CHILDRENS HOSPITAL COLORADO: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HOSPITAL COLORADO (EIN 84-0166760)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-13
IRS object ID: 201733179349302873
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 K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-13T10:49:10-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

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

Filer Filer

Field	Value	IRS element (for citing)
EIN	840166760	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Children's Hospital Colorado	BusinessNameLine1Txt

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JEFFREY HARRINGTON	PersonNm
Person Title	SVP AND CFO	PersonTitleTxt
Phone	7207771234	PhoneNum
Signature	2017-11-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	STEVEN T RUTTI	PreparerPersonNm
PTIN	P00775456	PTIN
Phone	6023223000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	68.228.206.89	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	86597020173175000000	FederalOriginalSubmissionId
Federal Original Submission Id	2017-11-13	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	75C5EDAB7EBB92AAB100D8D7E73F8E6643DC4F33	AtSubmissionCreationDeviceId
At Submission Filing Device Id	75C5EDAB7EBB92AAB100D8D7E73F8E6643DC4F33	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$1,009,039,980	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHILDRENSCOLORADO.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1908	FormationYr
Legal Domicile State	CO	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH-QUALITY COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY.	ActivityOrMissionDesc
Voting Members Governing Body	29	VotingMembersGoverningBodyCnt
Voting Members Independent	28	VotingMembersIndependentCnt
Total Employee	7449	TotalEmployeeCnt
Total Volunteers	2459	TotalVolunteersCnt
Total Gross UBI	$3,835,908	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$108,463	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$29,185,954	PYContributionsGrantsAmt
CY Contributions Grants	$37,828,703	CYContributionsGrantsAmt
PY Program Service Revenue	$949,352,509	PYProgramServiceRevenueAmt
CY Program Service Revenue	$967,351,711	CYProgramServiceRevenueAmt
PY Investment Income	$1,333,947	PYInvestmentIncomeAmt
CY Investment Income	$3,061,242	CYInvestmentIncomeAmt
PY Other Revenue	$232,137	PYOtherRevenueAmt
CY Other Revenue	$795,526	CYOtherRevenueAmt
PY Total Revenue	$980,104,547	PYTotalRevenueAmt
CY Total Revenue	$1,009,037,182	CYTotalRevenueAmt
PY Grants And Similar Paid	$845,301	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$651,299	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$471,786,908	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$510,900,057	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$436,400,452	PYOtherExpensesAmt
CY Other Expenses	$450,397,050	CYOtherExpensesAmt
PY Total Expenses	$909,032,661	PYTotalExpensesAmt
CY Total Expenses	$961,948,406	CYTotalExpensesAmt
PY Revenues Less Expenses	$71,071,886	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$47,088,776	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,348,367,934	TotalAssetsBOYAmt
Total Assets EOY	$1,574,536,039	TotalAssetsEOYAmt
Total Liabilities BOY	$760,628,022	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$944,499,150	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$587,739,912	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$630,036,889	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO IMPROVE THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH-QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$755,664,067	ExpenseAmt
Grant	$651,299	GrantAmt
Revenue	$967,351,711	RevenueAmt
Desc	ROUTINE INPATIENT SERVICES; ANCILLARY INPATIENT SERVICES SUCH AS LAB, RADIOLOGY, OPERATING ROOM, RECOVERY ROOM, CENTRAL SUPPLIES, ETC.; OUTPATIENT SERVICES SUCH AS EMERGENCY ROOM, MULTI-SPECIALTY AMBULATORY SERVICES INCLUDING ORTHO CLINIC, ONCOLOGY CLINIC, ETC. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	Desc
Total Program Service Expenses	$755,664,067	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	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	522	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7449	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	29	GoverningBodyVotingMembersCnt
Independent Voting Member	28	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CATHY DAL SANTO	PersonNm
Phone	7207776126	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (49 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CONNIE BRAKKEN-SMITH
PRESIDENT - VOLUNTEERS	1.0	1.0	Yes (X)	$0	$0	$0
RUSSELL DISPENSE
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
DONALD M ELLIMAN
CHANCELLOR UOC ANSCHUTZ CAMPUS	1.0	0.0	Yes (X)	$0	$0	$0
MICHAEL GOULD
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
BRIAN GREFFE MD
PRESIDENT MED STAFF (OUTGOING)	1.0	0.0	Yes (X)	$0	$0	$0
JENA HAUSMANN
PRESIDENT AND CEO	40.0	4.0	Yes (X)	$1,145,808	$0	$305,037	Yes (X)
RANDY HERTEL
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
DAVID HONEYFIELD
TREASURER	1.0	1.0	Yes (X)	$0	$0	$0	Yes (X)
DAVID HOOVER
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
ROBERT HOTTMAN
BOARD MEMBER (OUTGOING)	1.0	0.0	Yes (X)	$0	$0	$0
J WAYNE HUTCHENS
BOARD MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
JOHN IKARD
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
JOY JOHNSON
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
JUDITH KOFF
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
KAREN LEAMER
PRESIDENT, MEDICAL STAFF	1.0	0.0	Yes (X)	$0	$0	$0
WILLIAM LINDSAY
VICE CHAIR(OUTGOING)/CHAIR	1.0	1.0	Yes (X)	$0	$0	$0	Yes (X)
LILLY MARKS
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
ANNITA MENOGAN
SECRETARY	1.0	1.0	Yes (X)	$0	$0	$0	Yes (X)
MARTHA MIDDLEMIST
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
SHEN NAGEL
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
R SCOTT NYCUM
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
CRAIG PONZIO
BOARD MEMBER (OUTGOING)	1.0	0.0	Yes (X)	$0	$0	$0
VICTORIA QUINTANA
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
KEVIN REIDY
CHAIR/BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
JOHN J REILLY
VICE CHANCELLOR HEALTH AFFAIRS	1.0	0.0	Yes (X)	$0	$0	$0
KRISTIN RICHARDSON
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
JANE SCHUMAKER
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
DAVID SHAPIRO
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
ANN SPERLING
BOARD MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
RICHARD STODDARD
CHAIR - TCH FOUNDATION	1.0	0.0	Yes (X)	$0	$0	$0
BRUCE WAGNER
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
STEVE WHITE
BOARD MEMBER (OUTGOING)	1.0	0.0	Yes (X)	$0	$0	$0
BARTH WHITHAM
VICE CHAIR	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
MARY ANNE LEACH
SR. VP / CIO	40.0	0.0		$431,214	$0	$87,968	Yes (X)
JOAN BOTHNER MD
CHIEF MEDICAL OFFICER	40.0	0.0		$654,981	$0	$0	Yes (X)
DAVID BIGGERSTAFF
SR VP/CHIEF OPERATIONS OFFICER	40.0	0.0		$367,393	$0	$102,827	Yes (X)
Patricia Pat Givens
Sr. VP Patient Care Svcs & CNO	40.0	0.0		$55,238	$0	$0	Yes (X)
JEFFREY HARRINGTON
SR. VP / CFO	40.0	4.0		$664,093	$0	$123,781	Yes (X)
DANIEL HYMAN MD
CHIEF QUALITY OFFICER	40.0	0.0		$387,850	$0	$0	Yes (X)
MICHELLE M LUCERO
CHIEF LEGAL OFFICER	40.0	0.0		$494,347	$0	$150,093	Yes (X)
GIL PERI
SVP / CHIEF STRATEGY OFFICER	40.0	0.0		$489,023	$0	$146,552	Yes (X)
DWINITA HENRY MOSBY
SVP HR/CHIEF INCLUSION OFFICER	40.0	0.0		$357,944	$0	$84,777		Yes (X)
SUZANNE JAEGER
SR. VP EXPERIENCE AND ACCESS	40.0	0.0		$375,889	$0	$99,840		Yes (X)
TIMOTHY CROMBLEHOME MD
SURGEON-IN-CHIEF	40.0	0.0		$443,833	$0	$0			Yes (X)
STEPHEN DANIELS MD
PEDIATRIC-IN-CHIEF	40.0	0.0		$387,850	$0	$0			Yes (X)
Andrea Ferretti
VP NOC and ACNO	40.0	0.0		$365,631	$0	$84,014			Yes (X)
CATHERINE DAL SANTO
VP FINANCE	40.0	0.0		$381,724	$0	$82,095			Yes (X)
FRED SUCHY MD
CHIEF RESEARCH OFFICER	40.0	0.0		$552,733	$0	$0			Yes (X)
JAMES E SHMERLING DHA
FORMER CEO	0.0	0.0		$882,000	$0	$80,775				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,437,551	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,347,759	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	405	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
University of Colorado Medicine
13199 EAST MONTVIEW BLVD	AURORA	CO	80045	Physician services	$79,950,912
University of Colorado Denver
13123 East 16th Ave Bod B-219	Aurora	CO	80045	Education services	$18,804,373
Razorfish LLC
16206 Collections Center Dr	Chicago	IL	60693	Internet/Web devpmnt	$6,379,309
Hospital Shared Services
900 South Broadway Ste 100	Denver	CO	80209	Medical software svs	$3,553,184
Epic Systems Corp
1979 Milky Way	Verona	WI	53593	Medical software svs	$3,532,322

