CHILDRENS HOSPITAL COLORADO: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HOSPITAL COLORADO (EIN 84-0166760)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-15
IRS object ID: 201943199349310439
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-15T12:26:51-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2 N CENTRAL AVE SUITE 2300	AddressLine1Txt
City	PHOENIX	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	85004	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	840166760	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HOSPITAL COLORADO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JEFFREY HARRINGTON	InCareOfNm
Business Name Control	CHIL	BusinessNameControlTxt
Phone	7207771234	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	13123 East 16TH AVENUE	AddressLine1Txt
City	AURORA	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80045	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Jeffrey Harrington	PersonNm
Person Title	SVP and CFO	PersonTitleTxt
Phone	7207771234	PhoneNum
Signature	2019-11-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	PATRICK SHIELDS	PreparerPersonNm
PTIN	P01508556	PTIN
Phone	6023223000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	164.57.159.254	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	86597020193195000025	FederalOriginalSubmissionId
Federal Original Submission Id	2019-11-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	C1FB216E02A8E0FF4B10C7F1585D3311BD03F0CC	AtSubmissionCreationDeviceId
At Submission Filing Device Id	9D5EEB42429821CBACA628CB88EB15E2B93F9A36	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JENA HAUSMANN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	13123 EAST 16TH AVENUE	AddressLine1Txt
City	AURORA	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80045	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,229,507,027	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHILDRENSCOLORADO.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1908	FormationYr
Legal Domicile State	CO	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH-QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY.	ActivityOrMissionDesc
Voting Members Governing Body	28	VotingMembersGoverningBodyCnt
Voting Members Independent	27	VotingMembersIndependentCnt
Total Employee	8195	TotalEmployeeCnt
Total Volunteers	3127	TotalVolunteersCnt
Total Gross UBI	$4,816,248	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$806,515	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$45,374,318	PYContributionsGrantsAmt
CY Contributions Grants	$15,421,891	CYContributionsGrantsAmt
PY Program Service Revenue	$1,027,947,219	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,197,640,060	CYProgramServiceRevenueAmt
PY Investment Income	$7,540,339	PYInvestmentIncomeAmt
CY Investment Income	$10,559,773	CYInvestmentIncomeAmt
PY Other Revenue	$979,525	PYOtherRevenueAmt
CY Other Revenue	$5,885,303	CYOtherRevenueAmt
PY Total Revenue	$1,081,841,401	PYTotalRevenueAmt
CY Total Revenue	$1,229,507,027	CYTotalRevenueAmt
PY Grants And Similar Paid	$847,231	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$632,600	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$533,464,125	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$576,951,334	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$477,235,081	PYOtherExpensesAmt
CY Other Expenses	$537,936,873	CYOtherExpensesAmt
PY Total Expenses	$1,011,546,437	PYTotalExpensesAmt
CY Total Expenses	$1,115,520,807	CYTotalExpensesAmt
PY Revenues Less Expenses	$70,294,964	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$113,986,220	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,618,767,354	TotalAssetsBOYAmt
Total Assets EOY	$1,763,582,517	TotalAssetsEOYAmt
Total Liabilities BOY	$901,516,967	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$898,216,953	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$717,250,387	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$865,365,564	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	To improve the health of children through the provision of high-quality, coordinated programs of patient care, education, research and advocacy.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$942,006,724	ExpenseAmt
Grant	$632,600	GrantAmt
Revenue	$1,197,640,060	RevenueAmt
Desc	Routine inpatient services; ancillary inpatient services such as lab, radiology, operating room, recovery room, central supplies, etc.; Outpatient services such as emergency room, multi-specialty ambulatory services including ortho clinic, oncology clinic, etc. See schedule O for additional information.	Desc
Total Program Service Expenses	$942,006,724	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	566	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	8195	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	28	GoverningBodyVotingMembersCnt
Independent Voting Member	27	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JEFFREY HARRINGTON	PersonNm
Phone	7207771234	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	13123 EAST 16TH AVENUE	AddressLine1Txt
City	AURORA	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80045	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
BARTH WHITMAN
board member/chair	1.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
DAVID HOOVER
board member/Chair-Elect	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
DAVID HONEYFIELD
board member/Treasurer	1.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
William N Lindsay III
board member/Chair (outgoing)	1.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
LAURA BARTON
Board member	1.0	0.0	Yes (X)		$0	$0	$0
MEGAN FEARNOW
Board member	1.0	0.0	Yes (X)		$0	$0	$0
MIKE GOULD
Board member	1.0	0.0	Yes (X)		$0	$0	$0
RANDY HERTEL
Board member	1.0	0.0	Yes (X)		$0	$0	$0
SOLEDAD HURST
Board member	1.0	0.0	Yes (X)		$0	$0	$0
WAYNE HUTCHENS
Board member	1.0	0.0	Yes (X)		$0	$0	$0
JOHN IKARD
Board member	1.0	0.0	Yes (X)		$0	$0	$0
Judith KOFF
Board member	1.0	0.0	Yes (X)		$0	$0	$0
ANNITA MENOGAN
BOARD MEMBER/Secretary	1.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
MARTHA MIDDLEMIST MD
Board member	1.0	0.0	Yes (X)		$0	$0	$0
SHEN NAGEL MD
Board member	1.0	0.0	Yes (X)		$0	$0	$0
VICTORIA QUINTANA
Board member	1.0	0.0	Yes (X)		$0	$0	$0
KEVIN REIDY
BOARD MEMBER	1.0	4.0	Yes (X)		$0	$0	$0
KRISTIN RICHARDSON
Board member	1.0	0.0	Yes (X)		$0	$0	$0
BRUCE WAGNER
Board member	1.0	0.0	Yes (X)		$0	$0	$0
JACK WOLD
Board member	1.0	0.0	Yes (X)		$0	$0	$0
LAURA WRIGHT
BOARD MEMBER	1.0	4.0	Yes (X)		$0	$0	$0
DON ELLIMAN
BOARD MEMBER	1.0	4.0	Yes (X)		$0	$0	$0
JENA HAUSMANN
President and CEO	40.0	4.0	Yes (X)	Yes (X)	$1,580,314	$0	$273,278
DEBRA FAULK MD
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
ARLEN HELLER
board member	1.0	0.0	Yes (X)		$0	$0	$0
JOHN REILLY MD
board member	1.0	0.0	Yes (X)		$0	$0	$0
JANE SCHUMAKER
board member	1.0	0.0	Yes (X)		$0	$0	$0
Russell Dispense
board member (part year)	1.0	0.0	Yes (X)		$0	$0	$0
Karen Leamer MD
board member (part year)	1.0	0.0	Yes (X)		$0	$0	$0
Davnid Shapiro
board member (part year)	1.0	0.0	Yes (X)		$0	$0	$0
MICHELLE LUCERO
Chief Legal Officer	40.0	0.0		Yes (X)	$630,204	$0	$124,228
DAVID BIGGERSTAFF
EVP and COO	40.0	0.0		Yes (X)	$783,612	$0	$187,247
JEFFREY HARRINGTON
SVP and CFO	40.0	4.0		Yes (X)	$836,853	$0	$172,038
SUZANNE JAEGER
SVP Experience and Access	40.0	0.0			$471,603	$0	$79,883	Yes (X)
RAPHE SCHWARTZ
SVP AND CHIEF STRATEGY OFFICER	40.0	0.0			$420,021	$0	$111,621	Yes (X)
PATRICIA GIVENS
SVP Patient Care SVCS & CNO	40.0	0.0			$474,525	$0	$40,518	Yes (X)
JERROD MILTON
VP Operations	40.0	0.0			$380,556	$0	$94,740		Yes (X)
GREGORY RAYMOND
Colorado Springs COO	40.0	0.0			$334,749	$0	$94,056		Yes (X)
CATHERINE DAL SANTO
VP Finance	40.0	0.0			$413,461	$0	$67,869		Yes (X)
CHARLOTTE ISOLINE
VP Marketing	40.0	0.0			$332,185	$0	$18,390		Yes (X)
DANA MOORE
SVP and CIO	40.0	0.0			$529,044	$0	$156,777		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,187,127	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,420,645	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	722	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
University of Colorado Medicine
13199 East Montview Blvd	Aurora	CO	80045	Physician Services	$83,153,753
University of Colorado Denver
13123 East 16th ave BOD B-219	Aurora	CO	80045	Education Services	$25,420,596
University Hospital
12605 E 16th Ave	Aurora	CO	80045	Phys/Medical Service	$14,222,199
Sapient Razorfish
PO Box 4886	Boston	MA	02212	Marketing Services	$5,713,582
Publicis Health Media
222 W Merchandise Mart Plaza 555	Chicago	IL	60654	Marketing Services	$3,585,951

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	128	CntrctRcvdGreaterThan100KCnt
Related Organizations	$8,218,789	RelatedOrganizationsAmt
Government Grants	$7,203,102	GovernmentGrantsAmt
Total Contributions	$15,421,891	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICES REVENUE	622110	$1,102,847,371	$1,102,847,371	$0	$0
Research Funding	541900	$13,276,307	$13,276,307	$0	$0
Cafeteria	722210	$4,473,291	$4,473,291	$0	$0
Lab Billing	561000	$4,309,478	$752,113	$3,557,365	$0
Parking Lot Revenue	461790	$1,850,676	$1,850,676	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$70,882,937	TotalRevenueColumnAmt
Related Or Exempt Func Income	$69,624,054	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,258,883	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,197,640,060	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,464,817	TotalRevenueColumnAmt
Exclusion	$7,464,817	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$634,721	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$634,721	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$634,721	TotalRevenueColumnAmt
Exclusion	$634,721	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	-$8,917	SecuritiesAmt
Other	$3,103,873	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$8,917	SecuritiesAmt
Other	$3,103,873	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,094,956	TotalRevenueColumnAmt
Exclusion	$3,094,956	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	GAIN/LOSS INTEREST RATE SWAPS	Desc
Total Revenue Column	$5,250,582	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$5,250,582	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,250,582	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,229,507,027	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,192,823,812	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,816,248	UnrelatedBusinessRevenueAmt
Exclusion	$16,445,076	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$632,600	TotalAmt
Program Services	$632,600	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,187,130	TotalAmt
Program Services	$6,044,117	ProgramServicesAmt
Management And General	$1,143,013	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$456,686,530	TotalAmt
Program Services	$384,056,887	ProgramServicesAmt
Management And General	$72,629,643	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$19,874,857	TotalAmt
Program Services	$16,714,037	ProgramServicesAmt
Management And General	$3,160,820	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$60,647,531	TotalAmt
Program Services	$51,002,384	ProgramServicesAmt
Management And General	$9,645,147	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$32,555,286	TotalAmt
Program Services	$27,377,820	ProgramServicesAmt
Management And General	$5,177,466	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$124,298	TotalAmt
Program Services	$104,530	ProgramServicesAmt
Management And General	$19,768	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,187,418	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,187,418	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$515,459	TotalAmt
Program Services	$515,459	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$230,795	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$230,795	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$165,283,165	TotalAmt
Program Services	$138,969,271	ProgramServicesAmt
Management And General	$26,313,894	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$12,351,471	TotalAmt
Program Services	$10,387,141	ProgramServicesAmt
Management And General	$1,964,330	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,175,260	TotalAmt
Program Services	$6,034,135	ProgramServicesAmt
Management And General	$1,141,125	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$19,806,587	TotalAmt
Program Services	$16,656,625	ProgramServicesAmt
Management And General	$3,149,962	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,915,745	TotalAmt
Program Services	$11,702,639	ProgramServicesAmt
Management And General	$2,213,106	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,135,627	TotalAmt
Program Services	$3,477,913	ProgramServicesAmt
Management And General	$657,714	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,873,736	TotalAmt
Program Services	$1,575,744	ProgramServicesAmt
Management And General	$297,992	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$18,607,589	TotalAmt
Program Services	$15,648,311	ProgramServicesAmt
Management And General	$2,959,278	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$59,335,640	TotalAmt
Program Services	$49,899,131	ProgramServicesAmt
Management And General	$9,436,509	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,120,715	TotalAmt
Program Services	$4,306,336	ProgramServicesAmt
Management And General	$814,379	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
UBTI TAXES	$630,000	$0	$630,000	$0
MEDICAL/PHARM SUPPLIES	$142,899,921	$120,173,675	$22,726,246	$0
HOSPITAL PROVIDER FEE	$31,011,708	$31,011,708	$0	$0
EQUIPMENT RENTAL & MAINT	$15,419,400	$12,967,159	$2,452,241	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$38,312,339	TotalAmt
Program Services	$32,749,102	ProgramServicesAmt
Management And General	$5,563,237	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,115,520,807	TotalAmt
Program Services	$942,006,724	ProgramServicesAmt
Management And General	$173,514,083	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$70,877,984	BOYAmt
EOY	$135,643,183	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,249,467	BOYAmt
EOY	$5,259,965	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$155,810,359	BOYAmt
EOY	$168,702,568	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$12,356,151	BOYAmt
EOY	$13,977,157	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,903,560	BOYAmt
EOY	$15,550,559	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,636,986,447	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$611,823,702	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$916,873,710	BOYAmt
EOY	$1,025,162,745	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$357,246,459	BOYAmt
EOY	$298,941,401	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,125,000	BOYAmt
EOY	$6,712,589	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$89,324,664	BOYAmt
EOY	$93,632,350	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,618,767,354	BOYAmt
EOY	$1,763,582,517	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$152,933,160	BOYAmt
EOY	$163,137,238	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$4,388,407	BOYAmt
EOY	$5,828,943	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$144,304	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$671,892,140	BOYAmt
EOY	$653,519,174	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$13,255,501	BOYAmt
EOY	$13,288,008	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$59,047,759	BOYAmt
EOY	$62,299,286	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$901,516,967	BOYAmt
EOY	$898,216,953	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$619,173,271	BOYAmt
EOY	$759,030,824	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$53,273,118	BOYAmt
EOY	$65,055,444	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$44,803,998	BOYAmt
EOY	$41,279,296	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$717,250,387	BOYAmt
EOY	$865,365,564	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,618,767,354	BOYAmt
EOY	$1,763,582,517	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$113,986,220	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$383,844	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$33,745,113	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$62,898	FilingOrganizationsTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$452,561	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$515,459	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$941,491,265	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$942,006,724	FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt

Field	Value	IRS element (for citing)
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$486,949	CurrentYearMinus3Amt
Current Year Minus2	$678,362	CurrentYearMinus2Amt
Current Year Minus1	$508,678	CurrentYearMinus1Amt
Current Year	$515,459	CurrentYearAmt
Total	$2,189,448	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$82,676	CurrentYearMinus3Amt
Current Year Minus2	$43,943	CurrentYearMinus2Amt
Current Year Minus1	$52,093	CurrentYearMinus1Amt
Current Year	$62,898	CurrentYearAmt
Total	$241,610	TotalAmt

Field	Value	IRS element (for citing)
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	$0	OtherActivitiesAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$39,760,313	BeginningYearBalanceAmt
Investment Earnings Or Losses	$5,959,341	InvestmentEarningsOrLossesAmt
Other Expenditures	$826,784	OtherExpendituresAmt
Administrative Expenses	$88,872	AdministrativeExpensesAmt
End Year Balance	$44,803,998	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$37,970,011	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,303,237	InvestmentEarningsOrLossesAmt
Other Expenditures	$430,693	OtherExpendituresAmt
Administrative Expenses	$82,242	AdministrativeExpensesAmt
End Year Balance	$39,760,313	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$38,851,637	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$42,145	InvestmentEarningsOrLossesAmt
Other Expenditures	$654,207	OtherExpendituresAmt
Administrative Expenses	$185,274	AdministrativeExpensesAmt
End Year Balance	$37,970,011	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$37,734,642	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,029,994	InvestmentEarningsOrLossesAmt
Other Expenditures	$830,947	OtherExpendituresAmt
Administrative Expenses	$82,052	AdministrativeExpensesAmt
End Year Balance	$38,851,637	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$57,440,327	OtherCostOrOtherBasisAmt
Book Value	$57,440,327	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$880,668,191	OtherCostOrOtherBasisAmt
Depreciation	$254,817,007	DepreciationAmt
Book Value	$625,851,184	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,586,369	OtherCostOrOtherBasisAmt
Depreciation	$11,280,238	DepreciationAmt
Book Value	$7,306,131	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$523,980,972	OtherCostOrOtherBasisAmt
Depreciation	$337,150,303	DepreciationAmt
Book Value	$186,830,669	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$156,310,588	OtherCostOrOtherBasisAmt
Depreciation	$8,576,154	DepreciationAmt
Book Value	$147,734,434	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,025,162,745	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
TAMMEN TRUST	$41,279,296
MISC. RECEIVABLES	$25,430,392
SELF INSURANCE TRUST LT REC.	$7,425,000
INTERCOMPANY OTHER AFFILIATES	$7,323,118
457 ASSETS	$6,226,653
OTHER NON CURRENT ASSETS	$4,391,508
ENTERO TRACK NOTE RECEIVABLE	$1,556,383

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$93,632,350	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
VALUE OF FINANCIAL SWAP	$22,235,899
SELF INSURANCE TRUST PAYABLE	$21,235,816
CURRENT PORTION LT DEBT	$8,530,350
457 LIABILITIES	$6,264,002
LEASE TENANT IMPROVEMENT	$2,068,888
DEFERRED RENT	$1,525,639
DEFERRED COMP ESCROW	$438,692

