STRATEGY STUDIO / PUBLIC DATA EXPLORER

CHILDRENS HOSPITAL & MEDICAL CENTER: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL & MEDICAL CENTER (EIN 47-0379754)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-12
IRS object ID
202143169349303644
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-12T10:34:45-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11212 NORTH 96TH STREET SUITE 300AddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68114ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN470379754EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL & MEDICALBusinessNameLine1Txt
Business Name Line2CENTERBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCHILBusinessNameControlTxt
Phone4029556795PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18200 DODGE STREETAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68114ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAMY HATCHERPersonNm
Person TitleCFOPersonTitleTxt
Phone4029556795PhoneNum
Signature2021-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstAMYPersonFirstNm
Person LastHATCHERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDONALD NEAL JRPreparerPersonNm
PTINP00798244PTIN
Phone4023481450PhoneNum
Preparation2021-11-04PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHANDA CHACONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18200 DODGE STREETAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68114ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$488,619,056GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHILDRENSOMAHA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1948FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OCHILDREN'S HOSPITAL & MEDICAL CENTER DELIVERS EXTRAORDINARY CARE TO CHILDREN, EDUCATES HEALTH CARE PROFESSIONALS, AND PROMOTES PEDIATRIC RESEARCH.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee3489TotalEmployeeCnt
Total Volunteers237TotalVolunteersCnt
Total Gross UBI-$9,416TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,091,756PYContributionsGrantsAmt
CY Contributions Grants$20,733,019CYContributionsGrantsAmt
PY Program Service Revenue$451,331,530PYProgramServiceRevenueAmt
CY Program Service Revenue$453,312,839CYProgramServiceRevenueAmt
PY Investment Income-$234,350PYInvestmentIncomeAmt
CY Investment Income-$630,962CYInvestmentIncomeAmt
PY Other Revenue$14,666,521PYOtherRevenueAmt
CY Other Revenue$13,126,356CYOtherRevenueAmt
PY Total Revenue$469,855,457PYTotalRevenueAmt
CY Total Revenue$486,541,252CYTotalRevenueAmt
PY Grants And Similar Paid$12,864,067PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$12,907,407CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$228,418,471PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$236,699,049CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$85,745CYTotalFundraisingExpenseAmt
PY Other Expenses$181,662,243PYOtherExpensesAmt
CY Other Expenses$185,281,876CYOtherExpensesAmt
PY Total Expenses$422,944,781PYTotalExpensesAmt
CY Total Expenses$434,888,332CYTotalExpensesAmt
PY Revenues Less Expenses$46,910,676PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$51,652,920CYRevenuesLessExpensesAmt
Total Assets BOY$641,508,810TotalAssetsBOYAmt
Total Assets EOY$816,142,903TotalAssetsEOYAmt
Total Liabilities BOY$291,519,183TotalLiabilitiesBOYAmt
Total Liabilities EOY$405,370,024TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$349,989,627NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$410,772,879NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE THE LIFE OF EVERY CHILD - THROUGH EXCEPTIONAL CARE, ADVOCACY, RESEARCH AND EDUCATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$353,184,915ExpenseAmt
Grant$12,907,407GrantAmt
Revenue$465,783,572RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$353,184,915TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document229IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3489EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AMY HATCHERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4029556795PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18200 DODGE STREETAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68114ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RODRIGO LOPEZ
INTERIM PRES/CEO THRU 9/7/2040.000.00Yes (X)Yes (X)$795,096$0$9,018
CHANDA CHACON
PRESIDENT/CEO BEG 9/8/2040.000.00Yes (X)Yes (X)$431,792$0$48,326
DIANE DURAN
CHAIR1.000.00Yes (X)Yes (X)$0$0$0
MARGARET HERSHISER
VICE CHAIR1.000.00Yes (X)Yes (X)$0$0$0
SAMANTHA MOSSER
SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
JIM GREISCH
TREASURER1.000.00Yes (X)Yes (X)$0$0$0
BRAD BRABEC MD
MEMBER1.000.00Yes (X)$0$0$0
BRADLEY BRITIGAN MD
MEMBER1.000.00Yes (X)$0$0$0
JOLEEN DAVID
MEMBER1.000.00Yes (X)$0$0$0
DAVE DIAMOND
MEMBER1.000.00Yes (X)$0$0$0
ROBERT DUNLAY MD
MEMBER1.000.00Yes (X)$0$0$0
BRIAN FAHEY
MEMBER1.000.00Yes (X)$0$0$0
MARK HASEBROOCK
MEMBER1.000.00Yes (X)$0$0$0
JOHN JENKINS
MEMBER1.000.00Yes (X)$0$0$0
STEVE LINDSAY
MEMBER1.000.00Yes (X)$0$0$0
MICHAEL ROBINO
MEMBER1.000.00Yes (X)$0$0$0
AMY RYAN
MEMBER1.000.00Yes (X)$0$0$0
STACY SCHOLTZ
MEMBER1.000.00Yes (X)$0$0$0
RYAN SEWELL MD
MEMBER1.000.00Yes (X)$0$0$0
JAYESH THAKKER MD
MEMBER1.000.00Yes (X)$0$0$0
SCOT THOMPSON
MEMBER1.000.00Yes (X)$0$0$0
KATHY ENGLISH
EVP COO & CNO40.000.00Yes (X)$959,878$0$92,901
CHRISTOPHER MALONEY MD
EVP CCO & PIC40.000.00Yes (X)$901,904$0$99,224
MICHAEL BROWN
EVP STRAT & TRANS THRU 1/3/2040.000.00Yes (X)$799,601$0$1,010
AMY HATCHER
EVP & CFO39.001.00Yes (X)$618,442$0$82,992
AMY BONES
SVP & GENERAL COUNSEL40.000.00Yes (X)$521,930$0$61,122
JEROLD VUCHAK
SVP CHIEF INFO OFFICER40.000.00Yes (X)$457,604$0$58,104
JANEL ALLEN
SVP & CHIEF PEOPLE OFFICER40.000.00Yes (X)$347,086$0$67,027
STEVEN C BURNHAM
SVP PHYS NETWORKS THRU 1/3/2040.000.00Yes (X)$292,770$0$920
SUZANNE NOCITA
SVP & CHRO THRU 1/3/2040.000.00Yes (X)$259,106$0$843
BRIAN ALLISON
VP SURG SERVICES THRU 9/24/2040.000.00$478,269$0$15,551Yes (X)
JAMIE DRAKE MD
PHYSICIAN40.000.00$440,987$0$7,816Yes (X)
NICOLE VILLARREAL MD
PHYSICIAN40.000.00$461,040$0$26,527Yes (X)
MALINDA BENDER MD
PHYSICIAN40.000.00$452,998$0$10,705Yes (X)
KARI KRENZER MD
PHYSICIAN40.000.00$383,993$0$29,579Yes (X)
RICHARD AZIZKHAN MD
FORMER PRES/CEO40.000.00$969,020$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,571,516TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$611,665TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K360IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CHOICE SOLUTIONS LLC
7015 COLLEGE BLVD STE 300OVERLAND PARKKS66211IT SERVICES$1,824,896
BAKER TILLY US LLP
4807 INNOVATE LN PO BOX 7398MADISONWI53707CONSULTING SERVICES$1,499,130
UNMC PATHOLOGY
983135 NEBRASKA MEDICAL CENTEROMAHANE68198LABS - OUTSOURCED$607,383
ALITHYA TRAVERCENT LLC
2425 N CENTRAL EXPRESSWAY STE 130RICHARDSONTX75080CONSULTING SERVICES$455,599
ENT SPECIALISTS
720 N 129TH STOMAHANE68154CLINICAL/CALL SERVICES$395,217
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K31CntrctRcvdGreaterThan100KCnt
Related Organizations$3,379,264RelatedOrganizationsAmt
Government Grants$17,237,355GovernmentGrantsAmt
All Other Contributions$116,400AllOtherContributionsAmt
Total Contributions$20,733,019TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT REVENUEDesc
Business621110BusinessCd
Total Revenue Column$453,312,839TotalRevenueColumnAmt
Related Or Exempt Func Income$453,312,839RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$453,312,839TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column-$658,534TotalRevenueColumnAmt
Exclusion-$658,534ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$665,039RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$665,039RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$665,039TotalRevenueColumnAmt
Exclusion$665,039ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$2,105,376OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$2,077,804OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$27,572OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,572TotalRevenueColumnAmt
Exclusion$27,572ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MANAGEMENT FEE INCOME541610$7,420,248$7,420,248
CAFETERIA INCOME900099$1,407,669$1,407,669
CONTRACT SERVICES541900$1,142,796$1,152,212-$9,416

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,490,604TotalRevenueColumnAmt
Related Or Exempt Func Income$2,490,604RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$12,461,317OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$486,541,252TotalRevenueColumnAmt
Related Or Exempt Func Income$465,783,572RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$9,416UnrelatedBusinessRevenueAmt
Exclusion$34,077ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,962,369TotalAmt
Program Services$4,962,369ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$7,945,038TotalAmt
Program Services$7,945,038ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,077,440TotalAmt
Management And General$7,077,440ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$182,932,087TotalAmt
Program Services$158,720,090ProgramServicesAmt
Management And General$24,211,997ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,926,985TotalAmt
Program Services$8,617,987ProgramServicesAmt
Management And General$1,308,998ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$24,233,782TotalAmt
Program Services$19,157,165ProgramServicesAmt
Management And General$5,076,617ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,528,755TotalAmt
Program Services$10,951,716ProgramServicesAmt
Management And General$1,577,039ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,486TotalAmt
Program Services$2,486ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$478,226TotalAmt
Program Services$441,944ProgramServicesAmt
Management And General$36,282ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$420,494TotalAmt
Program Services$100,575ProgramServicesAmt
Management And General$319,919ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$85,016TotalAmt
Management And General$85,016ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$38,514,319TotalAmt
Program Services$26,610,118ProgramServicesAmt
Management And General$11,904,201ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,018,089TotalAmt
Program Services$811ProgramServicesAmt
Management And General$2,017,278ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$58,674,821TotalAmt
Program Services$57,540,617ProgramServicesAmt
Management And General$1,048,602ManagementAndGeneralAmt
Fundraising$85,602FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$13,078,145TotalAmt
Program Services$12,893,967ProgramServicesAmt
Management And General$184,178ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,954,897TotalAmt
Program Services$3,217,816ProgramServicesAmt
Management And General$5,737,081ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$275,406TotalAmt
Program Services$229,736ProgramServicesAmt
Management And General$45,670ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,822,986TotalAmt
Program Services$2,820,900ProgramServicesAmt
Management And General$2,086ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$27,303,937TotalAmt
Program Services$27,303,937ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$21,152,621TotalAmt
Program Services$8,547,612ProgramServicesAmt
Management And General$12,605,009ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,103,796TotalAmt
Management And General$1,103,796ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BLDG & GROUND MAINT$3,100,326$156,715$2,943,611
EQUIPMENT MAINTENANCE$2,520,804$1,479,721$1,041,083
BANK & SERVICE FEES$1,123,521$133,989$989,532
PROF DUES & SUBS$1,081,295$392,781$688,514

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,570,691TotalAmt
Program Services$956,825ProgramServicesAmt
Management And General$1,613,723ManagementAndGeneralAmt
Fundraising$143FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$434,888,332TotalAmt
Program Services$353,184,915ProgramServicesAmt
Management And General$81,617,672ManagementAndGeneralAmt
Fundraising$85,745FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,245,584BOYAmt
EOY$13,249,294EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$66,312,294BOYAmt
EOY$98,738,463EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,224,000BOYAmt
EOY$2,047,323EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$91,753,043BOYAmt
EOY$92,933,053EOYAmt

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,529,349BOYAmt
EOY$7,599,314EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,475,819BOYAmt
EOY$9,650,955EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$781,169,345LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$254,763,162LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$408,823,477BOYAmt
EOY$526,406,183EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,204,396BOYAmt
EOY$840,103EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$6,659,059EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$48,940,848BOYAmt
EOY$58,019,156EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$641,508,810BOYAmt
EOY$816,142,903EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$84,742,439BOYAmt
EOY$104,284,072EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$114,378BOYAmt
EOY$455,999EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$171,220,477BOYAmt
EOY$256,689,926EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,616,217BOYAmt
EOY$4,191,451EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$30,825,672BOYAmt
EOY$39,748,576EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$291,519,183BOYAmt
EOY$405,370,024EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$347,765,627BOYAmt
EOY$408,725,556EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,224,000BOYAmt
EOY$2,047,323EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$349,989,627BOYAmt
EOY$410,772,879EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$641,508,810BOYAmt
EOY$816,142,903EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$51,652,920ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$171,839NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$9,302,171OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$0FilingOrganizationsTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$85,016FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$85,016FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$434,803,316FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$434,888,332FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

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

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

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

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$63,273CurrentYearMinus3Amt
Current Year Minus2$69,794CurrentYearMinus2Amt
Current Year Minus1$84,126CurrentYearMinus1Amt
Current Year$85,016CurrentYearAmt
Total$302,209TotalAmt

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Incl Escrow Custodial Acct Liab0InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$92,781,994BeginningYearBalanceAmt
Contributions$8,659,064ContributionsAmt
Investment Earnings Or Losses$650,201InvestmentEarningsOrLossesAmt
Grants Or Scholarships$133,073GrantsOrScholarshipsAmt
Other Expenditures$1,997,257OtherExpendituresAmt
End Year Balance$99,960,929EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$88,066,716BeginningYearBalanceAmt
Contributions$5,785,740ContributionsAmt
Investment Earnings Or Losses$768,122InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,838,583GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
End Year Balance$92,781,995EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$80,139,900BeginningYearBalanceAmt
Contributions$8,481,002ContributionsAmt
Investment Earnings Or Losses$127,409InvestmentEarningsOrLossesAmt
Grants Or Scholarships$681,595GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$88,066,716EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$71,680,964BeginningYearBalanceAmt
Contributions$9,780,310ContributionsAmt
Investment Earnings Or Losses$338,557InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,659,931GrantsOrScholarshipsAmt
End Year Balance$80,139,900EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$53,221,748BeginningYearBalanceAmt
Contributions$20,698,028ContributionsAmt
Investment Earnings Or Losses$249,787InvestmentEarningsOrLossesAmt
Grants Or Scholarships$2,488,599GrantsOrScholarshipsAmt
End Year Balance$71,680,964EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.39500BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.08100PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.52400TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$36,928,611OtherCostOrOtherBasisAmt
Book Value$36,928,611BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$294,017,897OtherCostOrOtherBasisAmt
Depreciation$130,049,277DepreciationAmt
Book Value$163,968,620BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,361,503OtherCostOrOtherBasisAmt
Depreciation$11,944,332DepreciationAmt
Book Value$6,417,171BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$142,637,427OtherCostOrOtherBasisAmt
Depreciation$112,411,639DepreciationAmt
Book Value$30,225,788BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$289,223,907OtherCostOrOtherBasisAmt
Depreciation$357,914DepreciationAmt
Book Value$288,865,993BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$526,406,183TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
ESTIMATED THIRD-PARTY SETTLEMENTS$15,069,976
RIGHT-OF-USE ASSETS-OPERATING, NET$16,378,324
RIGHT-OF-USE ASSETS-FINANCING, NET$6,514,318
INTERCOMPANY RECEIVABLE$15,634,668
INVESTMENT IN DEFERRED COMPENSATION$4,421,870
FieldValueIRS element (for citing)
Total Book Value Other Assets$58,019,156TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
LEASE OBLIGATION-OPERATING$14,163,107
LEASE OBLIGATION-FINANCING$6,629,279
INTERCOMPANY PAYABLE$6,945,130
SWAP LIABILITY$4,861,533
DEFERRED COMPENSATION LIABILITY$4,421,870
CURRENT PORTION OF LEASE PAYMENTS-OPERATING$2,046,475
CURRENT PORTION OF LEASE PAYMENTS-FINANCING$681,182
FieldValueIRS element (for citing)
Total Liability$39,748,576TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:FIN 48 FOOTNOTE THE COMPANY RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. DURING 2020 OR 2019, THE COMPANY DID NOT RECORD ANY AMOUNTS RELATED TO UNCERTAIN TAX POSITIONS OR ANY ACCRUED INTEREST AND PENALTIES.
