2019-11-15T08:57:50-06:00 2018-12-31 KPMG LLP 4200 WELLS FARGO CTR 90 S 7TH Minneapolis MN 55402 990 2018-01-01 411754276 Children's Health Care % BRENDA MCCORMICK VP & CFO CHIL 6128136000 2525 Chicago Avenue South Minneapolis MN 554041844 BRENDA MCCORMICK VP & CFO 6128136113 2019-11-10 true Monroe J Gierl P01413237 6123055000 2019-11-11 167.68.102.5 41438720193195000007 2019-11-15 P 78E8547FA765C8D9E89905B57511D075833AD426 FC033813415369D18A0D7F486389CEE17E24C046 2018 2020-04-17 16:48:07Z Children's Hospitals & Clinics of MN Marc Gorelick President CEO 2525 Chicago Avenue South Minneapolis MN 554041844 1322049911 false X www.childrensmn.org X 1995 MN CHILDREN'S HOSPITALS AND CLINICS OF MN CHAMPIONS THE SPECIAL NEEDS OF CHILDREN. 15 13 5865 1957 2271587 0 34503534 29335746 807048767 875635934 64830358 46580961 2652968 2598840 909035627 954151481 2718809 2062252 0 0 482381931 496477949 0 0 0 338064812 370508176 823165552 869048377 85870075 85103104 1312673145 1352722146 384464842 368768842 928208303 983953304 X CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA CHAMPIONS THE SPECIAL HEALTH NEEDS OF CHILDREN AND THEIR FAMILIES. WE ARE COMMITTED TO IMPROVING CHILDREN'S HEALTH BY PROVIDING FAMILY CENTERED PEDIATRIC SERVICES. WE ADVANCE THESE EFFORTS THROUGH RESEARCH AND EDUCATION. false false 749932920 2062252 868600488 HOSPITAL PROGRAM SERVICES: FAMILIES LOOK TO CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA FOR THE FINEST IN PEDIATRIC CARE. WITH TWO PEDIATRIC HOSPITAL FACILITIES AND 430 STAFFED BEDS, WE CHAMPION THE SPECIAL HEALTH NEEDS OF CHILDREN AND THEIR FAMILIES AND ARE COMMITTED TO PROVIDING HIGH-QUALITY, FAMILY CENTERED PEDIATRIC SERVICES. THE LEAPFROG GROUP'S ANNUAL LIST OF TOP HOSPITALS NAMED CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA'S MINNEAPOLIS AND ST. PAUL HOSPITALS AS TWO OF THE TOP TEN PEDIATRIC HOSPITALS IN THE COUNTRY FOR QUALITY AND EFFICIENCY. SEE SCHEDULE O. 4373483 1382476 EDUCATION: MANY EFFORTS TO IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN AND YOUTH REQUIRE LONG-TERM INVESTMENT IN THEIR FUTURE. CHILDREN'S PROVIDES EDUCATION AND TRAINING PROGRAMS FOR PROVIDERS, HEALTH CARE STUDENTS, AND OTHER HEALTH PROFESSIONALS IN THE FOLLOWING AREAS: 1) COMMUNITY MEDICAL EDUCATION FOR COMMUNITY PHYSICIANS: DURING THE 2018 CALENDAR YEAR, CHILDREN'S PROVIDED TRAINING TO 406 AFFILIATED RESIDENTS AND FELLOWS, AND HOSTED 293 MEDICAL STUDENT & 380 RESIDENT ROTATIONS AT CHILDREN'S MINNEAPOLIS, CHILDREN'S ST PAUL, OR BOTH LOCATIONS. SEE SCHEDULE O. 4668206 60657 RESEARCH: CHILDREN'S HAS 465 OPEN RESEARCH STUDIES, OF WHICH 187 ARE ACTIVELY RECRUITING CLINICAL TRIALS. IN 2018 CHILDREN'S RECEIVED ABOUT $23 MILLION FROM INDUSTRY CONTACTS AND FEDERAL STATE AND FOUNDATION SPONSORS. TYPES OF STUDIES AND TRIALS CONDUCTED AT CHILDREN'S ARE INVESTIGATOR-INITIATED STUDIES, EXTERNAL MULTI-CENTER TRIALS, OBSERVATIONAL STUDIES, REGISTRIES, AND SUPPORTIVE SERVICES SUCH AS CASE MANAGEMENT. CHILDREN'S HAD ONGOING RESEARCH IN EMERGENCY/TRAUMA, CYSTIC FIBROSIS, DIABETES AND ENDOCRINOLOGY, CARDIOVASCULAR AND CRITICAL CARE, PAIN AND PALLIATIVE CARE, INTEGRATIVE MEDICINE, GENETICS, CANCER AND BLOOD DISORDERS, AND NEONATOLOGY ENT AND REHAB. SEE SCHEDULE O. 758974609 true true false true false false false false false true true true false true true true false true false false true false false false false false true true true true true true false false false false false false false false false false true false false false false true true true false false true 417 0 true 5865 true true true true CJ false false false false false false false false false false X 15 13 false false false false false false false true true false false true true true true true true true true true false MN X BRENDA MCCORMICK VP CFO 6128136000 2525 Chicago Avenue South Minneapolis MN 55404 X Marc Gorelick MD President & CEO 50.0 0.0 X X 955459 0 36090 Stephen Nelson MD Staff Physician 50.0 0.0 X 510677 0 48984 Martin L Bassett Board Chair 1.0 0.0 X X 0 0 0 Gary Blackford Vice Chair 1.0 0.0 X X 0 0 0 Bruce P Shay Treasurer 1.0 0.0 X X 0 0 0 Alvin Abraham Board Member 1.0 0.0 X 0 0 0 J Hayes Batson Board Member 1.0 0.0 X 0 0 0 Russell Becker Board Member 1.0 0.0 X 0 0 0 Matt Furman Board Member 1.0 0.0 X 0 0 0 Kelly Lemieux MD Board Member 1.0 0.0 X 0 0 0 Lynn Littlejohn Board Member 1.0 0.0 X 0 0 0 Paul H Marvin Board Member 1.0 0.0 X 0 0 0 Bonnie Speer McGrath Board Member 1.0 0.0 X 0 0 0 Richard Migliori MD Board Member 1.0 0.0 X 0 0 0 Tom Tefft Board Member 1.0 0.0 X 0 0 0 Maria Christu Chief Legal Officer 50.0 0.0 X 513905 0 46023 Roxanne Fernandes CNO, VP Patient Care Svcs 50.0 0.0 X 500120 0 170063 Jeffrey Young Chief Information Officer 50.0 0.0 X 439442 0 41795 Carol Wilcox VP Diagnostic/Therapeutic Svcs 50.0 0.0 X 317718 0 19413 Bjorn Gunnerud VP, Marketing & Communications 50.0 0.0 X 348999 0 135312 Jennifer Olson Market VP Business Dev and Strategy 50.0 0.0 X 463310 0 38107 Trevor Sawallish SVP Clinical Ops & COO 50.0 0.0 X 523405 0 40953 Emily Chapman MD CMO and VP Medical Affairs 50.0 0.0 X 462725 0 44551 Anupam Kharbanda MD Chief of Critical Care Service 50.0 0.0 X 381364 0 18894 Rebecca Woitalewicz Acting VP, Finance and CFO 50.0 0.0 X 318258 0 41419 Nancy Mendelsohn MD Chief of Specialty Pediatrics 50.0 0.0 X 316352 0 36965 Pamela Gigi Chawla MD Chief of General Pediatrics 50.0 0.0 X 367142 0 19379 Tracy Pfiefer VP Ops Mother Baby Clin Svc 50.0 0.0 X 217584 0 20921 Stuart Winter MD Chief Research Officer 50.0 0.0 X 350995 0 44708 Clark Smith MD Chief of Services Pediatrics 50.0 0.0 X 286896 0 57219 Nancy Stevens Interim CHRO 50.0 0.0 X 256779 0 30588 James Leste VP Support Operations 50.0 0.0 X 284682 0 37316 Monica Schiller VP Ambulatory Services 50.0 0.0 X 231032 0 36559 Pamala VanHazinga CNO, VP Patient Care Svcs 50.0 0.0 X 313599 0 42543 Susan Slocum Chief Investment Officer 50.0 0.0 X 243209 0 29132 Susan Sencer Chief of Specialty Pediatrics 50.0 0.0 X 294840 0 145393 Anna Youngerman Chief Value Officer 50.0 0.0 X 215035 12641 33372 Phil Kibort VP Medical Affairs and CMO 0.0 50.0 X 0 356271 107303 Gloria Drake Sr Dir Clin SVCS-Perioperative 50.0 0.0 X 228519 53477 39544 Alice Chernich Sr Dir Clinical Serv-Neonatal 50.0 0.0 X 156564 0 19346 Kathleen Penson Sr Dir Clin Svcs-Critical Care 50.0 0.0 X 202686 0 34796 Claudia Hines Sr Dir Clin Svcs - Pediatrics 50.0 0.0 X 167196 0 31451 Joseph Petronio MD Surgical Dir, Peds Neurosurg 50.0 0.0 X 959914 0 34454 Meysam Kebriaei MD Staff Physician 50.0 0.0 X 883089 0 42568 Barbara Malone MD Medical Director 50.0 0.0 X 730664 0 36662 Albert Tu MD Staff Physician 50.0 0.0 X 812835 0 23759 Kyle Halvorson MD Staff Physician 50.0 0.0 X 717396 0 36146 Robert Bonar JR Former President & CEO 0.0 0.0 X 656379 0 0 Todd Ostendorf Former VP, Finance and CFO 0.0 0.0 X 372847 0 0 Theresa Pesch Former President, Foundation 0.0 0.0 X 40946 368521 186921 15042562 790910 1808649 1027 true true false Children's Heart Clinic PA 2525 Chicago Ave S Suite 500 Minneapolis MN 55404 Physician Services 11784883 Cerner Corporation PO Box 412702 Kansas City MO 64141 IT SERVICES 9211903 Sodexo Inc Affiliates 4880 Paysphere Circle Chicago IL 60674 Nutrition & Envi Svr 5344231 Children's Respiratory Critical C 2530 Chicago Ave S Suite 400 Minneapolis MN 55404 Physician Services 4745475 Conifer Health Solutions LLC 1500 South Douglas Road Anaheim CA 92806 Patient Billing 4722765 120 15117130 14218616 1083776 29335746 Patient Service Revenue 621400 537413142 537413142 Medicare/Medicaid payment 621400 244771194 244771194 Pharmacy Revenue 621400 1933808 1933808 Parking 812930 3153166 371842 2781324 Lab Revenue 621500 87870502 87365163 505339 494122 494122 875635934 32808007 1394406 31413601 0 0 1449034 1499496 -50462 0 -50462 -50462 372962649 7209239 363013193 3385741 9949456 3823498 13772954 13772954 0 0 0 0 0 0 0 0 0 Cafeteria 722514 2224203 2224203 Marketplace 453220 389162 389162 Vending machines 722514 27272 27272 8665 8665 2649302 954151481 870043621 2271587 52500527 X 343352 343352 1718900 1718900 0 0 15001616 5559114 9442502 0 376022109 334835401 41186708 27902121 25957827 1944294 51200500 45139602 6060898 26351603 23120125 3231478 4919141 3852071 1067070 1674142 138114 1536028 614444 30430 584014 195867 195867 0 5909971 5909971 88146779 78851561 9295218 1268672 92492 1176180 8836720 7667074 1169646 17455041 17455041 0 14871678 13445372 1426306 1824013 1356687 467326 0 2615638 2414933 200705 8362603 8362603 0 43234588 33743691 9490897 2657407 2657407 Medical Supplies 85071557 85071557 MNCare Tax 15867274 15867274 Medicaid Surcharge 10635846 10635846 Temp Labor 10389164 9510948 878216 45957631 42692257 3265374 869048377 758974609 110073768 0 21676670 10436685 9294775 23121432 1089915 1053972 123361714 176297231 0 0 0 0 0 0 6797848 7785560 12524735 14437643 786051025 448865098 355979615 337185927 394904463 285164431 248365702 357861576 20406163 21263834 0 0 118271545 118113855 1312673145 1352722146 107361397 117967519 0 0 1951262 1316372 217158419 203127527 0 0 0 0 143647 96158 0 0 57850117 46261266 384464842 368768842 X 858150535 912443775 0 0 70057768 71509529 928208303 983953304 1312673145 1352722146 X 85103104 -32874482 3516379 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 140000 false true 55867 195867 false Form 990 Sch C Part II-B Line 1B, Line 1G, Line 1I CHILDREN'S RETAINS A LOBBYIST TO ASSIST DIRECTLY WITH LOBBYING EFFORTS AT THE STATE LEVEL. CHILDREN'S PUBLIC POLICY DIRECTOR IS ALSO RESPONSIBLE FOR LOBBYING ACTIVITIES ON THE CITY, STATE, AND FEDERAL LEVEL. THOSE RESPONSIBILITIES INCLUDE PROVIDING TESTIMONY AT THE STATE CAPITOL, MAINTAINING RELATIONSHIPS, EDUCATING LEGISLATORS AND STAFF, AND WORKING WITH OUR REGULATORY AGENCIES. WITH RESPECT TO FEDERAL LOBBYING EFFORTS, CHILDREN'S SENIOR DIRECTOR OF CHILD HEALTH POLICY, PUBLIC POLICY DIRECTOR, AND CEO WILL OCCASIONALLY TRAVEL TO WASHINGTON TO MEET WITH FEDERAL LAWMAKERS. THIS IS GENERALLY DONE IN A COLLABORATION WITH INDUSTRY ORGANIZATIONS, SUCH AS NACHRI, WHO INDIRECTLY PROVIDE FEDERAL LOBBYING SUPPORT ON BEHALF OFCHILDREN'S. CHILDREN'S IS A MEMBER OF