECTION EXPERIENCE. OTHER THAN THESE CHANGES IN PRESENTATION, THE ADOPTION OF ASC 606 DID NOT HAVE A MATERIAL IMPACT ON THE OVERALL FINANCIAL STATEMENTS OF THE ORGANIZATION. EXPANDED DISCLOSURES REQUIRED BY ASC 606 ARE INCLUDED WITHIN NOTE 4, NET PATIENT SERVICES REVENUE.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyCHILDREN'S HOSPITAL INACTIVATES AR BALANCES BETWEEN 150-175 DAYS AFTER THE FIRST BILLING CYCLE. ACCOUNTS ARE REFERRED TO COLLECTION AGENCIES FOR RECOVERY. THE HOSPITAL DOES NOT REPORT ANY BAD DEBT AMOUNT IN COMMUNITY BENEFIT.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteTHE ORGANIZATION RECOGNIZES NET PATIENT SERVICE REVENUE IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) 606, REVENUE FROM CONTRACTS WITH CUSTOMERS. THE ADOPTION OF ASC 606 RESULTED IN CHANGES TO THE PRESENTATION FOR NET PATIENT SER VICES REVENUE RELATED TO UNINSURED OR UNDERINSURED PATIENTS. UNDER ASC 606, THE ESTIMATED UNCOLLECTABLE AMOUNTS DUE FROM THESE PATIENTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE, RATHER THAN AS A PROVISION FOR BAD DEBTS, AND ARE BASED PRIMARILY ON HISTORICAL COLLECTION EXPERIENCE. OTHER THAN THESE CHANGES IN PRESENTATION, THE ADOPTION OF ASC 606 DID NOT HAVE A MATERIAL IMPACT ON THE OVERALL FINANCIAL STATEMENTS OF THE ORGANIZATION. EXPANDEDDISCLOSURES REQUIRED BY ASC 606 ARE INCLUDED WITHIN NOTE 4, NET PATIENT SERVICES REVENUE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsTHE SHORTFALL REPORTED IN LINE 7 REPRESENTS MEDICARE SHORTFALLS FOR HIGH NEED PEDIATRIC PATIENTS SERVED BY CHILDREN'S HOSPITAL COLORADO. IF CHILDREN'S HOSPITAL COLORADO DID NOT SUBSIDIZE THE HIGHLY SPECIALIZED CARE, ACCESS FOR THIS POPULATION WOULD BE LIMITED, THUS WE VIEW THIS CARE AS COMMUNITY BENEFIT. THE HOSPITAL UTILIZED COST TO CHARGE RATIO METHODOLOGY TO ARRIVE AT THIS NUMBER. THE AMOUNT INCLUDES ALL COSTS LESS ALL PAYMENTS RECEIVED.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceYES, THE ORGANIZATION DOES HAVE A WRITTEN DEBT COLLECTION POLICY. PRIOR TO DEBT REFERRALS, ACCOUNTS ARE REVIEWED FOR ALL THIRD-PARTY PAYER ELIGBILITY PRIOR TO QUALIFYING FOR ANY CHARITY CARE OR FINANCIAL ASSISTANCE. ONCE THE PATIENT'S RESPONSIBILITY IS VALIDATED, THE HOSPITAL PROVIDES SLIDING SCALE DISCOUNTS BASED ON INCOME AND/OR EXPENSES. PARENTS WHOSE CHILDREN DO NOT QUALIFY FOR MEDICAID CAN ALSO APPLY FOR THIS DISCOUNT PLAN. THE HOSPITAL HAS A DEDICATED FINANCIAL COUNSELING/SERVICES DEPARTMENT WHO WORK CLOSELY WITH PARENTS TO ESTABLISH PAYMENT PLANS.
Schedule H, Part V, Section B, Line 16a FAP websiteA - CHILDREN'S HOSPITAL COLORADO (CHCO) - ANSCHUTZ MEDICAL CAMPUS: Line 16a URL: www.childrenscolorado.org/your-visit/insurance-financial-resources/financial-assistance-programs/; - CHCO - NORTH CAMPUS: Line 16a URL: www.childrenscolorado.org/your-visit/insurance-financial-resources/financial-assistance-programs/;
Schedule H, Part V, Section B, Line 16b FAP Application websiteA - CHILDREN'S HOSPITAL COLORADO (CHCO) - ANSCHUTZ MEDICAL CAMPUS: Line 16b URL: www.childrenscolorado.org/your-visit/insurance-financial-resources/financial-assistance-programs/; - CHCO - NORTH CAMPUS: Line 16b URL: www.childrenscolorado.org/your-visit/insurance-financial-resources/financial-assistance-programs/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary websiteA - CHILDREN'S HOSPITAL COLORADO (CHCO) - ANSCHUTZ MEDICAL CAMPUS: Line 16c URL: www.childrenscolorado.org/your-visit/insurance-financial-resources/financial-assistance-programs/; - CHCO - NORTH CAMPUS: Line 16c URL: www.childrenscolorado.org/your-visit/insurance-financial-resources/financial-assistance-programs/;
Schedule H, Part VI, Line 2 Needs assessmentIN ADDITION TO THE CHNA, CHILDREN'S HOSPITAL COLORADO REGULARLY ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY WE SERVE. ACROSS THE HOSPITAL, NUMEROUS INTERNAL AND EXTERNAL DATA SOURCES ARE REGULARLY MONITORED AND UTILIZED TO IDENTIFY TRENDS AND OPPORTUNITIES TO IMPACT CHILD HEALTH. ADDITIONALLY, HOSPITAL STAFF DEDICATES SIGNIFICANT TIME TO SERVING ON COMMUNITY BOARDS AND OTHER COMMUNITY GROUPS THAT ASSESS HEALTH NEEDS OF THE COMMUNITY AND PROACTIVELY PARTICIPATES IN THE HEALTH IMPROVEMENT EFFORTS LED BY THESE PARTNERS. IN 2018, CHCO FORMALIZED A POPULATION HEALTH STRATEGY. THE GOAL IS THE CREATION AND OPERATION OF A COMMUNITY BASEDPARTNER DRIVEN NETWORK OF CARE. THIS NETWORK BOTH EXPANDS ACCESS TO TRADITIONAL PEDIATRIC HEALTHCARE AND EXPANDS ACCESS TO NON-TRADITIONAL CARE THAT ADDRESSES A CHILD'S TOTAL PICTURE OF HEALTH. A COMMUNITY BASED, PARTNER DRIVEN NETWORK OF CARE REQUIRES IDENTIFYING PARTNERS THAT WILL ENGAGE IN A TRANSFORMATIVE SYSTEM OF CARE, ONE THAT ALLOWS A PEDIATRIC SPECIALTY HOSPITAL TO WORK WITH COMMUNITY BASED PARTNERS TO GENERATE IMPROVED HEALTH FOR ALL KIDS IN A TARGETED REGION, DESPITE NEVER BEING PATIENTS OR HAVING LIMITED INTERACTIONS WITH THAT HOSPITAL. THE NETWORK SUPPORTS IMPROVEMENTS IN THE DELIVERY OF TRADITIONAL HEALTHCARE SERVICES, LIKE THE NUMBER OF IMMUNIZATIONS, WELL-CHILD VISITS, ORAL HEALTH SCREENINGS AND BEHAVIORAL HEALTH INTERVENTIONS. IN ADDITION, SUPPORTING IMPROVEMENTS IN SOCIAL CONDITIONS IMPACTING HEALTH SUCH AS INCREASED ATTENDANCE AT SCHOOL, INCREASED ACCESS TO NUTRITIONAL FOOD AND SUSTAINED ACCESS TO STABLE HOUSING. THIS WORK WILL INFORM HOW WE ESTABLISH EFFECTIVE HEALTH SYSTEM-COMMUNITY BASED ORGANIZATION COLLABORATIONS WHILE WORKING TOWARD LONG-TERM SUSTAINABILITY IN HOW HEALTH CARE IS DELIVERED TO THE CHILDREN AND FAMILIES WE SERVE.