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	97	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Related Organizations	$30,854,252	RelatedOrganizationsAmt
Government Grants	$6,974,451	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$37,828,703	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	622110	$911,886,368	$911,886,368	$0	$0
RESEARCH FUNDING	541900	$12,276,673	$12,276,673	$0	$0
CAFETERIA	722210	$4,530,336	$4,530,336	$0	$0
LAB BILLING	561000	$3,311,333	$0	$3,311,333	$0
ALL OTHER PROGRAM SERVICE	900009	$35,347,001	$34,822,426	$524,575	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$967,351,711	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,775,322	TotalRevenueColumnAmt
Exclusion	$2,775,322	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	$795,526	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$795,526	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$795,526	TotalRevenueColumnAmt
Exclusion	$795,526	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$288,718	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$2,798	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$288,718	SecuritiesAmt
Other	-$2,798	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$285,920	TotalRevenueColumnAmt
Exclusion	$285,920	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

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,009,037,182	TotalRevenueColumnAmt
Related Or Exempt Func Income	$963,515,803	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,835,908	UnrelatedBusinessRevenueAmt
Exclusion	$3,856,768	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$651,299	TotalAmt
Program Services	$651,299	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,524,655	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$6,524,655	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$962,775	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$962,775	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$405,493,159	TotalAmt
Program Services	$311,965,537	ProgramServicesAmt
Management And General	$93,527,622	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$17,220,404	TotalAmt
Program Services	$13,008,293	ProgramServicesAmt
Management And General	$4,212,111	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$51,574,464	TotalAmt
Program Services	$38,959,350	ProgramServicesAmt
Management And General	$12,615,114	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$29,124,600	TotalAmt
Program Services	$22,000,723	ProgramServicesAmt
Management And General	$7,123,877	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$18,486	TotalAmt
Program Services	$13,964	ProgramServicesAmt
Management And General	$4,522	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,796,613	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,796,613	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$4,225	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$4,225	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$678,362	TotalAmt
Program Services	$678,362	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$70,046	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$70,046	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$146,369,042	TotalAmt
Program Services	$109,776,781	ProgramServicesAmt
Management And General	$36,592,261	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$11,523,075	TotalAmt
Program Services	$8,704,531	ProgramServicesAmt
Management And General	$2,818,544	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,454,929	TotalAmt
Program Services	$2,609,853	ProgramServicesAmt
Management And General	$845,076	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$15,742,640	TotalAmt
Program Services	$11,891,990	ProgramServicesAmt
Management And General	$3,850,650	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$25,367,412	TotalAmt
Program Services	$19,162,543	ProgramServicesAmt
Management And General	$6,204,869	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,103,781	TotalAmt
Program Services	$2,344,596	ProgramServicesAmt
Management And General	$759,185	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,408,027	TotalAmt
Program Services	$1,063,624	ProgramServicesAmt
Management And General	$344,403	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$17,055,937	TotalAmt
Program Services	$12,884,055	ProgramServicesAmt
Management And General	$4,171,882	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$57,545,418	TotalAmt
Program Services	$43,469,809	ProgramServicesAmt
Management And General	$14,075,609	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,962,971	TotalAmt
Program Services	$5,259,828	ProgramServicesAmt
Management And General	$1,703,143	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical supplies	$104,777,562	$104,777,562	$0	$0
Hospital provider fee	$21,496,618	$21,496,618	$0	$0
Equipment rental & maint	$11,359,628	$8,581,063	$2,778,565	$0
Swap interest	$4,443,270	$3,356,446	$1,086,824	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$17,219,008	TotalAmt
Program Services	$13,007,240	ProgramServicesAmt
Management And General	$4,211,768	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$961,948,406	TotalAmt
Program Services	$755,664,067	ProgramServicesAmt
Management And General	$206,284,339	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$52,167,249	BOYAmt
EOY	$81,367,754	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,111,508	BOYAmt
EOY	$6,614,740	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$111,223,462	BOYAmt
EOY	$129,804,740	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	$9,137,932	BOYAmt
EOY	$9,026,331	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,057,456	BOYAmt
EOY	$10,083,225	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,420,407,933	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$514,866,293	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$931,250,919	BOYAmt
EOY	$905,541,640	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$117,193,730	BOYAmt
EOY	$297,725,064	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$375,000	BOYAmt
EOY	$625,000	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$110,850,678	BOYAmt
EOY	$133,747,545	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,348,367,934	BOYAmt
EOY	$1,574,536,039	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$125,325,039	BOYAmt
EOY	$143,848,268	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$9,114,750	BOYAmt
EOY	$8,244,983	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	$533,410,206	BOYAmt
EOY	$681,493,971	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$79,522,526	BOYAmt
EOY	$97,656,427	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$760,628,022	BOYAmt
EOY	$944,499,150	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$505,594,740	BOYAmt
EOY	$541,233,077	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$44,175,161	BOYAmt
EOY	$49,043,499	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$37,970,011	BOYAmt
EOY	$39,760,313	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$587,739,912	BOYAmt
EOY	$630,036,889	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,348,367,934	BOYAmt
EOY	$1,574,536,039	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$47,088,776	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,983,734	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$7,775,533	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$43,943	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$634,419	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$678,362	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$730,147,506	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$730,825,868	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

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	$231,750	CurrentYearMinus3Amt
Current Year Minus2	$445,246	CurrentYearMinus2Amt
Current Year Minus1	$486,949	CurrentYearMinus1Amt
Current Year	$678,362	CurrentYearAmt
Total	$1,842,307	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

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

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

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$4,000	CurrentYearMinus3Amt
Current Year Minus2	$119,051	CurrentYearMinus2Amt
Current Year Minus1	$82,676	CurrentYearMinus1Amt
Current Year	$43,943	CurrentYearAmt
Total	$249,670	TotalAmt

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	$37,970,011	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,303,237	InvestmentEarningsOrLossesAmt
Other Expenditures	$430,693	OtherExpendituresAmt
Administrative Expenses	$82,242	AdministrativeExpensesAmt
End Year Balance	$39,760,313	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$33,820,766	BeginningYearBalanceAmt
Investment Earnings Or Losses	$4,746,146	InvestmentEarningsOrLossesAmt
Other Expenditures	$756,379	OtherExpendituresAmt
Administrative Expenses	$75,891	AdministrativeExpensesAmt
End Year Balance	$37,734,642	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$31,068,294	BeginningYearBalanceAmt
Investment Earnings Or Losses	$3,971,679	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,148,212	OtherExpendituresAmt
Administrative Expenses	$70,995	AdministrativeExpensesAmt
End Year Balance	$33,820,766	EndYearBalanceAmt

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$32,317,795	OtherCostOrOtherBasisAmt
Book Value	$32,317,795	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$883,904,495	OtherCostOrOtherBasisAmt
Depreciation	$205,092,784	DepreciationAmt
Book Value	$678,811,711	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,407,789	OtherCostOrOtherBasisAmt
Depreciation	$9,315,742	DepreciationAmt
Book Value	$8,092,047	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$429,919,207	OtherCostOrOtherBasisAmt
Depreciation	$294,629,668	DepreciationAmt
Book Value	$135,289,539	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$56,858,647	OtherCostOrOtherBasisAmt
Depreciation	$5,828,099	DepreciationAmt
Book Value	$51,030,548	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$905,541,640	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
PERPETUAL TRUST ASSETS-TAMMEN	$39,760,313
SELF INSURANCE TRUST REC.	$38,826,000
Other Misc Receivable	$6,866,074
Intercompany Receivable	$1,459,276
Receivable From Foundation	$13,072,565
RECEIVABLE FROM SYSTEM	$27,058,919
Pension Plan Assets	$6,704,398