Field	Value	IRS element (for citing)
Total Liability	$62,299,286	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	THE HOSPITAL IS THE INCOME BENEFICIARY OF THE H.H. TAMMEN TRUST, A PERPETUAL TRUST UNDER WHICH THE HOSPITAL HAS THE IRREVOCABLE RIGHT TO RECEIVE THE INCOME EARNED ON THE TRUST ASSETS IN PERPETUITY. FUNDS ARE USED TO SUPPORT HOSPITAL ACTIVITIES.
SCHEDULE D, PART X, LINE 2	MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,462,481	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,158,180	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,304,301	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$438,243,168	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$317,930,175	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$120,312,993	NetCommunityBenefitExpnsAmt
Total Expense	0.10790	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$441,705,649	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$319,088,355	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$122,617,294	NetCommunityBenefitExpnsAmt
Total Expense	0.11000	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,229,081	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,767,894	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,461,187	NetCommunityBenefitExpnsAmt
Total Expense	0.01300	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,611,192	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,392,754	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,218,438	NetCommunityBenefitExpnsAmt
Total Expense	0.01720	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,091,191	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,224,719	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,866,472	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,932,753	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,483,008	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,449,745	NetCommunityBenefitExpnsAmt
Total Expense	0.01560	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$539,846	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$539,846	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$124,404,063	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,868,375	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$59,535,688	NetCommunityBenefitExpnsAmt
Total Expense	0.05340	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$566,109,712	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$383,956,730	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$182,152,982	NetCommunityBenefitExpnsAmt
Total Expense	0.16340	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,014	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$41,014	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,079	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,849	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,230	NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,487	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$59,487	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,575	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,575	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,260,326	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$116,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,144,326	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,420,481	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$135,849	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,284,632	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,254,898	BadDebtExpenseAmt
Bad Debt Expense Attributable	$450,000	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$1,623,361	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$2,833,126	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,209,765	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	OtherOtherDesc
CHILDREN'S HOSPITAL CO - ANSCHUTZ
1	13123 EAST 16TH AVENUE	AURORA	CO	80045	WWW.CHILDRENSCOLORADO.ORG	010417	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
CHILDREN'S HOSPITAL COLORADO - SOUTH
2	1811 PLAZA DRIVE	HIGHLANDS RANCH	CO	80129	WWW.CHILDRENSCOLORADO.ORG	01F105	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
CHCO - At Parker Adventist Hospital
3	9395 Crown Crest Blvd	Parker	CO	80138	WWW.CHILDRENSCOLORADO.ORG	132405	Yes (X)	Yes (X)			Yes (X)	A	Hospital Unit or Hospital-Within a Hospital

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	13	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.CHILDRENSCOLORADO.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.CHILDRENSCOLORADO.ORG	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.childrenscolorado.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.childrenscolorado.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.childrenscolorado.org	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B	A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP A. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED IN FACILITY REPORTING GROUP A: (1) CHILDREN'S HOSPITAL COLORADO (2) CHILDREN'S HOSPITAL COLORADO - SOUTH (3) CHILDREN'S HOSPITAL COLORADO - AT PARKER ADVENTIST HOSPITAL Schedule H, Part V, Section B, Line 3e THE TOP FIVE IDENTIFIED CHNA NEEDS ARE NOT PRIORITIZED AND ALL RECEIVED EQUAL WEIGHT IN THE IMPLEMENTATION PLAN AND ON-GOING PROGRAMING. Schedule H, Part V, Section B, Line 5 THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 5 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: PRIOR TO LAUNCHING OUR 2018 ASSESSMENT, CHILDREN'S COLORADO SOLICITED INTERNAL AND EXTERNAL FEEDBACK ON OUR PREVIOUS ASSESSMENT, WHICH WAS CONDUCTED IN 2015. WE WERE INTERESTED IN LEARNING ABOUT AND IMPROVING BOTH THE PROCESS THAT WAS USED PREVIOUSLY AND THE CONCLUSIONS THAT WERE DRAWN IN THAT ASSESSMENT. A TOTAL OF SEVEN EXTERNAL EVALUATORS PROVIDED DETAILED WRITTEN FEEDBACK ON THE 2015 ASSESSMENT. THEY INCLUDED REPRESENTATIVES FROM PUBLIC HEALTH, NONPROFIT ORGANIZATIONS, HEALTH ADVOCACY ORGANIZATIONS AND HEALTH CARE PROVIDERS. REVIEWERS WERE ASKED TO IDENTIFY KEY STRENGTHS AND WEAKNESSES OF THE PREVIOUS ASSESSMENTS. FOR THE PURPOSES OF THE ASSESSMENT, WE USED FOUR QUALITATIVE DATA COLLECTION METHODS: KEY STAKEHOLDER INTERVIEWS WITH COMMUNITY AND HEALTH LEADERS. A TOTAL OF 44 INTERVIEWS WERE COMPLETED WITH INDIVIDUALS WHO REPRESENTED PUBLIC HEALTH, GOVERNMENT, PUBLIC SAFETY, DIRECT SERVICE, PUBLIC EDUCATION AND ADVOCACY ORGANIZATIONS. INTERVIEWEES ALSO REPRESENTED A RANGE OF GEOGRAPHIC AREAS AND ALL FOUR COUNTIES IN OUR COMMUNITY WERE WELL REPRESENTED. 7 OF THE INTERVIEWS WERE WITH STAFF MEMBERS OF THE TRI-COUNTY HEALTH DEPARTMENT, WHICH IS ONE OF THE LARGEST PUBLIC HEALTH DEPARTMENTS IN THE STATE AND COVERS ADAMS, ARAPAHOE AND DOUGLAS COUNTIES. THE LIST OF ORGANIZATIONS INTERVIEWED IS IDENTIFIED IN THE CHNA AND THE NAMES OF THE INTERVIEWEES ARE ON FILE. FOCUS GROUPS IN EACH OF THE FOUR COUNTIES IN OUR COMMUNITY. WE FOCUSED ON RECRUITING LOW-INCOME AND VULNERABLE POPULATIONS TO THE FOCUS GROUPS THAT WE CONDUCTED. WE CONDUCTED 6 FOCUS GROUPS AND HAD A TOTAL OF 48 PARTICIPANTS. WE CONDUCTED 2 GROUPS IN DENVER COUNTY, 1 IN DOUGLAS COUNTY, AND 3 IN LOCATIONS WHERE BOTH ADAMS AND ARAPAHOE COUNTY RESIDENTS COULD PARTICIPATE. PARENT SURVEY IN BOTH ENGLISH AND SPANISH. OUR SURVEY TARGETED PARENTS AND CAREGIVERS OF CHILDREN AGES 0-17 WHO LIVE IN THEIR HOME. PARTICIPANTS WERE RECRUITED VIA CHILDREN'S HOSPITAL EMAIL LISTS AND SOCIAL MEDIA AND THROUGH EMAIL CAMPAIGNS WITH OUR PARTNERS. ADDITIONALLY, WE WORKED CLOSELY WITH THE COMMUNITY CAMPUS PARTNERSHIP (CCP), A NONPROFIT ORGANIZATION THAT FOSTERS COLLABORATIONS BETWEEN THE ANSCHUTZ MEDICAL CAMPUS AND THE SURROUNDING AURORA COMMUNITY NEIGHBORHOODS TO IMPROVE THE HEALTH AND ECONOMIC WELL-BEING OF THE AURORA COMMUNITY. MEMBERS OF THE CCP'S RESIDENT LEADERSHIP COUNCIL, WHO ALL RESIDE NEAR THE MAIN CAMPUS, WEre RECRUITED TO CONDUCT THE SURVEYS IN ADDITIONAL LANGUAGES AND TRANSLATE THE RESPONSES. THEY GREATLY EXPANDED OUR ACCESS TO NON-ENGLISH SPEAKERS WHO RESIDE IN THE THREE ZIP CODES CLOSE TO THE HOSPITAL. IN 2018, ADDITIONAL DEMOGRAPHIC QUESTIONS WERE ADDED TO THE PARENT SURVEY. THIS ALLOWED US TO ANALYZE THE RESULTS IN A MORE IN-DEPTH MANNER. FIRST, AN ANALYSIS OF THE TOP-RATED ISSUES/CONCERNS WAS PERFORMED WITH DIFFERENCES NOTED BETWEEN THE ENGLISH LANGUAGE AND SPANISH LANGUAGE SURVEY RESPONSES. NEXT, WE SORTED RESULTS BY COUNTY AS WELL AS BY INCOME LEVELS TO DETERMINE SIGNIFICANT VARIATIONS IN THE ISSUES IDENTIFIED AS TOP CONCERNS. THIS APPROACH PERMITTED THE TEAM TO GAIN INSIGHT INTO A LARGE CROSS SECTION OF THE POPULATION. IN ALL, 582 RESIDENTS OF OUR FOUR-COUNTY COMMUNITY RESPONDED TO THE SURVEY; 409 IN ENGLISH AND 173 IN SPANISH. THE FOUR COUNTIES WERE FAIRLY EQUALLY REPRESENTED IN THE TOTAL RESPONSES. ONLINE PROVIDER SURVEY. THE PROVIDER SURVEY WAS A NEW ADDITION TO OUR DATA COLLECTION EFFORTS THIS YEAR AND ALLOWED US TO HEAR DIRECTLY FROM HEALTH CARE WORKERS ABOUT THE COMMUNITY NEEDS THEY ARE SEEING IN THEIR PRACTICES. WE HAD 108 PROVIDER RESPONSES FROM PHYSICIANS, SCHOOL NURSES AND OTHER HEALTH CARE PROVIDERS. UNDERSERVED POPULATION INPUT. AS PART OF THIS ASSESSMENT, WE PRIORITIZED GETTING INPUT FROM UNDERSERVED POPULATIONS INCLUDING LOW-INCOME AND MINORITY GROUPS AND GROUPS WHOSE PRIMARY LANGUAGE IS NOT ENGLISH. STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH LEADERS OF ORGANIZATIONS THAT SERVE AND/OR ADVOCATE FOR UNDERSERVED GROUPS. SPECIFIC ORGANIZATIONS IDENTIFIED IN THE CHNA. THE TEAM WORKED WITH COMMUNITY PARTNERS TO ENSURE THAT THE PARENT SURVEY REACHED A SOCIO-ECONOMICALLY AND ETHNICALLY DIVERSE POPULATION. 60% OF OUR RESPONDENTS HAVE A HOUSEHOLD INCOME THAT IS LESS THAN THE STATE'S AVERAGE HOUSEHOLD INCOME OF $75,000 AND 21% HAVE HOUSEHOLD INCOMES OF LESS THAN $25,000. 65% OF OUR RESPONDENTS ARE ETHNIC MINORITIES. ADDITIONAL DETAILS AVAILABLE IN THE CHNA.
SCHEDULE H, PART V, SECTION B, LINE 6A	THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 6A APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: DUE TO THE PROXIMITY OF GEOGRAPHIC LOCATIONS in 2018 CHILDREN'S HOSPITAL COLORADO CONDUCTED A JOINT CHNA FOR ITS LICENSED HOSPITAL FACILITIES, WHICH INCLUDED MAIN CAMPUS, SOUTH CAMPUS AND PARKER ADVENTIST (HOSPITAL UNIT LICENSE). THE IRS ALLOWS HOSPITAL FACILITIES TO PRODUCE A JOINT CHNA REPORT IF THE FACILITIES USE THE SAME DEFINITIONS OF COMMUNITY AND CONDUCT A JOINT CHNA PROCESS. WE HAVE FOLLOWED THOSE REQUIREMENTS FOR THE 2018 CHNA. WHILE OUR NETWORK SERVES CHILDREN IN A SEVEN-STATE REGION, FOR THE PURPOSES OF THE 2018 CHNA WE DEFINED COMMUNITY AS ALL CHILDREN LIVING IN THE FOUR-COUNTY AREA FROM WHICH MOST OF OUR PATIENT POPULATION IS DRAWN AND IN WHICH WE HAVE FACILITIES. THIS INCLUDES DENVER, DOUGLAS, ADAMS AND ARAPAHOE COUNTIES. LOCATED WITHIN A 50 MILE RADIUS OF EACH OTHER. IN 2018, WE HAD MORE THAN 15,000 INPATIENT ADMISSIONS, approximately 600,000 OUTPATIENT VISITS, AND MORE THAN 160,000 EMERGENCY DEPARTMENT AND URGENT CARE VISITS. 60% OF ALL VISITS FOR ALL LOCATIONS WERE FROM PATIENTS WHO RESIDE IN DENVER, DOUGLAS, ADAMS AND ARAPAHOE COUNTIES.
SCHEDULE H, PART V, SECTION B, LINE 7D	THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 7D APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: IN ADDITION TO POSTING THE CHNA ON THE HOSPITALS EXTERNAL-FACING WEBSITE AND MAKING THE REPORT AVAILABLE UPON REQUEST, OVER 500 PHYSICAL COPIES HAVE BEEN DISTRIBUTED TO THE COMMUNITY SINCE DECEMBER 2018. AS PART OF THE CHNA COMMUNICATION PLAN CHILDRENS CHILD HEALTH ADVOCACY INSTITUTE (CHAI) STAFF PRESENTED THE CHNA FINDINGS TO SEVERAL STAKEHOLDER GROUPS. CHAI STAFF ALSO ROUTINELY SHARE CHNA FINDINGS IN MEETINGS WITH COMMUNITY PARTNERS, WITH THE GOAL OF IDENTIFYING OPPORTUNITIES TO ENGAGE IN COLLABORATIVE EFFORTS TO ADDRESS THE AREAS OF NEED. WITH THE GOAL OF MAKING THE CHNA MORE ACCESSIBLE TO THE LARGER COMMUNITY, UPON THE COMPLETION OF THE IMPLEMENTATION STRATEGY, ADDITIONAL MATERIALS WILL BE MADE AVAILABLE IN VARIOUS FORMATS TO SUMMARIZE BOTH THE CHNA AND ACCOMPANYING PLAN. 2018 CHNA: https://www.childrenscolorado.org/community/community-health/community-hea lth-needs-assessment/
SCHEDULE H, PART V, SECTION B, LINE 11	THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: THE COMMUNITY HEALTH ACTION PLAN (CHAP) OF 2016-2019 SERVED AS A FOUNDATION AND ROAD MAP FOR CHILDRENS COLORADOS POPULATION HEALTH WORK. SINCE THE START OF CHAP IN 2016, THE HOSPITALS COMMUNITY HEALTH TEAM AND ITS PARTNERS ENGAGED IN A VARIETY OF INITIATIVES TO PROMOTE HEALTH AND PREVENT ILLNESS IN THE SURROUNDING COMMUNITY. CHILDRENS COLORADO FOCUSED ON THE SIX HEALTH PRIORITY AREAS THAT WERE IDENTIFIED IN THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND LED OR COLLABORATED WITH PARTNERS ON INITIATIVES WITHIN THE HOSPITAL, IN THE COMMUNITY AND ACROSS THE STATE. THESE INITIATIVES INCLUDED EDUCATION AND PUBLIC AWARENESS, TRAININGS, SCREENINGS AND IMPROVING ACCESS TO CARE, POLICY AND ADVOCACY EFFORTS AND EXPANSION OF THE WORKFORCE IN COMMUNITY HEALTH. THE ANNUAL EVALUATION SUMMARIZES THE IMPACT OF THE WORK OUTLINED IN THE 2016 CHAP, AS WELL AS ONGOING AND FUTURE INITIATIVES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH AND IMPROVE THE HEALTH AND LIVES OF CHILDREN AND FAMILIES IN THE COMMUNITY. THE ANNUAL EVALUATION CAN BE FOUND AT: HTTPS://WWW.CHILDRENSCOLORADO.ORG/GLOBALASSETS/COMMUNITY/2016-2018-ACTION- PLAN-EVALUATION-REPORT.PDF CHILDRENS COLORADO WILL CONTINUE TO FOCUS ITS EFFORTS IN THE COMMUNITY TO PROMOTE HEALTH AND REDUCE ILLNESS IN OUR COMMUNITY AND FOCUSING ON NEW AND EXISTING COMMUNITY PARTNERSHIPS TO DEVELOP A SUSTAINABLE MODEL TO ADDRESS POPULATION HEALTH. IN 2018, AS PART OF OUR COMMITMENT TO BE AN ACTIVE PARTNER IN THE COMMUNITY THAT GOES WELL BEYOND THE PROVISION OF PATIENT CARE, WE CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT. THE GOAL OF THE ASSESSMENT WAS TO BETTER UNDERSTAND THE CONCERNS AND PRIORITIES OF THE FAMILIES WE SERVE, THE COMMUNITY ORGANIZATIONS WE PARTNER WITH, AND THE PROVIDERS WHO WORK WITH OUR PATIENTS. THE 2018 COMMUNITY NEEDS HEALTH ASSESSMENT, WHICH SUMMARIZES THESE FINDINGS, CAN BE FOUND AT CHILDRENSCOLORADO.ORG/GLOBALASSETS/COMMUNITY/CHILDRENS-HOSPITAL-COLORADO-2 018-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF. THE CHNA WAS APPROVED BY THE CHCO BOARD OF DIRECTORS IN DECEMBER 2018. THROUGH OUR 2018 NEEDS ASSESSMENT, WE IDENTIFIED FIVE PRIORITY AREAS THAT WILL BE THE FOCUS OF OUR COMMUNITY HEALTH IMPROVEMENT WORK FOR THE NEXT THREE YEARS (2019-2022): MENTAL HEALTH/BEHAVIORAL HEALTH, INJURY PREVENTION, PREMATURITY, OBESITY/NUTRITION/PHYSICAL ACTIVITY, AND ASTHMA/RESPIRATORY CARE. CHCO IS ACTIVELY WORKING ON THE DEVELOPMENT OF OUR THREE-YEAR IMPLEMENTATION PLAN TO ADDRESS THE FIVE COMMUNITY HEALTH PRIORITY AREAS. THE PLAN IS SCHEDULED TO BE COMPLETED AND APPROVED BY THE BOARD IN MAY 2019. TO DEVELOP THE IMPLEMENTATION PLAN, CHILDRENS HOSPITAL COLORADO IS UTILIZING THE INFORMATION GATHERED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT AS THE MAJOR SOURCE OF INFORMATION AND INCORPORATED ADDITIONAL INSIGHTS FROM PLANNING DISCUSSIONS WITH COMMUNITY PARTNERS. WE PLAN TO CONVENE A SERIES OF STRATEGY SESSIONS WITH PROVIDERS, COMMUNITY HEALTH STRATEGISTS AND ADMINISTRATORS. EACH OF THESE SESSIONS WILL FOCUS ON ONE OF THE FIVE PRIORITY AREAS THAT HAD BEEN SELECTED THROUGH THE NEEDS ASSESSMENT. WITH THE HELP OF AN OUTSIDE FACILITATOR, TEAMS WILL VISION STATEMENTS, GOALS AND OBJECTIVES FOR EACH PRIORITY. THE OBJECTIVES SELECTED WILL ALL BE QUANTIFIABLE AND TIME-LIMITED, WHICH WILL ALLOW FOR EFFECTIVE EVALUATION OF OUR EFFORTS IN THE FUTURE.