PART V, LINE 4TO SUPPORT PROGRAMS, FUTURE CAPITAL IMPROVEMENTS, AND OPERATIONS OF CHILDREN'S HOSPITAL & MEDICAL CENTER.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,428,284TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,428,284NetCommunityBenefitExpnsAmt
Total Expense0.00790TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$181,784,102TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$140,812,925DirectOffsettingRevenueAmt
Net Community Benefit Expns$40,971,177NetCommunityBenefitExpnsAmt
Total Expense0.09420TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$185,212,386TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$140,812,925DirectOffsettingRevenueAmt
Net Community Benefit Expns$44,399,461NetCommunityBenefitExpnsAmt
Total Expense0.10210TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,083,160TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$741,030DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,342,130NetCommunityBenefitExpnsAmt
Total Expense0.00310TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,705,171TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,371,847DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,333,324NetCommunityBenefitExpnsAmt
Total Expense0.04680TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$170,941,340TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$110,779,308DirectOffsettingRevenueAmt
Net Community Benefit Expns$60,162,032NetCommunityBenefitExpnsAmt
Total Expense0.13830TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,419,098TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,419,098NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$618,156TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$80,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$538,156NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$196,766,925TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$112,972,185DirectOffsettingRevenueAmt
Net Community Benefit Expns$83,794,740NetCommunityBenefitExpnsAmt
Total Expense0.19270TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$381,979,311TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$253,785,110DirectOffsettingRevenueAmt
Net Community Benefit Expns$128,194,201NetCommunityBenefitExpnsAmt
Total Expense0.29480TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,000NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,500TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,500NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$640,531TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$161,416DirectOffsettingRevenueAmt
Net Community Benefit Expns$479,115NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$656,031TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$161,416DirectOffsettingRevenueAmt
Net Community Benefit Expns$494,615NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$524,815BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$103,072ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$902,997CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$799,925MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL & MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18200 DODGE STREETAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68114ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.CHILDRENSOMAHA.ORGWebsiteAddressTxt
State License260005StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL & MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SCHEDULE H SUPPLEMENTAL INFORMATIONOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE SCHEDULE H SUPPLEMENTAL INFORMATIONStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CHILDREN'S HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 5: AS PART OF THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY CONDUCTED ON BEHALF OF CHILDREN'S HOSPITAL & MEDICAL CENTER, BOYS TOWN NATIONAL RESEARCH HOSPITAL AND BUILDING HEALTHY FUTURES, KEY INFORMANTS (INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY) WERE CONTACTED BY EMAIL, INTRODUCED TO THE COMMUNITY HEALTH NEEDS ASSESSMENT KEY INFORMANT SURVEY AND PROVIDED A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. SUPPORTING ORGANIZATIONS FOR THE CHNA INCLUDED: CHARLES DREW HEALTH CENTER, INC., DOUGLAS COUNTY HEALTH DEPARTMENT, LIVE WELL OMAHA, AND ONE WORLD COMMUNITY HEALTH CENTERS, INC.THESE POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS AMONG THE FAMILIES AND CHILDREN/ADOLESCENTS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. IN ALL, 166 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, REPRESENTING COMMUNITY/BUSINESS LEADERS, PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, SOCIAL SERVICE PROVIDERS AND OTHER HEALTH CARE PROVIDERS. THESE KEY INFORMANTS REPRESENT ORGANIZATIONS THAT WORK WITH LOW-INCOME, MINORITY POPULATIONS, MEDICALLY UNDERSERVED POPULATIONS, AND INDIVIDUALS WITH CHRONIC DISEASE CONDITIONS.
CHILDREN'S HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 6A: BOYS TOWN NATIONAL RESEARCH HOSPITAL
CHILDREN'S HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 6B: BUILDING HEALTHY FUTURES, CHARLES DREW HEALTH CENTER, INC., DOUGLAS COUNTY HEALTH DEPARTMENT, LIVE WELL OMAHA, AND ONE WORLD COMMUNITY HEALTH CENTERS, INC.
CHILDREN'S HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 11: SEE SCHEDULE H SUPPLEMENTAL INFORMATION
CHILDREN'S HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 13B: CHILDREN'S RECOGNIZES THAT SOME PATIENTS WILL BE UNRESPONSIVE TO THE FINANCIAL ASSISTANCE APPLICATION PROCESS DUE TO A VARIETY OF REASONS INCLUDING BUT NOT LIMITED TO:1. LACK OF DOCUMENTATION REQUIRED TO COMPLY WITH THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION REQUIREMENTS.2. LACK OF THE EDUCATIONAL LEVEL TO UNDERSTAND AND COMPLETE THE FINANCIAL ASSISTANCE APPLICATION.3. FEAR THAT INFORMATION GATHERED DURING THE APPLICATION PROCESS WILL BE USED IN THE COLLECTION PROCESS IN THE EVENT THAT THE APPLICATION IS DENIED.4. OUT OF STATE PATIENTS THAT DO NOT RESPOND TO COMPLETION OF A MEDICAID APPLICATION OR FINANCIAL ASSISTANCE APPLICATION.IN THE ABSENCE OF INFORMATION PROVIDED BY THE PATIENT OR IN CASES WHERE THE INFORMATION PROVIDED BY THE PATIENT IS INCOMPLETE, AN ASSESSMENT PROCESS UTILIZING A PREDICTIVE MODEL WILL BE DEPLOYED TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY. THE PREDICTIVE MODEL INCORPORATES INCOME AND HOUSEHOLD SIZE ESTIMATES, A SOCIO-ECONOMIC NEED FACTOR (WIC, SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM, HUD PROGRAMS), CENSUS BLOCK DATA, AS WELL AS INFORMATION ON HOME OWNERSHIP.THE APPLICATION OF THE PREDICTIVE SCORING PROCESS AND PRESUMPTIVE FINANCIAL ASSISTANCE WILL BE DEPLOYED PRIOR TO BAD DEBT ASSIGNMENT FOR ALL PATIENTS THAT HAVE NOT APPLIED FOR CHARITY CARE. CHILDREN'S IS NOT OBLIGATED TO NOTIFY THE PATIENT THAT THEY HAVE RECEIVED PRESUMPTIVE FINANCIAL ASSISTANCE.
CHILDREN'S HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 16J: THE POLICY IS PROVIDED TO THE PUBLIC IN SUMMARY AND THEY ARE DIRECTED TO VISIT THE CHILDREN'S HOSPITAL & MEDICAL CENTER WEBSITE FOR THE FULL POLICY.
CHILDREN'S HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 24: AT CHILDREN'S, COMMERCIAL INSURERS, GOVERNMENT PAYORS AND SELF-PAY BILLING PARTIES ARE ALL BILLED THE SAME GROSS CHARGE RATE FOR EACH SPECIFIC PROCEDURE PERFORMED. GROSS CHARGES ON AN FAP-PATIENT BILL ARE THEN DISCOUNTED ACCORDING TO THEIR FPG ELIGIBILITY WHICH REDUCES OR ELIMINATES THE AMOUNT THE PATIENT IS REQUIRED TO PAY.
SCHEDULE H, PART V, LINE 7A (SCHEDULE H SUPPLEMENTAL INFORMATION)HTTPS://WWW.CHILDRENSOMAHA.ORG/GET-INVOLVED/ADVOCACY-OUTREACH/COMMUNITY-ADVOCACY/
SCHEDULE H, PART V, LINE 10AHTTPS://WWW.CHILDRENSOMAHA.ORG/GET-INVOLVED/ADVOCACY-OUTREACH/COMMUNITY-ADVOCACY/
SCHEDULE H, PART V, LINE 11ON NOVEMBER 29, 2018, THE BOARD OF DIRECTORS OF CHILDREN'S HOSPITAL & MEDICAL CENTER (CHILDREN'S), WHICH INCLUDES REPRESENTATIVES FROM THROUGHOUT THE COMMUNITY, MET TO DISCUSS THIS PLAN AND THE INTERNAL AND EXTERNAL PRIORITIZATION INPUT FOR ADDRESSING THE COMMUNITY HEALTH PRIORITIES IDENTIFIED THROUGH THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).THE EXECUTIVE COMMITTEE HAS THE POWER TO TRANSACT ALL REGULAR BUSINESS OF CHILDREN'S. UPON REVIEW, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS APPROVED AND ADOPTED THIS CHNA AND INSTRUCTED CHILDREN'S CENTER FOR THE CHILD & COMMUNITY (THE CENTER) TO DEVELOP A NEW IMPLEMENTATION STRATEGY PLAN FOR 2019-2021 TO UNDERTAKE THESE MEASURES TO MEET THE HEALTH NEEDS OF THE COMMUNITY.SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY 2018BASED ON THE INFORMATION OBTAINED THROUGH THE CHILD & ADOLESCENT CHNA AND THE GUIDELINES SET FORTH IN HEALTHY PEOPLE 2020, THE FOLLOWING AREAS OF OPPORTUNITY REPRESENT THE SIGNIFICANT HEALTH NEEDS OF CHILDREN AND ADOLESCENTS IN THE COMMUNITY. FROM THESE DATA SETS, OPPORTUNITIES FOR CHILDREN'S HEALTH IMPROVEMENT EXIST IN THE AREA WITH REGARD TO THE FOLLOWING HEALTH ISSUES.AREAS OF OPPORTUNITY IDENTIFIED THROUGH THIS 2018 CHNA- ACCESS TO HEALTH SERVICES: * DIFFICULTY ACCESSING CHILDREN'S HEALTHCARE * FINDING A PHYSICIAN * APPOINTMENT AVAILABILITY * LACK OF TRANSPORTATION * COST OF PRESCRIPTIONS- COGNITIVE & BEHAVIORAL CONDITIONS: * AUTISM PREVALENCE * COGNITIVE & BEHAVIORAL CONDITIONS RANKED AS A TOP CONCERN IN THE ONLINE KEY INFORMANT SURVEY- DIABETES: * CHILDHOOD DIABETES PREVALENCE- INJURY & VIOLENCE: * AGE 1-4 MORTALITY * CHILDREN EXPOSED TO NEIGHBORHOOD VIOLENCE * CHILDREN FEELING UNSAFE AT SCHOOL OR GOING TO/FROM SCHOOL- MENTAL/BEHAVIORAL HEALTH: * SYMPTOMS OF DEPRESSION [AGES 5-17] * SUICIDE ATTEMPTS [HIGH SCHOOLERS] * DIAGNOSED ANXIETY [AGES 5-17] * CHRONIC WORRYING [AGES 5-17] * CHILD HAS DIFFICULTY SLEEPING [AGES 5-17] * LIVED WITH SOMEONE WITH SERIOUS MENTAL HEALTH ISSUES * FAMILY STAYS HOPEFUL IN DIFFICULT TIMES * MENTAL & EMOTIONAL HEALTH RANKED AS A TOP CONCERN IN THE ONLINE KEY INFORMANT SURVEY.- NEUROLOGICAL CONDITIONS: * BRAIN INJURIES/CONCUSSIONS- ORAL HEALTH: * CONDITION OF TEETH- NUTRITION, PHYSICAL ACTIVITY, & OBESITY: * OVERWEIGHT & OBESITY * FAST FOOD CONSUMPTION * NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT RANKED AS A TOP CONCERN IN THE ONLINE KEY INFORMANT SURVEY.- SEXUAL HEALTH: * GONORRHEA INCIDENCE [CHILDREN/ADULTS] * CHLAMYDIA INCIDENCE [CHILDREN/ADULTS] * CONDOM USE [HIGH SCHOOLERS] * USE OF BIRTH CONTROL [HIGH SCHOOLERS] * SEXUAL HEALTH RANKED AS A TOP CONCERN IN THE ONLINE KEY INFORMANT SURVEY.- TOBACCO, ALCOHOL & OTHER DRUGS: * MEMBER OF HOUSEHOLD SMOKES * DRINKING & DRIVING [HIGH SCHOOLERS] * LIFETIME ILLICIT DRUG USE [HIGH SCHOOLERS] * STEROIDS (NOT RX) * HEROIN- VISION, HEARING, & SPEECH CONDITIONS: * RECENT EYE EXAMS * CHRONIC EAR INFECTIONS * PREVALENCE OF SPEECH/LANGUAGE PROBLEMS * HEARING PROBLEMSBASED ON THE TOP HEALTH PRIORITIES IDENTIFIED THROUGH THE 2018 CHNA PROCESS - AND TAKING INTO ACCOUNT HOSPITAL RESOURCES AND OVERALL ALIGNMENT WITH THE HOSPITAL'S MISSION, GOALS, AND STRATEGIC PRIORITIES - CHILDREN'S IS COMMITTED TO ADDRESSING THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THROUGH PROGRAMS, RESOURCES AND COLLABORATIONS TARGETING: * ACCESS TO HEALTH SERVICES * MENTAL/BEHAVIORAL HEALTH * SEXUAL HEALTH * NUTRITION, PHYSICAL ACTIVITY, & OBESITYIN ACKNOWLEDGING THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, CHILDREN'S DETERMINED THAT IT COULD ONLY EFFECTIVELY FOCUS ON THOSE WHICH IT DEEMED MOST PRESSING, MOST UNDER-ADDRESSED AND MOST WITHIN ITS ABILITY TO INFLUENCE.CHILDREN'S CREATED A 3-YEAR IMPLEMENTATION PLAN, TO BE CARRIED OUT FROM 2019 THROUGH 2021. THE IMPLEMENTATION PLAN ADDRESSES EACH STRATEGIC PRIORITY ACROSS OUR CONTINUUM OF CARE AND IDENTIFIES APPROPRIATE RESOURCES TO BE INCLUDED IN EACH YEAR'S APPROPRIATE BUDGET.2020 PROGRESS SUMMARYCHILDREN'S CONTINUES TO PROGRESS IN IMPLEMENTING THE ACTION PLAN THAT RESULTED FROM THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FINDINGS. OUR TEAM IS WORKING COLLABORATIVELY ACROSS THE ORGANIZATION TO FOCUS ON HOSPITAL-BASED PROGRAMS AND SERVICES, COMMUNITY-BASED PROGRAMS AND PARTNERSHIPS THAT ADDRESS EACH PRIORITY HEALTH ISSUE IDENTIFIED THROUGH THE CHNA PROCESS, GUIDED BY KEY STRATEGIES AND SPECIFIC TACTICS. CHILDREN'S CENTER FOR THE CHILD & COMMUNITY SERVES AS THE INFRASTRUCTURE FOR COMMUNITY OUTREACH ACTIVITIES AND PROVIDES MANAGEMENT OF THE IMPLEMENTATION STRATEGY PLAN (ISP). WHILE EACH HEALTH ISSUE IS ENTIRELY UNIQUE, THERE IS A COMMON THREAD THAT CONNECTS THEM ALL: CHILDREN'S IS TASKED TO IMPROVE ACCESS TO HEALTH CARE SERVICES, OUTREACH AND EDUCATION TO THE COMMUNITY AND THE OVERALL PATIENT EXPERIENCE. CHILDREN'S CENTER FOR THE CHILD & COMMUNITYTHE CENTER IS A STATEWIDE COMMUNITY HEALTH OUTREACH HUB OF CHILDREN'S, PROVIDING THE INFRASTRUCTURE AND LEADERSHIP FOR BOTH THE INTERNAL AND EXTERNAL PARTNERSHIPS ASSOCIATED WITH THE PEDIATRIC CHNA PLANNING AND IMPLEMENTATION PROCESS.THE CENTER ALSO COLLABORATES WITH LOCAL, STATE, AND NATIONAL PARTNERS ON CHILD HEALTH STRATEGIES THAT HAVE BEEN IDENTIFIED IN THE COMMUNITY. ACTIVE PARTNERSHIPS ARE MAINTAINED WITH THE NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES, THE NEBRASKA DEPARTMENT OF EDUCATION, UNIVERSITY OF NEBRASKA-EXTENSION, LOCAL PUBLIC HEALTH DEPARTMENTS AND MANY COMMUNITY-BASED ORGANIZATIONS. AN INVENTORY OF PARTNERING ORGANIZATIONS WAS COMPLETED WITH OVER 140 PARTNERS IDENTIFIED.COVID-19 BROUGHT MANY CHALLENGES RELATED TO IMPLEMENTATION OF THE ORGANIZATION'S ISP IN 2020. STAFF OBJECTIVES AND OPERATING PRACTICES THROUGHOUT THE ORGANIZATION WERE MODIFIED TO REDUCE THE RISK OF COVID-19 TRANSMISSION. AS A RESULT, QUARTERLY ISP MEETINGS WERE INITIALLY PAUSED, BUT RESUMED BY SUMMER 2020. DESPITE THE CHALLENGES, WORK PROGRESSED WITHIN ALL FOUR PRIORITY AREAS.PRIORITY HEALTH ISSUES: PROGRESS HIGHLIGHTSACCESS TO HEALTH CARE SERVICES - BUILDING UPON THE DEFINITION AND FRAMEWORK FOR "ACCESS TO CARE" ADOPTED BY THE ORGANIZATION IN 2019, THE ISP WORKGROUP FOR ACCESS TO CARE APPLIED THE FRAMEWORK TO THE 2018 CHNA DATA AND USED THE COMMUNITY ENGAGED ANALYSIS (CEA) PROCESS TO GAIN GREATER CLARITY REGARDING THE BARRIERS CHILDREN AND FAMILIES FACE WHEN ATTEMPTING TO REACH THE CARE THEY NEED. THE CEA PROCESS STEPS INCLUDED: * IDENTIFICATION OF 26 CHNA INDICATORS MEASURING VARIOUS ASPECTS OF "ACCESS" TO CARE * SELECTION OF THREE CRITERIA AND THEIR WEIGHTING FOR DATA ANALYSIS: 1. MAGNITUDE - HOW MANY CHILDREN ARE AFFECTED 2. DISPARITY - DISPROPORTIONATE IMPACT ON IDENTIFIED GROUPS 3. PERSISTENCE - IS THE PROBLEM IMPROVING OR GETTING WORSE * SELECTED THE NATIONAL HEALTH INTERVIEW SURVEY AS THE SOURCE FOR COMPARISON DATA AND BENCHMARKING * CONDUCTED FEASIBILITY TESTING - AS A RESULT OF THE CEA PROCESS, THREE PRIORITY INDICATORS HAD THE HIGHEST SCORES, AND WERE SELECTED FOR THE WORKGROUP'S FOCUS: * NEED FOR CARE COORDINATION * UNAWARE OF COMMUNITY MENTAL HEALTH RESOURCES * NO PREVENTIVE DENTAL CARE IN THE LAST YEAR- ISP WORKGROUP FOR ACCESS TO CARE UPDATED THEIR ACTION PLANS REFLECTING THE THREE PRIORITY AREAS, AND WORK BEGAN MOVING FORWARD: * NEED FOR CARE COORDINATION - CHILDREN'S HOSPITAL AND MEDICAL CENTER BEGAN CONVERSATIONS WITH UNITE NEBRASKA, A COMMUNITY DATA EXCHANGE OF HEALTH AND SOCIAL CARE PROVIDERS SPONSORED BY CYNCHEALTH. PARTNERS IN THE NETWORK ARE CONNECTED THROUGH A SHARED TECHNOLOGY PLATFORM, UNITE US, WHICH ENABLES THEM TO SEND AND RECEIVE ELECTRONIC REFERRALS, ADDRESS PEOPLE'S SOCIAL NEEDS, AND IMPROVE HEALTH ACROSS COMMUNITIES. AS OF DECEMBER 2020, AGREEMENTS WERE BEING FINALIZED, USERS WITHIN THE ORGANIZATION IDENTIFIED AND TRAINED, AND IMPLEMENTATION PLANNED.
