CHILDRENS HOSPITAL & MEDICAL CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HOSPITAL & MEDICAL CENTER (EIN 47-0379754)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2018-05-15
IRS object ID: 201811359349304091
Schema version: 2016v3.1
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-15T10:20:12-05:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1212 North 96th Street Suite 300	AddressLine1Txt
City	Omaha	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68114	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	470379754	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
In Care Of	% AMY HATCHER	InCareOfNm
Business Name Control	CHIL	BusinessNameControlTxt
Phone	4029556795	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8200 Dodge Street	AddressLine1Txt
City	Omaha	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68114	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	AMY HATCHER	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4029556795	PhoneNum
Signature	2017-11-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DONALD NEAL JR	PreparerPersonNm
PTIN	P00798244	PTIN
Phone	4023481450	PhoneNum

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Amended Return	Yes (X)	AmendedReturnInd
Principal Officer	Dr Richard Azizkhan	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8200 Dodge Street	AddressLine1Txt
City	Omaha	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68114	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$366,154,330	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHILDRENSOMAHA.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1948	FormationYr
Legal Domicile State	NE	LegalDomicileStateCd
Activity Or Mission	CHILDREN'S HOSPITAL & MEDICAL CENTER DELIVERS EXTRAORDINARY CARE TO CHILDREN, EDUCATES HEALTH CARE PROFESSIONALS, AND PROMOTES PEDIATRIC RESEARCH	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	2801	TotalEmployeeCnt
Total Volunteers	257	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,959,101	PYContributionsGrantsAmt
CY Contributions Grants	$5,325,804	CYContributionsGrantsAmt
PY Program Service Revenue	$333,556,698	PYProgramServiceRevenueAmt
CY Program Service Revenue	$346,427,617	CYProgramServiceRevenueAmt
PY Investment Income	$34,904	PYInvestmentIncomeAmt
CY Investment Income	$278,061	CYInvestmentIncomeAmt
PY Other Revenue	$11,191,220	PYOtherRevenueAmt
CY Other Revenue	$14,122,848	CYOtherRevenueAmt
PY Total Revenue	$350,741,923	PYTotalRevenueAmt
CY Total Revenue	$366,154,330	CYTotalRevenueAmt
PY Grants And Similar Paid	$11,579,289	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$10,492,325	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$149,183,029	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$169,226,607	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$134,677,409	PYOtherExpensesAmt
CY Other Expenses	$151,731,073	CYOtherExpensesAmt
PY Total Expenses	$295,439,727	PYTotalExpensesAmt
CY Total Expenses	$331,450,005	CYTotalExpensesAmt
PY Revenues Less Expenses	$55,302,196	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$34,704,325	CYRevenuesLessExpensesAmt
Total Assets BOY	$376,179,737	TotalAssetsBOYAmt
Total Assets EOY	$402,885,754	TotalAssetsEOYAmt
Total Liabilities BOY	$159,157,617	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$156,376,005	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$217,022,120	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$246,509,749	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO IMPROVE THE LIFE OF EVERY CHILD - THROUGH DEDICATION TO EXCEPTIONAL CLINCIAL CARE, RESEARCH, EDUCATION AND ADVOCACY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$313,983,875	ExpenseAmt
Grant	$10,492,325	GrantAmt
Revenue	$360,384,624	RevenueAmt
Desc	THE HOSPITAL OPERATES A 145 BED PEDIATRIC HOSPITAL, WHICH INCLUDES SEVEN SURGICAL SUITES, A HYBRID HEART CATHETERIZATION LAB, 40 OUTPATIENT SPECIALTY CLINICS, A 33 BED CHILDREN'S AMBULATORY RECOVERY AND EXPRESS STAY (CARES) UNIT, A HEART TRANSPLANT PROGRAM, A FETAL CARE CENTER WHICH FOCUSES ON THE COORDINATION OF CARE FOR BABIES DIAGNOSED WITH COMPLEX CONGENITAL DEFECTS BEFORE BIRTH, A CHILDREN'S SPECIALTY PEDIATRIC CENTER, WHICH PROVIDES OUTPATIENT DIAGNOSTICS, TREATMENT, AND THERAPY IN ADDITION TO OFFERING OUTPATIENT EATING DISORDER SERVICES AND PROVIDING A FULL ARRAY OF PEDIATRIC HOME HEALTH CARE SERVICES TO CHILDREN AND ADOLESCENTS WHO HAVE IMMEDIATE OR LONG TERM HEALTH CARE NEEDS, INCLUDING HOME MEDICAL EQUIPMENT RENTALS AND SALES, HOME HEALTH NURSING, IN HOME PRIVATE DUTY NURSING AND HOME INFUSION THERAPY SERVICES. CHILDREN'S HOSPITAL & MEDICAL CENTER IS THE ONLY DEDICATED PEDIATRIC EMERGENCY DEPARTMENT WITH LEVEL II PEDIATRIC TRAUMA VERIFICATION IN THE REGION. CHILDREN'S HOSPITAL & MEDICAL CENTER ALSO PROVIDES SPECIALTY PEDIATRIC CARE SERVICES IN COMMUNITIES ACROSS NEBRASKA, IOWA, AND SOUTH DAKOTA. CHILDREN'S HOSPITAL & MEDICAL CENTER IS THE FIRST AND ONLY PEDIATRIC HOSPITAL IN NEBRASKA, AND THE ONLY PEDIATRIC HOSPITAL SERVING WESTERN IOWA AND NORTHWEST MISSOURI, TO RECEIVE PEDIATRIC TRAUMA VERIFICATION.	Desc
Total Program Service Expenses	$313,983,875	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	false	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	Yes (true)	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	Yes (true)	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	false	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	85	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2801	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	18	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	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	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	AMY HATCHER	PersonNm
Phone	4029556795	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8200 DODGE STREET	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68114	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Rodrigo Lopez
Chair	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Diane Duren
Vice Chair	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Lorraine Chang
Secretary	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Jim Greisch
Treasurer	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Margaret Hershiser
Member	1.0	0.0	Yes (X)		$0	$0	$0
Brad Brabec MD
Member	1.0	0.0	Yes (X)		$0	$0	$0
Joleen David
Member	1.0	0.0	Yes (X)		$0	$0	$0
Dave Diamond
Member	1.0	0.0	Yes (X)		$0	$0	$0
Robert Dunlay MD
Member	1.0	0.0	Yes (X)		$0	$0	$0
Mark Hasebroock
Member	1.0	0.0	Yes (X)		$0	$0	$0
Mike Homa
Member	1.0	0.0	Yes (X)		$0	$0	$0
Sherrye Hutcherson
Member	1.0	0.0	Yes (X)		$0	$0	$0
John Jenkins
Member	1.0	0.0	Yes (X)		$0	$0	$0
Steve Lindsay
Member	1.0	0.0	Yes (X)		$0	$0	$0
Samantha Mosser
Member	1.0	0.0	Yes (X)		$0	$0	$0
Jay Snow MD
Member	1.0	0.0	Yes (X)		$0	$0	$0
Jayesh Thakker MD
Member	1.0	0.0	Yes (X)		$0	$0	$0
Scot Thompson
Member	1.0	0.0	Yes (X)		$0	$0	$0
Richard Azizkhan MD
President, CEO, Member	40.0	1.0	Yes (X)	Yes (X)	$1,061,572	$0	$164,716
Gary A Perkins
CEO Emeritus	40.0	0.0		Yes (X)	$767,839	$0	$77,715
Michael Brown
EVP & Treasurer	40.0	0.0		Yes (X)	$659,765	$0	$134,104
Kathy English
EVP & COO	40.0	0.0		Yes (X)	$835,815	$0	$108,057
Carl Gumbiner MD
SVP - Med Affairs & CMO	40.0	0.0		Yes (X)	$690,632	$0	$61,757
Steven C Burnham
SVP - Physician Networks	40.0	0.0		Yes (X)	$470,724	$0	$63,176
Amy Hatcher
SVP & CFO	40.0	0.0		Yes (X)	$383,004	$0	$59,371
Debra Arnow
SVP & CNO	40.0	0.0		Yes (X)	$373,800	$0	$39,753
Amy Bones
SVP - General Counsel	40.0	0.0		Yes (X)	$277,201	$0	$65,766
Patricia Schulz
SVP & CHRO	40.0	0.0		Yes (X)	$259,821	$0	$74,904
Jamie Drake MD
Physician	40.0	0.0			$391,188	$0	$14,801	Yes (X)
Chandrika Rizal MD
Physician	40.0	0.0			$344,053	$0	$39,195	Yes (X)
Mark Stastny
VP - CIO	40.0	0.0			$351,424	$0	$49,677	Yes (X)
Rachel McCann MD
Physician	40.0	0.0			$395,830	$0	$27,913	Yes (X)
Kari Krenzer MD
PHYSICIAN	40.0	0.0			$343,503	$0	$36,749	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,606,171	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,017,654	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	212	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
Kiewit Construction Company
3921 Mason Street	Omaha	NE	68105	Building Consultants	$4,964,801
Epic Systems Corp
PO Box 88314	Milwaukee	WI	53288	IT Support Services	$3,044,132
Cross Country Staffing
PO Box 404674	Atlanta	GA	30384	Staffing Services	$1,985,474
Precyse Solutions LLC
1275 Drummers Lane Suite 200	Wayne	PA	19087	HIM Consultants	$1,247,631
DARLAND CONSTRUCTION CO
4115 S 133RD STREET	OMAHA	NE	68137	BUILDING CONSULTANTS	$1,204,687

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	14	CntrctRcvdGreaterThan100KCnt
Related Organizations	$4,040,025	RelatedOrganizationsAmt
Government Grants	$1,168,304	GovernmentGrantsAmt
All Other Contributions	$117,475	AllOtherContributionsAmt
Total Contributions	$5,325,804	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT REVENUE	Desc
Business	621110	BusinessCd
Total Revenue Column	$346,427,617	TotalRevenueColumnAmt
Related Or Exempt Func Income	$346,427,617	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$346,427,617	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$274,211	TotalRevenueColumnAmt
Exclusion	$274,211	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	$165,841	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$165,841	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$165,841	TotalRevenueColumnAmt
Exclusion	$165,841	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$3,850	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$3,850	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,850	TotalRevenueColumnAmt
Exclusion	$3,850	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 (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MANAGEMENT FEE INCOME	541610	$6,010,303	$6,010,303
METHODIST SERVICE	541900	$982,178	$982,178
OTHER REVENUE	900099	$6,964,526	$6,964,526

