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CHILDRENS HOSPITAL COLORADO: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL COLORADO (EIN 84-0166760)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-17
IRS object ID
202543219349315484
Schema version
2024v5.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-17T14:24:03+00:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line155 IVAN ALLEN JR BOULEVARDAddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30308ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN840166760EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Children's Hospital ColoradoBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHILBusinessNameControlTxt
Phone7207771234PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line113123 EAST 16TH AVENUEAddressLine1Txt
CityAURORACityNm
State AbbreviationCOStateAbbreviationCd
ZIP80045ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJENA HAUSMANNPersonNm
Person TitlePRESIDENT AND CEOPersonTitleTxt
Phone7207771234PhoneNum
Signature2025-11-17SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAerrial M OrrPreparerPersonNm
PTINP01598400PTIN
Phone4048748300PhoneNum
Preparation2025-11-17PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1JENA HAUSMANNBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line113123 EAST 16TH AVENUEAddressLine1Txt
CityAURORACityNm
State AbbreviationCOStateAbbreviationCd
ZIP80045ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,017,511,755GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHILDRENSCOLORADO.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1908FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH-QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY.ActivityOrMissionDesc
Voting Members Governing Body31VotingMembersGoverningBodyCnt
Voting Members Independent30VotingMembersIndependentCnt
Total Employee11403TotalEmployeeCnt
Total Volunteers3348TotalVolunteersCnt
Total Gross UBI$6,490,770TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,835,364PYContributionsGrantsAmt
CY Contributions Grants$10,335,738CYContributionsGrantsAmt
PY Program Service Revenue$1,848,731,304PYProgramServiceRevenueAmt
CY Program Service Revenue$1,974,200,372CYProgramServiceRevenueAmt
PY Investment Income$22,912,634PYInvestmentIncomeAmt
CY Investment Income$23,448,444CYInvestmentIncomeAmt
PY Other Revenue$1,782,563PYOtherRevenueAmt
CY Other Revenue$6,289,024CYOtherRevenueAmt
PY Total Revenue$1,884,261,865PYTotalRevenueAmt
CY Total Revenue$2,014,273,578CYTotalRevenueAmt
PY Grants And Similar Paid$725,550PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$806,300CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,021,647,273PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,037,645,160CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$873,552,686PYOtherExpensesAmt
CY Other Expenses$929,583,868CYOtherExpensesAmt
PY Total Expenses$1,895,925,509PYTotalExpensesAmt
CY Total Expenses$1,968,035,328CYTotalExpensesAmt
PY Revenues Less Expenses-$11,663,644PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$46,238,250CYRevenuesLessExpensesAmt
Total Assets BOY$2,330,877,583TotalAssetsBOYAmt
Total Assets EOY$2,412,044,381TotalAssetsEOYAmt
Total Liabilities BOY$1,042,953,407TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,021,847,072TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,287,924,176NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,390,197,309NetAssetsOrFundBalancesEOYAmt
MissionTO IMPROVE THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH-QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,673,474,918ExpenseAmt
Grant$806,300GrantAmt
Revenue$1,967,173,438RevenueAmt
DescROUTINE 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$1,673,474,918TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document684IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee11403EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members31GoverningBodyVotingMembersCnt
Independent Voting Member30IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JEFFREY HARRINGTONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7207771234PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line113123 EAST 16TH AVENUEAddressLine1Txt
CityAuroraCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80045ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (48 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Jena Hausmann
Chief Executive Officer40.07.0Yes (X)Yes (X)$3,848,363$0$437,831
Annita Menogan
Board Director1.00.0Yes (X)$0$0$0
Anthony Spikes
Board Director1.00.0Yes (X)$0$0$0
Barth Whitham
Board Director1.00.0Yes (X)$0$0$0
Betsy Searle
Board Director1.07.0Yes (X)$0$0$0
Brian Smith
Board Director1.00.0Yes (X)$0$0$0
Bruce Wagner
Board Director1.03.0Yes (X)$0$0$0
Chris Nyquist MD
Board Director1.00.0Yes (X)$0$0$0
David Honeyfield
Board Director/Chair1.07.0Yes (X)$0$0$0
David Hoover
Board Director1.07.0Yes (X)$0$0$0
Donald Elliman
Board Director1.04.0Yes (X)$0$0$0
Jim Johnson
Board Director1.03.0Yes (X)$0$0$0
John Jack Wold
Board Director/Chair (THRU 04/24)1.07.0Yes (X)$0$0$0
John Reilly MD
Board Director1.00.0Yes (X)$0$0$0
John Sampson MD
Board Director (AS OF 05/24)1.00.0Yes (X)$0$0$0
Laura Barton
Board Director1.03.0Yes (X)$0$0$0
Lee Engelbreth MD
Board Director (AS OF 05/24)1.00.0Yes (X)$0$0$0
Leroy Williams
Board Director1.00.0Yes (X)$0$0$0
Mary Beth Loesch
Board Director1.00.0Yes (X)$0$0$0
Megan Fearnow
Board Director1.00.0Yes (X)$0$0$0
Mike Asher
Board Director1.03.0Yes (X)$0$0$0
Phyllis Wise PhD
Board Director1.00.0Yes (X)$0$0$0
Rick Stoddard
Board Director1.03.0Yes (X)$0$0$0
Rob Joyce
Board Director1.00.0Yes (X)$0$0$0
Scott Morrison
Board Director1.04.0Yes (X)$0$0$0
Shen Nagel MD
Board Director1.00.0Yes (X)$0$0$0
Stephanie Donner
Board Director (AS OF 05/24)1.00.0Yes (X)$0$0$0
Steven Goldstein
Board Director1.01.0Yes (X)$0$0$0
Sunit Gill MD
Board Director1.00.0Yes (X)$0$0$0
Thayer Tutt
Board Director1.00.0Yes (X)$0$0$0
Victoria Quintana
Board Director/Chair Elect1.00.0Yes (X)$0$0$0
Yvonne Camacho
Board Director1.03.0Yes (X)$0$0$0
Jeffrey Harrington
SVP and CFO, Corporate Treasurer40.07.0Yes (X)$1,157,436$0$222,270
Michelle Lucero
Chief Legal Officer, Secretary40.04.0Yes (X)$789,307$0$185,844
Amy Feaster
SVP Chief Digital info Officer40.00.0$730,863$0$168,557Yes (X)
Duane McFadden
SVP Chief HR Officer (AS OF 07/24)40.00.0$345,784$0$65,560Yes (X)
Elizabeth Rodriguez
SVP Chief HR Officer (THRU 08/24)40.00.0$304,620$0$106,348Yes (X)
Gregory Raymond
SVP Colorado Springs President40.00.0$663,107$0$169,635Yes (X)