Field	Value	IRS element (for citing)
Facility	12	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CHILDREN'S HOSPITAL COLORADO-NORTH
469 WEST STATE HIGHWAY 7	BROOMFIELD	CO	80023	UC,SPECIALTY CARE,observation, REHAB & SPORT THERAPY licensed cmty clinic 18F110
CHILDREN'S HOSPITAL CO OP SPECIALTY CARE
4125 BRIARGATE PKWY	COLORADO SPRINGS	CO	80920	SPECIALTY CARE, Oncology CLINICS, URGENT CARE
CHILDREN'S HOSPITAL COLORADO-UPTOWN
1830 FRANKLIN ST	DENVER	CO	80218	EMERGENCY CARE, UC, OP SPCLTY, DIAGNOSTIC, observation, licensed cmty clinic 18M127
CHILDREN'S HOSPITAL CO THERAPY CARE
8401 ARISTA PLACE	BROOMFIELD	CO	80021	OT/PT, SPEECH & AUDIOLOGY SERVICES
KIDSTREET
3615 MARTIN LUTHER KING BLVD	DENVER	CO	80205	REHABILITATION & THERAPY SERVICES
CHILDREN'S HOSPITAL CO THERAPY CARE
PRINTERS PARK MEDICAL PLAZA	COLORADO SPRINGS	CO	80910	OT/PT, SPEECH & AUDIOLOGY SERVICES
CHILDREN'S HOSPITAL CO Therapy Care
19284 COTTONWOOD DRIVE	PARKER	CO	80138	OT/PT, SPEECH & AUDIOLOGY SERVICES
CHILDREN'S HOSPITAL CO Therapy Care
9139 S RIDGELINE BLVD 100	HIGHLANDS RANCH	CO	80129	REHABILITATION & THERAPY SERVICES
CHILDREN'S HOSPITAL CO UC & OP CARE
3455 LUTHERAN PKWY	WHEATRIDGE	CO	80033	URGENT CARE, SPECIALIST CARE, SPORTS MEDICINE
CHILDREN'S HOSPITAL CO THERAPY CARE
704 FORTINO BLVD STE A	PUEBLO	CO	81008	SPEECH THERAPY, LEARNING DISABILITIES
CHILDREN'S HOSPITAL CO SPECIALTY CARE
9399 CROWN CREST BLVD	PARKER	CO	80138	SPECIALTY CARE, SPORTS MEDICINE
CHILDREN'S HOSPITAL CO ORTHOPEDIC CARE
9094 E MINERAL AVE SUITE 110	CENTENNIAL	CO	80112	ORTHOPEDIC ARE, RADIOLOGY SERVICES, SPORTS MEDICINE