Field	Value	IRS element (for citing)
Other Revenue Total	$13,957,007	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$366,154,330	TotalRevenueColumnAmt
Related Or Exempt Func Income	$360,384,624	RelatedOrExemptFuncIncomeAmt
Exclusion	$443,902	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$3,508,427	TotalAmt
Program Services	$3,508,427	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$6,983,898	TotalAmt
Program Services	$6,983,898	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,790,609	TotalAmt
Management And General	$5,790,609	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$133,244,131	TotalAmt
Program Services	$133,244,131	ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,026,550	TotalAmt
Program Services	$7,026,550	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,906,833	TotalAmt
Program Services	$13,906,833	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,258,484	TotalAmt
Program Services	$9,258,484	ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$567,298	TotalAmt
Program Services	$567,298	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$384,825	TotalAmt
Program Services	$384,825	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$45,055	TotalAmt
Program Services	$45,055	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$30,437,127	TotalAmt
Program Services	$24,384,309	ProgramServicesAmt
Management And General	$6,052,818	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,100,292	TotalAmt
Management And General	$4,100,292	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$51,764,759	TotalAmt
Program Services	$51,764,759	ProgramServicesAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,811,142	TotalAmt
Program Services	$8,811,142	ProgramServicesAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,314,838	TotalAmt
Program Services	$7,314,838	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,024,168	TotalAmt
Program Services	$1,024,168	ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

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

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,625,625	TotalAmt
Program Services	$4,625,625	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$11,127,946	TotalAmt
Program Services	$11,127,946	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$23,844,646	TotalAmt
Program Services	$23,844,646	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,008,475	TotalAmt
Management And General	$1,008,475	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt	Management And GeneralManagementAndGeneralAmt
COLLECTION EXPENSE	$1,840,429	$1,840,429	$0
BUILDING MAINTENANCE	$2,998,447	$2,998,447
OPERATING LEASES	$40,982	$40,982
DUES & SUBSCRIPTIONS	$513,936			$513,936

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,281,083	TotalAmt
Program Services	$1,281,083	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$331,450,005	TotalAmt
Program Services	$313,983,875	ProgramServicesAmt
Management And General	$17,466,130	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,634,338	BOYAmt
EOY	$3,336,156	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$73,879,708	BOYAmt
EOY	$52,307,087	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,105,000	BOYAmt
EOY	$3,022,000	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$58,054,509	BOYAmt
EOY	$63,721,788	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	$3,343,055	BOYAmt
EOY	$3,718,461	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,626,340	BOYAmt
EOY	$6,989,131	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$406,373,137	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$177,017,854	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$194,573,662	BOYAmt
EOY	$229,355,283	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$12,057,997	BOYAmt
EOY	$12,188,259	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$12,093,673	BOYAmt
EOY	$12,218,158	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	$12,811,455	BOYAmt
EOY	$16,029,431	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$376,179,737	BOYAmt
EOY	$402,885,754	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$47,049,474	BOYAmt
EOY	$48,858,039	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$93,050,209	BOYAmt
EOY	$89,273,512	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	$5,967,547	BOYAmt
EOY	$5,675,659	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$483,016	BOYAmt
EOY	$162,985	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,607,371	BOYAmt
EOY	$12,405,810	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$159,157,617	BOYAmt
EOY	$156,376,005	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$213,917,120	BOYAmt
EOY	$243,487,749	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,105,000	BOYAmt
EOY	$3,022,000	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$217,022,120	BOYAmt
EOY	$246,509,749	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$376,179,737	BOYAmt
EOY	$402,885,754	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$34,704,325	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$5,216,696	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	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$45,055	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$45,055	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$331,404,950	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$331,450,005	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	$19,630	CurrentYearMinus3Amt
Current Year Minus2	$56,805	CurrentYearMinus2Amt
Current Year Minus1	$75,525	CurrentYearMinus1Amt
Current Year	$45,055	CurrentYearAmt
Total	$197,015	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

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	$53,221,749	BeginningYearBalanceAmt
Contributions	$20,698,028	ContributionsAmt
Investment Earnings Or Losses	$249,787	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,488,599	GrantsOrScholarshipsAmt
End Year Balance	$71,680,965	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$52,709,846	BeginningYearBalanceAmt
Contributions	$2,540,657	ContributionsAmt
Investment Earnings Or Losses	$115,359	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,142,005	GrantsOrScholarshipsAmt
Other Expenditures	$2,108	OtherExpendituresAmt
End Year Balance	$53,221,749	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$52,569,968	BeginningYearBalanceAmt
Contributions	$4,571,646	ContributionsAmt
Investment Earnings Or Losses	$103,409	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$4,535,177	GrantsOrScholarshipsAmt
End Year Balance	$52,709,846	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$47,650,277	BeginningYearBalanceAmt
Contributions	$6,663,819	ContributionsAmt
Investment Earnings Or Losses	$833,787	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,577,915	GrantsOrScholarshipsAmt
End Year Balance	$52,569,968	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$46,288,568	BeginningYearBalanceAmt
Contributions	$2,703,274	ContributionsAmt
Investment Earnings Or Losses	$1,220,869	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,562,434	GrantsOrScholarshipsAmt
End Year Balance	$47,650,277	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.54400	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.07900	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.37700	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,173,431	OtherCostOrOtherBasisAmt
Book Value	$21,173,431	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$248,491,673	OtherCostOrOtherBasisAmt
Depreciation	$88,054,175	DepreciationAmt
Book Value	$160,437,498	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,433,102	OtherCostOrOtherBasisAmt
Depreciation	$10,286,553	DepreciationAmt
Book Value	$6,146,549	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$116,684,753	OtherCostOrOtherBasisAmt
Depreciation	$78,323,088	DepreciationAmt
Book Value	$38,361,665	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,590,178	OtherCostOrOtherBasisAmt
Depreciation	$354,038	DepreciationAmt
Book Value	$3,236,140	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$229,355,283	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DEFERRED COMPENSATION LIABILIT	$3,279,942
SWAP LIABILITY	$5,053,148
NON-CONTROLLING INTEREST IN CP	$4,072,720

Field	Value	IRS element (for citing)
Total Liability	$12,405,810	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4

TO SUPPORT PROGRAMS, FUTURE CAPITAL IMPROVEMENTS, AND OPERATIONS OF THE CHILDREN'S HOSPITAL & MEDICAL CENTER.

Schedule D, Part X, Line 2

FIN 48 FOOTNOTE IN ACCORDANCE WITH ASC SUBTOPIC 740-10, INCOME TAXES-OVERALL, THE COMPANY RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. DURING 2016 AND 2015, THE COMPANY DID NOT RECORD ANY AMOUNTS RELATED TO UNCERTAIN TAX POSITIONS OR ANY ACCRUED INTEREST AND PENALTIES.