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceCHILDREN'S HOSPITAL COLORADO HAS A PROCESS FOR INFORMING AND EDUCATING FAMILIES ABOUT HOW THEY MAY BE BILLED FOR PATIENT CARE AND THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. CHILDREN'S HOSPITAL COLORADO'S FULL TIME PATIENT FINANCIAL COUNSELORS ARE DEDICATED TO WORKING WITH FAMILIES TO PROVIDE GUIDANCE REGARDING AVAILABLE FINANCIAL ASSISTANCE WHICH ENSURES THAT ITS PATIENT POPULATION RECEIVES THE CRITICAL CARE IT NEEDS. ADDITIONALLY, CHILDREN'S HOSPITAL COLORADO PROVIDES PATIENT ASSISTANCE TO HELP IDENTIFY COMMUNITY-BASED RESOURCES, FACILITATE SERVICES AND PROVIDE APPROPRIATE REFERRAL ASSISTANCE TO HELP WITH CONTINUITY OF CARE. INPATIENT PROCESS: THIS PROCESS APPLIES TO PATIENTS WHO ARE BEING ADMITTED FOR OBSERVATION, SURGERY OR OTHER INPATIENT SERVICES. IF THE PATIENT IS PRE-SCHEDULED, CHILDREN'S HOSPITAL COLORADO PATIENT ACCESS WORKS TO CONTACT THE FAMILY PRIOR TO ADMISSION TO ARRANGE FOR A FINANCIAL SCREENING APPOINTMENT. REGARDLESS OF WHETHER AN APPOINTMENT IS SET PRIOR TO ADMISSION, THE PATIENT FINANCIAL COUNSELING TEAM WORKS WITH THE FAMILY TO DETERMINE THEIR SELF-PAY STATUS (EITHER NON-COMMERCIAL OR GOVERNMENT INSURANCE) AND SUBSEQUENTLY WORKS WITH THEM TO SCREEN FOR FINANCIAL ASSISTANCE OPTIONS. OUTPATIENT PROCESS: WHEN A PATIENT SCHEDULES A NON-EMERGENT OR URGENT OUTPATIENT CLINIC VISIT, THEY WILL IDENTIFY THEMSELVES AS SELF-PAY IF THEY DO NOT HAVE EITHER COMMERCIAL OR GOVERNMENT INSURANCE. AT THIS POINT, THEY ARE GIVEN TWO OPTIONS: (1) PAY A $200 DEPOSIT AT THE TIME OF APPOINTMENT AND BE BILLED ANY REMAINING BALANCE OR (2) SCHEDULE TIME WITH PATIENT FINANCIAL COUNSELING FOR ASSISTANCE. IF THE PATIENT WAS SEEN IN THE EMERGENCY DEPARTMENT OR URGENT CARE WITHOUT THE PRE-SCREEN, THEY STILL CAN APPLY FOR FINANCIAL ASSISTANCE WITH THE PATIENT FINANCIAL COUNSELING OFFICE. ALL SELF-PAY FAMILIES ARE AUTOMATICALLY GIVEN A 35 PERCENT DISCOUNT. CHILDREN'S HOSPITAL COLORADO HAS A FORMAL POLICY REGARDING ELIGIBILITY CRITERIA FOR CHARITY CARE. THE DECISION TO PROVIDE CHARITY CARE WILL BE, IN ALL CASES, BASED ON A REVIEW OF THE INCOME, ASSETS AND LIABILITIES OF THE FAMILY AT THE TIME OF ADMISSION TO THE HOSPITAL OR CLINIC. THE LEVELS OF CHARITY CARE AND FINANCIAL ASSISTANCE PROVIDED BY CHILDREN'S HOSPITAL COLORADO WILL BE DETERMINED BASED ON FEDERAL POVERTY GUIDELINES WHICH MAY BE ADJUSTED UP TO 200 PERCENT AND REVISED FROM TIME TO TIME. FAMILIES WITH ADJUSTED GROSS INCOME BETWEEN 200 PERCENT AND 400 PERCENT OF FEDERAL POVERTY GUIDELINES MAY ALSO BE CONSIDERED FOR CHARITY CARE WITH A CAP FOR OUT-OF-POCKET RESPONSIBILITY. DETERMINATION OF ELIGIBILITY WILL BE EFFECTIVE FOR SIX MONTHS AND APPLY TO ALL PATIENTS REGARDLESS OF IMMIGRATION STATUS. CHILDREN'S COLORADO WORKS TO PROVIDE NECESSARY HOSPITAL-RELATED SERVICES CONSISTENT WITH ITS MISSION, ITS STATUS AS A NONPROFIT HOSPITAL AND ITS STEWARDSHIP RESPONSIBILITY TO ITS DONORS. CHILDREN'S HOSPITAL COLORADO'S FINANCIAL ASSISTANCE PUBLIC POLICY AND PLAIN LANGUAGE SUMMARY ARE available at www.childrenscolorado.org/your-visit/insurance-financial-resources/financial-assistance-programs/.
Schedule H, Part VI, Line 4 Community informationAcross Colorado, approximately 1.3 million children under the age of 18 represent 22% of the population. It is estimate that three in ten households in Colorado have children. Our Anschutz Medical Campus, South Campus, and location at Parker Adventist all sit within the Denver Metro area. Most of our admissions and outpatient visits come from children living in four Metro Denver counties: Arapahoe, Adams, Denver, and Douglas. Aurora, Colorado, the location of our Anschutz Medical Campus, is the third most populous city in Colorado and spans three counties: Adams, Arapahoe, and Douglas. With 20% of residents born outside the country and 33% who speak a language other than English at home, Aurora is one of the most diverse municipalities in the state. Children's Colorado, Colorado Springs, opened May 28, 2019. The facility is southern Colorado's first pediatric-only hospital, providing more than 175,000 children with pediatric care closer to home. Colorado Springs is the second-most populated city in Colorado. The city is located in El Paso County, which surpassed the City and County of Denver as the state's most populous county as of the 2020 Census. Census Bureau data from 2019 shows that 10% of children under the age of 18 in El Paso County live below the poverty line. United States Army, Air Force and Space Force bases are situated in the county, which leads to a significant presence of military families and adds to the diversity of population.