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$133,747,545	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$95,028	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Investment In North ASC	$2,795,379
Value On Interest Rate Swap	$35,503,603
Pension Plan Liability	$6,299,488
Deferred Comp Payable	$438,691
SELF INSURANCE TRUST PAYABLE	$50,674,000
Lease Tenant Improvements	$1,561,700
Deferred Rent	$288,538

Field	Value	IRS element (for citing)
Total Liability	$97,656,427	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,410,841	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,854,591	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,556,250	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$411,709,945	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$288,240,788	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$123,469,157	NetCommunityBenefitExpnsAmt
Total Expense	0.12830	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,982,186	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,982,186	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$438,102,972	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$312,077,565	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$126,025,407	NetCommunityBenefitExpnsAmt
Total Expense	0.13100	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,082,202	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,072,509	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,009,693	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,364,923	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,236,127	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,128,796	NetCommunityBenefitExpnsAmt
Total Expense	0.01470	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,659,018	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,834,051	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,824,967	NetCommunityBenefitExpnsAmt
Total Expense	0.01540	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,540,496	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,540,496	NetCommunityBenefitExpnsAmt
Total Expense	0.02970	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$483,294	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$483,294	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$111,129,933	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,142,687	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$63,987,246	NetCommunityBenefitExpnsAmt
Total Expense	0.06650	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$549,232,905	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$359,220,252	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$190,012,653	NetCommunityBenefitExpnsAmt
Total Expense	0.19750	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,500	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,127	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$66,127	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,444	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,444	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,003	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,216	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,787	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$115,538	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$894	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$114,644	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,427	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,427	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$781,120	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$751,120	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,054,159	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,110	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,013,049	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$8,312,000	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,917,000	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$1,098,150	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$683,848	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$414,302	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
CHILDREN'S HOSPITAL COLORADO
1	13123 East 16TH AVENUE	AURORA	CO	80045	WWW.CHILDRENSCOLORADO.ORG	010417	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
CHILDREN'S HOSPITAL COLORADO - SOUTH
2	1811 PLAZA DRIVE	HIGHLANDS RANCH	CO	80129	WWW.CHILDRENSCOLORADO.ORG	01F105	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
CHILDREN'S HOSPITAL CO - MEMORIAL
3	1400 EAST BOULDER STREET	COLORADO SPRINGS	CO	80909	WWW.CHILDRENSCOLORADO.ORG	13U321	Yes (X)	Yes (X)				A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	13	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.CHILDRENSCOLORADO.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.CHILDRENSCOLORADO.ORG	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.childrenscolorado.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.childrenscolorado.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.childrenscolorado.org	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B	A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP A. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED IN FACILITY REPORTING GROUP A: (1) CHILDREN'S HOSPITAL COLORADO (2) CHILDREN'S HOSPITAL COLORADO - SOUTH (3) CHILDREN'S HOSPITAL COLORADO - MEMORIAL
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: Before launching the 2015 Community Health Needs Assessment, Childrens Hospital Colorado conducted a review of the prior health needs assessment, which was produced in 2012. To inform the current assessment, we asked both internal and external parties to read the prior report and submit written feedback. Representatives from public health, policy and advocacy, clinical practice and the nonprofit sector provided feedback on the 2012 report. We also commissioned a professor with the Colorado School of Public Health to conduct a formal review of the prior health needs assessment and implementation strategy. 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 7C 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 significant effectS 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 Hospital Colorado 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 Hospital Colorado also began a partnership with Aurora Public Schools (APS) to promote community-based programs and services in the school setting. Through this partnership, Childrens Hospital Colorado 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%).

Field	Value	IRS element (for citing)
Facility	13	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CHILDREN'S HOSPITAL COLORADO-NORTH
469 WEST STATE HIGHWAY 7	BROOMFIELD	CO	80023	UC, SPECIALTY CARE, 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