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 6A	CHILDRENS COLORADO PUBLISHES AN ANNUAL COMMUNITY BENEFIT REPORT. THE 2018 REPORT WILL BE PUBLISHED AFTER THE FINALIZATION OF THE 2018 SCHEDULE H 990 REPORTING. THE 2017 REPORT CAN BE FOUND AT HTTPS://WWW.CHILDRENSCOLORADO.ORG/COMMUNITY/COMMUNITY-HEALTH/. PRIOR TO THE COMPLETION OF THE REPORT A DISTRIBUTION LIST OF COMMUNITY MEMBERS, PARTNERS AND STATE AND LOCAL OFFICIALS IS DEVELOPED, AND THE REPORT IS DISTRIBUTED UPON COMPLETION. COINCIDING WITH THE PHYSICAL DISTRIBUTION THE REPORT IS THEN PUBLISHED ON THE CHCO WEBSITE. SCHEDULE H, PART I, LINE 7 IN 2018, CHILDRENS HOSPITAL COLORADO PROVIDED $182,152,982 OR 16.34% OF TOTAL OPERATING EXPENSES, IN BENEFIT TO THE COMMUNITY. MEDICAID AT CHILDRENS HOSPITAL COLORADO ACCOUNTED FOR $120,312,993 OF NET COMMUNITY BENEFIT EXPENSE OR 10.79% OF TOTAL OPERATING EXPENSES WITH $2,304,301 IN FINANCIAL ASSISTANCE OR 0.21% OF TOTAL EXPENSE. OTHER BENEFITS ACCOUNTED FOR $59,535,688 IN NET COMMUNITY BENEFIT EXPENSE OR 5.34% OF TOTAL EXPENSE. OF THAT $14,461,187 IN COMMUNITY HEALTH IMPROVEMENT, $19,218,438 IN HEALTH PROFESSION EDUCATION, $7,866,472 IN SUBSIDIZED HEALTH SERVICES, $17,449,745 IN RESEARCH AND $539,846 IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT. INCLUDED IN SUBSIDIZED HEALTH SERVICES ARE THOSE WHICH CHILDRENS HOSPITAL COLORADO PROVIDES TO ITS PATIENT POPULATION AT A LOSS. IN 2018, PROGRAMS ASSOCIATED WITH THESE LOSSES ARE REHABILITATION, DERMATOLOGY AND MENTAL HEALTH. THE NUMBER REFLECTED IN SUBSIDIZED HEALTH SERVICES EXCLUDES BAD DEBT, MEDICAID AND OTHER MEANS TESTED PROGRAMS SHORTFALLS AND FINANCIAL ASSISTANCE. CHILDRENS HOSPITAL COLORADO IS COMMITTED TO SERVING ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.
SCHEDULE H, PART II	IN 2018, CHILDRENS HOSPITAL COLORADO PROVIDED $1,284,632 IN COMMUNITY BUILDING ACTIVITIES. THESE ACTIVITIES ARE DESIGNED TO PROMOTE THE HEALTH OF THE BROADER COMMUNITY. WE CONTINUE TO BUILD ON OUR LONG AND STRONG RECORD OF COLLABORATION WITH COMMUNITY GROUPS, BUSINESSES, ACADEMIC INSTITUTIONS AND GOVERNMENTAL AND NON-GOVERNMENTAL ORGANIZATIONS, WITH THE GOAL OF IMPROVING HEALTH OUTCOMES AND REDUCING HEALTH DISPARITIES FOR CHILDREN AND THEIR FAMILIES. ADDITIONALLY, SIGNIFICANT RESOURCES WERE ALLOCATED IN 2018 TO SUPPORT EFFORTS TO ENGAGE COMMUNITY MEMBERS IN ADVOCATING FOR ACCESS TO HEALTH CARE AS WELL AS PROVIDING EDUCATIONAL SESSIONS FOR BOTH POLICYMAKERS AND ADVOCATES ON CHILD HEALTH ISSUES OF IMPORTANCE. IMPROVING THE HEALTH OF THE COMMUNITY THROUGH ENVIRONMENTAL EFFORTS WAS ALSO A PRIORITY, INCLUDING LONG-STANDING RECYCLING AND RETRO COMMISSIONING EFFORTS. FINALLY, THE HOSPITAL CONTRIBUTED SUBSTANTIAL RESOURCES TO PROGRAMS, SUCH AS OUR HIRE LOCAL PROGRAM, THAT PROVIDE A PIPELINE FOR AT-RISK HIGH SCHOOL STUDENTS, AND UNDERSERVED COMMUNITY MEMBERS TO PURSUE HEALTHCARE SPECIFIC CAREERS. SELECTED COMMUNITY BUILDING ACTIVITIES ARE HIGHLIGHTED BELOW. ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS AND SAFETY. DURING THE 2018 COLORADO LEGISLATIVE SESSION, THE CHILDRENS HOSPITAL COLORADO GOVERNMENT AFFAIRS TEAM WORKED WITH INTERNAL AND EXTERNAL PARTNERS TO KEEP KIDS OUT OF THE HOSPITAL BY SUPPORTING LAWS THAT WOULD IMPROVE KIDS' HEALTH-AND DEFENDING AGAINST THOSE THAT WOULD NOT. WE BUILT PARTNERSHIPS WITH OUR ALLIES AND ADVOCATES ACROSS THE STATE, ENGAGED OUR HEALTHCARE PROFESSIONALS AND OTHER TEAM MEMBERS AND GAVE A VOICE TO OUR PATIENTS AND FAMILIES. TOGETHER, WE ADVANCED A NUMBER OF POLICY AND ADVOCACY GOALS THAT HAVE THE POTENTIAL TO LIFT THE TRAJECTORY OF A CHILDS LIFE. FOR EXAMPLE: MODERNIZING NEWBORN SCREENING: COLORADOS NEWBORN SCREENING PROGRAM AIMS TO ENSURE EVERY COLORADO BABY RECEIVES A GENETIC, METABOLIC AND HEARING SCREENING UPON BIRTH. THESE SCREENINGS HELP IDENTIFY POTENTIALLY LIFE-THREATENING CONDITIONS, AS WELL AS HEARING LOSS. IF THESE CONDITIONS ARENT IDENTIFIED VERY EARLY IN LIFE, THEY CAN LEAD TO SEVERE HEALTH CONSEQUENCES AND DEVELOPMENTAL DELAYS OR EVEN DEATH. HOWEVER, THAT LAW DATES BACK TO THE 1990S AND DID NOT INCLUDE SCREENING FOR MANY CONDITIONS THAT ARE STANDARD IN OTHER STATES. COLORADO'S SCREENING PROGRAM AIMS TO ENSURE EVERY ONE OF THE 67,000 BABIES BORN EACH YEAR IN THE STATE RECEIVES A SCREENING FOR POTENTIALLY LIFE-THREATENING MEDICAL CONDITIONS AND HEARING PROBLEMS. HOUSE BILL 18-1006 MAKES THE NEWBORN SCREENING PROGRAM MORE COMPREHENSIVE, ENSURES TIMELINESS OF SCREENING RESULTS AND OFFERS AN ENHANCED PROGRAM FOR THE 2,000 BABIES EACH YEAR WHO FAIL THEIR HEARING SCREENING. THE SCREENING ENSURES THAT BABIES AND FAMILIES ARE SWIFTLY CONNECTED TO CARE IF THERE IS A RISK FOR A MEDICAL CONDITION OR HEARING LOSS THAT NEEDS FURTHER EVALUATION. CLINICIANS AT CHILDRENS HOSPITAL COLORADO, INCLUDING PULMONOLOGISTS, APPROACHED OUR GOVERNMENT AFFAIRS TEAM WITH CONCERNS ABOUT THESE GAPS. WITH HELP FROM COMMUNITY PARTNERS, WE ADVOCATED TO MODERNIZE COLORADOS NEWBORN SCREENING PROGRAM BY EXPANDING TESTING TO COVER NEW DISEASES, IMPROVING THE FOLLOW-UP PROCESS FOR BABIES NEEDING ADDITIONAL TESTING, AND ENSURING ADEQUATE PROGRAM RESOURCES. PULMONARY FACULTY MEMBERS PROVIDED GUIDANCE ON BILL DEVELOPMENT AND TESTIMONY AT THE COLORADO LEGISLATURE. THIS BILL WAS SIGNED INTO LAW ON JUNE 8, 2018. FOOD INSECURITY: DURING THE 2018 STATE LEGISLATIVE SESSION, WE JOINED A COALITION OF ANTI-HUNGER ORGANIZATIONS TO SUPPORT SENATE BILL 13, WHICH EXPANDS THE STATE COVERAGE FOR FREE LUNCHES THROUGH THE NATIONAL SCHOoL LUNCH PROGRAM FOR MIDDLE SCHOOL STUDENTS. SB13 PASSED BOTH HOUSES OF THE LEGISLATURE AND WAS SIGNED INTO LAW. WE ALSO COLLABORATED WITH PARTNERS INVOLVED IN THE COLORADO BLUEPRINT TO END HUNGER INITIATIVE TO PASS A COLORADO STATE BOARD OF HUMAN SERVICES RULE CHANGE. ONE OF OUR PEDIATRICIANS TESTIFIED BEFORE THE STATE HUMAN SERVICES BOARD IN SUPPORT OF THE CHANGE TO INCREASE THE SNAP INCOME ELIGIBILITY THRESHOLD FOR ALL COLORADOANS TO 200% OF THE FEDERAL POLICY LEVEL. THIS CHANGE PROTECTS CHILDREN AND LOW-INCOME FAMILIES FROM LOSING SNAP BENEFITS BY BEING SLIGHTLY OVER THE PREVIOUS ELIGIBILITY THRESHOLD, WITH EXPANDED ACCESS TO THESE CRITICAL BENEFITS FOR OUR FAMILIES. ADDITONALLY, THROUGH OUR GRASSROOTS ADVOCACY NETWORK, CHILD HEALTH CHAMPIONS, WE HARNESS THE POWER OF OUR MEMBERS ACROSS COLORADO TO PUSH FOR BETTER CHILD HEALTH THROUGH PUBLIC POLICY. THIS LEGISLATIVE SESSION, WE ADDED 707 NEW MEMBERS TO THE NETWORK, INCREASING OUR TOTAL NUMBER OF ADVOCATES TO OVER 7,000. MORE THAN 1,200 OF THESE ADVOCATES WROTE EMAILS TO THEIR LAWMAKERS ON POLICY ISSUES THAT IMPACT KIDS AND FAMILIES. WE ALSO CO-HOSTED THE SEVENTH ANNUAL SPEAK UP FOR KIDS DAY AT THE CAPITOL, TRAINING 190 NEW ADVOCATES FROM ACROSS THE STATE AT AN INTENSIVE, INSPIRING AND HANDS-ON EVENT THAT CONNECTS THEM WITH THEIR LOCAL LEGISLATORS TO HAVE CONVERSATIONS ABOUT PENDING KIDS HEALTH LEGISLATION. PARTNERSHIPS ARE AN ESSENTIAL COMPONENT TO CHILDRENS COMMUNITY HEALTH WORK. THE HOSPITAL HAS PARTNERED WITH AN ARRAY OF LOCAL, STATE AND NATIONAL ORGANIZATIONS TO COORDINATE, COLLABORATE AND SHARE KEY FINDINGS AND LESSONS LEARNED IN IMPROVING HEALTH AND QUALITY OF LIFE FOR CHILDREN IN COLORADO. BELOW ARE A FEW EXAMPLES OF CHILDRENS COLLABORATIONS ADDRESSING COMMUNITY BUILDING AND HEALTH IMPROVEMENT. COALITION BUILDING. IN 2016, CHILDRENS HOSPITAL COLORADO JOINED FORCES WITH EIGHT OTHER STATEWIDE HEALTH AND EDUCATION ORGANIZATIONS TO FORM THE COLORADO ALLIANCE FOR SCHOOL HEALTH (THE "ALLIANCE"). THE ALLIANCE AIMS TO TRANSFORM HOW HEALTH CARE AND EDUCATION PARTNERS COLLABORATE TO CREATE SUSTAINABLE SYSTEMS THAT RESULT IN HEALTH EQUITY AMONG ALL COLORADO STUDENTS. OVER THE PAST YEAR, THE ALLIANCE IDENTIFIED ADVOCACY PRIORITIES THAT INCLUDE FUNDING FOR SCHOOL HEALTH SERVICES, ACCESS TO INTEGRATED CARE FOR STUDENTS AND FAMILIES, AND EFFORTS TO DEVELOP A COMMON, COMPREHENSIVE, APPROACH TO SHARING DATA ACROSS SYSTEMS TO INFORM PLANNING, DOCUMENT PROGRESS, AND ULTIMATELY IMPROVE THE HEALTH, DEVELOPMENT, LEARNING, AND SUCCESS OF CHILDREN AND THEIR SCHOOL COMMUNITIES. IN 2018, THE ALLIANCE ESTABLISHED THEIR ADVOCACY AGENDA, PUBLISHING A CALL TO ACTION IN EARLY 2019; ITS INTENT IS TO DEFINE SCHOOL HEALTH SERVICES, ELEVATE THE IMPORTANCE OF THESE SERVICES, OUTLINE OPPORTUNITIES FOR HEALTH AND EDUCATION TO WORK TOGETHER TO MEET THE HEALTHCARE NEEDS OF EVERY STUDENT AND IDENTIFY ACTIONS WE CAN TAKE RIGHT NOW TO IMPROVE THE HEALTH OF ALL COLORADO STUDENTS. PHYSICAL IMPROVEMENTS AND HOUSING. AT CHILDRENS COLORADO, WE SERVE A DIVERSE PATIENT POPULATION WHOSE EXPERIENCES WITH SOCIAL DETERMINANTS OF HEALTH VARY GREATLY. TO BETTER UNDERSTAND THESE EXPERIENCES, WE HAVE BEGUN SYSTEMATICALLY SCREENING PATIENTS FOR BARRIERS TO WELLNESS AND UTILIZING PATIENT NAVIGATORS TO HELP FAMILIES ADDRESS THESE BARRIERS. OUR PSYCHOSOCIAL SCREENING PROGRAM WAS PILOTED IN OUR CHILD HEALTH CLINIC, A PRIMARY CARE CLINIC FOR CHILDREN FROM BIRTH TO ADOLESCENCE, AND HAS BEEN EXPANDED TO ADDITIONAL CLINICAL AREAS, INCLUDING SPECIFIC INPATIENT UNITS AND OUR PRIMARY CARE CLINIC FOR CHILDREN WITH COMPLEX HEALTHCARE NEEDS. IN 2018, 14,878 SCREENINGS OCCURRED WITH 8,548 UNIQUE PATIENTS. HOUSING WAS THE SIXTH MOST FREQUENTLY REPORTED CONCERN, WITH 10.5% OF PATIENTS SCREENED BEING REFERRED TO A NAVIGATOR FOR ASSISTANCE WITH HOUSING. AS A NON-PROFIT HOSPITAL, WE COMPLETE A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS TO ENSURE THAT OUR PATIENTS, FAMILIES, AND COMMUNITY PARTNERS ARE ABLE TO GUIDE OUR POPULATION HEALTH EFFORTS. OUR MOST RECENT NEEDS ASSESSMENT WAS COMPLETED IN DECEMBER 2018 AND INCLUDED INPUT FROM MORE THAN 40 PARTNER ORGANIZATIONS AND NEARLY 600 COMMUNITY MEMBERS. IN THIS PROCESS, STAKEHOLDERS WERE ASKED TO PRIORITIZE THE MOST "CRITICAL HEALTH NEEDS"OTHER CRITICAL NEEDS" IN THEIR COMMUNITY. HOUSING, IDENTIFIED AS AN "OTHER CRITICAL NEED" BECAUSE IT IS NOT CONDITION-SPECIFIC, WAS RATED AS THE SIXTH MOST IMPORTANT NEED IN THE COMMUNITIES CHILDREN'S COLORADO SERVES. WE HAVE ALSO BEEN APPROACHED BY SEVERAL ADVOCACY PARTNERS ON HOUSING-RELATED MEASURES AT THE STATE AND FEDERAL LEVELS, INCLUDING EFFORTS TO IMPROVE TENANT RIGHTS, ESTABLISH A STATEWIDE EVICTION PREVENTION FUND, AND ASSESS THE HEALTH IMPACT OF MILITARY HOUSING. AS A RESULT OF FEEDBACK FROM COMMUNITY PARTNERS AND RESIDENTS, CHILDRENS COLORADO IS ALSO WORKING WITH THE UNIVERSITY OF COLORADO DENVER TO CONDUCT AN ENVIRONMENTAL NEEDS ASSESSMENT OF LIVING CONDITIONS IN THE COMMUNITY IMMEDIATELY SURROUNDING OUR AURORA HOSPITAL. THIS PROJECT, FUNDED BY PHILANTHROPIC DONATIONS TO CHILDRENS COLORADO, WILL PROVIDE HYPERLOCAL DATA ON HOUSING CONDITIONS AND THE RELATED HEALTH IMPACTS ON CHILDREN AND FAMILIES; OUR INTENTION IS TO PROVIDE THE RESULTS TO COMMUNITY MEMBERS TO USE IN THEIR OWN ADVOCACY AND PROGRAMMATIC EFFORTS. THE DEVELOPMENT O
SCHEDULE H, PART III, LINE 2	The Organization adopted ASC 606 on January 1, 2018, using the modified retrospective method to all patient contracts at the date of initial application. The adoption of ASC 606 resulted in changes to the presentation for net patient services revenue related to uninsured or underinsured patients. Prior to the adoption of ASC 606, a significant portion of the Hospitals provision for bad debts related to self-pay patients, as well as co-pay and deductibles owed by patients with insurance. Under ASC 606, the estimated uncollectable amounts due from these patients are generally considered implicit price concessions that are a direct reduction to net patient service revenue, rather than as a provision for bad debts. Other than these changes in presentation, the adoption of ASC 606 did not have a material impact on the overall financial statements of the Organization. Expanded disclosures required by ASC 606 are included within Note 4, Net Patient Services Revenue. SCHEDULE H, PART III, LINE 3 CHILDREN'S HOSPITAL INACTIVATES AR BALANCES BETWEEN 150-175 DAYS AFTER THE FIRST BILLING CYCLE. ACCOUNTS ARE REFERRED TO COLLECTION AGENCIES FOR RECOVERY. THE HOSPITAL DOES NOT REPORT ANY BAD DEBT AMOUNT IN COMMUNITY BENEFIT.
SCHEDULE H, PART III, LINE 4	The Organization adopted ASC 606 on January 1, 2018, using the modified retrospective method to all patient contracts at the date of initial application. The adoption of ASC 606 resulted in changes to the presentation for net patient services revenue related to uninsured or underinsured patients. Prior to the adoption of ASC 606, a significant portion of the Hospital's provision for bad debts related to self-pay patients, as well as co-pay and deductibles owed by patients with insurance. Under ASC 606, the estimated uncollectable amounts due from these patients are generally considered implicit price concessions that are a direct reduction to net patient service revenue, rather than as a provision for bad debts. Other than these changes in presentation, the adoption of ASC 606 did not have a material impact on the overall financial statements of the Organization. Expanded disclosures required by ASC 606 are included within Note 4, Net Patient Services Revenue.
SCHEDULE H, PART III, LINE 8	THE SHORTFALL REPORTED IN LINE 7 REPRESENTS MEDICARE SHORTFALLS FOR HIGH NEED PEDIATRIC PATIENTS SERVED BY CHILDREN'S HOSPITAL COLORADO. IF CHILDREN'S HOSPITAL COLORADO DID NOT SUBSIDIZE THE HIGHLY SPECIALIZED CARE, ACCESS FOR THIS POPULATION WOULD BE LIMITED, THUS WE VIEW THIS CARE AS COMMUNITY BENEFIT. THE HOSPITAL UTILIZED COST TO CHARGE RATIO METHODOLOGY TO ARRIVE AT THIS NUMBER. THE AMOUNT INCLUDES ALL COSTS LESS ALL PAYMENTS RECEIVED.
SCHEDULE H, PART III, LINE 9B	YES, THE ORGANIZATION DOES HAVE A WRITTEN DEBT COLLECTION POLICY. PRIOR TO DEBT REFERRALS, ACCOUNTS ARE REVIEWED FOR ALL THIRD-PARTY PAYER ELIGBILITY PRIOR TO QUALIFYING FOR ANY CHARITY CARE OR FINANCIAL ASSISTANCE. ONCE THE PATIENT'S RESPONSIBILITY IS VALIDATED, THE HOSPITAL PROVIDES SLIDING SCALE DISCOUNTS BASED ON INCOME AND/OR EXPENSES. PARENTS WHOSE CHILDREN DO NOT QUALIFY FOR MEDICAID CAN ALSO APPLY FOR THIS DISCOUNT PLAN. THE HOSPITAL HAS A DEDICATED FINANCIAL COUNSELING/SERVICES DEPARTMENT WHO WORK CLOSELY WITH PARENTS TO ESTABLISH PAYMENT PLANS.
SCHEDULE H, PART VI, LINE 2	IN ADDITION TO THE CHNA, CHILDRENS HOSPITAL COLORADO REGULARLY ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY WE SERVE. ACROSS THE HOSPITAL, NUMEROUS INTERNAL AND EXTERNAL DATA SOURCES ARE REGULARLY MONITORED AND UTILIZED TO IDENTIFY TRENDS AND OPPORTUNITIES TO IMPACT CHILD HEALTH. ADDITIONALLY, HOSPITAL STAFF DEDICATES SIGNIFICANT TIME TO SERVING ON COMMUNITY BOARDS AND OTHER COMMUNITY GROUPS THAT ASSESS HEALTH NEEDS OF THE COMMUNITY AND PROACTIVELY PARTICIPATES IN THE HEALTH IMPROVEMENT EFFORTS LED BY THESE PARTNERS. IN 2018, CHCO FORMALIZED A POPULATION HEALTH STRATEGY. DELIVERING CARE TO KIDS ISN'T A ONE-SIZE-FITS-ALL MODEL. CONSIDERING THEIR DIFFERENT BARRIERS TO WELLNESS IS NECESSARY TO CHANGE THE WAY WE DELIVER HEALTHCARE, AND EMPOWERING COMMUNITIES TO FOCUS ON PREVENTION IS KEY. WE CALL THIS APPROACH POPULATION HEALTH. OUR ADVOCACY TEAM IS WORKING WITHIN OUR COMMUNITIES, EMPOWERING THEM TO FOCUS ON PREVENTION AND IMPLEMENTING PROGRAMMING THAT KEEPS KIDS OUT OF OUR DOORS. WE ARE CHARTING NEW TERRITORY TO FURTHER OUR REACH AND IMPACT AND SUPPORT THE WHOLE PICTURE OF A CHILD'S HEALTH AND WELLBEING. EXAMPLES OF RESPONDING TO THE NEEDS OF THE COMMUNITY: RESPIRATORY HEALTH. BASED ON FEEDBACK CHILDRENS COLORADO RECEIVED FROM COMMUNITY PARTNERS IN 2017, WE BEGAN A HEALTH IMPACT ASSESSMENT OF THE HOUSING IMMEDIATELY SURROUNDING OUR MAIN CAMPUS IN AURORA. THIS PROJECT, FUNDED BY CHILDRENS COLORADO PREVENTION AND WELLNESS FUND, IS COMPARING CHILD AND CAREGIVER EXPOSURES TO INDOOR ENVIRONMENTAL HAZARDS AND ASSOCIATED HEALTH OUTCOMES BY HOUSING TYPE (E.G., MOTEL, MULTIUNIT HOUSING, AND SINGLE-FAMILY HOMES). IN 2018, WE CONVENED A COMMUNITY ADVISORY BOARD TO HELP SHAPE RECRUITMENT AND DATA COLLECTION, RECEIVED INSTITUTIONAL REVIEW BOARD APPROVAL, RECRUITED AND TRAINED TEAM MEMBERS, AND BEGAN DATA COLLECTION. FUTURE EFFORTS WILL FOCUS ON COMPLETING DATA COLLECTION AND ANALYSIS, DISSEMINATING FINDINGS, AND PLANNING APPROPRIATE INTERVENTIONS. SCHOOL HEALTH: AIMING TO INCREASE ACCESS OF TYPE 1 DIABETES-SPECIFIC PROFESSIONAL DEVELOPMENT OPPORTUNITIES FOR COLORADO SCHOOL NURSES, WHILE ALSO BUILDING PROFESSIONAL NETWORKS, THE SCHOOL HEALTH PROGRAM AT CHILDREN'S HOSPITAL COLORADO (CHCO) PARTNERED WITH EXTENSION FOR COMMUNITY HEALTH OUTCOMES (ECHO) COLORADO TO ENVISION, DESIGN, AND EVALUATE A "SCHOOL NURSES MANAGING DIABETES CARE" ECHO LEARNING SERIES. FIELD EXPERTS FROM THE CHCO SCHOOL HEALTH PROGRAM, BARBARA DAVIS CENTER FOR CHILDHOOD DIABETES, AND ECHO COLORADO CAME TOGETHER TO DEVELOP A MULTI-COHORT, FOUR-WEEK EDUCATIONAL ECHO SERIES, WHICH LAUNCHED IN FEBRUARY AND APRIL 2018, AND INCLUDED THE FOLLOWING CURRICULUM: 1) PATHOPHYSIOLOGY OF DIABETES; 2) INSULIN TECHNOLOGY; 3) INSULIN MANAGEMENT; AND, 4) DEVELOPMENTALLY-APPROPRIATE CARE FOR SCHOOL-AGED CHILDREN. TWENTY-NINE PARTICIPANTS ATTENDED THE FIRST DIABETES CARE ECHO LEARNING SERIES. DIFFERENT FROM WEBINAR FORMAT, ECHO SERIES ARE PROVIDED VIA A VIDEOCONFERENCING PLATFORM, WHICH CREATES AN INTERACTIVE, ENGAGING FORUM FOR THE CONSISTENT DISSEMINATION OF SCHOOL NURSING BEST PRACTICE AND EVIDENCE-BASED STANDARDS OF CARE. THIS ECHO SERIES ALLOWED SCHOOL NURSES TO OBTAIN EDUCATION FROM CONTENT MATTER EXPERTS, SHARE PEER-TO-PEER KNOWLEDGE AND EXPERTISE, COLLABORATE WITH COLLEAGUES, AND BUILD A SENSE OF COMMUNITY REGARDING THE MANAGEMENT OF DIABETES IN SCHOOLS. SCHOOL NURSES WERE RECRUITED THROUGHOUT COLORADO, INCLUDING URBAN AND RURAL SETTINGS, AND A TOTAL OF FORTY-EIGHT SCHOOL NURSES ATTENDED COHORTS 1 AND 2 OF THE SERIES. EVALUATION FINDINGS SHOWED THAT THE SERIES IS A PROMISING APPROACH TO INCREASE THE SELF-EFFICACY OF SCHOOL NURSES FOR MANAGING DIABETES CARE, REDUCE PROFESSIONAL ISOLATION, AND IMPROVE CARE OF STUDENTS. AS A RESULT OF THE IMPACTS OF THIS SERIES, THE FOLLOWING TOOK PLACE: 1) A "SCHOOL NURSES MANAGING NEUROLOGICAL CONDITIONS" ECHO LEARNING SERIES WAS DEVELOPED, IMPLEMENTED AND EVALUATED IN OCTOBER, 2018, WITH TWENTY-TWO SCHOOL NURSES IN ATTENDANCE; 2) A MONTHLY ECHO COMMUNITY OF PRACTICE SERIES FOR COLORADO SCHOOL NURSE LEADERS WAS DEVELOPED AND LAUNCHED IN OCTOBER, 2018; 3) TWO MORE COHORTS OF THE "SCHOOL NURSE MANAGING DIABETES CARE" HAVE BEEN SCHEDULED FOR 2019, AND 4) ONE MORE COHORT OF THE "SCHOOL NURSES MANAGING NEUROLOGICAL CONDITIONS" HAS BEEN SCHEDULED FOR 2019. AS SCHOOL NURSES CONTINUE TO SERVE AS POPULATION HEALTH LEADERS, PROVIDING HIGHLY COMPLEX COORDINATED CARE TO INCREASING NUMBERS OF CHILDREN IN EDUCATIONAL SETTINGS, THE NEED FOR ONGOING CONTINUING EDUCATION OFFERINGS IN COLLABORATIVE PEER-TO-PEER LEARNING ENVIRONMENTS IS CRITICAL TO ENSURING THEIR ABILITIES TO SUPPORT THE HEALTH OF CHILDREN IN SCHOOLS. THE ECHO MODEL PROVIDES A PROMISING WAY TO SUPPORT SCHOOL NURSES ACROSS ALL GEOGRAPHIES IN GAINING THE NECESSARY INFORMATION, SKILLS, AND SUPPORT TO EFFECTIVELY CARE FOR STUDENTS AND STAY INFORMED ABOUT UP-TO-DATE CLINICAL INFORMATION, SO STUDENTS HAVE THE OPPORTUNITY TO SUCCEED IN SCHOOL. ADDRESSING SOCIAL DETERMINANTS OF HEALTH. IN 2016, CHILDRENS COLORADO EXPANDED ITS WORKFORCE TO INCLUDE, FOR THE FIRST TIME, COMMUNITY HEALTH NAVIGATORS CHN TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. THE CHN WORKFORCE DIFFERS FROM THE CLINICALLY BASED FAMILY NAVIGATORS IN THAT THEY WORK WITH FAMILIES IN PRIMARY CARE CLINICS, COMMUNITY BASED-SETTINGS AND CONDUCT HOME VISITS TO ENSURE THE MAXIMUM SUPPORT TO OUR FAMILIES. CHNS PROVIDE ASSISTANCE TO PATIENTS AND FAMILIES WITH BARRIERS TO CARE AND RESOURCE NEEDS. THE RELATIONSHIP BETWEEN SOCIAL DETERMINANTS OF HEALTH AND HEALTH OUTCOMES IS WELL DOCUMENTED. ADDRESSING SOCIAL DETERMINANTS OF HEALTH IS IMPORTANT FOR IMPROVING HEALTH OUTCOMES AND REDUCING HEALTH DISPARITIES. SINCE 2016, THE TEAM HAS EXPANDED FROM 6 NAVIGATORS IN THREE UNIQUE SETTINGS TO 13 NAVIGATORS IN 9 SETTINGS. THE POPULATION SERVED IS PRIMARILY MEDICAID OR UNINSURED FAMILIES WITH A SIGNIFICANT NUMBER OF NON-ENGLISH-SPEAKING FAMILIES. IN 2018, THE TEAM PROVIDED SUPPORT TO 5,135 PATIENTS/FAMILIES. TOP NEEDS INCLUDE: FINANCIAL ASSISTANCE, PUBLIC BENEFIT ASSISTANCE, FOOD INSECURITY, HOUSING AND ASSISTANCE FINDING A PRIMARY CARE PROVIDER FOR THE CAREGIVER. THIS INITIATIVE ALSO PROVED AN OPPORTUNITY TO EXPAND OUR PARTNERSHIP WITH PUBLIC HEALTH. IN 2016, TWO NAVIGATORS WERE PLACED IN A TRI-COUNTY HEALTH DEPARTMENT WIC OFFICE. THIS FEDERAL PROGRAM PROVIDES SUPPLEMENTAL NUTRITIONAL SUPPORT FOR WOMEN, INFANTS AND CHILDREN (WIC) FOR LOW-INCOME PREGNANT, BREASTFEEDING, AND NON-BREASTFEEDING POSTPARTUM WOMEN AND TO INFANTS AND CHILDREN UP TO THE AGE OF FIVE WHO ARE AT NUTRITIONAL RISK. IN 2018, THE NAVIGATORS PROVIDED RESOURCE SUPPORT TO 590 FAMILIES AND EXPANDED TO A SECOND WIC OFFICE. ADDITIONALLY, THROUGH COMMUNITY ENGAGEMENT EFFORTS THE NAVIGATION TEAM DISCOVERED THAT MANY OF THE NON-ENGLISH SPEAKING AND REFUGEE FAMILIES DID NOT UNDERSTAND HOW TO UTILIZE THEIR FAMILIES WIC BENEFITS. THIS STARTED A NEW COMPONENT OF THE PROGRAM WHERE NAVIGATORS WILL TAKE FAMILIES TO THE GROCERY STORE 1-2 TIMES TO ASSIST THEM WITH WHAT FOODS IN WHAT QUANTITIES THEY WERE ELIGIBLE TO PURCHASE THROUGH THE WIC BENEFITS.
SCHEDULE H, PART VI, LINE 3	CHILDREN'S HOSPITAL COLORADO HAS A PROCESS FOR INFORMING AND EDUCATING FAMILIES ABOUT HOW THEY MAY BE BILLED FOR PATIENT CARE AND THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. CHILDREN'S HOSPITAL COLORADO'S FULL TIME PATIENT FINANCIAL COUNSELORS ARE DEDICATED TO WORKING WITH FAMILIES TO PROVIDE GUIDANCE REGARDING AVAILABLE FINANCIAL ASSISTANCE WHICH ENSURES THAT ITS PATIENT POPULATION RECEIVES THE CRITICAL CARE IT NEEDS. ADDITIONALLY, CHILDREN'S HOSPITAL COLORADO PROVIDES PATIENT ASSISTANCE TO HELP IDENTIFY COMMUNITY-BASED RESOURCES, FACILITATE SERVICES AND PROVIDE APPROPRIATE REFERRAL ASSISTANCE TO HELP WITH CONTINUITY OF CARE. INPATIENT PROCESS: THIS PROCESS APPLIES TO PATIENTS WHO ARE BEING ADMITTED FOR OBSERVATION, SURGERY OR OTHER INPATIENT SERVICES. IF THE PATIENT IS PRE-SCHEDULED, CHILDREN'S HOSPITAL COLORADO PATIENT ACCESS WORKS TO CONTACT THE FAMILY PRIOR TO ADMISSION TO ARRANGE FOR A FINANCIAL SCREENING APPOINTMENT. REGARDLESS OF WHETHER AN APPOINTMENT IS SET PRIOR TO ADMISSION, THE PATIENT FINANCIAL COUNSELING TEAM WORKS WITH THE FAMILY TO DETERMINE THEIR SELF-PAY STATUS (EITHER NON-COMMERCIAL OR GOVERNMENT INSURANCE) AND SUBSEQUENTLY WORKS WITH THEM TO SCREEN FOR FINANCIAL ASSISTANCE OPTIONS. OUTPATIENT PROCESS: WHEN A PATIENT SCHEDULES A NON-EMERGENT OR URGENT OUTPATIENT CLINIC VISIT, THEY WILL IDENTIFY THEMSELVES AS SELF-PAY IF THEY DO NOT HAVE EITHER COMMERCIAL OR GOVERNMENT INSURANCE. AT THIS POINT, THEY ARE GIVEN TWO OPTIONS: (1) PAY A $200 DEPOSIT AT THE TIME OF APPOINTMENT AND BE BILLED ANY REMAINING BALANCE OR (2) SCHEDULE TIME WITH PATIENT FINANCIAL COUNSELING FOR ASSISTANCE. IF THE PATIENT WAS SEEN IN THE EMERGENCY DEPARTMENT OR URGENT CARE WITHOUT THE PRE-SCREEN, THEY STILL CAN APPLY FOR FINANCIAL ASSISTANCE WITH THE PATIENT FINANCIAL COUNSELING OFFICE. ALL SELF-PAY FAMILIES ARE AUTOMATICALLY GIVEN A 35 PERCENT DISCOUNT. CHILDREN'S HOSPITAL COLORADO HAS A FORMAL POLICY REGARDING ELIGIBILITY CRITERIA FOR CHARITY CARE. THE DECISION TO PROVIDE CHARITY CARE WILL BE, IN ALL CASES, BASED ON A REVIEW OF THE INCOME, ASSETS AND LIABILITIES OF THE FAMILY AT THE TIME OF ADMISSION TO THE HOSPITAL OR CLINIC. THE LEVELS OF CHARITY CARE AND FINANCIAL ASSISTANCE PROVIDED BY CHILDREN'S HOSPITAL COLORADO WILL BE DETERMINED BASED ON FEDERAL POVERTY GUIDELINES WHICH MAY BE ADJUSTED UP TO 200 PERCENT AND REVISED FROM TIME TO TIME. FAMILIES WITH ADJUSTED GROSS INCOME BETWEEN 200 PERCENT AND 400 PERCENT OF FEDERAL POVERTY GUIDELINES MAY ALSO BE CONSIDERED FOR CHARITY CARE WITH A CAP FOR OUT-OF-POCKET RESPONSIBILITY. DETERMINATION OF ELIGIBILITY WILL BE EFFECTIVE FOR SIX MONTHS AND APPLY TO ALL PATIENTS REGARDLESS OF IMMIGRATION STATUS. CHILDREN'S COLORADO WORKS TO PROVIDE NECESSARY HOSPITAL-RELATED SERVICES CONSISTENT WITH ITS MISSION, ITS STATUS AS A NONPROFIT HOSPITAL AND ITS STEWARDSHIP RESPONSIBILITY TO ITS DONORS. CHILDRENS HOSPITAL COLORADOS FINANCIAL ASSISTANCE PUBLIC POLICY AND PLAIN LANGUAGE SUMMARY ARE LISTED ON THE ORGANIZATIONS HOMEPAGE WWW.CHILDRENSCOLORADO.ORG.
SCHEDULE H, PART VI, LINE 4	CHILDRENS COLORADO PROVIDES COMPREHENSIVE MEDICAL CARE FOR KIDS FROM BIRTH THROUGH ADOLESCENCE. CHILDRENS COLORADO SERVES A SEVEN-STATE REGION; HOWEVER, MOST OF OUR PATIENTS COME FROM COLORADO AND SPECIFICALLY THE DENVER METRO AREA. ADDITIONALLY, CHILDRENS HOSPITAL COLORADO IS THE ONLY LEVEL 1 PEDIATRIC TRAUMA CENTER IN OUR SEVEN-STATE REGION. DEMOGRAPHICALLY, CHILDREN SERVED COME FROM DIVERSE CULTURAL AND ETHNIC BACKGROUNDS. NORTHWEST AURORA, SURROUNDING THE MAIN CAMPUS IS ONE OF THE MOST DIVERSE AREAS IN THE STATE. MORE THAN HALF OF AURORAS 350,000 RESIDENTS BELONG TO A MINORITY POPULATION, AND OVER 100 LANGUAGES ARE SPOKEN IN AURORA PUBLIC SCHOOLS. ALONG WITH ITS DIVERSITY, AURORA FACES CHALLENGES WITH HEALTH DISPARITIES, LOWER INCOME AND EMPLOYMENT LEVELS AND OTHER SOCIAL DETERMINANTS OF HEALTH AND ECONOMIC WELL-BEING AS COMPARED TO OTHER PARTS OF AURORA, THE METRO DENVER AREA AND THE STATE OF COLORADO. IN RESPONSE TO OUR DIVERSE POPULATION, CHILDRENS COLORADO TRANSLATES MEDICAL CARE AND EDUCATION INSTRUCTIONS INTO 65 + LANGUAGES, INCLUDING SIGN LANGUAGE, TO DELIVER CULTURALLY SENSITIVE, HIGH-QUALITY PEDIATRIC HEALTH CARE. MOST PATIENTS SPEAK ENGLISH, FOLLOWED BY A SIGNIFICANT NUMBER OF FAMILIES WHO SPEAK SPANISH, ARABIC, BURMESE, VIETNAMESE, SOMALIAN, RUSSIAN AND KOREAN. THE PAYER MIX OF THE POPULATION SERVED IS 44.9% MEDICIAID, 48.8% MANAGED CARE/COMMERCIAL, 4.4% OTHER GOVERNMENT AND 1.9% SELF-PAY AND INDIGENT.
SCHEDULE H, PART VI, LINE 5	IN 2018, CHILDRENS HOSPITAL COLORADO PROVIDED $14,461,187 IN COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY BENEFIT OPERATIONS. CHCO IS COMMITTED TO IMPROVING THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH-QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY. CHILDRENS HOSPITAL COLORADO WORKS TO DELIVER ON THIS MISSION NOT ONLY IN THE DENVER METRO AREA AND IN THE STATE OF COLORADO, BUT ALSO THROUGHOUT THE ROCKY MOUNTAIN REGION. THERE ARE EXTENSIVE EFFORTS LED BY CHILDRENS HOSPITAL COLORADO THAT POSITIVELY IMPACT THE HEALTH AND SAFETY OF CHILDREN IN THE COMMUNITY. THROUGHOUT 2018, THE HOSPITALS CHILD HEALTH ADVOCACY INSTITUTE AND ITS PARTNERS ENGAGED IN EXTENSIVE EFFORTS TO PROMOTE HEALTH AND PREVENT ILLNESS, IN ACCORDANCE WITH THE CHILDRENS HOSPITAL COLORADO (CHILDRENS COLORADO) 2016-2018 COMMUNITY HEALTH ACTION PLAN (CHAP). IN THE CHAP, CHILDRENS COLORADO FOCUSED ON SIX HEALTH PRIORITY AREAS THAT WERE IDENTIFIED IN THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND LED OR COLLABORATED WITH PARTNERS ON INITIATIVES WITHIN THE HOSPITAL, IN THE COMMUNITY AND ACROSS THE STATE. THESE INITIATIVES INCLUDED EDUCATION AND PUBLIC AWARENESS, TRAININGS, SCREENINGS, DIRECT SERVICES, ACCESS TO CARE, AS WELL AS POLICY AND ADVOCACY EFFORTS. ADDITIONALLY, CHILDRENS COLORADO PRIORITIZED ADDRESSING SOCIAL DETERMINANTS OF HEALTH THAT IMPACT HEALTH OUTCOMES THROUGH DEVELOPMENT OF COMMUNITY PARTNERSHIPS TO ENHANCE REFERRALS AND CONNECTIONS FOR FAMILIES, ALONG WITH CONTINUED EXPANSION OF THE WORKFORCE IN COMMUNITY HEALTH. AS PART OF OUR EFFORTS IN ADDRESSING CHNA PRIORITY AREAS, THE TEAM EPIDEMIOLOGIST CONDUCTS A COMPREHENSIVE ANNUAL EVALUATION OF THE ACTIVITIES IDENTIFIED IN THE 2016-2018 COMMUNITY HEALTH ACTION PLAN. THE EVALUATION PLAN IS AVAILABLE ON-LINE: HTTPS://WWW.CHILDRENSCOLORADO.ORG/COMMUNITY/COMMUNITY-HEALTH/COMMUNITY-HEA LTH-NEEDS-ASSESSMENT/ HIGHLIGHTS OF THIS WORK IN 2018 INCLUDE: MENTAL HEALTH: MENTAL HEALTH IS A TOP CONCERN FOR YOUTH AND FAMILIES, AS IDENTIFIED IN THE CHILDRENS COLORADO COMMUNITY HEALTH NEEDS ASSESSMENT, AS WELL AS ASSESSMENTS CONDUCTED BY NUMEROUS OTHER HOSPITALS, LOCAL PUBLIC HEALTH DEPARTMENTS AND COMMUNITY-BASED ORGANIZATIONS. IN LOOKING FOR WAYS TO ADDRESS MENTAL HEALTH EDUCATION AND DE-STIGMATIZATION, THE CHILDRENS COLORADO PEDIATRIC MENTAL HEALTH INSTITUTE, REVIEWED EXISTING PROGRAMS TARGETING STIGMA REDUCTION AMONG YOUTH AND TURNED TO THE WORK OF OUR MENTAL HEALTH YOUTH ACTION BOARD (YAB). THE YAB WAS CREATED IN 2013 TO GENERATE SOCIAL ACTION AROUND MENTAL HEALTH. EACH YEAR A GROUP OF 15 TEENS FROM ACROSS THE DENVER METRO AREA CREATE AN ARTS-BASED PROJECT TO SHARE WITH THE COMMUNITY TO HELP INCREASE CONVERSATIONS REGARDING THE SPECTRUM OF MENTAL AND EMOTIONAL EXPERIENCES. TWO OF THE YABS GOALS DIRECTLY ADDRESS CHILDRENS COLORADO DESIRE TO SERVE THE COMMUNITY IN THESE WAYS: 1. RAISE AWARENESS OF CHILD AND ADOLESCENT MENTAL HEALTH ISSUES IN THE COMMUNITIES WE SERVE BY CREATING A PROJECT EACH YEAR THAT WILL SUPPORT SOCIAL CHANGE, 2. DEVELOP THE LEADERSHIP AND ADVOCACY SKILLS OF OUR YOUTH. IN 2018, THE TEAM TRANSFORMED THE YAB PROJECTS INTO A TOOLKIT THAT CAN BE USED WITH GROUPS OF YOUTH IN THE COMMUNITY BY TEACHERS, YOUTH PROGRAM LEADERS AND OTHER YOUTH SERVING PROFESSIONALS. THE TOOLKIT WAS COMPLETED IN APRIL 2018, WITH OVER 1000 COPIES DISTRIBUTED TO SCHOOLS AND COMMUNITY-BASED ORGANIZATIONS. PHYSICAL ACTIVITY, NUTRITION AND OBESITY: IN 2018, 72 CHILDREN WERE ENROLLED IN CAMP CHAMPIONS, A CAMP PROGRAM FOR LOW-INCOME, UNDERSERVED YOUTH WHO ARE OVERWEIGHT OR OBESE. CAMP CHAMPIONS AIMS TO IMPROVE HEALTHY LIFESTYLES THROUGH EDUCATION AND ACTIVITIES, DURING WHICH CAMPERS INCREASED THEIR DAILY VIGOROUS PHYSICAL ACTIVITY BY AN AVERAGE OF 27 MINUTES AND INCREASED THEIR DAILY STEP COUNT EXCEEDING RECOMMENDATIONS BY AN AVERAGE OF 3,000 STEPS. ORAL HEALTH: IN PARTNERSHIP WITH AURORA PUBLIC SCHOOLS (APS), CHILDRENS COLORADO WORKED TO ADVANCE THE ORAL HEALTH OF CHILDREN IN THE COMMUNITY THROUGH EDUCATION, SCREENING, AND PREVENTIVE SERVICES. IN 2018, 501 CHILDREN UNDER THE AGE OF 5 ENROLLED IN APS EARLY CHILDHOOD EDUCATION SITES PARTICIPATED IN A LEARNING ACTIVITY ABOUT ORAL HEALTH, AND 216 CHILDREN WERE SCREENED FOR ORAL HEALTH NEEDS AND RECEIVED FLUORIDE VARNISH. ADDITIONALLY, PARENTS OF YOUNG CHILDREN, INCLUDING 24 TEEN PARENTS, WERE ALSO ENGAGED IN EDUCATIONAL SESSIONS AND PROVIDED RESOURCES RELATED TO ORAL HEALTH FOR BOTH THEM AND THEIR CHILD. PREMATURITY AND EARLY CHILDHOOD: IN 2016, CHILDRENS COLORADO LAUNCHED A UNIVERSAL PSYCHOSOCIAL SCREENING PROGRAM IN THE CHILD HEALTH CLINIC TO IDENTIFY FAMILIES WITH PSYCHOSOCIAL NEEDS AND PROVIDE THEM WITH APPROPRIATE LEVELS OF INTERVENTION. IN 2017, NEARLY 8,000 PSYCHOSOCIAL SCREENINGS WERE COMPLETED IN THE CHILD HEALTH CLINIC AND 68% OF FAMILIES WITH PATIENTS UNDER AGE 2 WERE SCREENED. IN 2018 THAT NUMBER CLIMBED TO ALMOST 14,000 SCREENINGS; 63% WERE AGE 2 OR YOUNGER. THROUGH THIS WORK, CHILDRENS COLORADO HAS LEARNED ABOUT THE EVOLVING PSYCHOSOCIAL AND SOCIAL DETERMINANTS OF HEALTH THAT OUR FAMILIES FACE. PEDIATRIC ASTHMA: AS A RESULT OF THE PREVIOUSLY CONDUCTED NEEDS ASSESSMENT FOCUSED ON HIGH RISK ASTHMA PATIENTS SEEN AT CHILDRENS HOSPITAL COLORADO, THE BREATHING INSTITUTE CREATED A HOME VISIT PROGRAM FOR PATIENTS WITH DIFFICULT-TO-CONTROL ASTHMA IN 2016. THE FIRST TWO YEARS WERE FOCUSED ON PROGRAM DEVELOPMENT, HIRING AND TRAINING STAFF, AND CONDUCTING QUARTERLY PDSA QUALITY IMPROVEMENT CYCLES. IN 2018, WE CONCLUDED OUR PILOT PHASE AND INCORPORATED HOME VISITS INTO OUR CLINICAL OPERATIONS AS STANDARD OF CARE FOR HIGH RISK ASTHMA PATIENTS. WE CONDUCTED 116 HOME VISITS WITH 44 PATIENTS. THESE VISITS WERE CONDUCTED BY A NURSE AND COMMUNITY HEALTH NAVIGATORS AND FOCUSED ON ASTHMA EDUCATION, BARRIER IDENTIFICATION AND PATIENT NAVIGATION, HOME ENVIRONMENTAL ASSESSMENT AND TRIGGER REMEDIATION. SUPPORT PROVIDED TO EACH FAMILY VARIES BASED ON BARRIERS IDENTIFIED BUT COMMONLY INCLUDES MEDICATION DEVICE TECHNIQUE TEACHING, HELP WITH APPLICATIONS FOR BENEFITS (E.G., MEDICAID AND WIC PAPERWORK), AND REMEDIATION SUPPLIES SUCH AS HEPA-FILTER VACUUMS, SAFE CLEANING SUPPLIES, AND PEST EXTERMINATION SERVICES. DURING THE PILOT PHASE THAT ENDED IN 2018, WE SAW A 41% REDUCTION IN READMISSIONS/EMERGENCY DEPARTMENT REVISITS FOR ASTHMA IN THE SIX MONTHS FOLLOWING PARTICIPATION IN THE HOME VISIT PROGRAM. INJURY PREVENTION: IN 2018 OUR CONTINUED COLLABORATION WITH COMMUNITY-BASED ORGANIZATIONS, AND PARTNERSHIPS WITH LOCAL AND STATE GOVERNMENT LED TO OVER 700 CHILD RESTRAINT INSPECTIONS AND NEARLY 500 CAR SEAT DISTRIBUTIONS TO LOW-INCOME FAMILIES QUALIFYING FOR FEDERAL ENTITLEMENT PROGRAMS AND RESIDING IN TARGETED NEIGHBORHOODS. THE CPS PROGRAM CONTINUED ITS PARTNERSHIP WITH THE WOMEN, INFANTS, AND CHILDREN (W.I.C.) PROGRAM AT TRI-COUNTY HEALTH DEPARTMENT, WHERE W.I.C CLIENTS IDENTIFIED IN NEED OF SAFE TRANSPORTATION FOR THEIR INFANTS, TODDLERS, AND YOUNG CHILDREN ARE ELIGIBLE TO RECEIVE A SUBSIDIZED-COST CAR SEAT. THIS PARTNERSHIP WITH LOCAL W.I.C. OFFICES REPRESENTS A UNIQUE EXAMPLE IN COLORADO WHERE A PRIVATE, NON-PROFIT HOSPITAL DEDICATES STAFF RESOURCES TO SERVE THE SAFE TRANSPORTATION NEEDS OF FAMILIES ENROLLED IN FEDERALLY-FUNDED SAFETY NET PROGRAM. THROUGH OUR "CRIBS FOR KIDS" INFANT SAFE SLEEP AWARENESS AND EDUCATION PROGRAM, COMMUNITY HEALTH NAVIGATORS PROVIDED EDUCATION AND ANTICIPATORY GUIDANCE TO MOTHERS RECEIVING PRIMARY CARE SERVICES AT CHILDRENS COMMUNITY HEALTH CLINICS. IN ADDITION TO HIGHLIGHTING THIS PRIORITY ISSUE WITH PARENTS, THE NAVIGATORS PROVIDED PORTABLE CRIBS TO 34 MOTHERS WHOSE INFANTS WERE IDENTIFIED AS BEING AT HIGH RISK FOR SUDDEN UNEXPLAINED INFANT DEATH (SUID). IN ADDITION TO CHILDRENS COLORADOS HEALTH PRIORITY AREAS, THERE WERE KEY MILESTONES ACHIEVED IN OUR PARTNERSHIPS, COMMUNITY HEALTH AND POLICY AND ADVOCACY EFFORTS. BELOW ARE SOME HIGHLIGHTS OF THOSE EFFORTS. PARTNERSHIP DEVELOPMENT: IN 2018, CHILDRENS COLORADO MADE A CONCERTED EFFORT TO ENHANCE PARTNERSHIPS WITH OTHER SYSTEMS AND SECTORS SERVING CHILDREN AND FAMILIES IN THE COMMUNITY TO IMPROVE COORDINATION OF EFFORTS RELATED TO OUR SHARED POPULATION, AS WELL AS IDENTIFY OPPORTUNITIES TO ENHANCE OUR COLLECTIVE IMPACT ON THE HEALTH AND WELLBEING OF CHILDREN LIVING IN OUR COMMUNITY. SHARED GOALS, INTEGRATED STAFFING MODELS, COLLABORATIVE FUNDING PROPOSALS, AND DATA/INFORMATION SHARING ARE SOME OF THE KEY COMPONENTS OF THIS WORK. CHILDRENS COLORADO INTENDS TO PILOT THESE INNOVATIVE COLLABORATIONS WITH PARTNERS IN THE COMMUNITY IMMEDIATELY SURROUNDING THE HOSPITALS MAIN CAMPUS. KEY PARTNERS INCLUDE THE LOCAL PUBLIC HEALTH DEPARTMENT, THE LOCAL PUBLIC-SCHOOL DISTRICT, CITY PARKS AND RECREATION DIVISION, AND PRIMARY CARE CLINICS SERVING MEDICAID FAMILIES. MANY OTHER COMMUNITY BASED ORGANIZATIONS WILL BE CRITICAL STAKEHOLDERS IN THIS WORK GOING FORWARD AS WELL. MEDICAL FACULTY PROFILE: CHILDRENS HOSPITAL COLORADO HAS AN OPEN MEDICAL STAFF, MEANING COMMUNITY PRACTITIONERS CAN HOLD PRIVILEG
SCHEDULE H, PART VI, LINE 7	THERE ARE NO FILING REQUIREMENTS IN THE STATE OF COLORADO. CHCO DOES PROVIDE THE ANNUAL COMMUNITY BENEFIT REPORT TO THE COLORADO HOSPITAL ASSOCIATION AND SELECTIVE GOVERNMENTAL ENTITIES.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
Denver Botanic Gardens
1007 York St	Denver	CO	80206	840440359	501(c)(3)	$7,500	$0	GENERAL PROGRAM
St Anthony Foundation
116000 W 2nd Pl	Lakewood	CO	80228	840902211	501(c)(3)	$8,500	$0	GENERAL PROGRAM
Rocky Mountain Butterfly Consortium
6252 W 104th Ave	Westminister	CO	80020	841155029	501(c)(3)	$9,600	$0	GENERAL PROGRAM
American Academy of Pediatrics
141 NW Pt	Elk Groove Village	IL	60007	362275597	501(c)(3)	$10,000	$0	GENERAL PROGRAM
Colorado Children's Campaign
1580 Lincoln St 420	Denver	CO	80203	742374672	501(c)(3)	$10,000	$0	GENERAL PROGRAM SPONSORSHIP
Ronald McDonald House Charities
110 North Carpenter St	Chicago	IL	60607	841013843	501(c)(3)	$10,000	$0	GENERAL PROGRAM
Colorado College
14 Cace La poudre	CO Springs	CO	80903	840402510	501(c)(3)	$10,500	$0	GENERAL PROGRAM
Columbine lakewood Colorado Soccer
8101 S Shaffer Parkway	Littleton	CO	80127	841411827	501(c)(3)	$15,000	$0	GENERAL PROGRAM
Young Americans Center for Financial
3550 E First Ave	Denver	CO	80206	841564936	501(c)(3)	$15,000	$0	GENERAL PROGRAM
Denver Museum of Nature & Science
2001 Colorado Bvld	Denver	CO	80205	840518447	501(c)(3)	$17,500	$0	GENERAL PROGRAM
Douglas County Soccer Assoc
8200 S Akron St 122	Centennial	CO	80112	742392779	501(c)(3)	$30,000	$0	GENERAL PROGRAM
Colorado High School Activities
14855 E 2nd Ave	Aurora	CO	80011	840427063	501(c)(3)	$37,500	$0	GENERAL PROGRAM
Childrens Museum of Denver
2121 Childrens Museum Dr	Denver	CO	80211	840658142	501(c)(3)	$40,000		GENERAL PROGRAM Support
Gold Grown Foundation
1743 Wazee St 300	Denver	CO	80202	742422126	501(c)(3)	$45,000	$0	GENERAL PROGRAM
Ronald Mc Donald House Colorado
1300 E 21st Ave	Denver	CO	80205	362934689	501(c)(3)	$150,000	$0	GENERAL PROGRAM
Young Men's Christian Association
316 N Tejon St	Colorado Springs	CO	80903	840404266	501(c)(3)	$175,000	$0	GENERAL PROGRAM
American Cancer Society
10065 Ek Harvard Ave 400	Denver	CO	80231	131788491	501(c)(3)	$10,000	$0	GENERAL PROGRAM
Global Down Syndrome Foundation
3300 E 1st Aven Suite 390	Denver	CO	80206	264431001	501(c)(3)	$11,500	$0	GENERAL PROGRAM

