2018-11-05T12:22:07-06:00 2017-12-31 ERNST & YOUNG US LLP 2 N CENTRAL AVE SUITE 2300 PHOENIX AZ 85004 990 2017-01-01 840166760 Children's Hospital Colorado % CATHY DAL SANTO CHIL 7207771234 13123 East 16TH AVENUE AURORA CO 80045 JEFFREY HARRINGTON SVP AND CFO 7207771234 2018-10-31 true STEVEN T RUTTI P00775456 6023223000 164.57.159.253 86597020183095000000 2018-11-05 P 006062713DED974B1B9BB64010970EF804E8C5A7 1DEFEEA347AFF02CE3AF0741EDDCF1F60A18EC1E 2017 2018-06-14 16:35:46Z JENA HAUSMANN 13123 EAST 16TH AVENUE AURORA CO 80045 1082014696 false X WWW.CHILDRENSCOLORADO.ORG X 1908 CO TO IMPROVE THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH-QUALITY COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY. 27 26 7788 2500 4755860 917617 37828703 45374318 967351711 1027947219 3061242 7540339 795526 979525 1009037182 1081841401 651299 847231 0 0 510900057 533464125 0 0 0 450397050 477235081 961948406 1011546437 47088776 70294964 1574536039 1618767354 944499150 901516967 630036889 717250387 X TO IMPROVE THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH-QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY. false false 794425228 847231 1207947219 ROUTINE INPATIENT SERVICES; ANCILLARY INPATIENT SERVICES SUCH AS LAB, RADIOLOGY, OPERATING ROOM, RECOVERY ROOM, CENTRAL SUPPLIES, ETC.; OUTPATIENT SERVICES SUCH AS EMERGENCY ROOM, MULTI-SPECIALTY AMBULATORY SERVICES INCLUDING ORTHO CLINIC, ONCOLOGY CLINIC, ETC. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 794425228 true true false true false false false false false true true false false true true true false true false false true true false false false false true true true false true true false false false false false false false false false false false false false false false true true true false false true 528 0 true 7788 true true true false false false false false false false false false X 27 26 false false false false true true true true true false true true true true true true true true true true true true X CATHY DAL SANTO 7207776126 13123 EAST 16TH AVENUE AURORA CO 80045 WILLIAM N LINDSAY III Chair 1.0 4.0 X X 0 0 0 BARTH WHITHAM Chair-Elect 1.0 4.0 X X 0 0 0 KEVIN REIDY MD IMMEDIATE PAST CHAIR 1.0 4.0 X X 0 0 0 ANNITA M MENOGAN SECRETARY 1.0 4.0 X X 0 0 0 DAVID HONEYFIELD Treasurer 1.0 4.0 X X 0 0 0 LAURA BARTON Board Member 1.0 0.0 X 0 0 0 RUSSELL DISPENSE Board Member 1.0 0.0 X 0 0 0 DON ELLIMAN Board Member 1.0 4.0 X 0 0 0 MICHAEL GOULD Board Member 1.0 0.0 X 0 0 0 ARLENE HELLER Board Member 1.0 0.0 X 0 0 0 RANDY HERTEL Board Member 1.0 0.0 X 0 0 0 DAVID HOOVER Board Member 1.0 0.0 X 0 0 0 J WAYNE HUTCHENS Board Member 1.0 0.0 X 0 0 0 JOHN IKARD Board Member 1.0 0.0 X 0 0 0 JUDITH KOFF Board Member 1.0 0.0 X 0 0 0 KAREN LEAMER MD Board Member 1.0 0.0 X 0 0 0 MARTHA MIDDLEMIST MD Board Member 1.0 0.0 X 0 0 0 SHEN NAGEL MD Board Member 1.0 0.0 X 0 0 0 R Scott Nycum Board Member 1.0 0.0 X 0 0 0 VICTORIA QUINTANA Board Member 1.0 0.0 X 0 0 0 JOHN J REILLY Board Member 1.0 0.0 X 0 0 0 KRISTIN RICHARDSON Board Member 1.0 0.0 X 0 0 0 Jane Schumaker Board Member 1.0 0.0 X 0 0 0 David Shapiro Board Member 1.0 0.0 X 0 0 0 BRUCE WAGNER Board Member 1.0 0.0 X 0 0 0 LAURA WRIGHT Board Member 1.0 4.0 X 0 0 0 JENA HAUSMANN President and CEO 40.0 4.0 X X 1322456 0 253546 JEFFREY HARRINGTON SVP and CFO 40.0 4.0 X 750556 0 162377 MICHELLE M LUCERO Chief Legal Officer 40.0 0.0 X 509892 0 114649 DAVID BIGGERSTAFF SVP and COO 40.0 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TAMMEN TRUST, A PERPETUAL TRUST UNDER WHICH THE HOSPITAL HAS THE IRREVOCABLE RIGHT TO RECEIVE THE INCOME EARNED ON THE TRUST ASSETS IN PERPETUITY. FUNDS ARE USED TO SUPPORT HOSPITAL ACTIVITIES. SCHEDULE D, PART X, LINE 2 MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. true Europe (Including Iceland and Greenland) Grantmaking 25000 25000 25000 Europe (Including Iceland and Greenland) GENERAL PROGRAM 25000 WIRE 1 false false false false false false SCHEDULE F, PART I, LINE 2 THE CHILDREN'S HOSPITAL COLORADO STAFF TAKES REASONABLE STEPS TO INVESTIGATE A POTENTIAL DONEE'S CAPABILITY OF AND COMMITMENT TO EXECUTING THE PURPOSE OF THE DONATION AND RELIES ON THE GOVERNANCE PRACTICES OF THE RECIPIENT EXEMPT ORGANIZATIONS TO MONITOR THE USE OF FUNDS AS INTENDED. SCHEDULE F, PART I, LINE 3, COLUMN (F) AND PART II, LINE 1, COLUMN (E) CHILDREN'S HOSPITAL COLORADO USES THE ACCRUAL METHOD OF ACCOUNTING FOR DONATIONS. true true X true X true X true true true false true true 4536279 2159295 2376984 0.00230 420529247 290663642 129865605 0.12840 35691811 35183495 508316 0.00050 460757337 328006432 132750905 0.13120 13698849 3513043 10185806 0.01010 22821568 6964824 15856744 0.01570 51800518 37958261 13842257 0.01370 28372441 28372441 0.02800 160960 160960 0.00020 116854336 48436128 68418208 0.06770 577611673 376442560 201169113 0.19890 0 0 0 0.00000 0 0 0 0.00000 30649 0 30649 0.00000 42141 10882 31259 42638 0 42638 0.00000 0 0 0 0.00000 0 0 0 0.00000 1003035 40000 963035 0.00100 0 0 0 0.00000 1118463 50882 1067581 0.00100 true 10218000 2102000 1374745 441271 933474 X true true 3 1 CHILDREN'S HOSPITAL COLORADO 13123 EAST 16TH AVENUE AURORA CO 80045 WWW.CHILDRENSCOLORADO.ORG 010417 X X X X X A 2 CHILDREN'S HOSPITAL COLORADO - SOUTH 1811 PLAZA DRIVE HIGHLANDS RANCH CO 80129 WWW.CHILDRENSCOLORADO.ORG 01F105 X X X X X A 3 CHILDREN'S HOSPITAL CO - MEMORIAL 1400 EAST BOULDER STREET COLORADO SPRINGS CO 80909 WWW.CHILDRENSCOLORADO.ORG 13U321 X X A A 13 false false true X X X X X X X X X 15 true true false true X WWW.CHILDRENSCOLORADO.ORG X X true 15 true WWW.CHILDRENSCOLORADO.ORG false true X 200. 400. X X X X true true X X X X true X www.childrenscolorado.org X www.childrenscolorado.org X www.childrenscolorado.org X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP A. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED IN FACILITY REPORTING GROUP A: (1) CHILDREN'S HOSPITAL COLORADO (2) CHILDREN'S HOSPITAL COLORADO - SOUTH (3) CHILDREN'S HOSPITAL COLORADO - MEMORIAL SCHEDULE H, PART V, SECTION B, LINE 3E The six identified CHNA needs are not prioritized and all received equal weight in the implementation plan and on-going programing. SCHEDULE H, PART V, SECTION B, LINE 5 THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 5 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: PRIOR TO PREPARATION OF THE 2015 CHNA, THERE WAS A COMPREHENSIVE REVIEW OF THE 2012 REPORT. TO PREPARE THE 2015 CHNA, CHILDRENS HOSPITAL COLORADO ENGAGED IN A COMPREHENSIVE PROCESS OF GATHERING DATA AND INPUT FROM NONPROFIT ORGANIZATIONS, GOVERNMENT AGENCIES, PUBLIC HEALTH DEPARTMENTS, THE BUSINESS COMMUNITY AND INDIVIDUAL PARENTS AND COMMUNITY MEMBERS. DATA COLLECTION INCLUDED 40 KEY INFORMANT INTERVIEWS, 9 FOCUS GROUPS (92 PARENT PARTICIPANTS), AN ONLINE SURVEY THAT WAS COMPLETED BY 346 PARENTS AND 13 COMPREHENSIVE DATA REPORTS. SPECIAL EFFORT WAS MADE TO SOLICIT INPUT FOR THE CHNA REPORT FROM UNDERSERVED POPULATIONS. OUTREACH TO THESE POPULATIONS INCLUDED CONTACTING NONPROFIT ORGANIZATIONS THAT REPRESENT THE INTERESTS OF UNDERSERVED GROUPS AND INCLUDING THEM IN STAKEHOLDER INTERVIEWS. KEY ORGANIZATIONS CONTACTED INCLUDED: COLORADO COALITION FOR THE MEDICALLY UNDERSERVED, COLORADO BLACK HEALTH COLLABORATIVE, COMMIT CRISIS CENTER, THE FIELDS FOUNDATION, PROMOTORAS DE SALUD, ROCKY MOUNTAIN YOUTH CLINIC AND STREET SMART. PLEASE REFER TO THE CHNA FOR A COMPLETE LIST OF STAKEHOLDERS. FOCUS GROUPS WERE HELD IN PARTNERSHIP WITH LOCAL NONPROFIT ORGANIZATIONS. EMPHASIS WAS PLACED ON WORKING WITH GROUPS THAT SERVE LOW-INCOME AND AT-RISK PARENTS. FOCUS GROUPS FOR THIS TARGETED POPULATION INCLUDED TWO SESSIONS AT THE HOFFMAN YOUTH CENTER IN WARD 1 OF AURORA. ONE SESSION WAS CONDUCTED IN ENGLISH AND ONE SESSION WAS CONDUCTED IN SPANISH. ONE SESSION WAS AT THE EPWORTH UNITED METHODIST CHURCH IN CENTRAL DENVER IN A PREDOMINANTLY AFRICAN AMERICAN NEIGHBORHOOD. THE OTHER WAS AT THE FIELDS OPPORTUNITY CENTER WITH PREGNANT AND PARENTING TEENS. TWO SESSIONS WERE AT THE COMMIT CRISIS CENTER WITH HOMELESS FAMILIES THAT WERE TEMPORARILY RESIDING AT THE CENTER. ONE OF THE TWO SESSIONS SPECIFICALLY TARGETED HOMELESS VETERANS. A TOTAL OF NINE FOCUS GROUPS WERE CONDUCTED IN A VARIETY OF LOCATIONS. COLLECTIVELY, THERE WERE 92 PARENT PARTICIPANTS OF WHICH 80% OF PARTICIPANTS UTILIZE MEDICAID BENEFITS. RECOGNIZING THAT THE NUMBER OF INDIVIDUALS WHO COULD BE REACHED THROUGH INTERVIEWS AND FOCUS GROUPS WAS INHERENTLY LIMITED, THE HOSPITAL ALSO SOUGHT TO REACH A SIGNIFICANTLY GREATER NUMBER OF COMMUNITY MEMBERS THROUGH AN ONLINE SURVEY. TO COMPENSATE FOR LACK OF INTERNET ACCESS AMONG SOME POPULATIONS, A PAPER VERSION OF THE SURVEY WAS DISTRIBUTED IN COMMUNITY HEALTH CLINICS, AT A MOBILE HOME COMMUNITY AND AT A CHILD CARE CENTER FOR LOW-INCOME FAMILIES. THE SURVEY WAS AVAILABLE IN BOTH ENGLISH AND SPANISH AND HAD A TOTAL OF 346 RESPONDENTS. SINCE MORE DEMOGRAPHIC INFORMATION WAS COLLECTED FOR THE PARENT SURVEY, WE WERE ABLE TO ANALYZE THE RESULTS IN A MORE IN-DEPTH MANNER. FIRST, AN ANALYSIS OF THE TOP-RATED ISSUES/CONCERNS WAS PERFORMED WITH DIFFERENCES NOTED BETWEEN THE ENGLISH LANGUAGE AND SPANISH LANGUAGE SURVEY RESPONSES. NEXT, WE SORTED RESULTS BY COUNTY AS WELL AS BY INCOME LEVELS TO DETERMINE SIGNIFICANT VARIATIONS IN THE ISSUES IDENTIFIED AS TOP CONCERNS. THIS APPROACH PERMITTED THE TEAM TO GAIN INSIGHT INTO A LARGE CROSS SECTION OF THE POPULATION. OVERALL, 42 PERCENT OF RESPONDENTS WERE ETHNIC MINORITIES AND CLOSE TO ONE-THIRD OF RESPONDENTS HAD HOUSEHOLD INCOMES OF LESS THAN $50,000 PER YEAR. SCHEDULE H, PART V, SECTION B, LINE 6A THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 6A APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: DUE TO THE PROXIMITY OF GEOGRAPHIC LOCATIONS, CHILDRENS HOSPITAL COLORADO CONDUCTED A JOINT CHNA FOR ITS LICENSED HOSPITAL FACILITIES, WHICH INCLUDED MAIN CAMPUS, SOUTH CAMPUS AND PARKER ADVENTIST (HOSPITAL UNIT LICENSE). THE IRS ALLOWS HOSPITAL FACILITIES TO PRODUCE A JOINT CHNA REPORT IF THE FACILITIES USE THE SAME DEFINITIONS OF COMMUNITY AND CONDUCT A JOINT CHNA PROCESS. WE HAVE FOLLOWED THOSE REQUIREMENTS FOR THIS REPORT. FOR THE PURPOSES OF CHNA REPORT, "COMMUNITY" IS DEFINED AS THE EIGHT-COUNTY REGION SURROUNDING THE MAIN CAMPUS, SOUTH CAMPUS AND PARKER ADVENTIST LOCATIONS OF CHILDRENS COLORADO. EIGHTY-FOUR PERCENT OF PATIENTS AT THE MAIN CAMPUS, 93% OF PATIENTS AT THE SOUTH CAMPUS AND 92% OF PATIENTS AT THE PARKER ADVENTIST LOCATION RESIDE IN THESE COUNTIES (2014 DATA). PARTICULAR ATTENTION IS ALSO PAID TO THE NEIGHBORHOODS IMMEDIATELY SURROUNDING THESE FACILITIES. WHILE THE NEEDS OF CHILDREN STATEWIDE ARE CONSIDERED, THE FOCUS OF THE CHNA IS ON THE COUNTIES AND NEIGHBORHOODS WHERE THE HOSPITAL HAS THE GREATEST INFLUENCE. SCHEDULE H, PART V, SECTION B, LINE 7D THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 7D APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: IN ADDITION TO POSTING THE CHNA ON THE HOSPITALS EXTERNAL-FACING WEBSITE AND MAKING THE REPORT AVAILABLE UPON REQUEST, OVER 350 PHYSICAL COPIES HAVE BEEN DISTRIBUTED TO THE COMMUNITY SINCE DECEMBER 2015. CHILDRENS COLORADOS CHILD HEALTH ADVOCACY INSTITUTE (CHAI) STAFF PRESENTED THE CHNA FINDINGS TO SEVERAL STAKEHOLDER GROUPS. CHAI STAFF ALSO ROUTINELY SHARE CHNA FINDINGS