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7	In 2016, Childrens Hospital Colorado provided $190,012,653 or 19.75% of total operating expenses, in benefit to the community. Medicaid at Childrens Hospital Colorado accounted for $123,469,157 of net community benefit expense or 12.83% of total operating expenses with $2,556,250 in financial assistance or 0.27% of total expense. Other benefits accounted for $63,987,246 in net community benefit expense or 6.65% of total expense. $6,009,693 in community health improvement (.62%), $14,128,796 in health profession education (1.47%), $14,824,967 in subsidized health services (1.54%), $28,540,496 in research (2.97%) and $483,294 in cash and in-kind contributions for community benefit (.05%). Included in subsidized health services are those which Childrens Hospital Colorado provides to its patient population at a loss. In 2016, programs associated with these losses are mental health, rehabilitation services and dermatology. 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 2016, Childrens Hospital Colorado provided $1,013,049 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 2016 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. Community Health Improvement: During the 2015 community needs assessment process, Childrens Hospital Colorado learned that not only was mental health a priority for the community, but also that the stigma associated with mental health conditions often prevented parents and caregivers, as well as youth themselves, from seeking help when they needed it. Because stigma is social, no one entity alone can tackle it. Thus, in 2016 Childrens Colorado sought partnership in our fellow nonprofit hospitals and local public health departments which also shared mental health as a priority identified in their needs assessments, along with the desire to reduce the stigma surrounding it. Tri-County Health Department agreed to be the convener and fiscal agent, and Childrens Hospital Colorado came to the table as a key partner, along with other hospitals, mental health centers, and local public health departments from the Denver metro area. The goal was to develop a shared message platform around reducing mental health stigma and to provide content that all partner organizations could utilize in their work. Partners agreed that low income adults would be a primary audience. In addition to key employees from each organization informing the message and content development, focus groups were conducted with a diverse group of stakeholders, including parents (both English and Spanish speaking), and providers who serve low income families, and Childrens Colorado assisted in these efforts. A common message platform, "Lets Talk Colorado" has been developed, and will be utilized in 2017 to change community behavior and perceptions. A set of questions related to mental health stigma has been added to the CDC Behavioral Risk Factor Surveillance System (BRFSS) by Tri County Health Department as one way we can measure community impact. The Let's Talk Colorado website launched, in May 2017, a mental health stigma reduction campaign created by a 20-member coalition, including CHCO and which links to CHCO resources. Leadership Development and Training for Community Members: Childrens Advocacy Boot Camp is a new leadership development program for community members who want to learn how to advocate for child health issues that matter to them. Consisting of seven monthly half-day sessions featuring expert speakers on a variety of advocacy related topics, Advocacy Boot Camp resembles a traditional leadership program geared toward teaching the fundamentals of becoming an effective advocate whether that is at the Capitol, in the community or in a healthcare setting. Skills development includes: Identification of community resources that support children and understanding of how to effectively utilize them; building confidence in communicating with elected officials and other community leaders on behalf of children; developing public speaking skills and strategies; learning the importance of the media and how to leverage it to make positive societal improvements for children; gaining an understanding of the legislative process and state budgeting; and navigating the State Capitol. The program had 19 graduates in 2016. Community Support: Children's Hospital Colorado serves as lead agency for Safe Kids Colorado, Safe Kids Colorado Springs, and Safe Kids Denver Metro. As part of the Safe Kids Worldwide global network of alliances, each of these initiatives employs an alliance-based approach to building capacity toward preventing unintentional injuries in targeted locations. Neighborhoods whose children are at disproportionate risk for preventable injuries are identified through data surveillance "heat maps." Safe Kids partners with numerous public and private businesses and organizations to implement and evaluate evidence-based approaches under a public health model of prevention. Childrens Hospital Colorado provides community support in several ways, including guiding monthly coalition meetings, providing child passenger safety, infant safe sleep, bike and pedestrian safety, and teen driver safety resources, to paying liability insurance premiums for a local nonprofit partner that allows them to continue conducting neighborhood car seat checks. Children's Colorados experienced injury prevention staff also provides programmatic and financial support to a variety of injury prevention initiatives around the state, thereby contributing to a collective impact approach to the larger injury burden. Advocacy for community Health Improvement: The Government Affairs department hosted a day at the Capitol, Speak Up for Kids Day, on March 16, 2016 to teach 160 community members from around Colorado how to influence change regarding child health policy issues at the state legislative level. The hospital staff facilitate connections among community members and key state-level decision-makers and help community members learn how to speak up and influence child health policy at the state legislative level. Approximately one time per month in 2016, the government affairs department taught a half-day advocacy course to first year pediatric medical residents at the Capitol. The course involves topics about the legislative process, recent child health policy issues, and how to effectively speak up on state policy issues. The course aims to empower new pediatricians who are completing their residency training to advocate beyond the bedside for children. Workforce Development: Founded at Childrens in 1998, the Medical Career Collaborative program (MC2), is a hands-on learning program that serves low income minority youth interested in pursuing a career in the health care field. MC2 serves as an educational and supportive outlet for high achieving and driven students who often lack necessary supports in their communities. The programs mission of helping high school students from diverse backgrounds explore the world of healthcare and discover the opportunities available to them in the medical industry, is a strategic program as part of HRs workforce development efforts. As the program invests in these students it is essentially increasing the diversity and cultural awareness of the healthcare workforce as it builds the next generation of professionals here at Childrens Colorado and in the community. In 2016, there were 50 active students and 20 active graduates. Other workforce activities include the Hire Local Initiative that is a joint effort by the Anschutz medical campus Community-Campus Partnership (CCP) to provide the Aurora community (surrounding the campus) access to employment opportunities in the medical field. The vision for the Hire Local Program is to serve as a central point of contact for all local residents, especially underrepresented residents, to access information, services and programs related to jobs on Anschutz Medical Campus.