SCHEDULE H, PART V, LINE 11 (CONT'D)* UNAWARE OF COMMUNITY MENTAL HEALTH RESOURCES - ALIGNING TO THE WORK OF THE BEHAVIORAL HEALTH WORKGROUP, THE TWO WORKGROUPS COORDINATED EFFORTS AND RESOURCES. AS A RESULT, THE BEHAVIORAL HEALTH DEPARTMENT AND THE CENTER PARTNERED WITH REGION 6, AN ORGANIZATION RESPONSIBLE FOR MANY ASPECTS OF BEHAVIORAL HEALTH SERVICES WITHIN A FIVE-COUNTY AREA INCLUSIVE OF OMAHA, NEBRASKA. A LANDSCAPE ANALYSIS AND MAPPING OF SERVICES AVAILABLE TO SUPPORT CHILDREN AND FAMILIES WITH SOCIAL/EMOTIONAL, BEHAVIORAL AND/OR MENTAL HEALTH NEEDS WAS COMPLETED. AS A RESULT OF THE WORK, 87 DIFFERENT SERVICES ACROSS FIVE LEVELS OF CARE AND FIVE SECTORS (HEALTH, EDUCATION, MENTAL HEALTH, COMMUNITY, AND JUSTICE) WERE CATEGORIZED AND MAPPED. ADDITIONALLY, SEVEN ORGANIZATIONS PROVIDING REFERRAL AND NAVIGATION SUPPORT WERE IDENTIFIED, AND TWO OPEN-SOURCE WEBSITES WERE ASSESSED. FINDINGS OF THE PROJECT WERE PRESENTED TO THE SYSTEM OF CARE LEADERSHIP IN DECEMBER 2020, WITH PLANS TO DISSEMINATE THE INFORMATION THROUGHOUT 2021. * NO PREVENTIVE DENTAL CARE IN THE LAST YEAR - THE CEA DATA ANALYSIS FOUND A LACK OF ACCESS TO ORAL HEALTH CARE AMONG EARLY CHILDHOOD POPULATIONS, PARTICULARLY AMONG UNDERSERVED POPULATIONS, WAS THE PRIMARY DRIVER FOR THE INDICATOR'S HIGH SCORE. AS A RESULT, THE WORKGROUP AND CHILDREN'S PHYSICIANS PARTNERED WITH THE UNIVERSITY OF NEBRASKA MEDICAL CENTER'S COLLEGE OF DENTISTRY, THE NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICES OF ORAL HEALTH, AND THE NEBRASKA COMMUNITY FOUNDATION TO INCREASE ORAL HEALTH AWARENESS AND EDUCATION BEGINNING AT SIX-MONTH WELL-CHILD VISITS. AS A RESULT, THE EARLY DENTAL HEALTH STARTER KIT PROJECT WAS LAUNCHED WITH A GOAL TO PACKAGE AND DISTRIBUTE 25,000 KITS THROUGH PEDIATRIC OFFICES THROUGHOUT THE STATE.- INJURY & VIOLENCE PREVENTION * IN 2020, COVID-19 PRECAUTIONS RESULTED IN A TEMPORARY SHUTDOWN OF THE CHILDREN'S CAR SEAT FITTING STATION. DURING THIS TIME, THE CHILDREN'S CAR SEAT TEAM INITIATED VIRTUAL CAR SEAT CHECKS AND PROVIDED CAR SEAT EDUCATION TO FAMILIES VIA ONLINE VIDEO SHARING. ONCE THE CAR SEAT FITTING STATION REOPENED, THE CAR SEAT TEAM RESUMED IN-PERSON APPOINTMENTS WITH ENHANCED SAFETY MEASURES. BY THE END OF THE YEAR, THE CHILDREN'S INJURY PREVENTION TEAM PROVIDED 280 CAR SEAT CHECKS IN THE CHILDREN'S FITTING STATION AND PROVIDED 98 SEATS TO FAMILIES. ADDITIONALLY, MANY COMMUNITY CAR SEAT EVENTS WERE ALSO CANCELLED DUE TO COVID-19 PRECAUTIONS. AT THE EVENTS THAT DID OCCUR CHILDREN'S PROVIDED ANOTHER 77 CAR SEAT CHECKS AT 18 COMMUNITY EVENTS AND PROVIDED 11 CAR SEATS TO FAMILIES. * CHILDREN'S CONTINUED TO ACTIVELY PROMOTE AND EXPLORE INCREASING THE NUMBER OF COMMUNITY PARTNERS TO HELP MEET THE DEMAND FOR CAR SEATS AND CAR SEAT EDUCATION. THROUGH THE 2020 SAFE KIDS GRANT, CHILDREN'S INJURY PREVENTION TEAM WORKED TO IMPROVE CAR SEAT EDUCATION, AND TO INCREASE THE NUMBER OF CHILD PASSENGER SAFETY TECHNICIANS (CPSTS) AND RESOURCES WITHIN COMMUNITY ORGANIZATIONS IN THE AREA. * ONE TREND THAT EMERGED DUE TO COVID-19 WAS AN INCREASE IN DOG BITES, POSSIBLY DUE TO THE HIGHER-THAN-USUAL AMOUNT OF TIME CHILDREN WERE SPENDING AT HOME IN THE PRESENCE OF DOGS. CHILDREN'S PARTNERED WITH THE NEBRASKA HUMANE SOCIETY TO DEVELOP DOG BITE SAFETY EDUCATION. IN ADDITION, THEY DEVELOPED A PRESS RELEASE HIGHLIGHTING THE INCREASE IN BITES AND WAYS TO PREVENT DANGEROUS INTERACTIONS BETWEEN CHILDREN AND DOGS. * CHILDREN'S CONTINUED TO PROMOTE WATER SAFETY/DROWNING PREVENTION THROUGH PARTNERSHIP WITH THE JOSHUA COLLINGSWORTH MEMORIAL FOUNDATION AND OMAHA PARKS & RECREATION. WITH MANY PUBLIC POOLS BEING CLOSED DUE TO COVID-19, EFFORTS WERE SHIFTED TO EDUCATING PARENTS AND CHILDREN ABOUT THE DANGERS OF SWIMMING IN OPEN WATER. * IN 2020, PROJECT AUSTIN CLOSED OUT THE YEAR WITH 1,043 ENROLLED PATIENTS SPANNING ACROSS SEVEN SURROUNDING STATES INCLUDING NEBRASKA, IOWA, KANSAS, MISSOURI, NORTH DAKOTA, SOUTH DAKOTA, AND WYOMING. THROUGHOUT THESE STATES, CHILDREN'S COLLABORATED WITH 273 EMERGENCY MEDICAL SYSTEMS AND 123 EMERGENCY DEPARTMENTS TO PROVIDE EMERGENCY MEDICAL PLANS TO CHILDREN WITH MEDICAL COMPLEXITIES.- VISION OUTREACH PROGRAMS * IN AUGUST 2018, CHILDREN'S LAUNCHED ITS VISIONMOBILE, A MOBILE VISION UNIT OUTFITTED ESPECIALLY FOR PEDIATRIC VISION CARE. THE VISIONMOBILE'S MISSION IS TO IMPROVE ACCESS TO VISION SERVICES FOR THE UNDERSERVED POPULATION. ITS WORK FIRST BEGAN WITH OMAHA PUBLIC SCHOOLS, AND THEN EXPANDED SERVICES IN 2019 TO NINE ADDITIONAL SCHOOL DISTRICTS AND NONPROFIT ORGANIZATIONS. THE PROGRAM TEAM INCLUDED A FULL-TIME OPTOMETRIST, AN OPTICIAN, AN OPHTHALMIC TECHNICIAN, AND A COORDINATOR WHO ALSO SERVES AS THE DRIVER. AS A RESULT OF THE COVID-19 PANDEMIC AND SCHOOL CLOSURES, THE VISIONMOBILE PAUSED SERVICES FOR SIX MONTHS. ONCE SCHOOLS REOPENED IN FALL 2020, THE VISIONMOBILE INCORPORATED ADDITIONAL SAFETY PROTOCOLS, AND RETURNED TO PROVIDING STUDENTS WITH EYE EXAMS AT A REDUCED CAPACITY. DURING 2020, THE VISIONMOBILE VISITED 50 SCHOOLS, PROVIDING COMPREHENSIVE EYE EXAMS FOR 788 STUDENTS AND PRESCRIBING 486 PAIRS OF GLASSES. CHILDREN'S ALSO PROVIDED AND DISPENSED MORE THAN 100 PAIRS OF GLASSES DUE TO EYEGLASSES BEING LOST OR BROKEN. * CHILDREN'S VISION SCREENING PROGRAM UTILIZED FIVE COLLEGES OF NURSING AND ALLIED HEALTH AND INTERDISCIPLINARY STUDIES STUDENTS TO PROVIDE THE MANPOWER TO CONDUCT MASS VISION SCREENINGS AT LOCAL OMAHA AREA SCHOOLS THAT ARE CATEGORIZED AS BEING IN HIGH POVERTY COMMUNITIES. A VISION SCREENING COORDINATOR PROVIDED OVERSIGHT AND COORDINATION OF THE EVENTS THAT TOOK PLACE. AS NOTED ABOVE, COVID-19 CAUSED THE VISIONMOBILE TO PAUSE SERVICES FOR SIX MONTHS. IN 2020, SERVICES EXPANDED TO TWO NEW SCHOOL DISTRICTS, AND 10,977 STUDENTS IN 38 SCHOOLS HAD VISION SCREENINGS. IN THE 2020 SCHOOL YEAR, 27 PERCENT OF THE CHILDREN FAILED THE VISION SCREENING AND REQUIRED A COMPREHENSIVE EYE EXAM, WHICH IS HIGHER THAN THE NATIONAL AVERAGE OF 25 PERCENT. 17 OF THE SCHOOLS SCREENED HAD NEVER RECEIVED VISION SERVICES FOR THEIR STUDENTS. * THE CHILD VISION COLLABORATIVE HAS BEEN CONVENED BY CHILDREN'S TO CONNECT WITH COMMUNITY CHILD VISION ADVOCATES. THIS GROUP REPRESENTS A WIDE RANGE OF 48 CURRENT STAKEHOLDERS, WHICH MEETS BIANNUALLY. THOSE STAKEHOLDERS CONSIST OF CLINICAL AND HEALTH SYSTEMS (FEDERALLY QUALIFIED HEALTH CENTERS & NON-PROFITS), SERVICE ORGANIZATIONS, COMMUNITY CHILD OR VISION ADVOCATES; SCHOOLS RECEIVING SERVICES, AND INSTITUTIONS THAT PROVIDE CLINICAL EDUCATION. PROGRAM EVALUATIONS FOR BOTH CHILDREN'S VISION INITIATIVES, THE VISION SCREENING PROGRAM AND VISIONMOBILE, HAVE BEEN COMMUNICATED TO GROUP STAKEHOLDERS.- ASTHMA & OTHER RESPIRATORY CONDITIONS * BEGINNING IN 2020, THE CHILDREN'S PULMONOLOGY DEPARTMENT, WITH SUPPORT FROM THE CENTER, DIRECTED THE NEBRASKA ASTHMA COALITION (NAC). THE NAC WAS CREATED TO IMPROVE HEALTH OUTCOMES AND QUALITY OF LIFE FOR ALL INDIVIDUALS AFFECTED BY ASTHMA THROUGH STATEWIDE COLLABORATION WITH THE VISION OF NEBRASKA BEING A PLACE WHERE THOSE AFFECTED BY ASTHMA THRIVE. CHILDREN'S SERVES AS A CONVENER OF PARTNERS WORKING TO PROVIDE STATE-WIDE ASTHMA COLLABORATION, RESOURCES, AND EDUCATION FOR NEBRASKA ASTHMATICS OF ALL AGES. * THE NOT ONE MORE LIFE (NOML) ASTHMA COMMUNITY OUTREACH PROGRAM DID NOT CONDUCT ASTHMA SCREENINGS IN 2020 DUE TO THE PANDEMIC. COLLABORATION WITH COMMUNITY PARTNERS IN THE NORTH OMAHA COMMUNITY WERE CONTINUED VIRTUALLY WITH MONTHLY AND BIMONTHLY MEETINGS WITH LOCAL COMMUNITY PARTNERS SUCH AS CHARLES DREW HEALTH CENTER, THE FAITH-BASED PASTOR ORGANIZATION: INTERDENOMINATIONAL MINISTERIAL ALLIANCE (IMA), AND THE BLACK FAMILY HEALTH AND WELLNESS ASSOCIATION, INC. * THE PARTNERSHIP BETWEEN CHILDREN'S AND CHARLES DREW HEALTH CENTER CONTINUED WITH SIGNIFICANT MOMENTUM AND DISCUSSIONS REGARDING AN ASTHMA PROVIDER TO BE POSITIONED AT THE PRIMARY CHARLES DREW HEALTH CLINIC AT GRANT STREET. DISCUSSIONS ALSO CONTINUED WITH REGARD TO PROVIDING SUPPORT TO THE FOUR OMAHA PUBLIC SCHOOL BASED HEALTH CLINICS OPERATED BY CHARLES DREW. THE CONTRACT WAS AGREED UPON IN EARLY 2021. * A GRANT TITLED "TOWARD A NEW MODEL OF PEDIATRIC ASTHMA CARE: SCOPING REVIEW AND COMMUNITY NEEDS ASSESSMENT IN AN UNDERSERVED URBAN POPULATION," WAS SUBMITTED AND APPROVED IN 2020. THIS PROJECT WAS DEVELOPED TO CREATE A RESEARCH COLLABORATION THAT CAN ADDRESS HEALTH DISPARITIES IN PEDIATRIC ASTHMA THROUGH EVIDENCE-BASED INTERVENTIONS. THE COMMUNITY NEEDS ASSESSMENT WILL INVOLVE VIRTUAL INDIVIDUAL AND GROUP INTERVIEWS WITH PROVIDERS, LEADERS, AND FAMILIES IN NORTH OMAHA.