Jennifer Roth
SVP Chief Nursing Executive (AS OF 08/24)40.00.0$404,071$0$125,177Yes (X)
Jerrod Milton
SVP Chief Clinical Officer (THRU 07/24)40.00.0$827,156$0$77,559Yes (X)
Patricia Givens
SVP Chief Nursing Executive (THRU 08/24)40.00.0$540,766$0$102,294Yes (X)
Raphe Schwartz
SVP and Chief Strategy Officer40.00.0$806,446$0$187,384Yes (X)
Suzanne Jaeger
SVP Experience and Access40.00.0$643,656$0$167,304Yes (X)
Christopher Martin
VP Ambulatory Services40.00.0$406,683$0$92,592Yes (X)
Jenae Neiman
VP Research Operations40.00.0$395,230$0$141,992Yes (X)
Kathleen Seerup
SVP Chief Nursing Ops Officer40.00.0$445,357$0$130,664Yes (X)
Linda Michael
VP Compliance Business Ethics40.00.0$393,439$0$106,817Yes (X)
Megan Zatz
VP Deputy General Counsel40.00.0$392,695$0$128,771Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$13,094,979TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$2,616,599TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2245IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
UNIVERSITY OF COLORADO MEDICINE
13199 EAST MONTVIEW BLVDAURORACO80045PHYSICIAN SERVICES$173,282,329
UNIVERSITY OF COLORADO DENVER
13123 EAST 16TH AVEAURORACO80045EDUCATION SERVICES$31,585,781BOD B-219
CROTHALL HEALTHCARE INC
13028 COLLECTION CENTER DRIVECHICAGOIL60693ENVIRONMENTAL SVCS$18,049,973
PALAMERICAN SERCURITY INC
11300 4TH STREET N STE 150ST PETERSBURGFL33716SECURITY SERVICES$11,682,710
METRO AVIATION INC
PO BOX 7008ShreveportLA71137TRANSPORTATION SERVICES$5,415,498
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K141CntrctRcvdGreaterThan100KCnt
Related Organizations$323,579RelatedOrganizationsAmt
Government Grants$10,012,159GovernmentGrantsAmt
Total Contributions$10,335,738TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICES REVENUE622110$1,838,924,757$1,838,924,757
RESEARCH FUNDING541900$27,972,646$27,972,646
LAB BILLING561000$4,102,550$225,714$3,876,836
CAFETERIA722210$5,910,764$5,910,764
PARKING LOT REVENUE461790$2,030,219$2,030,219

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$95,259,436TotalRevenueColumnAmt
Related Or Exempt Func Income$92,109,338RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,150,098UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,974,200,372TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,686,621TotalRevenueColumnAmt
Exclusion$26,686,621ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$972,660RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$972,660RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$972,660TotalRevenueColumnAmt
Exclusion$972,660ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,238,177SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$3,238,177SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$3,238,177TotalRevenueColumnAmt
Exclusion-$3,238,177ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
GAIN/LOSS INTEREST RATE SWAPS900099$5,852,528$5,852,528
PARTNERSHIP INCOME/LOSS540000-$536,164-$536,164

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,316,364OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,014,273,578TotalRevenueColumnAmt
Related Or Exempt Func Income$1,967,173,438RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$6,490,770UnrelatedBusinessRevenueAmt
Exclusion$30,273,632ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$806,300TotalAmt
Program Services$806,300ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$13,077,334TotalAmt
Program Services$11,076,009ProgramServicesAmt
Management And General$2,001,325ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$814,981,168TotalAmt
Program Services$690,258,363ProgramServicesAmt
Management And General$124,722,805ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$36,396,833TotalAmt
Program Services$30,826,747ProgramServicesAmt
Management And General$5,570,086ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$115,330,830TotalAmt
Program Services$97,680,870ProgramServicesAmt
Management And General$17,649,960ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$57,858,995TotalAmt
Program Services$49,004,390ProgramServicesAmt
Management And General$8,854,605ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,040,371TotalAmt
Management And General$2,040,371ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$135,814TotalAmt
Management And General$135,814ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$711,872TotalAmt
Program Services$711,872ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$168,057TotalAmt
Management And General$168,057ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$313,342,492TotalAmt
Program Services$265,389,294ProgramServicesAmt
Management And General$47,953,198ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$9,994,336TotalAmt
Program Services$8,464,826ProgramServicesAmt
Management And General$1,529,510ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,260,102TotalAmt
Program Services$3,608,146ProgramServicesAmt
Management And General$651,956ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$37,199,821TotalAmt
Program Services$31,506,848ProgramServicesAmt
Management And General$5,692,973ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$35,119,065TotalAmt
Program Services$29,744,526ProgramServicesAmt
Management And General$5,374,539ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,234,409TotalAmt
Program Services$2,739,423ProgramServicesAmt
Management And General$494,986ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,242,203TotalAmt
Program Services$1,052,099ProgramServicesAmt
Management And General$190,104ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$18,275,149TotalAmt
Program Services$15,478,363ProgramServicesAmt
Management And General$2,796,786ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$91,058,281TotalAmt
Program Services$77,122,935ProgramServicesAmt
Management And General$13,935,346ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,319,789TotalAmt
Program Services$11,281,360ProgramServicesAmt
Management And General$2,038,429ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL/PHARMACY SUPPLIES$290,699,154$246,211,238$44,487,916
HOSPITAL PROVIDER FEE$54,733,221$54,733,221
EQUIPMENT RENTAL & MAINTENANCE$23,579,616$19,971,047$3,608,569
UBIT TAXES$384,422$384,422

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$30,085,694TotalAmt
Program Services$25,807,041ProgramServicesAmt
Management And General$4,278,653ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,968,035,328TotalAmt
Program Services$1,673,474,918ProgramServicesAmt