Schedule H, Part VI, Line 7 State filing of community benefit reportCO

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (24 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
CHEYENNE FRONTIER DAYS INC
PO Box 2477CheyenneWY82003830297781501(c)(3)$18,300General Program Support
CHEYENNE MOUNTAIN ZOOLOGICAL SOCIETY
4250 Cheyenne Mtn Zoo RdCol SprCO80906840407039501(c)(3)$81,000General Program Support
CHILDRENS MUSEUM OF DENVER INC
2121 Childrens Museum DrDenverCO80211840658142501(c)(3)$30,000General Program Support
CITY OF COLORADO SPRINGS
PO 1575 MC 250Colorado SpringsCO80901846000573501(c)(3)$15,000General Program Support
COLORADO RUSH SOCCER
8101 S Shaffer Pkwy 103LittletonCO80127841411827501(c)(3)$15,000General Program Support
COLORADO SPRINGS YOUTH SPORTS
2212 Exec CirColorado SpringsCO80906841350101501(c)(3)$8,000General Program Support
DENVER BOTANIC GARDENS
909 York StreetDenverCO80206840440359501(c)(3)$7,500General Program Support
DENVER MUSEUM OF NATURE & SCIENCE
2001 Colorado BlvdDenverCO802055798840518447501(c)(3)$12,500General Program Support
DENVER ZOO
2300 Steele StreetDenverCO80205840502539501(c)(3)$80,000General Program Support
FORT COLLINS MUSEUM OF DISCOVERY
408 Mason CourtFort CollinsCO80524742541265501(c)(3)$10,000General Program Support
GOLD CROWN FOUNDATION INC
1743 Wazee Street Ste 300DenverCO80202742422126501(c)(3)$45,000General Program Support
Papua New Guinea Tribal Foundation
121 South Nevada AveMontroseCO81401271334147501(c)(3)$60,000General Program Support
PIKES PEAK CHILDRENS MUSEUM
2565 Airport RoadColorado SpringsCO80910203451384501(c)(3)$10,500General Program Support
PIKES PEAK LIBRARY DISTRICT FOUNDATION
1175 Chapel Hills DriveColorado SpringsCO80920113690724501(c)(3)$12,000General Program Support
PIKES PEAK OR BUST RODEO
104 S Cascade Ave 200BColorado SpringsCO80903841589318501(c)(3)$6,000General Program Support
REAL COLORADO
8200 South Akron St Ste 122CentennialCO80112742392779501(c)(3)$24,000General Program Support
RONALD MCDONALD HOUSE CHARITIES
4223 Royal Pine DriveColorado SpringsCO80920841013843501(c)(3)$14,500General Program Support
SWITCHBACKS FC
234 N Tejon StColorado SpringsCO80903464110067501(c)(3)$35,000General Program Support
TRAILS AND OPEN SPACE COALITION
702 E Boulder Street 200Colorado SpringsCO80903841156471501(c)(3)$10,000General Program Support
WOW CHILDRENS MUSEUM WORLD OF WONDER LTD
110 N Harrison AveLafayetteCO80026841421537501(c)(3)$10,000General Program Support
YMCA OF METROPOLITAN DENVER
2625 S Colorado BlvdDenverCO80222840402696501(c)(3)$30,000General Program Support
YMCA OF NORTHERN COLORADO & BOULDER VALL
2800 Dagny WayLafayetteCO80026840459944501(c)(3)$12,000General Program Support
YMCA OF THE PIKES PEAK REGION
316 North Tejon StColorado SpringsCO80903840404266501(c)(3)$32,500General Program Support
YOUNG AMERICANS CENTER FOR FINANCIAL
3550 E First AveDenverCO80206841564926501(c)(3)$10,000General Program Support
FieldValueIRS element (for citing)
Total501c3 Org24Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationCHILDREN'S HOSPITAL COLORADO RELIES ON THE GOVERNANCE PRACTICES OF THE RECIPIENT EXEMPT ORGANIZATIONS TO MONITOR THE USE OF FUNDS AS INTENDED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Jena Hausmann
President and CEO$1,097,532$0$575,978$0$283,526$0$307,630$0$25,767$0$2,290,433$0$279,909$0
Jeffrey Harrington
SVP and CFO$605,812$0$225,153$0$145,799$0$161,348$0$15,472$0$1,153,584$0$136,902$0
Michelle Lucero
Chief Legal Officer, General Counsel/Secretary$461,649$0$146,366$0$104,060$0$137,907$0$16,571$0$866,553$0$97,484$0
David Biggerstaff
EVP and COO$650,387$0$282,931$0$114,919$0$176,537$0$24,694$0$1,249,468$0$110,026$0
Dana Moore
SVP and CIO$476,641$0$160,085$0$7,220$0$136,238$0$23,008$0$803,192$0$0$0
Elizabeth Rodriguez
SVP Chief HR Officer$381,289$0$132,609$0$77,270$0$107,671$0$20,249$0$719,088$0$68,393$0
Raphe Schwartz
SVP and Chief Strategy Officer$419,767$0$159,068$0$3,288$0$120,297$0$22,995$0$725,415$0$0$0
Margaret Sabin
Past President Colorado Springs$463,500$0$159,908$0$101,635$0$132,995$0$18$0$858,056$0$81,198$0
Patricia Givens
SVP Patient Care Svcs & CNO$366,690$0$114,203$0$82,402$0$108,336$0$18$0$671,649$0$66,346$0
Suzanne Jaeger
SVP Experience and Access$339,519$0$110,692$0$86,302$0$117,328$0$18,071$0$671,912$0$81,213$0
Gregory Raymond
SVP Colorado Springs President$342,841$0$95,996$0$51,249$0$107,649$0$22,995$0$620,730$0$49,291$0
Amy Feaster
VP IT Associate CIO$293,136$0$82,225$0$195,962$0$98,200$0$7,546$0$677,069$0$189,347$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planTHE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS FROM A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: SUZANNE JAEGER $81,213 AMY FEASTER $189,348 GREGORY RAYMOND $49,291 JEFFREY HARRINGTON $136,902 JENA HAUSMANN $279,909 PATRICIA GIVENS $66,346 MICHELLE LUCERO $97,484 DAVID BIGGERSTAFF $110,026 ELIZABETH RODRIGUEZ $68,393 MARGARET SABIN $81,198
Schedule J, Part I, Line 7 Non-fixed paymentsCERTAIN INDIVIDUALS ARE ELIGIBLE TO PARTICIPATE IN THE INCENTIVE PLAN FOR CHILDREN'S COLORADO, THE COMPONENTS OF WHICH INCLUDE ACHIEVEMENT OF ORGANIZATIONAL PERFORMANCE GOALS AND INDIVIDUAL PERFORMANCE GOALS. BECAUSE THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS RESERVES THE RIGHT TO CHANGE, AMEND OR TERMINATE THIS PLAN AT ANY TIME, FOR ANY REASON, AT ITS SOLE DISCRETION AND BECAUSE OF CERTAIN OTHER CONDITIONS OF THE PLAN, LINE 7 REGARDING "NON-FIXED PAYMENTS" IS ANSWERED YES. NOTE THAT PRIOR TO THE PAYMENT OF ANY AMOUNTS TO AN INDIVIDUAL WHO IS CONSIDERED A DISQUALIFIED PERSON, THE COMPENSATION COMMITTEE SHALL CERTIFY IN WRITING THE EXTENT TO WHICH THE PERFORMANCE FACTORS ESTABLISHED BY THE COMPENSATION COMMITTEE HAVE BEEN SATISFIED AND SHALL APPROVE THE PAYMENT OF SUCH BONUSES TO SUCH INDIVIDUALS. SEE PART VI, LINES 15A AND 15B FOR ADDITIONAL INFORMATION ON EXECUTIVE COMPENSATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
COLORADO HEALTH FACILITIES AUTHORITY
A84075293219648AL522013-08-14$309,252,566SERIES 2013 - SEE PART VIfalsefalsefalse
COLORADO HEALTH FACILITIES AUTHORITY
B84075293219648A7J82016-05-24$200,724,807SERIES 2016A & 2016C - SEE PART VIfalsefalsefalse
COLORADO HEALTH FACILITIES AUTHORITY
C84075293219648A8D02016-05-24$70,300,000SERIES 2016B - SEE PART VIfalsefalsefalse
COLORADO HEALTH FACILITIES AUTHORITY
D8407529320000000002019-03-27$20,000,000SERIES 2019A - SEE PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$237,105,000$309,252,566$1,844,600$197,052,966$110,355,0002013Yes (true)falseYes (true)Yes (true)
B$33,195,000$200,724,807$1,519,986$80,000,000$119,204,8212019falseYes (true)Yes (true)Yes (true)
C$70,300,000$300,000$70,000,0002019falsefalseYes (true)Yes (true)
D$7,634,708$20,000,000$58,500$19,941,5002019falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0.0falsefalseYes (true)
Bfalsefalsefalsefalse0.0falsefalseYes (true)
Cfalsefalsefalsefalse0.0falsefalseYes (true)
Dfalsefalsefalsefalse0.0falsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
JP MORGAN
AfalsefalsefalseYes (true)Yes (true)Yes (true)24.9falsefalseYes (true)
(no name)
BfalsefalsefalseYes (true)falsefalsefalsefalseYes (true)
(no name)
CfalsefalsefalseYes (true)Yes (true)falsefalsefalseYes (true)
(no name)
DfalseYes (true)falsefalsefalsefalsefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part I, Column (f) Description of purposeBOND A - HOSPITAL REVENUE BONDS SERIES 2013 THE PURPOSE OF THIS BOND ISSUE WAS TO FINANCE LONG-TERM PROJECTS AND TO REFUND SERIES 2008B AND 2008C BONDS. BOND B - HOSPITAL REVENUE BONDS SERIES 2016A & 2016C THE PURPOSE OF THIS BOND ISSUE WAS TO FINANCE LONG-TERM PROJECTS AND TO REFUND SERIES 2004C AND 2004D BONDS. BOND C - HOSPITAL REVENUE BONDS SERIES 2016B THE PURPOSE OF THIS BOND ISSUE WAS TO FINANCE LONG-TERM PROJECTS. BOND D - HOSPITAL REVENUE BONDS SERIES 2019A THE PURPOSE OF THIS BOND ISSUE WAS TO PURCHASE EQUIPMENT. BOND E - HOSPITAL REVENUE BONDS SERIES 2019BCD THE PURPOSE OF THIS BOND ISSUE WAS TO REFUND SERIES 2013B, 2013C1 AND 2013C2. BOND F - HOSPITAL REVENUE BONDS SERIES 2020A-B THE PURPOSE OF THIS BOND ISSUE IS TO REFUND SERIES 2008A & 2010A BONDS. BOND G - HOSPITAL REVENUE BONDS SERIES 2021A THE PURPOSE OF THIS BOND ISSUE IS TO FINANCE CAPITAL EQUIPMENT.