SCHEDULE H, PART V, LINE 11 (CONT'D)- EARLY CHILDHOOD HEALTH WITHIN COMMUNITIES * THE CENTER, THROUGH ITS COMMUNITY OF PARTNERS AND ITS AFFILIATION WITH THE NATIONAL HELP ME GROW (HMG) NETWORK, IMPLEMENTED A HELP ME GROW PILOT IN LINCOLN/LANCASTER COUNTY. HELP ME GROW NEBRASKA IS A SYSTEM BUILDING FRAMEWORK THAT LEVERAGES COMMUNITY STRENGTHS AND FOCUSES ON FAMILY-CENTERED SOLUTIONS.THE SYSTEM IS BUILT AROUND FOUR CORE COMPONENTS: 1. CHILD HEALTH PROVIDER OUTREACH PROVIDES OFFICE-BASED TRAINING TO SUPPORT EARLY DETECTION AND INTERVENTION AND USE OF THE HMG CALL CENTER. 2. COMMUNITY & FAMILY OUTREACH FACILITATES PROVIDER NETWORKING AND BOLSTERS CHILDREN'S HEALTHY DEVELOPMENT THROUGH FAMILIES. 3. CENTRALIZED ACCESS POINT SERVES AS A HUB TO LINK CHILDREN AND THEIR FAMILIES TO COMMUNITY-BASED SUPPORTS, WHILE PROVIDING SEAMLESS CARE COORDINATION. 4. DATA COLLECTION AND ANALYSIS HELPS IDENTIFY GAPS IN AND BARRIERS TO THE SYSTEM.A FULLY IMPLEMENTED HELP ME GROW PROGRAM INCLUDES A CENTRALIZED ACCESS POINT THAT ALLOWS FAMILIES/CARE GIVERS AND HEALTHCARE PROVIDERS TO CALL HELP ME GROW WITH QUESTIONS ABOUT CHILD DEVELOPMENT AND TO MAKE REFERRALS FOR EXISTING COMMUNITY RESOURCES AND CARE.- SCHOOL HEALTH * PROJECT ECHO SCHOOL HEALTH SERIES: OCTOBER 23, 2019 TO MARCH 18, 2020. THE SERIES INCLUDED TEN ONE-HOUR SESSIONS AROUND SCHOOL HEALTH TOPICS. THESE SESSIONS WERE RECORDED SO NURSES WHO MISSED THE WEBINARS WERE ABLE TO GO BACK AND WATCH AT A LATER DATE. CONTINUING EDUCATION CREDITS WERE ALSO EARNED FOR EACH INDIVIDUAL SESSION ATTENDED OR WATCHED VIA VIDEO. EACH SESSION WAS ATTENDED BY 70 TO 120 NURSES. * CREATED AN ASTHMA TOOLKIT FOR SCHOOLS WHICH INCLUDES: ASTHMA INHALER USE CHECKLIST, ENVIRONMENTAL TRIGGERS FOR SCHOOLS, ASTHMA COMMUNICATION FOR PROVIDERS, AND HOW TO USE AN INHALER WITH A SPACER EDUCATION SHEET. THESE WERE DISPERSED TO SCHOOLS FOR USE DURING THE 2020/21 SCHOOL YEAR. * CREATED AND BEGAN IMPLEMENTATION OF THE SCHOOL NURSE MENTOR PROGRAM WITH 18 MENTORS AND 33 MENTEES CREATING 33 MENTOR PAIRS DURING THE 2020/21 SCHOOL YEAR. * CDC HEALTHY SCHOOLS PROGRAM - CHILDREN'S PROVIDED EDUCATION AND TRAINING TO NINE TITLE I RURAL SCHOOLS ON CHRONIC HEALTH CONDITIONS. * SCHOOL HEALTH LEARNING COLLABORATIVE - CHILDREN'S PROVIDED FIVE LIVE AND RECORDED WEBINARS FOR SCHOOL NURSES ON ISSUES RELATED TO COVID-19. WE ALSO PROVIDED THE RESOURCES FROM THE SPEAKERS TO ASSIST PARTICIPANTS. * IN DECEMBER 2020, 250 HANDWASHING CAMPAIGN PACKETS WERE MAILED TO SCHOOL NURSES ACROSS THE STATE INCLUDING POSTERS, STICKERS, FLOOR AND MIRROR CLINGS, AND A T-SHIRT TO PROMOTE HANDWASHING AND INFECTION CONTROL.- LITERACY IMPROVEMENT PROGRAM: * THANKS TO A DONATION MADE TO CHILDREN'S PHYSICIANS (CP), FIVE CP CLINICS (COUNCIL BLUFFS, CREIGHTON, PLATTSMOUTH, SPRING VALLEY, AND UNMC) PARTICIPATED IN REACH OUT AND READ, A NATIONALLY RECOGNIZED PROGRAM WORKING TO IMPROVE LITERACY. IN 2020, 6,734 BOOKS WERE DISTRIBUTED DURING WELL VISITS (COUNCIL BLUFFS 1,547, CREIGHTON 1,585, PLATTSMOUTH 707, SPRING VALLEY 1,623, AND UNMC 1,272). * IN THE FALL OF 2020, THE CENTER BEGAN MEETING WITH REPRESENTATIVES OF RAISE ME TO READ IN OMAHA TO FIND AVENUES OF INFLUENCE, COLLABORATION, AND INTERSECTIONALITY IN OUR SHARED WORK TO POSITIVELY IMPACT EARLY LITERACY SUCCESS, EXTENDED LEARNING, AND SHOWING-UP IN OUR COMMUNITY. MENTAL AND BEHAVIORAL HEALTHIN ADDITION TO COMPLETING THE LANDSCAPE ANALYSIS AND MAPPING OF SOCIAL/EMOTIONAL, BEHAVIORAL, AND MENTAL HEALTH SERVICES SUPPORTING CHILDREN AND FAMILIES THROUGHOUT THE GREATER OMAHA AREA, THE MENTAL AND BEHAVIORAL HEALTH ISP WORKGROUP CONTINUED TO EXPAND ITS WORK THROUGHOUT THE YEAR.- THE PATIENT ASSISTANCE TEAM AT CHILDREN'S HOSPITAL & MEDICAL CENTER (PATCH) PROGRAM, LED BY THE BEHAVIORAL HEALTH AND CHILD LIFE TEAM, EXPANDED BEYOND PILOT STATUS THAT BEGAN IN 2019. THE PATCH PROGRAM DEVELOPS INDIVIDUAL CARE PLANS TO ASSIST IN MEDICAL PROCEDURES FOR CHILDREN ON THE AUTISM SPECTRUM. IN 2020, FIVE DEPARTMENTS WITHIN THE ENTERPRISE UTILIZED INDIVIDUAL CARE PLANS, AND OVER 400 PATIENTS HAD INDIVIDUALIZED CARE PLANS IN PLACE. INTERNALLY, FUTURE EXPANSION PLANS INCLUDE IMPLEMENTATION WITHIN MORE CSP AND CP OFFICES. EXTERNALLY, THE MODEL HAS BEEN SHARED WITH THREE OTHER HOSPITALS AND DISCUSSIONS HAVE BEGUN REGARDING COLLECTIVE DATA. - AUTISM SCREENING IN THE COMMUNITY PRIOR TO AGE TWO CONTINUED THROUGHOUT 2020, RESULTING IN THE CREATION OF PSA REGARDING THE 16 EARLY SIGNS OF THE CONDITION AND THE RELEASE OF AN AWARENESS VIDEO FOR PRIMARY CARE PROVIDERS.- CAPACITIES FOR TELEHEALTH SERVICES AND TELEMENTORING SUPPORTS WERE DEVELOPED AND EXPANDED SIGNIFICANTLY THROUGHOUT 2020. EXAMPLES OF SUCH SERVICES INCLUDE: * TELEPSYCHIATRY APPOINTMENTS IN THE KEARNEY CHILDREN'S PHYSICIANS CLINIC WERE CONSISTENTLY FILLED 75% OF THE TIME, MANY TIMES REACHING 100%. * 182 PATIENTS WITH INSULIN-DEPENDENT DIABETES MELLITUS AND CYSTIC FIBROSIS WERE IDENTIFIED AND PROVIDED TELEPSYCHOLOGY SERVICES, RESULTING IN REDUCED STRESSORS. * A TELE-PRESENTER WAS HIRED THROUGH CHILDREN'S PHYSICIANS TO CREATE MORE OPTIONS FOR MENTAL HEALTH PROVIDERS TO SUPPORT PRIMARY CARE PROVIDERS AND FACILITATE MENTAL HEALTH CARE. * TWO CHILD & ADOLESCENT PSYCHIATRISTS WITHIN THE BEHAVIORAL HEALTH DEPARTMENT PROVIDED 10-12 REAL-TIME PSYCHIATRIC CONSULTS TO 15 CHILDREN'S PHYSICIANS PROVIDERS EACH MONTH IN 2020. PROJECT ECHO COMPLETED A SECOND SERIES OF EIGHT SESSIONS ON THE TOPIC OF ANXIETY. 32 HEALTHCARE PROFESSIONALS ENROLLED IN THE SERIES AND 159 CONTINUING MEDICAL EDUCATION CREDITS WERE AWARDED UPON COMPLETION OF THE SERIES.SEXUAL HEALTH- BY JANUARY 2020, SEVEN OF THE NINE KEY ACTION ITEMS IDENTIFIED IN THE 2018 ISP REACHED THEIR GOALS. THEREFORE, THE ISP WORKGROUP FOR SEXUAL HEALTH RE-EVALUATED WHERE THE GROUP'S TIME AND ENERGIES WERE REQUIRED FOR THE CALENDAR YEAR. TO COMPLETE THIS WORK, THE CENTER, IN PARTNERSHIP WITH THRIVEVENTURES, CONDUCTED A LITERATURE REVIEW AND ANALYSIS OF LOCAL DATA TO INFORM ITS WHITE PAPER, "STATE OF ADOLESCENT SEXUAL HEALTH IN GREATER OMAHA." THE RESULTING DOCUMENT AND DATA FOUND NEBRASKA WAS ONE OF ONLY THREE STATES WITHOUT A BOARD-CERTIFIED ADOLESCENT HEALTH SPECIALIST LICENSED WITHIN THE STATE. RECOGNIZING THE GAP IN CARE, THE WORKGROUP SUPPORTED EFFORTS TO BRING THE SPECIALTY TO THE STATE. AS A RESULT, THE FOLLOWING WAS ACCOMPLISHED IN 2020: * EXPANDED MEMBERSHIP OF THE SEXUAL HEALTH ISP GROUP TO INCLUDE DR. AMY LACROIX, FROM CHILDREN'S PHYSICIANS, UNMC CAMPUS. DR. LACROIX IS AN EXPERT IN THE FIELD OF PROVIDING REPRODUCTIVE HEALTH CARE TO TEENS AND YOUNG ADULTS AND SERVES AS THE DIRECTOR OF ADOLESCENT AND SCHOOL HEALTH AT UNMC. * IN 2020, CHILDREN'S SPECIALTY PHYSICIANS SUCCESSFULLY RECRUITED A CHAIR OF ADOLESCENT HEALTH MEDICINE AND AN ADOLESCENT-TRAINED OB/GYN TO ADDRESS THE COMPLEX NEEDS OF TEENS AND YOUNG ADULTS. * IN PARTNERSHIP WITH THE WOMEN'S FUND OF OMAHA AND THE ADOLESCENT HEALTH PROJECT, CHILDREN'S PHYSICIANS IMPLEMENTED A NEW WEB-BASED PLATFORM, ACCESS GRANTED, CONNECTING ADOLESCENTS TO PROVIDERS FOR REPRODUCTIVE HEALTH CARE WHICH ALLOWED THEM TO MAKE APPOINTMENTS. UPON COMPLETING THE APPOINTMENT, THE ADOLESCENT PROVIDED FEEDBACK ABOUT THEIR EXPERIENCE.