THE CHILDREN'S HOSPITAL ASSOCIATION (CHA). $36,664 OF MEMBERSHIP DUES PAID TO CHA RELATE TO LOBBYING ACTIVITIES. Children's IS A MEMBER OF THE MINNESOTA HOSPITAL ASSOCIATE (MHA). $6,072 OF MEMBERSHIP DUES PAID TO MHA RELATE TO LOBBYING ACTIVITIES. CHILDREN'S IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATE (AHA). $13,131 OF MEMBERSHIP DUES PAID TO AHA RELATE TO LOBBYING ACTIVITIES. false 158713414 2744579 -543182 5795868 155118943 144734538 937139 19761540 6719803 158713414 39136928 100571581 6528600 1502571 144734538 41329339 211366 -1037098 1366679 39136928 39959574 1216110 1904157 1750502 41329339 0.70000 0.22000 0.08000 true true true 13325460 13325460 437677262 206847767 230829495 16877574 3888851 12988723 312738091 232803982 79934109 5432638 5324498 108140 337185927 INVESTMENTS CARRIED AT N.A.V. 357861576 F 357861576 EXECUTIVE BENEFIT PLANS 6709879 PHYSICIAN RELOCATION LOANS REC 610000 PHARMACEUTICAL SERVICE DEPOSIT 3041859 FACILITY DEPOSIT 123255 UNITED SHARED SERVICE ARRNGMT 11205834 INVESTMENT IN MOTHER/BABY 24050344 OTHER 863155 BENEFICIAL INT IN NA OF FDTN 71509529 118113855 0 RSVP RETIREMENT PLAN 1891815 EXECUTIVE BENEFITS LIABILITY 4344670 MN CARE TAX PAYABLE 4585336 POST-RETIREMENT BENEFITS 2383062 WORKERS COMP LIABILITY 1868707 INTERCOMPANY PAYABLE 18567653 LONG TERM DEFERRED REVENUE 12162232 OTHER 457791 46261266 X Form 990 Sch D Part V Line 4 EFFECTIVE NOVEMBER 1, 2016, THE CHILDREN'S BOARD OF DIRECTORS DESIGNATED $100 MILLION OF UNRESTRICTED INVESTMENTS FOR ENDOWMENT TO SUPPORT PROGRAMS AT CHILDREN'S HEALTH CARE. THE MAJORITY OF PERMANENT ENDOWMENT FUNDS ARE HELD BY CHILDREN'S HEALTH CARE FOUNDATION, A RELATED ORGANIZATION. THE INTENDED USE OF THE FUNDS IS TO SUPPORT THE PROGRAMS AT CHILDREN'S HEALTH CARE. THERE ARE ALSO TWO ENDOWMENT FUNDS THAT ARE HELD AND ADMINISTERED BY US BANK, AN UNRELATED ORGANIZATION, WHICH ARE ALSO USED TO SUPPORT THE PROGRAMS AT CHILDREN'S HEALTH CARE. REFER TO PART III, LINE 4 FOR A DESCRIPTION OF THE PROGRAMS OF CHILDREN'S HEALTH CARE. Form 990 Sch D Part X Line 2 THE IRS HAS DETERMINED THAT CHILDREN'S AND ITS SUBSIDIARIES ARE EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE IRC. CHILDREN'S BELIEVES THAT IT CONTINUES TO MEET THE REQUIREMENTS OF THE IRC TO SUSTAIN ITS TAX-EXEMPT STATUS. IN ACCORDANCE WITH ASC SUBTOPIC 740-10, INCOME TAXES OVERALL, CHILDREN S RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THERE ARE NO FEDERAL INCOME TAX EXPENSES, PENALTIES, OR INTEREST RECOGNIZED IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AND NO UNRECOGNIZED TAX BENEFITS FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017. CHILDREN'S IS NOT SUBJECT TO AN INCOME TAX EXAMINATION FOR YEARS BEFORE 2015. 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X X X true true X X X X true X Refer to Section C X Refer to Section C X Refer to Section C X X X X X X true X false X X X X true X false false Form 990 Sch H Part V Line 5 OVER THE COURSE OF 2016, WE HEARD FROM PEOPLE WITHIN AND OUTSIDE OF CHILDREN'S ABOUT THEIR PERSPECTIVES ON HEALTH AND WELL-BEING, INCLUDING: MORE THAN 800 PEOPLE AT COMMUNITY EVENTS AND PRIMARY CARE CLINICS; 42 COMMUNITY STAKEHOLDERS, AND 195 CHILDREN'S MINNESOTA EMPLOYEES AND CLINICIANS. BUILDING OFF OF THE DATA AND PROCESS USED FOR OUR 2013 CHNA, THE ENTIRE ASSESSMENT PROCESS WAS GUIDED BY THE COMMUNITY ADVISORY COMMITTEE (CAC), A DIVERSE GROUP OF COMMUNITY STAKEHOLDERS, INCLUDING LOCAL ADVOCATES AND REPRESENTATIVES OF COMMUNITY ORGANIZATIONS AND SYSTEMS SERVING CHILDREN AND FAMILIES. HEALTH TOPICS CONSIDERED THROUGH THIS ASSESSMENT PROCESS WERE EXPANDED TO INCLUDE COMMUNITY CONDITIONS AND OTHER FACTORS THAT CONTRIBUTE TO HEALTH, SUCH AS POVERTY, EDUCATION AND HOUSING. THE TOP HEALTH PRIORITIES WERE DETERMINED THROUGH CRITERIA RECOMMENDED BY THE CAC THAT VALUED QUANTITATIVE AND QUALITATIVE DATA AND DREW ON THE EXPERIENCE AND EXPERTISE OF COMMITTEE MEMBERS. A MORE DETAILED DESCRIPTION OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND STAKEHOLDERS INTERVIEWED IS AVAILABLE IN THE FULL CHNA REPORT AT HTTPS://WWW.CHILDRENSMN.ORG/SUPPORT-CHILDRENS/COMMUNITY-HEALTH-ENGAGEMENT/ COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ IN ADDITION, CHILDREN'S ACTIVELY PARTICIPATES IN SEVERAL COMMUNITY HEALTH COALITIONS AND MAINTAINS ONGOING CONTACT WITH MANY OF THESE REPRESENTATIVES. Form 990 Sch H Part V Line 7A HTTPS://WWW.CHILDRENSMN.ORG/DOWNLOADS/2016/12/CHILDRENS-MINNESOTA-CHNA-REP ORT_2016.PDF Form 990 Sch H Part V Line 10A HTTPS://WWW.CHILDRENSMN.ORG/DOWNLOADS/2017/04/CHILDRENS-MINNESOTA-IMPLEMEN TATION-STRATEGY_2017-2019.PDF Form 990 Sch H Part V Line 11 THE 2016 CHNA IDENTIFIED SIX ISSUES AS BEING THE MOST IMPORTANT FOR CHILDREN'S MINNESOTA TO FOCUS IN ORDER TO SUPPORT THE HEALTH AND WELL-BEING OF CHILDREN AND THEIR FAMILIES. THE IDENTIFIED FOCUS AREAS INCLUDE BOTH HEALTH STATUS INDICATORS SUCH AS ASTHMA AND MENTAL HEALTH AND WELL BEING, AS WELL AS SOCIAL DETERMINANTS OF HEALTH INCLUDING: ACCESS TO RESOURCES; INCOME AND EMPLOYMENT; EDUCATION; AND STRUCTURAL RACISM. CHILDREN'S CONTINUES TO PROVIDE THE FOLLOWING SERVICES TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN ITS CHNA, INCLUDING: ACCESS TO RESOURCES AND CARE: - COMMUNITY CONNECT: CHILDREN'S MINNESOTA LAUNCHED THE COMMUNITY CONNECT PROGRAM IN SEPTEMBER OF 2017. COMMUNITY CONNECT FOCUSES ON SUPPORTING FAMILIES' SOCIAL SUPPORT NEEDS BY EMPOWERING FAMILY DECISION-MAKING, RESPECTING CULTURAL TRADITIONS AND STRENGTHS, IMPROVING ACCESS TO SOCIAL SUPPORT RESOURCES AND DELIVERING MORE EQUITABLE CARE. A TOTAL OF 2,083 FAMILIES MET WITH A COMMUNITY CONNECT RESOURCE NAVIGATOR FROM SEPTEMBER 2018-DECEMBER 2018. FAMILIES WERE SCREENED FOR SOCIAL NEEDS WHICH INCLUDE THE FOLLOWING: FOOD, EMPLOYMENT/INCOME, EDUCATION, HOUSING, TRANSPORTATION, HOUSEHOLD GOODS. ONCE FAMILIES WERE SCREENED AND INDICATED A NEED, OUR NAVIGATORS WORKED TO CONNECT THEM WITH COMMUNITY-BASED ORGANIZATIONS AND RESOURCES. - HEALTHCARE LEGAL PARTNERSHIP: CHILDREN'S MINNESOTA LAUNCHED THE HEALTHCARE LEGAL PARTNERSHIP (HLP) IN OCTOBER 2017. THE PROGRAM SUPPORTS TWO ATTORNEYS BASED ON OUR ST. PAUL AND MINNEAPOLIS HOSPITAL CAMPUSES. THESE DEDICATED LAWYERS COLLABORATE WITH HEALTH CARE TEAMS TO IDENTIFY, PREVENT, AND REMEDY HEALTH-HARMING FACTORS THAT ARE ROOTED IN LEGAL PROBLEMS. DURING 2018, THE HEALTHCARE LEGAL PARTNERSHIP PROVIDED SERVICES IN 250 CASES ACROSS MULTIPLE LEGAL ISSUES INCLUDING: HOUSING, BENEFITS, FAMILY LAW, AND IMMIGRATION. - FOOD SECURITY: IN 2018, CHILDREN'S FOOD PANTRY PROVIDED 1,297 INDIVIDUAL MEALS. IN PARTNERSHIP WITH MATTER, A COMMUNITY-BASED NONPROFIT WHOSE MISSION INCLUDES EXPANDING ACCESS TO HEALTHY FOOD, 573 SETS OF MATTERBOXES (TAKE-HOME GROCERIES) WERE DISTRIBUTED TO PATIENT FAMILIES. - FAMILY RESOURCE CENTER: IN 2018, THE TOTAL NUMBER OF VISITS TO CHILDREN'S FAMILY RESOURCE CENTERS IN ST. PAUL AND MINNEAPOLIS WAS 42,308. FAMILY RESOURCE CENTER STAFF PROVIDED HANDS-ON HELP AND SUPPORT FOR 15,053 FAMILY ENCOUNTERS - WHICH INCLUDES AMENITY DISBURSEMENTS (MEAL COUPONS, PARKING VOUCHERS, CAB VOUCHERS, BUS PASSES, PERSONAL CARE ITEMS), CONSUMER HEALTH RESEARCH/REFERENCE REQUESTS, NOTARY TRANSACTIONS, TECHNOLOGY SUPPORT, ETC. EFFECTIVE 1-10-18, A NEW FAMILY-FRIENDLY AMENITIES DISBURSEMENT PROCESS WAS IMPLEMENTED ALLOWING FAMILIES TO RECEIVE UP TO 7 DAYS-WORTH OF MEALS/PARKING AT A TIME (VS.2), REDUCING THE NUMBER OF STAFF-MEDIATED ENCOUNTERS AS WELL. - FINANCIAL COUNSELING: CHILDREN'S FINANCIAL RESOURCE CENTER HELPED 4,487 PATIENTS IN 2018. APPOINTMENTS FOCUSED ON HELPING INDIVIDUALS AND FAMILIES WITH MA APPLICATIONS, ANSWERING QUESTIONS ABOUT SSI AND TEFRA APPLICATIONS, AND ASSISTING WITH APPLICATIONS FOR CHILDREN'S FINANCIAL ASSISTANCE. - INTERPRETER SERVICES: OVERALL, THE TOTAL NUMBER OF INTERPRETED ENCOUNTERS FOR 2018 WAS 100,092 IN A TOTAL OF 70 LANGUAGES. THE TOP THREE LANGUAGES INTERPRETED AT CHILDREN'S ARE: SPANISH, SOMALI AND Hmong. - SIBLING PLAY AREA: THE SIBLING PLAY AREA IS A CREATIVE SPACE ESPECIALLY DESIGNED FOR THE BROTHERS AND SISTERS OF PATIENTS. IT PROVIDES SIBLINGS OF PATIENTS A UNIQUE PLACE TO PLAY DURING APPOINTMENT AND WAIT TIMES, SURGERIES OR PROCEDURES. IN 2018, THE SIBLING PLAY AREA WAS USED BY 7,607 PEOPLE AND 4,012 CHILDREN. - HEALTH EQUITY: THE CHILDREN'S MINNESOTA CAMPUS IS LOCATED IN THE HEART OF ONE OF THE LARGEST AND MOST VIBRANT URBAN COMMUNITIES IN THE COUNTRY. RECOGNIZING THE CRITICAL ROLE CULTURE AND TRADITIONS PLAY IN A CHILD?S HEALTH AND WELL-BEING, WE'VE PARTNERED WITH COMMUNITY ORGANIZATIONS TO HELP PROVIDE A MORE CULTURALLY RESPONSIVE AND RESPECTFUL APPROACH TO HEALTH CARE. SPECIFIC HEALTH EQUITY PROGRAMS AND PARTNERSHIPS INCLUDE: - HEALTH EQUITY COUNCIL: A CROSS-DISCIPLINARY, CROSS-HIERARCHICAL GROUP OF APPROXIMATELY 20-25 CHILDREN'S STAFF (PLANS TO INVOLVE FAMILIES/COMMUNITY MEMBERS IN THE FUTURE) THAT FOCUSES ON BUILDING EQUITY PRACTICES INTO THE CULTURE OF CHILDREN'S AND IDENTIFYING AND ADDRESSING POLICIES, PRACTICES AND BEHAVIOR THAT MAINTAIN OR EXACERBATE INEQUITIES FOR PATIENTS, FAMILIES AND EMPLOYEES. - HEALTH EQUITY INDEX: IN 2018 CHILDREN'S WORKED TO DEVELOP A HEALTH EQUITY INDEX WHICH WILL BE IMPLEMENTED IN 2019 AS ONE OF THE METRICS INCLUDED IN MANAGEMENT AND EXECUTIVE INCENTIVE PLANS. - QUALITY-EQUITY ALIGNMENT: IN PARTNERSHIP WITH THE QUALITY TEAM, THE EQUITY TEAM HAS WORKED TO AFFIRM EQUITY AS A CORE ELEMENT OF CHILDREN'S QUALITY PROGRAM INCLUDING RE-SHAPING THE ORGANIZATION'S PERSPECTIVE ON HOW AND WHERE TO FOCUS QUALITY IMPROVEMENT EFFORTS. SPECIFIC EFFORTS INCLUDE THE DEVELOPMENT OF A RESPECT AND DIGNITY SERVICE LEARNING REPORT AND TOOLS FOR CONDUCTING ROOT CAUSE ANALYSES THROUGH AN EQUITY LENS. - AMERICAN INDIAN COMMUNITY COLLABORATIVE -"THE FIRST GIFT": "THE FIRST GIFT", IN PARTNERSHIP WITH CHILDREN'S MINNESOTA AND THE MINNEAPOLIS AMERICAN INDIAN CENTER, TWO RIVERS ART GALLERY, CONTINUES TO GROW AS A TRANSFORMATIVE PROGRAM THAT CONNECTS TRADITIONAL KNOWLEDGE, COMMUNITY HEALING AND POSITIVE STORYTELLING/NARRATIVES, TO PROMOTE HEALTHY AMERICAN INDIAN BABIES. TRADITIONALLY, THE FIRST GIFT IS A PAIR OF MOCCASINS GIVEN TO A BABY. AS A PART OF "THE