IN MEETINGS WITH COMMUNITY PARTNERS, WITH THE GOAL OF IDENTIFYING OPPORTUNITIES TO ENGAGE IN COLLABORATIVE EFFORTS TO ADDRESS THE AREAS OF NEED. WITH THE GOAL OF MAKING THE CHNA MORE ACCESSIBLE AND DIGESTIBLE TO THE LARGER COMMUNITY, CHAI DEVELOPED AN EXECUTIVE SUMMARY, WHICH SERVES AS A CONDENSED VERSION OF THE FULL CHNA. THIS SUMMARY IS AVAILABLE ON THE WEBSITE AND HAS ALSO BEEN WIDELY DISTRIBUTED TO COMMUNITY MEMBERS, PARTNERS, INTERNAL AND EXTERNAL STAKEHOLDERS. SCHEDULE H, PART V, SECTION B, LINE 11 THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: AN INTERNAL LEADERSHIP COMMITTEE ESTABLISHED CRITERIA THAT WOULD BE USED TO ANALYZE THE DATA COLLECTED AND SELECT THE ISSUES THAT THE HOSPITAL WILL FOCUS ON FOR THE COMING YEARS. THOSE CRITERIA INCLUDE: SCALE THESE ISSUES TOUCH A LARGE NUMBER OF CHILDREN; IMPACT THESE ISSUES HAVE A SIGNIFICANT EFFECT ON CHILDREN; COMMUNITY INTEREST COMMUNITY MEMBERS EXPRESSED CONCERN ABOUT THESE ISSUES THROUGH THE VARIOUS CHANNELS WE USED TO GATHER INPUT; AND SUSTAINABILITY CHILDRENS HOSPITAL COLORADO HAS THE RESOURCES NEEDED TO ADDRESS THESE ISSUES. ONCE THE CRITERIA WERE ESTABLISHED, THE FINAL STEP IN THE PROCESS WAS TO PRESENT THE RESEARCH FINDINGS TO KEY STAKEHOLDERS AND ASK THEM FOR INPUT ON THE ISSUES THAT THE HOSPITAL WILL PRIORITIZE. TWO DIFFERENT PRIORITIZATION MEETINGS WERE HELD, ONE WITH REPRESENTATIVES FROM NONPROFIT, GOVERNMENT AND PUBLIC HEALTH AGENCIES, AND ONE WITH INTERNAL HOSPITAL LEADERSHIP. THERE WAS CLEAR CONSENSUS AMONG BOTH GROUPS THAT MENTAL HEALTH, OBESITY/NUTRITION/PHYSICAL ACTIVITY AND ORAL HEALTH WERE HIGH PRIORITIES. ALSO, FURTHER DISCUSSION WITH HOSPITAL LEADERSHIP LED TO THE CONCLUSION THAT SOME AREAS PRIORITIZED BY THE INTERNAL TEAM AND COMMUNITY (MEDICAL HOME, PARENT EDUCATION) ARE STRATEGIES FOR ADDRESSING KEY ISSUES. WHILE THESE STRATEGIES WILL BE CONSIDERED AS PART OF THE IMPLEMENTATION PLAN, FOR THE PURPOSES OF THE NEEDS ASSESSMENT, THEY WERE NOT INCLUDED IN THE LIST OF TOP PRIORITIES. WE ACKNOWLEDGE THAT THE COMMUNITY RAISED NUMEROUS OTHER CONCERNS AND THAT THE DATA SUPPORTS THE NEED TO ADDRESS A WIDE RANGE OF ISSUES. HOWEVER, WE BELIEVE THAT CONCENTRATING OUR EFFORTS IN THESE THREE KEY AREAS WILL HAVE THE MOST MEANINGFUL AND LASTING IMPACT. IT SHOULD BE NOTED THAT MENTAL HEALTH AND OBESITY WERE ALSO IDENTIFIED AS PRIORITIES IN THE 2012 CHNA, AND THE HOSPITAL HAS LAUNCHED PROGRAMS THAT ADDRESS THESE NEEDS AND WILL CONTINUE TO EXPAND OUR WORK IN THESE RESPECTIVE PRIORITY AREAS. IT IS ALSO IMPORTANT TO POINT OUT THAT IN ADDITION TO THE ABOVE IDENTIFIED PRIORITY NEEDS, THE HOSPITAL WILL SUSTAIN OUR CURRENT WORK ON THREE ISSUES THAT ARE CRITICAL TO THE LONG-TERM HEALTH AND WELLNESS OF CHILDREN IN OUR COMMUNITY: INJURY, PREMATURITY AND RESPIRATORY ILLNESS. THE ABOVE-MENTIONED PRIORITIES WERE IDENTIFIED IN THE CHNA AS DATA DRIVEN PRIORITIES. ONCE THE CHNA PRIORITIES WERE SELECTED, CHILDRENS HOSPITAL COLORADO DEVELOPED AND EMPLOYED SEVERAL STRATEGIES TO ADDRESS THE HEALTH CONCERNS IDENTIFIED IN THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT. THESE ACTIONS INCLUDED PARTNERING WITH COMMUNITY ORGANIZATIONS TO DEVELOP DATA-DRIVEN APPROACHES TO IDENTIFY TARGETED NEIGHBORHOODS AND POPULATIONS FOR PROGRAM IMPLEMENTATION, DEVELOPING THE THREE-YEAR IMPLEMENTATION PLAN TO GUIDE ACTIVITIES FOCUSED IN IDENTIFIED HEALTH PRIORITY AREAS, AND FORMALIZING THE MEASURES AND TRACKING MECHANISMS TO INFORM PROGRAM PLANNING AND MEASURE OUTREACH AND IMPACT. IN EARLY 2016, CHILDRENS HOSPITAL COLORADO PARTNERED WITH THE COLORADO HEALTH INSTITUTE TO DEVELOP A CHILD HEALTH SEVERITY INDEX TO IDENTIFY ZIP CODES WHERE YOUTH HAVE THE MOST SEVERE HEALTH CONCERNS. THE INTERACTIVE MAP WAS DEVELOPED WITH THE SIX PRIORITIZED HEALTH NEEDS IN MIND, AND HELPED PRIORITIZE WHERE THERE WAS THE GREATEST NEED AND OPPORTUNITIES TO ADDRESS THE PRIORITY HEALTH NEEDS. CHILDRENS USED THIS INDEX TO IDENTIFY THE INITIAL ZIP CODES TO TARGET PROGRAMMATIC EFFORTS AND DEVELOP THE APPROPRIATE PARTNERSHIPS WITHIN THE HOSPITALS URBAN CENTERS. WE WILL CONTINUE TO REFER TO THIS MAP WAS WE EXPAND OUR PROGRAMS INTO OTHER COMMUNITIES. CHILDRENS ALSO BEGAN A PARTNERSHIP WITH AURORA PUBLIC SCHOOLS (APS) TO PROMOTE COMMUNITY-BASED PROGRAMS AND SERVICES IN THE SCHOOL SETTING. THROUGH THIS PARTNERSHIP, CHILDRENS AND APS WILL BEGIN IMPLEMENTING PROGRAMS TO ADDRESS STUDENTS TOP HEALTH NEEDS, INCLUDING ORAL HEALTH AND MENTAL HEALTH-RELATED PROGRAMS AND SERVICES. IN MAY 2016, OUR THREE-YEAR IMPLEMENTATION PLAN TO ADDRESS THE SIX COMMUNITY HEALTH PRIORITY AREAS WAS FINALIZED AND APPROVED BY THE CHCO BOARD OF DIRECTORS. STRATEGIES IN THE REPORT WERE DRIVEN BY THE 2015 CHNA AND THE NEIGHBORHOODS WITH HIGH NEEDS IDENTIFIED THROUGH THE CHILD HEALTH SEVERITY INDEX. FOLLOWING THE IMPLEMENTATION PLAN, WE DEVELOPED OVER 80 MEASURES TO TRACK OUTREACH AND IMPACT OF EACH PRIORITY AREAS PROGRAMS AND INITIATIVES. OUR MEASURES WILL INCLUDE TRACKING THE VOLUME OF EDUCATIONAL WORKSHOPS AND TRAININGS, GROWTH IN COMMUNITY PARTNERSHIPS AND COLLABORATIONS TO EXPAND AND DEVELOP NEW PROGRAMS TO ADDRESS COMMUNITY HEALTH NEEDS, IMPROVED COORDINATION OF CARE AND COMMUNITY-BASED SERVICES AND SUPPORTS, IMPROVED ACCESS TO PROGRAMS AND SERVICES, AND CHANGES IN HEALTH OUTCOMES. MEASURES WILL CONTINUOUSLY BE TRACKED AND REVIEWED TO IMPROVE PROCESSES AND ENSURE THE PROGRAMS ARE MEETING THEIR INTENDED GOALS AND POPULATIONS. TO DATE, DATA HAS BEEN COLLECTED FOR 38 OF THE MEASURES (43%), 35 MEASURES ARE IN PROCESS (39%) AND 16 MEASURES ARE IN THE PLANNING AND/OR UNDER REVISION (18%). 13 CHILDREN'S HOSPITAL COLORADO-NORTH 469 WEST STATE HIGHWAY 7 BROOMFIELD CO 80023 UC, SPECIALTY CARE, IP CARE, REHAB & SPORT THERAPY & IMAGING, LAB SERVICES CHILDREN'S HOSPITAL COLORADO-PARKER 9395 CROWN CREST BLVD PARKER CO 80138 EMERGENCY CARE CHILDREN'S HOSPITAL COLORADO-UPTOWN 1830 FRANKLIN ST DENVER CO 80218 EMERGENCY CARE, UC, OP SPCLTY IP CARE, DIAGNOSTICS & IMAGING, LAB SERVICES CHILDREN'S HOSPITAL CO PARKER ADVENTIST 19284 COTTONWOOD DRIVE PARKER CO 80138 OT/PT, SPEECH & AUDIOLOGY CHILDREN'S HOSPITAL CO SPECIALTY CARE 9399 CROWN CREST BLVD PARKER CO 80138 specialty care, SPORTS MEDICINE CHILDREN'S HOSPITAL CO OP SPECIALTY CARE 4125 BRIARGATE PKWY COLORADO SPRINGS CO 80920 SPECIALTY CARE, ONCOLOGY CLINICS, URGENT CARE, SPEECH CHILDREN'S HOSPITAL CO THERAPY CARE PRINTERS PARK MEDICAL PLAZA COLORADO SPRINGS CO 80910 OT/PT, SPEECH & AUDIOLOGY SERVICES CHILDREN'S HOSPITAL CO THERAPY CARE 8401 ARISTA PLACE BROOMFIELD CO 80021 OT/PT, SPEECH & AUDIOLOGY SERVICES CHILDREN'S HOSPITAL CO UC & OP CARE 3455 LUTHERAN PKWY WHEATRIDGE CO 80033 URGENT CARE, SPECIALIST CARE, SPORTS MEDICINE CHILDREN'S HOSPITAL CO UC & OP CARE 9139 S RIDGELINE BLVD 100 HIGHLANDS RANCH CO 80129 REHABILITATION & THERAPY SERVICES KIDSTREET 3615 MARTIN LUTHER KING BLVD DENVER CO 80205 REHABILITATION & THERAPY SERVICES CHILDREN'S HOSPITAL CO ORTHOPEDIC CARE 9094 E MINERAL AVE SUITE 110 CENTENNIAL CO 80112 ORTHOPEDIC CARE, RADIOLOGY SERVICES, SPORTS MEDICINE CHILDREN'S HOSPITAL CO THERAPY CARE 704 FORTINO BLVD STE A PUEBLO CO 81008 SPEECH THERAPY, LEARNING DISABILITIES SCHEDULE H, PART I, LINE 6A CHILDRENS COLORADO PUBLISHES AN ANNUAL COMMUNITY BENEFIT REPORT. THE 2017 REPORT WILL BE PUBLISHED AFTER THE FINALIZATION OF THE 2017 SCHEDULE H 990 REPORTING. THE 2016 REPORT PUBLISHED IN 2017 CAN BE FOUND AT HTTPS://WWW.CHILDRENSCOLORADO.ORG/COMMUNITY/COMMUNITY-HEALTH/. SCHEDULE H, PART I, LINE 7 IN 2017, CHILDRENS HOSPITAL COLORADO PROVIDED $ 201,169,113 OR 19.89% OF TOTAL OPERATING EXPENSES, IN BENEFIT TO THE COMMUNITY. MEDICAID AT CHILDRENS HOSPITAL COLORADO ACCOUNTED FOR $129,865,605 OF NET COMMUNITY BENEFIT EXPENSE OR 12.84% OF TOTAL OPERATING EXPENSES WITH $2,376,984 IN FINANCIAL ASSISTANCE OR 0.23% OF TOTAL EXPENSE. OTHER BENEFITS ACCOUNTED FOR $68,418,208 IN NET COMMUNITY BENEFIT EXPENSE OR 6.77% OF TOTAL EXPENSE. OF THAT $10,185,806 IN COMMUNITY HEALTH IMPROVEMENT, $15,856,744 IN HEALTH PROFESSION EDUCATION, $13,842,257 IN SUBSIDIZED HEALTH SERVICES, $28,372,257 IN RESEARCH AND $160,960 IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT. INCLUDED IN SUBSIDIZED HEALTH SERVICES ARE THOSE WHICH CHILDRENS HOSPITAL COLORADO PROVIDES TO ITS PATIENT POPULATION AT A LOSS. IN 2017, PROGRAMS ASSOCIATED WITH THESE LOSSES ARE REHABILITATION, DERMATOLOGY AND MENTAL HEALTH. THE NUMBER REFLECTED IN SUBSIDIZED HEALTH SERVICES EXCLUDES BAD DEBT, MEDICAID AND OTHER MEANS TESTED PROGRAMS SHORTFALLS AND FINANCIAL ASSISTANCE. CHILDRENS HOSPITAL COLORADO IS COMMITTED TO SERVING ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. SCHEDULE H, PART II IN 2017, CHILDRENS HOSPITAL COLORADO PROVIDED $ 1,067,581 IN COMMUNITY BUILDING ACTIVITIES. THESE ACTIVITIES ARE DESIGNED TO PROMOTE THE HEALTH OF THE BROADER COMMUNITY. WE CONTINUE TO BUILD ON OUR LONG AND STRONG RECORD OF COLLABORATION WITH COMMUNITY GROUPS, BUSINESSES, ACADEMIC INSTITUTIONS AND GOVERNMENTAL AND NON-GOVERNMENTAL ORGANIZATIONS, WITH THE GOAL OF IMPROVING HEALTH OUTCOMES AND REDUCING HEALTH DISPARITIES FOR CHILDREN AND THEIR FAMILIES. ADDITIONALLY, SIGNIFICANT RESOURCES WERE ALLOCATED IN 2017 TO SUPPORT EFFORTS TO ENGAGE COMMUNITY MEMBERS IN ADVOCATING FOR ACCESS TO HEALTH CARE AS WELL AS PROVIDING EDUCATIONAL SESSIONS FOR BOTH POLICYMAKERS AND ADVOCATES ON CHILD HEALTH ISSUES OF IMPORTANCE. IMPROVING THE HEALTH OF THE COMMUNITY THROUGH ENVIRONMENTAL EFFORTS WAS ALSO A PRIORITY, INCLUDING LONG-STANDING RECYCLING AND RETRO COMMISSIONING EFFORTS. FINALLY, THE HOSPITAL CONTRIBUTED SUBSTANTIAL RESOURCES TO PROGRAMS, SUCH AS OUR HIRE LOCAL PROGRAM, THAT PROVIDE A PIPELINE FOR AT-RISK HIGH SCHOOL STUDENTS, AND UNDERSERVED COMMUNITY MEMBERS TO PURSUE HEALTHCARE SPECIFIC CAREERS. SELECTED COMMUNITY BUILDING ACTIVITIES ARE HIGHLIGHTED BELOW. CHILDRENS COLORADOS GOVERNMENT AFFAIRS TEAM HAS ENGAGED IN ACTIVITIES TO HELP IMPROVE THE LIVES OF CHILDREN AND FAMILIES ACROSS LEGISLATIVE AND REGULATORY POLICIES AT THE STATE AND NATIONAL LEVEL. BY TRACKING AND ENSURING SUCCESSFUL IMPLEMENTATION OF BILLS, PARTNERING WITH HEALTHCARE PROFESSIONALS AND FAMILIES TO PROVIDE PUBLIC TESTIMONY TO LAWMAKERS, RECRUITING AND TRAINING CHILD HEALTH ADVOCATES AND PARTNERING WITH COALITIONS AND ORGANIZATIONS ACROSS THE STATE, THE GOVERNMENT AFFAIRS TEAM SERVES AS A KEY LEADER IN CHILD HEALTH POLICY AND ADVOCACY IN COLORADO. IN 2017, CHILDRENS COLORADO WORKED ON 68 BILLS AND DURING THIS TIME, NEARLY 700 ADVOCATES WERE TRAINED THROUGH A RESIDENCY ADVOCACY TRAINING, SPEAK UP FOR KIDS, PROVIDER TRAINING, OR ADVOCACY 101 TRAINING. ENVIRONMENTAL IMPROVEMENTS: IN 2017, THE TEAM WORKED ON COLORADO HOUSE BILL 17-1306 ADDRESSING LEAD POISONING PREVENTION. RECENTLY, SEVEN OF COLORADO'S 178 SCHOOL DISTRICTS TESTED THEIR WATER FOR LEAD, AND IN THESE DISTRICTS, 77 SCHOOLS WERE FOUND TO HAVE LEAD IN THEIR WATER. CHILDREN'S COLORADO WAS PROUD TO PARTNER WITH ENVIRONMENTAL, EDUCATIONAL AND PUBLIC HEALTH GROUPS TO SUPPORT A BILL THAT SUPPORTS SCHOOLS TO TEST FOR LEAD IN THEIR WATER. THIS LEGISLATION GIVES SCHOOLS THE OPPORTUNITY, WITHOUT CREATING UNFUNDED MANDATES, TO APPLY FOR GRANTS TO TEST FOR LEAD IN THEIR WATER. FUNDING ALREADY EXISTS AT THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT TO SUPPORT THESE GRANTS, AND WOULD PRIORITIZE