SCHEDULE H, PART V, LINE 11 (CONT'D)NUTRITION, PHYSICAL ACTIVITY & OBESITY- THE CENTER'S STRATEGIC EMPHASIS CONTINUED IN THE AREAS OF CHILDHOOD OBESITY PREVENTION, NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT. DURING 2020, CHILDREN'S PREVENTING CHILDHOOD OBESITY (PCO) COMMUNITY GRANT PROGRAM CONTINUED THEIR LEARNING COLLABORATIVE LED BY THE CENTER AND THE GRETCHEN SWANSON CENTER FOR NUTRITION. THE COLLABORATIVE INCLUDED SKILL BUILDING AND TECHNICAL ASSISTANCE IN THE AREAS OF PLANNING, COMMUNITY ENGAGEMENT SUSTAINABILITY AND DATA MANAGEMENT. TEN GRANTS OF $25,000 WERE AWARDED TO COMMUNITY ORGANIZATIONS AND HEALTH DEPARTMENTS IN EASTERN NEBRASKA AND WESTERN IOWA FOR PROGRAMS THAT SUPPORT NUTRITION AND PHYSICAL ACTIVITY. THE SIXTH ROUND OF PCO FUNDING CONCLUDED ON DECEMBER 31, 2020. IN SEPTEMBER 2020, THE CENTER BEGAN PLANNING FOR THE SEVENTH ROUND OF FUNDING WHICH COMMENCED IN MARCH 2021.- CHILDREN'S CONTINUED TO BRING PHYSICAL ACTIVITY AND MINDFULNESS TOOLS INTO OMAHA AND SOUTHWEST IOWA METRO SCHOOLS WHILE EXPANDING INTO LANCASTER COUNTY AND PRIORITY RURAL DISTRICT CLASSROOMS THROUGH ITS SPONSORSHIP OF GONOODLE, AN ONLINE SUITE OF VIDEOS AND EDUCATIONAL SUPPORTS FOR LOCAL EDUCATORS. DURING THE FALL 2020 SEMESTER, THERE WERE 8,731 UNIQUE ACTIVE TEACHERS, 823 ACTIVE SCHOOLS AND 190,300 UNIQUE CLASSROOM STUDENTS USING THE PROGRAM. THIS REPRESENTED 76% OF THE ADDRESSABLE TEACHERS AND 96% OF THE ADDRESSABLE STUDENTS. STUDENTS SPENT MORE THAN 22.3 MILLION MINUTES GONOODLING, A 75% INCREASE OVER FALL 2019. ADDITIONALLY, GONOODLE OFFERED AN AT-HOME PLATFORM FOR PARENTS RESULTING IN 32,063 TOTAL ACTIVE FAMILY USERS WHO ACHIEVED OVER 1 MILLION TOTAL FAMILY ACTIVITY MINUTES.- CHILDREN'S CONTINUED TO PROVIDE GO NAP SACC (NUTRITION AND PHYSICAL ACTIVITY SELF-ASSESSMENT FOR CHILD CARE) TRAINING AND TECHNICAL ASSISTANCE TO CHILDCARE FACILITIES STATEWIDE. GO NAP SACC IS A PARTNERSHIP WITH NEBRASKA DEPARTMENT OF HEALTH & HUMAN SERVICES, NEBRASKA EXTENSION, NEBRASKA DEPARTMENT OF EDUCATION, AND CHI HEALTH, AND IS A COMPONENT OF THE NEBRASKA STEP UP TO QUALITY INITIATIVE. THE FOCUS OF THE GO NAP SACC PROCESS WAS TO WORK WITH CHILDCARE FACILITIES, BOTH HOMES AND CENTERS, TO HELP THEM IMPROVE THEIR NUTRITION AND PHYSICAL ACTIVITY POLICIES, PRACTICES, AND ENVIRONMENT. IN 2020, 30 GO NAP SACC TRAINERS REACHED 175 EARLY CARE & EDUCATION PROFESSIONALS IN 66 CHILDCARE CENTERS AND HOMES THAT CARE FOR APPROXIMATELY 3,000 CHILDREN. GO NAP SACC CONTINUED TO REACH CHILDCARE FACILITIES THROUGH COVID-19 IN 2020 BY TRANSITIONING THEIR TRAINING AND TECHNICAL ASSISTANCE TO BE VIRTUAL UTILIZING THE ZOOM PLATFORM.- IN 2020, CHILDREN'S, IN PARTNERSHIP WITH NEBRASKA EXTENSION, CHI HEALTH, FOUR FARMER'S MARKETS, THREE GROCERY STORES, AND ONE COMMUNITY SUPPORTED AGRICULTURE SITE, CONTINUED THE DOUBLE UP FOOD BUCKS PROGRAM IN LINCOLN AND OMAHA. THE EFFORT INCREASED THE PURCHASE OF FRESH FRUITS AND VEGETABLES BY SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) RECIPIENTS IN SELECT METRO AREAS. SPECIAL EFFORTS IN 2020 SECURED FEDERAL FUNDING FOR NEBRASKA DOUBLE UP FOOD BUCKS THROUGH TWO U.S.D.A. GUSNIP AWARDS. ONE WAS AWARDED TO THE NEBRASKA COMMUNITY FOUNDATION AS A STATEWIDE EFFORT TO EXPAND DUFB INTO RURAL AREAS WHILE SUPPORTING METRO AREAS (3-YEAR PROJECT). THE OTHER WAS AWARDED TO THE WELLBEING PARTNERS TO BETTER SUPPORT AND EXPAND INTO LATINX COMMUNITY RETAIL SPACES (1 YEAR PILOT). - CHILDREN'S WEIGHT AND WELLNESS SPECIALTY PROGRAM ASSISTED WITH THE DISSEMINATION OF THE ENERGY NUTRITION WORKBOOK AND VIDEOS. IN 2020, THESE EDUCATIONAL TOOLS WERE TRANSLATED INTO SPANISH, AND A NEW WEBPAGE WAS CREATED FOR EASY ACCESS.
SCHEDULE H, PART V, LINE 16AHTTPS://WWW.CHILDRENSOMAHA.ORG/HOSPITAL-EXPERIENCE/BILLING-INSURANCE-MEDICAL RECORDS/FINANCIAL-ASSISTANCE/
SCHEDULE H, PART V, LINE 16BHTTPS://WWW.CHILDRENSOMAHA.ORG/HOSPITAL-EXPERIENCE/BILLING-INSURANCE-MEDICAL RECORDS/FINANCIAL-ASSISTANCE/
SCHEDULE H, PART V, LINE 16CHTTPS://WWW.CHILDRENSOMAHA.ORG/HOSPITAL-EXPERIENCE/BILLING-INSURANCE-MEDICAL RECORDS/FINANCIAL-ASSISTANCE/
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - LINCOLN CLINIC
5930 VANDERVOORT DR STE ALINCOLNNE68516PEDIATRIC CLINIC
2 - CAROLYN SCOTT RAINBOW HOUSE
7825 FARNAM DRIVEOMAHANE68114NO-COST ACCOMMODATIONS FOR FAMILIES OF PATIENTS

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:FEDERAL POVERTY GUIDELINES ARE USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. FINANCIAL ASSISTANCE IS AVAILABLE FOR MEDICALLY NECESSARY PROCEDURES AND SERVICES. SERVICES NOT ELIGIBLE FOR FINANCIAL ASSISTANCE INCLUDE COSMETIC AND OTHER ELECTIVE SERVICES. CERTIFICATION OR PROOF OF MEDICAID DENIAL IS A REQUIREMENT FOR FINANCIAL ASSISTANCE CONSIDERATION. FINANCIALLY RESPONSIBLE PARTIES WHO SUBMIT A COMPLETE AND VERIFIABLE APPLICATION FOR FINANCIAL ASSISTANCE WILL BE CONSIDERED FOR FREE OR REDUCED ASSISTANCE BASED ON FEDERAL POVERTY GUIDELINES (400% FPL LIMIT). FAMILIES THAT DO NOT QUALIFY FOR INCOME-BASED FINANCIAL ASSISTANCE THAT HAVE VERIFIABLE OUT OF POCKET MEDICAL DEBT GREATER THAN 20% OF GROSS INCOME MAY QUALIFY FOR CATASTROPHIC ASSISTANCE. PRESUMPTIVE ELIGIBILITY IS AVAILABLE IN A VARIETY OF CIRCUMSTANCES INCLUDING THE ABSENCE OF DOCUMENTATION REQUIRED TO COMPLY WITH THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION REQUIREMENTS. THE PREDICTIVE MODEL INCORPORATES INCOME AND HOUSEHOLD SIZE ESTIMATES, A SOCIO-ECONOMIC NEED FACTOR, CENSUS BLOCK DATA, AS WELL AS INFORMATION ON HOME OWNERSHIP.
PART I, LINE 6A:THE COMMUNITY BENEFIT REPORT IS PREPARED BY THE ORGANIZATION. THE VALUES REPORTED IN THE 2020 COMMUNITY BENEFIT REPORT INCLUDE $3.4 MILLION IN FINANCIAL ASSISTANCE.
PART I, LINE 7:EXPLANATION OF THE COSTING METHODOLOGY USED TO CALCULATE SUBSIDIZED HEALTH SERVICES: SUBSIDIZED HEALTH SERVICES WERE CALCULATED USING A COMBINATION OF CHILDREN'S HOSPITAL & MEDICAL CENTER'S COST ACCOUNTING SYSTEM AND A COST TO CHARGE RATIO CALCULATION SIMILAR TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. THE REPORTED SUBSIDIZED LOSS REPRESENTS THE DIFFERENCE IN NET REVENUE RECEIVED FROM ALL PAYORS LESS TOTAL OPERATING EXPENSES INCLUDING INDIRECT COSTS APPLICABLE TO EACH DEPARTMENT. UNREIMBURSED MEDICAID COSTS REPORTED ON LINE 7B AND OTHER OPERATING EXPENSE APPLICABLE TO THE DEPARTMENT REPORTED ELSEWHERE ON SCHEDULE H AS A COMMUNITY BENEFIT IS EXCLUDED FROM THE OPERATING EXPENSE TOTAL AS ARE BAD DEBT AND NON-PATIENT CARE EXPENSE ASSOCIATED WITH EACH DEPARTMENT. INDIRECT COSTS FOR EACH DEPARTMENT WERE CALCULATED BY APPLYING THE MEDICARE COST REPORT OVERHEAD RATE APPLICABLE TO THAT DEPARTMENT TO THE DEPARTMENT'S TOTAL OPERATING EXPENSES EXCLUDING UNREIMBURSED MEDICAID EXPENSES AND/OR ANY OTHER EXPENSE ALREADY REPORTED ELSEWHERE ON SCHEDULE H AS A COMMUNITY BENEFIT.
PART I, LINE 7G:THE ORGANIZATION DID NOT INCLUDE COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES.
PART II, COMMUNITY BUILDING ACTIVITIES:CHILDREN'S HOSPITAL & MEDICAL CENTER SUPPORTED ECONOMIC DEVELOPMENT IN ITS SPONSORSHIP DONATIONS TO ORGANIZATIONS SUCH AS THE GREATER OMAHA CHAMBER OF COMMERCE. CHILDREN'S PARTICIPATED IN COALITION BUILDING ACTIVITIES SUCH AS THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS' COMMUNITY HEALTH AFFINITY GROUP. CHILDREN'S ALSO DEDICATED OVER $479 THOUSAND TO COMMUNITY BENEFIT OPERATIONS AND CHNA IMPLEMENTATION STRATEGY.
PART III, LINE 2:DESCRIBE THE METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON LINES 2 & 3: BAD DEBT EXPENSE AT 100% CHARGE VALUE WAS MULTIPLIED BY THE 2020 MEDICARE COST TO CHARGE RATIO TO ARRIVE AT AN APPROXIMATE COST VALUE.BAD DEBT EXPENSE AT 100% CHARGE VALUE $1,216,258MEDICARE COST TO CHARGE RATIO X .4315BAD DEBT EXPENSE AT COST $524,815ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY: THIS PROCESS INCLUDES IDENTIFYING FINANCIAL ASSISTANCE CODES CONGRUENT WITH THE FINANCIAL ASSISTANCE POLICY THAT WERE CHARGED TO BAD DEBT EXPENSE AT 100% CHARGE VALUE. THIS AMOUNT IS $0 FOR 2020 AND REFLECTS THE EFFORTS OF CHILDREN'S HOSPITAL & MEDICAL CENTER TO ENSURE THAT NO CHILD WITH A MEDICAL NEED IS TURNED AWAY DUE TO INABILITY TO PAY FOR HEALTH CARE.DESCRIBE HOW THE ORGANIZATION ACCOUNTS FOR DISCOUNTS OR PAYMENTS ON PATIENT ACCOUNTS IN DETERMINING BAD DEBT EXPENSE: BAD DEBT EXPENSE IS CREDITED FOR ANY PAYMENT RECEIVED ON ACCOUNTS PREVIOUSLY WRITTEN OFF.
PART III, LINE 4:FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, THE COMPANY DETERMINES THE TRANSACTION PRICE ASSOCIATED WITH SERVICES ON THE BASIS OF CHARGES REDUCED BY IMPLICIT PRICE CONCESSIONS. IMPLICIT PRICE CONCESSIONS INCLUDED IN THE ESTIMATE OF THE TRANSACTION PRICE ARE BASED ON HISTORICAL COLLECTION EXPERIENCE FOR APPLICABLE PATIENT PORTFOLIOS. PATIENTS WHO MEET THE COMPANY'S CRITERIA FOR FREE "CHARITY" CARE ARE PROVIDED WITHOUT CHARGE; SUCH AMOUNTS ARE NOT REPORTED AS REVENUE. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SETTLEMENTS WITH THIRD-PARTY PAYORS FOR RETROACTIVE ADJUSTMENTS DUE TO AUDITS, REVIEWS, OR INVESTIGATIONS ARE CONSIDERED VARIABLE CONSIDERATION AND ARE INCLUDED IN THE DETERMINATION OF THE ESTIMATED TRANSACTION PRICE FOR PROVIDING PATIENT CARE USING THE MOST LIKELY OUTCOME METHOD. THESE SETTLEMENTS ARE ESTIMATED BASED ON THE TERMS OF THE PAYMENT AGREEMENTS WITH THE PAYOR, CORRESPONDENCE FROM THE PAYOR, AND HISTORICAL SETTLEMENT ACTIVITY, INCLUDING AN ASSESSMENT TO ENSURE THAT IT IS PROBABLE THAT A SIGNIFICANT REVERSAL IN THE AMOUNT OF CUMULATIVE REVENUE RECOGNIZED WILL NOT OCCUR WHEN THE UNCERTAINTY ASSOCIATED WITH THE RETROACTIVE ADJUSTMENT IS SUBSEQUENTLY RESOLVED. ESTIMATED SETTLEMENTS ARE ADJUSTED IN FUTURE PERIODS AS NEW INFORMATION BECOMES AVAILABLE OR AS YEARS ARE SETTLED OR ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS.
PART III, LINE 8:MEDICARE2020 MEDICARE CHARGES REPORTED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) IN THE PROVIDER STATISTICAL AND REIMBURSEMENT SYSTEM FOR PROVIDER FYE 12/31 WERE MULTIPLIED BY THE 2020 COST TO CHARGE RATIO TO ARRIVE AT AN APPROXIMATE COST OF CARE RELATED TO THE REIMBURSEMENT PAYMENTS REPORTED ON SCHEDULE H, PART III, LINE 5.
PART III, LINE 9B:COLLECTION PRACTICESSELF-PAY ACCOUNTS WITH NO VERIFIABLE INSURANCE AND BALANCE AFTER INSURANCE ACCOUNTS ARE CONSIDERED FOR FINANCIAL ASSISTANCE THROUGHOUT THE COLLECTION PROCESS FOR THOSE GUARANTORS WHO ARE FINANCIALLY UNABLE TO PAY, EITHER THROUGH A GOVERNMENT PROGRAM OR THROUGH CHILDREN'S HOSPITAL & MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAM. ALL CORRESPONDENCE, INCLUDING STATEMENTS AND COLLECTION LETTERS STATE THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE.