FIRST GIFT" PROGRAM AT CHILDREN'S, AMERICAN INDIAN COMMUNITY MEMBERS GATHER TO MAKE AND DISTRIBUTE MOCCASINS TO AMERICAN INDIAN BABIES IN THE SPECIAL CARE NURSERY (SCN) AND THE NEONATAL INTENSIVE CARE UNIT. IN 2018 MORE THAN 100 COMMUNITY MEMBERS INVOLVED IN THE FIRST GIFT PARTNERSHIP GAVE MORE THAN 50 FAMILIES AT CHILDREN'S AND IN THE COMMUNITY THEIR "FIRST GIFT." - AMERICAN INDIAN VOLUNTEER COHORT: IN 2018, THE AMERICAN INDIAN VOLUNTEER COHORT CONTINUED TO RECRUIT AND RETAIN COMMUNITY VOLUNTEERS. THIS COHORT SPECIFICALLY AIMS TO RECRUIT AMERICAN INDIAN COMMUNITY MEMBERS TO COME TO CHILDREN'S TO HOLD BABIES IN OUR SPECIAL CARE NURSERY (SCN). THIS COHORT WAS DESIGNED TO CREATE A MORE INCLUSIVE, REPRESENTATIVE, AND CULTURALLY AWARE ENVIRONMENT FOR CHILDREN'S PATIENTS AND FAMILIES. - EQUITY WORK GROUPS: OVER THE LAST TWO YEARS, THE CHILDREN'S HEALTH EQUITY SPECIALIST HAS LED A COLLABORATION WITH THE CHILDREN'S SOCIAL WORK DEPARTMENT - WITH INVOLVEMENT FROM EXTERNAL SOCIAL WORKERS WHO WORK WITH THE AMERICAN INDIAN COMMUNITY - TO IDENTIFY OPPORTUNITIES FOR MORE EQUITABLE CARE/EXPERIENCE, TEACH AND IMPLEMENT EQUITY PRACTICES, PROVIDE TOOLS FOR EQUITY CASE REVIEWS AND COLLECT DATA ON PROCESSES THAT ARE SUSCEPTIBLE TO BIASED DECISION-MAKING. THIS MODEL IS NOW BEING CONSIDERED FOR IMPLEMENTATION WITH NURSING IN 2019. - MIDWEST REGIONAL CHILDREN'S ADVOCACY CENTER (MRCAC) PARTNERSHIP: IN 2018, MRCAC CONTINUED TO PARTNER WITH THE CHILDREN'S MINNESOTA ADVOCACY DEPARTMENT TO CREATE AND LEAD AN EFFORT FOCUSED ON IMPROVING ACCESS TO AND QUALITY OF CARE FOR AMERICAN INDIAN CHILDREN AND FAMILIES IMPACTED BY ABUSE. CHILDREN'S HAS STARTED WORKING IN CONCERT WITH CHILD ADVOCACY STATE CHAPTERS IN ND, SD, MN, WI, MI TO ASSESS GAPS IN CULTURALLY RESPONSIVE CARE FOR AMERICAN INDIAN CHILDREN. THE WORK BEGAN IN THE URBAN AND AMERICAN INDIAN POPULATIONS LIVING IN MINNEAPOLIS AND ST. PAUL BY IDENTIFYING KEY STAKEHOLDERS RESPONDING TO CHILDHOOD TRAUMA IN THE COMMUNITY. MATERNAL AND CHILD HEALTH: - PERINATAL HIV PREVENTION (ADULT): CHILDREN'S PROVIDED CARE COORDINATION TO 39 HIV POSITIVE PREGNANT WOMEN IN 2018. CHILDREN'S PROVIDED MEDICAL CASE MANAGEMENT SERVICES FOR 34 HIV INDIVIDUALS AND THEIR FAMILIES IN 2018. - PERINATAL HIV PREVENTION (INFANT): CHILDREN'S PROVIDED CARE COORDINATION AND SURVEILLANCE FOR 48 HIV EXPOSED INFANTS IN 2018. CHILDREN'S ALSO PROVIDED EMERGENCY CONSULTATION AND ASSISTANCE ON PERINATAL HIV PREVENTION TO FOUR DIFFERENT HEALTH CARE SYSTEMS ACROSS THE STATE AND PRESENTED THE PROGRAM TO THE MINNESOTA DEPARTMENT OF HEALTH'S HIV/STI/TB DIVISION. Form 990 Sch H Part V Line 11 Narrative Continued MENTAL HEALTH AND WELL-BEING: - THE MIDWEST CHILDREN'S RESOURCE CENTER (MCRC): MCRC IS A HOSPITAL-BASED PROGRAM THAT PROVIDES CLINICAL EVALUATIONS AND SERVICES TO CHILDREN WHO HAVE BEEN ABUSED OR NEGLECTED. MCRC BRINGS SUBSPECIALTY MEDICAL CONSULTATION, SKILLED CASE MANAGEMENT AND EXPERT PSYCHOLOGICAL SERVICES TO COMMUNITIES THROUGHOUT THE REGION, AND PROMOTES AND DELIVERS EXPERT SERVICE IN CHILD ABUSE RESPONSE. IN 2018, MCRC PERFORMED OVER 1800 MEDICAL EVALUATIONS FOR SUSPECTED ABUSE VICTIMS. ACHIEVING OPTIMAL OUTCOMES FOR MALTREATED CHILDREN REQUIRES CLOSE COLLABORATION WITH COMMUNITY PARTNERS IN LAW ENFORCEMENT, CHILD PROTECTION, ADVOCACY, MEDICINE, AND MENTAL HEALTH. SERVICES INCLUDE: MEDICAL EVALUATIONS AND HEALTH ASSESSMENTS; PSYCHOLOGICAL ASSESSMENTS; PROFESSIONAL CONSULTATIONS; AND PREVENTION PROGRAMS ON SHAKEN BABY SYNDROME, TEEN PARENTING PROGRAMS, AND CHILD SEXUAL ABUSE. THE MCRC ALSO ADMINISTERS THE NATIONALLY RECOGNIZED RUNAWAY INTERVENTION PROGRAM (RIP). RIP PROVIDES STRENGTH BASED MEDICAL CARE AND THERAPY TO RUN AWAY AND EXPLOITED YOUTH. CARE IS PROVIDED BY EXPERIENCED THERAPIST AND ADVANCED PRACTICE NURSES THROUGH A COMMUNITY-BASED DELIVERY MODEL THAT LASTS 1 YEAR. RIP HAS BEEN DEMONSTRATED TO DRAMATICALLY IMPROVE HEALTH OUTCOMES FOR THESE YOUTH. IN 2018 RIP PROVIDED INTENSIVE SERVICES TO 120 YOUTH. THE MCRC ALSO FUNCTIONS AS ONE OF THE FOUR REGIONAL CHILDREN'S ADVOCACY CENTERS ACROSS THE NATION, PROVIDING TRAINING AND TECHNICAL ASSISTANCE TO CHILD ABUSE PROFESSIONALS ACROSS THE MIDWEST AND NATION. IN 2018 MRCAC PROVIDED TRAINING OR TECHNICAL ASSISTANCE TO OVER 2,000 ORGANIZATIONS ACROSS THE COUNTRY. MORBIDITY AND MORTALITY (FOCUS ON OBESITY AND ASTHMA): - ASTHMA CONTROL PARTNERSHIPS WITH SCHOOLS: THANKS TO A GENEROUS GRANT FROM KOHL'S, CHILDREN'S WAS ABLE TO PARTNER WITH THE MINNEAPOLIS AND SAINT PAUL PUBLIC SCHOOL DISTRICTS, AND SEVERAL PUBLIC CHARTER SCHOOLS TO ENHANCE ASTHMA MANAGEMENT IN SCHOOL-AGED CHILDREN (KINDERGARTEN - 8TH GRADE). AS A RESULT OF THIS PARTNERSHIP MORE THAN 200 SCHOOL NURSES AND TEACHERS IN BOTH SCHOOL DISTRICTS WERE TRAINED AT THE "KOHL'S CARES: PARTNERING TO OPTIMIZE ASTHMA CARE IN SCHOOLS" PROFESSIONAL DEVELOPMENT SEMINAR, LED BY CHILDREN'S STAFF IN JANUARY 2018. - PUBLIC HEALTH AND POLICY COALITIONS: IN ORDER TO ADDRESS THE POLICIES, SYSTEMS AND ENVIRONMENTS THAT IMPACT CHILD HEALTH, CHILDREN'S ACTIVELY PARTICIPATED IN SEVERAL BROAD-BASED COALITIONS, INCLUDING: THE MINNESOTA HEALTHY KIDS COALITION, GOVERNOR'S EARLY LEARNING COUNCIL, MARCH OF DIMES GOVERNMENT AFFAIRS COMMITTEE, MINNEMINDS, SMOKE FREE COALITION, THE MENTAL HEALTH LEGISLATIVE NETWORK, AND THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP COLLABORATIONS IN HENNEPIN AND RAMSEY COUNTIES. THESE COALITIONS ADDRESS A VARIETY OF HEALTH ISSUES IN OUR COMMUNITY, INCLUDING IMPROVED BIRTH OUTCOMES, CHILDHOOD WEIGHT STATUS, EARLY CHILDHOOD DEVELOPMENT, ACCESS TO HEALTH CARE, SOCIAL CONNECTEDNESS, AND COMMUNITY HEALTH OVERALL. SOCIAL AND ECONOMIC FACTORS: - SCHOOL RE-ENTRY PROGRAM: WHEN A CHILD IS FORCED TO MISS SCHOOL FOR A PROLONGED PERIOD OF TIME DUE TO AN ILLNESS, THE SCHOOL RE-ENTRY PROGRAM HELPS HIM OR HER PREPARE FOR A RETURN TO THE CLASSROOM. IN 2018, CHILDREN'S PROVIDED 80 SCHOOL VISITS. - CHILD AND FAMILY SERVICES: IN 2018, THE FAMILIES AS PARTNERS (FAP) PROGRAM WORKED WITH 155 PATIENT FAMILY VOLUNTEERS WHO DONATED 3,562 HOURS OF SERVICE. THERE WERE 22 ACTIVE MEMBERS OF THE FAMILY ADVISORY COUNCIL AND 22 YOUTH ON THE YOUTH ADVISORY COUNCIL. YOUTH ADVISORY COUNCIL MEMBERS RANGED FROM 10-18 YEARS OF AGE, AND BETWEEN ALL 22 MEMBERS THEY VOLUNTEERED 316 HOURS OF SERVICE. Form 990 Sch H Part V Line 15e CHILDREN'S HOSPITALS AND CLINICS HAS A WRITTEN FINANCIAL ASSISTANCE POLICY. THE POLICY OUTLINES THE GUIDELINES, SCOPE OF SERVICES COVERED, AVAILABILITY OF INFORMATION, HOW TO APPLY, THE PATIENT/GUARANTOR'S RESPONSIBILITY FOR PROVIDING INFORMATION AND THE HOSPITALS RESPONSIBILITY FOR REVIEW AND COMMUNICATION OF DETERMINATION. THE POLICY IS BASED ON THE FEDERAL POVERTY GUIDELINES, UPDATED ANNUALLY WITH A DIFFERENTIATION FOR THOSE FAMILIES WITH INSURANCE AND THOSE WITHOUT AND INCLUDES AN EXCEPTION PROCESS. AMOUNTS GENERALLY BILLED IS DEFINED AND CHILDREN'S HAS CHOSEN THE LOOK BACK METHOD INCLUSIVE OF ALL CLAIMS. Form 990 Sch H Part V Line 16A HTTPS://WWW.CHILDRENSMN.ORG/YOUR-VISIT/AFTER-YOUR-VISIT/BILLING-AND-FINANC IAL-MATTERS/BILLING-POLICIES/ Form 990 SCH H PART V LINE 16B HTTPS://WWW.CHILDRENSMN.ORG/YOUR-VISIT/AFTER-YOUR-VISIT/BILLING-AND-FINANC IAL-MATTERS/FINANCIAL-COUNSELING-AND-ASSISTANCE/ Form 990 SCH H PART V LINE 16C HTTPS://WWW.CHILDRENSMN.ORG/YOUR-VISIT/AFTER-YOUR-VISIT/BILLING-AND-FINANC IAL-MATTERS/FINANCIAL-COUNSELING-AND-ASSISTANCE/ Form 990 SCH H PART V LINE 16J CHILDREN'S HOSPITALS AND CLINICS HAS A WRITTEN FINANCIAL ASSISTANCE POLICY AND A PLAIN LANGUAGE SUMMARY OF OUR POLICY. OUR POLICY IS POSTED ON OUR WEBSITE AS WELL AS AVAILABLE AT ALL REGISTRATION AREAS THROUGHOUT THE HOSPITAL AND OUR CLINICS. A COPY OF THE PLAIN LANGUAGE SUMMARY OF OUR POLICY IS PROVIDED TO ANY PATIENT WITHOUT INSURANCE AT EACH VISIT AND ANNUALLY TO ALL PATIENTS. THE POLICY AND PLAIN LANGUAGE SUMMARY IS CURRENTLY AVAILABLE IN ENGLISH, SPANISH, SOMALI, HMONG, RUSSIAN AND VIETNAMESE. WE ALSO HAVE POSTERS IDENTIFYING KEY POINTS OF OUR POLICY DISPLAYED IN ALL REGISTRATION AREAS IN ADDITION, WE HAVE A FINANCIAL ASSISTANCE CALCULATOR ON OUR WEBSITE WHERE FAMILIES ARE ABLE TO KEY IN THEIR INCOME AND FAMILY SIZE TO ASSESS WHETHER THEY MAY MEET OUR POLICY GUIDELINES. Form 990 Sch H Part V Line 23 CHILDREN'S FINANCIAL ASSISTANCE POLICY IS BASED ON THE FEDERAL POVERTY GUIDELINES. FOR FAMILIES WITH NO INSURANCE AND INCOME LESS THAN 275% OF THE FPL, THE CARE PROVIDED TO THE FAMILY IS FREE. FOR FAMILIES WITH INCOME GREATER THAN 275% OF THE FPL BUT LESS THAN 350% OF THE FPL, THE FAMILY WILL BE CHARGED NOT MORE THAN AMOUNTS GENERALLY BILLED. CHILDREN'S HAS CHOSEN TO USE THE LOOK BACK METHOD AND INCLUDING ALL CLAIM PAYMENTS FOR THE PREVIOUS 12 MONTH PERIOD. 