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. Two examples are outlined below: CHCO clinical staff convened an internal meeting to discuss a recent increase in infant deaths in the Aurora community related to unsafe sleeping environments. The families were underserved, African American families from the Aurora Community. The Child Health Advocacy Institute (CHAI) was asked to explore opportunity for community engagement to address this issue in our local community. CHAI engaged the Center for Public Health Practice at the Colorado School of Public Health to convene a meeting of community groups working to address safe sleep in the Aurora community. Participants included representatives from the Colorado School of Public Health, Childrens Hospital Colorado, Healthy Babies Strong Families (HBSF), Community Action Network (CAN), City of Aurora, Families Forward Resource Center, and the Colorado Department of Public Health and Environment. Since the convening in October 2016, CHCO staff has joined a community coalition which was in the process of finalizing a "More Black Birthdays Awareness Campaign" (MBBA) which included a safe sleep component. In response to this community need the injury prevention program at CHCO has embarked on a safe sleep initiative in partnership with Colfax Community Network, a non-profit that serves low-income families living in motels along the Colfax corridor. CHCO has developed a staff training and parental educational materials supporting safe sleep along with purchasing Pack-n-Plays to distribute to low-income families in need. Childrens Hospital Colorados main hospital is located on the Anschutz Medical Campus in Aurora, Colorado. The community consists of many low-income neighborhoods and communities with significant unmet healthcare needs. Through Aurora Health Access (AHA), Childrens Hospital Colorado has supported a multi-pronged approach to creating a culture of health in Aurora an approach that aims to reduce the number of uninsured, promote access to care, improve care coordination, and encourage healthy behaviors. The mission of AHA is to collaboratively improve access to care and create a healthier Aurora, with a focus on the most vulnerable and underserved. AHA has over 1,000 members and it is through our participation that we are kept abreast of the most current health care needs of Aurora residents. Childrens Hospital Colorado leads the Pediatric Access to Care subcommittee and helps to focus the coalitions efforts on improving access to primary care and medical homes for children. CHCO staff also serves on the Board of Directors, the Executive Committee, and the Social Determinants of Health workgroup, and co-sponsors the bi-annual Aurora Kids Convening. In 2016, AHA published two reports to future address community need, "Know Where to Go" Infographics: Free-Standing Emergency Rooms and Urgent Care Clinics in Aurora, CO and Life Expectancy in Aurora.
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: 44.1 % commercial insurance, 47.7 % Medicaid, 3.1 % Tri-Care, and 3.3 % 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 2016, Childrens Hospital Colorado provided $190,012,653 in community benefit, 19.75% of total expenses. 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. The CHCO Community Health Needs Assessment (CHNA) was completed and approved by the Board of Directors in December of 2015 with the subsequent Community Health Action Plan (Implementation Plan) approved in May 2016. Because of the six priority areas identified in the CHNA, the Child Health Advocacy Institute (CHAI) restructured to focus specifically on these areas in 2016. A senior strategist with content expertise in each topic was assigned to lead the programmatic and partnership development for each of the following priority areas: dental, nutrition/obesity/physical activity, behavioral health, prematurity, respiratory and injury. The strategist works closely with a team of Prevention, Education and Outreach Coordinators and Community Engagement Coordinators to implement the programs designed to address the priority areas. Two additional team members were hired in 2016 to support the above efforts: A Population Health Epidemiologist and Community Health Education Marketing Specialist. The Population Health Epidemiologists responsibilities 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 use to evaluate our implementation strategies and health outcomes. A total of 80 indicators have been developed to monitor the outcome of this body of work. The primary role of the Community Health Education Marketing Specialist is to raise awareness about community programs and advocacy work to community partners, members and stakeholders. This includes the development and organization of communications campaigns aimed at community health education. Additionally, work began in 2016 to develop a workforce of Community Health Workers. Recognizing that only 20% of health depends on clinical care and the other 80% depends on social determinants, a team of Community Health Workers that aimed to impact these social determinants is part of the overarching strategy to impact community health. Of that 80%, 40% is attributed to social and economic factors (education, culture, employment, income, community safety, family & social support), 30% to health behaviors (tobacco use, diet and exercise, alcohol use), and 10% to the physical environment (environmental quality). Many children experience overlapping determinants, such as low income, lack of transportation, and less access to safe places and role models, which consequently affects their health and wellbeing. Six Community Health Workers will begin work in three community-based settings in 2017: TRI-COUNTY WOMEN, INFANTS AND CHILDREN (WIC) OFFICE, two community pediatric practices and the Childrens Hospital Colorado Child Health Clinic. This reorganization and expansion of resources in CHAI demonstrates a commitment to cohesively and effectively impact the priority areas defined in our CHNA. Examples include: Obesity/Nutrition/Physical Activity: Camp Champions is a Childrens Hospital Colorado program developed to address accelerated summer weight gain in youth. It is a weeklong program for underserved, low-income youth that incorporates activities and curriculum from existing programs to engage youth in continuous physical activity while learning about goal setting, teamwork, nutrition, and healthy lifestyles. The campers are exposed to a variety of physical activities and hands on cooking lessons throughout the week as they earn points toward reaching their goal of climbing a flat 14er. The program was piloted in 2015 and continues to expand each year, serving up to 40 kids per week (currently a two-week program). Expansion to community partner sites is in development with a tailored curriculum and staff training program to fit the needs of community programs. Program Goals include: 1) engage youth in healthy lifestyle activities in FUN way that they and their parents/caregivers will positively respond to; 2) positively impact knowledge about healthy lifestyle and 3) emphasis on goal setting, confidence, fun -- not on weight loss. Participant and family response to the program in both 2015 and 2016 has been extremely positive. 97.7% of kids who participated gave camp a "Good"Brilliant" rating. Campers averaged nearly 20,000 steps per day and burned an average of 1600 calories per day during camp weeks. One parent stated, "Kids were kept engaged, tried new foods and took ownership of how food affects health. Very supportive environment." Another said He learned about other ways to relieve stress levels like yoga, walks, and HIKING AND "I THINK THIS COULD HELP ALL OF US.still another noted she thinks this added to the knowledge she already has and will put her on a path to success. Respiratory Health: The Breathing Institute employs 7 community health educators to work with children and families in the Denver Public School and Aurora Public School systems to provide asthma education. In 2016, two community health workers were hired to conduct asthma education in the home setting. The health educators represent the Colorado Step Up Asthma Program which is a school-centered asthma program. The program is designed to help improve asthma control for students through educational classes, asthma self-management, environmental trigger awareness/reduction and community partnership with health providers. The Colorado Step Up Asthma Program is the only long running organized school-based initiative in Colorado. It has demonstrated significant improvement in clinical asthma outcomes including: improved school attendance rates, reduced frequency of asthma symptoms and decreased ER/Urgent Care visits for asthma. The program has also helped train school nurses to become certified asthma educators. The community health workers represent the Just Keep Breathing program which provides asthma management education in the home setting. The program focuses on improving care for pediatric patients with high risk asthma in Denver. For this program, children with asthma will be defined as children between the ages of 2 and 17 years who have been diagnosed with persistent asthma by a healthcare provider. Since the start of the asthma home visitation program, 27 families have received a home visit (54% of the 50 