PART VI, LINE 2:2-NEEDS ASSESSMENTCHILDREN'S HOSPITAL & MEDICAL CENTER (CHILDREN'S) USES NUMEROUS RESOURCES TO BENCHMARK, ALIGN AND CONDUCT ASSESSMENTS OF THE HEALTH CARE NEEDS OF CHILDREN IN THE COMMUNITIES WE SERVE. THESE RESOURCES INCLUDE FOCUSED STAKEHOLDER INPUT AND PRIORITIZATION, NATIONAL PUBLIC HEALTH (HEALTHY PEOPLE 2020) AND PEDIATRIC CARE STANDARDS. WE ALSO REVIEW DATA FROM THE AMERICAN ACADEMY OF PEDIATRICS, AS LISTED IN OUR 2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT, AND TRENDS AS IDENTIFIED BY CHILDREN'S HOSPITAL ASSOCIATION (CHA).DURING THE 2018 CHILD AND ADOLESCENT CHNA, ADDITIONAL COMMUNITY FEEDBACK ON PRIORITIZATION OF HEALTH NEEDS WAS OBTAINED WITH LEADERSHIP AND ACTIVE PARTICIPATION WITHIN THE DOUGLAS COUNTY MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS AND THE LIVE WELL OMAHA'S 2018 CHANGEMAKER SUMMIT.DOUGLAS COUNTY HEALTH DEPARTMENT AND CHILDREN'S PARTNERED TO FACILITATE A SERIES OF STRATEGIC ASSESSMENTS (FORCES OF CHANGE ASSESSMENT, A LOCAL PUBLIC HEALTH SYSTEMS ASSESSMENT AND A COMMUNITY STRENGTHS AND THEMES ASSESSMENT) BY USING THE MAPP PROCESS. THIS FRAMEWORK APPLIES STRATEGIC THINKING TO THE PRIORITY HEALTH ISSUES TO IDENTIFY RESOURCES TO MEET THE CHALLENGES AND OPPORTUNITIES.ON NOVEMBER 5, 2018, FINDINGS FROM THIS CHNA WERE PRESENTED AT LIVE WELL OMAHA'S 2018 CHANGEMAKER SUMMIT. THE CHANGEMAKER SUMMIT IS THE REGION'S LARGEST MULTI-SECTOR HEALTH CONFERENCE, WHICH GATHERS MORE THAN 170 LEADERS FROM ACROSS DOUGLAS, SARPY, CASS, AND POTTAWATTAMIE COUNTIES TO CELEBRATE THE MILESTONES OF OUR COLLECTIVE WORK AND ADVANCE FUTURE WORK WHILE LEARNING FROM LOCAL, REGIONAL, AND NATIONAL EXPERTS. AT THIS EVENT, DATA WAS SHARED REFLECTING THE SIGNIFICANT HEALTH ISSUES IDENTIFIED FROM THE RESEARCH AND THE MAPP PROCESS.INDIVIDUALS' RATINGS FROM THIS SUMMIT YIELDED THE FOLLOWING PRIORITIZED LIST OF COMMUNITY HEALTH NEEDS FOR CHILDREN AND ADOLESCENTS IN THE OMAHA METRO AREA:1. MENTAL HEALTH2. NUTRITION, OBESITY & PHYSICAL ACTIVITY3. ACCESS TO HEALTH SERVICES4. SEXUAL HEALTH5. TOBACCO, ALCOHOL & OTHER DRUGSORGANIZATIONS SPONSORING OR SUPPORTING THIS CHNA WILL USE THE INFORMATION FROM THIS CHNA TO DEVELOP IMPLEMENTATION STRATEGIES TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY. THE RESULTS OF THIS PRIORITIZATION EXERCISE WILL BE USED TO INFORM THE DEVELOPMENT OF ACTION PLANS TO GUIDE COMMUNITY HEALTH IMPROVEMENT EFFORTS IN THE COMING YEARS.BY USING THIS PROCESS IN CONNECTION WITH THE CHNA DATA, OUR COMMUNITY IS POSITIONED TO IMPROVE THE EFFICIENCY AND EFFECTIVENESS OF LOCAL PUBLIC HEALTH SYSTEMS ACROSS THE REGION.SEVERAL OTHER CURRENT CLINICAL ASSESSMENTS INCLUDE THE PEDI-BOOST RISK SCORE, A MEDICAL AND SOCIAL RISK SCREENING FOR ALL CHILDREN WHO MAKE AN ENCOUNTER WITH THE ENTERPRISE. FOR THOSE CHILDREN WITH HIGH OR RISING RISK, A COMPLETE PSYCHOSOCIAL ASSESSMENT IS PERFORMED BY OUR CARE TRANSITION TEAM OF SOCIAL WORKERS OR NURSE CASE MANAGERS IN THE OUTPATIENT AND INPATIENT SETTING. SEVERAL DEPARTMENTS ROUTINELY UTILIZE DEPRESSION SCREENING PHQ9 FOR THOSE YOUTH 12 AND OLDER. A POSTPARTUM DEPRESSION SCREENING OF BIRTH MOTHERS IS PERFORMED AT TWO WEEKS, TWO MONTHS, AND FOUR MONTHS DURING PRIMARY CARE WELL VISITS. IN 2019, A SCREENING QUESTION ABOUT TRANSPORTATION CHALLENGES WAS ADDED TO THE DOMESTIC VIOLENCE, FOOD INSECURITY AND HOUSING INSECURITY SCREENING QUESTIONS GIVEN AT EACH PRIMARY CARE WELL VISIT.INTERNAL RESOURCES THAT ASSIST WITH THE ASSESSMENT OF CHILD HEALTH NEEDS ARE CHILDREN'S FAMILY ADVISORY COUNCILS, THE CENTER FOR THE CHILD & COMMUNITY, SOCIAL WORKERS AND NURSE CASE MANAGERS, PHYSICIANS AND CLINICAL SERVICE UNITS, AND IT ANALYSTS/REPORTERS. AN ANALYSIS OF THE INFORMATION AND/OR DATA COLLECTED FROM THESE VARIOUS RESOURCES IS CONDUCTED TO IDENTIFY POTENTIAL GAPS IN CHILD HEALTH NEEDS IN THE COMMUNITIES SERVED. NEEDS THAT ALIGN WITH THE HOSPITAL'S MISSION AND CAPACITY ARE SELECTED FOR REVIEW BY ADMINISTRATION, WHICH PRIORITIZES NEEDS AND AUTHORIZES IMPLEMENTATION BASED ON THE SCOPE OR SERIOUSNESS OF THE PROBLEM, AVAILABILITY OF COMMUNITY RESOURCES, AVAILABILITY OF FUNDING, AND/OR ALIGNMENT WITH THE HOSPITAL'S EXPERTISE AND STRATEGIC GOALS.
PART VI, LINE 3:3-PATIENT EDUCATION OF ELIGIBILITYFINANCIALLY RESPONSIBLE PARTIES WHO EXPERIENCE DIFFICULTY IN MEETING THEIR FINANCIAL OBLIGATIONS WILL BE ENCOURAGED TO AND ASSISTED IN APPLYING FOR FINANCIAL HELP THROUGH GOVERNMENT PROGRAMS AND OTHER POTENTIAL FUNDING SOURCES OR ALTERNATIVELY QUALIFIED FOR CHILDREN'S FINANCIAL ASSISTANCE PROGRAM. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS IDEALLY DETERMINED EITHER PRIOR TO SERVICES BEING PROVIDED OR AT THE TIME SERVICES ARE RENDERED AND IS BASED UPON FAMILY/GUARANTOR INCOME, FAMILY SIZE AND OTHER SPECIAL CONSIDERATIONS. THE PRIMARY RESPONSIBILITY TO IDENTIFY FINANCIAL NEED IS WITH THE ACCESS CENTER PATIENT ADVOCATES, CENTRAL BILLING OFFICE AND SOCIAL WORK STAFF. THESE STAFF MEMBERS ARE TRAINED TO IDENTIFY PATIENT NEEDS AND ANSWER FINANCIAL ASSISTANCE QUESTIONS. THERE ARE SEVERAL POINTS IN THE PATIENT EXPERIENCE WHERE FINANCIAL ASSISTANCE RESOURCES ARE OFFERED. THE FIRST OCCURS AT THE PRE-REGISTRATION OF INPATIENT ADMITS AND OUTPATIENTS PRESENTING THROUGH CARES AND FOR THOSE PATIENTS SCHEDULED IN THE SPECIALTY PEDIATRIC CENTER CLINICS. ELIGIBILITY OF THE INSURED IS VALIDATED ELECTRONICALLY. THE BENEFIT DETAIL INCLUDING DEDUCTIBLE, COPAYMENT AND COINSURANCE AMOUNTS ARE DISCUSSED WITH THE FAMILY. ALL INDIVIDUALS WHO ARE FINANCIALLY UNABLE TO PAY ARE ENCOURAGED TO AND ASSISTED IN APPLYING FOR FINANCIAL HELP THROUGH GOVERNMENT PROGRAMS AND OTHER POTENTIAL FUNDING SOURCES OR ALTERNATIVELY QUALIFIED FOR CHILDREN'S FINANCIAL ASSISTANCE PROGRAM. AT THE TIME OF REGISTRATION, INSURANCE IS DISCUSSED, AND FAMILIES AGAIN ARE OFFERED THE ASSISTANCE OF ACCESS CENTER PATIENT ADVOCATES WHO ARE AVAILABLE MONDAY THROUGH FRIDAY. ALL SELF-PAY FAMILIES ARE ENCOURAGED TO SPEAK TO AN ACCESS CENTER PATIENT ADVOCATE. CARE ESTIMATES OR QUESTIONS REGARDING ESTIMATE OF COST FOR UPCOMING TESTING ARE DIRECTED TO THE PATIENT ADVOCATES AND THESE SERVICES ARE AGAIN OFFERED PRIOR TO ENDING THE CONVERSATION. FINANCIAL ASSISTANCE INFORMATION IS ALSO LOCATED IN THE PATIENT HANDBOOKS. PATIENT STATEMENTS AND ALL CORRESPONDENCE INCLUDING BILLS, STATEMENTS, AND COLLECTION LETTERS STATE THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE. CHILDREN'S HOSPITAL & MEDICAL CENTER'S INTERNET WEBSITE ALSO OFFERS A FINANCIAL ASSISTANCE LINK THAT INFORMS READERS IF THEY ARE UNINSURED OR HAVE LIMITED INCOME, THEY MAY QUALIFY FOR FINANCIAL ASSISTANCE THROUGH GOVERNMENT PROGRAMS OR CHILDREN'S FINANCIAL ASSISTANCE PROGRAM. THE WEBSITE EXPLAINS THAT DEPENDING ON INCOME LEVEL, ALL OR PART OF THE MEDICAL COSTS MAY BE FUNDED BY MEDICAID, AND, ALTERNATIVELY, IF THEY ARE DETERMINED NOT ELIGIBLE FOR MEDICAID AFTER PROVIDING ALL OF THE REQUIRED DOCUMENTATION, THEY MAY THEN APPLY FOR THE CHILDREN'S FINANCIAL ASSISTANCE PROGRAM. CONTACT NUMBERS FOR THE PATIENT ADVOCATES AND HOURS OF SERVICE ARE PROVIDED. THE WEBSITE INCLUDES COPIES OF CHILDREN'S FINANCIAL ASSISTANCE POLICY, THE FINANCIAL ASSISTANCE APPLICATION FORM AND THE PLAIN LANGUAGE SUMMARY IN ENGLISH, ARABIC, CHINESE, FRENCH, PERSIAN, SPANISH, AND VIETNAMESE. THE WEBSITE ALSO INCLUDES AMOUNTS GENERALLY BILLED IN ENGLISH. ALL OTHER BILLING, PAYMENT, AND FINANCIAL RESPONSIBILITY RELATED LINKS ON CHILDREN'S WEBSITE STATE THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE.THE FINANCIAL ASSISTANCE POLICY IS CURRENTLY AVAILABLE ON THE CHILDREN'S HOSPITAL & MEDICAL CENTER WEBSITE AND IS ALSO AVAILABLE UPON REQUEST.HTTPS://WWW.CHILDRENSOMAHA.ORG/HOSPITAL-EXPERIENCE/BILLING-INSURANCE-MEDICAL-RECORDS/FINANCIAL-ASSISTANCE/
PART VI, LINE 4:4-COMMUNITY INFORMATIONTHE HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF DOUGLAS AND SARPY COUNTIES IN NEBRASKA AND POTTAWATTAMIE COUNTY IN IOWA. THE PRIMARY SERVICE AREA HAS A CURRENT AGGREGATE POPULATION OF APPROXIMATELY 865,034. THE HOSPITAL'S SECONDARY SERVICE AREA CONSISTS OF EIGHT SURROUNDING COUNTIES IN NEBRASKA AND NINE SURROUNDING COUNTIES IN IOWA.FOR THE YEAR ENDED DECEMBER 31, 2020, 49.0% OF THE HOSPITAL'S INPATIENT DISCHARGES WERE FROM PATIENTS RESIDING IN THE THREE-COUNTY PRIMARY SERVICE AREA. PATIENTS RESIDING IN THE SEVENTEEN-COUNTY SECONDARY SERVICE AREA ACCOUNTED FOR 19.4% OF TOTAL HOSPITAL INPATIENT DISCHARGES DURING THIS SAME TIME PERIOD. THE REMAINING 31.6% OF TOTAL DISCHARGES WERE FROM PATIENTS RESIDING OUTSIDE THE PRIMARY AND SECONDARY SERVICE AREAS.2020 DEMOGRAPHIC SUMMARYOMAHA METRO MARKET AREA: DOUGLAS, SARPY, AND POTTAWATTAMIE COUNTIES SOURCES: ESRI (BASED ON US CENSUS BUREAU), UNITED STATES CENSUS BUREAU AND CHILDREN'S HOSPITAL AND MEDICAL CENTER PATIENT ENCOUNTER DATABASE.COMMUNITIES SERVED - URBAN, SUBURBAN AND RURAL# OF HOSPITALS SERVING COMMUNITY - 12TOTAL POPULATION 865,034PEDIATRIC POPULATION 215,725AVERAGE HOUSEHOLD INCOME $88,761PERCENT OF RESIDENTS BELOW FEDERAL POVERTY LEVELTOTAL POPULATION 9.4%UNDER AGE 18 10.8%PERCENT OF RESIDENTS ON MEDICAID 9.9%AGE POPULATION %OF TOTALLESS THAN 18 215,725 25.0%18 TO 24 79,416 9.2%25 TO 44 247,558 28.6%45 TO 64 202,729 23.4%65+ 119,606 13.8%TOTAL 865,034 100.0%RACE POPULATION %OF TOTALWHITE 643,370 74.4%HISPANIC 96,262 11.1%BLACK 71,602 8.3%ASIAN/PACIFIC ISLANDER 26,828 3.1%OTHER/2+ RACES 24,013 2.8%AM. IND/ALASKA NAT 2,959 0.3%TOTAL 865,034 100.0%FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREASAPPROXIMATE % OF PATIENTS FROM MEDICALLY UNDERSERVED AREAS: 14.1%COUNTY # OF CENSUS TRACTS* TOTAL CENSUS TRACTS % OF TOTALDOUGLAS 36 156 23.1%SARPY 12 43 27.9%POTTAWATTAMIE 3 30 10.0%TOTAL 51 229 22.3%*CENSUS TRACT IS A GEOGRAPHICAL DIVISION OF 500 TO 3,000 HOUSEHOLDS