9 Children's Clinics - Woodwinds 1825 Woodwinds Drive Suite 400 Woodbury MN 55125 Specialty and Rehabilitation Clinic Children's - Maple Grove 7767 Elm Creek Blvd Suite 300 Maple Grove MN 55369 Specialty and Rehabilitation Clinic Children's Rehab Clinic 5950 Clearwater Drive Suite 500 Minnetonka MN 55343 ENT and Rehabilitation Clinic Children's - Roseville 1835 W County Rd C Roseville MN 55113 Specialty and Rehabilitation Clinic Children's - Minnetonka 6060 Clearwater Drive Suite 204 Minnetonka MN 55343 Specialty Clinic - Diabetes and Endocrinology Children's Sleep Center 310 North Smith Ave Suite 480 St Paul MN 55404 Specialty Clinic- Sleep Disorders Center for the Treatment of Eating Dsrdr 910 E 26th Street Suite 410 Minneapolis MN 55404 Specialty Clinic - Eating Disorders Children's Specialty Clinic 360 Sherman Street St Paul MN 55102 Specialty Clinic - Psychological Services Children's Heart Clinic 2530 Chicago Avenue S Suite 500 Minneapolis MN 55404 Heart Disease cardiovascular clinic Form 990 Sch H Part I Line 3c FEDERAL POVERTY GUIDELINES ARE THE PRIMARY MEASUREMENT USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, POLICY EXCEPTIONS MAY BE GRANTED FOR FAMILIES WHO HAVE MEDICAL DEBT EXCEEDING 10 PERCENT OF THEIR INCOME OR HAVE OTHER SPECIFIC DOCUMENTED NEEDS WHERE THEY ARE NOT ABLE TO PAY ALL OR A PORTION OF THEIR BALANCE. MEDICAID ELIGIBILITY MAY ALSO BE USED TO DETERMINE ELIGIBILITY. Form 990 Sch H Part I Line 6a CHILDREN'S INCLUDES INFORMATION ON COMMUNITY BENEFIT EXPENDITURES IN THE ORGANIZATION'S ANNUAL REPORT. THE 2016 ANNUAL REPORT IS AVAILABLE ONLINE AT HTTPS://WWW.CHILDRENSMN.ORG/DOWNLOADS/2017/06/2016-CHILDRENS-MN-ANNUAL-REP ORT.PDF. COMMUNITY BENEFIT NUMBERS AS WELL AS COMMUNITY HEALTH NEEDS ASSESSMENT INFORMATION ARE ALSO AVAILABLE ON THE COMMUNITY HEALTH SECTION OF THE WEBSITE: HTTP://WWW.CHILDRENSMN.ORG/COMMUNITY. Form 990 Sch H Part I Line 7 SUBSIDIZED HEALTH SERVICES BENEFITS INCLUDE THE FOLLOWING PROGRAMS: ECMO (EXTRACORPOREAL MEMBRANE OXYGENATION) IS A LIFESAVING TREATMENT FOR THE MOST CRITICALLY ILL BABIES, CHILDREN AND TEENS. ECMO TAKES OVER TEMPORARILY WITH A MECHANICAL BLOOD PUMP AND ARTIFICIAL LUNG WHEN A CHILD'S HEART OR LUNG IS NOT FUNCTIONING. THE ECMO PROGRAM AT CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA IS THE LARGEST AND OLDEST IN THE STATE: $1,193,252 THE INFANT APNEA PROGRAM INCLUDES PEDIATRIC SPECIALISTS WHO UNDERSTAND THE SCIENCE BEHIND A BABY'S BREATHING PROCESS. OUR TEAM OF PULMONARY, NEONATOLOGY AND NURSE EXPERTS PROVIDES COMPREHENSIVE EVALUATIONS, FAMILY EDUCATION, ONGOING MANAGEMENT AND SUPPORT TO FAMILIES OF INFANTS DIAGNOSED WITH APNEA OR GASTROESOPHAGEAL REFLUX (GER), A REGURGITATION OF FOOD THAT CAN INTERFERE WITH BREATHING: $485,031 THE HOSPITALIST PROGRAM IS A TEAM ON THE GENERAL MEDICAL/SURGICAL UNITS 24/7 THAT ARE AMONG THE FIRST FACES A CHILD SEES. THE HOSPITALISTS CONFER WITH THE REFERRING DOCTOR AND THE PATIENT'S PEDIATRICIAN TO GATHER INFORMATION AND PLAN FOR FIRST-RATE CARE: $1,984,251 THE EATING DISORDERS CLINIC USES LEADING EVIDENCE-BASED TREATMENTS TO PATIENTS OF ALL AGES AND WITH ALL TYPES OF EATING DISORDERS. THE CENTER FOR THE TREATMENT OF EATING DISORDERS IS THE ONLY HOSPITAL-BASED PROGRAM IN THE TWIN CITIES TO OFFER IMMEDIATE ACCESS FOR MEDICAL STABILIZATION: $540,212 THE CLEFT AND CRANIOFACIAL CLINIC IS ONE OF THE PREMIER PROGRAMS IN THE REGION DEDICATED EXCLUSIVELY TO DIAGNOSING AND TREATING CLEFT AND CRANIOFACIAL DISORDERS IN BABIES, CHILDREN, ADOLESCENTS AND YOUNG ADULTS. THEY TREAT A WIDE RANGE OF CONDITIONS, FROM CLEFT LIPS TO ABNORMAL HEAD SHAPES, USING STATE-OF-THE-ART TECHNOLOGIES FOR 21ST CENTURY CARE: $781,811 THE DEVELOPMENT PEDIATRIC CLINIC ADDRESSES CONCERNS ABOUT YOUR CHILD'S DEVELOPMENTAL, BEHAVIORAL, SOCIAL OR LEARNING CHALLENGES. THE PROGRAM APPROACHES BEHAVIORAL AND DEVELOPMENTAL CONDITIONS, SUCH AS AUTISM AND DOWN SYNDROME, FROM ALL ANGLES: $506,822 PSYCHOLOGICAL SERVICES MEETS WITH CHILDREN FOR OUTPATIENT THERAPY, PSYCHOLOGICAL AND NEUROPSYCHOLOGICAL ASSESSMENTS, AND CONSULTATION TO OUTPATIENT AND INPATIENT MEDICAL SERVICE: $1,315,592 HOME HEALTH CARE ALLOWS KIDS TO RECEIVE THESE SERVICES NOT AT A HOSPITAL BEDSIDE, BUT AT HOME WITH THEIR FAMILIES. EDUCATION IS ALSO A BIG PART OF A HOME CARE NURSES' ROLE AND THEY ARE ALWAYS AVAILABLE TO ANSWER ANY QUESTIONS OR PROVIDE ASSISTANCE: $765,726 MIDWEST CHILDREN'S RESOURCES CENTER (MCRC) OFFERS MEDICAL EVALUATIONS AND CASE MANAGEMENT IN ALLEGED CHILD ABUSE CASES, SERIOUS NEGLECT AND WITNESS TO VIOLENCE. EVERY YEAR, MORE THAN 1,100 CHILDREN AGES 0 TO 18 VISIT US. MCRC RECEIVES REFERRALS FROM LAW ENFORCEMENT, EMERGENCY DEPARTMENTS, PRIMARY PHYSICIANS, CHILD PROTECTION SERVICES, PARENTS, SELF-REFERRALS AND A VARIETY OF COMMUNITY AGENCIES: $131,650 THE GENETICS CLINIC HELPS FAMILIES UNDERSTAND GENETIC CONDITIONS, LIKE CHROMOSOMAL DISORDERS AND SINGLE-GENE DISORDERS. WITH ONE OF THE LARGEST GENETICS PROGRAMS IN THE REGION, WE SEE MORE THAN 2,000 CHILDREN AND TEENS EVERY YEAR AND WE ARE THE ONLY GENETICS CLINIC IN MINNESOTA THAT FOCUSES ENTIRELY ON CARING FOR KIDS WITH GENETIC CONDITIONS: $1,134,120 THE NEUROLOGY CLINIC PROVIDES EXPERT DIAGNOSIS AND TREATMENT FOR KIDS' BRAIN AND NERVOUS SYSTEM CONDITIONS LIKE BRAIN TUMORS, EPILEPSY, HEAD TRAUMA, CEREBRAL PALSY AND OTHERS: $446,046 THE NEUROSURGERY CLINIC USES CUTTING EDGE SURGICAL TECHNIQUES AND TECHNOLOGY TO TREAT TUMORS, EPILEPSY AND OTHER BRAIN AND NERVOUS SYSTEM CONDITIONS. WE PERFORM HUNDREDS OF SURGERIES EACH YEAR ON BABIES, KIDS AND TEENS. THAT MAKES US ONE THE MOST EXPERIENCED PEDIATRIC NEUROSURGERY CENTERS ANYWHERE: $2,059,728 THE RHEUMATOLOGY CLINIC USES ADVANCED TOOLS TO DIAGNOSE THESE COMPLEX CONDITIONS, ALLEVIATE PAIN AND RESTORE FUNCTION IN KIDS AND TEENS: $70,451 PSYCHIATRIC SERVICES PROVIDES ASSESSMENT AND CONSULTATION TO CHILDREN. THEY CAN ALSO PRESCRIBE AND MANAGE MEDICATIONS USED TO TREAT EMOTIONAL AND BEHAVIORAL PROBLEMS: $935,492 THE SEDATION AND PROCEDURAL SERVICES (SPS) UNIT PROVIDES A BROAD RANGE OF SCHEDULED AND UNSCHEDULED SERVICES INCLUDING, NON-SURGICAL PROCEDURES, DIAGNOSTIC TESTING, MINIMAL, MODERATE, AND DEEP SEDATION, NURSE-ONLY VISITS, AND VASCULAR ACCESS SERVICES FOR THE HOSPITAL SITES. THE SPS UNITS ADMIT SCHEDULED AND UNSCHEDULED MEDICAL AND SURGICAL OBSERVATION STATUS PATIENTS AND CARE FOR INPATIENT OVERFLOW VOLUME IN TIMES OF HIGH CENSUS: $1,764,404 THE DIABETES AND ENDOCRINE CLINIC DIAGNOSES AND TREATS ALL KINDS OF ENDOCRINE DISORDERS IN CHILDREN AND TEENS, INCLUDING GROWTH DISORDERS, ABNORMALLY EARLY OR DELAYED PUBERTY AND DISEASES OF THE THYROID, PITUITARY AND ADRENAL GLANDS: $412,866 OUR INFECTIOUS DISEASE PROGRAM HAS EXPERTISE WITH BACTERIAL, VIRAL, FUNGAL AND PARASITIC INFECTIONS AND EVALUATES CHILDREN WITH RECURRENT FEVERS FOR POSSIBLE PERIODIC FEVER SYMPTOMS. WE ARE ALSO KNOWN FOR OUR MINNESOTA PERINATAL AND PEDIATRIC HIV PROGRAM: $722,796 Form 990 Sch H Part II CHILDREN'S PROVIDED THE FOLLOWING COMMUNITY BUILDING ACTIVITIES IN 2018: Career Readiness: Cristo Rey Jesuit High School: Children's is one of the pioneer organizations in the Twin Cities that is involved in the Cristo Rey School initiative. This program provides college preparatory schooling to inner city minority students as well as targeted work-study opportunities. Children's has provided work-study and mentor opportunities to students since 2007. The goal of this initiative is to provide real-life work experiences that will broaden our minority talent pool while allowing students to earn a portion of the cost of their education. In 2018, Children's assisted 2 students. Project SEARCH: Children's partnered with the Minneapolis Public Schools Transitions Plus program to launch Project SEARCH in 2011. We are the first healthcare organization to launch Project SEARCH in the 5 state areas. PS is a unique business-led transition program for students with disabilities to work, explore careers and develop transferable job skills, with the goal of working in a competitive environment. Designed as an unpaid internship program, Project SEARCH places students in real situations where they learn all aspects of gaining and maintaining a job. This process of immersion facilitates the teaching and learning of new work skills on-site. Individualized job development and placement occurs based on the student's experiences, strengths, and skills. A series of job rotations allow students to find positions that best suit their preferences. Students receive support with accommodations, adaptations, and on-the-job coaching via Minneapolis school employees. Children's worked with 8 Project Search students in 2018. Project for Pride in Living: PPL helps low-income people achieve self-sufficiency through housing, employment training, support services and education. Children's partners with and provides financial support to PPL in their Train to Work initiative, which has trained hundreds of people to meet entry-level staffing needs of Children's and other major area healthcare partners. Train to Work offers training in healthcare-specific details, such as medical terminology and electronic health records, as well as a job shadowing internship that has been an essential component of the program's success. The internship gives participants hands-on experience in healthcare and gives employers an opportunity to observe potential employees. In 2018, Children's sponsored 4 PPL interns. Community Support: Children's provided a number of donations to community-based organizations in 2018 to support their work in supporting community health through their mission. The work of these organizations varied, both in scope and specific focus, but broadly worked to address the many social conditions that impact health. Form 990 Sch H Part III Line 2 BAD DEBT IS DEFINED AS THE UNPAID OBLIGATION FOR CARE PROVIDED TO PATIENTS WHO HAVE BEEN DETERMINED TO BE ABLE TO PAY, BUT HAVE NOT DEMONSTRATED A WILLINGNESS TO PAY. THE AMOUNTS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY ARE DETERMINED BY A PATIENT'S WILLINGNESS TO PAY WITH A DOCUMENTED INABILITY TO PAY PER MEASURES ESTABLISHED BY OUR POLICY. BAD DEBT IS ESTIMATED BY APPLYING THE RATIO OF PATIENT CARE COST TO CHARGES, AS CALCULATED ON FORM 990, SCHEDULE H, WORKSHEET 2, TO THE ACTUAL PATIENT CHARGES. Form 990 Sch H Part III Line 3 THE ORGANIZATION ESTIMATES THAT TWENTY-FIVE PERCENT OF BAD DEBT EXPENSES ARE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY (BUT WERE EITHER UNWILLING OR UNABLE TO PROVIDE SUFFICIENT INFORMATION TO MAKE A DETERMINATION OF THEIR ELIGIBILITY WHILE IN OUR CARE). THE ESTIMATE OF TWENTY-FIVE PERCENT IS BASED ON A REVIEW OF ACCOUNTS CLASSIFIED AS BAD DEBT AND MANAGEMENT JUDGMENT. Form 990 Sch H Part III Line 4 Effective January 1, 2018, Children's adopted ASU 2014-09 using a modified retrospective method of application to all contracts existing on January 1, 2018. For Children's hospital operations and ambulatory care segments, the adoption of ASU 2014-09 resulted in changes to our presentation for and disclosure of revenue primarily related to uninsured or underinsured patients. Prior to the adoption of ASU 2014-09, a significant portion of our provision for uncollectible accounts related to self-pay patients, as well as co-pays, co-insurance amounts and deductibles owed to us by patients with insurance. Under ASU 2014-09, the estimated uncollectible amounts due from these patients are generally considered implicit price concessions that are a direct reduction to net patient service revenue, with a corresponding