THOSE AT THE HIGHEST RISK FOR LEAD, SUCH AS OUR OLDEST PUBLIC ELEMENTARY SCHOOLS WITH AGING PIPES AND INFRASTRUCTURE. IF SCHOOLS REQUIRE REMEDIATION, THERE MAY BE FUNDS ACCESSED THROUGH THE EXISTING, BUILDING EXCELLENT SCHOOLS TODAY (BEST) PROGRAM, WHICH SUPPORTS SCHOOL CAPITAL CONSTRUCTION PROJECTS. COMMUNITY HEALTH IMPROVEMENT: SENATE BILL 17-68, ENHANCING THE SCHOOL HEALTH PROFESSIONAL GRANT PROGRAMS WAS PASSED IN 2017. INVESTING IN SCHOOL HEALTH PROFESSIONALS CAN CONTRIBUTE TO IMPROVED GRADUATION RATES AND BETTER HEALTH OUTCOMES BY GETTING MORE SCHOOL COUNSELORS, NURSES, PSYCHOLOGISTS, AND SOCIAL WORKERS INTO THE SETTING WHERE KIDS SPEND MUCH OF THEIR TIME. CHILDREN'S COLORADO SUPPORTED LEGISLATION TO EXPAND THE SCHOOL HEALTH PROFESSIONAL AND COUNSELOR CORPS GRANT PROGRAMS INTO ELEMENTARY SCHOOLS. ADDITIONALLY, WE SUCCESSFULLY LED THE COALITION TO SUPPORT AN ADDITIONAL $9 MILLION INVESTMENT OF MARIJUANA TAX CASH FUNDS INTO THE SCHOOL HEALTH PROFESSIONAL GRANT PROGRAM SO THAT MORE SCHOOLS WILL HAVE THE OPPORTUNITY TO HIRE THESE PROFESSIONALS TO IMPLEMENT EVIDENCE-BASED SUBSTANCE USE AND MENTAL HEALTH PROGRAMMING. COALITION BUILDING: THE GOVERNMENT AFFAIRS TEAM LEAD TWO COALITIONS FOCUSED IN MENTAL HEALTH AND MARIJUANA PUBLIC HEALTH AND SAFETY: 1. EARLY CHILDHOOD MENTAL HEALTH POLICY COALITION A GROUP OF 10 REPRESENTATIVES FROM EARLY CHILDHOOD ADVOCACY ORGANIZATIONS (RANGING FROM STATE AND COUNTY AGENCY PARTNERS TO PRIVATE PHILANTHROPIC FOUNDATIONS AND POLICY ADVOCACY GROUPS) THAT WORK TO ADVANCE EARLY CHILDHOOD MENTAL HEALTH POLICY IN THE STATE, 2. MARIJUANA PUBLIC HEALTH AND SAFETY NETWORK A NETWORK OF PUBLIC HEALTH ADVOCATES THAT COORDINATES STATE-LEVEL POLICY WORK TO ELIMINATE CHILD AND YOUTH EXPOSURE TO AND CONSUMPTION OF MARIJUANA THAT CAN HARM HEALTH AND SAFETY. ADDITIONALLY, THE TEAM ACTIVELY PARTICIPATES IN 10 STATE-WIDE COALITIONS ADDRESSING ISSUES CRITICAL TO THE HEALTH OF CHILDREN. EXAMPLES INCLUDE: COLORADO TOBACCO-FREE ALLIANCE, COLORADO CHILDRENS IMMUNIZATION COALITION, SNAP IN FARM BILL COALITION, COLORADO SUBSTANCE EXPOSED NEWBORNS POLICY WORKGROUP, AND ORAL HEALTH COLORADO POLICY COMMITTEE. PARTNERSHIPS ARE AN ESSENTIAL COMPONENT TO CHILDRENS COMMUNITY HEALTH WORK. THE HOSPITAL HAS PARTNERED WITH AN ARRAY OF LOCAL, STATE AND NATIONAL ORGANIZATIONS TO COORDINATE, COLLABORATE AND SHARE KEY FINDINGS AND LESSONS LEARNED IN IMPROVING HEALTH AND QUALITY OF LIFE FOR CHILDREN IN COLORADO. BELOW ARE A FEW EXAMPLES OF CHILDRENS COLLABORATIONS ADDRESSING COMMUNITY HEALTH IMPROVEMENT. COALITION BUILDING: IN 2016, CHILDRENS HOSPITAL COLORADO JOINED FORCES WITH EIGHT OTHER STATEWIDE HEALTH AND EDUCATION ORGANIZATIONS TO FORM THE COLORADO ALLIANCE FOR SCHOOL HEALTH (THE ALLIANCE). THE ALLIANCE AIMS TO TRANSFORM HOW HEALTH CARE AND EDUCATION PARTNERS COLLABORATE TO CREATE SUSTAINABLE SYSTEMS THAT RESULT IN HEALTH EQUITY AMONG ALL COLORADO STUDENTS. OVER THE PAST YEAR, THE ALLIANCE IDENTIFIED ADVOCACY PRIORITIES THAT INCLUDE FUNDING FOR SCHOOL HEALTH SERVICES, ACCESS TO INTEGRATED CARE FOR STUDENTS AND FAMILIES, AND EFFORTS TO DEVELOP A COMMON, COMPREHENSIVE, APPROACH TO SHARING DATA ACROSS SYSTEMS TO INFORM PLANNING, DOCUMENT PROGRESS, AND ULTIMATELY IMPROVE THE HEALTH, DEVELOPMENT, LEARNING, AND SUCCESS OF CHILDREN AND THEIR SCHOOL COMMUNITIES. ADDITIONALLY, THE ALLIANCE IS WORKING WITH LOCAL PUBLIC-SCHOOL DISTRICTS INTERESTED IN INCREASING STUDENT HEALTH AND SCHOOL PERFORMANCE THROUGH DECREASING SCHOOL ABSENCES. THE ALLIANCE IS FOCUSING ON THE ISSUE OF STUDENT ATTENDANCE BECAUSE HEALTH ISSUES ARE A LEADING CAUSE OF CHRONIC ABSENTEEISM, AND IMPROVING STUDENT ATTENDANCE INCREASES THE LIKELIHOOD OF STUDENT SUCCESS. THE OUTCOMES OF THE PLANNING PROCESS WILL BE IDENTIFICATION OF BEST PRACTICES AND POTENTIAL DEMONSTRATION PROJECTS FOR COLLABORATING ACROSS SYSTEMS, AS WELL AS DEVELOPMENT OF A POLICY AND ADVOCACY PLATFORM TO DRIVE SUSTAINABLE SYSTEMS CHANGE. COMMUNITY HEALTH IMPROVEMENT: INCREASING ACCESS TO HEALTHY FOODS AND PHYSICAL ACTIVITY OPPORTUNITIES ARE IMPERATIVE TO THE SUCCESS OF HEALTHY EATING AND ACTIVE LIVING INITIATIVES. IN COLORADO, 1 IN 6 CHILDREN STRUGGLE WITH HUNGER AND LACK ACCESS TO HEALTHY FOOD WHILE FEWER THAN HALF (47 PERCENT) OF PARENTS REPORT THAT THEIR CHILD IS PHYSICALLY ACTIVE FOR AT LEAST 60 MINUTES PER DAY. CHILDRENS COLORADO HAS PARTICIPATING IN THE FOLLOWING INITIATIVES: 1. UNIVERSAL SCREENING FOR FOOD INSECURITY MEDICAL PROVIDERS ARE INCREASINGLY AWARE OF THE IMPACT FOOD INSECURITY HAS ON THEIR PATIENTS LIVES. IN 2016, CHILDREN'S COLORADO AND HUNGER FREE COLORADO PARTNERED TO USE A VALIDATED QUESTIONNAIRE TO UNIVERSALLY SCREEN FAMILIES FOR FOOD INSECURITY AND REFER THEM TO SERVICES AND SUPPORTS IN THE CHILD HEALTH CLINIC, WHICH SERVES 11,000 PATIENTS ANNUALLY. HUNGER FREE COLORADO, THE STATES LEADING ANTI-HUNGER ORGANIZATION, PARTNERS WITH MEDICAL PRACTICES TO ASSIST FAMILIES WITH APPLYING FOR FOOD ASSISTANCE PROGRAMS, INCLUDING SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) AND THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WIC, AS WELL AS PROVIDING OTHER FOOD RESOURCES. 2. THE FAMILIAS SALUDABLES PARTNERSHIP - THIS PARTNERSHIP WAS ESTABLISHED TO ENSURE THAT LOW-INCOME HISPANIC CHILDREN (AGES 0-5) ACHIEVE A HEALTHY WEIGHT, AND IT HAS SUCCESSFULLY ENGAGED HISPANIC PARENTS, RESEARCHERS, MEDICAL PROVIDERS AND PROFESSIONALS FROM CHILDRENS COLORADO AND OTHER COMMUNITY-BASED ORGANIZATIONS. THESE PERSPECTIVES COMPRISE THE MEMBERSHIP OF THE THREE COMMITTEES THAT ENCOMPASS FAMILIAS SALUDABLES GOVERNANCE: LEADERSHIP, FAMILY LEADERS AND RESEARCH. FAMILIAS SALUDABLES RETAINED A CORE GROUP OF 25 PARENTS AND CAREGIVERS, AS WELL AS COMMUNITY PARTNERS INCLUDING CHILDRENS COLORADO (PROJECT LEAD), UNIVERSITY OF COLORADO (CU) SCHOOL OF MEDICINE, ROCKY MOUNTAIN YOUTH CLINICS AND AMERICAN DIABETES ASSOCIATION. NEW PARTNERS INCLUDE THE CU SCHOOL OF NURSING AND THE EARLY CHILDHOOD OBESITY PREVENTION PROGRAM AT THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT. WORKFORCE DEVELOPMENT: CHILDRENS COLORADO IS COMMITTED TO TRAINING THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS. THE PROGRAMS BELOW ARE IN ADDITION TO THE COMMUNITY BENEFIT ACTIVITIES CAPTURED UNDER HEALTH PROFESSION EDUCATION AND CAPTURE WORK PRIMARILY FOCUSED ON BUILDING CAPACITY AMONG HIGH-SCHOOL AND COLLEGE STUDENTS. THE MEDICAL CAREER COLLABO SCHEDULE H, PART III, LINE 2 CHILDREN'S HOSPITAL COLORADO ESTIMATES BAD DEBT RESERVES BASED ON HISTORICAL EXPERIENCE, USING A LOOK BACK METHODOLOGY BY PAYOR AND AGING CATEGORIES APPLIED TO OPEN ACCOUNTS RECEIVABLE BALANCES. SCHEDULE H, PART III, LINE 3 THE HOSPITAL WRITES-OFF UNCOLLECTIBLE BALANCES 120 DAYS AFTER THE FIRST BILLING CYCLE. THE HOSPITAL DOES NOT REPORT ANY BAD DEBT AMOUNT IN COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 4 THE FOOTNOTE THAT DESCRIBES BAD DEBT IS ON PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 THE HOSPITAL UTILIZED COST TO CHARGE RATIO METHODOLOGY TO ARRIVE AT THE AMOUNT ON LINE 6. THE AMOUNT INCLUDES ALL COSTS LESS ALL PAYMENTS RECEIVED. SCHEDULE H, PART III, LINE 9B YES, THE ORGANIZATION DOES HAVE A WRITTEN DEBT COLLECTION POLICY. PRIOR TO DEBT REFERRALS, ACCOUNTS WITH ANY CHARITY CARE OR FINANCIAL ASSISTANCE CASES ARE REVIEWED TO ENSURE THE BALANCE IS NOT DUE FROM AN OUTSIDE PAYER. ONCE CONFIRMED THE OUTSTANDING BALANCE IS THE PATIENT'S RESPONSIBILITY. THE HOSPITAL PROVIDES SLIDING SCALE DISCOUNTS BASED ON INCOME AND/OR EXPENSES. PARENTS WHOSE CHILDREN DO NOT QUALIFY FOR MEDICAID CAN ALSO APPLY FOR THIS DISCOUNT PLAN. THE HOSPITAL HAS A DEDICATED FINANCIAL COUNSELING DEPARTMENT THAT WORKS CLOSELY WITH PARENTS TO ESTABLISH PAYMENT PLANS. SCHEDULE H, PART VI, LINE 2 IN ADDITION TO THE CHNA, CHILDRENS HOSPITAL COLORADO REGULARLY ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY WE SERVE. ACROSS THE HOSPITAL, NUMEROUS INTERNAL AND EXTERNAL DATA SOURCES ARE REGULARLY MONITORED AND UTILIZED TO IDENTIFY TRENDS AND OPPORTUNITIES TO IMPACT CHILD HEALTH. ADDITIONALLY, HOSPITAL STAFF DEDICATES SIGNIFICANT TIME TO SERVING ON COMMUNITY BOARDS AND OTHER COMMUNITY GROUPS THAT ASSESS HEALTH NEEDS OF THE COMMUNITY AND PROACTIVELY PARTICIPATES IN THE HEALTH IMPROVEMENT EFFORTS LED BY THESE PARTNERS. IN 2017, CHCO FORMALIZED A POPULATION HEALTH STRATEGY. DELIVERING CARE TO KIDS ISN'T A ONE-SIZE-FITS-ALL MODEL. CONSIDERING THEIR DIFFERENT BARRIERS TO WELLNESS IS NECESSARY TO CHANGE THE WAY WE DELIVER HEALTHCARE, AND EMPOWERING COMMUNITIES TO FOCUS ON PREVENTION IS KEY. WE CALL THIS APPROACH POPULATION HEALTH. OUR ADVOCACY TEAM IS WORKING WITHIN OUR COMMUNITIES, EMPOWERING THEM TO FOCUS ON PREVENTION AND IMPLEMENTING PROGRAMMING THAT KEEPS KIDS OUT OF OUR DOORS. WE ARE CHARTING NEW TERRITORY TO FURTHER OUR REACH AND IMPACT, AND SUPPORT THE WHOLE PICTURE OF A CHILD'S HEALTH AND WELLBEING. A NEWLY APPOINTED VICE PRESIDENT OF POPULATION HEALTH AND ADVOCACY IS RESPONSIBLE FOR THE CREATION AND OPERATION OF A COMMUNITY BASED, PARTNER DRIVEN NETWORK OF CARE. THIS NETWORK BOTH EXPANDS ACCESS TO TRADITIONAL PEDIATRIC HEALTHCARE AND EXPANDS ACCESS TO NON-TRADITIONAL CARE THAT ADDRESSES A CHILDS TOTAL PICTURE OF HEALTH, THE SOCIAL DETERMINANTS OF HEALTH. OPERATING A COMMUNITY BASED, PARTNER DRIVEN NETWORK OF CARE REQUIRES IDENTIFYING PARTNERS THAT WILL ENGAGE IN A TRANSFORMATIVE SYSTEM OF CARE, ONE THAT ALLOWS A PEDIATRIC SPECIALTY HOSPITAL TO WORK WITH COMMUNITY BASED PARTNERS TO GENERATE IMPROVED HEALTH FOR ALL KIDS IN A TARGETED REGION, DESPITE NEVER BEING PATIENTS OR HAVING LIMITED INTERACTIONS WITH THAT HOSPITAL. THE NETWORK MUST SUPPORT IMPROVEMENTS IN THE DELIVERY OF TRADITIONAL HEALTHCARE SERVICES, LIKE THE NUMBER OF IMMUNIZATIONS, WELL-CHILD VISITS, ORAL HEALTH SCREENINGS AND BEHAVIORAL HEALTH INTERVENTIONS. AND THE NETWORK MUST ALSO SUPPORT IMPROVEMENTS IN SOCIAL CONDITIONS IMPACTING HEALTH SUCH AS INCREASED ATTENDANCE AT SCHOOL, INCREASED ACCESS TO NUTRITIONAL FOOD AND SUSTAINED ACCESS TO STABLE HOUSING. THE VICE PRESIDENT IS RESPONSIBLE FOR ENSURING THE NETWORK SUPPORTS THE MANY COMPONENTS OF A CHILDS HEALTH BY RECRUITING AND SUPPORTING A ROBUST ARRAY OF COMMUNITY BASED PARTNERS THAT MAY RANGE FROM SCHOOLS TO CHILDCARE CENTERS TO CHURCHES AND FOOD PANTRIES. EACH PARTICIPATING PARTNER MUST WORK COHESIVELY TO EXCHANGE DATA THAT ALLOWS FOR A CHILDS NEEDS TO BE IDENTIFIED AND MET. FINALLY, THE VICE PRESIDENT IS RESPONSIBLE FOR DIRECTING HOSPITAL RESOURCES TO SUPPORT THE CREATION AND OPERATION OF THE COMMUNITY BASED NETWORK. SCHEDULE H, PART VI, LINE 3 CHILDREN'S HOSPITAL COLORADO HAS A PROCESS FOR INFORMING AND EDUCATING FAMILIES ABOUT HOW THEY MAY BE BILLED FOR PATIENT CARE AND THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. CHILDREN'S HOSPITAL COLORADO'S FULL TIME PATIENT FINANCIAL COUNSELORS ARE DEDICATED TO WORKING WITH FAMILIES TO PROVIDE GUIDANCE REGARDING AVAILABLE FINANCIAL ASSISTANCE WHICH ENSURES THAT ITS PATIENT POPULATION RECEIVES THE CRITICAL CARE IT NEEDS. ADDITIONALLY, CHILDREN'S HOSPITAL COLORADO PROVIDES PATIENT ASSISTANCE TO HELP IDENTIFY COMMUNITY-BASED RESOURCES, FACILITATE SERVICES AND PROVIDE APPROPRIATE REFERRAL ASSISTANCE TO HELP WITH CONTINUITY OF CARE. INPATIENT PROCESS: THIS PROCESS APPLIES TO PATIENTS WHO ARE BEING ADMITTED FOR OBSERVATION, SURGERY