PART VI, LINE 5:PROUDLY SERVING CHILDREN SINCE 1948, CHILDREN'S HOSPITAL & MEDICAL CENTER (CHILDREN'S) MISSION IS TO IMPROVE THE LIFE OF EVERY CHILD THROUGH DEDICATION TO EXCEPTIONAL CLINICAL CARE, RESEARCH, EDUCATION AND ADVOCACY.CHILDREN'S CENTER FOR THE CHILD & COMMUNITY IS A STATEWIDE COMMUNITY OUTREACH HUB OF CHILDREN'S. THE CHILDREN'S CENTER FOR THE CHILD & COMMUNITY WAS LAUNCHED IN 2016 TO SERVE AS THE INFRASTRUCTURE FOR COMMUNITY HEALTH IMPROVEMENT, LEADING BOTH INTERNAL AND EXTERNAL PARTNERSHIPS AROUND PEDIATRICS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PLANNING AND IMPLEMENTATION.A LEADER IN PEDIATRIC HEALTH CARE, CHILDREN'S CONDUCTED MORE THAN 340,000 VISITS IN 2020. CHILDREN'S OFFERS UNIQUE RESOURCES TO CHILDREN ACROSS A THREE-STATE REGION AND BEYOND, AND IS THE ONLY FULL-SERVICE, PEDIATRIC HEALTH CARE CENTER IN NEBRASKA. IN ADDITION TO TRADITIONAL HOSPITAL-BASED SERVICES, SOME OF THE OTHER PROGRAMS AND SERVICES CHILDREN'S OFFERS TO PATIENTS ARE BEHAVIORAL HEALTH, REHAB SERVICES, HOME HEALTH, URGENT CARE, WEIGHT & WELLNESS, AND SPECIALTY CARE CLINICS. IN ADDITION, CHILDREN'S OFFERS PALLIATIVE CARE, FAMILY RESOURCES, CHILD LIFE SPECIALISTS, PASTORAL CARE, SOCIAL WORKERS, NURSE CASE MANAGERS, INTERPRETERS, FINANCIAL COUNSELORS, PATIENT ADVOCATES, AND OTHER PROGRAMS TO ENHANCE THE PATIENT EXPERIENCE.CHILDREN'S HAS ACHIEVED THE MAGNET DESIGNATION FOR NURSING EXCELLENCE, AND ITS PEDIATRIC AND NEONATAL INTENSIVE CARE UNITS HAVE EARNED A BEACON AWARD FOR EXCELLENCE FROM THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES, WHICH RECOGNIZES CRITICAL CARE UNITS WITH EXCELLENT PATIENT OUTCOMES THAT EXCEED NATIONAL BENCHMARKS. CHILDREN'S HAS BEEN NAMED BY U.S. NEWS & WORLD REPORT AS ONE OF THE NATION'S BEST CHILDREN'S HOSPITALS, NATIONALLY RANKED IN CARDIOLOGY AND HEART SURGERY, PULMONOLOGY AND LUNG SURGERY, GASTROENTEROLOGY AND GI SURGERY, AND UROLOGY. U.S. NEWS RECOGNIZES HOSPITALS WITH EXCELLENT SURVIVAL RATES, PATIENT SAFETY, SPECIALIZED STAFF, AND HOSPITAL REPUTATION. ALL OF THE CHILDREN'S PHYSICIANS PRIMARY CARE OFFICES HAVE ACHIEVED THE HIGHEST NCQA PATIENT CENTERED MEDICAL HOME (PCMH) CERTIFICATION. A PEDIATRIC AFFILIATION ESTABLISHED BETWEEN CHILDREN'S AND THE UNIVERSITY OF NEBRASKA MEDICAL CENTER COLLEGE OF MEDICINE (UNMC) SUPPORTS ENHANCEMENTS IN PEDIATRIC EDUCATION, RESEARCH, AND CLINICAL CARE. CHILDREN'S SERVES AS THE PRIMARY ACADEMIC MEDICAL TRAINING LOCATION FOR THE UNMC DEPARTMENT OF PEDIATRICS.IN 2020, CHILDREN'S PROVIDED MORE THAN $128 MILLION IN COMMUNITY BENEFITS, REPRESENTING 29% OF THE HOSPITAL'S OPERATING EXPENSES. TOTAL COMMUNITY BENEFITS PROVIDED IN 2020 INCLUDED THE FOLLOWING:- PROVIDED $3.4 MILLION IN FINANCIAL ASSISTANCE TO FAMILIES UNABLE TO PAY. WITH 45% OF PATIENT CARE REVENUES DEVOTED TO THE CARE OF LOW-INCOME CHILDREN ASSISTED BY MEDICAID, THE FY 2020 SHORTFALL BETWEEN MEDICAID REIMBURSEMENT AND THE COST OF PROVIDING CARE WAS $41 MILLION.- CONTRIBUTED $1.3 MILLION TOWARDS COMMUNITY HEALTH EDUCATION AIMED AT PROMOTING HEALTH AND PREVENTING ILLNESS AND INJURY MADE AVAILABLE THROUGH INJURY PREVENTION, OBESITY PREVENTION, PARENTING U EDUCATION CLASSES, OUTREACH EDUCATIONAL CLASSES, HEALTH FAIRS, JUST KIDS MAGAZINE, AND THE CONSUMER WEBSITE. CHILDREN'S GIVES BACK TO THE COMMUNITY THROUGH ADVOCACY SERVICES WHICH ARE AVAILABLE TO ANYONE SUSPECTING CHILD ABUSE OR NEGLECT, AND LODGING FOR FAMILIES OF OUT-OF-TOWN PATIENTS IS OFFERED AT THE CAROLYN SCOTT RAINBOW HOUSE AT NO COST.- CONTRIBUTED $20.3 MILLION IN PEDIATRIC HEALTH CARE EDUCATION COSTS TO EDUCATE TOMORROW'S HEALERS.- PROVIDED $538 THOUSAND IN CASH AND IN-KIND DONATIONS/SPONSORSHIPS TO BENEFIT THE BROADER COMMUNITY.
PART VI, LINE 6:CHILDREN'S HOSPITAL & MEDICAL CENTER IS NOT AFFILIATED WITH A GREATER HEALTH CARE SYSTEM, BUT IS ITS OWN HEALTH CARE SYSTEM WHICH THE HOSPITAL OPERATES THE FOLLOWING RELATED ORGANIZATIONS:- CHILDREN'S HOSPITAL & MEDICAL CENTER FOUNDATION- CHILDREN'S PHYSICIANS- CHILDREN'S HEALTH NETWORK
SCHEDULE H, PART VI, LINE 7THE CHILDREN'S HOSPITAL & MEDICAL CENTER COMMUNITY BENEFIT REPORT IS FILED IN THE STATE OF NEBRASKA THROUGH THE NEBRASKA HOSPITAL ASSOCIATION, AND IS AVAILABLE TO THE PUBLIC ON THE WEBSITE AT:HTTPS://WWW.CHILDRENSOMAHA.ORG/GET-INVOLVED/ADVOCACY-OUTREACH/COMMUNITY-ADVOCACY/

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
NE PEDIATRIC PRACTICE
8200 DODGE STREETOMAHANE68114263064869501(C)(3)$1,419,098PEDIATRIC RESEARCH
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
985520 NE MED CTROMAHANE68198470049123501(C)(3)$3,443,271SUPPORT FOR MED SCH
NEBRASKA APPLESEED CENTER
941 O ST STE 920LINCOLNNE68508470798343501(C)(3)$10,000PREVENTION OF CHILDHOOD OBESITY
CEDARS YOUTH SERVICES INC
6601 PIONEERS BLVDLINCOLNNE68506470551975501(C)(3)$10,000PREVENTION OF CHILDHOOD OBESITY
ONEWORLD COMMUNITY HEALTH CENTERS INC
4920 S 30TH ST STE 103OMAHANE68107470548990501(C)(3)$10,000PREVENTION OF CHILDHOOD OBESITY
HARRISON COUNTY HOME AND PUBLIC HEALTH
116 N SECOND AVELOGANIA51546426004889GOVERNMENT$10,000PREVENTION OF CHILDHOOD OBESITY
SARPYCASS HEALTH DEPARTMENT
701 OLSON DR STE 101PAPILLIONNE68045270097150GOVERNMENT$10,000PREVENTION OF CHILDHOOD OBESITY
FAMILY SERVICE ASSOCIATION OF LINCOLN
501 S 7TH STLINCOLNNE68508470376584501(C)(3)$10,000PREVENTION OF CHILDHOOD OBESITY
INTERFAITH HEALTH SERVICE
1326 S 26TH STOMAHANE68105470832663501(C)(3)$10,000PREVENTION OF CHILDHOOD OBESITY
BOYS & GIRLS CLUBS OF THE MIDLANDS
2610 HAMILTON STOMAHANE68131470467350501(C)(3)$10,000PREVENTION OF CHILDHOOD OBESITY
CHICANO AWARENESS CENTER INC
4821 S 24TH STOMAHANE68107237208431501(C)(3)$10,000PREVENTION OF CHILDHOOD OBESITY
UNIVERSITY OF NEBRASKA EXTENSION
2000 VINE STLINCOLNNE68583470049123501(C)(3)$10,000PREVENTION OF CHILDHOOD OBESITY
FieldValueIRS element (for citing)
Total501c3 Org12Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeFINANCIAL ASSISTANCE TO PATIENTS IN NEEDGrantTypeTxt
Recipient8135RecipientCnt
Non Cash Assistance$7,945,038NonCashAssistanceAmt
Valuation Method UsedBOOKValuationMethodUsedDesc
Non Cash AssistanceWRITEOFF PAT ACCTNonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationCHILDREN'S HOSPITAL & MEDICAL CENTER HAS A WRITTEN FINANCIAL ASSISTANCE/CHARITY CARE POLICY. THE AMOUNT OF FINANCIAL ASSISTANCE AN INDIVIDUAL CAN RECEIVE IS BASED ON THE ANNUAL GROSS INCOME THRESHOLDS USING THE CURRENT FEDERAL POVERTY LEVEL GUIDELINES. GRANTS TO ORGANIZATIONS ARE ONLY DISTRIBUTED TO 501(C)(3) OR GOVERNMENT ORGANIZATIONS BASED ON THE HOSPITAL'S EVALUATION CRITERIA.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 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
KATHY ENGLISH
EVP COO & CNO$491,934$0$211,643$0$256,301$0$85,535$0$7,366$0$1,052,779$0$236,909$0
CHRISTOPHER MALONEY MD
EVP CCO & PIC$666,990$0$225,083$0$9,831$0$98,588$0$636$0$1,001,128$0$0$0
RICHARD AZIZKHAN MD
FORMER PRES/CEO$0$0$0$0$969,020$0$0$0$0$0$969,020$0$0$0
RODRIGO LOPEZ
INTERIM PRES/CEO THRU 9/7/20$507,692$0$250,000$0$37,404$0$8,550$0$468$0$804,114$0$0$0
MICHAEL BROWN
EVP STRAT & TRANS THRU 1/3/20$18,860$0$196,443$0$584,298$0$506$0$504$0$800,611$0$0$0
AMY HATCHER
EVP & CFO$438,255$0$175,879$0$4,308$0$74,628$0$8,364$0$701,434$0$0$0
AMY BONES
SVP & GENERAL COUNSEL$375,919$0$138,556$0$7,455$0$53,416$0$7,706$0$583,052$0$0$0
JEROLD VUCHAK
SVP CHIEF INFO OFFICER$342,681$0$101,564$0$13,359$0$50,439$0$7,665$0$515,708$0$0$0
BRIAN ALLISON
VP SURG SERVICES THRU 9/24/20$146,857$0$76,725$0$254,687$0$6,532$0$9,019$0$493,820$0$0$0
NICOLE VILLARREAL MD
PHYSICIAN$432,764$0$26,250$0$2,026$0$6,994$0$19,533$0$487,567$0$0$0
CHANDA CHACON
PRESIDENT/CEO BEG 9/8/20$226,493$0$150,000$0$55,299$0$44,869$0$3,457$0$480,118$0$0$0
MALINDA BENDER MD
PHYSICIAN$417,563$0$33,250$0$2,185$0$8,384$0$2,321$0$463,703$0$0$0
JAMIE DRAKE MD
PHYSICIAN$412,543$0$26,250$0$2,194$0$5,870$0$1,946$0$448,803$0$0$0
JANEL ALLEN
SVP & CHIEF PEOPLE OFFICER$300,657$0$40,000$0$6,429$0$48,030$0$18,997$0$414,113$0$0$0
KARI KRENZER MD
PHYSICIAN$353,532$0$28,000$0$2,461$0$8,389$0$21,190$0$413,572$0$0$0
STEVEN C BURNHAM
SVP PHYS NETWORKS THRU 1/3/20$14,060$0$210,119$0$68,591$0$427$0$493$0$293,690$0$0$0
SUZANNE NOCITA
SVP & CHRO THRU 1/3/20$11,887$0$180,130$0$67,089$0$828$0$15$0$259,949$0$37,296$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ARELOCATION AND COBRA ALLOWANCES WERE GROSSED-UP FOR CHANDA CHACON PER THE TERMS OF HER EMPLOYMENT CONTRACT.
PART I, LINES 4A-BLINE 4A - SEVERANCE PAYMENTS THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2020: RICHARD AZIZKHAN, M.D. $969,020 MICHAEL BROWN $509,022 BRIAN ALLISON $226,215 STEVEN C. BURNHAM $40,000 LINE 4B - DEFERRED COMPENSATION THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) PLAN DURING 2020. THE AMOUNTS OF DEFERRED COMPENSATION DISTRIBUTED AND ACCRUED FOR EACH OF THE INDIVIDUALS DURING 2020 ARE AS FOLLOWS: CHRISTOPHER MALONEY, M.D. $90,038 ACCRUAL, $0 PLAN DISTRIBUTION KATHY ENGLISH $77,766 ACCRUAL, $236,909 PLAN DISTRIBUTION AMY HATCHER $66,078 ACCRUAL, $0 PLAN DISTRIBUTION AMY BONES $47,213 ACCRUAL, $0 PLAN DISTRIBUTION JEROLD VUCHAK $43,092 ACCRUAL, $0 PLAN DISTRIBUTION CHANDA CHACON $40,000 ACCRUAL, $0 PLAN DISTRIBUTION JANEL ALLEN $39,480 ACCRUAL, $0 PLAN DISTRIBUTION SUZANNE NOCITA $0 ACCRUAL, $37,296 PLAN DISTRIBUTION

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
HOSPITAL AUTHORITY #2 OF DOUGLAS CO NE
A521440796259230KT62008-08-12$100,881,609REFUND BONDS (6/8/2007)Yes (1)00
HOSPITAL AUTHORITY #2 OF DOUGLAS CO NE
B521440796259230NJ52017-03-14$101,075,067USED TO CONSTRUCT HUBBARD CENTER FOR CHILDREN000
HOSPITAL AUTHORITY #2 OF DOUGLAS CO NE
C5214407962017-11-28$26,885,000REFUND BONDS (8/12/2008)000
HOSPITAL AUTHORITY #2 OF DOUGLAS CO NE
D521440796259230PJ32020-05-28$109,497,288HUBBARD / REFUND BONDS (9/10/2014)000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapitalized InterestCapitalizedInterestAmtUnspentUnspentAmt
A$67,955,000$100,892,260$751,783$24,826$2,755,000$97,360,6812008Yes (1)0Yes (1)Yes (1)
B$104,280,765$1,064,167$103,216,59800Yes (1)Yes (1)
C$9,575,000$26,885,000$305,601$26,579,3992008Yes (1)0Yes (1)Yes (1)
D$109,498,512$1,132,344$83,365,213$18,331,807Yes (1)00Yes (1)$10,089$6,659,059

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.002000.0020000Yes (1)
B00000.000000.0000000Yes (1)
C0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.002000.0020000Yes (1)
D00000.000000.0000000Yes (1)

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 HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
MORGAN STANLEY
A00Yes (1)Yes (1)Yes (1)Yes (1)25.000000000000000Yes (1)
(no name)
B000Yes (1)000Yes (1)
(no name)
C00Yes (1)Yes (1)000Yes (1)
(no name)
D0Yes (1)Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART II, LINE 3THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN E DUE TO INVESTMENT EARNINGS.