reduction in the amounts presented separately as provision for uncollectible accounts. For the year ended December 31, 2018, Children's recorded approximately $23,574 of implicit price concessions as a direct reduction of net patient service revenue that would have been recorded as provision for uncollectible accounts prior to the adoption of ASU 2014-09. THE GROSS CHARGE EXPENSE IS $23,574,224, BUT CHC ESTIMATES THE COST TO BE $10,148,995. OF THAT, CHC STILL CONSIDERS 25% ($2,537,249) OF IT ELIGIBLE FOR CHARITY CARE BUT NO RESPONSE RECEIVED. Form 990 Sch H Part III Line 8 THE ORGANIZATION PRIMARILY SERVES PEDIATRIC PATIENTS AND DOES NOT GENERATE SIGNIFICANT MEDICARE REVENUES. THE ORGANIZATION FILES A MEDICARE COST REPORT ANNUALLY. FORM 990, SCHEDULE H, WORKSHEET 3 - UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS WAS USED TO CALCULATE THE COSTS ASSOCIATED WITH MEDICARE CHARGES REPORTED IN PART III, LINE 6. THE ORGANIZATION DOES NOT REPORT ANY AMOUNTS FROM PART III, LINE 7 AS COMMUNITY BENEFIT. Form 990 Sch H Part III Line 9b WHEN COLLECTING MEDICAL DEBT, CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA TREATS ITS PATIENT FAMILIES WITH HONOR, DIGNITY, AND RESPECT; DEMONSTRATES COMPASSION; AND ARE GOOD STEWARDS OF HEALTH CARE RESOURCES. THERE IS A ZERO TOLERANCE FOR ABUSIVE, HARASSING, OPPRESSIVE, FALSE, DECEPTIVE, OR MISLEADING LANGUAGE OR COLLECTIONS CONDUCT BY CHILDREN'S EMPLOYEES AND CONTRACTORS WHO COLLECT MEDICAL DEBT FROM PATIENT FAMILIES. THIS POLICY APPLIES BROADLY TO ALL PATIENT FAMILIES WE SERVE. COMPONENTS OF CHILDREN'S COLLECTION POLICY INCLUDE: DURING THE PRE-REGISTRATION, REGISTRATION, OR ADMISSION PROCESS, CHILDREN'S ATTEMPTS TO IDENTIFY AND INFORM PATIENT FAMILIES WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE OR DISCOUNTED CARE THROUGH THE UNINSURED DISCOUNT OR FINANCIAL ASSISTANCE POLICY. IN ADDITION, ALL FAMILIES ARE PROVIDED WITH A PLAIN LANGUAGE SUMMARY OF OUR FINANCIAL ASSISTANCE POLICY AT REGISTRATION. INFORMATION ON OUR FINANCIAL ASSISTANCE POLICY IS POSTED IN EACH CLINIC AND REGISTRATION AREA, OUR WELCOME CENTER AND ON OUR WEBSITE. ALL CHILDREN'S EMPLOYEES AND CONTRACTED STAFF WHO HAVE DIRECT CONTACT WITH PATIENTS ARE EDUCATED ON AN ANNUAL BASIS OF CHILDREN'S FINANCIAL ASSISTANCE POLICIES. THE EDUCATION INFORMS STAFF OF PROGRAMS AVAILABLE AND HOW A PATIENT FAMILY MAY OBTAIN MORE INFORMATION AND SUBMIT AN APPLICATION FOR FINANCIAL ASSISTANCE. A COPY OF THE FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY IS included on the back of each HOSPITAL PATIENT STATEMENT EXPLAINING THE PROCESS and phone numbers to contact for questions FOR OBTAINING FINANCIAL ASSISTANCE for ALL PATIENT FAMILIES. The LOCATION ON CHILDREN'S WEBSITE WHERE THE POLICIES AND APPLICATIONS RESIDE IS ALSO REFERENCED. IF A PATIENT FAMILY INDICATES THE NEED FOR FINANCIAL ASSISTANCE DURING THE REGISTRATION PROCESS OR THROUGHOUT THE COLLECTION PROCESS, FINANCIAL ASSISTANCE INFORMATION IS PROVIDED TO THE FAMILY BY STAFF. ALL PATIENTS WHO ARE REGISTERED AS SELF-PAY ARE OFFERED THE FINANCIAL ASSISTANCE INFORMATION AT THE TIME OF REGISTRATION. ALL CORRESPONDENCE SEEKING COLLECTION OF MEDICAL DEBTS CONTAIN A REFERENCE TO THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THE FINAL NOTICE PRIOR TO BAD DEBT PLACEMENT INCLUDE THE REQUIRED LANGUAGE RELATED TO EXTRAORDINARY COLLECTION EFFORTS. MINNESOTA HOSPITAL PROVIDERS HAVE JOINTLY DEVELOPED CONSISTENT COLLECTION GUIDELINES SET OUT IN FORMAL AGREEMENTS WITH THE MINNESOTA ATTORNEY GENERAL'S OFFICE. THIS AGREEMENT IS CONSISTENT WITH CHILDREN'S COLLECTION POLICY. THE AUDIT COMMITTEE OF OUR BOARD OF DIRECTORS ANNUALLY REVIEWS THIS POLICY AND ALL POLICIES CONCERNING COLLECTION OF MEDICAL DEBT, UNINSURED DISCOUNT, AND CHARITY CARE. THE AUDIT COMMITTEE ALSO REVIEWS THE RESULTS OF AN ANNUAL AUDIT RELATED TO THESE AREAS IN ACCORDANCE WITH THE MINNESOTA ATTORNEY GENERAL'S AGREEMENT. Form 990 Sch H Part VI Line 2 IN 2016, CHILDREN'S COMPLETED ITS SECOND COMMUNITY HEALTH NEEDS ASSESSMENT, AS REQUIRED UNDER THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 (PPACA). THE CHNA AND ACCOMPANYING IMPLEMENTATION STRATEGY WERE APPROVED BY THE CHILDREN'S BOARD OF DIRECTORS AT ITS BOARD MEETING. THE COMPLETE DOCUMENTS ARE AVAILABLE TO THE PUBLIC AT HTTP://WWW.CHILDRENSMN.ORG/COMMUNITY. IN CONDUCTING THE ASSESSMENT, CHILDREN'S CONSIDERED THE FOLLOWING TOPICS AND DATA: DEMOGRAPHICS; ECONOMIC ISSUES THAT AFFECT CHILDREN; COMMUNITY ISSUES; HEALTH STATUS INDICATORS; HEALTH ACCESS INDICATORS; HEALTH DISPARITIES INDICATORS AND AVAILABILITY OF HEALTHCARE FACILITIES AND RESOURCES. IN ADDITION TO THE CHNA PROCESS, CHILDREN'S ALSO REGULARLY ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IN THE FOLLOWING WAYS: A. BOARD OF DIRECTORS: THE ORGANIZATION'S GOVERNING BODY, COMPRISED PRIMARILY OF COMMUNITY MEMBERS WHO RESIDE LOCALLY, PROVIDES GOVERNANCE OVERSIGHT AND INPUT ON THE HEALTH CARE SERVICES CHILDREN'S PROVIDES TO THE LOCAL COMMUNITY. B. CHILDREN'S EMPLOYED PHYSICIANS, INDEPENDENT PHYSICIANS WHO PROVIDE CARE AT CHILDREN'S, AND NUMEROUS CLINICAL CARE PROVIDERS ASSESS COMMUNITY NEEDS DAILY THROUGH THE PEDIATRIC CARE PROVIDED THROUGHOUT THE COMMUNITY. C. COMMUNITY PARTNERSHIPS/RELATIONSHIPS: CHILDREN'S ADVOCACY AND HEALTH POLICY DEPARTMENT HAS DEVELOPED A CORE STRATEGY BASED ON ACTIVE AND SUBSTANTIVE ENGAGEMENT OF THE COMMUNITY, IN ITS VARYING FORMS. THIS INCLUDES COLLABORATION WITH COMMUNITY-BASED ORGANIZATIONS AND LEADERS, ALIGNED NON-PROFITS, SERVICE DELIVERY AGENCIES AND ASSOCIATIONS. WE ALSO ENGAGE IN LOCAL AND STATE GOVERNMENT-DRIVEN INITIATIVES AROUND CHILD HEALTH ISSUES. THROUGH THESE PARTNERSHIPS CHILDREN'S GAINS INSIGHT AND SUPPORTS PROGRESS ON A NUMBER OF KEY ISSUES IMPACTING CHILDREN, INCLUDING: EARLY CHILDHOOD DEVELOPMENT, CHILDHOOD ASTHMA, MENTAL HEALTH, PREMATURE BIRTH, TOBACCO CONTROL, EQUITY AND THE SOCIAL CONDITIONS THAT IMPACT HEALTH. D. THE FAMILY ADVISORY COUNCIL: THIS DIVERSE GROUP OF FAMILIES WHOSE CHILDREN ARE PRESENT OR PAST PATIENTS OF CHILDREN'S REGULARLY PROVIDES INPUT ON THE SERVICES PROVIDED AT CHILDREN'S. COUNCIL MEMBERS REPRESENT A WIDE RANGE OF INPATIENT AND OUTPATIENT EXPERIENCES TO HELP ENHANCE THE QUALITY OF CHILD AND FAMILY CARE EXPERIENCES AT CHILDREN'S. COUNCIL RESPONSIBILITIES INCLUDE: - DEVELOP, IMPLEMENT AND EVALUATE SERVICE AND FACILITY STANDARDS. - COMMUNICATE WITH MANAGEMENT ABOUT THE RECOMMENDATIONS AND CONCERNS EXPRESSED BY PARENTS, FAMILY MEMBERS, PARENT ASSOCIATIONS AND OTHERS. - ADVISE ON POLICY REVIEW, PROMOTE FAMILY-CENTERED CARE AND SUPPORT PROGRAM DEVELOPMENT. E. YOUTH ADVISORY COUNCIL: THIS IS A DEDICATED GROUP OF PATIENTS; AGES 10 TO 18, WHO HELP HOSPITAL STAFF, LEADERS, CLINICIANS AND PARENTS UNDERSTAND WHAT IS IMPORTANT TO CHILDREN, TEENS AND SIBLINGS DURING HOSPITAL STAYS, CLINIC VISITS AND EMERGENCY CARE. THE YAC BRINGS A VALUABLE PERSPECTIVE AND VOICE TO CHILDREN'S BY PARTICIPATING IN ACTIVITIES THAT PROMOTE DISCUSSION AND THOUGHT ABOUT HEALTH CARE SERVICES FOR PEDIATRIC AND YOUNG ADULT PATIENTS. THE COUNCIL ALSO BRINGS GREAT PERSPECTIVE TO LET OTHER CHILDREN KNOW HOW TO MAKE THEIR STAY AT CHILDREN'S A MORE COMFORTABLE AND POSITIVE EXPERIENCE. F. OTHER METHODS INCLUDE AND ARE NOT LIMITED TO PARTNERSHIPS AND PROJECTS WITH THIRD PARTY-PAYERS AND OTHER COMMUNITY PHYSICIANS AND HOSPITALS, MONITORING AND REPORTING OF INFECTIOUS DISEASE DATA, DISASTER READINESS EFFORTS, RESEARCH AND EDUCATION, SUPPORT GROUPS, AND OTHERS. Form 990 Sch H Part VI Line 3 COMPONENTS OF CHILDREN'S COLLECTION POLICY INCLUDE: DURING THE PRE-REGISTRATION, REGISTRATION, OR ADMISSION PROCESS, CHILDREN'S WILL ATTEMPT TO IDENTIFY AND INFORM PATIENT FAMILIES WHO MAY BE ELIGIBLE FOR CHARITY CARE OR DISCOUNTED CARE THROUGH THE UNINSURED DISCOUNT OR CHARITY CARE POLICY. ALL CHILDREN'S EMPLOYEES AND CONTRACTED STAFF WHO HAVE DIRECT CONTACT WITH PATIENTS WILL BE EDUCATED ON AN ANNUAL BASIS OF CHILDREN'S FINANCIAL ASSISTANCE POLICIES. THE EDUCATION WILL INFORM STAFF OF PROGRAMS AVAILABLE AND HOW A PATIENT FAMILY MAY OBTAIN MORE INFORMATION AND SUBMIT AN APPLICATION FOR FINANCIAL ASSISTANCE. A FINANCIAL ASSISTANCE APPLICATION WILL BE SENT WITH THE INITIAL LETTER EXPLAINING THE PROCESS FOR OBTAINING FINANCIAL ASSISTANCE TO ALL SELF-PAY PATIENT FAMILIES. IF A PATIENT FAMILY INDICATES THE NEED FOR FINANCIAL ASSISTANCE DURING THE REGISTRATION PROCESS, FINANCIAL ASSISTANCE INFORMATION IS PROVIDED TO THE FAMILY BY THE REGISTRATION STAFF. ALL CORRESPONDENCE SEEKING COLLECTION OF MEDICAL DEBTS WILL CONTAIN A REFERENCE TO THE AVAILABILITY OF FINANCIAL ASSISTANCE. MINNESOTA HOSPITAL PROVIDERS HAVE JOINTLY DEVELOPED CONSISTENT COLLECTION GUIDELINES SET OUT IN FORMAL AGREEMENTS WITH THE MINNESOTA ATTORNEY GENERAL'S OFFICE. THIS AGREEMENT IS CONSISTENT WITH CHILDREN'S COLLECTION POLICY. THE BOARD OF DIRECTORS (AUDIT COMMITTEE) PERFORMS AN ANNUAL REVIEW OF THIS POLICY AND ALL POLICIES CONCERNING COLLECTION OF MEDICAL DEBT, UNINSURED DISCOUNT, AND CHARITY CARE. THE AUDIT COMMITTEE SHALL ALSO REVIEW THE RESULTS OF AN ANNUAL AUDIT RELATED TO THESE AREAS IN ACCORDANCE WITH THE MINNESOTA ATTORNEY GENERAL'S AGREEMENT. Form 990 Sch H Part VI Line 4 Children's Hospitals and Clinics of Minnesota serves the five-state area of the upper Midwest (Minnesota, North Dakota, South Dakota, Iowa, and Wisconsin). In 2018, Children's served patients from 100 percent of Minnesota counties and 64 percent of the total counties in the five-state area. In support of a highly diverse patient population, Children's provided interpreter services for 70 languages with the most frequent languages being Spanish, Somali, and Hmong. Children's also serves a disproportionate share of economically disadvantaged patients with approximately 44 percent of net patient revenues from government programs in 2018. The Minneapolis campus is located within the Phillips-Powderhorn neighborhood home to one of the most ethnically diverse communities in Minnesota. Form 990 Sch H Part VI Line 5 AS A TAX-EXEMPT ORGANIZATION, CHILDREN'S MAINTAINS AN OPEN MEDICAL STAFF AND IS GOVERNED BY A VOLUNTEER, COMMUNITY BOARD. CHILDREN'S PROVIDES A BROAD