OR OTHER INPATIENT SERVICES. IF THE PATIENT IS PRE-SCHEDULED, CHILDREN'S HOSPITAL COLORADO PATIENT ACCESS WORKS TO CONTACT THE FAMILY PRIOR TO ADMISSION TO ARRANGE FOR A FINANCIAL SCREENING APPOINTMENT. REGARDLESS OF WHETHER AN APPOINTMENT IS SET PRIOR TO ADMISSION, THE PATIENT FINANCIAL COUNSELING TEAM WORKS WITH THE FAMILY TO DETERMINE THEIR SELF-PAY STATUS (EITHER NON-COMMERCIAL OR GOVERNMENT INSURANCE) AND SUBSEQUENTLY WORKS WITH THEM TO SCREEN FOR FINANCIAL ASSISTANCE OPTIONS. OUTPATIENT PROCESS: WHEN A PATIENT SCHEDULES A NON-EMERGENT OR URGENT OUTPATIENT CLINIC VISIT, THEY WILL IDENTIFY THEMSELVES AS SELF-PAY IF THEY DO NOT HAVE EITHER COMMERCIAL OR GOVERNMENT INSURANCE. AT THIS POINT, THEY ARE GIVEN TWO OPTIONS: (1) PAY A $200 DEPOSIT AT THE TIME OF APPOINTMENT AND BE BILLED ANY REMAINING BALANCE OR (2) SCHEDULE TIME WITH PATIENT FINANCIAL COUNSELING FOR ASSISTANCE. IF THE PATIENT WAS SEEN IN THE EMERGENCY DEPARTMENT OR URGENT CARE WITHOUT THE PRE-SCREEN, THEY STILL CAN APPLY FOR FINANCIAL ASSISTANCE WITH THE PATIENT FINANCIAL COUNSELING OFFICE. ALL SELF-PAY FAMILIES ARE AUTOMATICALLY GIVEN A 35 PERCENT DISCOUNT. CHILDREN'S HOSPITAL COLORADO HAS A FORMAL POLICY REGARDING ELIGIBILITY CRITERIA FOR CHARITY CARE. THE DECISION TO PROVIDE CHARITY CARE WILL BE, IN ALL CASES, BASED ON A REVIEW OF THE INCOME, ASSETS AND LIABILITIES OF THE FAMILY AT THE TIME OF ADMISSION TO THE HOSPITAL OR CLINIC. THE LEVELS OF CHARITY CARE AND FINANCIAL ASSISTANCE PROVIDED BY CHILDREN'S HOSPITAL COLORADO WILL BE DETERMINED BASED ON FEDERAL POVERTY GUIDELINES WHICH MAY BE ADJUSTED UP TO 200 PERCENT AND REVISED FROM TIME TO TIME. FAMILIES WITH ADJUSTED GROSS INCOME BETWEEN 200 PERCENT AND 400 PERCENT OF FEDERAL POVERTY GUIDELINES MAY ALSO BE CONSIDERED FOR CHARITY CARE WITH A CAP FOR OUT-OF-POCKET RESPONSIBILITY. DETERMINATION OF ELIGIBILITY WILL BE EFFECTIVE FOR SIX MONTHS AND APPLY TO ALL PATIENTS REGARDLESS OF IMMIGRATION STATUS. CHILDREN'S COLORADO WORKS TO PROVIDE NECESSARY HOSPITAL-RELATED SERVICES CONSISTENT WITH ITS MISSION, ITS STATUS AS A NONPROFIT HOSPITAL AND ITS STEWARDSHIP RESPONSIBILITY TO ITS DONORS. CHILDRENS HOSPITAL COLORADOS FINANCIAL ASSISTANCE PUBLIC POLICY AND PLAIN LANGUAGE SUMMARY ARE LISTED ON THE ORGANIZATIONS HOMEPAGE WWW.CHILDRENSCOLORADO.ORG. SCHEDULE H, PART VI, LINE 4 CHILDRENS HOSPITAL COLORADO PROVIDES COMPREHENSIVE MEDICAL CARE FOR KIDS FROM BIRTH THROUGH ADOLESCENCE. CHILDRENS HOSPITAL COLORADO SERVES A SEVEN-STATE REGION; HOWEVER, MANY OUR PATIENTS COME FROM COLORADO AND SPECIFICALLY THE DENVER METRO AREA. ADDITIONALLY, CHILDRENS HOSPITAL COLORADO IS THE ONLY LEVEL 1 PEDIATRIC TRAUMA CENTER IN OUR SEVEN-STATE REGION. DEMOGRAPHICALLY, CHILDREN SERVED COME FROM DIVERSE CULTURAL AND ETHNIC BACKGROUNDS. NORTHWEST AURORA, SURROUNDING THE MAIN CAMPUS IS ONE OF THE MOST DIVERSE AREAS IN THE CITY. MORE THAN HALF OF AURORAS 350,000 RESIDENTS BELONG TO A MINORITY POPULATION, AND OVER 100 LANGUAGES ARE SPOKEN IN AURORA PUBLIC SCHOOLS. ALONG WITH ITS DIVERSITY, AURORA FACES CHALLENGES WITH HEALTH DISPARITIES, LOWER INCOME AND EMPLOYMENT LEVELS AND OTHER SOCIAL DETERMINANTS OF HEALTH AND ECONOMIC WELL-BEING AS COMPARED TO OTHER PARTS OF AURORA, THE METRO DENVER AREA AND THE STATE OF COLORADO. IN RESPONSE TO OUR DIVERSE POPULATION, CHILDRENS HOSPITAL COLORADO TRANSLATES MEDICAL CARE AND EDUCATION INSTRUCTIONS INTO 65 LANGUAGES, INCLUDING SIGN LANGUAGE, TO DELIVER CULTURALLY SENSITIVE, HIGH-QUALITY PEDIATRIC HEALTH CARE. MOST PATIENTS SPEAK ENGLISH, FOLLOWED BY A SIGNIFICANT NUMBER OF FAMILIES WHO SPEAK SPANISH, ARABIC, BURMESE, VIETNAMESE, SOMALIAN, RUSSIAN AND KOREAN. THE PAYER MIX OF THE EIGHT COMMUNITIES (ADAMS, ARAPAHOE, BOULDER, BROOMFIELD, DENVER, DOUGLAS, JEFFERSON AND EL PASO) WHICH FRAMED THE CHNA IS AS FOLLOWS: 47.3% COMMERCIAL INSURANCE, 46.7 % MEDICAID, 4.0% OTHER GOVERNMENT, AND 2.0 % SELF -PAY, INDIGENT CARE AND OTHER. WITHIN THOSE RESPECTIVE COUNTIES THERE ARE 52 FEDERALLY QUALIFIED HEALTH CENTERS, 54 COMMUNITY MENTAL HEALTH CLINICS AND 20 COMMUNITY SAFETY NET CLINICS, ONE OF WHICH CHILDRENS HOSPITAL COLORADO OPERATES. TO INFORM THE DEVELOPMENT OF THE IMPLEMENTATION STRATEGY, CHILDRENS HOSPITAL COLORADO IS WORKING WITH THE COLORADO HEALTH INSTITUTE TO IDENTIFY FACTORS CLOSELY ASSOCIATED WITH THE PRIORITY HEALTH NEEDS IDENTIFIED IN THE 2015 CHNA. THIS WORK ENTAILS THE DEVELOPMENT OF STATISTICAL MODELS, BASED ON THE LATEST DATA AVAILABLE, TO IDENTIFY THE LIKELIHOOD OF POOR OUTCOMES AT THE ZIP CODE LEVEL FOR EACH OF THE PRIORITY HEALTH NEEDS IN THE RESPECTIVE COUNTIES. SCHEDULE H, PART VI, LINE 5 IN 2017, CHILDRENS HOSPITAL COLORADO PROVIDED $10,185,806 IN COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY BENEFIT OPERATIONS. CHCO IS COMMITTED TO IMPROVING THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH-QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY. CHILDRENS HOSPITAL COLORADO WORKS TO DELIVER ON THIS MISSION NOT ONLY IN THE DENVER METRO AREA AND IN THE STATE OF COLORADO, BUT ALSO THROUGHOUT THE ROCKY MOUNTAIN REGION. THERE ARE EXTENSIVE EFFORTS LED BY CHILDRENS HOSPITAL COLORADO THAT POSITIVELY IMPACT THE HEALTH AND SAFETY OF CHILDREN IN THE COMMUNITY. CHILD HEALTH ADVOCACY INSTITUTE (CHAI): THE MISSION OF CHAI IS TO IMPROVE THE HEALTH AND SAFETY OF CHILDREN BY ENGAGING PUBLIC AND PRIVATE PARTNERS IN CREATING A THRIVING COMMUNITY FOR CHILDREN. CHAI SERVES AS A CENTRALIZED RESOURCE FOR THE HOSPITAL TO IDENTIFY COMMUNITY CHILD HEALTH NEEDS AND DEVELOP AND IMPLEMENT EVIDENCE-BASED PROGRAMS AND STRATEGIES IN PARTNERSHIP WITH THE COMMUNITY THAT SEEK TO ADDRESS THESE NEEDS. SINCE THE START OF CHILDRENS HOSPITAL COLORADOS (CHILDRENS COLORADO) COMMUNITY HEALTH ACTION PLAN (CHAP) IN 2016, THE HOSPITALS COMMUNITY HEALTH TEAM AND ITS PARTNERS ENGAGED IN A VARIETY OF INITIATIVES TO PROMOTE HEALTH AND PREVENT ILLNESS IN THE SURROUNDING COMMUNITY. THESE EFFORTS AIM TO ADDRESS SOCIAL DETERMINANTS OF HEALTHTHE CONDITIONS IN WHICH PEOPLE ARE BORN, GROW, LIVE, WORK AND AGE THAT MAY LEAD TO HEALTH INEQUITIES BETWEEN AND WITHIN COMMUNITIES. CHILDRENS COLORADO FOCUSED ON SIX HEALTH PRIORITY AREAS THAT WERE IDENTIFIED IN THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND LED OR COLLABORATED WITH PARTNERS ON INITIATIVES WITHIN THE HOSPITAL, IN THE COMMUNITY AND ACROSS THE STATE. THESE INITIATIVES INCLUDED EDUCATION AND PUBLIC AWARENESS, TRAININGS, SCREENINGS AND IMPROVING ACCESS TO CARE, POLICY AND ADVOCACY EFFORTS AND EXPANSION OF THE WORKFORCE IN COMMUNITY HEALTH. SINCE THE ADOPTION OF THE IMPLEMENTATION PLAN A POPULATION HEALTH EPIDEMIOLOGIST JOINED THE TEAM. RESPONSIBILITIES OF THE EPIDEMIOLOGIST INCLUDE USING ANALYTICS TO IDENTIFY, ASSESS AND EVALUATE POPULATION-BASED TRENDS TO INFORM OUR STRATEGIES DEVELOPED IN THE COMMUNITY HEALTH ACTION PLAN (IMPLEMENTATION PLAN). THIS INDIVIDUAL IS ALSO RESPONSIBLE FOR COLLECTING AND TRACKING POPULATION HEALTH METRICS TIED TO THE CHNA THAT WILL BE USED TO EVALUATE OUR IMPLEMENTATION STRATEGIES AND HEALTH OUTCOMES. THIS REORGANIZATION AND EXPANSION OF RESOURCES IN CHAI DEMONSTRATES A COMMITMENT TO COHESIVELY AND EFFECTIVELY IMPACT THE PRIORITY AREAS DEFINED IN OUR CHNA. PLEASE SEE HIGHLIGHTED ACTIVITIES BELOW. SOCIAL AND ENVIRONMENTAL IMPROVEMENTS: IN 2017, THE CHILD HEALTH ADVOCACY INSTITUTE HIRED SIX COMMUNITY HEALTH LIAISONS (CHLS) AND THE BREATHING INSTITUTE HIRED TWO CHLS TO ADDRESS SOCIAL AND ENVIRONMENTAL FACTORS THAT AFFECT CHILD HEALTH. THE CHLS WITHIN CHAI SERVE CHILDREN AND FAMILIES IN TWO PRIMARY CARE SETTINGS AND ONE COMMUNITY SETTING (THE WOMEN, INFANTS, AND CHILDREN OFFICE THROUGH THE BUILD HEALTH CHALLENGE GRANT). THESE FAMILIES ASSIST FAMILIES WITH RESOURCE AND SERVICE SUPPORT NEEDS INCLUDING FINANCIAL ASSISTANCE, BENEFITS, FOOD INSECURITY, AND CONNECTING FAMILIES TO A MEDICAL PROVIDER. IN 2017, MORE THAN 1,000 CHILD HEALTH CLINIC (CHC) PATIENTS WERE REFERRED TO A COMMUNITY HEALTH LIAISON FOR RESOURCE SUPPORT. SOME OF THE MOST COMMON RESOURCE REFERRALS IN THE CHC INCLUDE FOOD RESOURCES, PRIMARY CARE PROVIDER RESOURCES FOR PARENTS, AND MEDICAID SUPPORT, INCLUDING MEDICAID TRANSPORTATION. IN THE WIC OFFICE, THE CHLS PROVIDED RESOURCE SUPPORT FOR MORE THAN 300 FAMILIES IN 2017, ASSISTING PRIMARILY WITH WIC BENEFITS UTILIZATION, MEDICAID ASSISTANCE, AND DIAPER OR BABY SUPPLIES. THE TWO CHLS WHO ARE IN OTHER PRIMARY CARE PRACTICES HAVE FAMILIES WITH TRANSPORTATION NEEDS TO ENSURE THEY MAKE IT TO THEIR APPOINTMENTS, CONNECTING PARENTS TO A PRIMARY CARE PROVIDER, AND ASSISTING FAMILIES WITH THEIR BENEFITS, AS PART OF A LARGER PROJECT AIMED TO REDUCE UNNECESSARY EMERGENCY DEPARTMENT UTILIZATION. THE CHLS WITHIN THE BREATHING INSTITUTE ARE PART OF THE JUST KEEP BREATHING (JKB) PROGRAM AIMED AT IMPROVING CARE FOR CHILDREN WITH HIGH RISK ASTHMA IN DENVER. THESE CHLS WORK WITH FAMILIES TO IDENTIFY BARRIERS TO RECEIVING CARE AND ACHIEVING ASTHMA CONTROL, INCLUDING CONDUCTING AN ENVIRONMENTAL ASSESSMENT OF THE FAMILYS HOME AND ASSISTING WITH MINIMAL HOME REMEDIATION, SUCH AS PEST EXTERMINATION. THROUGH THE HOME VISITATION PROGRAM, 55 PATIENTS HAVE RECEIVED AT LEAST ONE VISIT, WITH A TOTAL OF 212 COMPLETED VISITS. JKB PATIENTS HAVE DEMONSTRATED SIGNIFICANTLY IMPROVED MEDICATION DEVICE TECHNIQUE AND IMPROVED ASTHMA CONTROL. COMMUNITY HEALTH IMPROVEMENT: INCREASING ACCESS TO HEALTHY FOODS AND PHYSICAL ACTIVITY OPPORTUNITIES ARE IMPERATIVE TO THE SUCCESS OF HEALTHY EATING AND ACTIVE LIVING INITIATIVES. IN COLORADO, 1 IN 6 CHILDREN STRUGGLE WITH HUNGER AND LACK ACCESS TO HEALTHY FOOD WHILE FEWER THAN HALF (47 PERCENT) OF PARENTS REPORT THAT THEIR CHILD IS PHYSICALLY ACTIVE FOR AT LEAST 60 MINUTES PER DAY. EXAMPLES INCLUDED BELOW. UNIVERSAL SCREENING FOR FOOD INSECURITY MEDICAL PROVIDERS ARE INCREASINGLY AWARE OF THE IMPACT FOOD INSECURITY HAS ON THEIR PATIENTS LIVES. IN 2016, CHILDREN'S COLORADO AND HUNGER FREE COLORADO PARTNERED TO USE A VALIDATED QUESTIONNAIRE TO UNIVERSALLY SCREEN FAMILIES FOR FOOD INSECURITY AND REFER THEM TO SERVICES AND SUPPORTS IN THE CHILD HEALTH CLINIC, WHICH SERVES 11,000 PATIENTS ANNUALLY. HUNGER FREE COLORADO, THE STATES LEADING ANTI-HUNGER ORGANIZATION, PARTNERS WITH MEDICAL PRACTICES TO ASSIST FAMILIES WITH APPLYING FOR FOOD ASSISTANCE PROGRAMS, INCLUDING SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) AND THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WIC, AS WELL AS PROVIDING OTHER FOOD RESOURCES. IN 2017, NEARLY 8,000 PSYCHOSOCIAL SCREENINGS WERE COMPLETED IN THE CHILD HEALTH CLINIC AND 68% OF FAMILIES WITH PATIENTS UNDER AGE 2 WERE SCREENED. IN THE CHILD HEALTH CLINIC, APPROXIMATELY ONE IN FOUR FAMILIES SCREENED POSITIVE FOR AT LEAST ONE NEED, AND THE MOST COMMON POSITIVE SCREENS WERE FOR FINANCIAL NEEDS, BENEFITS SUPPORT, AND FOOD INSECURITY, WHICH WERE ADDRESSED BY COMMUNITY HEALTH LIAISONS AND FAMILY NAVIGATORS. THE FAMILIAS SALUDABLES PARTNERSHIP WAS ESTABLISHED TO ENSURE THAT LOW-INCOME HISPANIC CHILDREN (AGES 0-5) ACHIEVE A HEALTHY WEIGHT, AND IT HAS SUCCESSFULLY ENGAGED HISPANIC PARENTS, RESEARCHERS, MEDICAL PROVIDERS AND PROFESSIONALS FROM CHILDRENS COLORADO AND OTHER COMMUNITY-BASED ORGANIZATIONS. THESE PERSPECTIVES COMPRISE THE MEMBERSHIP OF THE THREE COMMITTEES THAT ENCOMPASS FAMILIAS SALUDABLES GOVERNANCE: LEADERSHIP, FAMILY LEADERS