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	false	ExpensesExceedBudgetInd
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	$3,268,464	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,268,464	NetCommunityBenefitExpnsAmt
Total Expense	0.00990	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$132,777,961	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$92,997,089	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,780,872	NetCommunityBenefitExpnsAmt
Total Expense	0.12000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$136,046,425	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$92,997,089	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,049,336	NetCommunityBenefitExpnsAmt
Total Expense	0.12990	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,326,699	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$739,236	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,587,463	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,025,121	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,168,304	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,856,817	NetCommunityBenefitExpnsAmt
Total Expense	0.03580	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$127,396,690	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$89,646,018	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,750,672	NetCommunityBenefitExpnsAmt
Total Expense	0.11390	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,952,258	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$970,445	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,981,813	NetCommunityBenefitExpnsAmt
Total Expense	0.00600	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$974,345	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$974,345	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$146,675,113	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$92,524,003	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,151,110	NetCommunityBenefitExpnsAmt
Total Expense	0.16340	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$282,721,538	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$185,521,092	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$97,200,446	NetCommunityBenefitExpnsAmt
Total Expense	0.29330	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,500	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,500	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,325,331	BadDebtExpenseAmt
Reimbursed By Medicare	$547,521	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$704,522	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$157,001	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	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8200 DODGE STREET	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68114	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.CHILDRENSOMAHA.ORG	WebsiteAddressTxt
State License	260005	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	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
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	CHILDRENSOMAHA.ORG/HEALTHNEEDSASSESSMENT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V, Section C	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
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
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
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V	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
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Line 5	AS PART OF THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY CONDUCTED ON BEHALF OF CHILDREN'S HOSPITAL & MEDICAL CENTER, BOYS TOWN NATIONAL RESEARCH HOSPITAL AND BUILDING HEALTHY FUTURES, KEY INFORMANTS (INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY) WERE CONTACTED BY EMAIL, INTRODUCED TO THE SURVEY AND PROVIDED A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. THESE POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS AMONG THE FAMILIES AND CHILDREN/ADOLESCENTS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. IN ALL, 149 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, REPRESENTING COMMUNITY/BUSINESS LEADERS, PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, SOCIAL SERVICES PROVIDERS AND OTHER HEALTH CARE PROVIDERS. THESE KEY INFORMANTS REPRESENT ORGANIZATIONS THAT WORK WITH LOW-INCOME, MINORITY POPULATIONS, MEDICALLY UNDERSERVED POPULATIONS AND THOSE WHO WORK WITH THOSE WITH CHRONIC DISEASE CONDITIONS.
Schedule H, Part V, Line 6a	BOYS TOWN NATIONAL RESEARCH HOSPITAL Schedule H, Part V, Line 6b BUILDING HEALTHY FUTURES Schedule H, Part V, Line 10A http://childrensomaha.org/UPLOADS/PUBLIC/DOCUMENTS/201618CHNAIMPLEMENTATIO N.PDF
Schedule H, Part V, Line 11	The Executive Committee of the Board of Directors of Children's Hospital & Medical Center, which includes representatives from throughout the community, met to discuss this plan for addressing the community health priorities identified through our Community Health Needs Assessment. The Executive Committee of the Board has the power to transact all regular business of Children's during the period between meetings of the Board of Directors. Upon review, the Executive Committee of the Board of Directors approved and adopted this Implementation Strategy to undertake these measures to meet the health needs of the community. IN CONSIDERATION OF THE TOP HEALTH PRIORITIES IDENTIFIED THROUGH THE 2015 CHNA PROCESS - AND TAKING INTO ACCOUNT HOSPITAL RESOURCES AND OVERALL ALIGNMENT WITH THE HOSPITAL'S MISSION, GOALS AND STRATEGIC PRIORITIES - CHILDREN'S HOSPITAL & MEDICAL CENTER FOCUSED ON DEVELOPING STRATEGIES AND INITIATIVES TO IMPROVE: * ACCESS TO HEALTH CARE SERVICES * INJURY & VIOLENCE * MENTAL HEALTH * NUTRITION, PHYSICAL ACTIVITY & WEIGHT * ORAL HEALTH * VISION, HEARING & SPEECH CONDITIONS * ASTHMA & OTHER RESPIRATORY CONDITIONS * SEXUAL HEALTH CHILDRENS HOSPITAL & MEDICAL CENTER THEN CREATED A 3-YEAR IMPLEMENTATION PLAN, TO BE CARRIED OUT FROM 2016 THROUGH 2018, TO ADDRESS EACH STRATEGIC PRIORITY ACROSS OUR CONTINUUM OF CARE AND IDENTIFIED APPROPRIATE RESOURCES TO BE INCLUDED IN EACH YEARS APPROPRIATE BUDGET. THE GREATEST AREA OF STRATEGIC EMPHASIS HAS BEEN CHILDHOOD OBESITY PREVENTION, NUTRITION, PHYSICAL ACTIVITY AND WEIGHT, WHICH WAS THE NUMBER ONE CONCERN OF COMMUNITY PARENTS IN THE 2015 ASSESSMENT. DURING 2016, CHILDREN'S PREVENTING CHILDHOOD OBESITY COMMUNITY GRANT PROGRAM AWARDED $125,000 TO 5 AREA NON-PROFIT PARTNERS TO IMPLEMENT PROGRAMS THAT TEACH HEALTHY NUTRITION AND FITNESS HABITS TO CHILDREN THROUGHOUT THE COMMUNITY. COLLECTIVELY, THESE PARTNERS PLAN TO REACH MORE THAN 12,000 CHILDREN WITH NUTRITION AND PHYSICAL ACTIVITY EDUCATION IN THE 2016-17 GRANT CYCLE. MEANWHILE, FIVE $1,000 RENEWABLE PREVENTING CHILDHOOD OBESITY COMMUNITY SCHOLARSHIPS WERE AWARDED TO COLLEGE-BOUND HIGH SCHOOL SENIORS WHO PLAN TO PURSUE A CAREER RELATED TO HEALTH AND WELLNESS WITH A SIGNIFICANT FOCUS ON CHILDREN. ANOTHER SEVEN $1,000 SCHOLARSHIPS WERE RENEWED. ONE SUCH GRANT RECIPIENT, COOKING MATTERS, WAS A FREE COURSE OFFERED AT CHILDREN'S THAT PROVIDED COOKING INSTRUCTION AND NUTRITION LESSONS TO LOCAL CHILDREN AND FAMILIES. IN 2016, CHILDREN'S LAUNCHED A NEW INITIATIVE TO IMPROVE PEDIATRIC HEALTH STATEWIDE; THE CENTER FOR THE CHILD & COMMUNITY. HEADQUARTERED IN LINCOLN, CHILDREN'S CENTER AIMS TO INTEGRATE HEALTH CARE AND PUBLIC HEALTH EFFORTS. THE CENTER COLLABORATES WITH COMMUNITIES ACROSS NEBRASKA TO CREATE LOCAL SOLUTIONS TO LARGE-SCALE CHILDREN'S HEALTH ISSUES, SUCH AS CHILDHOOD OBESITY, POVERTY, INJURY PREVENTION AND FOOD INSECURITY. IN ADDITION TO BUILDING PARTNERSHIPS THAT IMPROVE THE HEALTH OF CHILDREN, IT ALSO STRENGTHENS CHILDREN'S ROLE IN ADVOCACY AND HEALTH CARE POLICY. HALF OF NEBRASKA CHILDREN LIVE IN OR NEAR POVERTY. NEARLY HALF QUALIFY FOR FREE