Management And General$294,560,410ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$131,942,734BOYAmt
EOY$108,297,594EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,890,155BOYAmt
EOY$8,157,810EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$291,763,446BOYAmt
EOY$350,349,423EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$25,512,452BOYAmt
EOY$30,058,492EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$21,400,461BOYAmt
EOY$22,991,701EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,195,441,394LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$937,324,220LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,230,156,743BOYAmt
EOY$1,258,117,174EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$358,881,569BOYAmt
EOY$393,558,789EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$12,489,403BOYAmt
EOY$16,821,360EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$250,840,620BOYAmt
EOY$223,692,038EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,330,877,583BOYAmt
EOY$2,412,044,381EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$214,371,840BOYAmt
EOY$208,088,899EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$12,943,932BOYAmt
EOY$12,887,923EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$7,381,004BOYAmt
EOY$3,217,000EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$635,193,312BOYAmt
EOY$623,263,807EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$37,607,072BOYAmt
EOY$48,438,738EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$135,456,247BOYAmt
EOY$125,950,705EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,042,953,407BOYAmt
EOY$1,021,847,072EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,118,237,572BOYAmt
EOY$1,211,456,428EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$169,686,604BOYAmt
EOY$178,740,881EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,287,924,176BOYAmt
EOY$1,390,197,309EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,330,877,583BOYAmt
EOY$2,412,044,381EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$46,238,250ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$632,000NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$55,402,883OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$58,369FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$653,503FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$711,872FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,672,763,045FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,673,474,917FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

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

Grassroots Nontaxable GrassrootsNontaxableGrp

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

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$613,412CurrentYearMinus3Amt
Current Year Minus2$725,899CurrentYearMinus2Amt
Current Year Minus1$642,457CurrentYearMinus1Amt
Current Year$711,872CurrentYearAmt
Total$2,693,640TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$79,581CurrentYearMinus3Amt
Current Year Minus2$85,345CurrentYearMinus2Amt
Current Year Minus1$66,787CurrentYearMinus1Amt
Current Year$58,369CurrentYearAmt
Total$290,082TotalAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$57,523,912BeginningYearBalanceAmt
Investment Earnings Or Losses$6,725,361InvestmentEarningsOrLossesAmt
Other Expenditures$541,798OtherExpendituresAmt
Administrative Expenses$127,080AdministrativeExpensesAmt
End Year Balance$63,580,395EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$50,045,757BeginningYearBalanceAmt
Investment Earnings Or Losses$8,017,812InvestmentEarningsOrLossesAmt
Other Expenditures$428,823OtherExpendituresAmt
Administrative Expenses$110,834AdministrativeExpensesAmt
End Year Balance$57,523,912EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$59,159,677BeginningYearBalanceAmt
Investment Earnings Or Losses-$8,767,246InvestmentEarningsOrLossesAmt
Other Expenditures$236,367OtherExpendituresAmt
Administrative Expenses$110,307AdministrativeExpensesAmt
End Year Balance$50,045,757EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$53,372,712BeginningYearBalanceAmt
Investment Earnings Or Losses$6,486,957InvestmentEarningsOrLossesAmt
Other Expenditures$582,885OtherExpendituresAmt
Administrative Expenses$117,107AdministrativeExpensesAmt
End Year Balance$59,159,677EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$48,474,391BeginningYearBalanceAmt
Investment Earnings Or Losses$5,882,427InvestmentEarningsOrLossesAmt
Other Expenditures$883,405OtherExpendituresAmt
Administrative Expenses$100,701AdministrativeExpensesAmt
End Year Balance$53,372,712EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.0PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$70,914,054OtherCostOrOtherBasisAmt
Book Value$70,914,054BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,327,457,379OtherCostOrOtherBasisAmt
Depreciation$453,119,174DepreciationAmt
Book Value$874,338,205BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$61,772,165OtherCostOrOtherBasisAmt
Depreciation$19,811,575DepreciationAmt
Book Value$41,960,590BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$650,582,731OtherCostOrOtherBasisAmt
Depreciation$433,992,367DepreciationAmt
Book Value$216,590,364BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$84,715,065OtherCostOrOtherBasisAmt
Depreciation$30,401,104DepreciationAmt
Book Value$54,313,961BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,258,117,174TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDescBook ValueBookValueAmt
OPERATING LEASES$60,596,951
TAMMEN TRUST$63,580,395
MISC. RECEIVABLES$39,781,276
INTERCOMPANY OTHER AFFILIATES$14,210,188
OTHER NON CURRENT ASSETS$15,102,158
FINANCIAL SWAP-ASSET$13,546,396
457 ASSETS$10,124,989
MISC. NOTE RECEIVABLES$2,595,170
SELF INSURANCE TRUST LT REC.$4,154,515
FieldValueIRS element (for citing)
Total Book Value Other Assets$223,692,038TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
Federal Income Taxes
LEASE LIABILITY LT-OPERATING$73,206,389
CURRENT PORTION LT DEBT$18,272,619
SELF INSURANCE TRUST LIABILITY$17,694,128
VALUE OF INTEREST RATE SWAP$6,652,580
457 LIABILITIES$10,124,989
FieldValueIRS element (for citing)
Total Liability$125,950,705TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$0RevenueSubtotalAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$0TotalRevenuePerForm990Amt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$0ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$0TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsTHE 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 FIN 48 (ASC 740) footnoteMANAGEMENT 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,674,632TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$688,529DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,986,103NetCommunityBenefitExpnsAmt