AND RESEARCH. FAMILIAS SALUDABLES RETAINED A CORE GROUP OF 25 PARENTS AND CAREGIVERS, AS WELL AS COMMUNITY PARTNERS INCLUDING CHILDRENS COLORADO (PROJECT LEAD), UNIVERSITY OF COLORADO (CU) SCHOOL OF MEDICINE, ROCKY MOUNTAIN YOUTH CLINICS AND AMERICAN DIABETES ASSOCIATION. NEW PARTNERS INCLUDE THE CU SCHOOL OF NURSING AND THE EARLY CHILDHOOD OBESITY PREVENTION PROGRAM AT THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT. INFANT SAFE SLEEP INITIATIVE: ACCORDING TO DATA FROM THE COLORADO CHILD FATALITY PREVENTION SYSTEM, ABOUT 50 INFANTS DIE SUDDENLY AND UNEXPECTEDLY, SOMETIMES CALLED SUDDEN INFANT DEATH SYNDROME (SIDS), EACH YEAR IN COLORADO WHILE THEY SLEEP. MOST OF THESE SLEEP-RELATED INFANT DEATHS ARE PREVENTABLE. IN RESPONSE TO THIS CHALLENGING PUBLIC HEALTH ISSUE, IN 2017 THE INJURY PROGRAM AT CHILDREN'S HOSPITAL COLORADO ESTABLISHED AN INSAFE SAFE SLEEP INITIATIVE DESIGNED TO PROMOTE AWARENESS OF AMERICAN ACADEMY OF PEDIATRICS SAFE INFANT SLEEP GUIDELINES AND RECOMMENDATIONS TO REDUCE THE RISK OF SIDS AND SUFFOCATION. A COMPONENT OF THIS EFFORT INCLUDED BECOMING A PARTNER SITE FOR THE NATIONAL CRIBS FOR KIDS INFANT SAFE SLEEP PROGRAM. TO IMPLEMENT THIS PROGRAM, EIGHT COMMUNITY HEALTH LIAISONS WERE TRAINED TO PROVIDE INFANT SAFE SLEEP EDUCATION TO CLIENTS RECEIVING CARE AT CHILDRENS CHILD HEALTH CLINICS, AND AT ONE PRIMARY CARE PROVIDERS PEDIATRIC PRACTICE. ADDITIONALLY, EIGHT SOCIAL WORK PROFESSIONALS FROM COLFAX COMMUNITY NETWORK WERE TRAINED TO CONDUCT SIMILAR EFFORTS FOR FAMILIES RESIDING IN SUB-OPTIMAL HOUSING CONDITIONS ALONG THE COLFAX AVENUE CORRIDOR IN AURORA. FAMILIES WHOSE INFANTS ARE IN NEED OF A DEDICATED SAFE SLEEP ENVIRONMENT ARE IDENTIFIED VIA CLINIC OR HOME VISITATION ENCOUNTERS, WHEREUPON STAFF PROVIDE APPROXIMATELY 30 MINUTES OF 1:1 EDUCATION ON INFANT SAFE SLEEP RISK FACTORS AND SAFE SLEEP RECOMMENDATIONS. CLIENTS ARE THEN PROVIDED, AT NO COST, WITH A PORTABLE CRIBETTE WITH INFANT SAFE SLEEP MESSAGING, PORTABLE CRIB SHEETS, HALO SLEEP SACKS, AND PACIFIERS (REPRESENTING AN APPROXIMATE TOTAL VALUE OF $100). SINCE THE INCEPTION OF THIS INITIATIVE, WE HAVE PROVIDED THESE RESOURCES TO MORE THAN 50 FAMILIES RESIDING IN GREATER AURORA. THE INJURY PREVENTION PROGRAM MANAGER ALSO SERVES AS A MEMBER OF THE COLORADO CHILD FATALITY PREVENTION SYSTEM STATE REVIEW TEAM, AND AS A SCHEDULE H, PART VI, LINE 7 THERE ARE NO FILING REQUIREMENTS IN THE STATE OF COLORADO. CHCO DOES PROVIDE THE ANNUAL COMMUNITY BENEFIT REPORT TO THE COLORADO HOSPITAL ASSOCIATION AND SELECTIVE GOVERNMENTAL ENTITIES. true AMERICAN HEART ASSOCIATION 1365 Garden of the Gods Colorado Springs CO 80909 135613797 501(C)(3) 37750 GENERAL PROGRAM AURORA MENTAL HEALTH CENTER 11059 E Bethany Dr Ste 200 Aurora CO 80014 840683346 501(C)(3) 6350 GENERAL PROGRAM BRIGHT BY THREE 3605 Martin Luther King Blvd Denver CO 80205 841382420 501(C)(3) 10000 GENERAL PROGRAM CHEYENNE FRONTIER DAYS INC PO Box 2477 Cheyenne WY 82003 830297781 501(C)(6) 19000 GENERAL PROGRAM CHEYENNE MOUNTAIN ZOOLOGICAL SOCIETY 4250 Cheyenne Mtn Zoo Colorado Springs CO 80906 840407039 501(C)(3) 81000 GENERAL PROGRAM CHILDRENS MUSEUM OF DENVER INC 2121 Childrens Museum Dr Denver CO 80211 840658142 501(C)(3) 30000 GENERAL PROGRAM COLORADO CHILDRENS CAMPAIGN 1580 Lincoln St Ste 420 Denver CO 80203 742374672 501(C)(3) 10000 GENERAL PROGRAM COLORADO COLLEGE 14 Cace La Poudre Colorado Springs CO 80903 840402510 501(C)(3) 10500 GENERAL PROGRAM COLORADO HIGH SCHOOL ACTIVITIES 14855 E Second Ave Aurora CO 80011 840427063 501(C)(3) 112500 GENERAL PROGRAM SPONSORSHIP COLUMBINE LAKEWOOD COLORADO SOCCER 8101 S Schaffer Pkwy Ste 103 Littleton CO 80127 841411827 501(C)(3) 15000 GENERAL PROGRAM DENVER ART MUSEUM 100 West 14th Avenue Pkwy Denver CO 80222 846038240 501(C)(3) 6500 GENERAL PROGRAM DENVER BOTANIC GARDENS 1007 York St Denver CO 80206 840440359 501(C)(3) 7500 GENERAL PROGRAM DENVER PUBLIC SCHOOLS FOUNDATION 1860 Lincoln St 9th floor Denver CO 80203 841224325 501(C)(3) 10000 GENERAL PROGRAM DOUGLAS COUNTY SOCCER ASSOCIATION 8200 S Akron St 122 Centennial CO 80112 742392779 501(C)(3) 30000 GENERAL PROGRAM GARRISON CHAPEL HILLS OWNER LLC 1710 Briargate Blvd Ste 3500 Colorado Springs CO 80920 452121815 12100 GENERAL PROGRAM HOT APPLE PRODUCTIONS LLC 5601 Eagle Rock Ave NE Albuquerque NM 87113 473017544 6000 GENERAL PROGRAM MARCH OF DIMES 1325 South Colorado Blvd B308 Denver CO 80222 131846366 501(C)(3) 35500 GENERAL PROGRAM NATIONAL KIDNEY FOUNDATION 650 S Cherry ST Ste 435 Denver CO 80246 131673104 501(C)(3) 6000 GENERAL PROGRAM NATIONAL WESTERN STOCK SHOW ASSOCIATION 4655 Humboldt Street Denver CO 80216 840517361 501(C)(3) 31000 GENERAL PROGRAM PIKES PEAK LIBRARY DISTRICT FOUNDATION PO Box 1579 Colorado Springs CO 80901 113690724 501(C)(3) 10000 GENERAL PROGRAM REACH OUT AND READ COLORADO 1660 S Albion St Ste 905 Denver CO 80222 861172160 501(C)(3) 7500 GENERAL PROGRAM ST ANTHONY HOSPITAL 116000 W 2nd Pl Lakewood CO 80228 840902211 501(C)(3) 8500 GENERAL PROGRAM SWITCHBACKS FC 234 N Tejon St Colorado Springs CO 80903 464110067 7000 GENERAL PROGRAM TTTS RACE FOR HOPE 9786 S Holland St Littleton CO 80127 200837174 501(C)(3) 15000 GENERAL PROGRAM UNIVERSITY OF COLORADO FOUNDATION INC 10901 W 120th Ave Ste 200 Broomfield CO 80021 846049811 501(C)(3) 100000 GENERAL PROGRAM WINGS OVER THE ROCKIES AIR AND SPACE 7711 E Academy Blvd Denver CO 80230 840931491 501(C)(3) 7500 GENERAL PROGRAM YOUNG AMERICANS CENTER FOR FINANCIAL 3550 East First Ave Denver CO 80206 841564926 501(C)(3) 12000 GENERAL PROGRAM YOUNG MENS CHRISTIAN ASSOCIATION 316 N Tejon St Colorado Springs CO 80903 840404266 501(C)(3) 178031 GENERAL PROGRAM 24 4 SCHEDULE I, PART I, LINE 2 CHILDREN'S HOSPITAL COLORADO RELIES ON THE GOVERNANCE PRACTICES OF THE RECIPIENT EXEMPT ORGANIZATIONS TO MONITOR THE USE OF FUNDS AS INTENDED. X X X X true true false false false false false true false JENA HAUSMANN President and CEO 841174 348750 132532 229700 23846 1576002 130179 JEFFREY HARRINGTON SVP and CFO 519624 165641 65291 141146 21231 912933 61088 MICHELLE M LUCERO Chief Legal Officer 381424 108588 19880 99302 15347 624541 16792 DAVID BIGGERSTAFF SVP and COO 510914 137700 2730 141745 23846 816935 PATRICIA PAT GIVENS SVP Patient Care Svcs & CNO 305397 80701 63402 40200 49 489749 56502 SUZANNE JAEGER SVP Experience and Access 286384 73486 64589 55892 21231 501582 62042 DWINITA MOSBY HENRY SVP HR/Chief Inclusion Officer 35897 79516 255210 6081 1240 377944 GIL PERI SVP Chief Strategy Officer 357903 131045 101366 90276 33 680623 100385 JERROD MILTON VP Operations 290877 78388 91767 68548 18930 548510 90555 CATHERINE DAL SANTO VP Finance 274053 68832 50032 57644 8548 459109 43849 ELLEN SERVETAR VP Care Coord & Integration 160214 40488 157885 52219 41 410847 122475 DANA MOORE SVP and CIO 190784 126638 2107 52190 7953 379672 CHARLOTTE ISOLINE VP Marketing 213394 51867 39470 18746 323477 34629 SCHEDULE J, PART I, LINE 4A DWINITA MOSBY HENRY and Gil PERI both received severance, 254,860 and 33,444, respectively. SCHEDULE J, PART I, LINE 4B THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS FROM A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: JENA HAUSMANN $ 130,179 ELLEN SERVETAR $ 122,475 GIL PERI $ 100,385 JERROD MILTON $ 90,555 SUZANNE JAEGER $ 62,042 JEFFREY HARRINGTON $ 61,088 PATRICIA (PAT) GIVENS $ 56,502 CATHERINE DAL SANTO $ 43,849 CHARLOTTE ISOLINE $ 34,629 MICHELLE LUCERO $ 16,792 SCHEDULE J, PART I, LINE 7 CERTAIN INDIVIDUALS ARE ELIGIBLE TO PARTICIPATE IN THE INCENTIVE PLAN FOR CHILDREN'S COLORADO, THE COMPONENTS OF WHICH INCLUDE ACHIEVEMENT OF ORGANIZATIONAL PERFORMANCE GOALS AND INDIVIDUAL PERFORMANCE GOALS. BECAUSE THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS RESERVES THE RIGHT TO CHANGE, AMEND OR TERMINATE THIS PLAN AT ANY TIME, FOR ANY REASON, AT ITS SOLE DISCRETION AND BECAUSE OF CERTAIN OTHER CONDITIONS OF THE PLAN, LINE 7 REGARDING "NON-FIXED PAYMENTS" IS ANSWERED YES. NOTE THAT PRIOR TO THE PAYMENT OF ANY AMOUNTS TO AN INDIVIDUAL WHO IS CONSIDERED A DISQUALIFIED PERSON, THE COMPENSATION COMMITTEE SHALL CERTIFY IN WRITING THE EXTENT TO WHICH THE PERFORMANCE FACTORS ESTABLISHED BY THE COMPENSATION COMMITTEE HAVE BEEN SATISFIED AND SHALL APPROVE THE PAYMENT OF SUCH BONUSES TO SUCH INDIVIDUALS. SEE PART VI, LINES 15A AND 15B FOR ADDITIONAL INFORMATION ON EXECUTIVE COMPENSATION. A CITY OF AURORA CO 846000564 05155XBT5 2008-06-06 258814487 SERIES 2008 - SEE PART VI false false false B CITY OF AURORA CO 846000564 05155XBX6 2010-05-25 59999130 SERIES 2010a - SEE PART VI false false false C COLORADO HEALTH FACILITIES AUTHORITY 840752932 1964BAL52 2013-08-04 309252566 SERIES 2013 - SEE PART VI false false false D COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648A7J8 2016-05-24 200724807 SERIES 2016A & 2016C - SEE PART VI false false false A 135755000 0 258814487 0 0 0 2381234 183253 0 0 256250000 0 2008 true false true true B 0 0 59999130 0 0 0 709432 0 0 59289698 0 0 2012 false false true true C 770000 0 309252566 0 0 0 1844600 0 0 197052966 110355000 0 2013 true false true true D 9300000 0 200724807 0 0 0 1519986 0 0 15174789 119204821 64825211 false true false A false false false true true 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false false false true true false 0 false 0 false true B false false false true false false 0 false 0 false true C false true false false true true JP Morgan 24.9 true false false 0 false true D false true false false false false 0 false 0 false true A true B true C true D true SCHEDULE K, PART I, COLUMN (F) BOND A - HOSPITAL REVENUE BONDS SERIES 2008 THE PURPOSE OF THIS BOND ISSUE IS TO REFUND BONDS THAT WERE PREVIOUSLY ISSUED ON 1/22/04 AND 4/7/08. THE REMAINING WEIGHTED AVERAGE MATURITY OF THE BONDS CURRENTLY REFUNDED WAS 11.8929 YEARS. BOND B - HOSPITAL REVENUE BONDS SERIES 2010A THE PURPOSE OF THIS BOND ISSUE IS TO PAY FOR THE CONSTRUCTION OF A NEW TEN-STORY ADDITION TO THE EXISTING FACILITY, EQUIPMENT FOR THAT ADDITION, AND EXPANSION OF AN EXISTING PARKING GARAGE. BOND C - HOSPITAL REVENUE BONDS SERIES 2013 THE PURPOSE OF THIS BOND ISSUE IS TO FINANCE LONG-TERM PROJECTS AND TO REFUND SERIES 2008B AND 2008C BONDS. BOND D - HOSPITAL REVENUE BONDS SERIES 2016A & 2016C THE PURPOSE OF THIS BOND ISSUE IS TO FINANCE LONG-TERM PROJECTS AND TO REFUND SERIES 2004C AND 2004D BONDS. BOND A (2) - HOSPITAL REVENUE BONDS SERIES 2016B THE PURPOSE OF THIS BOND ISSUE IS TO FINANCE LONG-TERM PROJECTS. SCHEDULE K, PART IV, LINE 2C BOND A - HOSPITAL REVENUE BONDS SERIES 2008 - JUNE 1, 2013 BOND B - HOSPITAL REVENUE BONDS SERIES 2010A - OCTOBER 12, 2016 A COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648A8D0 2016-05-24 70300000 SERIES 2016B - SEE PART VI false false false A 0 0 70300000 0 0 0 300000 0 0 11746184 0 58253816 false false false A false false false false 0 false false false true A false true false false true true JP Morgan 2.7 true false false 0 false true A true FORM 990, PART I, LINE 6 FROM TEENAGERS TO GREAT GRANDPARENTS, FROM HOMEMAKERS TO PROFESSIONAL ATHLETES, CHILDREN'S HOSPITAL COLORADO VOLUNTEERS ENCOMPASS ALL WALKS OF LIFE AND ALL INCOME LEVELS, EACH VOLUNTEER WITH SOMETHING UNIQUE TO OFFER. OUR DIVERSE GROUP OF VOLUNTEERS HAS ONE THING IN COMMON, HOWEVER, THE DESIRE TO HELP SICK CHILDREN