AND REDUCED MEALS AT SCHOOL. MEANWHILE, THE OBESITY EPIDEMIC CONTINUES TO RISE, DISPROPORTIONATELY AFFECTING VULNERABLE CHILDREN. CHRONIC, COMPLEX DISEASES ALSO PRESENT COMPLICATED HEALTH CHALLENGES FOR YOUNG PEOPLE AND THEIR FAMILIES. THESE STARK REALITIES, AND THE CHILDREN WHO EXPERIENCE THEM, ARE THE DRIVING FORCE BEHIND CHILDREN'S CENTER FOR THE CHILD & COMMUNITY. ANOTHER INITIATIVE AIMED AT CHILDHOOD OBESITY PREVENTION IS HEALTHY KOHL'S KIDS, A PARTNERSHIP WITH KOHL'S DEPARTMENT STORES THAT INCLUDES SCHOOL OUTREACH AND COMMUNITY EVENTS, AN INTERACTIVE WEBSITE WITH RECIPES AND VIDEOS, EXTENSIVE SOCIAL MEDIA AND ADVERTISING. CHILDREN'S BRINGS HEALTH EDUCATION INTO AREA CLASSROOMS THROUGH ITS SPONSORSHIP OF GONOODLE, AN ONLINE RESOURCE THAT HELPS LOCAL EDUCATORS TEACH NUTRITION AND PHYSICAL ACTIVITY. IN 2016, 340 SCHOOLS AND 69,242 STUDENTS PARTICIPATED. CHILDREN'S HEROES (HEALTHY EATING WITH RESOURCES, OPTIONS AND EVERYDAY STRATEGIES) PROGRAM PROVIDES MULTIDISCIPLINARY CLINICAL INTERNVENTION FOR YOUNG PEOPLE ALREADY EXPERIENCING MEDICAL COMPLICATIONS FROM CHILDHOOD OBESITY. THE PROGRAM EXPANDED TO LINCOLN IN 2015. THE HEROES PROGRAM TREATED 461 PATIENTS THROUGHOUT THE YEAR, INCLUDING 309 NEW PATIENTS. PROMOTION OF THE HEROES WEIGHT MANAGEMENT CLINIC AND BARIATRIC SURGERY PROGRAM IS UNDERWAY VIA TRADITIONAL MEDIA, INTERNAL COMMUNICATION VEHICLES (LIKE SPIRA MAGAZINE) AND SEVERAL VIDEO PRODUCTIONS FEATURING BARIATRIC PROGRAM PATIENTS. OTHER STRATEGIC TACTICS INCLUDE A CSA FARMERS MARKET AND PARENTING U, A SERIES OF FREE PARENT EDUCATION CLASSES WITH TOPICS FOCUSED ON HEALHTY EATING AND OBESITY PREVENTION. IN ACKNOWLEDGING THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, CHILDREN'S DETERMINED THAT IT COULD ONLY EFFECTIVELY FOCUS ON THOSE WHICH IT DEEMED MOST PRESSING, MOST UNDER-ADDRESSED AND MOST WITHIN ITS ABILITY TO INFLUENCE. TO ADDRESS ACCESS TO HEALTH CARE SERVICES, CHILDRENS PHYSICIANS WAS RELOCATED TO THE CHILDRENS PHYSICIANS CREIGHTON OFFICE IN 2016 AND PLANS TO RELOCATE THE CHILDRENS PHYSICANS EAGLE RUN OFFICE. EXTENDED HOURS FOR INFUSION SERVICES HAS BEEN IMPLEMENTED AND NEW EXTENDED HOURS FOR GASTROENTEROLOGY AND HEMATOLOGY/ONCOLOGY APPOINTMENTS WILL BEGIN IN JANUARY 2017. CHILDRENS PHYSICIANS CASE MANAGERS PROGRAM WAS IMPLEMENTED IN THE FALL OF 2016 TO ASSIST FAMILIES IN UTILIZING APPROPRIATE SERVICES, AVOIDING MISUSE, AND ACCESSING SERVICES IN A TIMELY MANNER. INJURY AND VIOLENCE PREVENTION IS BEING ADDRESSED IN THREE AREAS. CHILDRENS HOSPITAL & MEDICAL CENTER IS PROMOTING WATER SAFETY/DROWNING PREVENTION THROUGH PARTNERSHIP WITH THE JOSHUA COLLINGSWORTH MEMORIAL FOUNDATION AND OMAHA PARKS & RECREATION. ADDITIONALLY, AN INCREASE OF CHILD PASSENGER SAFETY SEAT CHECKS THROUGH MULTIPLE COMMUNITY EVENTS HAS BEEN IMPLEMENTED. ONE NEW TRAUMA OUTREACH INITIATIVE LAUNCHED STATEWIDE HAS BEEN PROJECT AUSTIN, A PROGRAM THAT PREPARES RURAL HOSPITALS AND EMS PROVIDERS FOR THE CARE OF A MEDICALLY COMPLEX CHILD IN THEIR COMMUNITY. MENTAL HEALTH IS BEING ADDRESSED THROUGH A PARTNERSHIP WITH WESTSIDE SCHOOLS IN THE FALL OF 2016, LAUNCHING A STUDENT ASSISTANCE PROGRAM, WHICH IS A SCHOOL-BASED MENTAL HEALTH SERVICE THAT CONNECTS DISTRICT FAMILIES WITH CHILDRENS BEHAVIORAL HEALTH TEAM. CHILDRENS HAS EXPANDED THE BEHAVIORAL HEALTHS USE OF TELE-HEALTH SERVICE TO THE HEROES CLINIC IN LINCOLN AS WELL AS ADDING A TELE-HEALTH HUB SITE IN MCCOOK. BEHAVIORAL HEALTH SERVICES HAS BEEN EXPANDED INTO ALL 13 CHILRENS PHYSICIANS PRIMARY CARE OFFICES. CHILDRENS HAS INTEGRATED BEHAVIORAL HEALTH SERVICE WITHIN A NEW FOCUS CLINIC FOR DIABETES MANAGEMENT AND COMPLIANCE, AS WELL AS BEING ON TARGET TO OFFER SERVICE TO CYSTIC FIBROSIS CLINIC. ORAL HEALTH EDUCATION WILL BE INCLUDED IN NEWBORN BOOKLETS. DISCUSSIONS REGARDING ORAL HEALTH AND DENTAL HOME HAS BEEN INCORPORATED INTO THE 12-MONTH AND 24-MONTH WELL-CHECK VISITS AT ALL CHILDRENS PHYSICIANS LOCATIONS. CHILDRENS CONTINUES TO PROVIDE SPACE WITHIN THE SPECIALTY PEDIATRIC CENTER FOR UNMC COLLEGE OF DENTISTRY TO TREAT CHILDREN THROUGHOUT THE AREA WITH ORAL HEALTH NEEDS. VISION SCREENINGS ARE PERFORMED AT 3-YEAR WELL-CHECK VISIT AND HEARING SCREENINGS ARE PERFORMED FOR EACH PATIENT ONCE BETWEEN THE 4-YEAR AND 6-YEAR WELL-CHECK VISITS AT CHILDRENS PHYSICIANS LOCATIONS. REFERRALS ARE MADE FOR ABNORMAL TESTING RESULTS. EDUCATION REGARDING THE IMPORTANCE OF HEALTH VISION AND HEARING ARE INCLUDED IN THE JUST KIDS ISSUE PUBLISHED IN JANUARY 2017. CHILDRENS CONTINUES TO EXPLORE COLLABORATIVE OPPORTUNITIES TO IMPROVE ACCESS TO VISION SERVICES FOR THE UNDERSERVED POPULATION. CHILDRENS PHYSICIANS HAS PARTNERED WITH OMAHA HEALTH KIDS ALLIANCE ON PROJECT AIR TO ASTHMA-PROOF HOMES OF SELECTED CHILDREN WITH SEVERE CASES OF ASTHMA. THIS HAS BEEN BUDGETED FOR IMPLEMENTATION IN 2017. CHILDRENS HEALTHY PLANET ASTHMA PROJECT HAS PROGRESSED WITH THE IMPLEMENTATION OF ELECTRONIC HEALTH RECORD IMPROVEMENTS THAT ENABLE BETTER TRACKING OF PATIENTS DIAGNOSED WITH ASTHMA. WORK CONTINUES ACROSS THE CONTINUUM WITH THE CARE MANAGEMENT PROGRAM TO REDUCE EMERGENCY ROOM VISITS AND HOSPITAL ADMISSIONS DUE TO ASTHMA. CHILDRENS PHYSICIANS HAS IMPLEMENTED A TASK FORCE WITH A GOAL OF SCREENING ALL SEXUALLY ACTIVE PATIENTS FOR STDS, WITH A LAUNCH EFFORT IN 2017. MEGAN CONNELLY, VP OF CHILDRENS PHYSICIANS OPERATIONS, JOINED THE WOMENS FUND OF OMAHAS ADOLESCENT HEALTH PROJECT ADVISORY BOARD IN AUGUST 2016. THE GOAL OF THE ADVISORY BOARD IS TO COMBAT EPIDEMIC STD INFECTION RATES IN THE COMMUNITY.
Schedule H, Part V, Line 13b	PRESUMPTIVE ELIGIBILITY CHILDREN'S RECOGNIZES THAT SOME PATIENTS WILL BE UNRESPONSIVE TO THE CHARITY CARE APPLICATION PROCESS DUE TO A VARIETY OF REASONS INCLUDING BUT NOT LIMITED TO: 1. LACK OF DOCUMENTATION REQUIRED TO COMPLY WITH THE TRADITIONAL CHARITY CARE APPLICATION REQUIREMENTS. 2. LACK OF THE EDUCATIONAL LEVEL TO UNDERSTAND AND COMPLETE THE CHARITY CARE APPLICATION. 3. FEAR THAT INFORMATION GATHERED DURING THE APPLICATION PROCESS WILL BE USED IN THE COLLECTION PROCESS IN THE EVENT THAT THE APPLICATION IS DENIED. 4. OUT-OF-STATE PATIENTS THAT DO NOT RESPOND TO COMPLETION OF A MEDICAID APPLICATION OR FINANCIAL ASSISTANCE APPLICATION. IN THE ABSENCE OF INFORMATION PROVIDED BY THE PATIENT OR IN CASES WHERE THE INFORMATION PROVIDED BY THE PATIENT IS INCOMPLETE, AN ASSESSMENT PROCESS UTILIZING A PREDICTIVE MODEL WILL BE DEPLOYED TO DETERMINE CHARITY CARE ELIGIBILITY. THE PREDICTIVE MODEL INCORPORATES INCOME AND HOUSEHOLD SIZE ESTIMATES, A SOCIO-ECONOMIC NEED FACTOR (WIC, SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM, HUD PROGRAMS), CENSUS BLOCK DATA, AS WELL AS INFORMATION ON HOME OWNERSHIP. THE APPLICATION OF THE PREDICTIVE SCORING PROCESS AND PRESUMPTIVE FINANCIAL ASSISTANCE WILL BE DEPLOYED PRIOR TO SECONDARY BAD DEBT ASSIGNMENT FOR ALL PATIENTS THAT HAVE NOT APPLIED FOR CHARITY CARE AND HAVE NOT MADE A PAYMENT ON THEIR ACCOUNT. CHILDREN'S IS NOT OBLIGATED TO NOTIFY THE PATIENT THAT THEY HAVE RECEIVED PRESUMPTIVE CHARITY CARE.
Schedule H, Part V, Line 16a	WWW.CHILDRENSOMAHA.ORG/FINANCIALASSISTANCE Schedule H, Part V, Line 16b http://www.childrensomaha.org/Uploads/Public/Documents/financial-assistanc e/fin-asst-app_english.pdf Schedule H, Part V, Line 16c http://www.childrensomaha.org/Uploads/Public/Documents/financial-assistanc e/fap-plain-language-summary.pdf
Schedule H, Part V, Line 16j	THE POLICY IS PROVIDED TO THE PUBLIC IN SUMMARY AND DIRECTED TO VISIT THE CHILDREN'S HOSPITAL WEBSITE FOR THE FULL POLICY.
Schedule H, Part V, Line 24	AT CHILDREN'S, COMMERCIAL INSURERS, GOVERNMENT PAYORS AND SELF-PAY BILLING PARTIES ARE ALL BILLED THE SAME GROSS CHARGE RATE FOR EACH SPECIFIC PROCEDURE PERFORMED. GROSS CHARGES ON A FAP-PATIENT BILL ARE THEN DISCOUNTED ACCORDING TO THEIR FPG ELIGIBILITY WHICH REDUCES OR ELIMINATES THE AMOUNT THE PATIENT IS REQUIRED TO PAY.