SPECTRUM OF BENEFITS TO THE COMMUNITIES IT SERVES THAT WOULD OTHERWISE BE UNAVAILABLE OR INSUFFICIENT TO MEET PATIENT DEMAND. CHILDREN'S DOES THIS FOR THE EXPRESS PURPOSE OF IMPROVING THE HEALTH STATUS OF CHILDREN IN THE COMMUNITY. THESE SERVICES AND DONATIONS ACCOUNT FOR A MEASURABLE PORTION OF THE HOSPITAL'S COSTS AND HELP TO PROMOTE HEALTHY LIFESTYLES, COMMUNITY DEVELOPMENT, HEALTH EDUCATION AND AFFORDABLE ACCESS TO CARE. EXAMPLE PROGRAMS INCLUDE: - PORTICO HEALTHNET: CHILDREN'S IS ONE OF THE LOCAL HOSPITALS AND HEALTH PLANS IN THE TWIN CITIES THAT ADVISES PORTICO HEALTHNET ON ISSUES RELATED TO PROGRAM SERVICES AND ALSO PROVIDES FUNDING FOR MEDICAL SERVICES TO PARTICIPANTS. PORTICO HEALTHNET IS A NONPROFIT HEALTH AND HUMAN SERVICES ORGANIZATION THAT SERVES THE COMMUNITY BY ASSISTING CHILDREN, PARENTS AND INDIVIDUALS WHO ARE UNINSURED WITH APPLICATIONS TO HEALTH CARE PROGRAMS AND BY OFFERING A PRIMARY AND PREVENTIVE HEALTH CARE ACCESS PROGRAM FOR PEOPLE INELIGIBLE FOR PUBLIC PROGRAMS. - THE EMERGENCY MEDICAL SERVICES FOR CHILDREN RESOURCE CENTER PROVIDES TECHNICAL ASSISTANCE TO AGENCIES TO IMPROVE PEDIATRIC EMERGENCY CARE. THE EMSC WORKS TO REDUCE CHILD MORBIDITY AND MORTALITY DUE TO TRAUMA AND CRITICAL ILLNESS AND IS THE ONLY STATEWIDE PROGRAM THAT FOCUSES ON IMPROVING PEDIATRIC COMPONENTS OF MEDICAL CARE. - THE SIMULATION CENTER IS A MOTOR COACH OUTFITTED WITH SIMULATION EQUIPMENT AND STAFFED WITH CHILDREN'S TRAINERS THAT TRAVELS THROUGHOUT THE MIDWEST TO TRAIN STAFF FROM HOSPITALS IN THE BEST PRACTICES WHEN RESPONDING TO PEDIATRIC OR NEONATAL MEDICAL EMERGENCIES. - PERINATAL HIV PREVENTION PROGRAM: OPTIMAL PRENATAL CARE FOR WOMEN WITH HIV IS ESSENTIAL IN PREVENTING TRANSMISSION OF THE DISEASE TO INFANTS. CHILDREN'S INFECTION PREVENTION DEPARTMENT WORKS WITH HIV POSITIVE PREGNANT WOMEN TO HELP THEM GET THIS CARE BY BUILDING RELATIONSHIPS WITH MEDICAL PROVIDERS THROUGHOUT THE STATE TO REFER EXPECTING MOTHERS INTO THE PROGRAM. - THE ADVOCACY AND HEALTH POLICY DEPARTMENT AT CHILDREN'S PROMOTES THE HEALTH OF THE COMMUNITY THROUGH ACTIVE AND INTENTIONAL ENGAGEMENT WITH THE COMMUNITY TO BUILD PARTNERSHIPS THAT CAN SUPPORT THE HEALTH AND WELL BEING OF CHILDREN IN MINNESOTA. Form 990 Sch H Part VI Line 7 LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: MN true Cristo Rey Jesuit High School 2924 4th Ave S Minneapolis MN 55408 204548714 501(c)(3) 16000 N/A N/A Sponsorship - Corporate Work Study Sponsorship - Corporate Work Study Abbott Northwestern Hospital Foundation 800 E 28th St Minneapolis MN 55407 043643816 501(c)(3) 10075 N/A N/A Classroom-based PE curriculum GoNoodle Program Virginia Piper Cancer Inst and Memorial March of Dimes 5233 Edina Industrial Blvd Edina MN 55439 131846366 501(c)(3) 7500 N/A N/A Sponsorship - Nurse of the Year Sponsorship - March of Dimes Sponsorship - Nurse of the Year Children's Hospital Association 347 Smith Ave S Suite 501 St Paul MN 55102 410711605 501(c)(3) 6620 N/A N/A Sponsorship - Midtown Safety , NNO Sponsorship - Midtown Safety , NNO Sponsorship - Art, Gala, Table Talk Portico Healthnet 2610 University Ave W Suite 550 St Paul MN 55114 411814659 501(c)(3) 60665 N/A N/A Assist families in obtaining insurance Assist families in obtaining insurance Assist families in obtaining insurance Congenital Heart Surgeons Society 500 Cummings Center Suite 4400 Beverly MA 01915 200198863 501(c)(3) 15000 N/A N/A Health career job training Data Center AVSD Study Core Lab Data Center AVSD Study Core Lab Fetal Health Foundation 9786 S Holland St Littleton CO 80127 200837174 501(c)(3) 7500 N/A N/A Health Career Program Wild about Children's Event Sponsorship Sponsorship - Candy Run Ronald McDonald House - Upper Midwest 818 Fulton Street NE Minneapolis MN 55414 411313107 501(c)(3) 14500 N/A N/A Sponsorship - Golf, Brew Love, Gala Sponsorship - Golf, Brew Love, Gala Sponsorship - Golf, Brew Love, Gala YMCA Greater Twin Cities 651 Nicollet Mall Suite 500 Minneapolis MN 55402 463077108 501(c)(3) 15250 N/A N/A Program Education Sponsorship Sponsorship - CycleHealth & YIG MN Wild Foundation 317 Washington St Suite 415 St Paul MN 55102 900158400 501(c)(3) 34000 N/A N/A Event sponsorship Sponsorship Sponsorship - Wild about Children YWCA of Mpls 1130 Nicollet Mall Minneapolis MN 55403 410693891 501(c)(3) 8000 N/A N/A Phillips Neighborhood revitalization Sponsorship - Gala and Memorial Learning center trip Sponsorship - Forums on Race Women's Health Leadership Trust 1000 Westgate Dr Suite 252 St Paul MN 55114 000000000 N/A 6250 N/A N/A 'Wild about Children's' Event Sponsorship - LEAP, Comm Baby Showers Sponsorship Sponsorship - Forum Children's Health Care Foundation 5901 Lincoln Drive CBC-3-FOUN Edina MN 55436 411814223 501(c)(3) 20650 N/A N/A Operational support and sponsorship Youth mental health and NNO Community Connect, CHA Mpls, Memorials CHA Mpls, Memorials 12 1 Charity Care Assistance to Individuals 822 1718900 Charges Charity Care to Indv Form 990 Sch I Part I Line 2 FROM TIME TO TIME, CHILDREN'S GRANTS MONIES TO OTHER ORGANIZATIONS CONDUCTING PROGRAMS AND/OR RESEARCH THAT WILL BENEFIT THE CHILDREN THAT CHILDREN'S SERVES. CHILDREN'S ALSO OCCASIONALLY PROVIDES MONETARY SUPPORT TO ORGANIZATIONS THAT PROMOTE CAREERS IN THE HEALTH CARE FIELD AND COMMUNITY ORGANIZATIONS THAT SUPPORT THE ECONOMIC DEVELOPMENT OF THE AREA SURROUNDING THE CHILDREN'S MINNEAPOLIS CAMPUS. CHILDREN'S RECEIVES PERIODIC UPDATES REGARDING THE USE OF THE FUNDS. X true false X X X X X true true false false false false false false false Robert Bonar JR Former President & CEO 0 0 0 0 656379 0 0 0 0 0 656379 0 622740 0 Todd Ostendorf Former VP, Finance and CFO 0 0 16642 0 356205 0 0 0 0 0 372847 0 0 Maria Christu Chief Legal Officer 400738 0 54099 0 59068 0 20087 0 25936 0 559928 0 45364 0 Roxanne Fernandes CNO, VP Patient Care Svcs 81957 0 165928 0 252235 0 165082 0 4981 0 670183 0 10057 0 Jeffrey Young Chief Information Officer 346289 0 46822 0 46331 0 17938 0 23857 0 481237 0 39497 0 Carol Wilcox VP Diagnostic/Therapeutic Svcs 229753 0 29435 0 58530 0 16858 0 2555 0 337131 0 53400 0 Bjorn Gunnerud VP, Marketing & Communications 87365 0 44978 0 216656 0 125510 0 9802 0 484311 0 34777 0 Jennifer Olson Market VP Business Dev and Strategy 377125 0 42728 0 43457 0 19821 0 18286 0 501417 0 35686 0 Trevor Sawallish SVP Clinical Ops & COO 419547 0 48206 0 55652 0 15558 0 25395 0 564358 0 39339 0 Emily Chapman MD CMO and VP Medical Affairs 401085 0 43389 0 18251 0 18157 0 26394 0 507276 0 15763 0 Anupam Kharbanda MD Chief of Critical Care Service 308000 0 56354 0 17010 0 14808 0 4086 0 400258 0 15634 0 Rebecca Woitalewicz Acting VP, Finance and CFO 288080 0 24935 0 5243 0 18696 0 22723 0 359677 0 0 0 Marc Gorelick MD President & CEO 845108 0 94102 0 16249 0 16500 0 19590 0 991549 0 0 0 Nancy Mendelsohn MD Chief of Specialty Pediatrics 228318 0 45569 0 42465 0 18373 0 18592 0 353317 0 18666 0 Pamela Gigi Chawla MD Chief of General Pediatrics 289857 0 47658 0 29627 0 15588 0 3791 0 386521 0 18512 0 Tracy Pfiefer VP Ops Mother Baby Clin Svc 204001 0 13583 0 0 0 11043 0 9878 0 238505 0 0 0 Stuart Winter MD Chief Research Officer 338710 0 0 0 12285 0 16500 0 28208 0 395703 0 0 0 Clark Smith MD Chief of Services Pediatrics 240463 0 22480 0 23953 0 38030 0 19189 0 344115 0 8645 0 Nancy Stevens Interim CHRO 203720 0 50060 0 2999 0 13761 0 16827 0 287367 0 0 0 James Leste VP Support Operations 250583 0 28485 0 5614 0 14723 0 22593 0 321998 0 0 0 Monica Schiller VP Ambulatory Services 209808 0 19874 0 1350 0 14036 0 22523 0 267591 0 0 0 Pamala VanHazinga CNO, VP Patient Care Svcs 249600 0 44131 0 19868 0 20081 0 22462 0 356142 0 9000 0 Susan Slocum Chief Investment Officer 202225 0 31405 0 9579 0 20168 0 8964 0 272341 0 0 0 Susan Sencer Chief of Specialty Pediatrics 222775 0 47055 0 25010 0 121484 0 23909 0 440233 0 15814 0 Anna Youngerman Chief Value Officer 184669 12641 28580 0 1786 0 10508 0 22864 0 248407 12641 0 0 Gloria Drake Sr Dir Clin SVCS-Perioperative 199205 53477 27373 0 1941 0 23561 0 15983 0 268063 53477 0 0 Alice Chernich Sr Dir Clinical Serv-Neonatal 111512 0 23547 0 21505 0 8220 0 11126 0 175910 0 0 0 Kathleen Penson Sr Dir Clin Svcs-Critical Care 171073 0 29179 0 2434 0 13791 0 21005 0 237482 0 0 0 Claudia Hines Sr Dir Clin Svcs - Pediatrics 137734 0 19183 0 10279 0 14899 0 16552 0 198647 0 0 0 Joseph Petronio MD Surgical Dir, Peds Neurosurg 865992 0 0 0 93922 0 7892 0 26562 0 994368 0 40884 0 Meysam Kebriaei MD Staff Physician 729568 0 100000 0 53521 0 16500 0 26068 0 925657 0 35427 0 Barbara Malone MD Medical Director 518283 0 153076 0 59305 0 16500 0 20162 0 767326 0 52027 0 Albert Tu MD Staff Physician 741281 0 63201 0 8353 0 11084 0 12675 0 836594 0 5336 0 Kyle Halvorson MD Staff Physician 715334 0 0 0 2062 0 30292 0 5854 0 753542 0 0 0 Stephen Nelson MD Staff Physician 215121 0 102055 0 193501 0 25075 0 23909 0 559661 0 185739 0 Theresa Pesch Former President, Foundation 0 0 3010 27094 37936 341427 18692 168229 0 0 59638 536750 Phil Kibort VP Medical Affairs and CMO 0 92144 0 52873 0 211254 0 99609 0 7694 0 463574 0 3317 Form 990 Sch J Part I Line 1a MARC GORELICK WAS REIMBURSED FOR HIS MEMBERSHIP FEES FOR THE MINNEAPOLIS CLUB, WHICH IS USED SOLELY FOR BUSINESS PURPOSES. Form 990 Sch J Part I Line 4a 2018 SEVERANCE: ROXANNE FERNANDES - $223,495 PAID IN 2018, $156,808 DEFERRED IN 2018 TODD OSTENDORF - $356,205 PAID IN 2018 ROBERT BONAR - $656,379 PAID IN 2018 BJORN GUNNERUD - $120,531 PAID IN 2018, $117,263 DEFERRED IN 2018 PHIL KIBORT - $158,268 PAID IN 2018, $56,423 DEFERRED IN 2018 THERESA PESCH - $341,427 PAID IN 2018, $154,229 DEFERRED IN 2018 Form 990 Sch J Part I Line 4b CERTAIN EMPLOYEES OF CHILDREN'S HEALTH CARE, PARENT OF CHILDREN'S CLINIC NETWORK, ARE PROVIDED THE OPPORTUNITY TO PARTICIPATE IN THE 457(F) DEFERRAL PLAN (THE DEFERRAL PLAN). THE DEFERRAL PLAN REQUIRES THAT THE EMPLOYEE IS A PHYSICIAN OR EXECUTIVE AND IS A .5 FTE OR MORE IN ORDER TO BE ELIGIBLE TO PARTICIPATE IN THE DEFERRAL PLAN. PAYMENTS FROM THE DEFERRAL PLAN OCCUR AT VESTING AND ARE BASED ON PERCENTAGE OF SALARY. THE FOLLOWING AMOUNTS REPRESENT THE AMOUNT PAID