AND THEIR FAMILIES. CHILDREN'S HOSPITAL COLORADO IS FORTUNATE TO HAVE HUNDREDS OF DEDICATED VOLUNTEERS WHO WORK REGULARLY, FROM SEVERAL HOURS A YEAR TO SEVERAL HOURS A WEEK, TO PROVIDE BETTER CARE FOR THE CHILDREN OF CHILDREN'S HOSPITAL COLORADO. THE ASSOCIATION OF VOLUNTEERS THE VOLUNTEERS AT CHILDREN'S HOSPITAL COLORADO ARE ALL PART OF A GROUP CALLED CHILDREN'S HOSPITAL COLORADO ASSOCIATION OF VOLUNTEERS (AOV). THE AOV COORDINATES PLACEMENTS FOR VOLUNTEERS AND ENSURES THAT COMPLETE ORIENTATION AND TRAINING IS PROVIDED TO ALL VOLUNTEERS. OUR VOLUNTEER'S SKILLS AND INTERESTS ARE ALL SO APPRECIATED AND WE TRY TO PLACE EVERYONE IN A ROLE THAT SUITS THEM AND OUR NEEDS. THE EXAMPLES BELOW ARE JUST SOME OF THE WAYS THAT OUR VOLUNTEERS CONTRIBUTE: - VOLUNTEERS ARE ACTIVE AT THE HOSPITAL ON THE ANSCHUTZ MEDICAL CAMPUS, THE SOUTH CAMPUS, HIGHLANDS RANCH THERAPY CARE CENTER, BRIARGATE, AND THE NORTH CAMPUS. - VOLUNTEERS SPEND TIME WITH OUR PATIENTS BY HOLDING, COMFORTING, PLAYING WITH THEM AND MAKING THEM LAUGH. - VOLUNTEERS BRING SPECIALLY-SCREENED DOGS TO PROVIDE ANIMAL-ASSISTED THERAPY FOR THE PRESCRIPTION PET PROGRAM. - SPECIALLY TRAINED VOLUNTEERS SERVE AS AMBASSADORS WITH THE WELCOME PROGRAM. VOLUNTEERS GREET NEWLY ADMITTED PATIENT FAMILIES UPON THEIR ARRIVAL AND INTRODUCE THEM TO THE HOSPITAL'S MANY AMENITIES. THE GOAL IS TO PROVIDE A WARM AND WELCOMING ENVIRONMENT AND TO ANSWER ANY NON-MEDICAL QUESTIONS. - THE WINE EVENT IS THE ASSOCIATION OF VOLUNTEERS' SIGNATURE EVENT. THE SPECIAL EVENING FEATURES A SILENT AND LIVE AUCTION OF FINE WINES AND EXPERIENCES WITH ALL PROCEEDS BENEFITING THE MATERNAL FETAL MEDICINE PROGRAM. - MANY GROUPS OF VOLUNTEERS DO NOT SPEND TIME DIRECTLY WITH OUR PATIENTS, BUT PERFORM MORE ADMINISTRATIVE DUTIES, WHICH CAN BE JUST AS IMPORTANT TO THE DAY-TO-DAY OPERATIONS OF CHILDREN'S HOSPITAL COLORADO. - TEENAGERS BETWEEN 13 AND 18 YEARS OF AGE PARTICIPATE IN THE JUNIOR VOLUNTEER PROGRAM. THEY SUPPORT THE HOSPITAL BY WORKING IN SEVERAL DEPARTMENTS AS WELL AS SUPPORTING FUNDRAISING ACTIVITIES. - VOLUNTEERS ALSO ASSIST IN FUNDRAISING BY STAFFING CHILDREN'S HOSPITAL COLORADO GIFT SHOP AND LA CACHE. - CHAPTER VOLUNTEERS IN THE COMMUNITY ARE VERY ACTIVE IN FUNDRAISING EVENTS THROUGHOUT THE YEAR THAT HELP TO FUND SPECIAL EQUIPMENT, FACILITIES AND PROGRAMS FOR THE PATIENTS OF CHILDREN'S HOSPITAL COLORADO. FORM 990, PART III, LINE 4A WHEN IT WAS FOUNDED IN 1908 IN DENVER, CHILDREN'S HOSPITAL COLORADO SET OUT TO BE A LEADER IN PROVIDING THE BEST HEALTHCARE OUTCOMES FOR CHILDREN. THAT CALLING HAS CONSISTENTLY MADE US ONE OF THE TOP 10 CHILDREN'S HOSPITALS IN THE NATION AND A PLACE PARENTS ACROSS THE ROCKY MOUNTAIN REGION HAVE COME TO TRUST. OUR MISSION IS TO IMPROVE THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH-QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY. AS A PRIVATE, NOT-FOR-PROFIT PEDIATRIC HEALTHCARE NETWORK, CHILDREN'S HOSPITAL COLORADO IS 100% DEDICATED TO CARING FOR KIDS AT ALL AGES AND STAGES OF GROWTH. WE HAVE MORE THAN 2,000 PEDIATRIC SPECIALISTS AND MORE THAN 6,000 FULL-TIME EMPLOYEES HELPING TO CARRY OUT OUR MISSION. WE PROVIDE COMPREHENSIVE PEDIATRIC CARE AT OUR MAIN CAMPUS AND AT OUR 16 REGIONAL LOCATIONS. ROUTINE INPATIENT SERVICES; ANCILLARY INPATIENT SERVICES SUCH AS LAB, RADIOLOGY, OPERATING ROOM, RECOVERY ROOM, CENTRAL SUPPLIES, ETC.; OUTPATIENT SERVICES SUCH AS EMERGENCY ROOM, MULTI-SPECIALTY AMBULATORY SERVICES INCLUDING ORTHO CLINIC, ONCOLOGY CLINIC, ETC. WEVE TREATED PATIENTS FROM ALL 50 STATES AND 22 COUNTRIES. NEONATOLOGY COMMUNITY REPORT FOR MORE THAN 40 YEARS, THE NEONATAL INTENSIVE CARE UNIT (NICU) AT CHILDRENS COLORADO HAS BEEN A NATIONALLY RECOGNIZED LEADER IN THE TREATMENT OF CRITICALLY ILL INFANTS. THE STATE-OF-THE-ART LEVEL IV NICU (THE HIGHEST DISTINCTION BY THE AMERICAN ACADEMY OF PEDIATRICS), LOCATED AT CHILDRENS COLORADO, PROVIDES 82 CRITICAL CARE BEDS SPECIFICALLY FOR THIS PATIENT POPULATION. THE NICU TREATS INFANTS FROM DENVER, THE SURROUNDING AREAS IN COLORADO AND A 10-STATE AREA. CHILDREN'S COLORADOS NICU IS THE ONLY NICU IN THE REGION WITH THE EXPERIENCE AND TECHNOLOGY TO TREAT VIRTUALLY ANY MEDICAL CONDITION AFFECTING NEWBORNS. THERAPIES INCLUDE EXTRA CORPOREAL MEMBRANE OXYGENATION (ECMO), GENETIC TESTING AND FETAL SURGERY. THE NICU TREATS OVER 1,400 NEONATES EACH YEAR AND MORE THAN 300 OF THESE INFANTS REQUIRE SURGERY WHILE IN THE NICU. THE PATIENT POPULATION IN THE NICU COMPRISES PREMATURE AND TERM NEWBORN INFANTS WITH HYPOXIC RESPIRATORY FAILURE, INFECTIONS, HEMATOLOGICAL, NEUROLOGICAL, CARDIOVASCULAR AND METABOLIC DISORDERS. INFANTS WITH SINGLE MAJOR OR MULTIPLE ANOMALIES REQUIRING DIAGNOSTIC EVALUATION OR SURGICAL INTERVENTION ARE ADMITTED TO THE NICU. THE NEONATOLOGY TEAM HAVE PIONEERED MANY CRITICAL DEVELOPMENTS IN NEONATAL CARE INCLUDING SURFACTANT REPLACEMENT FOR PREMATURE INFANTS, INHALED NITRIC OXIDE THERAPY FOR PULMONARY HYPOTENSION, THERAPEUTIC HYPOTHERMIA FOR PERINATAL BRAIN INJURY, OPTIMAL NUTRITION FOR LOW BIRTH WEIGHT INFANTS AND INNOVATIVE CARE FOLLOWING FETAL SURGERY. COLLECTIVELY, THE NEONATOLOGISTS AND 3 PHD RESEARCH FACULTY PUBLISHED 80 ARTICLES IN 2017. THIS RESEARCH AND A TEAM APPROACH HAS LED TO CLINICAL OUTCOMES THAT ARE AMONG THE BEST IN THE NATION. FAMILIES ARE INTEGRAL TO THE CARE DELIVERED AND KEY AREAS OF FOCUS INCLUDE DEVELOPMENTALLY SUPPORTIVE CARE OF THE NEWBORN, PRIMARY NURSING AND A FAMILY CENTERED CARE APPROACH. THEY ARE WELCOME TO PARTICIPATE IN DAILY ROUNDS AND IN ALL ASPECTS OF CARE. THERE IS A FAMILY ADVISORY COUNCIL TO SUPPORT CURRENT FAMILIES AND PROVIDE PERSPECTIVE ON THE PATIENT EXPERIENCE. THE CLINICAL CARE TEAM IN THE NICU IS COMPRISED OF NEONATOLOGISTS, NEONATAL NURSE PRACTITIONERS, SPECIALLY TRAINED NURSES, RESPIRATORY THERAPISTS, PHARMACISTS, PHYSICAL, SPEECH AND OCCUPATIONAL THERAPISTS, LACTATION SPECIALISTS, NEONATAL NUTRITION, SOCIAL WORK, CHAPLAINS AND CASE MANAGERS. SPECIALTY CONSULTANTS INCLUDE NEUROLOGY, PULMONOLOGY, GENETICS, GASTROENTEROLOGY, NUTRITION, METABOLIC, ENDOCRINOLOGY, HEMATOLOGY, CARDIOLOGY AND CARDIOVASCULAR SURGERY, GENERAL PEDIATRIC SURGERY, RENAL, OPHTHALMOLOGY, ORTHOPEDICS AND EAR, NOSE AND THROAT SPECIALISTS. CHILDREN'S COLORADO NEONATOLOGISTS HAVE DIVERSE EXPERTISE CARING FOR AN ARRAY OF COMPLEX CONDITIONS. THE SECTION OF NEONATOLOGY PROVIDES FULL CLINICAL SUPPORT FOR INFANTS AND THEIR FAMILIES AT MULTIPLE HOSPITALS IN THE DENVER METROPOLITAN AREA INCLUDING CHILDRENS HOSPITAL COLORADO, UNIVERSITY OF COLORADO HOSPITAL, AND DENVER HEALTH MEDICAL CENTER. THE 29 BOARD-CERTIFIED NEONATOLOGISTS ARE NATIONALLY AND INTERNATIONALLY RECOGNIZED LEADERS IN NEONATAL CARE AS WELL AS CLINICAL AND SCIENTIFIC RESEARCH. THE NICU TEAM CONTINUOUSLY REVIEWS QUALITY AND PATIENT SAFETY DATA FOCUSING ON EXCELLENCE IN PATIENT OUTCOMES. THE NICU LEADERSHIP TEAM MEETS BIMONTHLY FOR QUALITY ROUNDS, PROMOTING ENGAGEMENT OF FRONT LINE STAFF. THIS AVENUE ELICITS GREAT DISCUSSIONS AMONG STAFF REGARDING WHAT IS GOING WELL AS WELL AS IN IDENTIFYING OPPORTUNITIES AND CREATIVE IDEAS FOR IMPROVEMENT. THE NICU TEAM PROMOTES THE SAFEST ENVIRONMENT POSSIBLE WITH KEY COMMUNICATION IN SAFETY HUDDLES EACH SHIFT TO REVIEW DETAILS OF OUR SAFETY AND QUALITY IMPROVEMENT WORK. OPTIMAL COMMUNICATION WITH A LARGE MULTIDISCIPLINARY TEAM IS ONE OF OUR KEY STRATEGIES TO PROMOTE THE HIGHEST QUALITY CARE POSSIBLE. IN ADDITION, THE CHILDRENS HOSPITAL NICU IS CONSISTENTLY RANKED AMONG THE BEST IN NEONATAL CARE PROGRAMS BY THE US NEWS AND WORLD REPORT. 2018 NICU QUALITY AND PROCESS IMPROVEMENT INITIATIVES: -MAINTAINING OR INCREASING THE FAMILY EXPERIENCE SATISFACTION SCORE OF 84% IN 2017. HOSPITAL GOAL IS 80-85%. PRIMARY NURSING IS ALSO A CONSISTENT GOAL FOR PATIENTS AND FAMILIES IN THE NICU. -THE NICU CONTINUES WORK WITH A LARGE NATIONAL QUALITY IMPROVEMENT INITIATIVE WITH CHILDRENS HOSPITAL NEONATAL CONSORTIUM (CHNC) FOCUSING ON THE STANDARDIZATION OF PRE-OPERATIVE, POST OP HANDOFF, FOLLOWING SPECIFIC CLINICAL QUALITY MEASURES OF THE SURGICAL NEONATE. -ONGOING KEY QUALITY INITIATIVES INCLUDE FOCUSING ON DECREASING UNPLANNED EXTUBATIONS, PATIENT IDENTIFICATION EVENTS, PRESSURE INJURIES, MEDICATION ERRORS, PERIPHERAL INTRAVENOUS CATHETER EXTRAVASATIONS AND HANDWASHING COMPLIANCE. -CONTINUE A MAJOR FOCUS IN THE PREVENTION OF CENTRAL LINE ASSOCIATED BLOOD STREAM INFECTIONS IN 2017, THE TEAM WENT 365 DAYS WITHOUT A CENTRAL LINE ASSOCIATED BLOOD STREAM INFECTION. -THE LACTATION TEAM FOCUSES ON THE GOAL OF GREATER THAN 90% OF NICU INFANTS RECEIVING BREAST MILK WHILE HOSPITALIZED AND UPON DISCHARGE. -FOLLOWING CLINICAL OUTCOMES OF INFANTS DELIVERED IN THE MATERNAL FETAL CARE UNIT AT CHCO. -TRENDING DATA FROM CODES/RESUSCITATIONS IN THE NICU WITH PROCESSES IDENTIFIED FOR IMPROVEMENT AND CODE SIMULATIONS. -THE IMPLEMENTATION OF A TEAM AND PHILOSOPHY TO STANDARDIZED THE CARE IN A NEWLY ESTABLISHED SMALL BABY UNIT WITHIN THE NICU. KEY CLINICAL OUTCOMES WILL BE TRACKED FOR THIS PATIENT POPULATION. -CLOSE FOLLOW UP OF INFANTS TREATED WITH HYPOTHERMIC THERAPY FOR NEONATAL ENCEPHALOPATHY, UNIQUE VENTILATION STRATEGIES, EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO), INHALED NITRIC OXIDE (INO) AND RENAL DIALYSIS. CENTER FOR CANCER AND BLOOD DISORDERS COMMUNITY REPORT 2018 CHILDRENS HOSPITAL COLORADOS CENTER FOR CANCER AND BLOOD DISORDERS (CCBD) HAS ONE OF THE BEST PEDIATRIC HEMATOLOGY, ONCOLOGY AND BONE MARROW TRANSPLANT PROGRAMS IN THE COUNTRY. THE CHILDRENS HOSPITAL COLORADO CCBD HAS CONSISTENTLY BEEN RANKED IN THE TOP 10 PROGRAMS BY US NEWS & WORLD REPORT EACH YEAR SINCE THE INCEPTION OF THE RANKINGS. THE CCBD HAD 27,576 PATIENT VISITS IN 2017 ACROSS ALL LOCATIONS, IN AN EFFORT TO SERVE THE COLORADO COMMUNITY AS WELL AS OUR 7-STATE REGION. THE ANSCHUTZ FACILITY LOCATION ALONE SAW 19,100 VISITS, WITH OUR INFUSION CENTER VOLUME MAKING UP 7,977 (42%) OF THOSE VISITS. OUR NETWORK OF CARE SITES IN HIGHLANDS RANCH, COLORADO SPRINGS, AND OUR HEMOPHILIA THROMBOSIS CENTER ON THE ANSCHUTZ CAMPUS SERVED 8,476 PATIENT VISITS IN 2017, 3,207 OF WHICH WERE INFUSIONS (38%). BECAUSE OF THE DEPTH AND BREADTH OF OUTPATIENT SERVICES WE CAN PROVIDE, A LARGE NUMBER OF OUR CLINIC AND INFUSION VISITS MEAN THAT CHILDREN DO NOT HAVE TO BE ADMITTED TO THE HOSPITAL AND CAN BE CARED FOR ON AN OUTPATIENT BASIS. KEEPING CHILDREN OUT OF THE HOSPITAL AND CLOSER TO HOME WHEN POSSIBLE IS A HIGH PRIORITY FOR OUR STAFF AND FACULTY, AND HELPS OUR FAMILIES LIVE HEALTHIER LIVES OVERALL. WE ALSO STRIVE TO SUPPORT PHYSICIANS ACROSS THE REGION BY PROVIDING TELEMEDICINE AND TELEPHONE CONSULTATIONS 24 HOURS PER DAY, 7 DAYS PER WEEK TO ENSURE THAT PATIENTS NEEDS ARE MET AND COMMUNICATIONS WITH LOCAL MEDICAL TEAMS ARE SEAMLESS AND PROVIDE THE EXPERTISE NEEDED FOR ANY GIVEN SITUATION. CCBD INPATIENT HAD A TOTAL OF 11,691 PATIENT DAYS RECORDED IN 2017. THERE WAS A TOTAL OF 1,743 ADMISSIONS TO THE INPATIENT UNIT IN 2017. OF THESE, 167 WERE TO THE BMT SERVICE, 303 WERE TO THE HEMATOLOGY SERVICE, AND 1,273 WERE TO THE ONCOLOGY SERVICE. IN ADDITION, ALL THREE SERVICES PROVIDE INPATIENT AND OUTPATIENT CONSULTATIONS TO OTHER SERVICES IN THE HOSPITAL 24 HOURS A DAY, 7 DAYS PER WEEK. WE ARE THE LARGEST REGIONAL REFERRAL CENTER FOR NEURO-ONCOLOGY, BONE MARROW TRANSPLANT, PHASE I/EXPERIMENTAL THERAPEUTICS IN THE ROCKY MOUNTAIN