Schedule K, Part IV, Line 2c Date of rebate computationBond A (Series 2013): May 23, 2018 Bond B (SERIES 2016A & 2016C): November 9, 2021 Bond C (SERIES 2016B): November 17, 2021

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
COLORADO HEALTH FACILITIES AUTHORITY
A84075293219648FMY72019-11-04$235,360,000SERIES 2019BCD - SEE PART VIfalsefalsefalse
COLORADO HEALTH FACILITIES AUTHORITY
B84075293219648FPT52020-07-01$105,685,000SERIES 2020A-B - SEE PART VIfalsefalsefalse
COLORADO HEALTH FACILITIES AUTHORITY
C8407529320000000002021-07-29$20,000,000SERIES 2021a - SEE PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRetiredRetiredAmtUnspentUnspentAmtCapital ExpendituresCapitalExpendituresAmt
A$235,360,000$408,677$234,951,3232019Yes (true)falseYes (true)Yes (true)
B$105,685,000$844,996$104,814,2972020Yes (true)falseYes (true)Yes (true)$1,110,000$25,707
C$20,000,0002021falsefalseYes (true)Yes (true)$1,310,245$20,000,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0.0falsefalseYes (true)
Bfalsefalsefalsefalse0.0falsefalseYes (true)
Cfalsefalsefalsefalse0.0falsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalseYes (true)falsefalseYes (true)falsefalsefalseYes (true)
BfalseYes (true)falsefalseYes (true)falsefalsefalseYes (true)
CfalseYes (true)falsefalsefalsefalsefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part I, Line 6FROM TEENAGERS TO GREAT GRANDPARENTS, FROM HOMEMAKERS TO PROFESSIONAL ATHLETES, CHILDREN'S HOSPITAL COLORADO VOLUNTEERS ENCOMPASS ALL WALKS OF LIFE AND ALL INCOME LEVELS, EACH VOLUNTEER WITH SOMETHING UNIQUE TO OFFER. OUR DIVERSE GROUP OF VOLUNTEERS HAS ONE THING IN COMMON, HOWEVER, THE DESIRE TO HELP SICK CHILDREN AND THEIR FAMILIES. CHILDREN'S HOSPITAL COLORADO IS FORTUNATE TO HAVE HUNDREDS OF DEDICATED VOLUNTEERS WHO WORK REGULARLY, FROM SEVERAL HOURS A YEAR TO SEVERAL HOURS A WEEK, TO PROVIDE BETTER CARE FOR THE CHILDREN OF CHILDREN'S HOSPITAL COLORADO. THE ASSOCIATION OF VOLUNTEERS THE VOLUNTEERS AT CHILDREN'S HOSPITAL COLORADO ARE ALL PART OF A GROUP CALLED CHILDREN'S HOSPITAL COLORADO ASSOCIATION OF VOLUNTEERS (AOV). THE AOV COORDINATES PLACEMENTS FOR VOLUNTEERS AND ENSURES THAT COMPLETE ORIENTATION AND TRAINING IS PROVIDED TO ALL VOLUNTEERS. OUR VOLUNTEER'S SKILLS AND INTERESTS ARE ALL SO APPRECIATED AND WE TRY TO PLACE EVERYONE IN A ROLE THAT SUITS THEM AND OUR NEEDS. THE EXAMPLES BELOW ARE JUST SOME OF THE WAYS THAT OUR VOLUNTEERS CONTRIBUTE: - VOLUNTEERS ARE ACTIVE AT THE HOSPITAL ON THE ANSCHUTZ MEDICAL CAMPUS, THE SOUTH CAMPUS, HIGHLANDS RANCH THERAPY CARE CENTER, BRIARGATE, COLORADO SPRINGS HOSPITAL AND THE NORTH CAMPUS. - VOLUNTEERS SPEND TIME WITH OUR PATIENTS BY HOLDING, COMFORTING, PLAYING WITH THEM AND MAKING THEM LAUGH. - VOLUNTEERS BRING SPECIALLY-SCREENED DOGS TO PROVIDE ANIMAL-ASSISTED THERAPY FOR THE PRESCRIPTION PET PROGRAM. - SPECIALLY TRAINED VOLUNTEERS SERVE AS AMBASSADORS WITH THE WELCOME PROGRAM. VOLUNTEERS GREET NEWLY ADMITTED PATIENT FAMILIES UPON THEIR ARRIVAL AND INTRODUCE THEM TO THE HOSPITAL'S MANY AMENITIES. THE GOAL IS TO PROVIDE A WARM AND WELCOMING ENVIRONMENT AND TO ANSWER ANY NON-MEDICAL QUESTIONS. - THE WINE EVENT IS THE ASSOCIATION OF VOLUNTEERS' SIGNATURE EVENT. THE SPECIAL EVENING FEATURES A SILENT AND LIVE AUCTION OF FINE WINES AND EXPERIENCES WITH ALL PROCEEDS BENEFITING THE MATERNAL FETAL MEDICINE PROGRAM. - MANY GROUPS OF VOLUNTEERS DO NOT SPEND TIME DIRECTLY WITH OUR PATIENTS, BUT PERFORM MORE ADMINISTRATIVE DUTIES, WHICH CAN BE JUST AS IMPORTANT TO THE DAY-TO-DAY OPERATIONS OF CHILDREN'S HOSPITAL COLORADO. - TEENAGERS BETWEEN 13 AND 18 YEARS OF AGE PARTICIPATE IN THE JUNIOR VOLUNTEER PROGRAM. THEY SUPPORT THE HOSPITAL BY WORKING IN SEVERAL DEPARTMENTS AS WELL AS SUPPORTING FUNDRAISING ACTIVITIES. - VOLUNTEERS ALSO ASSIST IN FUNDRAISING BY STAFFING CHILDREN'S HOSPITAL COLORADO GIFT SHOP AND LA CACHE. - CHAPTER VOLUNTEERS IN THE COMMUNITY ARE VERY ACTIVE IN FUNDRAISING EVENTS THROUGHOUT THE YEAR THAT HELP TO FUND SPECIAL EQUIPMENT, FACILITIES AND PROGRAMS FOR THE PATIENTS OF CHILDREN'S HOSPITAL COLORADO.