SCHEDULE K, PART IV, LINE 2CDATE THE REBATE COMPUTATION WAS PERFORMED: 10/02/2017 (2008 BONDS) DATE THE REBATE COMPUTATION WAS PERFORMED: 02/28/2020 (2017 BONDS) DATE THE REBATE COMPUTATION WAS PERFORMED: 05/28/2018 (2017B BONDS)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
RICHARD AZIZKHAN MD
WIFE WAS EMPLOYEE$26,868SEVERANCE0
RICHARD AZIZKHAN MD
SON IS EMPLOYEE$14,432EMPLOYMENT0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTSTHE HOSPITAL OPERATES A 145-BED PEDIATRIC HOSPITAL, WHICH INCLUDES SEVEN SURGICAL SUITES, TWO HYBRID HEART CATHERIZATION LABS, AN OUTPATIENT SURGERY CENTER, A HEART TRANSPLANT PROGRAM, A PEDIATRIC INTENSIVE CARE UNIT (PICU) AND A FETAL CARE CENTER THAT FOCUSES ON THE COORDINATION OF CARE FOR BABIES DIAGNOSED WITH COMPLEX CONGENITAL DEFECTS BEFORE BIRTH. CHILDREN'S HAS ACHIEVED THE MAGNET DESIGNATION FOR NURSING EXCELLENCE, AND ITS PEDIATRIC AND NEONATAL INTENSIVE CARE UNITS HAVE EARNED A BEACON AWARD FOR EXCELLENCE FROM THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES, WHICH RECOGNIZES CRITICAL CARE UNITS WITH EXCELLENT PATIENT OUTCOMES THAT EXCEED NATIONAL BENCHMARKS. IN 2020, THE HOSPITAL WAS RECOGNIZED BY U.S. NEWS AND WORLD REPORT FOR CARDIOLOGY AND HEART SURGERY, PULMONOLOGY AND LUNG SURGERY, GASTROENTEROLOGY AND GI SURGERY, AND UROLOGY. CHILDREN'S SPECIALTY PEDIATRIC CENTER OFFERS MORE THAN 50 OUTPATIENT SPECIALTY CLINICS, PROVIDING DIAGNOSTICS, TREATMENT, AND THERAPY. IN ADDITION, CHILDREN'S PROVIDES OUTPATIENT BEHAVIORAL HEALTH AND A FULL ARRAY OF PEDIATRIC HOME HEALTHCARE SERVICES TO CHILDREN AND ADOLESCENTS WHO HAVE IMMEDIATE OR LONG-TERM HEALTH CARE NEEDS, INCLUDING HOME MEDICAL EQUIPMENT RENTALS AND SALES, HOME HEALTH NURSING, IN-HOME PRIVATE DUTY NURSING AND HOME INFUSION THERAPY SERVICES. THE HOSPITAL IS HOME TO THE ONLY LEVEL IV NEONATAL INTENSIVE CARE UNIT AND THE ONLY DEDICATED PEDIATRIC EMERGENCY DEPARTMENT WITH LEVEL II PEDIATRIC TRAUMA DESIGNATION IN ITS SERVICE AREA. THE HOSPITAL ALSO PROVIDES SPECIALTY PEDIATRIC CARE SERVICES IN COMMUNITIES ACROSS A THREE-STATE REGION.
FORM 990, PART VI, SECTION B, LINE 11BGOVERNANCE, MANANGEMENT, AND DISCLOSURE A COMPLETE COPY OF THE FORM 990, INCLUDING SCHEDULE J, IS MADE AVAILABLE TO THE EXECUTIVE COMMITTEE OF THE BOARD EXCLUDING THE MEDICAL STAFF PRESIDENT. THE FORM 990, EXCLUDING PART VII AND SCHEDULE J - COMPENSATION INFORMATION, IS MADE AVAILABLE TO THE REMAINDER OF THE BOARD OF DIRECTORS, INCLUDING THE MEDICAL STAFF PRESIDENT. BOTH ARE MADE AVAILABLE THROUGH THE DIRECTOR'S DESK WEBSITE PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CPOLICIES THE CONFLICT OF INTEREST POLICY APPLIES TO ANY PERSON IN A POSITION TO EXERCISE INFLUENCE IN CONNECTION WITH ANY CONTRACT, TRANSACTION OR ARRANGEMENT PRESENTED TO THE BOARD OR A BOARD COMMITTEE FOR APPROVAL (COVERED PERSON). COVERED PERSON INCLUDES (BUT IS NOT LIMITED TO) ANY DIRECTOR, OFFICER, MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWER, OR KEY EMPLOYEE/STAFF. ALL COVERED PERSONS MUST ANNUALLY SUBMIT A COMPLETED CONFLICT OF INTEREST QUESTIONNAIRE IN THE FORMAT PRESCRIBED BY THE GOVERNANCE COMMITTEE FROM TIME TO TIME. EACH COVERED PERSON SHALL ANNUALLY ACKNOWLEDGE IN WRITING THAT HE OR SHE (A) HAS RECEIVED A COPY OF THE POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) AGREES TO COMPLY WITH THE POLICY; (D) UNDERSTANDS THAT THE POLICY APPLIES TO THE BOARD AND COMMITTEES; (E) UNDERSTANDS THAT CHILDREN'S IS A NOT-FOR-PROFIT ORGANIZATION THAT MUST ENGAGE PRIMARILY IN EXEMPT ACTIVITIES; (F) AGREES TO PROMPTLY REPORT TO THE CHAIR OF THE GOVERNANCE COMMITTEE, THE CONFLICT OF INTEREST/INDEPENDENCE DETERMINATION SUBCOMMITTEE (THE SUBCOMMITTEE) AND CHILDREN'S GENERAL COUNSEL ANY CHANGE TO MATTERS PREVIOUSLY DISCLOSED ON THE CONFLICT OF INTEREST QUESTIONNAIRE; AND (G) STATES THAT THE INFORMATION HE OR SHE WILL PROVIDE IN THE CONFLICT OF INTEREST QUESTIONNAIRE IS TRUE AND ACCURATE TO THE BEST OF HIS OR HER KNOWLEDGE AND BELIEF. A COVERED PERSON HAS A CONTINUING OBLIGATION TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST OR ANY SITUATIONS THAT COULD CREATE AN APPEARANCE OF A CONFLICT OF INTEREST. SUCH DISCLOSURE SHALL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES OR WHENEVER IT INVOLVES A MATTER OF BOARD/COMMITTEE ACTION. DISCLOSURE MEANS PROMPTLY PROVIDING THE MATERIAL FACTS OF AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST TO THE CHAIR OF THE GOVERNANCE COMMITTEE, THE SUBCOMMITTEE AND CHILDREN'S GENERAL COUNSEL (IN WRITING IF TIME ALLOWS) OR TO THE BOARD OR BOARD COMMITTEE REVIEWING THE CONTRACT, TRANSACTION OR ARRANGEMENT. THE SUBCOMMITTEE WILL BE CONVENED TO CONSIDER THE DISCLOSURE. CERTAIN CIRCUMSTANCES, IN ADDITION TO FINANCIAL INTERESTS, COULD GIVE RISE TO A POTENTIAL CONFLICT OF INTEREST, INCLUDING INSTANCES WHERE THE ACTIONS OR ACTIVITIES OF AN INDIVIDUAL ON BEHALF OF CHILDREN'S ALSO INVOLVE OBTAINING A PERSONAL GAIN OR ADVANTAGE, OR COULD HAVE AN ADVERSE EFFECT ON CHILDREN'S INTERESTS. A COVERED PERSON MUST ALSO MAKE A DISCLOSURE WHENEVER HE OR SHE HAS A PERSONAL, NON-FAMILIAL RELATIONSHIP THAT COULD IMPACT, OR APPEAR TO IMPACT, THE BOARD MEMBER'S ABILITY TO EXERCISE THEIR INDEPENDENT JUDGMENT IN CARRYING OUT THE DIRECTOR'S FIDUCIARY RESPONSIBILITIES. ALSO, DISCLOSING OR USING INFORMATION RELATING TO CHILDREN'S BUSINESS FOR THE PERSONAL PROFIT OR ADVANTAGE OF AN INDIVIDUAL OR HIS OR HER FAMILY, OR OTHER COLLEAGUES OF THE DIRECTOR, OR DISCLOSING MATTERS DISCUSSED DURING BOARD OR COMMITTEE MEETINGS, COULD GIVE RISE TO A CLAIM OF CONFLICT AND MUST NOT OCCUR. A POTENTIAL CONFLICT OF INTEREST, OR THE APPEARANCE OF A CONFLICT OF INTEREST, DOES NOT NECESSARILY RISE TO THE LEVEL OF AN ACTUAL CONFLICT OF INTEREST, BUT ONCE RECOGNIZED, IT MUST IN EVERY CASE BE DISCLOSED AND EVALUATED. THE SUBCOMMITTEE WILL CONSIDER THE FOLLOWING FACTORS, AMONG OTHER RELEVANT FACTS, WHEN DETERMINING WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS: (I) THE PROXIMITY OF THE COVERED PERSON TO THE DECISION-MAKING AUTHORITY OF THE OTHER ENTITY INVOLVED IN THE TRANSACTION OR BUSINESS ARRANGEMENT; (II) THE MAGNITUDE OF THE FINANCIAL INTEREST OR PERSONAL INTEREST; (III) THE DEGREE TO WHICH THE COVERED PERSON MIGHT BENEFIT PERSONALLY IF A PARTICULAR TRANSACTION OR BUSINESS ARRANGEMENT WERE APPROVED; (IV) THE ABILITY OF THE COVERED PERSON TO MAKE AN INDEPENDENT DECISION BASED ONLY ON THE BEST INTEREST OF CHILDREN'S; AND (V) SUCH OTHER FACTORS THAT MAY BE RELEVANT TO THE PARTICULAR MATTER. THE SUBCOMMITTEE SHALL REVIEW EACH COMPLETED CONFLICT OF INTEREST QUESTIONNAIRE, AND MAY MAKE SUCH FURTHER INVESTIGATION OF POTENTIAL CONFLICTS AS IT MAY DETERMINE APPROPRIATE. THE SUBCOMMITTEE SHALL MAKE APPROPRIATE REPORTS TO THE BOARD CONCERNING ITS REVIEW, ANY FURTHER INVESTIGATION, AND ITS RECOMMENDATIONS TO THE BOARD REGARDING ANY POTENTIAL OR ACTUAL CONFLICT OF INTEREST, OR ANY APPEARANCE OF A CONFLICT OF INTEREST. WHENEVER A COVERED PERSON (OR A PERSON OTHER THAN THE COVERED PERSON) VOLUNTARILY IDENTIFIES OR DISCLOSES A POTENTIAL CONFLICT OF INTEREST, THE SUBCOMMITTEE SHALL FOLLOW THE SAME PROCEDURE OUTLINED ABOVE. TRANSACTIONS OR BUSINESS ARRANGEMENTS WITH COVERED PERSONS WITH CONFLICTS OF INTEREST MUST BE APPROVED IN ADVANCE BY A MAJORITY OF INDEPENDENT DIRECTORS, AT A MEETING AT WHICH A QUORUM IS PRESENT, THAT THE ARRANGEMENT OR TRANSACTION IS IN CHILDREN' S BEST INTEREST, IS FAIR AND REASONABLE TO CHILDREN'S AND THAT, AFTER REASONABLE INVESTIGATION, THE INDEPENDENT DIRECTORS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. THE CONFLICTED DIRECTOR WILL RECUSE HIMSELF/HERSELF. IN CASES IN WHICH A COVERED PERSON HAS AN INTEREST OR A RELATIONSHIP THAT CALLS INTO QUESTION THE ABILITY OF THE COVERED PERSON TO ACT SOLELY IN CHILDREN'S BEST INTERESTS, THE FOLLOWING ADDITIONAL STEPS MAY BE TAKEN, AT THE DISCRETION OF THE BOARD OR THE SUBCOMMITTEE: (A) THE COVERED PERSON WILL BE REQUIRED TO LEAVE THE MEETING FOR THE GENERAL DISCUSSION OF THE MATTER AND THE BOARD VOTE; (B) THE SUBCOMMITTEE CAN RECOMMEND TO THE BOARD THAT A DIRECTOR OR A MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS BE ASKED TO RESIGN IN THE EVENT A CONFLICT OF INTEREST IS SO SUBSTANTIAL THAT IT WOULD BE INCOMPATIBLE WITH CHILDREN'S BEST INTERESTS TO HAVE SUCH AN INDIVIDUAL ON ITS BOARD/SUBCOMMITTEE. IF THE BOARD/SUBCOMMITTEE BELIEVES A COVERED PERSON HAS FAILED TO COMPLY WITH THIS POLICY, THE BOARD SHALL INFORM THAT PERSON OF THE BASIS FOR ITS BELIEF AND GIVE THAT PERSON AN OPPORTUNITY TO ADDRESS THE ALLEGED FAILURE. AFTER HEARING THE RESPONSE AND CONDUCTING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED UNDER THE CIRCUMSTANCES, THE BOARD/SUBCOMMITTEE SHALL DETERMINE WHETHER SUCH PERSON HAS, IN FACT, VIOLATED THE DISCLOSURE REQUIREMENTS OF THE POLICY. IF THE BOARD DETERMINES THAT THERE HAS BEEN A VIOLATION, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION WHICH MAY INCLUDE REMOVAL FROM THE BOARD. AT ANY BOARD/SUBCOMMITTEE MEETING AT WHICH A CONFLICT OF INTEREST ISSUE IS ADDRESSED, THE MINUTES OF THE BOARD/SUBCOMMITTEE MEETING SHALL REFLECT THE PROCESS THAT WAS FOLLOWED, AND THE ACTIONS TAKEN BY THE BOARD/SUBCOMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15POLICIES EACH YEAR AN INDEPENDENT COMPANY CONDUCTS A MARKET ANALYSIS OF EXECUTIVE COMPENSATION. THIS INFORMATION IS PRESENTED TO THE COMPENSATION COMMITTEE. AN INDEPENDENT COMPANY ISSUES AN ANNUAL REASONABLENESS OPINION LETTER REGARDING THE APPROPRIATENESS OF THE EXECUTIVE PAY LEVELS. THE COMPENSATION COMMITTEE IS A SUB-COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE REVIEWS BASE PAY RANGES FOR ALL EXECUTIVES, INCLUDING THE CHIEF EXECUTIVE OFFICER, ALL EXECUTIVE VICE PRESIDENTS, SENIOR VICE PRESIDENTS, AND VICE PRESIDENTS. THE BOARD OF DIRECTORS RECEIVES A REPORT FROM THE COMMITTEE. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR REVIEWING THE CEO'S PERFORMANCE WHICH AFFECTS HER PAY RATE INDIRECTLY.
FORM 990, PART VI, SECTION C, LINE 19GOVERNANCE, MANAGEMENT, AND DISCLOSURE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC. THE CHILDREN'S HOSPITAL & MEDICAL CENTER AND AFFILIATES AUDITED FINANCIAL STATEMENTS CAN BE OBTAINED IN ADMINISTRATION.
FORM 990, PART XI, LINE 9:CHANGE IN VALUE OF SPLIT INTEREST -176,677. CAPITAL TRANSFERS FOUNDATION 9,829,788. CAPITAL TRANSFERS CHILDREN'S HEALTH NETWORK -350,940.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CHILDREN'S HOSPITAL FOUNDATION
8200 DODGE STREETOMAHANE68114476105603FUNDRAISINGNE501(C)(3)LINE 7CHMCYes (1)
CHILDREN'S PHYSICIANS
8200 DODGE STREETOMAHANE68114470689372PED CLINICSNE501(C)(3)LINE 10CHMCYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
KENT INC
8200 DODGE STREETOMAHANE68114470527928REAL ESTATENECHMCC$219,4951.00000Yes (1)
CHILDREN'S HEALTH NETWORK
8200 DODGE STREETOMAHANE68114363967578HEALTH NETWORKNECHMCC1.00000Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CHILDREN'S HOSPITAL FOUNDATION
C$3,379,264BOOK
CHILDREN'S HOSPITAL FOUNDATION
L$279,464BOOK
CHILDREN'S HOSPITAL FOUNDATION
S$14,639,249BOOK
CHILDREN'S PHYSICIANS
L$2,105,825BOOK