Total Expense0.00152TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$862,833,621TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$528,693,720DirectOffsettingRevenueAmt
Net Community Benefit Expns$334,139,901NetCommunityBenefitExpnsAmt
Total Expense0.16978TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$866,508,253TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$529,382,249DirectOffsettingRevenueAmt
Net Community Benefit Expns$337,126,004NetCommunityBenefitExpnsAmt
Total Expense0.17130TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,700,203TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,731,708DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,968,495NetCommunityBenefitExpnsAmt
Total Expense0.01167TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,808,421TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,521,542DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,286,879NetCommunityBenefitExpnsAmt
Total Expense0.01793TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$76,439,460TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$64,400,353DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,039,107NetCommunityBenefitExpnsAmt
Total Expense0.00612TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$49,539,816TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,960,392DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,579,424NetCommunityBenefitExpnsAmt
Total Expense0.01655TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$570,003TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$570,003NetCommunityBenefitExpnsAmt
Total Expense0.00029TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$199,057,903TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$95,613,995DirectOffsettingRevenueAmt
Net Community Benefit Expns$103,443,908NetCommunityBenefitExpnsAmt
Total Expense0.05256TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$1,065,566,156TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$624,996,244DirectOffsettingRevenueAmt
Net Community Benefit Expns$440,569,912NetCommunityBenefitExpnsAmt
Total Expense0.22386TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,704TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,704NetCommunityBenefitExpnsAmt
Total Expense0.00001TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$278,987TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,303DirectOffsettingRevenueAmt
Net Community Benefit Expns$262,684NetCommunityBenefitExpnsAmt
Total Expense0.00013TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,821TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,159DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,662NetCommunityBenefitExpnsAmt
Total Expense0.00001TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,682,407TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$432,409DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,249,998NetCommunityBenefitExpnsAmt
Total Expense0.00064TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$2,007,919TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$459,871DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,548,048NetCommunityBenefitExpnsAmt
Total Expense0.00079TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$19,298,164BadDebtExpenseAmt
Bad Debt Expense Attributable$3,570,176BadDebtExpenseAttributableAmt
Reimbursed By Medicare$4,034,382ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$4,441,660CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$407,278MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities4HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndChildrens HospitalChildrensHospitalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
CHILDREN'S HOSPITAL COLORADO (CHCO) - ANSCHUTZ MEDICAL CAMPUS
113123 EAST 16TH AVENUEAURORACO80045WWW.CHILDRENSCOLORADO.ORG010417Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
CHCO - SOUTH CAMPUS
21811 PLAZA DRIVEHIGHLANDS RANCHCO80129WWW.CHILDRENSCOLORADO.ORG01F105Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
CHCO - COLORADO SPRINGS
34090 BRIARGATE PKWYCOLORADO SPRINGSCO80920WWW.CHILDRENSCOLORADO.ORG01b436Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)
CHCO - NORTH CAMPUS
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Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

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CHCO - COLORADO SPRINGS
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Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3EA 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 (CHILDREN'S COLORADO) - ANSCHUTZ (2) CHILDREN'S COLORADO - SOUTH CAMPUS (4) CHILDREN'S COLORADO - NORTH CAMPUS IN 2024, CHILDREN'S HOSPITAL COLORADO CONDUCTED ITS MOST RECENT TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). A JOINT ASSESSMENT WAS CONDUCTED FOR THE THREE LICENSED HOSPITAL FACILITIES IN THE DENVER METROPOLITAN AREA, WHICH INCLUDE CHILDREN'S COLORADO - ANSCHUTZ MEDICAL CAMPUS (AURORA), CHILDREN'S COLORADO - SOUTH CAMPUS (HIGHLANDS RANCH), AND CHILDREN'S COLORADO - NORTH CAMPUS (BROOMFIELD). THE CHNA FOR CHILDREN'S COLORADO - NORTH CAMPUS WAS COMPLETED AHEAD OF THE THREE-YEAR SCHEDULE IN ORDER TO BRING THE DENVER METROPOLITAN AREA HOSPITALS TOGETHER, AS APPROPRIATE FOR THEIR SERVICE AREA AND POPULATION. THE CHNA WAS APPROVED BY THE CHILDREN'S HOSPITAL COLORADO BOARD OF DIRECTORS ON DECEMBER 19, 2024. THE RELATED COMMUNITY HEALTH IMPLEMENTATION STRATEGIES WERE DEVELOPED IN THE MONTHS FOLLOWING APPROVAL AND WILL ONLY BE ADDRESSED AT A HIGH LEVEL IN THIS REPORT. IN THE CHNA REPORT, CHILDREN'S HOSPITAL COLORADO INCLUDED A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA PROCESS. SEVERAL AREAS OF NEED EMERGED AS CRITICAL ISSUES FOR CHILDREN'S HEALTH. THE PRIORITIES HAVE BEEN DIVIDED INTO TWO PRIMARY CATEGORIES: HEALTH PRIORITIES, INCLUDING MENTAL HEALTH (A CONTINUED PRIORITY), MOTHER AND INFANT HEALTH, AND INJURY - AND SOCIAL DRIVERS OF HEALTH, INCLUDING ACCESS TO CARE, NUTRITION SECURITY, AND HOUSING. CHILDREN'S HOSPITAL COLORADO WILL ADDRESS THESE COMMUNITY-DRIVEN PRIORITIES THROUGH A COMMITMENT OF RESOURCES WITH SPECIFIC PROGRAMS AND SERVICES AS OUTLINED IN THE 2025 IMPLEMENTATION PLANS. The 2024 CHNA IS AVAILABLE AT HTTPS://WWW.CHILDRENSCOLORADO.ORG/COMMUNITY/COMMUNITY-HEALTH/COMMUNITYHEALTH-NEEDS-ASSESSMENT/.