Field	Value	IRS element (for citing)
Total501c3 Org	18	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	CHILDREN'S HOSPITAL COLORADO RELIES ON THE GOVERNANCE PRACTICES OF THE RECIPIENT EXEMPT ORGANIZATIONS TO MONITOR THE USE OF FUNDS AS INTENDED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JENA HAUSMANN
President and CEO	$920,513	$0	$520,940	$0	$138,861	$0	$249,877	$0	$23,401	$0	$1,853,592	$0	$136,521	$0
JERROD MILTON
VP Operations	$264,679	$0	$62,796	$0	$53,081	$0	$76,768	$0	$17,972	$0	$475,296	$0	$50,213	$0
GREGORY RAYMOND
Colorado Springs COO	$255,756	$0	$59,075	$0	$19,918	$0	$73,173	$0	$20,883	$0	$428,805	$0	$18,083	$0
MICHELLE LUCERO
Chief Legal Officer	$421,686	$0	$137,775	$0	$70,743	$0	$109,178	$0	$15,050	$0	$754,432	$0	$63,772	$0
DAVID BIGGERSTAFF
EVP and COO	$553,680	$0	$225,979	$0	$3,953	$0	$163,846	$0	$23,401	$0	$970,859	$0	$0	$0
SUZANNE JAEGER
SVP Experience and Access	$301,249	$0	$101,524	$0	$68,830	$0	$59,000	$0	$20,883	$0	$551,486	$0	$0	$0
JEFFREY HARRINGTON
SVP and CFO	$533,839	$0	$210,516	$0	$92,498	$0	$151,154	$0	$20,884	$0	$1,008,891	$0	$87,169	$0
RAPHE SCHWARTZ
SVP AND CHIEF STRATEGY OFFICER	$357,334	$0	$60,000	$0	$2,687	$0	$94,217	$0	$17,404	$0	$531,642	$0	$0	$0
PATRICIA GIVENS
SVP Patient Care SVCS & CNO	$315,438	$0	$98,799	$0	$60,288	$0	$40,500	$0	$18	$0	$515,043	$0	$0	$0
CATHERINE DAL SANTO
VP Finance	$281,970	$0	$82,688	$0	$48,803	$0	$59,500	$0	$8,369	$0	$481,330	$0	$0	$0
CHARLOTTE ISOLINE
VP Marketing	$226,787	$0	$65,333	$0	$40,065	$0	$0	$0	$18,390	$0	$350,575	$0	$0	$0
DANA MOORE
SVP and CIO	$427,047	$0	$94,533	$0	$7,464	$0	$133,376	$0	$23,401	$0	$685,821	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 4b

THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS FROM A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: SUZANNE JAEGER $ 63,306 JERROD MILTON $ 50,213 GREGORY RAYMOND $ 18,083 JEFFREY HARRINGTON $ 87,169 JENA HAUSMANN $136,521 PATRICIA GIVENS $ 52,145 MICHELLE LUCERO $ 63,772 CATHERINE DAL SANTO $ 41,431 CHARLOTTE ISOLINE $ 33,930

Schedule J, Part I, Line 7

CERTAIN INDIVIDUALS ARE ELIGIBLE TO PARTICIPATE IN THE INCENTIVE PLAN FOR CHILDREN'S COLORADO, THE COMPONENTS OF WHICH INCLUDE ACHIEVEMENT OF ORGANIZATIONAL PERFORMANCE GOALS AND INDIVIDUAL PERFORMANCE GOALS. BECAUSE THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS RESERVES THE RIGHT TO CHANGE, AMEND OR TERMINATE THIS PLAN AT ANY TIME, FOR ANY REASON, AT ITS SOLE DISCRETION AND BECAUSE OF CERTAIN OTHER CONDITIONS OF THE PLAN, LINE 7 REGARDING "NON-FIXED PAYMENTS" IS ANSWERED YES. NOTE THAT PRIOR TO THE PAYMENT OF ANY AMOUNTS TO AN INDIVIDUAL WHO IS CONSIDERED A DISQUALIFIED PERSON, THE COMPENSATION COMMITTEE SHALL CERTIFY IN WRITING THE EXTENT TO WHICH THE PERFORMANCE FACTORS ESTABLISHED BY THE COMPENSATION COMMITTEE HAVE BEEN SATISFIED AND SHALL APPROVE THE PAYMENT OF SUCH BONUSES TO SUCH INDIVIDUALS. SEE PART VI, LINES 15A AND 15B FOR ADDITIONAL INFORMATION ON EXECUTIVE COMPENSATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF AURORA CO
A	846000564	05155XBT5	2008-06-06	$258,814,487	SERIES 2008 - SEE PART VI	false	false	false
CITY OF AURORA CO
B	846000564	05155XBX6	2010-05-25	$59,999,130	SERIES 2010A - SEE PART VI	false	false	false
COLORADO HEALTH FACILITIES AUTHORITY
C	840752932	1964BAL52	2013-08-04	$309,252,566	SERIES 2013 - SEE PART VI	false	false	false
COLORADO HEALTH FACILITIES AUTHORITY
D	840752932	19648A7J8	2016-05-24	$200,724,807	SERIES 2016A & 2016C - SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$140,430,000	$0	$258,814,487	$0	$0	$0	$2,381,234	$183,253	$0	$0	$256,250,000	$0	2008	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$59,999,130	$0	$0	$0	$709,432	$0	$0	$59,289,698	$0	$0	2012	false	false	Yes (true)	Yes (true)
C	$1,040,000	$0	$309,252,566	$0	$0	$0	$1,844,600	$0	$0	$197,052,966	$110,355,000	$0	2013	Yes (true)	false	Yes (true)	Yes (true)
D	$1,484,500	$0	$200,724,807	$0	$0	$0	$1,519,986	$0	$0	$59,414,950	$119,204,821	$20,585,050		false	Yes (true)	false

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
B	false	false	false	false		false	false	false	Yes (true)
C	false	false	false	false		false	false	false	Yes (true)
D	false	false	false	false		false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
0
A	false	false	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
B	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
JP MORGAN
C	false	false	false	Yes (true)	Yes (true)	Yes (true)	false	0	false	Yes (true)	24.9	Yes (true)	false
0
D	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART I, COLUMN (F)	FormAndLineReferenceDesc
Explanation	BOND A - HOSPITAL REVENUE BONDS SERIES 2008 THE PURPOSE OF THIS BOND ISSUE was TO REFUND BONDS THAT WERE PREVIOUSLY ISSUED ON 1/22/04 AND 4/7/08. THE REMAINING WEIGHTED AVERAGE MATURITY OF THE BONDS CURRENTLY REFUNDED is 11.8929 YEARS. BOND B - HOSPITAL REVENUE BONDS SERIES 2010A THE PURPOSE OF THIS BOND ISSUE was TO PAY FOR THE CONSTRUCTION OF A NEW TEN-STORY ADDITION TO THE EXISTING FACILITY, EQUIPMENT FOR THAT ADDITION, AND EXPANSION OF AN EXISTING PARKING GARAGE. BOND C - HOSPITAL REVENUE BONDS SERIES 2013 THE PURPOSE OF THIS BOND ISSUE was TO FINANCE LONG-TERM PROJECTS AND TO REFUND SERIES 2008B AND 2008C BONDS. BOND D - HOSPITAL REVeNUE BONDS SERIES 2016A & 2016C THE PURPOSE OF THIS BOND ISSUE was TO FINANCE LONG-TERM PROJECTS AND TO REFUND SERIES 2004C AND 2004D BONDS. BOND A (2) HOSPITAL REVENUE BONDS SERIES 2016B THE PURPOSE OF THIS BOND ISSUE was TO FINANCE LONG-TERM PROJECTS. SCHEDULE K, PART IV, LINE 2C BOND A - HOSPITAL REVENUE BONDS SERIES 2008 JULY 31, 2018 BOND B - HOSPITAL REVENUE BONDS SERIES 2010A - OCTOBER 12, 2016 BOND C - HOSPITAL REVENUE BONDS SERIES 2013 MAY 23, 2018	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	COLORADO HEALTH FACILITIES AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	840752932	BondIssuerEIN
CUSIP	19648A8D0	CUSIPNum
Bond Issued	2016-05-24	BondIssuedDt
Issue Price	$70,300,000	IssuePriceAmt
Purpose	SERIES 2016B - SEE PART VI	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$70,300,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$300,000	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$62,045,693	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$7,954,307	UnspentAmt
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	false	FinalAllocationMadeInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