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
W VILLAGE PTE URGENT CARE&AMBUL CLINICS
110 N 175TH STREET	OMAHA	NE	68118	URGENT CARE OPEN 6PM-10PM & ROTATING AMBULATORY CLINICS
CHILDREN'S HOME HEALTHCARE
4156 S 52ND STREET	OMAHA	NE	68117	PEDIATRIC HOME HEALTH CARE SERVICES
LINCOLN CLINIC
300 NORTH 44TH STREET	LINCOLN	NE	68503	PEDIATRIC CLINIC
CAROLYN SCOTT RAINBOW HOUSE
7825 FARNAM DRIVE	OMAHA	NE	68114	MINIMUM TO NO-COST ACCOMMODATIONS FOR FAMILIES OF PATIENTS
VAL VERDE URGENT CARE
9801 GILES ROAD SUITE 1	LA VISTA	NE	68128	URGENT CARE OPEN 6PM-10PM
DUNDEE URGENT CARE
4825 DODGE STREET	OMAHA	NE	68132	URGENT CARE OPEN 6PM-10PM

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c	FEDERAL POVERTY GUIDELINES ARE USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. FINANCIAL ASSISTANCE IS AVAILABLE FOR MEDICALLY NECESSARY PROCEDURES AND SERVICES. SERVICES NOT ELIGIBLE FOR FINANCIAL ASSISTANCE INCLUDE COSMETIC AND OTHER ELECTIVE PROCEDURES, HELMET CLINIC, EATING DISORDERS PROGRAM AND HEROES WEIGHT MANAGEMENT PROGRAM. CERTIFICATION OR PROOF OF MEDICAID DENIAL IS A REQUIREMENT FOR FINANCIAL ASSISTANCE CONSIDERATION. FINANCIALLY RESPONSIBLE PARTIES WHO SUBMIT A COMPLETE AND VERIFIABLE APPLICATION FOR FINANCIAL ASSISTANCE (INCLUDING PROOF OF MEDICAID DENIAL) WILL BE CONSIDERED FOR FREE OR REDUCED ASSISTANCE ON THE BASIS OF FEDERAL POVERTY GUIDELINES (400% FPL LIMIT). FAMILIES THAT DO NOT QUALIFY FOR INCOME BASED FINANCIAL ASSISTANCE THAT HAVE VERIFIABLE OUT OF POCKET MEDICAL DEBT GREATER THAN 20% OF GROSS INCOME MAY QUALIFY FOR CATASTROPHIC ASSISTANCE LEAVING UP TO 1% OF THE FAMILY'S GROSS INCOME AS THE RESPONSIBILITY. PRESUMPTIVE ELIGIBILITY IS AVAILABLE IN A VARIETY OF CIRCUMSTANCES INCLUDING THE ABSENCE OF DOCUMENTATION REQUIRED TO COMPLY WITH THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION REQUIREMENTS. THE PREDICTIVE INCORPORATES INCOME AND HOUSEHOLD SIZE ESTIMATES, A SOCIO-ECONOMIC NEED FACTOR, CENSUS BLOCK DATA, AS WELL AS INFORMATION ON HOME OWNERSHIP.
Schedule H, Part I, Line 6a	THE COMMUNITY BENEFIT REPORT IS PREPARED BY THE ORGANIZATION. THE VALUES REPORTED IN THE 2016 COMMUNITY BENEFIT REPORT INCLUDE $3.3M IN FINANCIAL ASSISTANCE.
Schedule H, Part I, Line 7	EXPLANATION OF THE COSTING METHODOLOGY USED TO CALCULATE SUBSIDIZED HEALTH SERVICES: SUBSIDIZED HEALTH SERVICES WERE CALCULATED USING A COMBINATION OF CHILDREN'S HOSPITAL & MEDICAL CENTER'S COST ACCOUNTING SYSTEM AND A COST TO CHARGE RATIO CALCULATION SIMILAR TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. THE REPORTED SUBSIDIZED LOSS REPRESENTS THE DIFFERENCE IN NET REVENUE RECEIVED FROM ALL PAYORS LESS TOTAL OPERATING EXPENSES INCLUDING INDIRECT COSTS APPLICABLE TO EACH DEPARTMENT. UNREIMBURSED MEDICAID COSTS REPORTED ON LINE 7B AND OTHER OPERATING EXPENSE APPLICABLE TO THE DEPARTMENT REPORTED ELSEWHERE ON SCHEDULE H AS A COMMUNITY BENEFIT ARE EXCLUDED FROM THE OPERATING EXPENSE TOTAL AS ARE BAD DEBT AND NONPATIENT CARE EXPENSE ASSOCIATED WITH EACH DEPARTMENT. INDIRECT COSTS FOR EACH DEPARTMENT WERE CALCULATED BY APPLYING THE MEDICARE COST REPORT OVERHEAD RATE APPLICABLE TO THAT DEPARTMENT TO THE DEPARTMENT'S TOTAL OPERATING EXPENSES EXCLUDING UNREIMBURSED MEDICAID EXPENSES AND/OR ANY OTHER EXPENSE ALREADY REPORTED ELSEWHERE ON THE SCHEDULE H AS A COMMUNITY BENEFIT.
Schedule H, Part I, Line 7g	THE ORGANIZATION DID NOT INCLUDE COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES.
Schedule H, Part II	COMMUNITY BUILDING ACTIVITIES CHILDREN'S HOSPITAL & MEDICAL CENTER SUPPORTS "ECONOMIC DEVELOPMENT" IN ITS SPONSORSHIP DONATIONS TO ORGANIZATIONS SUCH AS NEBRASKA CHAMBER OF COMMERCE & INDUSTRY.
Schedule H, Part III, Line 2-4	DESCRIBE THE METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON LINES 2 & 3: BAD DEBT EXPENSE AT 100% CHARGE VALUE WAS MULTIPLIED BY THE 2015 MEDICARE COST TO CHARGE RATIO TO ARRIVE AT AN APPROXIMATE COST VALUE. BAD DEBT EXPENSE AT 100% CHARGE VALUE $2,831,903 MEDICARE COST TO CHARGE RATIO X .468 BAD DEBT EXPENSE AT COST $1,325,331 ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY: THIS PROCESS INCLUDES IDENTIFYING CHARITY CARE FINANCIAL ASSISTANCE CODES CONGRUENT WITH THE FINANCIAL ASSISTANCE POLICY THAT WERE CHARGED TO BAD DEBT EXPENSE AT 100% CHARGE VALUE. THIS AMOUNT IS $0 FOR 2016 AND REFLECTS THE EFFORTS OF CHILDREN'S HOSPITAL & MEDICAL CENTER TO ENSURE THAT NO CHILD WITH A MEDICAL NEED IS TURNED AWAY DUE TO INABILITY TO PAY FOR HEALTH CARE. DESCRIBE HOW THE ORGANIZATION ACCOUNTS FOR DISCOUNTS OR PAYMENTS ON PATIENT ACCOUNTS IN DETERMINING BAD DEBT EXPENSE: BAD DEBT EXPENSE IS REPORTED NET OF ANY PAYMENTS OR DISCOUNTS.
Schedule H, Part III. Line 4	BAD DEBT EXPENSE THE COMPANY ADOPTED ACCOUNTING STANDARDS UPDATE (ASU) 2011-07, HEALTH CARE ENTITIES (TOPIC 954): PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES, WHICH REQUIRES HEALTH CARE ENTITIES TO PRESENT THE PROVISION FOR BAD DEBT RELATING TO PATIENT SERVICE REVENUE AS A DEDUCTION FROM PATIENT SERVICE REVENUE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS RATHER THAN AS OPERATING EXPENSE. ADDITIONAL DISCLOSURES RELATING TO THE SOURCES OF PATIENT REVENUE AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RELATED TO PATIENT ACCOUNTS RECEIVABLE ARE ALSO REQUIRED. THE ADOPTION OF THIS ASU HAD NO IMPACT ON THE FINANCIAL CONDITION, RESULTS OF OPERATIONS, OR CASH FLOWS.
Schedule H, Part III, Line 8	MEDICARE 2016 MEDICARE CHARGES REPORTED BY CMS IN THE PROVIDER STATISTICAL AND REIMBURSEMENT SYSTEM FOR PROVIDER FYE 12/31 WERE MULTIPLIED BY THE 2016 COST TO CHARGE RATIO TO ARRIVE AT AN APPROXIMATE COST OF CARE RELATED TO THE REIMBURSEMENT PAYMENTS REPORTED ON LINE 5.
Schedule H, Part III, Line 9b	COLLECTION PRACTICES SELF PAY ACCOUNTS WITH NO VERIFIABLE INSURANCE AND BALANCE AFTER INSURANCE ACCOUNTS ARE CONSIDERED FOR FINANCIAL ASSISTANCE THROUGHOUT THE COLLECTION PROCESS FOR THOSE GUARANTORS WHO ARE FINANCIALLY UNABLE TO PAY, EITHER THROUGH A GOVERNMENT PROGRAM OR THROUGH CHILDREN'S HOSPITAL & MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAM. ALL CORRESPONDENCE, INCLUDING STATEMENTS AND COLLECTION LETTERS STATE THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE.
Schedule H, Part VI, Line 2	2-NEEDS ASSESSMENT CHILDREN'S HOSPITAL & MEDICAL CENTER USES NUMEROUS RESOURCES TO CONDUCT ASSESSMENTS OF THE HEALTH CARE NEEDS OF CHILDREN IN THE COMMUNITIES WE SERVE. THESE RESOURCES INCLUDE NATIONAL PEDIATRIC CARE STANDARDS AND TRENDS AS IDENTIFIED BY CHILDREN'S HOSPITAL ASSOCIATION(CHA). INTERNAL RESOURCES THAT ASSIST WITH THE ASSESSMENT OF CHILD HEALTH NEEDS ARE THE FAMILY ADVISORY COUNCILS, PHYSICIANS AND CLINICAL SERVICE UNITS. AN ANALYSIS OF THE INFORMATION AND/OR DATA COLLECTED FROM THESE VARIOUS RESOURCES IS CONDUCTED TO IDENTIFY POTENTIAL GAPS IN CHILD HEALTH NEEDS IN THE COMMUNITIES SERVED. NEEDS THAT ALIGN WITH THE HOSPITAL'S MISSION AND CAPACITY ARE SELECTED FOR REVIEW BY ADMINISTRATION, WHICH PRIORITIZES NEEDS AND AUTHORIZES IMPLEMENTATION BASED ON THE SCOPE OR SERIOUSNESS OF THE PROBLEM, AVAILABILTY OF COMMUNITY RESOURCES, AVAILABILITY OF FUNDING, AND/OR ALIGNMENT WITH THE HOSPITAL'S EXPERTISE AND STRATEGIC GOALS.
Schedule H, Part VI, Line 3	3-PATIENT EDUCATION OF ELIGIBILITY FINANCIALLY RESPONSIBLE PARTIES WHO EXPERIENCE DIFFICULTY IN MEETING THEIR FINANCIAL OBLIGATIONS WILL BE ENCOURAGED TO AND ASSISTED IN APPLYING FOR FINANCIAL HELP THROUGH GOVERNMENT PROGRAMS AND OTHER POTENTIAL FUNDING SOURCES OR ALTERNATIVELY QUALIFIED FOR CHILDREN'S FINANCIAL ASSISTANCE PROGRAM. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS IDEALLY DETERMINED EITHER PRIOR TO SERVICES BEING PROVIDED OR AT THE TIME SERVICES ARE RENDERED AND IS BASED UPON FAMILY/GUARANTOR INCOME, FAMILY SIZE AND OTHER SPECIAL CONSIDERATIONS. THE PRIMARY RESPONSIBILITY TO IDENTIFY FINANCIAL NEED IS WITH THE ACCESS CENTER PATIENT ADVOCATES, CENTRAL BILLING OFFICE AND SOCIAL WORK STAFF. THESE STAFF MEMBERS ARE TRAINED TO IDENTIFY PATIENT NEEDS AND ANSWER FINANCIAL ASSISTANCE QUESTIONS. THERE ARE SEVERAL POINTS IN THE PATIENT EXPERIENCE WHERE FINANCIAL ASSISTANCE RESOURCES ARE OFFERED. THE FIRST OCCURS AT THE PRE-REGISTRATION OF INPATIENT ADMITS AND OUTPATIENTS PRESENTING THROUGH CARES AND FOR THOSE PATIENTS SCHEDULED IN THE SPECIALTY PEDIATRIC CENTER CLINICS. AT THIS TIME, ELIGIBILITY OF THE INSURED IS ELECTRONICALLY VERIFIED. THE BENEFIT DETAIL INCLUDING DEDUCTIBLE, COPAYMENT AND COINSURANCE AMOUNTS ARE DISCUSSED WITH THE FAMILY AT THAT TIME. ALL INDIVIDUALS WHO ARE FINANCIALLY UNABLE TO PAY WILL BE ENCOURAGED TO AND ASSISTED IN APPLYING FOR FINANCIAL HELP THROUGH GOVERNMENT PROGRAMS AND OTHER POTENTIAL FUNDING SOURCES OR ALTERNATIVELY QUALIFIED FOR CHILDREN'S FINANCIAL ASSISTANCE PROGRAM. AT THE TIME OF REGISTRATION, INSURANCE IS DISCUSSED AND FAMILIES AGAIN ARE OFFERED THE ASSISTANCE OF ACCESS CENTER PATIENT ADVOCATES WHO ARE AVAILABLE M-F. ALL SELF PAY FAMILIES ARE ENCOURAGED TO SPEAK TO AN ACCESS CENTER PATIENT ADVOCATE. CARE ESTIMATES OR QUESTIONS REGARDING ESTIMATE OF COST FOR UPCOMING TESTING IS DIRECTED