Schedule H, Part V, Section B, Line 5 Facility A, 1Facility A, 1 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 5 APPLIES TO ALL FACILITIES INCLUDED IN GROUP A. IN 2024, CHILDREN'S HOSPITAL COLORADO CONDUCTED ITS MOST RECENT TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). A JOINT ASSESSMENT WAS CONDUCTED FOR THE THREE LICENSED HOSPITAL FACILITIES IN THE DENVER METROPOLITAN AREA, WHICH INCLUDED CHILDREN'S COLORADO - ANSCHUTZ MEDICAL CAMPUS, CHILDREN'S COLORADO - SOUTH CAMPUS, AND CHILDREN'S COLORADO -NORTH CAMPUS. Our data collection approach included both qualitative and quantitative, primary and secondary data sources. For our primary data sources, we gathered community input through surveys and community meetings. Children's Colorado complied with IRS 1.501(r)-3(b)(3) by intentionally including medically underserved, low-income, and minority populations in our data collection. We oversampled lower-income households in our caregiver survey, offered surveys in English and Spanish, and provided Spanish interpretation at community meetings. The survey, open to the public in April 2024, received 1,067 responses representing all six counties proportionally. Data were collected on race, ethnicity, household income, and perceived community health and social needs. To prioritize these needs, nine community meetings were held from May-August 2024 with 112 participants representing public health, schools, nonprofits, healthcare, and residents. We also held 33 key informant interviews with community-based organization leaders and met with attendees at 9 community meetings; additionally, more than 40 data sources were utilized. Guided by a data equity lens, we worked to identify and reduce potential biases in data collection, analysis, and communication to better reflect the experiences of underserved populations. Between April and August 2024, we gathered broad community input from caregivers, community members, partners and collaborators, key informants, and colleagues. Including Children's Colorado - North Campus in the 2024 Denver Metropolitan Area CHNA was appropriate given the population and connectedness between metro area people, services, and facilities. For this reason, the 2024 CHNA included a larger, six-county region (Arapahoe, Adams, Denver, Douglas, Jefferson, and Broomfield Counties). Community meetings were held in partnership with groups and organizations with special knowledge and expertise in community health, including the African American Family Advisory Council, Children's Colorado Youth Council on Mental Health, the Colorado Alliance for School Health, the Healthy JeffCo (Jefferson County) Alliance, the School Health Nursing Team at Children's Hospital Colorado, and the University of Colorado Anschutz Medical Campus Resident Leadership Council. Public health partners from several local public health agencies, including the Adams County Health Department, Arapahoe County Public Health, Broomfield Public Health and Environment, the Colorado Department of Public Health and Environment (state health department), the Douglas County Health Department, and Jefferson County Public Health participated in the process as key informants, along with partners from 25 additional organizations in our service area.
Schedule H, Part V, Section B, Line 6a Facility A, 1Facility A, 1 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 6a APPLIES TO ALL FACILITIES INCLUDED IN GROUP A. Facility reporting group A, the 2024 CHNA for facilities (1), (2), and (4) were conducted together as they share the same definition of community and serve the larger Denver metropolitan area.
Schedule H, Part V, Section B, Line 7 Facility A, 1Facility A, 1 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 7D APPLIES TO ALL FACILITIES INCLUDED IN GROUP A. THE CHNA IS POSTED ON THE HOSPITAL'S EXTERNALLY FACING WEBSITE AND IS ALSO MADE AVAILABLE UPON REQUEST EITHER DIGITALLY OR HARDCOPY. AS PART OF THE CHNA COMMUNICATION PLAN, RESULTS OF THE CHNA AND THE SUBSEQUENT IMPLEMENTATION PLAN ARE SHARED AT VARIOUS PARTNER MEETINGS AND COMMUNITY FORUMS WITH THE GOAL OF IDENTIFYING OPPORTUNITIES TO ENGAGE IN COLLABORATIVE EFFORTS TO ADDRESS AREAS OF NEED. A DEDICATED COMMUNITY BENEFIT EMAIL ALSO PROVIDES AN OPPORTUNITY FOR INPUT AND QUESTIONS. IN 2019, THE STATE OF COLORADO ENACTED HB19-1320: HOSPITAL COMMUNITY BENEFIT ACCOUNTABILITY. A PIVOTAL REQUIREMENT OF THE LEGISLATION IS AN ANNUAL COMMUNITY BENEFIT PUBLIC MEETING. THE PURPOSE OF THE PUBLIC MEETING IS TO INFORM THE COMMUNITY OF THE HOSPITAL'S COMMUNITY BENEFIT EXPENDITURES, PROVIDE AN OPPORTUNITY FOR THE COMMUNITY TO LEARN ABOUT THE MOST RECENT CHNA AND THE STRATEGIES THAT ADDRESS THE IDENTIFIED PRIORITY NEEDS. THE HOSPITAL ALSO ASKS THE COMMUNITY TO ADVISE ON HEALTH AND SOCIAL SERVICE NEEDS THAT ARE OF CONCERN FOR THE COMMUNITY.