Form 990, Part III, Line 4a CONTINUATION (3)The CCBD has several active Quality & Process Improvement initiatives underway in 2021 which will continue into 2022 to include, but not limited to: * The CCBD areas of patient care patient satisfaction meet or exceed all other patient care areas within Children's Hospital Colorado. * Standardizing an approach to screening for transfusion-associated iron overload increasing the number of patients identified and treated for this complication and preventing long-term toxicities. * Preventing blood stream infections in patients with a central line/catheter. * Improving time to antibiotics for patients receiving cancer care that present with fever and neutropenia (low white blood cell count) in all settings: Emergency Department & Outpatient clinic. * Decreasing the rate of clostridium difficile infections resulting in decreased mortality, decreased length of inpatient hospital stay and decreased cost for both community and hospital onset. * Increase reliability rates of Chemotherapy administered: both prescribing and administration process. * Successful Foundation for the Accreditation of Cellular Therapy (FACT) re-accreditation and continuous preparation for future surveys. FACT accreditation is a threshold for excellence in cellular therapy within the bone marrow or cord blood transplant (BMT) patient population. * A multidisciplinary process improvement working group has been implemented to streamline the peripheral stem cell collection process for increased provider and family satisfaction. ORTHOPEDICS The Orthopedics Institute (OI) at Children's Hospital Colorado consistently provides cutting edge orthopedic care to children throughout Colorado and the seven-state surrounding region, as well as patients from across the U.S. and around the world. As the only Level 1 pediatric trauma center in the seven-state region, the Orthopedics team cares for the most complex orthopedic trauma patients. Regularly recognized as a top program by U. S. News & World Report, our team of providers have expertise in the complete range of orthopedic conditions from broken bones and concussions to complex conditions like cerebral palsy and osteogenesis imperfecta. The OI has a history of setting the standard in pediatric orthopedic care by pioneering new treatments and innovative research. We were one of the first programs in the world to help children with physical disabilities participate in recreational activities when we created the Adaptive Recreation for Child Health (ARCH) program in the 1960's. The Center for Gait Movement Analysis, established in 1999, is the only center in our region and one of just 40 in the nation which offers 3D motion capture technology to facilitate treatment planning and evaluation. The OI also developed the Musculoskeletal Research Center (MRC), dedicated to advancing the field of pediatric orthopedics by continuously improving clinical outcomes, finding new cures, and testing new technologies. In 2021, the Orthopedics Institute completed 60,497 clinic visits across our network of care. This was accomplished via our provider team of 16 board certified pediatric orthopedic surgeons, 6 board certified sports medicine physicians, 3 certified pediatric nurse practitioners, and 19 certified physician assistants. We additionally have a team of dedicated orthopedic nurses, athletic trainers, orthopedic technicians, and medical assistants supporting patient care in our 12 distinct programs and 6 multidisciplinary clinics. We closely partner with disciplines such as Rehabilitation and Therapy Services, Radiology, Social Work, Psychology, Nutrition, and others to ensure that our patients get the holistic care needed to maximize their health potential. We offer specialized pediatric equipment in our clinics such as the EOS Imaging system, a safer low radiation x-ray for progressive spine, hip, and leg disorders which may require multiple imaging exams over time. EOS images can be used to create 3D reconstructions to plan a more personalized surgery for our patients. Many of our providers are also trained to use our musculoskeletal ultrasound machines. This safe and non-invasive imaging equipment assists with the evaluation and diagnosis of a variety of conditions as well as increases the accuracy of guided injections to over 90%. When surgery is the necessary method of treatment, our patients and families can be confident they have access to one of the safest, most experienced pediatric orthopedic surgery teams in the country. In 2021, our surgeons completed 4,281 procedures in operating rooms with specialized pediatric equipment. In addition to our orthopedic expertise, our surgical cases are performed in collaboration with board certified pediatric anesthesia providers and patients are cared for before, during, and after their procedure by nurses with specialized training in pediatric perioperative care. Each procedure is individualized to the anticipated growth and development of the patient. We offer a variety of innovative surgeries for scoliosis, sports injuries, orthopedic oncology, cerebral palsy, limb differences and more. Our spine program is one of only a few in the world to use real-time navigation and robotics during complex spine surgeries. Real-time navigation creates a virtual model of the spine in the operating room which allows surgeons to place spinal implants precisely and minimize damage to surrounding blood vessels, nerves, and the spinal cord. The robot acts as a guide for the surgeon, helping them make certain they are placing screws in the correct position along the spine. 2021 Orthopedics Institute Quality and Process Improvement Initiatives: * Reach 90% compliance with less than 60-minute turnaround time for intra-operative cell count results * 80% of adolescent idiopathic scoliosis patients will have a T5-T12 early post operative kyphosis of 20 degrees * Decrease intra-operative and post-operative allogenic packed red blood cell transfusion rate for bilateral VDRO and/or unilateral or bilateral pelvic osteotomy to less than 10% * Patients diagnosed with an ACL tear who start PT within 2 weeks of their diagnosis equal to or greater than 60% * Increase the percentage of adequately communicated referrals between outreach AT's and the clinical team to 80% * Develop standard work ensuring 100% of tumor patients' families are contacted the day of the patient's referral, and the patient is seen in clinic/biopsied within 72 business hours of contact * Have a skin injury rate of <1% for cast removal in the GOP program * Have a less than 2% incidence of deep surgical site infection for open hip procedures * Develop standard work ensuring 80% of patients are operated on in <10 days from time of hand injury * Increase the number of patients undergoing supervised exercise testing and receiving individualized exercise prescription within 7 days of initial Concussion program visit from baseline of <5% to target of >50%
Form 990, Part VI, Line 1a Delegate broad authority to a committeeCHILDREN'S HOSPITAL COLORADO'S EXECUTIVE COMMITTEE CONSISTS OF THE BOARD CHAIR, CHAIR ELECT, CHIEF EXECUTIVE OFFICER, SECRETARY, BOARD TREASURER, CORPORATE TREASURER, IMMEDIATE PAST CHAIR, THE CHAIR OF THE CHILDREN'S HOSPITAL COLORADO FOUNDATION, THE CHANCELLOR (OR DESIGNEE) AND UP TO TWO (2) ADDITIONAL SEATS TO BE FILLED BY THE BOARD CHAIR. THE EXECUTIVE COMMITTEE HAS ALL THE POWERS OF THE BOARD OF DIRECTORS, EXCEPT AS LIMITED BY LAW, DURING THE PERIOD BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD.
Form 990, Part VI, Line 6 Classes of members or stockholdersCHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL COLORADO.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyTHE WRITTEN CONSENT OF CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM IS REQUIRED TO APPROVE THE BOARD OF DIRECTORS OF CHILDREN'S HOSPITAL COLORADO.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersCHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM AS THE SOLE MEMBER HAS CERTAIN APPROVAL POWERS AS DESCRIBED IN THE AMENDED AND RESTATED BYLAWS DATED SEPTEMBER 22, 2011 AND AMENDED MOST RECENTLY IN FEBRUARY 2017.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyCHILDREN'S HOSPITAL COLORADO'S FINANCE DEPARTMENT WORKS CLOSELY WITH HUMAN RESOURCES, CORPORATE COMPLIANCE, LEGAL AND PUBLIC RELATIONS TO GATHER ALL THE DATA REQUIRED TO COMPLETE THE FORM 990. THE DIRECTOR OF ACCTG. & REPORTING CONDUCTS A REVIEW WITH THE CFO PRIOR TO THE DRAFT BEING DISTRIBUTED TO THE BOARD OF DIRECTORS. ANY NECESSARY CHANGES ARE MADE, THE FORM IS SIGNED BY THE CFO, REVIEWED BY THE AUDIT COMMITTEE, AND A FINAL COPY IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE IRS VIA A SECURED WEBSITE.