TO THE PATIENT REGISTRATION MANAGER AND THESE SERVICES ARE AGAIN OFFERED PRIOR TO ENDING THE CONVERSATION. FINANCIAL ASSISTANCE INFORMATION IS ALSO LOCATED IN THE PATIENT HANDBOOKS. PATIENT STATEMENTS INCLUDE LEAFLETS AND ALL MAILED CORRESPONDENCE INCLUDING BILLS, STATEMENTS, AND COLLECTION LETTERS STATE THAT "FINANCIAL ASSISTANCE MAY BE AVAILABLE". CHILDREN'S HOSPITAL & MEDICAL CENTER'S INTERNET WEBSITE ALSO OFFERS A "FINANCIAL ASSISTANCE" LINK THAT INFORMS READERS "IF YOU ARE UNINSURED OR HAVE LIMITED INCOME, YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE THROUGH GOVERNMENT PROGRAMS OR CHILDREN'S FINANCIAL ASSISTANCE PROGRAM". THE WEBSITE EXPLAINS THAT DEPENDING ON INCOME LEVEL, ALL OR PART OF THE MEDICAL COSTS MAY BE FUNDED BY MEDICAID AND ALTERNATIVELY IF THEY ARE DETERMINED NOT ELIGIBLE FOR MEDICAID AFTER PROVIDIING ALL OF THE REQUIRED DOCUMENTATION THAT THEY MAY THEN APPLY FOR THE CHILDREN'S FINANCIAL ASSISTANCE PROGRAM. CONTACT NUMBERS FOR THE FINANCIAL COUNSELORS AND HOURS OF SERVICE ARE PROVIDED. THE WEBSITE INCLUDES COPIES OF CHILDREN'S FINANCIAL ASSISTANCE POLICY, THE FINANCIAL ASSISTANCE APPLICATION FORM AND THE PLAIN LANGUAGE SUMMARY IN ENGLISH, ARABIC, CHINESE, FRENCH, PERSIAN, SPANISH AND VIETNAMESE. THE WEBSITE ALSO INCLUDES AMOUNTS GENERALLY BILLED IN ENGLISH. ALL OTHER BILLING, PAYMENT AND FINANCIAL RESPONSIBILITY RELATED LINKS ON CHILDREN'S WEBSITE STATE THAT "FINANCIAL ASSISTANCE MAY BE AVAILABLE". THE FINANCIAL ASSISTANCE POLICY IS CURRENTLY AVAILABLE ON THE CHILDREN'S HOSPITAL & MEDICAL CENTER WEBSITE AND IS ALSO AVAILABLE UPON REQUEST. WWW.CHILDRENSOMAHA.ORG\FINANCIALASSISTANCE
Schedule H, Part VI, Line 4	4-COMMUNITY INFORMATION THE HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF DOUGLAS AND SARPY COUNTIES IN NEBRASKA AND POTTAWATTAMIE COUNTY IN IOWA. THE PRIMARY SERVICE AREA HAS A CURRENT AGGREGATE POPULATION OF APPROXIMATELY 819,427. THE HOSPITAL'S SECONDARY SERVICE AREA CONSISTS OF EIGHT SURROUNDING COUNTIES IN NEBRASKA AND NINE SURROUNDING COUNTIES IN IOWA. FOR YEAR ENDED DECEMBER 31, 2016, 51.5% OF THE HOSPITAL'S INPATIENT DISCHARGES WERE FROM PATIENTS RESIDING IN THE THREE-COUNTY PRIMARY SERVICE AREA. PATIENTS RESIDING IN THE SEVENTEEN-COUNTY SECONDARY SERVICE AREA ACCOUNTED FOR 19.3% OF TOTAL HOSPITAL INPATIENT DISCHARGES DURING THIS SAME TIME PERIOD. THE REMAINING 29.2% OF TOTAL DISCHARGES WERE FROM PATIENTS RESIDING OUTSIDE THE PRIMARY AND SECONDARY SERVICE AREAS. 2016 DEMOGRAPHIC SUMMARY OMAHA METRO MARKET AREA: DOUGLAS, SARPY AND POTTAWATTAMIE COUNTIES SOURCES: UNITED STATES CENSUS BUREAU AND CHILDREN'S HOSPITAL AND MEDICAL CENTER PATIENT ENCOUNTER DATABASE. COMMUNITIES SERVED - URBAN, SUBURBAN AND RURAL # OF HOSPITALS SERVING COMMUNITY - 11 TOTAL POPULATION 819,427 PEDIATRIC POPULATION 213,673 AVERAGE HOUSEHOLD INCOME $81,209 PERCENT OF RESIDENTS BELOW FEDERAL POVERTY LEVEL TOTAL POPULATION 12.8% UNDER AGE 18 17.6% PERCENT OF RESIDENTS ON MEDICAID 10.4% AGE POPULATION % OF TOTAL LESS THAN 18 213,673 26.1% 18 TO 24 75,668 9.2% 25 TO 44 231,674 28.3% 45 TO 64 200,070 24.4% 65+ 98,342 12.0% TOTAL 819,427 100.0% RACE POPULATION % OF TOTAL WHITE 618,831 75.52% BLACK 69,324 8.46% HISPANIC 85,876 10.48% ASIAN/PACIFIC ISLANDER 21,879 2.67% OTHER 20,322 2.48% AM. IND/ALASKA NAT. 3,195 0.39% TOTAL 819,427 100.00% FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS APPROXIMATE % OF PATIENTS FROM MEDICALLY UNDERSERVED AREAS: 15.1% COUNTY # OF CENSUS TRACTS* TOTAL CENSUS TRACTS % OF TOTAL DOUGLAS 36 156 23.1% SARPY 12 43 27.9% POTTAWATTAMIE 3 30 10.0% TOTAL 51 229 22.3% *CENSUS TRACT IS A GEOGRAPHICAL DIVISION OF 500 TO 3,000 HOUSEHOLDS.
Schedule H, Part VI, Line 5	5-PROMOTION OF COMMUNITY HEALTH PROUDLY SERVING CHILDREN SINCE 1948, CHILDREN'S HOSPITAL & MEDICAL CENTER IS THE ONLY FULL-SERVICE, PEDIATRIC HEALTH CARE CENTER IN NEBRASKA. LOCATED IN OMAHA, IT PROVIDES EXPERTISE IN MORE THAN 50 PEDIATRIC SPECIALTY SERVICES TO CHILDREN AND FAMILIES ACROSS A FIVE-STATE REGION AND BEYOND. THE 145 BED, NON-PROFIT HOSPITAL HOUSES THE ONLY LEVEL II PEDIATRIC TRAUMA CENTER IN THE REGION AND OFFERS 24-HOUR, IN-HOUSE SERVICES BY PEDIATRIC CRITICAL CARE SPECIALISTS. THE CRITICAL CARE TRANSPORT TEAM PROVIDES STATE-OF-THE-ART CARE AND TRANSPORTATION TO CRITICALLY ILL AND INJURED NEONATES, INFANTS AND CHILDREN. CHILDREN'S IS ALSO HOME TO NEBRASKA'S ONLY LEVEL IV REGIONAL NEONATAL INTENSIVE CARE UNIT (NICU). CHILDREN'S OFFERS SEVEN SURGICAL SUITES, FIVE PROCEDURE ROOMS, A HYBRID CATHETERIZATION LAB, A PEDIATRIC INTENSIVE CARE UNIT (PICU), AND A FETAL CARE CENTER THAT FOCUSES ON THE COORDINATION OF CARE FOR BABIES DIAGNOSED WITH COMPLEX CONGENITAL DEFECTS BEFORE BIRTH. A REGIONAL HEART CENTER, CHILDREN'S PROVIDES EXPERTISE IN PEDIATRIC HEART TRANSPLANTATION. CHILDREN'S PEDIATRIC SPECIALISTS ALSO PROVIDE CARDIOLOGY, NEUROLOGY, ORTHOPAEDIC AND OTHER SERVICES IN OUTREACH CLINICS LOCATED IN SURROUNDING COMMUNITIES. IN ADDITION, CHILDREN'S OFFERS A FULL ARRAY OF PEDIATRIC HOME HEALTH CARE SERVICES TO CHILDREN AND ADOLESCENTS WHO HAVE IMMEDIATE OR LONG-TERM HEALTH CARE NEEDS INCLUDING HOME MEDICAL EQUIPMENT RENTALS AND SALES, HOME HEALTH NURSING, IN-HOME PRIVATE DUTY NURSING AND HOME INFUSION THERAPY SERVICES. CHILDREN'S HAS ACHIEVED THE MAGNET DESIGNATION FOR NURSING EXCELLENCE AND ITS PEDIATRIC INTENSIVE CARE UNIT HAS EARNED A SILVER BEACON AWARD FOR EXCELLENCE FROM THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES. THE HOSPITAL HAS ACHIEVED STAGE 6 ON THE HIMSS ANALYTICS EMR ADOPTION MODELS (EMRAM). CHILDREN'S IS ALSO RECOGNIZED AS A 2016-17 BEST CHILDREN'S HOSPITAL BY U.S. NEWS & WORLD REPORT IN CARDIOLOGY AND HEART SURGERY, GASTROENTEROLOGY AND GI SURGERY AND ORTHOPAEDICS. A PEDIATRIC AFFILIATION ESTABLISHED BETWEEN CHILDREN'S AND THE UNIVERSITY OF NEBRASKA MEDICAL CENTER COLLEGE OF MEDICINE (UNMC) SUPPORTS ENHANCEMENTS IN PEDIATRIC EDUCATION, RESEARCH AND CLINICAL CARE. CHILDREN'S IS THE PRIMARY TEACHING SITE FOR THE FAMILY PRACTICE AND JOINT PEDIATRICS RESIDENCY PROGRAMS AT CREIGHTON UNIVERSITY AND UNMC. CHILDREN'S HOSPITAL AND MEDICAL CENTER IS COMMITTED TO ENSURING THAT NO CHILD WITH A MEDICAL NEED IS EVER TURNED AWAY DUE TO A FAMILY'S INABILITY TO PAY FOR SERVICES. IN 2016, OUR HOSPITAL: - PROVIDED $4.6 MILLION IN SERVICES IN THE FORM OF UNCOMPENSATED CARE [CHARITY CARE ($3.3 MILLION) AND BAD DEBT WRITE-OFFS ($1.3 MILLION)] TO FAMILIES UNABLE TO PAY. WITH 46% OF PATIENT CARE REVENUES DEVOTED TO THE CARE OF LOW-INCOME CHILDREN ASSISTED BY MEDICAID, THE MEDICAID REIMBURSEMENT SHORTFALL FOR FY 2016 WAS $40 MILLION LESS THAN THE COST OF THE CARE PROVIDED. - CONTRIBUTED $1.5 MILLION TOWARDS COMMUNITY HEALTH EDUCATION AIMED AT PROMOTING HEALTH AND PREVENTING ILLNESS AND INJURY MADE AVAILABLE THROUGH THE KOHL'S INJURY PREVENTION, OBESITY PREVENTION, PARENTING U EDUCATION CLASSES, OUTREACH EDUCATIONAL CLASSES, HEALTH FAIRS, JUST KIDS MAGAZINE AND THE CONSUMER WEBSITE. CHILDREN'S GIVES BACK TO THE COMMUNITY THROUGH ADVOCACY SERVICES WHICH ARE AVAILABLE TO ANYONE SUSPECTING CHILD ABUSE OR NEGLECT AND LODGING FOR FAMILIES OF OUT-OF-TOWN PATIENTS IS OFFERED AT THE CAROLYN SCOTT RAINBOW HOUSE AT LITTLE OR NO COST. - CONTRIBUTED $11.8 MILLION IN PEDIATRIC HEALTH CARE EDUCATION COSTS TO EDUCATE TOMORROW'S HEALERS. - PROVIDED $37.8 MILLION IN SUBSIDIZED CLINICAL HEALTH SERVICES AND PROGRAMS DESPITE A FINANCIAL LOSS TO THE ORGANIZATION IN ORDER TO MEET AN IDENTIFIED NEED IN THE COMMUNITY. SOME OF THE PROGRAMS AND SERVICES CHILDREN'S OFFERED TO PATIENTS WERE: BEHAVIORAL HEALTH, REHAB SERVICES, HOME HEALTH, URGENT CARE, HEROES (CHILDHOOD OBESITY), HAND IN HAND PALLIATIVE CARE, SPECIALTY CARE CLINICS, FAMILY RESOURCES, CHILD LIFE SPECIALISTS, PASTORAL CARE, SOCIAL WORKERS, INTERPRETERS, FINANCIAL COUNSELORS, PATIENT ADVOCATES AND OTHER PROGRAMS TO ENHANCE THE PATIENT EXPERIENCE. - PROVIDED $0.97 MILLION IN CASH AND IN-KIND DONATIONS/SPONSORSHIPS TO BENEFIT THE BROADER COMMUNITY. IN 2016, CHILDREN'S HOSPITAL & MEDICAL CENTER CONTRIBUTED IN TOTAL OVER $97 MILLION IN COMMUNITY BENEFITS REPRESENTING 29% OF THE HOSPITAL'S OPERATING EXPENSES.
Schedule H, Part VI, Line 6	6-AFFILIATED HEALTH CARE SYSTEM CHILDREN'S HOSPITAL & MEDICAL CENTER IS NOT AFFILIATED WITH A GREATER HEALTH CARE SYSTEM, BUT IS IT'S OWN HEALTH CARE SYSTEM WITHIN WHICH THE HOSPITAL OPERATES THE FOLLOWING RELATED ORGANIZATIONS: - CHILDREN'S HOSPITAL & MEDICAL CENTER FOUNDATION - CHILDREN'S PHYSICIANS
Schedule H, Part VI, Line 7	7-STATE FILING OF COMMUNITY BENEFIT REPORT THE CHILDREN'S HOSPITAL & MEDICAL CENTER COMMUNITY BENEFIT REPORT IS FILED IN THE STATE OF NEBRASKA THROUGH THE NEBRASKA HOSPITAL ASSOCIATION, AND IS AVAILABLE TO THE PUBLIC ON THE WEBSITE AT WWW.CHILDRENSSNAPSHOT.ORG.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
NE PEDIATRIC PRACTICE
8200 DODGE STREET	OMAHA	NE	68114	263064869	501(C)(3)	$3,359,777	PEDIATRIC RESEARCH
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
985520 NE MED CTR	OMAHA	NE	68198	470049123	501(C)(3)	$148,650	PEDIATRIC RESEARCH PEDIATRIC RESEARCH