Schedule H, Part V, Section B, Line 11 Facility A, 1Facility A, 1 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11 APPLIES TO ALL FACILITIES INCLUDED IN GROUP A. IN THE 2024 CHNA, SEVERAL AREAS OF NEED EMERGED AS CRITICAL ISSUES FOR CHILDREN'S HEALTH. THE PRIORITIES HAVE BEEN DIVIDED INTO TWO PRIMARY CATEGORIES: HEALTH PRIORITIES, INCLUDING MENTAL HEALTH (A CONTINUED PRIORITY), MOTHER AND INFANT HEALTH, AND INJURY - AND SOCIAL DRIVERS OF HEALTH, INCLUDING ACCESS TO CARE, NUTRITION SECURITY, AND HOUSING. MENTAL HEALTH Suicide remains the leading cause of death among Colorado Children. Unmet mental health needs continue to be prioritized by all community key informants. Aside from clinical services, Children's Colorado's community-based work on this health priority will include educating and supporting primary care providers to manage low-acuity mental health needs within their practice; educating caregivers, school personnel and the general public on youth mental health; leading coalitions to influence systems-level improvements and supports; developing new programs to address mental health needs in early childhood; promoting youth voices and engagement to inform, advise and shape priorities and our system of care; and advocating for policy solutions that improve access to high quality mental and behavioral healthcare for children and youth. Anticipated impact: 1. Increased awareness of mental health conditions and access to resources, trainings and treatments 2. More coordinated and integrated systems of child and youth mental health in Colorado 3. Improved access to and expertise in mental health services and support in primary care, schools and community 4. Strengthened cross-collaboration in the community to improve mental health for children and youth MOTHER AND INFANT HEALTH Mother and infant health remains a pressing issue in our Denver metro community. When looking at infant mortality by race and ethnicity, the mortality rate for babies who are non-Hispanic Black/African American is more than three times higher than that of babies who are non-Hispanic white. Children's Colorado's work on this priority area will include efforts to provide education to patient-facing team members on disparities in healthcare, provide behavioral health services and support to pregnant and postpartum parents, provide safe infant sleep education and resources, collaborate with partners on other solutions and supporting policy and advocacy efforts. Anticipated impact: 1. A healthier community and welcoming healthcare environment 2. Strengthened support to improve access to behavioral and healthcare resources for prenatal and postpartum parents 3. Strengthened cross-collaboration in the community to improve health outcomes for mothers and children INJURY Injury remains a leading cause of morbidity and mortality for children. Both motor vehicle and firearm injuries are in the top five leading causes of death for children under 18 years in Colorado.1 Children's Colorado's work on the health priority of injury will include efforts to address both motor vehicle injury and interpersonal violence. For motor vehicle crashes, Children's Colorado will provide education and resources to caregivers on proper car seat use, support policy and advocacy efforts, expand community access to trained child passenger safety specialists and collaborate with partners on other solutions. For interpersonal violence, Children's Colorado will expand our current efforts to screen and counsel youth and caregivers on safe firearm storage, expand services for youth who are at risk for perpetuating and/or being victimized by violence, improve services to counsel on lethal means safety for youth at elevated risk for suicide, and support policy and advocacy efforts. Anticipated impact: 1. Improved healthcare outcomes by increasing access to injury prevention education and resources 2. Increased awareness of safe firearm storage practices and access to resources 3. Strengthened cross-collaboration in the community to improve health outcomes for children ACCESS TO CARE Children need access to health insurance and the ability to effectively use those benefits based on factors like the availability of healthcare providers, geographic location of services and cost. Colorado is one of only eight states where the Medicaid/CHIP enrollment has remained lower than pre-pandemic levels. Children's Colorado's work on this priority area will include screening for health insurance needs, referrals to primary and specialty care, increasing capacity and reach of school-based care, advocacy for increased medical insurance coverage and working with community-based practices and organizations to support increased healthcare insurance coverage and access to care for children. Anticipated impact: 1. Improved healthcare and health outcomes by reducing barriers to social support and increasing access to health insurance 2. Strengthened cross-collaboration in the community to improve health outcomes for children NUTRITION SECURITY Food and nutrition security are essential for preventing and treating disease. In Colorado, child food insecurity rates have increased from 10.5% in 2021 to 14.2% in 2022. Access to healthy and affordable food is consistently prioritized by our community as a top need. Children's Colorado's work on this priority will include screening for nutrition needs, conducting nutrition education, providing nutritious food to families in need, capacity building with community partners and advocacy efforts to increase nutrition security in the community. Anticipated impact: 1. Improved healthcare and health outcomes by reducing barriers to social support and increasing access to nutritious food 2. Strengthened cross-collaboration in the community to improve health outcomes for children HOUSING The lack of available and affordable housing across Colorado continues to strain families. Colorado ranks as the eighth least affordable state when comparing median income to median home prices. Children's Colorado's work on this priority will include providing support to keep families in their current housing situation, collaborating with partners to increase access to affordable housing and supporting policy and advocacy efforts. Anticipated impact: 1. Improved healthcare and health outcomes by reducing barriers to social support and increasing access to housing resources 2. Strengthened cross-collaboration in the community to improve health outcomes for children Children's Colorado recognizes that the public health needs of the community are extensive, and some community-identified needs (including access to affordable, high-quality childcare and access to additional benefits) are not explicitly addressed through our priorities and goals. Children's Colorado knows that our ability to address those needs is limited, leading to our need to prioritize the needs listed above. The identified strategies will be the focus of our community efforts for the next several years. However, we will continue to listen to the community and identify new opportunities to address emerging community concerns. Many of the specific issues that the community raised through the needs assessment will continue to be addressed through the Division of Community Health and Advocacy and other departments at Children's Colorado. Children's Colorado also recognizes that needs are identified and addressed, in part, through our colleagues across our service area. Our public health and governmental partners, hospital system partners, community-based organizational partners, and many others work together to address the many needs faced by our communities.