families goal by June 2018). In 2016, 55% of established asthma patients who had a hospitalization or Emergency Department visit had a follow-up doctor's visit within 30 days, up from 38% in 2015. Injury Prevention: The Child Passenger Safety Program at Children's Hospital Colorado is a collaborative effort between Street-Smart, Inc., Tri-County Health Department, and the Injury Prevention Program at Childrens Colorado. The goals of the program are to increase the number of Adams, Arapahoe, and Denver County children ages BIRTH THROUGH 8 YEARS OLD that are properly restrained, with special emphasis on increasing usage rates among at risk African-American and Hispanic families. The goals are pursued by (1) partnering with Denver Public Health to staff CPS inspection stations at Westwood Head Start and at the Eastside and Montbello Family Health Centers; (2) by conducting CPS education and car seat distribution classes for clients enrolled in the Women, Infants, and Children program at Tri-County H.D.; and (3) through referrals of low-income families enrolled in child health clinics at Childrens Colorado. To assess progress toward objectives, quarterly booster seat usage surveys were conducted in targeted neighborhoods. To promote the programs CPS resources, extensive marketing and communications efforts were developed and employed, including extensive use of social media platforms. The program includes staffing of CPS inspection stations at Childrens Colorado and Denver Health, and engaging WIC clients from Tri-County Health, where 841 child restraints were inspected and 565 were
SCHEDULE H, PART VI, LINE 7	There are no filing requirements in the State of Colorado. CHCO does provide the annual community benefit report to the Colorado Hospital Association and selective governmental entities.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (28 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN HEART ASSOCIATION
1365 GRDN OF THE GODS	CO SPRINGS	CO	80909	135613797	501(C)(3)	$46,000	GENERAL PROGRAM SUPPORT
BRENTS PLACE
11980 EAST 16TH AVE	AURORA	CO	80010	841387528	501(C)(3)	$5,406	GENERAL PROGRAM SUPPORT
CHEYENNE FRONTIER DAYS INC
PO BOX 2477	CHEYENNE	WY	82003	830297781	501(C)(6)	$15,000	GENERAL PROGRAM SUPPORT
CHEYENNE MOUNTAIN ZOOLOGICAL SOCIETY
4250 CHEYENNE MTN ZOO	CO SPRINGS	CO	80906	840407039	501(C)(3)	$81,000	GENERAL PROGRAM SUPPORT
CHILDREN'S MUSEUM OF CHEYENNE
PO BOX 92	CHEYENNE	WY	82003	463766788	501(C)(3)	$18,750	GENERAL PROGRAM SUPPORT
CHILDRENS MUSEUM OF DENVER INC
2121 CHILDRENS MUSEUM DR	DENVER	CO	80211	840658142	501(C)(3)	$30,000	GENERAL PROGRAM SUPPORT
COLORADO CHILDRENS CAMPAIGN
1580 LINCOLN ST STE 420	DENVER	CO	80203	742374672	501(C)(3)	$10,000	ANNUAL LUNCH
COLORADO COLLEGE
14 CACE LA POUDRE	CO SPRINGS	CO	80903	840402510	501(C)(3)	$10,500	GENERAL PROGRAM SUPPORT
COLUMBINE LAKEWOOD COLORADO SOCCER
8101 S SHAFFER PARKWAY	LITTLETON	CO	80127	841411827	501(C)(3)	$15,000	COLORADO RUSH SPONSORSHIP
CROHNS & COLITIS FOUNDATION OF AMERICA
1805 S BELLAIRE ST	DENVER	CO	80222	136193105	501(C)(3)	$6,500	GENERAL PROGRAM SUPPORT
DENVER ART MUSEUM
100 WEST 14TH AVENUE PKWY	DENVER	CO	80204	846038240	501(C)(3)	$13,000	GENERAL PROGRAM SUPPORT
DENVER BOTANIC GARDENS
1007 YORK ST	DENVER	CO	80206	840440359	501(C)(3)	$7,500	GENERAL PROGRAM SUPPORT
DENVER MUSEUM OF NATURE & SCIENCE
2001 COLORADO BLVD	DENVER	CO	80205	840518447	501(C)(3)	$15,000	GENERAL PROGRAM SUPPORT
DENVER ZOOLOGICAL FOUNDATION
2300 STEELE ST	DENVER	CO	80205	840502539	501(C)(3)	$80,000	GENERAL PROGRAM SUPPORT
DOUGLAS COUNTY SOCCER ASSOCIATION
8200 S AKRON ST 122	CENTENNIAL	CO	80112	742392779	501(C)(3)	$30,000	GENERAL PROGRAM SUPPORT
GARRISON CHAPEL HILLS OWNER LLC
1710 BRIARGATE BLVD	COL SPRINGS	CO	80920	452121815		$12,100	GENERAL PROGRAM SUPPORT
GOLD CROWN FOUNDATION
7400 E CRESTLINE CIR	GREENWOOD V	CO	80111	742422126	501(C)(3)	$45,000	GENERAL PROGRAM SUPPORT
HIGHLANDS RANCH COMMUNITY ASSOCIATION
9568 UNIVERSITY	HIGHLANDS RANCH	CO	80126	840869474	501(C)(4)	$20,000	GENERAL PROGRAM SUPPORT
KROENKE SPORTS CHARITIES
1000 CHOPPER CIR	DENVER	CO	80204	742442488	501(C)(3)	$40,000	GENERAL PROGRAM SUPPORT
MARCH OF DIMES
1325 S COLORADO BLVD	DENVER	CO	80222	131846366	501(C)(3)	$51,313	GENERAL PROGRAM SUPPORT
NATIONAL KIDNEY FOUNDATION
650 S CHERRY ST SUITE 435	DENVER	CO	80246	131673104	501(C)(3)	$6,000	GENERAL PROGRAM SUPPORT
NATIONAL WESTERN STOCK SHOW ASSOCIATION
4655 HUMBOLDT ST	DENVER	CO	80216	840517361	501(C)(3)	$30,000	GENERAL PROGRAM SUPPORT
PEAK VISTA COMMUNITY HEALTH CENTERS
3205 N ACADEMY BLVD	CO SPRINGS	CO	80917	840617567	501(C)(3)	$9,030	GENERAL PROGRAM SUPPORT
PIKES PEAK CHILDRENS MUSEUM
PO BOX 1275	CO SPRINGS	CO	80901	203451384	501(C)(3)	$10,000	GENERAL PROGRAM SUPPORT
RONALD MCDONALD HOUSE
311 NORTH LOGAN	CO SPRINGS	CO	80909	841013843	501(C)(3)	$14,600	GENERAL PROGRAM SUPPORT
ST ANTHONY HOSPITAL
116000 W 2ND PL	LAKEWOOD	CO	80228	840902211	501(C)(3)	$6,000	2016 GALA
WYOMING MEDICAL SOCIETY
PO BOX 4009	CHEYENNE	WY	82003	830164457	501(C)(6)	$6,600	GENERAL PROGRAM SUPPORT
YOUNG AMERICANS CENTER FOR FINANCIAL
3550 EAST FIRST AVE	DENVER	CO	80206	841564926	501(C)(3)	$17,000	GENERAL PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	24	Total501c3OrgCnt
Total Other Org	4	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JENA HAUSMANN
PRESIDENT AND CEO	$743,857	$0	$336,875	$0	$65,076	$0	$282,771	$0	$22,266	$0	$1,450,845	$0	$62,736	$0
MARY ANNE LEACH
SR. VP / CIO	$332,978	$0	$93,315	$0	$4,921	$0	$80,775	$0	$7,193	$0	$519,182	$0	$0	$0
JOAN BOTHNER MD
CHIEF MEDICAL OFFICER	$509,751	$0	$145,230	$0	$0	$0	$0	$0	$0	$0	$654,981	$0	$0	$0
DAVID BIGGERSTAFF
SR VP/CHIEF OPERATIONS OFFICER	$348,096	$0	$17,717	$0	$1,580	$0	$89,839	$0	$12,988	$0	$470,220	$0	$0	$0
JEFFREY HARRINGTON
SR. VP / CFO	$511,809	$0	$147,882	$0	$4,402	$0	$103,957	$0	$19,824	$0	$787,874	$0	$338	$0
DANIEL HYMAN MD
CHIEF QUALITY OFFICER	$315,625	$0	$72,225	$0	$0	$0	$0	$0	$0	$0	$387,850	$0	$0	$0
MICHELLE M LUCERO
CHIEF LEGAL OFFICER	$377,658	$0	$113,704	$0	$2,985	$0	$135,762	$0	$14,331	$0	$644,440	$0	$0	$0
JAMES E SHMERLING DHA
FORMER CEO	$0	$0	$0	$0	$882,000	$0	$80,775	$0	$0	$0	$962,775	$0	$0	$0
GIL PERI
SVP / CHIEF STRATEGY OFFICER	$379,539	$0	$108,150	$0	$1,334	$0	$146,503	$0	$49	$0	$635,575	$0	$0	$0
DWINITA HENRY MOSBY
SVP HR/CHIEF INCLUSION OFFICER	$270,881	$0	$81,946	$0	$5,117	$0	$73,298	$0	$11,479	$0	$442,721	$0	$0	$0
SUZANNE JAEGER
SR. VP EXPERIENCE AND ACCESS	$301,849	$0	$73,949	$0	$91	$0	$80,016	$0	$19,824	$0	$475,729	$0	$4,390	$0
TIMOTHY CROMBLEHOME MD
SURGEON-IN-CHIEF	$345,833	$0	$98,000	$0	$0	$0	$0	$0	$0	$0	$443,833	$0	$0	$0
STEPHEN DANIELS MD
PEDIATRIC-IN-CHIEF	$315,625	$0	$72,225	$0	$0	$0	$0	$0	$0	$0	$387,850	$0	$0	$0
Andrea Ferretti
VP NOC and ACNO	$225,260	$0	$43,454	$0	$96,917	$0	$68,691	$0	$15,323	$0	$449,645	$0	$93,035	$0
CATHERINE DAL SANTO
VP FINANCE	$267,527	$0	$68,815	$0	$45,382	$0	$82,095	$0	$0	$0	$463,819	$0	$0	$0
FRED SUCHY MD
CHIEF RESEARCH OFFICER	$449,855	$0	$102,878	$0	$0	$0	$0	$0	$0	$0	$552,733	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4A	JAMES SCHMERLING RECEIVED SEPARATION PAYMENTS IN THE AMOUNT OF $882,000.
SCHEDULE J, PART I, LINE 4B	THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS FROM A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: JEFFREY HARRINGTON $338 JENA HAUSMANN $62,736 SUZANNE JAEGER $4,390 ANDREA FERRETTI $93,035
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/B FOR ADDITIONAL INFORMATION ON EXECUTIVE COMPENSATION.
SCHEDULE J, PART II	CHILDREN'S COLORADO PAID UNIVERSITY PHYSICIANS INCORPORATED, AN UNRELATED TAX-EXEMPT ORGANIZATION, FOR SERVICES PROVIDED BY THE FOLLOWING INDIVIDUALS WHO ARE LISTED ON FORM 990, PART VII: JOAN BOTHNER, M.D. - $509,751 BASE COMPENSATION AND $145,230 OF 2015 BONUS PAID IN 2016. JAMES JAGGERS, M.D. - $500,000 BASE COMPENSATION AND $10,000 OF 2015 BONUS PAID IN 2016 TIMOTHY CROMBLEHOLME, M.D. - $345,833 BASE COMPENSATION AND $98,000 OF 2015 BONUS PAID IN 2016 STEPHEN DANIELS, M.D. - $315,625 BASE COMPENSATION AND $72,225 OF 2015 BONUS PAID IN 2016 DANIEL HYMAN, M.D. - $316,625 BASE COMPENSATION AND $72,225 OF 2015 BONUS PAID IN 2016. FRED SUCHY, M.D. - $449,855 BASE COMPENSATION AND $102,878 OF 2015 BONUS PAID IN 2016.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$135,755,000	$0	$258,814,487	$0	$0	$0	$2,381,234	$183,253	$0	$0	$256,250,000	$0	2008	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$59,999,130	$0	$0	$0	$709,432	$0	$0	$59,289,698	$0	$0	2012	false	false	Yes (true)	Yes (true)
C	$530,000	$0	$309,252,566	$0	$0	$0	$1,844,600	$0	$0	$197,052,966	$110,355,000	$0	2013	Yes (true)	false	Yes (true)	Yes (true)
D	$3,920,000	$0	$200,724,807	$0	$0	$0	$1,519,986	$0	$0	$1,163,390	$119,204,821	$78,836,610		false	Yes (true)	false