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	CHARITY ASSISTANCE TO PATIENTS IN NEED	GrantTypeTxt
Recipient	6206	RecipientCnt
Non Cash Assistance	$6,983,898	NonCashAssistanceAmt
Valuation Method Used	BOOK	ValuationMethodUsedDesc
Non Cash Assistance	WRITEOFF PAT ACCT	NonCashAssistanceDesc

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 & MEDICAL CENTER HAS A WRITTEN FINANCIAL ASSISTANCE/CHARITY CARE POLICY. THE AMOUNT OF FINANCIAL ASSISTANCE AN INDIVIDUAL CAN RECEIVE IS BASED ON THE ANNUAL GROSS INCOME THRESHOLDS USING THE CURRENT FEDERAL POVERTY LEVEL GUIDELINES. GRANTS TO ORGANIZATIONS ARE ONLY DISTRIBUTED TO 501(C)(3) ORGANIZATIONS BASED ON THE HOSPITAL'S EVALUATION CRITERIA.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	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	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 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
Richard Azizkhan MD
President, CEO, Member	$742,901	$0	$300,000	$0	$18,671	$0	$151,913	$0	$12,803	$0	$1,226,288	$0	$0	$0
Gary A Perkins
CEO Emeritus	$2,089	$0	$378,749	$0	$387,001	$0	$76,333	$0	$1,382	$0	$845,554	$0	$0	$0
Michael Brown
EVP & Treasurer	$401,910	$0	$185,632	$0	$72,223	$0	$122,028	$0	$12,076	$0	$793,869	$0	$69,270	$0
Kathy English
EVP & COO	$371,055	$0	$174,183	$0	$290,577	$0	$101,006	$0	$7,051	$0	$943,872	$0	$286,855	$0
Carl Gumbiner MD
SVP - Med Affairs & CMO	$351,549	$0	$131,115	$0	$207,968	$0	$60,153	$0	$1,604	$0	$752,389	$0	$201,592	$0
Steven C Burnham
SVP - Physician Networks	$277,841	$0	$147,856	$0	$45,027	$0	$51,252	$0	$11,924	$0	$533,900	$0	$39,911	$0
Amy Hatcher
SVP & CFO	$284,617	$0	$96,338	$0	$2,049	$0	$52,250	$0	$7,121	$0	$442,375	$0	$0	$0
Debra Arnow
SVP & CNO	$250,948	$0	$86,005	$0	$36,847	$0	$33,900	$0	$5,853	$0	$413,553	$0	$0	$0
Jamie Drake MD
Physician	$359,989	$0	$30,875	$0	$324	$0	$14,589	$0	$212	$0	$405,989	$0	$0	$0
Chandrika Rizal MD
Physician	$314,204	$0	$26,000	$0	$3,849	$0	$39,038	$0	$157	$0	$383,248	$0	$0	$0
Mark Stastny
VP - CIO	$269,943	$0	$77,885	$0	$3,596	$0	$38,805	$0	$10,872	$0	$401,101	$0	$0	$0
Rachel McCann MD
Physician	$361,489	$0	$31,158	$0	$3,183	$0	$17,216	$0	$10,697	$0	$423,743	$0	$0	$0
Amy Bones
SVP - General Counsel	$205,115	$0	$69,404	$0	$2,682	$0	$59,171	$0	$6,595	$0	$342,967	$0	$0	$0
Patricia Schulz
SVP & CHRO	$235,493	$0	$20,000	$0	$4,328	$0	$63,086	$0	$11,818	$0	$334,725	$0	$0	$0
Kari Krenzer MD
PHYSICIAN	$309,314	$0	$30,875	$0	$3,314	$0	$21,020	$0	$15,729	$0	$380,252	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a	RICHARD AZIZKHAN'S SOCIAL CLUB DUES ARE PAID FOR BY THE ORGANIZATION TO BE USED FOR BUSINESS PURPOSES.
Schedule J, Part I, Line 4b	THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) PLAN DURING 2016. THE AMOUNTS OF DEFERRED COMPENSATION DISTRIBUTED AND ACCRUED FOR EACH OF THE INDIVIDUALS DURING 2016 ARE AS FOLLOWS: MICHAEL BROWN $64,828 ACCRUAL, $69,270 PLAN DISTRIBUTION KATHY ENGLISH $59,156 ACCRUAL, $286,855 PLAN DISTRIBUTION CARL GUMBINER, MD $44,253 ACCRUAL, $201,592 PLAN DISTRIBUTION STEPHEN C BURNHAM $35,352 ACCRUAL, $39,911 PLAN DISTRIBUTION RICHARD AZIZKHAN, MD $118,013 ACCRUAL AMY HATCHER $36,350 ACCRUAL DEBRA ARNOW $32,216 ACCRUAL PAT SCHULZ $30,211 ACCRUAL AMY BONES $26,124 ACCRUAL
Schedule J, Part II	THE FIGURE FOR GARY A PERKINS ITEMIZED AT PART II B (III) OTHER REPORTABLE COMPENSATION INCLUDES A PAYMENT OF TWO HUNDRED TWENTY ONE THOUSAND AND NINETY FOUR DOLLARS REPRESENTING A CONTRIBUTION TO A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) FOR MR. PERKINS IN HIS CAPACITY AS A CHIEF EXECUTIVE OFFICER. THE SERP BENEFIT TARGET IS BASED ON MR. PERKINS 40 YEARS OF SERVICE AND WILL PROVIDE A MARKET COMPETITIVE BENEFIT IN THE OPINION OF THE HOSPITAL'S INDEPENDENT COMPENSATION CONSULTANT.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HOSPITAL AUTHORITY #2 OF DOUGLAS CO NE
A	521440796	259230KT6	2008-08-12	$100,881,609	REF CHILD HOSP 2007 SERIES A & B	Yes (true)	false	false
HOSPITAL AUTHORITY #2 OF DOUGLAS CO NE
B	521440796		2014-09-10	$19,900,000	ADV REF OF CHILD HOSP 2008 SERIES	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 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	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$12,915,000	$17,125,000	$100,883,157	$5,001,548	$0	$0	$751,783	$24,826	$0	$2,755,000	$92,350,000	$0	2008	Yes (true)	false	Yes (true)	Yes (true)
B	$640,000	$0	$20,331,457	$0	$0	$18,067,950	$207,632	$0	$0	$0	$2,055,875	$0	2008	false	Yes (true)	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00200	0.00200	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00200	0.00200	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 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	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
MORGAN STANLEY
A	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	25.	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	false	false				false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART II, LINE 3	THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN E DUE TO INVESTMENT EARNINGS.
SCHEDULE K, PART IV, LINE 2C	DATE THE REBATE COMPUTATION WAS PERFORMED: 7/31/2013