Schedule H, Part V, Section B, Line 3EIN 2024, CHILDREN'S HOSPITAL COLORADO (CHILDREN'S COLORADO) CONDUCTED ITS MOST RECENT TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR CHILDREN'S COLORADO - COLORADO SPRINGS. THE CHNA WAS APPROVED BY THE CHILDREN'S HOSPITAL COLORADO BOARD OF DIRECTORS ON DECEMBER 19, 2024. THE RELATED COMMUNITY HEALTH IMPLEMENTATION STRATEGIES WERE DEVELOPED IN THE MONTHS FOLLOWING APPROVAL AND WILL ONLY BE ADDRESSED AT A HIGH LEVEL IN THIS REPORT. IN THE CHNA REPORT, CHILDREN'S HOSPITAL COLORADO INCLUDED A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA PROCESS. SEVERAL AREAS OF NEED EMERGED AS CRITICAL ISSUES FOR CHILDREN'S HEALTH. THE PRIORITIES HAVE BEEN DIVIDED INTO TWO PRIMARY CATEGORIES: HEALTH PRIORITIES, INCLUDING MENTAL HEALTH (A CONTINUED PRIORITY), INJURY, AND PREVENTIVE CARE - AND SOCIAL DRIVERS OF HEALTH, INCLUDING ACCESS TO CARE, NUTRITION SECURITY, AND HOUSING. CHILDREN'S HOSPITAL COLORADO WILL ADDRESS THESE COMMUNITY-DRIVEN PRIORITIES THROUGH A COMMITMENT OF RESOURCES WITH SPECIFIC PROGRAMS AND SERVICES AS OUTLINED IN THE 2025 IMPLEMENTATION PLANS. THE 2024 CHNA IS AVAILABLE AT HTTPS://WWW.CHILDRENSCOLORADO.ORG/COMMUNITY/COMMUNITY-HEALTH/COMMUNITYHEALTH-NEEDS-ASSESSMENT/.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - CHCO - COLORADO SPRINGS. IN 2024, CHILDREN'S HOSPITAL COLORADO CONDUCTED ITS MOST RECENT TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR CHILDREN'S COLORADO - COLORADO SPRINGS. Our data collection approach included both qualitative and quantitative, primary, and secondary data sources. For our primary data sources, we gathered community input through surveys and community meetings. Children's Colorado has ensured that our data collection approach followed the IRS requirements of 1.501(r)-3(b)3 to exclude medically underserved, low-income, or minority populations who live in the geographic areas from which it draws its patients" by oversampling lower income populations in our caregiver survey, providing surveys in both English and Spanish and providing interpretation services in Spanish when we had community members who did not speak English in attendance at our community meetings. Between April and August 2024, we gathered broad community input from caregivers, community members, partners and collaborators, key informants, and colleagues. Through our primary data collection approaches, which included surveys, interviews, and community meetings, we were able to gain the input of 678 respondents to our caregiver survey, 18 key informant interviews with community-based organization leaders, and attendees at 7 community meetings. Additionally, more than 30 data sources were utilized. We also sought expertise from partners with special knowledge and expertise in public health, including the El Paso County Public Health Healthy Community Collaborative (HCC), who is a community stakeholder group formed in 2011 to address the health and social needs of El Paso County residents. The HCC consists of over 60 representatives from schools, hospitals and health systems, non-profit organizations, city and county government agencies, public health, medical providers, and interested citizens. The community meetings were held in partnership with groups and organizations with special knowledge and expertise in community health, including HCC, Building Resiliency for Health Kids, Children's Colorado Youth Council on Mental Health, the Colorado Alliance for School Health (CASH), and Safe Kids Colorado. Public health partners from El Paso County Public Health and the Colorado Department of Public Health and Environment (state health department) participated in the process as key informants, along with partners from 16 additional organizations in our service area.
Schedule H, Part V, Section B, Line 7 Facility , 1Facility , 1 - CHCO - Colorado Springs. THE CHNA IS POSTED ON THE HOSPITAL'S EXTERNAL FACING WEBSITE AND IS MADE AVAILABLE UPON REQUEST EITHER DIGITALLY OR WRITTEN FORMAT. AS PART OF THE CHNA COMMUNICATION PLAN, RESULTS OF THE CHNA AND THE SUBSEQUENT IMPLEMENTATION PLAN ARE SHARED AT VARIOUS STAKEHOLDER MEETINGS AND COMMUNITY FORUMS WITH THE GOAL OF IDENTIFYING OPPORTUNITIES TO ENGAGE IN COLLABORATIVE EFFORTS TO ADDRESS AREAS OF NEED. A DEDICATED COMMUNITY BENEFIT EMAIL ALSO PROVIDES AN OPPORTUNITY FOR INPUT AND QUESTIONS. IN 2019, THE STATE OF COLORADO ENACTED HB19-1320, HOSPITAL COMMUNITY BENEFIT ACCOUNTABILITY. A PIVOTAL REQUIREMENT OF THE LEGISLATION IS AN ANNUAL COMMUNITY BENEFIT PUBLIC MEETING. THE PURPOSE OF THE PUBLIC MEETING IS TO INFORM THE COMMUNITY OF THE HOSPITAL'S COMMUNITY BENEFIT EXPENDITURES, PROVIDE AN OPPORTUNITY FOR THE COMMUNITY TO LEARN ABOUT THE MOST RECENT CHNA AND THE STRATEGIES THAT ADDRESS THE IDENTIFIED PRIORITY NEEDS. THE COMMUNITY IS ALSO PROVIDED WITH THE OPPORTUNITY TO ADVISE ON HEALTH AND SOCIAL SERVICE NEEDS THAT CONTINUE TO BE OF CONCERN FOR THE COMMUNITY.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - CHCO - Colorado Springs. IN THE 2024 CHNA, SEVERAL AREAS OF NEED EMERGED AS CRITICAL ISSUES FOR CHILDREN'S HEALTH. THE PRIORITIES HAVE BEEN DIVIDED INTO TWO PRIMARY CATEGORIES: HEALTH PRIORITIES, INCLUDING MENTAL HEALTH (A CONTINUED PRIORITY), INJURY, AND PREVENTIVE CARE - AND SOCIAL DRIVERS OF HEALTH, INCLUDING ACCESS TO CARE, NUTRITION SECURITY, AND HOUSING. CHILDREN'S HOSPITAL COLORADO WILL ADDRESS THESE COMMUNITY-DRIVEN PRIORITIES THROUGH A COMMITMENT OF RESOURCES WITH SPECIFIC PROGRAMS AND SERVICES AS OUTLINED IN THE 2025 IMPLEMENTATION PLANS. MENTAL HEALTH Suicide remains the leading cause of death among Colorado children.1 Unmet mental health needs continue to be prioritized by all community key informants. Aside from clinical services, Children's Colorado's community-based work on this health priority will include educating and supporting primary care providers to manage low-acuity mental health needs within their practice; educating caregivers, school personnel and the general public on youth mental health; leading coalitions to influence systems-level improvements and supports; developing new programs to address mental health needs in early childhood; promoting youth voices and engagement to inform, advise, and shape priorities