UNDER THE DEFERRAL PLAN IN 2018: JOSPEH PETRONIO - $40,884 MEYSAM KEBRIAEI - $35,427 BARBARA MALONE - $52,027 STEPHEN NELSON - $185,739 MARIA CHRISTU - $45,364 JENNIFER OLSON MARKET - $35,686 JEFFREY YOUNG - $39,497 CAROL WILCOX - $53,400 BJORN GUNNDERUD - $34,777 TREVOR SAWALLISH - $39,339 ALBERT TU - $5,336 EMILY CHAPMAN - $15,763 ANUPAM KHARBANDA - $15,634 NANCY MENDELSOHN - $18,666 PAMELA CHAWLA - $18,512 CLARK SMITH - $8,645 PAMALA VANHAZINGA - $9,000 SUSAN SENCER - $15,814 ROXANNE FERNANDES - $10,057 PHIL KIBORT - $3,317 ROBERT BONAR JR - $622,740 A 1995B2004A - See Part VI 416005375 603695FG7 2004-08-24 77550000 Healthcare equip & bldg & ref bond false false false B 2004B - See Part VI 416005375 603695FH5 2005-05-25 51550000 Refunding of taxable bond false false false C 2007A - See Part VI 416005375 603695FP7 2007-11-15 103000000 Facility expansion and upgrade false false false D 1995B2004A-12010A - See Part VI 416005375 603695GQ4 2010-03-25 97051274 Facility expns & upgrd & ref bond false false false A 60025000 0 77550000 1425 0 0 810064 1239936 0 50000000 25500000 0 2004 true false true true B 30075000 0 51500000 1778 0 0 0 0 0 0 51550000 0 true false true true C 16175000 0 106148383 2447 0 0 862000 1582951 0 103703432 0 0 2009 true false true true D 38175000 0 97071507 5436 0 0 0 0 0 51120684 45950823 0 2011 true false true true A true false true true true true 0.00010 0.00010 false false false true B false false true true true true 0 false false false true C false false true true true true 0.00010 0.00010 false false false true D false false true true true true 0.00010 0.00010 false false false true A false false true false true true Piper Jaffray 25.2 false false false 0 false true B false false true false true true Piper Jaffray 16.2 false false false 0 false true C false false true false true true Piper Jaffray 23.8 false false false 0 false true D false false true false false false 0 false 0 false true A true B true C true D true Supplemental Information 1 Schedule K, Part I, Line 1 Column A Health Care Facilities Revenue Bonds 1995B/2004A - Issuer of the bond is City of Minneapolis, MN (41-6005375) and Housing and Redevelopment Authority of the City of St. Paul, MN (41-6005521). Schedule K, Part I, Line 2 Column A Health Care Facilities Revenue Bonds 2004B - Issuer of the bond is City of Minneapolis, MN (41-6005375) and Housing and Redevelopment Authority of the City of St. Paul, MN (41-6005521). Schedule K, Part I, Line 3 Column A Health Care Facilities Revenue Bonds 2007A - Issuer of the bond is City of Minneapolis, MN (41-6005375) and Housing and Redevelopment Authority of the City of St. Paul, MN (41-6005521). Schedule K, Part I, Line 4 Column A Health Care Facilities Revenue Bonds 1995B/2004A-1/2010A - Issuer of the bond is City of Minneapolis, MN (41-6005375) and Housing and Redevelopment Authority of the City of St. Paul, MN (41-6005521). Supplemental Information 2 THE REPORT PERIODS SELECTED FOR ALL FOUR BOND ISSUES RECORDED ON SCHEDULE K ARE NOT THE SAME AS THE FISCAL YEAR END FOR THE REST OF THE FORM 990. SCHEDULE K USES THE BOND YEAR ENDING OF AUGUST 15, 2018. Part I, Column (g) Although these bonds are not defeased, a portion of the bonds was currently refunded by a reissuance on 3/25/2010. Sch K Part II Line 3 Differences between Part I, Column (e) and Part II, Line 3 are due to investment earnings. Sch K Part II Line 13 Year of Substantial Completion - B As this bond issue consists entirely of refunding bonds, it is Children's understanding that the concept of "year of substantial completion" does not apply to this issue. X 168896 COST/SELLING PRICE X 747162 COST/SELLING PRICE X 1 40 COST/SELLING PRICE X 110 66494 COST/SELLING PRICE X ENTERTAINMENT 84 101184 COST/SELLING PRICE false true false Form 990 Part III Line 4a PROGRAM SERVICE ACCOMPLISHMENTS: CHILDREN'S - ST. PAUL HAS BEEN NAMED A 2018 TOP HOSPITAL BY THE LEAPFROG GROUP. WHILE MORE THAN 1,600 HOSPITALS REPORTED SAFETY AND QUALITY INFORMATION TO THE LEAPFROG GROUP, ONLY 6 PERCENT WERE RECOGNIZED THIS YEAR FOR THEIR HIGH MARKS FOR QUALITY AND EFFICIENCY. WE'RE ONE OF ONLY 12 PEDIATRIC HOSPITALS ACROSS THE U.S. THAT HAS EARNED THIS HONOR AND THE ONLY ONE RECOGNIZED IN THE UPPER MIDWEST. THIS IS THE NINTH TIME THAT CHILDREN'S (MINNEAPOLIS, ST. PAUL OR BOTH) HAS BEEN RECOGNIZED BY THE LEAPFROG GROUP SINCE 2006. FOR THE TWELFTH YEAR, U.S. NEWS & WORLD REPORT HAS NAMED CHILDREN'S AS ONE OF AMERICA'S BEST CHILDREN'S HOSPITALS, WITH OUR PULMONOLOGY PROGRAM RANKING 33RD, OUR DIABETES AND ENDOCRINOLOGY PROGRAM RANKING 42ND AND OUR NEPHROLOGY PROGRAM - IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA MASONIC CHILDREN'S HOSPITAL - RANKING 33RD IN THE NATION FOR2018-2019. IN DECEMBER 2018 CHILDREN'S HOSPITALS WAS THE FIRST AND ONLY HOSPITAL IN MINNESOTA TO BE VERIFIED AS A LEVEL I CHILDREN'S SURGERY CENTER BY THE AMERICAN COLLEGE OF SURGEONS CHILDRENS SURGERY VERIFICATION QUALITY IMPROVEMENT PROGRAM, WE ARE ONE OF FEWER THAN 20 SUCH CENTERS IN THE NATION. ACHIEVING LEVEL I VERIFICATION IS THE HIGHEST LEVEL OF DISTINCTION FOR HEALTH SYSTEMS THAT PERFORM COMPLEX SURGICAL PROCEDURES IN NEWBORNS, CHILDREN AND TEENS. IN MARCH 2018, CHILDREN'S EARNED MAGNET RECOGNITION FROM THE AMERICAN NURSES CREDENTIALING CENTER. WE ARE MINNESOTA'S LARGEST PROVIDER OF CARE TO CHILDREN WITH COMPLEX SURGICAL CONDITIONS, HEART DISEASE, CANCER, DIABETES, AND EXTREME PRE-MATURITY. IN 2018, CHILDREN'S CARED FOR 15,748 INPATIENT ADMISSIONS REPRESENTING 108,459 PATIENT DAYS, PERFORMED 24,704 SURGICAL CASES, TREATED 91,495 EMERGENCY ROOM VISITS AND CARED FOR 467,118 OUTPATIENT CLINIC VISITS, MANY OF WHICH PROVIDED TO INNER CITY MINNEAPOLIS AND ST. PAUL RESIDENTS. CHILDREN'S CONTINUES TO SERVE A DIVERSE POPULATION WITH 100,092 FAMILY ENCOUNTERS FOR LANGUAGE INTERPRETATION IN 70 DIFFERENT LANGUAGES. CHILDREN'S CONSIDERS CERTAIN MAJOR PROGRAMS AS DESTINATION PROGRAMS, WHICH ARE SOUGHT OUT DUE TO THEIR HIGH QUALITY OUTCOMES. THESE PROGRAMS MEET RIGOROUS CRITERIA FOR EXCELLENCE, INCLUDING OUTSTANDING USE OF EVIDENCE-BASED PRACTICES, CLINICAL RESEARCH, AND ADVANCED TECHNOLOGIES. - CARDIOVASCULAR - CHILDREN'S PEDIATRIC CARDIOVASCULAR PROGRAM IS ONE OF THE LARGEST IN THE REGION WITH SOME OF THE MOST IMPRESSIVE OUTCOMES IN THE U.S. TEAM MEMBERS CARE FOR THOUSANDS OF THE REGION'S SICKEST CHILDREN WITH HEART CONDITIONS, INCLUDING FETUSES, NEWBORNS, INFANTS, CHILDREN, ADOLESCENTS, AND ADULT, LONG-TERM PATIENTS WITH PEDIATRIC CARDIOVASCULAR CONDITIONS. - NEONATAL INTENSIVE CARE - CHILDREN'S SPECIALIZES IN CARING FOR MULTIPLES, BABIES WITH CONGENITAL ANOMALIES, VERY PREMATURE AND VERY LOW BIRTH WEIGHT BABIES, AND INFANTS BORN WITH OTHER COMPLEX DIAGNOSES. WE OFFER EXCEPTIONAL TERTIARY AND QUATERNARY CARE FOR BABIES, WITH SURVIVAL OUTCOMES AMONG THE BEST IN THE WORLD. CHILDREN'S NEONATAL PROGRAM IS ONE OF THE NATION'S LARGEST PROGRAMS WITH 155 STAFFED BEDS AND MORE THAN 41,000 PATIENT DAYS. OUR NEONATAL TEAM INCLUDES HIGHLY-TRAINED AND EXPERIENCED PROFESSIONALS FROM A FULL SPECTRUM OF MEDICAL SPECIALTIES. WE HAVE OUR MOTHER BABY CENTER AT ABBOTT & CHILDREN'S MINNEAPOLIS AND IN 2015 WE OPENED OUR SECOND AND THIRD MOTHER BABY CENTERS AT MERCY HOSPITAL IN COON RAPIDS AND UNITED HOSPITAL AND CHILDREN'S - ST. PAUL. - HEMATOLOGY/ONCOLOGY - THE HEMATOLOGY/ONCOLOGY PROGRAM AT CHILDREN'S IS THE LARGEST IN THE UPPER MIDWEST WITH TREATMENT OUTCOMES THAT CONSISTENTLY RANK CHILDREN'S AS ONE OF THE TOP TEN PROGRAMS IN THE U.S. IN OUR NATIONALLY UNIQUE MODEL, YOUR CHILD'S OR TEEN'S CARE IS SPEARHEADED AND COORDINATED BY A BOARD-CERTIFIED HEMATOLOGIST/ONCOLOGIST, WHO LEADS A HIGHLY EXPERIENCED TEAM OF MULTIDISCIPLINARY PROFESSIONALS. - CYSTIC FIBROSIS - THE CYSTIC FIBROSIS (CF) CENTER AT CHILDREN'S OF MINNESOTA DIAGNOSES AND TREATS CHILDREN IN ALL STAGES OF CF. OUR DEDICATION TO FAMILY-CENTERED CARE AND EDUCATION HELPS CHILDREN AND THEIR FAMILIES LEARN TO LIVE WITH CF. CARE AT CHILDREN'S FOR PATIENTS WITH CF RANKS AMONG THE TOP 10 PROGRAMS NATIONALLY IN KEY OUTCOMES MEASURED BY THE NATIONAL CYSTIC FIBROSIS REGISTRY. CHILDREN'S PROVIDES A CONTINUUM OF CARE THROUGH COORDINATED INPATIENT AND OUTPATIENT SERVICES, FROM DIAGNOSIS THROUGH LONG-TERM FOLLOW-UP. THE CYSTIC FIBROSIS CENTER OF CHILDREN'S PROVIDES STATE-OF-THE ART COMPREHENSIVE CARE FOR CHILDREN WITH CF. - DIABETES/ENDOCRINOLOGY - THE MCNEELY PEDIATRIC DIABETES CENTER IS THE ONLY DIABETES CENTER IN THE REGION TO SPECIALIZE IN WORKING SOLELY WITH CHILDREN AND TEENS. THE STAFF PROVIDES EXPERT HEALTH CARE TO HELP MAINTAIN A CHILD'S TARGETED BLOOD SUGAR RANGES. MOST CHILDREN SEEN IN THE DIABETES CENTER HAVE TYPE 1 DIABETES. A SMALL BUT GROWING NUMBER HAVE TYPE 2. IN ADDITION TO DIABETES, THE CLINIC PROVIDES DIAGNOSTIC SERVICES AND TREATMENT FOR CHILDREN WITH DISORDERS OF GROWTH, ADVANCED OR DELAYED SEXUAL DEVELOPMENT, PITUITARY DISORDERS, THYROID ABNORMALITIES, DISORDERS OF CALCIUM BALANCE, ADRENAL DISORDERS, AND HYPOGLYCEMIA. THE MCNEELY PEDIATRIC DIABETES CENTER HAS RECEIVED RECOGNITION FOR ITS DIABETES EDUCATION PROGRAM FROM THE AMERICAN DIABETES ASSOCIATION, BY MEETING THE ASSOCIATION'S HIGH EDUCATIONAL STANDARDS. - CHILDREN'S PROVIDES OTHER HIGH QUALITY PROGRAMS SUCH AS SURGERY. CHILDREN'S SURGERY TEAMS DELIVER NEXT-GENERATION CARE IN AN AWARD-WINNING ENVIRONMENT THAT IS EXCLUSIVELY DEDICATED TO PEDIATRICS. HEALTH PROFESSIONALS OF MANY DISCIPLINES WORK TOGETHER TO PROVIDE CHILDREN WITH THE BEST POSSIBLE SURGERY EXPERIENCE. CHILDREN'S BODIES ARE DIFFERENT THAN ADULTS. FOR EXAMPLE, THEY OFTEN REQUIRE SPECIALLY-SIZED SURGICAL EQUIPMENT. THEY REACT DIFFERENTLY TO ANESTHESIA AND TO PAIN. THEIR BODIES RESPOND DIFFERENTLY TO ILLNESS AND TREATMENT, IN PART BECAUSE THEY ARE STILL GROWING. THAT'S WHY CHILDREN BENEFIT FROM OUR HIGHLY ACCOMPLISHED, PEDIATRIC-SPECIFIC SURGERY TEAMS. AT CHILDREN'S, OVER 20,000 SURGERIES ARE PERFORMED EACH YEAR ON FETUSES, NEWBORNS, CHILDREN, ADOLESCENTS, AND YOUNG ADULTS FROM THROUGHOUT THE UPPER MIDWEST. SURGICAL TREATMENT RESULTS RANK CHILDREN'S AMONG THE TOP HOSPITALS IN THE U.S. IN PEDIATRIC SURGICAL CARE. CHILDREN'S HAS SOME OF THE LOWEST