Form 990, Part VI, Line 12c Conflict of interest policyBOARD MEMBERS ARE REQUIRED TO DISCLOSE, ON AN ANNUAL BASIS, POTENTIAL CONFLICTS OF INTEREST PURSUANT TO THE WRITTEN POLICIES OF CHILDREN'S HOSPITAL COLORADO (CHCO) AND CHILDREN'S HOSPITAL COLORADO FOUNDATION (CHCF). ALL EMPLOYEES AND BOARD MEMBERS MUST PROMPTLY PROVIDE A WRITTEN DESCRIPTION OF MATERIAL FACTS OF AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST TO CORPORATE COMPLIANCE AND/OR GENERAL COUNSEL ON THE APPROPRIATE DISCLOSURE FORM. SUCH DISCLOSURE WILL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF THE CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. POLICIES AND PROCEDURES FOR DISCLOSING CONFLICTS OF INTEREST ARE TO BE FOLLOWED ACCORDING TO THE INDIVIDUAL'S FUNCTION, IN COMPLIANCE WITH STATE AND FEDERAL REGULATIONS. COMPLETED DISCLOSURE FORMS ARE SUBJECT TO AUDIT REVIEW BY LEGAL, THE CORPORATE COMPLIANCE PROGRAM, AND THE COMPLIANCE AND BUSINESS ETHICS COMMITTEE OF THE BOARD OF DIRECTORS. FAILURE TO COMPLY WITH CONFLICT OF INTEREST POLICIES MAY LEAD TO DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT OR WORKING RELATIONSHIP WITH THE CHILDREN'S HOSPITAL COLORADO. ONCE THE COMPLIANCE AND BUSINESS ETHICS (CABE) COMMITTEE HAS DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS WITH RESPECT TO AN AGREEMENT/CONTRACT THEN: 1. THE (CABE) COMMITTEE WILL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER CHILDREN'S HOSPITAL COULD OBTAIN A MORE ADVANTAGEOUS AGREEMENT/CONTRACT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES AND, IF APPROPRIATE, WILL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT. 2. IN CONSIDERING WHETHER TO ENTER THE PROPOSED AGREEMENT/CONTRACT, THE CABE COMMITTEE MAY APPROVE SUCH CONTRACT, TRANSACTION OR ARRANGEMENT ONLY IF THE DISINTERESTED PERSON OR COMMITTEE DETERMINE BY A MAJORITY VOTE THAT: - THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT IS IN CHILDREN'S COLORADO'S BEST INTERESTS AND FOR COLORADO CHILDREN'S OWN BENEFIT; AND - THE PROPOSED TRANSACTION IS FAIR AND REASONABLE TO CHILDREN'S HOSPITAL COLORADO (CHCO), CONSIDERING, AMONG OTHER RELEVANT FACTORS, WHETHER CHCO COULD OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialCHILDREN'S HOSPITAL COLORADO HAS AN EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS THAT REVIEWS AND APPROVES ANY PROPOSED INCREASES RELATED TO ANY OFFICERS AND KEY EMPLOYEES OF THE COMPANY. THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE ALONG WITH THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS EACH YEAR. ONCE A CHANGE IN COMPENSATION IS APPROVED, FORMAL DOCUMENTS ARE COMPLETED AND MINUTES OF THE MEETING ARE PREPARED, REVIEWED AND APPROVED. EXECUTIVE COMPENSATION PROGRAMS FOR CHILDREN'S HOSPITAL COLORADO (CHCO) ARE DESIGNED TO ATTRACT AND RETAIN TOP EXECUTIVE TALENT. PROGRAM OBJECTIVES INCLUDE: -MAINTAIN EXECUTIVE PAY RANGES THAT REFLECT MARKET AND INTERNAL ALIGNMENT -ESTABLISH PAY FOR INDIVIDUAL EXECUTIVES BASED ON SKILLS, EXPERIENCE AND/OR PERFORMANCE HISTORY -PROVIDE ANNUAL PAY INCREASE TO REWARD INDIVIDUAL PERFORMANCE AND MAINTAIN MARKET COMPETITIVENESS -UTILIZE INCENTIVE PAY TO REWARD THE EXECUTIVE'S ABILITY TO ALIGN DIVISIONAL PERFORMANCE TO ORGANIZATIONAL PERFORMANCE -PROMOTE THE HEALTH AND WELLNESS OF EXECUTIVES AND THEIR FAMILIES, WHILE PROVIDING FAMILY FRIENDLY PROGRAM OPTIONS CONSISTENT WITH CHCO MISSION -MAINTAIN OVERALL PROGRAM AFFORDABILITY AND SUSTAINABILITY FOR THE ORGANIZATION THE EXECUTIVE COMPENSATION PACKAGE CONSISTS OF BASE PAY, INCENTIVE PAY, AND BENEFITS (MEDICAL, DENTAL, VISION, LIFE, DISABILITY, RETIREMENT, AND VOLUNTARY BENEFIT PROGRAMS). CHCO DEFINES MARKET COMPETITIVENESS BASED ON COMPARISONS WITH A PEER GROUP CONSISTING OF NATIONAL PEDIATRIC AND REGIONAL HEALTH SYSTEMS THAT ARE SIMILAR IN SIZE AND COMPLEXITY. IN DETERMINING MARKET COMPETITIVENESS, CHCO PARTNERS WITH AN EXTERNAL EXECUTIVE COMPENSATION CONSULTANT TO GATHER AND ASSESS MARKET DATA FROM INDEPENDENT COMPENSATION AND BENEFIT SURVEYS THAT REFLECT FUNCTIONALLY COMPARABLE POSITIONS IN THE PEER GROUP. AS NEEDED, THE EXTERNAL EXECUTIVE COMPENSATION CONSULTANT WILL PROVIDE RECOMMENDATIONS TO HELP RESOLVE DIFFICULTIES IN RECRUITING AND RETAINING EXECUTIVES OR ENSURE CRITICAL BUSINESS OR STRATEGIC ISSUES ARE ADDRESSED. 2021 CUSTOM PEER GROUP -TEXAS CHILDREN'S HOSPITAL (HOUSTON, TX) -THE CHILDREN'S HOSPITAL OF PHILADELPHIA (PHILADELPHIA, PA) -BOSTON CHILDREN'S HOSPITAL (BOSTON, MA) -CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER (CINCINNATI, OH) -NATIONWIDE CHILDREN'S HOSPITAL (COLUMBUS, OH) -CHILDREN'S HEALTHCARE OF ATLANTA (ATLANTA, GA) -COOK CHILDREN'S HEALTH CARE SYSTEM (FORT WORTH, TX) -CHILDREN'S HEALTH SYSTEM OF TEXAS (DALLAS, TX) -SEATTLE CHILDREN'S (SEATTLE, WA) -CHILDREN'S MERCY KANSAS CITY (KANSAS CITY, MO) -CHILDREN'S NATIONAL HEALTH SYSTEM (WASHINGTON, DC) -RADY CHILDREN'S HOSPITAL - SAN DIEGO (SAN DIEGO, CA) -CHILDREN'S HOSPITAL LOS ANGELES (LOS ANGELES, CA) -ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO (CHICAGO, IL) -CHILDREN'S WISCONSIN (MILWAUKEE, WI) -CHILDREN'S HOSPITALS AND CLINICAL OF MINNESOTA (MINNEAPOLIS, MN) -PHOENIX CHILDREN'S HOSPITAL (PHOENIX, AZ) -CHOC CHILDREN'S (ORANGE, CA) -ARKANSAS CHILDREN'S HOSPITAL (LITTLE ROCK, AR) -UCHEALTH (AURORA, CO) -CENTURA HEALTH (CENTENNIAL, CO) -SCL HEALTH (BROOMFIELD, CO) -ST. LUKE'S HEALTH SYSTEM (BOISE, ID) THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN 2021.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesCHILDREN'S HOSPITAL COLORADO HAS AN EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS THAT REVIEWS AND APPROVES ANY PROPOSED INCREASES RELATED TO ANY OFFICERS AND KEY EMPLOYEES OF THE COMPANY. THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE ALONG WITH THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS EACH YEAR. ONCE A CHANGE IN COMPENSATION IS APPROVED, FORMAL DOCUMENTS ARE COMPLETED AND MINUTES OF THE MEETING ARE PREPARED, REVIEWED AND APPROVED. EXECUTIVE COMPENSATION PROGRAMS FOR CHILDREN'S HOSPITAL COLORADO (CHCO) ARE DESIGNED TO ATTRACT AND RETAIN TOP EXECUTIVE TALENT. PROGRAM OBJECTIVES INCLUDE: -MAINTAIN EXECUTIVE PAY RANGES THAT REFLECT MARKET AND INTERNAL ALIGNMENT -ESTABLISH PAY FOR INDIVIDUAL EXECUTIVES BASED ON SKILLS, EXPERIENCE AND/OR PERFORMANCE HISTORY -PROVIDE ANNUAL PAY INCREASE TO REWARD INDIVIDUAL PERFORMANCE AND MAINTAIN MARKET COMPETITIVENESS -UTILIZE INCENTIVE PAY TO REWARD THE EXECUTIVE'S ABILITY TO ALIGN DIVISIONAL PERFORMANCE TO ORGANIZATIONAL PERFORMANCE -PROMOTE THE HEALTH AND WELLNESS OF EXECUTIVES AND THEIR FAMILIES, WHILE PROVIDING FAMILY FRIENDLY PROGRAM OPTIONS CONSISTENT WITH CHCO MISSION -MAINTAIN OVERALL PROGRAM AFFORDABILITY AND SUSTAINABILITY FOR THE ORGANIZATION THE EXECUTIVE COMPENSATION PACKAGE CONSISTS OF BASE PAY, INCENTIVE PAY, AND BENEFITS (MEDICAL, DENTAL, VISION, LIFE, DISABILITY, RETIREMENT, AND VOLUNTARY BENEFIT PROGRAMS). CHCO DEFINES MARKET COMPETITIVENESS BASED ON COMPARISONS WITH A PEER GROUP CONSISTING OF NATIONAL PEDIATRIC AND REGIONAL HEALTH SYSTEMS THAT ARE SIMILAR IN SIZE AND COMPLEXITY. IN DETERMINING MARKET COMPETITIVENESS, CHCO PARTNERS WITH AN EXTERNAL EXECUTIVE COMPENSATION CONSULTANT TO GATHER AND ASSESS MARKET DATA FROM INDEPENDENT COMPENSATION AND BENEFIT SURVEYS THAT REFLECT FUNCTIONALLY COMPARABLE POSITIONS IN THE PEER GROUP. AS NEEDED, THE EXTERNAL EXECUTIVE COMPENSATION CONSULTANT WILL PROVIDE RECOMMENDATIONS TO HELP RESOLVE DIFFICULTIES IN RECRUITING AND RETAINING EXECUTIVES OR ENSURE CRITICAL BUSINESS OR STRATEGIC ISSUES ARE ADDRESSED. 2021 CUSTOM PEER GROUP -TEXAS CHILDREN'S HOSPITAL (HOUSTON, TX) -THE CHILDREN'S HOSPITAL OF PHILADELPHIA (PHILADELPHIA, PA) -BOSTON CHILDREN'S HOSPITAL (BOSTON, MA) -CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER (CINCINNATI, OH) -NATIONWIDE CHILDREN'S HOSPITAL (COLUMBUS, OH) -CHILDREN'S HEALTHCARE OF ATLANTA (ATLANTA, GA) -COOK CHILDREN'S HEALTH CARE SYSTEM (FORT WORTH, TX) -CHILDREN'S HEALTH SYSTEM OF TEXAS (DALLAS, TX) -SEATTLE CHILDREN'S (SEATTLE, WA) -CHILDREN'S MERCY KANSAS CITY (KANSAS CITY, MO) -CHILDREN'S NATIONAL HEALTH SYSTEM (WASHINGTON, DC) -RADY CHILDREN'S HOSPITAL - SAN DIEGO (SAN DIEGO, CA) -CHILDREN'S HOSPITAL LOS ANGELES (LOS ANGELES, CA) -ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO (CHICAGO, IL) -CHILDREN'S WISCONSIN (MILWAUKEE, WI) -CHILDREN'S HOSPITALS AND CLINICAL OF MINNESOTA (MINNEAPOLIS, MN) -PHOENIX CHILDREN'S HOSPITAL (PHOENIX, AZ) -CHOC CHILDREN'S (ORANGE, CA) -ARKANSAS CHILDREN'S HOSPITAL (LITTLE ROCK, AR) -UCHEALTH (AURORA, CO) -CENTURA HEALTH (CENTENNIAL, CO) -SCL HEALTH (BROOMFIELD, CO) -ST. LUKE'S HEALTH SYSTEM (BOISE, ID) THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN 2021.
Form 990, Part VI, Line 19 Required documents available to the publicTHESE DOCUMENTS ARE MADE AVAILABLE UPON REASONABLE REQUEST.