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

Hedge Provider Name HedgeProviderName

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

Field	Value	IRS element (for citing)
Term Of Hedge	2.7	TermOfHedgePct
Superintegrated Hedge	Yes (true)	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 6	FROM TEENAGERS TO GREAT GRANDPARENTS, FROM HOMEMAKERS TO PROFESSIONAL ATHLETES, CHILDREN'S HOSPITAL COLORADO VOLUNTEERS ENCOMPASS ALL WALKS OF LIFE AND ALL INCOME LEVELS, EACH VOLUNTEER WITH SOMETHING UNIQUE TO OFFER. OUR DIVERSE GROUP OF VOLUNTEERS HAS ONE THING IN COMMON, HOWEVER, THE DESIRE TO HELP SICK CHILDREN AND THEIR FAMILIES. CHILDREN'S HOSPITAL COLORADO IS FORTUNATE TO HAVE HUNDREDS OF DEDICATED VOLUNTEERS WHO WORK REGULARLY, FROM SEVERAL HOURS A YEAR TO SEVERAL HOURS A WEEK, TO PROVIDE BETTER CARE FOR THE CHILDREN OF CHILDREN'S HOSPITAL COLORADO. THE ASSOCIATION OF VOLUNTEERS THE VOLUNTEERS AT CHILDREN'S HOSPITAL COLORADO ARE ALL PART OF A GROUP CALLED CHILDREN'S HOSPITAL COLORADO ASSOCIATION OF VOLUNTEERS (AOV). THE AOV COORDINATES PLACEMENTS FOR VOLUNTEERS AND ENSURES THAT COMPLETE ORIENTATION AND TRAINING IS PROVIDED TO ALL VOLUNTEERS. OUR VOLUNTEER'S SKILLS AND INTERESTS ARE ALL SO APPRECIATED AND WE TRY TO PLACE EVERYONE IN A ROLE THAT SUITS THEM AND OUR NEEDS. THE EXAMPLES BELOW ARE JUST SOME OF THE WAYS THAT OUR VOLUNTEERS CONTRIBUTE: - VOLUNTEERS ARE ACTIVE AT THE HOSPITAL ON THE ANSCHUTZ MEDICAL CAMPUS, THE SOUTH CAMPUS, HIGHLANDS RANCH THERAPY CARE CENTER, BRIARGATE, AND THE NORTH CAMPUS. - VOLUNTEERS SPEND TIME WITH OUR PATIENTS BY HOLDING, COMFORTING, PLAYING WITH THEM AND MAKING THEM LAUGH. - VOLUNTEERS BRING SPECIALLY-SCREENED DOGS TO PROVIDE ANIMAL-ASSISTED THERAPY FOR THE PRESCRIPTION PET PROGRAM. - SPECIALLY TRAINED VOLUNTEERS SERVE AS AMBASSADORS WITH THE WELCOME PROGRAM. VOLUNTEERS GREET NEWLY ADMITTED PATIENT FAMILIES UPON THEIR ARRIVAL AND INTRODUCE THEM TO THE HOSPITAL'S MANY AMENITIES. THE GOAL IS TO PROVIDE A WARM AND WELCOMING ENVIRONMENT AND TO ANSWER ANY NON-MEDICAL QUESTIONS. - THE WINE EVENT IS THE ASSOCIATION OF VOLUNTEERS' SIGNATURE EVENT. THE SPECIAL EVENING FEATURES A SILENT AND LIVE AUCTION OF FINE WINES AND EXPERIENCES WITH ALL PROCEEDS BENEFITING THE MATERNAL FETAL MEDICINE PROGRAM. - MANY GROUPS OF VOLUNTEERS DO NOT SPEND TIME DIRECTLY WITH OUR PATIENTS, BUT PERFORM MORE ADMINISTRATIVE DUTIES, WHICH CAN BE JUST AS IMPORTANT TO THE DAY-TO-DAY OPERATIONS OF CHILDREN'S HOSPITAL COLORADO. - TEENAGERS BETWEEN 13 AND 18 YEARS OF AGE PARTICIPATE IN THE JUNIOR VOLUNTEER PROGRAM. THEY SUPPORT THE HOSPITAL BY WORKING IN SEVERAL DEPARTMENTS AS WELL AS SUPPORTING FUNDRAISING ACTIVITIES. - VOLUNTEERS ALSO ASSIST IN FUNDRAISING BY STAFFING CHILDREN'S HOSPITAL COLORADO GIFT SHOP AND LA CACHE. - CHAPTER VOLUNTEERS IN THE COMMUNITY ARE VERY ACTIVE IN FUNDRAISING EVENTS THROUGHOUT THE YEAR THAT HELP TO FUND SPECIAL EQUIPMENT, FACILITIES AND PROGRAMS FOR THE PATIENTS OF CHILDREN'S HOSPITAL COLORADO.
FORM 990, PART III, LINE 4A	RESPIRATORY CARE At Childrens Hospital Colorado, Respiratory Care is part of the Breathing Institute service line. This department cares for a diverse patient population from around the United States, ranging in age from birth to early adulthood. We provide care at three inpatient facilities, four emergency departments, seven outpatient clinic locations, and three outreach clinics in addition to our growing telemedicine outreach. In 2018, we cared for 48% of patients from birth to age 18 hospitalized for respiratory disease in Colorado and 79% of those hospitalized with the most severe respiratory disease. The Respiratory Care team includes 27 Pediatric Pulmonologists (9.23 clinical FTEs), 7 Pediatric Sleep Medicine Physicians (3.45 clinical FTEs), 2 Allergists (0.19 clinical FTEs), 16 Advanced Practice Providers (12.5 clinical FTEs), and 21.73 outpatient RN FTEs. The multidisciplinary care team also includes respiratory therapists, social workers, registered dieticians, physical and speech therapists, psychologists, and health navigators. In 2018, the Breathing Institute had 18,658 outpatient visits (9% increase from 2017), 3,621 inpatient discharges (2% increase from 2017) performed 357 bronchoscopies (19% increase from 2017), 22 laryngoscopies (8% decrease from 2017), and 4,131 sleep studies (2.8% increase from 2017). In 2018, the Respiratory Care team dedicated focused resources to quality improvement, advocacy, and healthcare provider education. Four of those projects have yielded strong results and are described below as our 2018 accomplishments. Quality Initiative: Home Visits for Pediatric Asthma Patients As a result of a previously conducted needs assessment focused on high risk asthma patients seen at Childrens Hospital Colorado, the Breathing Institute created a home visit program for patients with difficult-to-control asthma in 2016. The first two years were focused on program development, hiring and training staff, and conducting quarterly PDSA quality improvement cycles. In 2018, we concluded our pilot phase and incorporated home visits into our clinical operations as standard of care for high risk asthma patients. We conducted 116 home visits with 44 patients. These visits were conducted by a nurse and community health navigators and focused on asthma education, barrier identification and patient navigation, home environmental assessment and trigger remediation. Support provided to each family varies based on barriers identified but commonly includes medication device technique teaching, help with applications for benefits (e.g., Medicaid and WIC paperwork), and remediation supplies such as HEPA-filter vacuums, safe cleaning supplies, and pest extermination services. During the pilot phase that ended in 2018, we saw a 41% reduction in readmissions/emergency department revisits for asthma in the six months following participation in the home visit program. Healthcare Advocacy: Updating Colorados Newborn Screening Law Colorados newborn screening program aims to ensure every Colorado baby receives a genetic, metabolic and hearing screening upon birth. These screenings help identify potentially life-threatening conditions, as well as hearing loss. If these conditions arent identified very early in life, they can lead to severe health consequences and developmental delays or even death. However, that law dates back to the 1990s and did not include screening for many conditions that are standard in other states. Clinicians at Childrens Hospital Colorado, including pulmonologists, approached our Government Affairs team with concerns about these gaps. With help from community partners, we advocated to modernize Colorados newborn screening program by expanding testing to cover new diseases, improving the follow-up process for babies needing additional testing, and ensuring adequate program resources. Pulmonary faculty members provided guidance on bill development and testimony at the Colorado legislature. This bill was signed into law on June 8, 2018. Quality Initiative: Improving Care for Patients with Obstructive Sleep Apnea by Leveraging Electronic Medical Records Since the original description of positive airway pressure (PAP) therapy for treatment of Obstructive Sleep Apnea (OSA) in 1980, the science and evidence of its effectiveness has expanded. Clinical applications of PAP therapy, along with the evolution of improved medical devices using this technology, has outpaced the medical communitys ability to supply and monitor patients who would benefit from PAP therapy. In 2015, the American Academy of Sleep Medicine (AASM) published "Quality Measures for the Care of Pediatric Patients with Obstructive Sleep Apnea" but did not provide specific means to accomplish the outcomes and processes. Improving access to PAP therapy became a quality care, high priority issue at our institution. The increased numbers of patients needing to be assessed and treated overwhelmed our work flow. To effectively capture the ever-growing PAP patient population, a customized report was created to extract data within EMR system to track all new PAP patients from completion of their PAP titration sleep study to subsequent clinic visit. A process map was created to identify communication gaps and 100% of new PAP patients received a call to schedule a follow up visit. Through three quality improvement cycles, the team increased sleep study follow-up clinic visits from 61% at baseline to 88%. Quality Initiative: Simulation Training for Families of Children with Long-term Mechanical Ventilation Preparing families of children requiring long-term mechanical ventilation (LTMV) to manage medical emergencies at home is challenging. Opportunities for family caregivers to rehearse crisis management in a controlled setting before discharge are limited. We created a multimodal discharge preparedness curriculum, incorporating high-fidelity simulation training, to prepare family caregivers of children with complex medical conditions requiring LTMV. We also sought to determine which curricular elements were most helpful and whether this curriculum impacted the rate of readmissions within 7 days of hospital discharge. The curriculum included instructional videos, printed handouts, cardiopulmonary resuscitation training, and two mandatory high fidelity simulation scenarios depicting tracheostomy- and ventilator-related emergencies. Teams of one to three family caregivers per patient managed each scenario. A video-based debriefing focused on identifying and closing performance gaps. Participants rated their perceptions regarding each curricular element and its relative impact on their preparedness for discharge. Eighty-seven family caregivers completed the curriculum. Simulation-enhanced curriculum was well-received by participants. Participants reported that post-simulation debriefing was the most beneficial component. We observed a trend toward reduced readmissions within 7 days of discharge since implementation of our revised curriculum: from 15% 7-day readmission rate (n=20) to 7.9% 7-day readmission rate (n=38). Simulation training can be incorporated into discharge training for families of children requiring LTMV. Rehearsal of emergency management in a simulated clinical setting increases caregiver confidence and preparation to assume care for their ventilator-dependent child at home. Neuroscience Institute Childrens Hospital Colorados (CHCO) Neuroscience Institute (NSI) has one of the best pediatric developmental pediatrics, neurology, and neurosurgery programs in the country. We have consistently ranked among the Top 15 programs by US News & World Report. The NSI provides evaluation and treatment of neurological disorders, parent and patient education, and inpatient and outpatient treatments, therapies and procedures. Our neurology team is specially trained to diagnose and treat disorders of the brain and nervous system, caring for kids with conditions like stroke, neuromuscular disorders, movement disorders, neurometabolic disorders, epilepsy, and migraines. Our neurosurgery team provides surgical treatment for all types of disorders affecting the brain, spinal cord and skull including epilepsy, hydrocephalus, traumatic injury, brain tumors, spina bifida, and facial and skull deformities. Our Developmental Pediatrics team sees children with a variety of developmental and neurobehavioral differences such as autism spectrum disorders, X&Y chromosome variations, fragile X and developmental delays.
FORM 990, PART III, LINE 4A CONTINUED	The NSI clinical care team is comprised of Neonatologists, Neonatal Nurse Practitioners, specially trained nurses, respiratory therapists, pharmacists, physical, speech and occupational therapists, lactation specialists, neonatal nutrition, social work, chaplains and case managers. Specialty consultants include neurology, pulmonology, genetics, gastroenterology, nutrition, metabolic, endocrinology, hematology, cardiology and cardiovascular surgery, general pediatric surgery, renal, ophthalmology, orthopedics and ear, nose and throat specialists. NSI includes 50 physicians, 24 advanced practice providers, 27 psychologists across 8 Childrens sites as well as 7 outreach sites across Colorado and a growing telemedicine practice. Our Childrens sites include Anschutz, COS/Briargate, North/Broomfield, Parker, Uptown, Wheatridge, South, Highlands Ranch Therapy. The NSI treated 37,622 patient visits in 2018, serving the Colorado community and our 7-state region. Our Anschutz facility location alone saw 22,260 visits, and we see patients at eight of CHCOs network sites. NSI tripled the number of telemedicine visits in 2018, to 182, and saw almost 500 patient visits in eight outreach clinics across Colorado. Due to the high demand for NSIs services, we have focused on expanding our outreach and telemedicine efforts to better serve patients across Colorado and the 7-state region. Increasing access to care for NSIs specialized services is our high priority to enable our families live healthier lives. NSI Inpatient had 6,822 patient days recorded in 2018. There was a total of 1,236 inpatient discharges in 2018. National/Regional Presence: NSI has an outreach program reaching from Montana to New Mexico with extensive presence in Colorado. We host over 100 Neurology outreach clinics annually across Colorado, in Alamosa, Durango, Ft. Morgan, Grand Junction, Montrose, Pueblo and Sterling. Our Neurologists provide EEG reading services for 8 hospitals/medical centers in Colorado, Nebraska and Montana. Our Developmental Pediatrics team travels throughout the state to train PCPs on best practices in diagnosing and managing patients with autism. In 2018 we expanded our telemedicine efforts significantly, seeing an increase of over 200% in the number of visits. We were successful in arranging physician licensing, credentialing, and contracts in Montana. We are also working to expand our regional partnerships in 2019 we expect to host an outreach and telemedicine clinics in Casper, WY. NSI is acknowledged by the National Association of Epilepsy Centers as a Level 4 Epilepsy Center. We are recognized by the International Foundation for CDKL5 Research as Center of Excellence for Rett patients, drawing patients nationally to be treated by Dr. Tim Benke, an international expert in this area. Our Neurology Complex Drugs Program draw patients from around the region to be treated for complex neurodegenerative diseases, and the program has been recognized as model for care for these treatments. Our faculty offer local and regional CMEs and organize an annual Rett Symposium and regular Seizure Safety Schools for parents and families. Quality Improvement: The NSI is committed to developing quality improvement as a core clinical strategy by continually advancing the effectiveness, efficiency, safety, experience and coordination of the care it provides to its patients. Our Quality Improvement committee meets monthly to review quality and safety metrics and initiatives and has representatives from all three sections. NSI has numerous active Quality & Process Improvement initiatives underway in 2018 (and continuing into 2019), including the following: - A QSRS review that resulted in establishment of medication safety task force impacting prescription practices and improving parental compliance with Rx orders. - Restructured monthly M&M conferences for faculty and trainees to make them more outcome oriented and to facilitate follow-up on progress toward agreed upon goals. - Established clinical pathways for headache, pediatric arterial ischemic stroke, infantile spasms, neonatal seizures after acquired brain injury, traumatic brain injury, neuromuscular disorders, and status epilepticus. - Established dedicated appointments within the infusion center for status migrainosis patients. - Implemented and trained inpatient nurses specifically to neuroscience patient care improving patient outcomes such as unplanned RRT/Codes related to seizures. - Established dedicated inpatient Neurology service and separate Neurocritical Care (for PICU, CICU, NICU) and Neurohospitalist (ED and regular inpatient units) consultative services. - Care team optimization completed to fully integrate medical assistants into clinic practice. - Piloted RN bookend model in our Developmental Pediatrics clinic to increase access - Redesigned our autism intake model to better serve patients As a result of ongoing Quality & Process Improvement initiatives, NSI has seen the following outcomes: - Decreased utilization of free text only sigs used when writing prescriptions by 25% - 50% decrease in EEG lead pressure injuries - 30% improvement in rate of medication reconciliation during telephone encounters - Greater than 90% rate of responding to over 54K annual patient telephone and MyChart encounters within 2 days. - Decreased headache patient visits through the ED, decreased cost to hospital and increased patient access and satisfaction. - Improved referring physician satisfaction with timeliness and quality of input from inpatient Neurology consultations CENTER FOR CANCER AND BLOOD DISORDERS Childrens Hospital Colorados (CHCO) Center for Cancer and Blood Disorders (CCBD) has one of the best pediatric hematology, oncology and bone marrow transplant programs in the country. The CHC CCBD has been ranked in the Top 10 programs by US News & World Report each year. The CCBD treated 34,848 patient visits in 2018, in an effort to serve the Colorado community, as well as our 7-state region. Our Anschutz facility location alone saw 22,914 visits, with our infusion center volume making up 8,632 (38%) of those visits. Our Network of Care sites in Highlands Ranch, Colorado Springs, and our Hemophilia Thrombosis Center on the Anschutz campus serviced 11,934 patient visits in 2018, 3,507 of which were infusions (29%). Because of the depth and breadth of CCBD outpatient services, a large number of our clinic and infusion visits mean that many children can be cared for on an outpatient basis instead of being admitted to the hospital. Limiting hospitalization when possible is our high priority to enable our families live healthier lives. CCBD Inpatient had 11,592 patient days recorded in 2018. The inpatient unit had a total of 8,228 inpatient Hematology and Oncology patient days and 3,158 BMT patient days recorded. There was a total of 1,722 admissions to the inpatient unit in 2016. National/Regional Presence: CCBD has an outreach program reaching from Montana to New Mexico with extensive presence in Colorado. Our outreach clinics in Grand Junction bring Hematology sub-specialty expertise to the Western slope. Our Hemophilia & Thrombosis Center (HTC) provides comprehensive care clinics throughout the region. We host bi-weekly Bone Marrow Transplant teleconferences with cancer programs in New Mexico. Our CCBD nursing program travels throughout the region to train other hospital nurse staff on best practices in chemotherapy administration. CCBD also hosts regional private practice physicians through our Visiting Provider program, inviting them to our Anschutz location to share best care practices with our community partners first hand, and giving them educational materials and strategies to bring home. In 2018 we expanded our telemedicine efforts. We were successful in arranging physician licensing, credentialing, and contracts in Montana and New Mexico. Our HTC faculty successfully treated rural out of state patients via telemedicine in 2018, and they have set the stage for expanding this platform for 2019 and beyond. We are also working to expand our regional partnerships in 2019 we fully expect to host an outreach clinic in Cheyenne, WY. CCBD is acknowledged by Optum as a Center of Excellence for both our Cancer Care as well as our Bone Marrow Transplant program. We are the only pediatric Foundation for the Accreditation of Cellular Therapy (FACT) program in a 16-state region, which brings us the capacity to deliver the most sophisticated stem cell transplant and chimeric antigen receptor T (CAR-T) cell immunotherapy. Our Neuro-Oncology and Experimental Therapeutics programs draw patients nationally and internationally for treatment and clinical trials available in only a few centers in the world.
FORM 990, PART III, LINE 4A CONTINUED	CCBD Fellowship Program: Each year we select 4 new fellows to join our highly selective 3-year Accreditation Council of Graduate Medical Education-sanctioned Fellowship Program. Our fellows train in all aspects of sub-specialty care of children, adolescents and young adults with blood and cancer disorders in preparation for a career in academic medicine. We emphasize excellence in clinical care and research, developing fellows in the physician-scientist model with numerous mentors among the faculty such that our graduates acquire the skills and strategies needed for a career as life-long learners, educators, and influential leaders. We have successfully prepared subspecialty pediatricians that provide comprehensive, patient- and family-centered care with particular focus on excellent communication skills, as well as safety and quality improvement. Almost 90% of our graduates go on to prestigious academic positions with leadership positions across the country. Access: CCBD is privileged to have a dedicated Wellness program. This interdisciplinary team is comprised of specialists in Social Work, Psychology, Child Life, Family Navigation, Creative Arts Therapy, Chaplaincy, and Learning Specialists. The Wellness program benefits families and patients by integrating and coordinating clinical services to meet every familys needs at the individual level and increases possibilities for prevention/intervention and on-going care and connection. The CCBD is a home for multiple sub-programs within Oncology, Hematology and BMT. Our Vascular Anomalies Center is a less commonly known program that is a national and regional leader. This interdisciplinary team evaluates and treats vascular anomalies in children. The team includes specialists from Otolaryngology (ear, nose and throat), Plastic Surgery, Dermatology, Hematology, Pediatric General Surgery and Interventional Radiology. This program exemplifies our priority to put the patient first. Our specialists coordinate their care in one patient appointment to minimize the number of visits needed to evaluate and treat the patients condition. Quality Improvement: The CCBD is committed to developing quality improvement as a core clinical strategy by continually advancing the effectiveness, efficiency, safety, experience and coordination of the care it provides to its patients. The Clinical Effectiveness Collaborative (CEC) supports data driven improvement work on clinical effectiveness, operational excellence and value throughout the CCBD, CHC, and the University of Colorado Anschutz Medical Campus with multidisciplinary standing membership drawn from individuals within the CCBD who can provide meaningful review and guidance to projects shared and supported by the CEC. The CEC is broadly representative, multidisciplinary and guides the range of activities and initiatives through which the CCBD is pursuing its clinical, operational, value-driven, and financial improvement goals. One primary function of the CEC is to review and provide feedback related to clinical and operational improvement projects, including measures, PI methods, and project alignment across the CCBD and CHC. The Collaboratives members help guide clinical and operational improvement initiatives, spread successful interventions, identify and recommend strategies to overcome barriers/challenges, and serve as enthusiastic advocates for, participants and leaders of continuous learning and improvement in their respective areas and across the CCBD. The CCBD has several active Quality & Process Improvement initiatives underway in 2018 (and continuing into 2019) to include: - The CCBD outpatient infusion center on the Anschutz Medical Campus significantly surpassed the Childrens Hospital Colorado patient satisfaction goal for 2018. - Standardizing an approach to screening for transfusion-associated iron overload increasing the number of patients identified and treated for this complication and preventing long-term toxicities. - Decreasing length of stay of high-dose methotrexate admissions resulting in more time outside the hospital for children with leukemia and osteosarcoma. - Preventing blood stream infections in patients with a central line/catheter (tube). - Improving time to administration of pain medications with Sickle Cell patients in acute pain. - Decreasing the rate of clostridium difficile infections resulting in decreased mortality, decreased length of inpatient hospital stay and decreased cost for both community and hospital onset. - Effective clinical management: Quality & Strategy Team at the HTC developed a transitions of care program for patients and is beginning to address transition of care for care givers. Their processes are now being used in HTCs throughout Region VIII of the federal HTC network. - Successful Foundation for the Accreditation of Cellular Therapy (FACT) re-accreditation. FACT accreditation is a threshold for excellence in cellular therapy within the bone marrow or cord blood transplant (BMT) patient population. - Reorganizing the program to a "Door to Door model" providing patients and families a single point of contact to facilitate providing high quality patient care. - Evaluating and changing the Bone Marrow Harvest process to reduce the positive sterility rate of products collected by CHCO providers.
FORM 990, PART VI, LINE 1A	CHILDREN'S HOSPITAL COLORADO'S EXECUTIVE COMMITTEE CONSISTS OF THE BOARD CHAIR, CHAIR ELECT, CHIEF EXECUTIVE OFFICER, SECRETARY, BOARD TREASURER, CORPORATE TREASURER, IMMEDIATE PAST CHAIR, THE CHAIR OF THE CHILDREN'S HOSPITAL COLORADO FOUNDATION, THE CHANCELLOR (OR DESIGNEE) AND UP TO TWO (2) ADDITIONAL SEATS TO BE FILLED BY THE BOARD CHAIR. THE EXECUTIVE COMMITTEE HAS ALL THE POWERS OF THE BOARD OF DIRECTORS, EXCEPT AS LIMITED BY LAW, DURING THE PERIOD BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD.
FORM 990, PART VI, LINE 6	CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL COLORADO.
FORM 990, PART VI, LINE 7A	THE WRITTEN CONSENT OF CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM IS REQUIRED TO APPROVE THE BOARD OF DIRECTORS OF CHILDREN'S HOSPITAL COLORADO.
FORM 990, PART VI, LINE 7B	CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM AS THE SOLE MEMBER HAS CERTAIN APPROVAL POWERS AS DESCRIBED IN THE AMENDED AND RESTATED BYLAWS DATED SEPTEMBER 22, 2011 AND AMENDED MOST RECENTLY IN FEBRUARY 2017.
FORM 990, PART VI, Line 11B	CHILDREN'S HOSPITAL COLORADO'S FINANCE DEPARTMENT WORKS CLOSELY WITH HUMAN RESOURCES, CORPORATE COMPLIANCE, LEGAL AND PUBLIC RELATIONS TO GATHER ALL THE DATA REQUIRED TO COMPLETE THE FORM 990. THE VP OF FINANCE AND THE DIRECTOR OF ACCTG. & REPORTING CONDUCT A REVIEW WITH THE CFO PRIOR TO THE DRAFT BEING DISTRIBUTED TO THE BOARD OF DIRECTORS. ANY NECESSARY CHANGES ARE MADE, THE FORM IS SIGNED BY THE CFO, REVIEWED BY THE AUDIT COMMITTEE, AND A FINAL COPY IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE IRS VIA A SECURED WEBSITE.
FORM 990, PART VI, LINE 12C	BOARD MEMBERS ARE REQUIRED TO DISCLOSE, ON AN ANNUAL BASIS, POTENTIAL CONFLICTS OF INTEREST PURSUANT TO THE WRITTEN POLICIES OF CHILDREN'S HOSPITAL COLORADO (CHCO) AND CHILDREN'S HOSPITAL COLORADO FOUNDATION (CHCF). ALL EMPLOYEES AND BOARD MEMBERS MUST PROMPTLY PROVIDE A WRITTEN DESCRIPTION OF MATERIAL FACTS OF AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST TO CORPORATE COMPLIANCE AND/OR GENERAL COUNSEL ON THE APPROPRIATE DISCLOSURE FORM. SUCH DISCLOSURE WILL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF THE CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. POLICIES AND PROCEDURES FOR DISCLOSING CONFLICTS OF INTEREST ARE TO BE FOLLOWED ACCORDING TO THE INDIVIDUAL'S FUNCTION, IN COMPLIANCE WITH STATE AND FEDERAL REGULATIONS. COMPLETED DISCLOSURE FORMS ARE SUBJECT TO AUDIT REVIEW BY LEGAL, THE CORPORATE COMPLIANCE PROGRAM, AND THE COMPLIANCE AND BUSINESS ETHICS COMMITTEE OF THE BOARD OF DIRECTORS. FAILURE TO COMPLY WITH CONFLICT OF INTEREST POLICIES MAY LEAD TO DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT OR WORKING RELATIONSHIP WITH THE CHILDREN'S HOSPITAL COLORADO. ONCE THE COMPLIANCE AND BUSINESS ETHICS (CABE) COMMITTEE HAS DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS WITH RESPECT TO AN AGREEMENT/CONTRACT THEN: 1. THE (CABE) COMMITTEE WILL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER CHILDREN'S HOSPITAL COULD OBTAIN A MORE ADVANTAGEOUS AGREEMENT/CONTRACT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES AND, IF APPROPRIATE, WILL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT. 2. IN CONSIDERING WHETHER TO ENTER THE PROPOSED AGREEMENT/CONTRACT, THE CABE COMMITTEE MAY APPROVE SUCH CONTRACT, TRANSACTION OR ARRANGEMENT ONLY IF THE DISINTERESTED PERSON OR COMMITTEE DETERMINE BY A MAJORITY VOTE THAT: - THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT IS IN CHILDREN'S COLORADOS BEST INTERESTS AND FOR COLORADO CHILDREN'S OWN BENEFIT; AND - THE PROPOSED TRANSACTION IS FAIR AND REASONABLE TO CHILDREN'S HOSPITAL COLORADO (CHCO), CONSIDERING, AMONG OTHER RELEVANT FACTORS, WHETHER CHCO COULD OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES.
FORM 990, PART VI, LINES 15A AND 15B	CHILDREN'S HOSPITAL COLORADO HAS AN EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS THAT REVIEWS AND APPROVES ANY PROPOSED INCREASES RELATED TO ANY OFFICERS AND KEY EMPLOYEES OF THE COMPANY. THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE ALONG WITH THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS EACH YEAR. ONCE A CHANGE IN COMPENSATION IS APPROVED, FORMAL DOCUMENTS ARE COMPLETED AND MINUTES OF THE MEETING ARE PREPARED, REVIEWED AND APPROVED. REVIEW PROCESS INCLUDES: - REVIEW MARKET RATIO - SHOULD FALL BETWEEN 80% TO 120% OF MARKET - REVIEW 25TH, 50TH, AND 75TH PERCENTILE - BASE SALARY - INDIVIDUAL QUALIFICATIONS AND PERFORMANCE DETERMINES MARKET POSITION. BASE SALARY FOR EACH INDIVIDUAL IS TARGETED AT THE MEDIAN (50TH PERCENTILE) OF THE PEER GROUP. - VARIABLE PAY - LEADERSHIP INCENTIVE IS IN PLACE WHICH REWARDS FOR ORGANIZATIONAL PERFORMANCE WITH A COMPONENT ALSO BASED ON INDIVIDUAL PERFORMANCE. THE INCLUSION OF VARIABLE PAY WILL PLACE TOTAL CASH COMPENSATION (E.G., BASE SALARY AND VARIABLE PAY) BETWEEN THE 50TH AND 75TH PERCENTILE FOR EACH INDIVIDUAL. - AWARDS ARE BASED ON ACHIEVEMENT OF PRE-ESTABLISHED CHILDREN'S COLORADO GOALS WHICH SUPPORT THE STRATEGIC PLAN - BENEFITS - TARGETED AT THE "MIDDLE OF MARKET" DECISION FACTORS IN EXECUTIVE COMPENSATION DECISIONS: - MARKET DATA FROM INDEPENDENT COMPENSATION SURVEYS THAT REFLECT FUNCTIONALLY COMPARABLE POSITIONS IN ORGANIZATIONS OF SIMILAR SIZE AND SCOPE - DIFFICULTIES IN RECRUITING AND RETAINING EXECUTIVES - SKILLS, EXPERIENCE AND PERFORMANCE HISTORY OF INDIVIDUAL EXECUTIVES - CRITICAL BUSINESS OR STRATEGIC ISSUES THAT THE ORGANIZATION MAY FACE - UTILIZED APPROVED PEER GROUP FROM JANUARY 2018 MEETING - ON POSITIONS WITH INSUFFICIENT DATA (LESS THAN 10 MATCHES) - USED EXPANDED PEER GROUP OF ALL ACUTE CARE ORGANIZATIONS - BENCHMARKED BASE PAY, TOTAL CASH COMPENSATION, AND BENEFITS 2018 CUSTOM PEER GROUP - ATLANTA - BOSTON - CHICAGO - CINCINNATI - COLUMBUS - DALLAS - FORT WORTH - HOUSTON - KANSAS CITY - LOS ANGELES - MILWAUKEE - MINNEAPOLIS - ORANGE - PALO ALTO - PHILADELPHIA - SAN DIEGO - SEATTLE - WASHINGTON, DC THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN 2018.
FORM 990, PART VI, LINE 19	THESE DOCUMENTS ARE MADE AVAILABLE UPON REASONABLE REQUEST. Form 990, Part IX, Line 11g PHYSICIAN SERVICES $ 112,343,732 PURCHASED SERVICES $ 26,647,847 CONSULTING FEES $ 4,920,199 OTHER $ 21,371,387 ------------- TOTAL $ 165,283,165 =============
FORM 990, PART XI, LINE 9	EQUITY TRANSFER FROM CHCHS $ 6,996,209 EQUITY TRANSFER FROM FOUNDATION $ 29,700,130 CHANGE IN PERPETUAL TRUST ($ 3,524,702) OTHER CHANGES IN NET ASSETS $ 573,476 ------------- TOTAL $ 33,745,113 =============