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Richard Azizkhan MD
WIFE IS EMPLOYEE	$25,525	EMPLOYMENT	false
Richard Azizkhan MD
SON IS EMPLOYEE	$33,463	EMPLOYMENT	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 4	CHILDRENS HOSPITAL & MEDICAL CENTERS FOUNDING MISSION SO THAT ALL CHILDREN MAY HAVE A BETTER CHANCE TO LIVE ROOTED THE ORGANIZATION AND REFLECTED ITS HEART FOR ALMOST 70 YEARS. NOW, AS CHILDRENS EMBARKS ON A NEW ERA OF GROWTH AND TRANSFORMATION, THE HOSPITAL FINDS ITSELF AT A REFLECTION POINT. THE TIMING IS RIGHT TO MODERNIZE THE MISSION AS CHILDRENS EMBRACES WHO THEY ARE TODAY AND WHAT THEY ASPIRE TO BE. CHILDRENS HAS EXPANDED IN RECOGNITION, SIZE, OUTREACH, SERVICE, EXPERTISE, COLLABORATION AND REPUTATION. IT IS A HEALTHY ORGANIZATION THAT HAS A POWERFUL MANDATE TO PROVIDE ROUTINE-TO-COMPLEX CARE FOR ALL CHILDREN, AND THE HOSPITALS FOCUS NOW EXTENDS WELL BEYOND THEIR SURVIVAL TO THEIR QUALITY OF LIFE. CHILDRENS NEW MISSION BETTER REFLECTS THAT: TO IMPROVE THE LIFE OF EVERY CHILD THROUGH DEDICATION TO EXCEPTIONAL CLINCAL CARE, RESEARCH, EDUCATION AND ADVOCACY. GIVEN ALL THAT CHILDRENS IS TODAY, IT IS A MORE APPROPRIATE PROMISE TO PATIENTS AND THEIR FAMILIES. CHILDRENS NEW VISION IS EQUALLY INSPIRING: TO BE A GLOBAL LEADER IN CHILDRENS HEALTH. CHILDRENS COMMITS TO THIS BOLD, BRIGHT FUTURE WITH RESOLVE, OPTIMISM AND A STRONG SENSE OF RESPONSIBILITY BECAUSE THE CHILDREN AND FAMILIES SERVED BY THE HOSPITAL DESERVE NOTHING LESS. Form 990, Part VI, Line 11b A complete copy of the Form 990 is made available to the Executive Committee of the Board excluding the Medical Staff President. The Form 990, excluding Schedule J Compensation Information, is made available to the remainder of the Board of Directors, including the Medical Staff President. Both are made available through the Directors Desk website prior to filing with the IRS.
Form 990, Part VI, Line 12c	POLICIES THE CONFLICT OF INTEREST POLICY APPLIES TO ANY PERSON IN A POSITION TO EXERCISE INFLUENCE IN CONNECTION WITH ANY CONTRACT, TRANSACTION OR ARRANGEMENT PRESENTED TO THE BOARD OR A BOARD COMMITTEE FOR APPROVAL (INTERESTED PERSON). INTERESTED PERSON INCLUDES BUT NOT LIMITED TO ANY DIRECTOR, OFFICER, MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWER, OR KEY EMPLOYEE. AN INTERESTED PERSON MUST ANNUALLY SUBMIT A COMPLETED CONFLICTS OF INTEREST QUESTIONNAIRE IN THE FORMAT BY THE GOVERNANCE COMMITTEE FROM TIME TO TIME. EACH INTERESTED PERSON SHALL ANNUALLY ACKNOWLEDGE IN WRITING THAT HE OR SHE (A) HAS RECEIVED A COPY OF THIS POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) AGREES TO COMPLY WITH THE POLICY; (D) UNDERSTANDS THAT THE POLICY APPLIES TO THE BOARD AND COMMITTEES; (E) UNDERSTANDS THAT CHILDREN'S IS A NOT-FOR-PROFIT ORGANIZATION THAT MUST ENGAGE PRIMARILY IN EXEMPT ACTIVITIES; (F) AGREES TO PROMPTLY REPORT TO THE CHAIR OF THE GOVERNANCE COMMITTEE AND CHILDREN'S GENERAL COUNSEL ANY CHANGE TO MATTERS PREVIOUSLY DISCLOSED ON THE CONFLICTS OF INTEREST QUESTIONNAIRE; AND (G) STATES THAT THE INFORMATION PROVIDED IN THE CONFLICTS OF INTEREST QUESTIONNAIRE IS TRUE AND ACCURATE TO THE BEST OF HIS OR HER KNOWLEDGE AND BELIEF. AN INTERESTED PERSON HAS A CONTINUING OBLIGATION TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST. SUCH DISCLOSURE SHALL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES OR WHENEVER IT INVOLVES A MATTER OF BOARD ACTION. DISCLOSURE MEANS PROMPTLY PROVIDING THE MATERIAL FACTS OF AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST TO THE CHAIR OF THE GOVERNANCE COMMITTEE AND CHILDREN'S GENERAL COUNSEL (IN WRITING IF TIME ALLOWS) OR TO THE BOARD OR BOARD COMMITTEE REVIEWING THE CONTRACT, TRANSACTION OR ARRANGEMENT. CERTAIN CIRCUMSTANCES, IN ADDITION TO FINANCIAL INTERESTS, COULD GIVE RISE TO A POTENTIAL CONFLICT OF INTEREST, INCLUDING INSTANCES WHERE THE ACTIONS OR ACTIVITIES OF AN INDIVIDUAL ON BEHALF OF CHILDREN'S, ALSO INVOLVES OBTAINING A PERSONAL GAIN OR ADVANTAGE, OR COULD HAVE AN ADVERSE EFFECT ON CHILDREN'S INTERESTS. ALSO, DISCLOSING OR USING INFORMATION RELATING TO CHILDREN'S BUSINESS FOR THE PERSONAL PROFIT OR ADVANTAGE OF AN INDIVIDUAL OR HIS OR HER FAMILY WOULD GIVE RISE TO A CLAIM OF CONFLICT. FULL DISCLOSURE OF ANY SUCH SITUATION OR ANY OTHER CIRCUMSTANCES IN DOUBT SHOULD BE MADE. A POTENTIAL CONFLICT OF INTEREST DOES NOT NECESSARILY RISE TO THE LEVEL OF AN ACTUAL CONFLICT OF INTEREST, BUT ONCE RECOGNIZED, IT MUST IN EVERY CASE BE DISCLOSED AND EVALUATED. IN SOME INSTANCES, IT MAY BE SO SERIOUS THAT IT PREVENTS THE INDIVIDUAL FROM FURTHER PARTICIPATION IN CHILDREN'S DELIBERATIONS WITH RESPECT TO A PARTICULAR TRANSACTION, OR COULD BE SO PERVASIVE THAT THE INDIVIDUAL MAY BE DISQUALIFIED FROM CONTINUED AFFILIATION WITH CHILDREN'S. ON THE OTHER HAND, IT MAY BE OF LITTLE OR NO SIGNIFICANCE ONCE IT HAS BEEN DISCLOSED. THE GOVERNANCE COMMITTEE WILL CONSIDER THE FOLLOWING FACTORS, AMONG OTHER RELEVANT FACTS, WHEN DETERMINING WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS: (I) THE PROXIMITY OF THE INTERESTED PERSON TO THE DECISION-MAKING AUTHORITY OF THE OTHER ENTITY INVOLVED IN THE TRANSACTION OF BUSINESS ARRANGEMENT; (II) THE MAGNITUDE OF THE FINANCIAL INTEREST; (III) THE DEGREE TO WHICH THE INTERESTED PERSON MIGHT BENEFIT PERSONALLY IF A PARTICULAR TRANSACTION OR BUSINESS ARRANGEMENT WERE APPROVED; AND (IV) THE ABILITY OF THE INTERESTED PERSON TO MAKE AN INDEPENDENT DECISION BASED ONLY ON THE BEST INTEREST OF CHILDREN'S. THE GOVERNANCE COMMITTEE SHALL REVIEW EACH COMPLETED CONFLICT OF INTEREST QUESTIONNAIRE, AND MAY MAKE SUCH FURTHER INVESTIGATION OF POTENTIAL CONFLICTS AS IT MAY DETERMINE APPROPRIATE. THE GOVERNANCE COMMITTEE SHALL MAKE APPROPRIATE REPORTS TO THE BOARD CONCERNING ITS REVIEW, ANY FURTHER INVESTIGATION, AND ITS RECOMMENDATIONS TO THE BOARD REGARDING ANY POTENTIAL CONFLICT OF INTEREST. WHENEVER AN INTERESTED PERSON (OR A PERSON OTHER THAN THE INTERESTED PERSON) VOLUNTARILY IDENTIFIES OR DISCLOSES A POTENTIAL CONFLICT OF INTEREST, THE REMAINING BOARD/COMMITTEE MEMBERS REVIEW AND DETERMINE WHETHER A CONFLICT EXISTS. ONLY DISINTERESTED BOARD/COMMITTEE MEMBERS MAY VOTE TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS AND THE SUBJECT INTERESTED PERSON CANNOT BE PRESENT DURING THE VOTE. TRANSACTIONS OR BUSINESS ARRANGEMENTS WITH INTERESTED PERSON WITH CONFLICTS OF INTEREST MUST BE APPROVED IN ADVANCE BY A MAJORITY OF DISINTERESTED DIRECTORS. IN ORDER TO APPROVE AN ARRANGEMENT OF TRANSACTION INVOLVING AN ACTUAL CONFLICT OF INTEREST, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DISINTERESTED DIRECTORS, AT A MEETING AT WHICH A QUORUM IS PRESENT, THAT THE ARRANGEMENT OR TRANSACTION IS IN CHILDREN'S BEST INTEREST, IS FAIR AND REASONABLE TO CHILDREN'S AND THAT, AFTER REASONABLE INVESTIGATION, THE DISINTERESTED DIRECTORS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. IN CASES IN WHICH AN INTERESTED PERSON HAS A FINANCIAL INTEREST IN A PROPOSED ARRANGEMENT OR TRANSACTION, THE FOLLOWING ADDITIONAL STEPS MAY BE TAKEN, AT THE DISCRETION OF THE BOARD: (A) THE INTERESTED PERSON MAY BE REQUIRED TO LEAVE THE MEETING FOR THE GENERAL DISCUSSION OF THE MATTER AND THE BOARD VOTE; AND/OR (B) A DISINTERESTED PERSON OR COMMITTEE MAY BE APPOINTED TO INVESTIGATE ALTERNATIVES TO THE PROPOSED ARRANGEMENT OR TRANSACTION. THE GOVERNANCE COMMITTEE CAN RECOMMEND TO THE BOARD THAT A DIRECTOR OR A MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS BE ASKED TO RESIGN IN THE EVENT A CONFLICT OF INTEREST IS SO SUBSTANTIAL THAT IT WOULD BE INCOMPATIBLE WITH CHILDREN'S BEST INTERESTS TO HAVE SUCH AN INDIVIDUAL ON IT'S BOARD/COMMITTEE. IF THE BOARD/COMMITTEE BELIEVES AN INTERESTED PERSON HAS FAILED TO COMPLY WITH THIS POLICY, THE BOARD SHALL INFORM THAT PERSON OF THE BASIS FOR ITS BELIEF AND GIVE THAT PERSON AN OPPORTUNITY TO ADDRESS THE ALLEGED FAILURE. AFTER HEARING THE RESPONSE AND CONDUCTING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED UNDER THE CIRCUMSTANCES, THE BOARD SHALL DETERMINE WHETHER SUCH PERSON HAS, IN FACT, VIOLATED THE DISCLOSURE REQUIREMENTS OF THIS POLICY. IF THE BOARD DETERMINES THAT THERE HAS BEEN A VIOLATION, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION WHICH MAY INCLUDE REMOVAL FROM THE BOARD.
Form 990, Part VI, Line 15b	POLICIES EACH YEAR AN INDEPENDENT COMPANY (SULLIVAN COTTER) CONDUCTS A MARKET ANALYSIS OF THE EXECUTIVE COMPENSATION. THIS INFORMATION IS PRESENTED TO THE COMPENSATION COMMITTEE. EXECUTIVE BASE SALARIES ARE TARGETED FOR THE 50TH PERCENTILE OF THE MARKET. SULLIVAN COTTER ISSUES AN ANNUAL REASONABLENESS OPINION LETTER REGARDING THE APPROPRIATENESS OF THE EXECUTIVE PAY LEVELS. THE COMPENSATION COMMITTEE IS A SUB-COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE REVIEWS BASE PAY RANGES FOR ALL EXECUTIVES, INCLUDING THE CHIEF EXECUTIVE OFFICER, EXECUTIVE VP & TREASURER, CHIEF OPERATING OFFICER, CHIEF MEDICAL OFFICER, CHIEF FINANCIAL OFFICER AND VICE PRESIDENTS. THE BOARD OF DIRECTORS RECEIVES A REPORT FROM THE COMMITTEE. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR REVIEWING THE CEOS PERFORMANCE WHICH AFFECTS HIS PAY RATE INDIRECTLY.
Form 990, Part VI, Line 19	GOVERNANCE, MANAGEMENT, AND DISCLOSURE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC. THE CHILDREN'S HOSPITAL & MEDICAL CENTER AND AFFILIATES AUDITED FINANCIAL STATEMENTS CAN BE OBTAINED IN ADMINISTRATION.
Form 990, Part XI, Line 9	($83,000) - CHANGE IN VALUE OF SPLIT INTEREST $82,990 - MINORITY INTEREST IN CHILDREN'S PHYSICIANS $883,267 - CHANGE IN VALUE OF SWAP ($6,107,187) - CAPITAL TRANSFERS FOUNDATION $7,234 - CAPITAL TRANSFERS CHILDREN'S HEALTH NETWORK ($5,216,696) - TOTAL OTHER CHANGES IN NET ASSETS OR FUND BALANCES

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 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 FOUNDATION
8200 DODGE STREET	OMAHA	NE	68114	476105603	FUNDRAISING	NE	501(C)(3)	LINE 7	CHMC	Yes (true)
CHILDREN'S PHYSICIANS
8200 DODGE STREET	OMAHA	NE	68114	470689372	PED CLINICS	NE	501(C)(3)	LINE 10	CHMC	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 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
KENT INC
8200 DODGE STREET	OMAHA	NE	68114	470527928	REAL ESTATE	NE	CHMC	C Corp	$0	$219,495	1.00000	Yes (true)
CHILDREN'S HEALTH NETWORK
8200 DODGE STREET	OMAHA	NE	68114	363967578	HEALTH NETWORK	NE	CHMC	C Corp	$0	$0	1.00000	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	Yes (true)	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	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	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CHILDREN'S HOSPITAL FOUNDATION
c	$4,040,025	BOOK
CHILDREN'S HOSPITAL FOUNDATION
LMNOQ	-$15,517,813	BOOK
CHILDREN'S PHYSICIANS
j	$85,810	BOOK
CHILDREN'S HOSPITAL FOUNDATION
r	$21,625,000	BOOK
CHILDREN'S PHYSICIANS
G	$2,354,095	BOOK