Form 990, Part VIII, Line 2f Other Program Service Revenue- Total Revenue: 93340017, Related or Exempt Function Revenue: 92262815, Unrelated Business Revenue: 1077202, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other FeesPHYSICIAN SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 24377413, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 66910358, Program Service Expense: 56680021, Management and General Expenses: 10230337, Fundraising Expenses: ; CONSULTING FEES - Total Expense: 2796886, Program Service Expense: 2369253, Management and General Expenses: 427633, Fundraising Expenses: ; OTHER - Total Expense: 6541769, Program Service Expense: 5541558, Management and General Expenses: 1000211, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesEQUITY TRANSFER FROM CHCHS - 8840299; EQUITY TRANSFER FROM FOUNDATION - 48996624; CHANGE IN PERPETUAL TRUST - 5786965; OTHER CHANGES IN NET ASSETS - -8824734; EQUITY TRANSFER TO CHCHS - -45000000;
FORM 990, PART III, LINE 4A CONTINUATION (1)CHILDREN'S HOSPITAL COLORADO (CHCO) works collaboratively with its affiliates as an academic medical center to fulfill a joint mission to provide excellent services and the best health outcomes for children, through teaching, research, clinical care and community support services. CHCO is committed TO INCLUSION AND BELONGING IN OUR WORKFORCE AND IN OUR COMMUNITY. WE STRIVE FOR EVERYONE TO FEEL VALUED. The following section describes CHCO's program service accomplishments for each of the three largest program services, as measured by expense. NEONATOLOGY For more than 50 years, the Neonatal Intensive Care Unit (NICU) at Children's Hospital Colorado (CHCO) has been a nationally recognized leader in the treatment of critically ill infants. The leading-edge Level IV NICU (the highest distinction by the American Academy of Pediatrics), at Children's Hospital Colorado, provides 82 critical care beds specifically for this patient population. The NICU provides excellence in care for infants throughout Colorado and the mountain state region. Named one of the country's top centers by U.S. News & World Report, our Level IV Neonatal Intensive Care Unit offers the highest level of care to more than 1,400 newborns every year -one of the largest centers in the region. We care for any condition affecting a newborn, no matter how rare or critical that condition may be. Therapies include extra corporeal membrane oxygenation (ECMO), continuous renal replacement (CRRT), genetic testing, and neonatal surgery. Volumes matter. Children's Colorado's NICU is among the highest volume centers in the U.S. for high-complexity patients, meaning we see more and treat more neonates with complex congenital conditions and severe complications of prematurity than most other centers. The NICU cares for both premature and term infants with a variety condition, including hypoxic respiratory failure, infections, hematological, neurological, cardiovascular, and metabolic disorders. Infants with single major or multiple anomalies requiring diagnostic evaluation or surgical intervention are often treated in the NICU. Our survival rates rank among the best in the nation. Our high volumes not only allow for the development of highly specialized teams and standardized approaches to care, they also build our surgical and medical sub-specialists' experience and expertise. The Neonatology team has pioneered many critical developments in neonatal clinical care including surfactant replacement for premature infants, inhaled nitric oxide therapy for pulmonary hypotension, therapeutic hypothermia for perinatal brain injury, optimal nutrition for low-birth-weight infants and innovative care following fetal surgery. Collectively, the neonatologists and PhD research faculty published 117 articles in 2021. Throughout a visit, a baby and their family stay together in an environment we specifically designed to feel as much like home as possible. Families are integral to the care delivered. Key areas of focus include developmentally supportive care of the newborn, primary nursing and a family centered care approach. Parents are encouraged to participate in daily rounds and in all aspects of care. There is a Family Advisory Council to support current families and provide perspective on the patient experience. The clinical care team in the NICU is comprised of Neonatologists, Neonatal Nurse Practitioners, specialty trained nurses, respiratory therapists, pharmacists, physical, speech and occupational therapists, lactation specialists, neonatal nutrition, social work, chaplains, and case managers. Specialty consultants include neurology, pulmonology, genetics, gastroenterology, nutrition, metabolic, endocrinology, hematology, cardiology and cardiovascular surgery, general pediatric surgery, renal, ophthalmology, orthopedics and ear, nose and throat specialists. Children's Hospital Colorado neonatologists have diverse expertise caring for an array of complex conditions. The Section of Neonatology provides full clinical support for infants and their families at multiple hospitals in the Denver metropolitan area including Children's Hospital Colorado, University of Colorado Hospital and Denver Health Medical Center. The 41 board-certified neonatologists are nationally and internationally recognized leaders in neonatal care as well as clinical and scientific research. With advances in technology, the NICU team can provide teleconferencing for referring providers and/or parents who may not be present to provide optimal communication. They can also provide tele-NICU services to hospitals in rural areas to ensure those infants are properly treated in their home community and transferred only when appropriate. The NICU team continuously reviews quality and patient safety data focusing on excellence in patient outcomes. The NICU leadership team meets bimonthly for Quality Rounds, promoting engagement of front-line staff. This avenue elicits great discussions among staff regarding what is going well as well as in identifying opportunities and creative ideas for improvement. The NICU team promotes the safest environment possible with key communication in safety huddles each shift to review details of our safety and quality improvement work. Optimal communication with a large multidisciplinary team is one of our key strategies to promote the highest quality care possible. NICU Quality and Process Improvement Initiatives: * Family experience scores consistently at 80% or greater. Parents are invited to rounds with the NICU team daily. Our goal is to partner with parents in their child's plan of care. The CHCO NICU is involved in a regional quality collaborative to improve family engagement and satisfaction within NICU's. There is a strong foundation of Primary nursing as the model of care. * Ongoing key quality initiatives include focusing on a sustained decrease in unplanned extubations, patient identification events, pressure injuries, adverse medication events and peripheral intravenous catheter extravasations. * There is major focus on infection prevention practices and hand washing compliance among the large multidisciplinary team in the NICU. * Significant focus on the prevention of central line associated blood stream infections (CLABSI's). Our goal is to sustain a CLABSI rate of 2/1000-line days or less in 2022. The rate for 2021 was 1.39/1000 line days. There is ongoing auditing of compliance to the CLABSI bundle regarding prevention measures and significant attention to best practices related to CLABSI prevention. Line days totaled 6490 in 2021, demonstrating the complex, high acuity NICU patient population. * The Lactation program focuses on a goal of 82% or greater of NICU infants receiving breast milk while hospitalized and upon discharge. In addition, there are several other quality projects with a nutrition focus lead by Clinician Nutrition, Lactation and the broader multi-disciplinary team. * Following clinical outcomes of infants delivered in the Labor and Delivery Care Unit at CHCO and admitted to the NICU. * Trending data from codes/resuscitations in the NICU with processes identified for improvement, including high fidelity, multi-disciplinary code simulations and standardization of processes within the resuscitation for improved teamwork, communication and outcomes. * A standardized, evidenced based approach to caring for infants in the Small Baby Unit within the NICU. Key clinical outcomes are tracked and reviewed in this population. * Close follow up of infants treated with surgical interventions, hypothermic therapy for neonatal encephalopathy, unique ventilation strategies, Supporting Preemie Respiratory Outcomes (SPROUT) Transitional Team, extracorporeal membrane oxygenation (ECMO), inhaled nitric oxide (iNO), continuous renal replacement therapy (CRRT) and peritoneal dialysis.