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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 THE REBATE COMPUTATION WAS PERFORMED JUNE 1, 2013.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

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

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$70,300,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$300,000	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$70,000,000	UnspentAmt
Current Refunding	false	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	false	FinalAllocationMadeInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

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

Hedge Provider Name HedgeProviderName

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

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

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

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

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 6	FROM TEENAGERS TO GREAT GRANDPARENTS, FROM HOMEMAKERS TO PROFESSIONAL ATHLETES, CHILDREN'S HOSPITAL COLORADO (CHCO) 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 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 OF 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 2,300 PEDIATRIC SPECIALISTS AND MORE THAN 5,300 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-SPECIALITY AMBULATORY SERVICES INCLUDING ORTHO CLINIC, ONCOLOGY CLINIC, ETC. WEVE TREATED PATIENTS FROM ALL 50 STATES AND 22 COUNTRIES. EMERGENCY MEDICINE AND URGENT CARE Childrens Hospital Colorado (CHCO) provides emergency and/or urgent care services in seven locations in the metro Denver area and Colorado Springs (see Table 1). Services are provided for pediatric patients from the neonate period up to the 22nd birthday. All patients over 22 years of age receive a medical screening examination (MSE) based upon presenting complaint to determine if they require treatment or transfer as indicated. In total 165,300 children & their families received care at one of the seven locations in 2016. Two locations (South Campus and Uptown) provide Dual track opportunities for our patients; offering both urgent and emergency care services. The Anschutz Campus holds Level 1 Pediatric Trauma designation and provided care to 71,500 children (43% of CHCO total ED/UC visits) with a 12% (8700 admissions) admission rate for inpatient care. All locations are seeing an increase in patients with behavioral healthcare needs and in 2016 behavioral healthcare visits accounted for 2.5% of the patients served at the Anschutz campus. TABLE 1: CHCO Emergency & Urgent Care Services by Location & 2016 Volumes Location Emergency Svs Urgent Care visits - 2016 Anschutz Campus X 71,463 South Campus X X 19,022 Uptown X X 13,301 Wheatridge X 9,819 North Campus X 32,975 Briargate X 8,087 Parker X 10,619 ------- TOTAL VISITS: 165,286 Emergency Services has experienced growth related to an increase in EMS volume, Flight for Life transports and trauma visits as well in 2016. A second pediatric team has been added to the Flight for Life program and we have experienced an increase in volume of transports between 2015 (998) and 2016 (1178). Overall trauma ED visits have also increased by 13% from 2015 (12,518) to 2016 (14,178). Accomplishments Children's Hospital Colorados Emergency Department at Anschutz is widely respected across our seven-state region. This year, Anschutz continued to focus on patient care and service by implementing a new Front-End redesign. By recognizing the need to reduce the time it takes to see a provider, a change was made that moved the provider forward in this process. For 12 hours, each day, patients are seen by doctors in the Intake area who perform an initial assessment to gauge clinical care needed, begin treatment and possibly discharge the patient directly from Intake area, thereby reducing wait times and clinical resources. Because of this initiative, patients are getting in front of providers 27% faster; 33% are being discharged safely from Intake area and overall length of stay for all patient has dropped by 30 minutes. Patients leaving before evaluation has dropped significantly and patient satisfaction has increased. Our network of care sites had tremendous success in improving patient safety with several projects around identification of patients and empowering families to be part of our safety culture. Our nursing staff presented at the 2016 National Magnet Conference on THE topicS OF Dual Track ("Is it Urgent or Emergent? Implementing a Dual Emergency and Urgent Care Department") and clinical pathways ("Looking for Sepsis in all the Right Places: A Quality Approach to Pediatric Assessment"). The ED/UC physician and Mid-level provider group is one of the largest in the nation with 41 Pediatric Emergency Medicine physician, 46 Pediatricians and 61 Nurse Practitioners. Our physicians have numerous advisor and principal roles within CHCO and serve as key leaders in many national groups: - EPIC: Pediatric Emergency Medicine (PEM) Steering Board - AAP: Section of Emergency Medicine Pediatric Urgent Care Steering Committee; Section of Emergency Medicine Committee on Quality Transformation - PECARN: primary investigator - PEM-NEWS Node, Childrens Hospital Colorado HEDA, PEM-CRC: Vice Chair and Steering Committee Pediatric Emergency Medicine Collaborative Research Committee - American Board of Pediatrics Sub board of PEM: Content Development Team - American Academy of Pediatrics: Survey Chair for Pediatric Medicine North America Chiefs, section of Emergency Medicine; Executive Committee Member for Pediatric Emergency Medicine - National Association of Emergency Medicine Services Physicians
The CHCO Section of Emergency Medicine is comprised of over 40	PEM faculty, with more than 50% engaged in academic activities such as clinical research, education, and quality improvement. Our clinical research program includes national leaders in multicenter collaborative research, ED infectious diseases and sepsis, health services, prehospital care, and medical toxicology. The Section also is leader in innovation, developing novel approaches to care in bronchiolitis, outpatient infections, sepsis, and clinical decision support. In 2016 alone, the Section published 35 peer-reviewed investigations, and had over 20 national research presentations at academic conferences. Section investigators actively seek and obtain extramural research funding, including submissions for 19 actively funded studies and 23 new submissions in 2016. In total, the Section has secured over $600,000 in funds during the period. CHCO is also a member of the prestigious, federally-funded Pediatric Emergency Care Applied Research Network (PECARN), where Section investigators are actively pursuing multi-center projects to be conducted within the network. Of note, CHCO possesses a model research infrastructure, and consistently enrolls among the highest number of subjects for PECARN studies. In addition, the Section of Emergency Medicine possesses one of the most active educational programs in CHCO. Internally, the PEM fellowship trains 9 fellows each year, and provides education for over 100 residents annually, from disciplines including pediatrics, emergency medicine, and family medicine. Regionally, the Section supports a robust core for education in Emergency Medical Services (EMS), and delivers over 100 didactic lectures to pre-hospital and community providers throughout the 7-state region. Additionally, the novel EMS Simulation Trailer program travels throughout Colorado and adjacent states to provide hands-on pediatric resuscitation education, and is the only Mobile Simulation program in the nation. Currently, our Section is attempting to broaden its educational reach locally, regionally, and nationally, through development of technology-based methods and use of social media. Quality Initiatives The ED/UC multi-disciplinary clinical team meets monthly to review quality data outcomes. By partnering closely with our specialty colleagues and families, we assess emergency medicine pathways for best clinical outcomes and reduction of unnecessary care in our pediatric populations. In 2016, we targeted our bronchiolitis and appendicitis patients with significant positive results in reducing radiological studies (CT and chest X-ray), RVPs (respiratory viral panels) and bronchodilators. The ED/UC has implemented an Asthma bundle to reduce admissions to the hospital and decrease future ED visits. Additional Quality work and outcomes: - Decreasing the percent of patients with confirmed appendicitis who get a CT scan - Reducing unnecessary interventions in patients with bronchiolitis - Increasing the percent of oncology patients with fever and identified neutropenia who receive antibiotics <60 min from arrival - Increasing the percent of patients with moderate/severe asthma exacerbation (PAS >/=8) who receive systemic corticosteroids in less than 60 min from arrival - Decreasing adverse events with RSI in ED/UC patients, decreasing time to intubation - Decreasing time to antibiotics and fluid bolus in patient with suspected sepsis - Improving time to pain medications in patients with Sickle Cell disease, improving time to antibiotics in SCD and fever - Implementing asthma discharge bundle in ED/UC - Increasing the number of Asthma Action Plans completed for patients with asthma exacerbation - Decreasing unnecessary 72 hour returns in ED/UC - Improving utilization of white boards for communication in ED/UC - Decreasing the time to pain meds for patients with suspected extremity fractures - Increasing the percent of patients with femur fractures who receive femoral blocks in the ED/UC NEONATAL INTENSIVE CARE Children's Hospital Colorado (CHCO) provides premium neonatal care, for the Rocky Mountain region and the nation. The Neonatal Intensive Care Unit (NICU) is designated as a Level IV NICU, the highest distinction by the American Academy of Pediatrics. The NICU treated 1263 infants in 2016, serving the surrounding areas in Colorado and a 10-state area. As part of the Colorado Institute for Maternal and Fetal Health, it is the only NICU in the region with the experience and technology to treat virtually any medical condition affecting newborns. This involves procedures like ECMO, Genetic testing, Fetal Surgery, and care of the medically fragile infant (including prematurity). The NICU is committed to providing family-centered care in a home-like setting. Parents can be with their newborns 24 hours a day and parents are provided daily communications by the medical team. In 2016, the NICU Family Advisory Council was created to support current NICU families and provide hospital staff perspective on improving the patient experience. Childrens Hospital Colorado is the first in the nation to be named a Center of Excellence for Neonatal Services by United Resource Networks (URN). Childrens Hospital Colorado Neonatologists have pioneered many critical developments in neonatal care and in many cases, were the first in the world to use new therapies, including: 1) Surfactant replacement for premature babies lungs; 2) Inhaled nitric oxide therapy for pulmonary hypertension; 3) Therapeutic hypothermia for perinatal brain injury; 4) Optimal nutritional strategies for low birth weight babies; and 5) Innovative care following fetal surgery interventions. Accomplishments The NICU clinical team meets monthly 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 NICU. In 2016, the NICU team participated in a national Quality Improvement collaborative aimed at improving perioperative care in NICU patients requiring surgical procedures. The Childrens Hospital Colorado NICU is consistently ranked among the best Neonatal Care programs by US News & World Report. Quality Initiatives: The NICU and Maternal Fetal program continues to pioneer innovative new therapies in fetal surgery: - Fetoscopic Endoluminal Tracheal Occlusion (FETO) Trial involves fetoscopic placement of a balloon to close off the trachea and improve fetal outcomes for those with severe congenital diaphragmatic hernia. Childrens Hospital Colorado is only one of three approved FETO sites nationally. - OMS Plus: The treatment of spinal bifida repair for fetuses excluded mothers from participating in the surgical intervention if their Body Mass Index (BMI) was greater than 35. CHCO is the only center to offer access to this trial for patients with a BMI of up to 40. In 2016, we implemented a multidisciplinary clinic to care for our patients with congenital diaphragmatic hernia (CDH). This clinic brings together providers from Surgery, Pulmonary, Nutrition, Pediatric Development, Neonatology, Social work, and Gastro-intestinal subspecialties, to care for these complex patients in one visit. This is the first of its kind in our region, allowing us to provide the best care for cdh patients after they are discharged from our NICU. CDH complicates 1/3000 live births and carries a risk of ~30% mortality, secondary to pulmonary hypoplasia and pulmonary hypertension. CHCO is a national referral center for CDH and cares for approximately 15-20 infants with CDH annually. Clinical approaches to care include fetal intervention, delivery room management and early ECMO in patients with cardiorespiratory failure, gentle ventilation strategies, pulmonary hypertension treatment, and aggressive nutrition management. Patient outcomes represent significant improvements over the years and the set the bar for national outcomes. Key Measures Outcome - definition: survival to discharge in CDH; INFANTS ADMITTED TO CHCO NICU - baseline: 2010: 60% survival, national benchmark: 70% survival - progress: 2011-2016: 81% survival, 2016: 75% survival
Balancing	- definition: percent of CDH patients requiring ECMO; mechanical ventilation days - baseline: 2010: 80% ECMO, 2010: 102 ventilation days - progress: 2011-2016: 28% of patients on ECMO, 2016: 35% of patients on ECMO; 2011-2016: CDH patients average 34 mechanical ventilation days, 2016: CDH patients average 37 mechanical ventilation days The CHCO NICU Quality Team has an active portfolio of quality improvement (QI) initiatives. QI Projects underway in 2016-17 include: - Improving perioperative care for newborns and infants requiring surgical procedures. - Standardizing pre-operative and post-operative team handoffs for newborns and infants requiring surgical procedures. - Post-operative pain management of infants for newborns and infants requiring surgical procedures. - Achieving target temperature during transport for infants requiring therapeutic hypothermia for hypoxic ischemic encephalopathy. - Prevention of hyponatremia in infants requiring therapeutic hypothermia for hypoxic ischemic encephalopathy. - Prevention of hypoglycemia in newborn infants delivered in the Maternal Fetal Care Unit at CHCO. - Optimal fluid management of infants requiring Extra Corporeal Membrane Oxygenation (ECMO). - Prevention of Unplanned Extubation in Infants requiring mechanical ventilation. - Prevention of Central Line Associated Blood Stream Infection. - Reducing length of hospital stay for infants admitted for treatment of Acute Bronchiolitis. IN ADDITION, COMPREHENSIVE CLINICAL CARE GUIDELINES AND CLINICAL Pathways were developed in 2016 for the following conditions: - Neonatal seizures in infants with acute brain injury. - Management of infants with Gastroschisis. - Management of infants with Esophageal Atresia and Tracheo-esophageal atresia. - Management of infants with Intestinal Atresia. - Feeding Guidelines for Very Low Birth Weight Infants. - Management of infants with Neural Tube Defects. - Management of infants with Congenital Diaphragmatic Hernia. CENTER FOR CANCER AND BLOOD DISORDERS 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 been ranked in the Top 10 programs by US News & World Report each year. The CCBD treated 27,750 patient visits in 2016, across all locations to serve the Colorado community, as well as our 7-state region. Our Anschutz facility location alone saw 18,433 visits, with our infusion center volume making up 7,607 (41%) of those visits. Our Network of Care sites in Highlands Ranch, Colorado Springs, and our Hemophilia Thrombosis Center on the Anschutz campus serviced 9,317 patient visits in 2016, 2,719 of which were infusions (29%). Because of the depth and breadth of outpatient services we can provide, many 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 when possible is a high priority for our staff and faculty, and helps our families live healthier lives overall. CCBD Inpatient had a total of 12,774 patient days recorded in 2016. Patient days increased by 1,997 days from the previous year (compared to 10,777 in 2015; a 15% increase). The inpatient unit had a total of 7,702 inpatient Hematology and Oncology patient days recorded and 5,072 BMT patient days recorded. There was a total of 1,229 admissions to the inpatient unit in 2016. Of these, 159 were to the BMT service, 170 were to the Hematology service, and 900 were to the Oncology service. Accomplishments The CCBD is one of the largest members of the Childrens Oncology Group (COG), a multi-center, multi-national alliance supported by the United States National Cancer Institute (NCI), that 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 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: The New Approaches in Neuroblastoma Therapy (NANT) group, the Pediatric Brain Tumor Consortium (PBTC), the Pediatric Bone Marrow Transplant Consortium (PBMTC) 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 a 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 have a dedicated group of physician scientists with 12 of them having 75% dedicated time for research. This group has leaders in research in many fields and is well-funded at the federal level. Our scientists have published over 50 papers in 2017 already and have presented at more than a dozen national and international meetings this year alone. In terms of community service, training and education, the group, provides summer internships to 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 50 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 is considered one of the best across the globe, with dozens of clinical trials and new therapies to lessen the clinical impact and severity of life-threatening bleeding disorders. Our physicians have led 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, and for the use of dasatinib in children with CML. 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. Recent work by one of our teams has elucidated the role of a specific gene abnormality that causes bleeding and predisposes affected family members to a form of leukemia. The CCBD clinical teams meet monthly 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 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. 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 2016-17 which 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 2016. - 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 (TUBE). - 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. - Successful Foundation for the Accreditation of Cellular Therapy (FACT) re-accreditation. FACT accreditation is a threshold for excellence in cellular therapy within the bone marrow or cord blood transplant (BMT) patient population. FORM 990, PART VI, LINE 1A THE NUMBER OF VOTING MEMBERS OF THE CHILDRENS HOSPITAL COLORADO ARE 29 (22 ELECTED DIRECTORS AND 7 EX-OFFICIO); CHILDREN'S HOSPITAL COLORADO'S EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR, VICE CHAIR, CHIEF EXECUTIVE OFFICER, SECRETARY, TREASURER, IMMEDIATE PAST CHAIR, AND THE CHAIR OF THE CHILDREN'S HOSPITAL COLORADO FOUNDATION. 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. From 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 IN DECEMBER 2015.
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. THIS PROCESS WAS LAST UNDERTAKEN IN 2016. 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 - AKRON - ATLANTA - BOSTON - CHICAGO - CINCINNATI - COLUMBUS - DALLAS - FORT WORTH - HOUSTON - KANSAS CITY - LOS ANGELES - MIAMI - MILWAUKEE - MINNEAPOLIS - PALO ALTO - PHILADELPHIA - SEATTLE - WASHINGTON, DC
FORM 990, PART VI, LINE 19	THESE DOCUMENTS ARE MADE AVAILABLE UPON REASONABLE REQUEST.
FORM 990, PART XI, LINE 9	EQUITY TRANSFER TO PARENT (CHCHS) $(15,188,048) CHANGE IN VALUE OF INTEREST RATE SWAPS 1,069,611 NET INCOME REPORTED ON OTHER TAX RETURNS (511,932) CHANGE IN RESTRICTED NET ASSETS 6,658,642 OTHER CHANGES IN NET ASSETS 196,194 ------------- TOTAL $ (7,775,533) =============
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:40463545
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSLUTING TOTAL FEES:5400615
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER TOTAL FEES:99000