WEST AND BETWEEN THE WEST COAST AND THE CORRIDOR BETWEEN DALLAS, MINNEAPOLIS AND KANSAS CITY. ACCOMPLISHMENTS THE CCBD IS ONE OF THE LARGEST AND MOST HIGHLY ACCRUING MEMBERS OF THE CHILDRENS ONCOLOGY GROUP (COG), A MULTI-CENTER, MULTI-NATIONAL ALLIANCE SUPPORTED BY THE UNITED STATES NATIONAL CANCER INSTITUTE (NCI), WHICH CONDUCTS STUDIES DESIGNED TO IMPROVE OUR UNDERSTANDING OF CHILDHOOD CANCER, ITS TREATMENT AND ITS CURE. OUR PHYSICIANS HAVE LEADERSHIP ROLES IN THIS ORGANIZATION AND ARE INTERNATIONALLY-RECOGNIZED EXPERTS IN CHILDHOOD CANCER TREATMENT, INCLUDING IN THE HIGHLY EXCLUSIVE NATIONAL CANCER INSTITUTE-SPONSORED PHASE I CONSORTIUM, WHERE ONLY 21 INSTITUTIONS PARTICIPATE IN STUDYING THE NEWEST AND MOST PROMISING DRUGS FOR CHILDHOOD CANCER. WE ARE ALSO MEMBERS OF SEVERAL HIGHLY SELECTIVE, NATIONALLY PROMINENT CONSORTIA AND OUR FACULTY SERVE IN LEADERSHIP CAPACITIES FOR THE FOLLOWING: NEW APPROACHES IN NEUROBLASTOMA THERAPY (NANT) GROUP, PEDIATRIC BRAIN TUMOR CONSORTIUM (PBTC), PEDIATRIC BONE MARROW TRANSPLANT CONSORTIUM (PBMTC), AMERICAN THROMBOSIS AND HEMOSTASIS NETWORK (ATHN), HRSA FUNDED HEMOPHILIA TREATMENT CENTER NETWORK, AND THE NORTH AMERICAN PEDIATRIC APLASTIC ANEMIA CONSORTIUM (NAPAAC). THESE GROUPS PROVIDE ACCESS TO AND SET THE STANDARD FOR INNOVATIVE RESEARCH, BEST PRACTICES IN PATIENT CARE, EDUCATION, AND EARLY-PHASE CLINICAL TRIALS TESTING OF NEW THERAPIES WHEN OTHER TREATMENTS ARE NOT AVAILABLE IN SELECTED SPECIFIC DISEASE AREAS. THIS MEANS THAT CHILDREN AND FAMILIES CAN GET ACCESS TO THE BEST THERAPIES RIGHT HERE, RATHER THAN HAVING TO TRAVEL OUT OF THE ROCKY MOUNTAIN REGION. WE ARE THE ONLY HOSPITAL IN AN 18 STATE RADIUS WHO HAS MEMBERSHIP AND LEADERSHIP IN ALL OF THESE GROUPS. WE HAVE A DEDICATED GROUP OF LAB-BASED PHYSICIAN-SCIENTISTS WITH 11 OF THEM HAVING 75% DEDICATED TIME FOR RESEARCH AS WELL AS 3 DEDICATED CANCER PHD LEVEL RESEARCH SCIENTISTS. THIS GROUP HAS LEADERS IN RESEARCH IN MANY FIELDS AND IS WELL-FUNDED AT THE FEDERAL AND PRIVATE FOUNDATION/PHILANTHROPY LEVEL. TOGETHER WITH OUR CLINICAL SCIENTISTS, OUR FACULTY PUBLISHED MORE THAN 120 PAPERS IN 2017. THEY ALSO PRESENTED PLATFORM LECTURES AT MORE THAN TWO DOZEN NATIONAL AND INTERNATIONAL MEETINGS IN 2017. IN TERMS OF COMMUNITY SERVICE, TRAINING, AND EDUCATION, THE GROUP PROVIDES SUMMER INTERNSHIPS HIGH SCHOOL STUDENTS FROM COLORADO AND COLLEGE STUDENTS ACROSS THE COUNTRY AS A FIRST INTRODUCTION TO LAB SCIENCE. MANY OF THESE STUDENTS GO ON TO DEDICATE THEIR STUDIES TO SCIENCE AND MEDICINE, AND CITE THEIR EXPERIENCE IN OUR LABS AS A PIVOTAL MOMENT IN HELPING THEM CHOOSE A FUTURE CAREER. WE GIVE MORE THAN 80 EDUCATIONAL TALKS PER YEAR TO A VARIETY OF COMMUNITY ORGANIZATIONS AND SERVICE GROUPS. CHILDRENS HOSPITAL COLORADO HEMATOLOGISTS AND ONCOLOGISTS HAVE PIONEERED SOME OF THE MOST CRITICAL DEVELOPMENTS IN THE CARE OF CHILDREN WITH CANCER AND BLOOD DISORDERS, AND IN MANY CASES WERE THE FIRST IN THE WORLD TO USE A VARIETY OF NEW THERAPIES FOR CHILDREN. OUR HEMOPHILIA AND THROMBOSIS CENTER IS CONSIDERED ONE OF THE BEST ACROSS THE GLOBE, WITH PARTICIPATION AND LEADERSHIP IN DOZENS OF CLINICAL TRIALS AND NEW THERAPIES TO LESSEN THE CLINICAL IMPACT AND SEVERITY OF LIFE-THREATENING BLEEDING DISORDERS. THESE STUDIES RANGE IN FOCUS FROM PATIENT REPORTED QUALITY OF LIFE, NOVEL NON-FACTOR AND MODIFIED-FACTOR REPLACEMENT, TO GENE THERAPY. OUR PHYSICIANS HAVE LED AND PARTICIPATED IN NATIONAL AND INTERNATIONAL CLINICAL TRIALS IN CANCER, INCLUDING THE LARGEST STUDY IN THE WORLD CONDUCTED TO DATE FOR STANDARD RISK CHILDHOOD ACUTE LYMPHOBLASTIC LEUKEMIA (ALL), AND THE PIVOTAL TRIALS THAT LED TO FDA APPROVAL OF THE FIRST BISPECIFIC T-CELL ENGAGER (BLINATUMOMAB) FOR CHILDREN WITH RELAPSED AND REFRACTORY ALL, FOR THE USE OF DASATINIB IN CHILDREN WITH CML, AND MOST RECENTLY, FOR TISAGENLECLEUCEL, THE FIRST CHIMERIC ANTIGEN T-CELL RECEPTOR (CAR-T CELL) PRODUCT FOR ALL. OUR NEURO-ONCOLOGY TEAM HAS SET NATIONAL AND INTERNATIONAL STANDARDS FOR TREATMENT FOR HIGH-GRADE GLIOMA, EPENDYMOMA, AND HAS ONE OF THE LARGEST BRAIN TUMOR SAMPLE BANKS IN THE WORLD. RESEARCHERS IN THE CCBD WILL LEAD AND PROVIDE THE BASIS FOR THE LARGEST AND MOST DIVERSE SET OF STUDIES ON CAR-T CELLS AND NATURAL KILLER CELL THERAPIES ACROSS CANCER TYPES IN PEDIATRICS IN THE WORLD. THE CCBD CLINICAL TEAMS MEET MONTHLY AS A SEPARATE QUALITY, SAFETY AND CLINICAL EFFECTIVENESS PROGRAM, TO REVIEW QUALITY AND PATIENT SAFETY DATA, WHICH IN TURN HELPS US ACHIEVE AND SUSTAIN EXCELLENT QUALITY/PATIENT OUTCOMES. THE LEADERSHIP TEAM PROVIDES "QUALITY ROUNDS" ON A BIWEEKLY BASIS TO ENGAGE FRONT LINE STAFF IN EFFORTS TO IMPROVE QUALITY AND PATIENT SAFETY IN THE CCBD. OUR WELLNESS PROGRAM CONSISTS OF PSYCHOLOGISTS, SOCIAL WORKERS, CHILD LIFE SPECIALISTS, AND AN ART THERAPIST. THE PROGRAM IS INTEGRAL TO ALL THE FAMILIES WE SERVE, AND HAS BEEN SO POPULAR WITH PATIENTS AND FAMILIES, THAT OTHER PROGRAMS IN AT CHILDRENS COLORADO AND AROUND THE COUNTRY ARE NOW MODELING IT. WE HAVE MULTI-SPECIALTY CLINICS TO SERVE CHILDREN WHO ARE LONG-TERM SURVIVORS AFTER CANCER CARE AND BONE MARROW TRANSPLANT, ADULTS WHO ARE SURVIVORS OF CHILDHOOD CANCER, AND ESTABLISHED AND HAVE SHARED MULTI-DISCIPLINARY CLINICS IN ORTHOPEDIC ONCOLOGY AND NEURO-ONCOLOGY. QUALITY INITIATIVES: THE CCBD HAS SEVERAL ACTIVE QUALITY & PROCESS IMPROVEMENT INITIATIVES UNDERWAY IN 2017-18 TO INCLUDE: -INCREASING PATIENT AND FAMILY SATISFACTION WITH THE OVERALL CCBD PATIENT CARE EXPERIENCE IN THE HOSPITAL. CCBD SIGNIFICANTLY SURPASSED THE CHILDRENS HOSPITAL COLORADO INPATIENT SATISFACTION GOAL FOR 2017. -DECREASING TIME TO ANTIBIOTICS FOR ONCOLOGY PATIENTS RESULTING IN SIGNIFICANTLY REDUCING THE NEED FOR ICU CONSULTATION. -STANDARDIZING BLOOD TRANSFUSION PARAMETERS RESULTING IN FINANCIAL SAVINGS AND FEWER TRANSFUSION-RELATED COMPLICATIONS. -DECREASING THE TIME TO DIAGNOSIS OF MEDIASTINAL MASS RESULTING IN DECREASED PICU TIME, DECREASED TIME TO THERAPY, AND DECREASED OVERALL INPATIENT LENGTH OF HOSPITAL STAY. -PREVENTING BLOOD STREAM INFECTIONS IN PATIENTS WITH A CENTRAL LINE/CATHETER (A TYPE OF INTRAVENOUS, OR IV LINE). -MAINTAINING, WELL BELOW THE NATIONAL AVERAGE, THE PERCENT OF SICKLE CELL PATIENT READMISSIONS IN LESS THAN 30 DAYS AFTER DISCHARGE. -INCREASING THE PERCENT OF SICKLE CELL PATIENTS ADMITTED FOR ACUTE CHEST SYNDROME RECEIVING ANTIBIOTICS. -DECREASING POTENTIAL HARM TO PATIENTS RESULTING FROM TOTAL PARENTERAL NUTRITION (TPN) ORDERED OUTSIDE OF INDICATIONS FOR ONCOLOGY AND BONE MARROW TRANSPLANT PATIENTS. -DECREASING THE POTENTIAL KIDNEY TOXICITY DUE TO A COMMON TYPE OF CHEMOTHERAPY. SELECTION AS ONE OF ONLY 34 HIGHLY SPECIALIZED CENTERS IN THE US TO BE AUTHORIZED TO DELIVER COMMERCIAL CAR-T CELLS TO PATIENTS AGES 1-25 WITH RELAPSED AND REFRACTORY ALL. PEDIATRIC MENTAL HEALTH INSTITUTE COMMUNITY REPORT 2017 CHILDRENS HOSPITAL COLORADOS PEDIATRIC MENTAL HEALTH INSTITUTE IS CONTINUING TO GROW ITS OUTPATIENT SERVICES YEAR OVER YEAR WHICH INCREASED BY 18% FROM 2016. PATIENTS WILL OFTEN MOVE THROUGH THE CONTINUUM OF SERVICES WE PROVIDE FROM INPATIENT, TO STEPDOWN PROGRAMS, TO OUTPATIENT CARE IN ORDER TO IMPROVE CONTINUITY OF CARE. IN ADDITION, THE OUTPATIENT/AMBULATORY SETTINGS ARE EXPANDING INTO THE COMMUNITY AND OFFERING SERVICES IN LOCATIONS THROUGHOUT THE DENVER METRO AREA. THE PMHI TREATED 46,716 PATIENT VISITS IN 2017 ACROSS ALL LEVELS OF CARE. OUTPATIENT SERVICES ACCOUNTED FOR THE GREATEST NUMBER OF VISITS WITH 27,011 (22,244 VISITS IN 2016). OUTPATIENT SERVICES ARE PROVIDED IN HIGHLANDS RANCH AND BROOMFIELD, IN ADDITION TO THE ANSCHUTZ CAMPUS, WHILE INPATIENT AND PARTIAL HOSPITALIZATION SERVICES ARE SERVED SOLELY AT THE ANSCHUTZ CAMPUS. ADDITIONALLY, CHCO COMPLETED 3718 CRISIS EVALUATIONS IN THE EMERGENCY DEPARTMENT IN 2017 WHICH IS THE MAIN MECHANISM FOR ADMISSION TO THE INPATIENT UNITS WHERE 7870 INPATIENT DAYS WERE SPENT IN OUR CARE. PARTIAL HOSPITALIZATION SERVICE SAW 8117 VISITS THROUGHOUT THE YEAR. BOTH INPATIENT AND PARTIAL HOSPITALIZATION SERVICES HAVE SPECIALIZED PROGRAMS TO PROVIDE TREATMENT TO UNIQUE PATIENT POPULATIONS WHICH INCLUDE PATIENTS WITH EATING DISORDERS AND INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. THE PSYCHIATRIC CONSULTATION AND LIAISON SERVICE PROVIDES CONSULTATIVE CARE TO PATIENTS AND FAMILIES ON THE MEDICAL UNITS. THE C/L TEAM HAD NEARLY 1800 CONTACTS WITH PATIENTS ON THE MEDICAL UNITS TO ASSESS AND EVALUATE FOR A PSYCHIATRIC CONDITION, SAFETY CONCERN AND/OR MEDICATION CONSULTATION. ONCE MEDICALLY STABLE, THESE PATIENTS MAY REQUIRE ONGOING CARE FOR THEIR MENTAL HEALTH RESULTING IN SUBSEQUENT PSYCHIATRIC HOSPITALIZATION OR WILL COMPLETE SAFETY PLANNING PRIOR TO DISCHARGE. ACCOMPLISHMENTS THE PMHI BEGAN AN OUTPATIENT SUBSTANCE ABUSE CLINIC IN 2017 OFFERING TREATMENT TO PATIENTS WITH A SUBSTANCE ABUSE AND PSYCHIATRIC DUAL DIAGNOSIS. THIS IS A MULTI-DISCIPLINARY TEAM OF PROVIDERS TRAINED TO PROVIDE EVIDENCE-BASED TREATMENT OF SUBSTANCE USE DISORDER. CARE FOR THIS POPULATION BEGAN JULY 2017. SINCE ITS INCEPTION, THIS CLINIC HAS SERVED 15 PATIENTS OVER 130 VISITS WITHIN THE OUTPATIENT CLINIC. 2017 ALSO SAW THE CREATION OF A CHILDRENS BEHAVIORAL HEALTH CENTER OF EXCELLENCE (COE). THE CHILDRENS BEHAVIORAL HEALTH CENTER OF EXCELLENCE IS A TECHNICAL ASSISTANCE, TRAINING AND DATA-DRIVEN QUALITY IMPROVEMENT CENTER FOR COLORADO CHILD AND FAMILY SERVING SYSTEMS. THE CENTER WILL FOCUS ON IMPROVING THE QUALITY OF CHILDRENS MENTAL HEALTH SERVICES IN COLORADO THROUGH TRAINING, CONSULTATION, TECHNICAL ASSISTANCE, RESEARCH AND EVALUATION TO MENTAL HEALTH PROGRAMS IN RURAL AND URBAN AREAS THROUGHOUT THE STATE. THE CENTER OF EXCELLENCE HAS HIRED 3 FACULTY MEMBERS DEDICATED TO CHAMPION THIS EFFORT AND IS RECRUITING FOR 2 MORE POSITIONS TO COMPLETE THE TEAM. THE PMHI WAS INVOLVED IN AN ANTI-STIGMA CAMPAIGN. THE YOUTH ACTION BOARD (YAB) CONSISTS OF UP TO 15 YOUTH FROM ACROSS THE DENVER METRO AREA, INCLUDING FORMER AND CURRENT PATIENTS, WHO ARE INTERESTED IN RAISING AWARENESS ABOUT AND DE-STIGMATIZING MENTAL ILLNESS. THE YOUTH CREATED AN ANTI-STIGMA CAMPAIGN TITLED "STIGMA SPEAKS" WHICH PATIENTS TELL THEIR MENTAL HEALTH STORIES. THE BOARD CREATED A VIDEO TO BE SPREAD THROUGH THE COMMUNITY VIA SOCIAL MEDIA, COMMUNITY EVENTS, AND PROFESSIONAL CONFERENCES TO HELP DE-STIGMATIZE MENTAL ILLNESS. MEMBERS OF THE BOARD ALSO TRAVELED TO WASHINGTON, DC TO PARTICIPATE IN THEIR LEGISLATIVE CONFERENCE. THE PMHI ATTENDED VARIOUS CONFERENCES AND PROFESSIONAL EVENTS SUCH AS NATIONAL ALLIANCE ON MENTAL ILLNESS WALK, DENVER ZOO WELLNESS FAIR, AND THE DENVER BRONCOS HEALTH AND WELLNESS EXPO JUST TO NAME A FEW. IN ADDITION TO THOSE EVENTS, THE PMHI ALSO PROVIDED SPEAKERS TO SCHOOLS, COMPANIES AND NEWS ORGANIZATIONS TO PROVIDE EXPERT COMMENTARY AND INSIGHT REGARDING MENTAL HEALTH ISSUES WHICH ADDRESS A WIDE ARRAY OF TOPICS SUCH AS SOCIAL MEDIA USE, BULLYING AND EATING DISORDERS. IN TOTAL, OVER 100 EVENTS WERE PROVIDED MENTAL HEALTH EXPERTISE IN 2017. IN CONJUNCTION WITH THESE EFFORTS. PMHI WORKED CLOSELY WITH THE AURORA PUBLIC SCHOOL SYSTEM AND AURORA MENTAL HEALTH TO PLAN AND CARRY OUT THE INAUGURAL AURORA PROVIDERS' FAIR WHICH BROUGHT TOGETHER A NETWORK OF SERVICE PROVIDERS AVAILABLE TO AURORA PUBLIC SCHOOLS STUDENTS AND FAMILIES. RESEARCH AND PUBLISHING AS PART OF ITS ACADEMIC