FORM 990, PART III, LINE 4A CONTINUATION (2)CENTER FOR CANCER AND BLOOD DISORDERS Children's Hospital Colorado's (CHCO) Center for Cancer and Blood Disorders (CCBD) has one of the best pediatric hematology, oncology, and bone marrow transplant programs in the country. The CCBD has been ranked in the Top 10 programs by US News & World Report, and the only Top 10 ranked program in the 12 surrounding states and in the western half of the United States. The Center provides care for many pediatric cancers & blood disorders including: Leukemias and Lymphomas, Solid Tumors, Central Nervous System tumors, Hemophilia & Thrombosis, General Hematology, Hemoglobinopathies, immunohematology and immunodeficiencies, Experimental Therapeutics/Phase I Clinical Trials, and Bone Marrow Transplant & Cell Therapy. Helping children realize their full potential is also achieved through our Wellness Program, Adolescent & Young Adult care, onco-fertility, our survivorship program Helping Oncology Patients Excel (HOPE) as well as a transition clinic for survivors of childhood cancer who are transitioning to adult medical care. Every year we see between 300-350 new cancer diagnoses and over 200 new hematology patients. The CCBD provided approximately 27,116 outpatient visits in 2021, seeking to serve the Colorado community, as well as our 7-state region. Of these visits approximately 90% of patients were from Colorado while the remaining almost 10% were from the 7-state region or beyond. Our Anschutz facility location saw approximately 18,365 of the total visits, with our infusion center volume at 1,750 infusions. Our Network of Care sites in Highlands Ranch, Colorado Springs, and Broomfield had patient visits in 2021 of 8,128 of which 3,076 were infusions for CCBD and other services such as Neurology, Gastroenterology, Rheumatology, and Nephrology. Because of the depth and breadth of CCBD outpatient services, a large number of our clinic and infusion visits mean that many children can be cared for on an outpatient basis instead of being admitted to the hospital. Limiting hospitalization when possible is our high priority to enable our families live healthier lives. Our expansion of services to Broomfield and other Network of Care sites has allowed us to provide care closest to home for our patients in those regions. CCBD Inpatient had 8,913 patient days recorded in 2021; 5.8% of these occurred at Children's Hospital Colorado, Colorado Springs. The Anschutz Medical Campus inpatient unit had a total of 5,970 inpatient Hematology and Oncology patient days and 2,422 BMT patient days recorded. National/Regional Presence: CCBD has faculty with medical licenses in other states around the region including NM, MT, SD, WY, and TX to ensure we can provide care to patients where their needs can be best met and expand to telehealth services to accommodate patient and family needs. Our outreach clinics on the Western Slope bring sub-specialty expertise to many patients who may not be able to travel to the Denver metro area. We host bi-weekly Bone Marrow Transplant (BMT) teleconferences with cancer programs in New Mexico. Our CCBD nursing program travels throughout the region and provides virtual teaching to train other hospital nurse staff on best practices in chemotherapy administration. Our telemedicine efforts have grown since the pandemic, to ensure distance is not a barrier to providing the care our patients need. Our Hemophilia & Thrombosis Center (HTC) provides comprehensive care clinics throughout the region and is part of the University of Colorado Hemophilia and Thrombosis Center, one of the world's premier programs for treatment of clotting and bleeding disorders in adults and children. Our HTC faculty successfully treated rural out of state patients via telemedicine and are beginning to revitalize in-person outreach clinics across the state and region. CCBD faculty comprise the pediatric component of the Colorado Sickle Cell Treatment and Research Center, service as the primary source of specialty expertise and comprehensive care for children and adults living with hemoglobinopathies. CCBD is acknowledged by Optum as a Center of Excellence for both Cancer Care as well as Bone Marrow Transplant. We are the only pediatric Foundation for the Accreditation of Cellular Therapy (FACT) program in a 16-state region, which brings us the capacity to deliver the most sophisticated stem cell transplant and chimeric antigen receptor T (CAR- T) cell immunotherapy. Continued expansion of the application of CAR-T therapy has also advanced in both the targeted antibodies and different diseases. Our Neuro-Oncology and Experimental Therapeutics programs draw patients nationally and internationally for treatment and clinical trials that are available in only a few centers in the world. Multi & Interdisciplinary Care: CCBD is privileged to have a dedicated Wellness program. This interdisciplinary team is comprised of specialists in Social Work, Psychology, Child Life, Family Navigation, Creative Arts Therapy, Chaplaincy, and Learning Specialists. The Wellness program benefits families and patients by integrating and coordinating clinical services to meet every family's needs at the individual level and increases possibilities for prevention/intervention and on-going care and connection. The CCBD is a home for multiple sub-programs within Oncology, Hematology and BMT. Our Vascular Anomalies Center is a national and regional leader. This interdisciplinary team evaluates and treats vascular anomalies in children. The team includes specialists from Otolaryngology (ear, nose, and throat), Plastic Surgery, Dermatology, Hematology, Pediatric General Surgery, and Interventional Radiology. This program exemplifies our priority to put the patient first. Our specialists coordinate their care in one patient appointment to minimize the number of visits needed to evaluate and treat the patient's condition. Other sub-programs include a variety of multi-disciplinary programs such as Polyposis Program (inherited diseases involving tissue growth) and Spots and Dots (Young Women's Bleeding Clinic). The interdisciplinary program for children with retinoblastoma, the most common tumor of the eye in children, brings together experts in ocular surgery at University of Colorado Hospital and our pediatric oncology experts in the CCBD, is the only program for this multi-disciplinary eye cancer care in a 12-state region. Our HOPE Survivorship Program was one of the first in the nation and remains one of the only programs in the region, to focus specifically on cancer survivorship. Patients treated for cancer, especially at a young age, can experience long term side effects including heart and lung complications, hormone disorders, secondary cancers, learning disabilities, and many others. Our program supports these patients long after their cancer treatment has finished with a team including oncologists, social workers, dieticians, neuropsychologists, genetic counselors, and nurses. Quality Improvement: The CCBD is committed to developing quality improvement as a core clinical strategy by continually advancing the effectiveness, efficiency, safety, experience, and coordination of the care it provides to its patients. The Clinical Effectiveness Collaborative (CEC) is broadly representative, multidisciplinary and guides the range of activities and initiatives through which the CCBD is pursuing its clinical, operational, value-driven, and financial improvement goals. One primary function of the CEC is to review and provide feedback related to clinical and operational improvement projects, including measures, PI methods, and project alignment across the CCBD and CHC.

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