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Children's North Surgery Cntr	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	469 state highway 7 suite 2	AddressLine1Txt
City	broomfield	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80023	ZIPCd

Field	Value	IRS element (for citing)
EIN	262394578	EIN
Primary Activities	O/P surgery	PrimaryActivitiesTxt
Legal Domicile State	CO	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CH-Colorado	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CHILDREN'S HOSPITAL COLORADO HLTH SYSTEM
13123 EAST 16TH AVE	AURORA	CO	80045	454182666	HEALTHCARE	CO	501(c)(3)	12c, iii-fi	NA	false
CHILD HEALTH MANAGEMENT SERVICES INC
13123 EAST 16TH AVE	AURORA	CO	80045	742266667	IT SERVICES	CO	501(c)(3)	3	CH-COLORADo	Yes (true)
THE CHILDREN'S HOSPITAL FOUNDATION
13123 EAST 16TH AVE	AURORA	CO	80045	840813462	FOUNDATION	CO	501(c)(3)	7	CHCHS	Yes (true)
CHILDREN'S HEALTH CORPORATION
13123 EAST 16TH AVE	AURORA	CO	80045	742235572	SUPPORTING	CO	501(c)(3)	12A-I	CH-COLORADo	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Children's north surgery cntr	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	469 state highway 7 suite 2	AddressLine1Txt
City	broomfield	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80023	ZIPCd

Field	Value	IRS element (for citing)
EIN	262394578	EIN
Primary Activities	Outpatient Surg	PrimaryActivitiesTxt
Legal Domicile State	CO	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CH-COLORADO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	Related	PredominantIncomeTypeTxt
Share Of Total Income	$293,645	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,624,332	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
RMCHS MANAGEMENT SERVICES INC
13123 EAST 16TH AVE	AURORA	CO	80045	840957415	BILLING	CO	CH-COLORADO	C Corp	$4,608,430	$115,486	1.00000	Yes (true)
PEDIATRIC CARE NETWORK CHCH LLC
13123 EAST 16TH AVE	AURORA	CO	80045	813554450	HEALTHCARE	CO	CH-COLORADO	C Corp	$923,672	$2,438,423	1.00000	Yes (true)
PERPETUAL TRUST
					HOSPITAL SUPPORT	CO	CH-COLORADO					Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	THE CHILDREN'S HOSPITAL FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	c	TransactionTypeTxt
Involved	$7,203,103	InvolvedAmt
Method Of Amount Determination	accrual	MethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule R, Part III, Column (A)	FormAndLineReferenceDesc
Explanation	Children's North Surgery Center LLC EIN: 26-2394578 Address: 469 State Highway 7, Suite 2, Broomfield, CO 80023	ExplanationTxt