MISSION, THE PEDIATRIC MENTAL HEALTH INSTITUTE SUPPORTS APPROXIMATELY 65 FACULTY MEMBERS WHO ARE ACTIVE IN RESEARCH. DUE TO THEIR DIVERSE CLINICAL BACKGROUND, OUR FACULTY MEMBERS ARE INVOLVED IN A RANGE OF RESEARCH ENDEAVORS INCLUDING IMPROVING ACCESS OF CARE TO UNDERSERVED POPULATION, APPLYING TELEHEALTH INTERVENTION TO SUPPORT CARE, INTEGRATING MENTAL HEALTH IN PRIMARY CARE, AND PROVIDING SUPPORT TO MOTHERS WITH PRE-NATAL/POST-PARTUM DEPRESSION. OTHER RESEARCH AREAS ALSO INCLUDE NEUROSCIENCE, BEHAVIORAL ASSESSMENTS, EATING DISORDER, MEDICATION ADHERENCE, AND MANY OTHERS. IN 2017, OUR FACULTY HAVE PRESENTED THEIR SCHOLARLY WORKS IN VARIOUS NATIONAL AND INTERNATIONAL CONFERENCES, AS WELL AS PUBLISHED APPROXIMATELY 45 MANUSCRIPTS IN PEER-REVIEWED JOURNALS. FURTHER, 12 NEW RESEARCH PROJECTS WERE INITIATED DURING THE YEAR AS WELL. TRAINING THE PMHI ALSO FURTHERED THE KNOWLEDGE OF FUTURE FACULTY AND STAFF ACROSS A VARIETY OF DISCIPLINES. THE PSYCHOLOGY TRAINING PROGRAM HAD ABOUT 12 TRAINEES COMPLETE THEIR INTERNSHIPS OR EXTERNSHIPS. MEDICAL RESIDENCIES ALSO SAW ABOUT 12 RESIDENTS AND FELLOWS TRAIN IN THE PMHI IN 2017. NOT LIMITED TO THE DOCTORAL LEVEL DISCIPLINES, SOCIAL WORK, LICENSED PROFESSIONAL COUNSELORS AND REGISTERED NURSING STUDENTS ALL TRAINED THROUGH ON THE VARIOUS PROGRAMS THROUGHOUT THE PMHI. QUALITY INITIATIVES: THE PMHI HAS A NUMBER OF ACTIVE QUALITY & PROCESS IMPROVEMENT INITIATIVES UNDERWAY IN 2017 (AND CONTINUING INTO 2018) TO INCLUDE: -USING THE COLUMBIA SUICIDE SEVERITY RATING SCALE TO OBJECTIVELY ASSESS PATIENTS SUICIDALITY IN ALL PATIENTS OVER 10 YEARS OLD. -INCREASING PATIENT AND FAMILY SATISFACTION WITH THE CARE DELIVERED IN PMHI. -INCREASING COMMUNITY-BASED PCP SATISFACTION WITH THE COMMUNICATION AND ACCESS TO PMHI -REDUCING THE USE OF RESTRAINT AND SECLUSION BY IMPLEMENTING A NEW MODEL OF DE-ESCALATION AND CRISIS MANAGEMENT WHICH WAS IMPLEMENTED MID-SEPTEMBER. -IMPLEMENTING A TRAUMA-INFORMED CARE MODEL ON THE INPATIENT PSYCH UNIT. -IMPLEMENTING ASSESSMENT MEASURES IN THE OUTPATIENT CLINIC TO TRACK A PATIENT'S PROGRESS THROUGH TREATMENT. -SOCIAL DETERMINANTS OF HEALTH SCREENER WAS IMPLEMENTED IN THE OUTPATIENT DEPARTMENT TO ASSIST IN IDENTIFYING FAMILY AND CAREGIVER NEEDS AND TO ASSIST WITH FINDING COMMUNITY BASED RESOURCES FOR THE CAREGIVERS. OVER 50% OF THE CAREGIVERS IN THE TRIAL PERIOD INDICATED NEEDING ASSISTANCE WITH ACCESSING RESOURCES SUCH AS HOUSING, FOOD, OR MENTAL HEALTH CARE FOR THEMSELVES. -DEVELOPING A BEHAVIORAL HEALTH REGISTRY TO ASSESS MEDICATION REGIMEN OF PATIENTS ON 2 OR MORE ANTIPSYCHOTICS. THIS EFFORT WILL ADDRESS THE APPROPRIATENESS OF THE USE OF MULTIPLE ANTIPSYCHOTIC MEDICATIONS. REDUCING THE NUMBER OF WORKPLACE VIOLENCE INCIDENTS INITIATED BY PATIENT EVENTS RESULTING IN AN INJURY TO STAFF. PRELIMINARY RESULTS SHOW A DECREASE IN BOTH OSHA RECORDABLE AND NON-RECORDABLE INJURIES. FORM 990, PART VI, LINE 1A THE NUMBER OF VOTING MEMBERS OF THE CHILDRENS HOSPITAL COLORADO ARE 31 (24 ELECTED DIRECTORS AND 7 EX-OFFICIO); CHILDREN'S HOSPITAL COLORADO'S EXECUTIVE COMMITTEE CONSISTS OF THE BOARD CHAIR, CHAIR ELECT, CHIEF EXECUTIVE OFFICER, SECRETARY, BOARD TREASURER, CORPORATE TREASURER IMMEDIATE PAST CHAIR, AND THE CHAIR OF THE CHILDREN'S HOSPITAL COLORADO FOUNDATION, THE CHANCELLOR (OR DESIGNEE) AND UP TO TWO (2) ADDITIONAL SEATS TO BE FILLED BY THE BOARD CHAIR. THE EXECUTIVE COMMITTEE HAS ALL THE POWERS OF THE BOARD OF DIRECTORS, EXCEPT AS LIMITED BY LAW, DURING THE PERIOD BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD. FORM 990, PART VI, LINE 6 CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL COLORADO. FORM 990, PART VI, LINE 7A THE WRITTEN CONSENT OF CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM IS REQUIRED TO APPROVE THE BOARD OF DIRECTORS OF CHILDREN'S HOSPITAL COLORADO. FORM 990, PART VI, LINE 7B CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM AS THE SOLE MEMBER HAS CERTAIN APPROVAL POWERS AS DESCRIBED IN THE AMENDED AND RESTATED BYLAWS DATED SEPTEMBER 22, 2011, AND AMENDED MOST RECENTLY IN FEBRUARY 2017. FORM 990, PART VI, Line 11B CHILDREN'S HOSPITAL COLORADO'S FINANCE DEPARTMENT WORKS CLOSELY WITH HUMAN RESOURCES, CORPORATE COMPLIANCE, LEGAL AND PUBLIC RELATIONS TO GATHER ALL THE DATA REQUIRED TO COMPLETE THE FORM 990. THE VP OF FINANCE AND THE DIRECTOR OF ACCOUNTING & REPORTING CONDUCT A REVIEW WITH THE CFO PRIOR TO THE DRAFT BEING DISTRIBUTED TO THE BOARD OF DIRECTORS. ANY NECESSARY CHANGES ARE MADE, THE FORM IS SIGNED BY THE CFO, REVIEWED BY THE AUDIT COMMITTEE, AND A FINAL COPY IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE IRS VIA A SECURED WEBSITE. FORM 990, PART VI, LINE 12C BOARD MEMBERS ARE REQUIRED TO DISCLOSE, ON AN ANNUAL BASIS, POTENTIAL CONFLICT OF INTERESTS PURSUANT TO THE WRITTEN POLICIES OF CHILDREN'S HOSPITAL COLORADO (CHCO) AND CHILDREN'S HOSPITAL COLORADO FOUNDATION (CHCF). ALL EMPLOYEES AND BOARD MEMBERS MUST PROMPTLY PROVIDE A WRITTEN DESCRIPTION OF MATERIAL FACTS OF AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST TO CORPORATE COMPLIANCE AND/OR GENERAL COUNSEL ON THE APPROPRIATE DISCLOSURE FORM. SUCH DISCLOSURE WILL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF THE CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. POLICIES AND PROCEDURES FOR DISCLOSING CONFLICTS OF INTEREST ARE TO BE FOLLOWED ACCORDING TO THE INDIVIDUAL'S FUNCTION, IN COMPLIANCE WITH STATE AND FEDERAL REGULATIONS. COMPLETED DISCLOSURE FORMS ARE SUBJECT TO AUDIT REVIEW BY LEGAL, THE CORPORATE COMPLIANCE PROGRAM, AND THE COMPLIANCE AND BUSINESS ETHICS COMMITTEE OF THE BOARD OF DIRECTORS. FAILURE TO COMPLY WITH CONFLICT OF INTEREST POLICIES MAY LEAD TO DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT OR WORKING RELATIONSHIP WITH THE CHILDREN'S HOSPITAL COLORADO. ONCE THE COMPLIANCE AND BUSINESS ETHICS (CABE) COMMITTEE HAS DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS WITH RESPECT TO A AGREEMENT/CONTRACT THEN: 1. THE (CABE) COMMITTEE WILL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER CHILDREN'S HOSPITAL COULD OBTAIN A MORE ADVANTAGEOUS AGREEMENT/CONTRACT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES AND, IF APPROPRIATE, WILL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT. 2. IN CONSIDERING WHETHER TO ENTER THE PROPOSED AGREEMENT/CONTRACT, THE CABE COMMITTEE MAY APPROVE SUCH CONTRACT, TRANSACTION OR ARRANGEMENT ONLY IF THE DISINTERESTED PERSON OR COMMITTEE DETERMINE BY A MAJORITY VOTE THAT: - THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT IN CHILDREN'S COLORADO BEST INTERESTS AND FOR COLORADO CHILDREN'S OWN BENEFIT; AND - THE PROPOSED TRANSACTION IS FAIR AND REASONABLE TO CHILDREN'S HOSPITAL COLORADO (CHCO), CONSIDERING, AMONG OTHER RELEVANT FACTORS, WHETHER CHCO COULD OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. FORM 990, PART VI, LINES 15A AND 15B CHILDREN'S HOSPITAL COLORADO HAS AN EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS THAT REVIEWS AND APPROVES ANY PROPOSED INCREASES RELATED TO ANY OFFICERS AND KEY EMPLOYEES OF THE COMPANY. THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE ALONG WITH THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS EACH YEAR. ONCE A CHANGE IN COMPENSATION IS APPROVED, FORMAL DOCUMENTS ARE COMPLETED AND MINUTES OF THE MEETING ARE PREPARED, REVIEWED AND APPROVED. REVIEW PROCESS INCLUDES: - REVIEW MARKET RATIO - SHOULD FALL BETWEEN 80% TO 120% OF MARKET - REVIEW 25TH, 50TH, AND 75TH PERCENTILE - BASE SALARY - INDIVIDUAL QUALIFICATIONS AND PERFORMANCE DETERMINES MARKET POSITION. BASE SALARY FOR EACH INDIVIDUAL IS TARGETED AT THE MEDIAN (50TH PERCENTILE) OF THE PEER GROUP. - VARIABLE PAY - LEADERSHIP INCENTIVE IS IN PLACE WHICH REWARDS FOR ORGANIZATIONAL PERFORMANCE WITH A COMPONENT ALSO BASED ON INDIVIDUAL PERFORMANCE FOR ALL EXCEPT THE CEO. THE INCLUSION OF VARIABLE PAY WILL PLACE TOTAL CASH COMPENSATION (E.G., BASE SALARY AND VARIABLE PAY) BETWEEN THE 50TH AND 75TH PERCENTILE FOR EACH INDIVIDUAL. - AWARDS ARE BASED ON ACHIEVEMENT OF PRE-ESTABLISHED CHILDREN'S COLORADO GOALS WHICH SUPPORT THE STRATEGIC PLAN - BENEFITS - TARGETED AT THE "MIDDLE OF MARKET" DECISION FACTORS IN EXECUTIVE COMPENSATION DECISIONS: - MARKET DATA FROM INDEPENDENT COMPENSATION SURVEYS THAT REFLECT FUNCTIONALLY COMPARABLE POSITIONS IN ORGANIZATIONS OF SIMILAR SIZE AND SCOPE - DIFFICULTIES IN RECRUITING AND RETAINING EXECUTIVES - SKILLS, EXPERIENCE AND PERFORMANCE HISTORY OF INDIVIDUAL EXECUTIVES - CRITICAL BUSINESS OR STRATEGIC ISSUES THAT THE ORGANIZATION MAY FACE - WHEN ASSESSING EXECUTIVE COMPENSATION, CHILDREN'S COLORADO CONSIDERS BOTH MARKET RATIOS - UTILIZED APPROVED PEER GROUP FROM JANUARY 2016 MEETING - ON POSITIONS WITH INSUFFICIENT DATA (LESS THAN 10 MATCHES) - USED EXPANDED PEER GROUP OF ALL ACUTE CARE ORGANIZATIONS - BENCHMARKED BASE PAY, TOTAL CASH COMPENSATION, AND BENEFITS 2016 CUSTOM PEER GROUP - ATLANTA - BOSTON - CHICAGO - CINCINNATI - COLUMBUS - DALLAS - FORT WORTH - HOUSTON - KANSAS CITY - LOS ANGELES - MILWAUKEE - MINNEAPOLIS - ORANGE - PALO ALTO - PHILADELPHIA - SAN DIEGO - SEATTLE - WASHINGTON, DC THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN 2017. FORM 990, PART VI, LINE 19 THESE DOCUMENTS ARE MADE AVAILABLE UPON REASONABLE REQUEST. FORM 990, PART IX, LINE 11G PHYSICIAN SERVICES $ 107,609,408 PURCHASED SERVICES $ 27,809,429 ENVIRONMENTAL SERVICES $ 8,704,532 CONSULTING $ 3,902,216 OTHER $ 9,464,001 ------------- TOTAL $ 157,489,586 FORM 990, PART XI, LINE 9 CHANGE IN VALUE OF INTEREST RATE SWAPS $8,361,951 EQUITY TRANSFER FROM RESTRICTED TO UNRESTRICTED $708,752 NET INCOME ON OTHER TAX RETURN ($1,542,979) CHANGE IN PERPETUAL TRUST $5,043,685 CHANGE IN TEMPORARILY RESTRICTED $4,229,619 GIFTSHOP ACTIVITY GOING DIRECTLY TO EQUITY $243,840 RELEASE OF RESTRICTIONS ON CAPITAL ACQUISITIONS $383,559 OTHER CHANGE IN NET ASSETS ($171,415) ------------- TOTAL $17,257,012 ============= CHILDREN'S HSPITAL COLORADO HLTH SYSTEM 13123 EAST 16TH AVE AURORA CO 80045 454182666 HEALTHCARE CO 501(c)(3) 12c, III-FI NA false CHILD HEALTH MANAGEMENT SERVICES INC 13123 EAST 16TH AVE AURORA CO 80045 742266667 IT SERVICES CO 501(c)(3) 3 CH-COLORADO true THE CHILDREN'S HOSPITAL FOUNDATION 13123 EAST 16TH AVE AURORA CO 80045 840813462 FOUNDATION CO 501(c)(3) 7 CHCHS true CHILDREN'S HEALTH CORPORATION 13123 EAST 16TH AVE AURORA CO 80045 742235572 SUPPORTING CO 501(c)(3) 12a-I CH-COLORADO true CHILDREN'S NORTH SURGERY CTR 13123 EAST 16TH AVE AURORA CA 80045 262394578 OUTPATIENT SURG CO CH-COLORADO Related 335231 1977639 false 0 true 0.73000 RMCHS MANAGEMENT SERVICES INC 13123 EAST 16TH AVE AURORA CO 80045 840957415 BILLING CO CH-COLORADO C Corp 4271901 115486 1.00000 true PEDIATRIC CARE NETWORK CHC LLC 13123 EAST 16TH AVE AURORA CO 80045 813554450 HEALTHCARE CO CH-COLORADO C Corp 422195 3775442 1.00000 true PERPETUAL TRUST HOSPITAL SUPPORT CO CH-COLORADO true true true true true false false false false false false true true true true true false false false false CHILDREN'S NORTH SURGERY CENTER LLC d 3426000 LOAN GUARANTEED CHILDREN'S NORTH SURGERY CENTER LLC a 275000 FINANCIAL STMNT THE CHILDREN'S HOSPITAL FOUNDATION c 39560289 FINANCIAL STMNT SCHEDULE R, PART III, COLUMN (A) CHILDREN'S NORTH SURGERY CENTER LLC EIN: 26-2394578 ADDRESS: 469 State Highway 7, Suite 2, Broomfield, CO 80023