RATES IN THE U.S. OF POST-SURGERY COMPLICATIONS AND SOME OF THE HIGHEST RATES OF PATIENT AND FAMILY SATISFACTION. ADDITIONAL DESTINATION PROGRAMS INCLUDE NEUROSCIENCES, ENT AND FACIAL PLASTIC SURGERY, AND TRAUMA CARE. AS A CHARITABLE ORGANIZATION, CHILDREN'S HOSPITALS & CLINICS OF MINNESOTA ALSO PROVIDES A BROAD SPECTRUM OF BENEFITS TO THE COMMUNITIES WE SERVE. THESE SERVICES AND DONATIONS ACCOUNT FOR A MEASUREABLE PORTION OF THE HOSPITALS' COSTS AND HELP TO PROMOTE HEALTHY LIFESTYLES, COMMUNITY DEVELOPMENT, HEALTH EDUCATION, AND AFFORDABLE ACCESS TO CARE. PLEASE SEE IRS FORM 990, SCHEDULE H FOR A SUMMARY OF THESE COMMUNITY BENEFITS. Form 990 Part III Line 4b PROGRAM SERVICE ACCOMPLISHMENTS: WE CONTINUE TO PARTICIPATE IN MULTIPLE PRESTIGIOUS NATIONAL COLLABORATIONS AND CLINICAL TRIALS. WE ARE ALSO GENERATING LANDMARK INVESTIGATOR-INITIATED RESEARCH, AIMED AT NOVEL WAYS TO DELIVER LIFE-SAVING TREATMENTS, MANAGE PAIN AND SYMPTOMS AND DEVELOP NEW METHODS FOR PREVENTING OR TREATING CHILDHOOD DISEASES. EVERY DAY, CHILDREN'S RESEARCHERS EXPRESS THEIR COMMITMENT TO BUILDING BETTER OUTCOMES FOR OUR CHILDREN. THESE OUTCOMES WILL HAVE BOTH IMMEDIATE AND LASTING IMPACT FOR CHILDREN RECEIVING STATE OF THE SCIENCE CARE AT OUR SPECIALTY CENTERS. CHILDREN WITH CARDIAC DISEASE, CANCER, GENETIC AND BLOOD DISORDERS, DIABETES, CYSTIC FIBROSIS, AND OTHER LIFE-IMPACTING CONDITIONS ALL HAVE BENEFITED FROM RESEARCH AT CHILDREN'S. THE VISION AND STRATEGIC INNOVATION OF OUR RESEARCH LEADERS HAVE BROUGHT US TO IMPRESSIVE MILESTONES IN THE PAST YEAR. WE CONTINUE TO TAKE STEPS TOWARD ADVANCING OUR RESEARCH AND COMMITTED TO THRIVING INTO THE FUTURE WITH OUR CHILDREN AND FAMILIES. Form 990 Part III Line 4c PROGRAM SERVICE ACCOMPLISHMENTS: THE ROTATIONS WERE PERFORMED IN CHILDREN'S EMERGENCY DEPARTMENT, INPATIENT MEDICAL/SURGICAL, PICU AND NEONATAL INPATIENT CARE UNITS, SURGERY AND ANESTHESIA, ENT SURGERY, UROLOGY, AND SUBSPECIALTY CLINICS. IN ADDITION, CHILDREN'S OFFERED 35 CONTINUING MEDICAL EDUCATION COURSES, AND PRODUCED 147 PEER REVIEWED PUBLICATIONS. CULTIVATING MEDICAL LEADERS ENSURES THAT WE CONTINUE OUR MISSION - CHAMPIONING THE SPECIAL HEALTH NEEDS OF CHILDREN AND THEIR FAMILIES. 2) EDUCATION AND TRAINING OF HEALTH CARE AND OTHER PROVIDERS OF SERVICES TO CHILDREN: I) THE MIDWEST REGIONAL CHILDREN'S ADVOCACY CENTER AT CHILDREN'S IS A LEADER IN IMPROVING THE CARE OF ABUSED AND NEGLECTED CHILDREN WHOSE GOAL IS TO IMPROVE SERVICES FOR ABUSED CHILDREN IN LOCAL COMMUNITIES THROUGHOUT THE REGION. THE CENTER OFFERS INFORMATION, CONSULTATION, TECHNICAL ASSISTANCE, AND TRAINING TO PHYSICIANS, NURSES, AND NON-MEDICAL MEMBERS OF COMMUNITY CHILD ABUSE TEAMS, INCLUDING LAW ENFORCEMENT PERSONNEL, ATTORNEYS AND CHILD PROTECTION WORKERS. II) RECOGNIZED, AS THE NATION'S LEADER IN PALLIATIVE CARE EDUCATION, CHILDREN'S INSTITUTE FOR PALLIATIVE CARE (CIPC) DEVELOPED A MODEL FOR A REGIONAL TRAINING AND CONSULTATION CENTER. CIPC DEVELOPS AND LEADS TRAINING SEMINARS USING RECOGNIZED CURRICULUM FOR PEDIATRIC PALLIATIVE CARE, PROVIDES HOSPITAL-BASED CONSULTATION TO CHILDREN WHO ARE IN NEED OF HOSPICE OR PALLIATIVE CARE WHILE THEY ARE HOSPITALIZED, OFFERS A REGIONAL 24/7 TELEPHONE CONSULTATION PROGRAM PROVIDING EDUCATION, SUPPORT, AND GUIDANCE TO FAMILIES AND PROFESSIONAL PROVIDERS, AND SERVES AS A RESOURCE CENTER FOR PEDIATRIC PALLIATIVE CARE. III) THE EMERGENCY MEDICAL SERVICES FOR CHILDREN (EMSC) RESOURCE CENTER HOUSED AT CHILDREN'S CREATES AWARENESS REGARDING THE SPECIAL NEEDS OF CHILDREN IN EMERGENCY MEDICAL SITUATIONS. EMSC EDUCATIONAL PROGRAMS ARE DESIGNED TO TRAIN PRE-HOSPITAL PERSONNEL, FIRST RESPONDERS, PHYSICIANS, NURSES, AND SCHOOL NURSES IN THE UNIQUE NEEDS OF INFANTS AND CHILDREN IN EMERGENCY SITUATIONS. THE EMSC RESOURCE CENTER ALSO PROVIDES TECHNICAL ASSISTANCE, PARTICIPATES IN STATEWIDE PEDIATRIC EMERGENCY/DISASTER PREPAREDNESS PLANNING, DEVELOPS AND DISSEMINATES PEDIATRIC EMERGENCY ARE GUIDELINES, AND CONDUCTS MORTALITY REVIEWS AND RESEARCH. EDUCATION AND EMPLOYMENT - BECAUSE DISPARITIES IN CHILD HEALTH ARE SO CLOSELY ASSOCIATED WITH LOW EDUCATIONAL ATTAINMENT AND POOR JOB SKILLS, CHILDREN'S IS ENGAGED IN SEVERAL KEY COMMUNITY PARTNERSHIPS TO IMPROVE EDUCATIONAL SUCCESS AND EARNING POTENTIAL AMONG YOUTH AND ADULTS. EXAMPLES INCLUDE THE ROOSEVELT HIGH SCHOOL AND CRISTO REY JESUIT HIGH SCHOOL HEALTH CAREERS PROGRAM THAT PROVIDES STUDENTS INTERESTED IN HEALTH CARE CAREERS THE OPPORTUNITY TO RECEIVE HEALTH CARE SPECIFIC EDUCATION AND OBTAIN INTERNSHIPS WITH HEALTH CARE ORGANIZATIONS, THE ACHIEVE MINNEAPOLIS/STEP-UP SUMMER JOBS PROGRAM THAT PLACES YOUTH IN SUPERVISED SUMMER INTERNSHIPS AT PARTICIPATING COMPANIES AND ORGANIZATIONS, AND A PARTNERSHIP WITH PROJECT FOR PRIDE IN LIVING THAT RECOGNIZES THAT A HEALTHY, SUSTAINABLE COMMUNITY REQUIRES RESIDENTS WITH WELL-PAYING JOBS. Form 990 Part VI Line 11b CHILDREN'S SENIOR MANAGEMENT REVIEWS THE DRAFT FORM 990 WITH THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY PRIOR TO FILING OF THE FORM. THIS REVIEW INCLUDES AN OVERVIEW OF THE FORM AND DISCUSSION RELATED TO KEY SECTIONS. COPIES OF THE FINAL FORM 990 ARE MADE AVAILABLE TO MEMBERS OF THE COMMITTEE AND ALL DIRECTORS PRIOR TO THE FORM BEING FILED. THE AUDIT AND COMPLIANCE COMMITTEE HAS BEEN DELEGATED THE AUTHORITY TO OVERSEE THE COMPLETION AND FILING OF THE FORM 990 BY THE FULL BOARD, AND THE COMMITTEE REPORTS THE RESULTS OF ITS REVIEW AND APPROVAL TO THE FULL BOARD AT A REGULARLY SCHEDULED BOARD MEETING. Form 990 Part VI Line 12c MANAGEMENT OF CHILDREN'S ENSURE THAT CONFLICT OF INTEREST DISCLOSURE FORMS ARE COMPLETED BY ALL MEMBERS OF THE GOVERNING BODY AND BOARD COMMITTEES AT LEAST ANNUALLY. FORMS ARE COMPLETED AT THE BEGINNING OF THE YEAR, AND DIRECTORS AND COMMITTEE MEMBERS ARE INSTRUCTED TO PROVIDE ADDITIONAL DISCLOSURES IF NECESSARY DURING THE COURSE OF THE YEAR. THE GOVERNANCE COMMITTEE OF THE GOVERNING BODY, ALONG WITH SENIOR MANAGEMENT (CEO AND GENERAL COUNSEL) REVIEW ALL DISCLOSURES PROVIDED BY GOVERNING BOARD MEMBERS. THE RESULTS OF THIS REVIEW AND ANY CONCERNS, LIMITATIONS, ETC., ARE REPORTED BY THE GOVERNANCE COMMITTEE TO THE FULL BOARD. IF CONFLICTS ARE IDENTIFIED, THE GOVERNANCE COMMITTEE AND MANAGEMENT WORK TO ENSURE THAT DIRECTORS DO NOT PARTICIPATE IN DISCUSSION OR VOTING ON THE AFFECTED MATTER. Form 990 Part VI Line 15a CHILDREN'S FOLLOWS THE REQUIREMENTS SET FORTH IN THE IRS REBUTTABLE PRESUMPTION OF REASONABLENESS IN DETERMINING COMPENSATION FOR THE CEO AND OTHER OFFICERS AND EXECUTIVE LEADERS OF CHILDREN'S. THIS FUNCTION IS PERFORMED BY THE COMPENSATION COMMITTEE OF THE GOVERNING BOARD, WHICH IS COMPOSED OF ONLY INDEPENDENT DIRECTORS. THE PROCESS INCLUDES REVIEW OF COMPARABILITY DATA, RETENTION OF AN OUTSIDE COMPENSATION CONSULTANT AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION THROUGH DETAILED MINUTES OF THE COMPENSATION COMMITTEE AND FULL BOARD MEETINGS WHERE EXECUTIVE COMPENSATION IS CONSIDERED. Form 990 Part VI Line 16a CURRENTLY CHILDREN'S DOES NOT HAVE ANY JOINT VENTURES WITH A TAXABLE ENTITY THAT ARE MISSION RELATED OR JOINT VENTURES THAT ARE NOT MISSION RELATED. WITHIN THE CONTEXT OF THEIR INVESTMENT PORTFOLIO, THE ORGANIZATION HAS INVESTED IN A NUMBER OF LIMITED PARTNERSHIP OPPORTUNITIES. Form 990 Part VI Line 19 CHILDREN'S MAKES FINANCIAL STATEMENT INFORMATION PUBLIC THROUGH A SUMMARY OF FINANCIAL PERFORMANCE IN ITS ANNUAL REPORT. IN ADDITION, FINANCIAL STATEMENTS ARE PROVIDED PUBLICLY THROUGH DIGITAL ASSURANCE CERTIFICATION, A DISSEMINATION AGENT, WHO THEREFORE MAKE THIS INFORMATION PUBLICLY AVAILABLE. CHILDREN'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC. Form 990 Part XI Line 9 CHANGES IN NET ASSETS: RSVP RETIREMENT PLAN-RELATED CHANGES (2,923,855) CHANGE IN VALUE OF INTEREST RATE SWAP VALUATION 4,985,073 CHANGE IN PERPETUAL TRUSTS AND OTHER IN-KIND CHANGES 1,455,161 TOTAL TO FORM 990, PART XI, LINE 9 3,516,379 FORM 990 PART IX LINE 11G DESCRIPTION:Medical Residents - Pediatrics TOTAL FEES:4086763 FORM 990 PART IX LINE 11G DESCRIPTION:Consulting Fees TOTAL FEES:4256702 FORM 990 PART IX LINE 11G DESCRIPTION:Security TOTAL FEES:67929 FORM 990 PART IX LINE 11G DESCRIPTION:Linen TOTAL FEES:1790286 FORM 990 PART IX LINE 11G DESCRIPTION:Purchased Services TOTAL FEES:69645293 FORM 990 PART IX LINE 11G DESCRIPTION:Stipends and Honorariums TOTAL FEES:333782 FORM 990 PART IX LINE 11G DESCRIPTION:Leased Equipment TOTAL FEES:1348299 FORM 990 PART IX LINE 11G DESCRIPTION:Maintenance/Service Contracts TOTAL FEES:5483441 FORM 990 PART IX LINE 11G DESCRIPTION:Equipment Repair & Maintenance TOTAL FEES:1134284 Children's HC SVCS INC DBA Minnetonka 2525 Chicago Ave S Minneapolis MN 55404 411756478 Healthcare MN 501(c)(3) Line 3 NA true Children's Health Care Foundation 2525 Chicago Ave S Minneapolis MN 55404 411814223 Healthcare MN 501(c)(3) Line 7 NA true Children's Clinic Network 2525 Chicago Ave S Minneapolis MN 55404 453765330 Healthcare MN 501(c)(3) Line 3 NA true Mother Baby Facility LLC 2525 Chicago Ave S Minneapolis MN 55404 454078371 Healthcare MN 501(c)(3) Line 12A NA true Children's Health Insurance Network Ltd PO Box 30600 Grand Cayman MN 55404 Insurance CJ NA C Corp -618317 11896987 1.00000 true Children's Health Network 910 East 26th Street Suite 330 Minneapolis MN 55404 463226418 Medical Services MN NA C Corp -167850 166436 1.00000 true false true true false false false false false false false true true false false true true true true true Children's Health Care Foundation c 15117130 accrual Children's Health Care Foundation l 5828277 accrual Children's Health Care Foundation o 4411257 accrual Children's Health Care Foundation r 11147755 accrual Children's Health Care Services Inc l 869532 accrual Children's Health Care Services Inc o 265134 accrual Children's Health Care Services Inc q 10743870 accrual Children's Health Care Services Inc p 6656869 accrual Children's Clinic Network l 1321154 accrual Children's Clinic Network o 88946 accrual Children's Clinic Network p 2047309 accrual Children's Clinic Network q 46906284 accrual Children's Clinic Network r 48372353 accrual Children's Clinic Network s 22435 accrual