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S NORTH SURGERY CNTR	BusinessNameLine1Txt

US Address USAddress

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

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

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	Related	PredominantIncomeTypeTxt
Share Of Total Income	-$23,216	ShareOfTotalIncomeAmt
Share Of EOY Assets	$2,135,004	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.73000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
RMCHS MANAGEMENT SERVICES INC
13123 EAST 16TH AVE	AURORA	CO	80045	840957415	BILLING	CO	CH-COLORADO	C Corp	$4,290,949	$115,488	1.00000	Yes (true)
PERPETUAL TRUST
					HOSPITAL SUPPORT	CO	CH-COLORADO					Yes (true)
PEDIATRIC CARE NETWORK CHC LLC
13123 EAST 16TH AVENUE	AURORA	CO	80045	813554450	HEALTHCARE	CO	CH-COLORADO	C CORP	$0	$0	1.00000	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CHILDREN'S NORTH SURGERY CENTER LLC
d	$3,701,000	LOAN GUARANTEED
CHILDREN'S NORTH SURGERY CENTER LLC
a	$300,000	FINANCIAL STMNT
THE CHILDREN'S HOSPITAL FOUNDATION
c	$30,854,252	FINANCIAL STMNT

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART III, COLUMN (A)	FormAndLineReferenceDesc
Explanation	CHILDREN'S NORTH SURGERY CENTER EIN: 26-2394578 ADDRESS: 13123 EAST 16TH AVENUE AURORA, CO 80045	ExplanationTxt