and our system of care; and advocating for policy solutions that improve access to high quality mental and behavioral healthcare for children and youth. Anticipated impact: 1. Increased awareness of mental health conditions and access to resources, trainings and treatments 2. A more coordinated and integrated system of child and youth mental health in Colorado 3. Improved access to and expertise in mental health services and support in primary care, schools and community 4. Strengthened cross-collaboration in the community to improve mental health for children and youth INJURY Injury remains a leading cause of morbidity and mortality for children.1 Both motor vehicle and child maltreatment injuries are in the top five leading causes of death for children under 18 years in Colorado.1 Children's Colorado's work on the health priority of injury will include efforts to address both motor vehicle injury and child abuse. For motor vehicle crashes, Children's Colorado will provide education and resources to caregivers on proper car seat use, support policy and advocacy efforts, expand community access to trained child passenger safety specialists and work with partners on collaborative solutions. To address child abuse, Children's Colorado will develop and deliver education on mandatory reporting, screen patients for child abuse in the emergency department of our Colorado Springs Hospital and collaborate with community-based organizations. Anticipated impact: 1. Improved health outcomes by increasing access to injury prevention education and resources 2. Increased awareness and education about mandatory reporting 3. Strengthened cross-collaboration in the community to improve health outcomes for children PREVENTIVE CARE Preventive care is a challenge for many Coloradans and primarily denotes the difficulty families experience when finding a primary care provider for their children, particularly a provider who accepts public health insurance (Medicaid, Tri-Care, etc.). Among Coloradans who participated in the 2023 Colorado Health Access Survey, nearly one in five respondents (19.8%) reported that they did not fill a prescription, get doctor care or get specialty care when they needed to due to cost.2 This priority also speaks to the need for increased access to primary prevention programs intended to prevent disease and improve health outcomes broadly. Children's Colorado's work on this priority will include supporting community-based providers with their emerging needs and partnering with community-based organizations and coalitions that work to promote health and wellness for children and youth. Anticipated impact: 1. Increased engagement and collaboration with primary care providers 2. Strengthened cross-collaboration in the community to improve health outcomes for children and youth ACCESS TO CARE Children need access to health insurance and the ability to effectively use those benefits based on factors like the availability of healthcare providers, geographic location of services and cost. Colorado is one of only eight states where the Medicaid/CHIP enrollment has remained lower than pre-pandemic levels.3 Children's Colorado's work on this priority area will include screening for health insurance needs, referrals to primary and specialty care, increasing capacity and reach of school-based care, advocacy for increased medical insurance coverage and working with community-based practices and organizations to support increased health care insurance coverage and access to care for children. Anticipated impact: 1. Improved healthcare and health outcomes by reducing barriers to social support and increasing access to health insurance 2. Strengthened cross-collaboration in the community to improve health outcomes for children NUTRITION SECURITY Food and nutrition security is essential for preventing and treating disease. In Colorado, child food insecurity rates have increased from 10.5% in 2021 to 14.2% in 2022.4 Access to healthy and affordable food is consistently prioritized by our community as a top need. Children's Colorado's work on this priority will include screening for nutrition needs, conducting nutrition education, providing nutritious food to families in need, capacity building with community partners and advocacy efforts to increase nutrition security in the community. Anticipated impact: 1. Improved healthcare and health outcomes by reducing barriers to social support and increasing access to nutritious food 2. Strengthened cross-collaboration in the community to improve health outcomes for children HOUSING The lack of available and affordable housing across Colorado continues to strain families. Colorado ranks as the eighth least affordable state when comparing median income to median home prices. Children's Colorado's work on this priority will include providing support to keep families in their current housing situation, collaborating with partners to increase access to affordable housing and supporting policy and advocacy efforts. Anticipated impact: 1. Improved healthcare and health outcomes by reducing barriers to social support and increasing access to housing resources 2. Strengthened cross-collaboration in the community to improve health outcomes for children Children's Colorado recognizes that the public health needs of the community are extensive, and some community-identified needs (including bullying, issues with weight, and violence) are not explicitly addressed through our priorities and goals. Children's Colorado knows that our ability to address those needs is limited, leading to our need to prioritize the needs listed above. The identified strategies will be the focus of our community efforts for the next several years. However, we will continue to listen to the community and identify new opportunities to address emerging community concerns. Many of the specific issues that the community raised through the needs assessment will continue to be addressed through the Division of Community Health and Advocacy and other departments at Children's Colorado. Children's Colorado also recognizes that needs are identified and addressed, in part, through our colleagues across our service area. Our public health and governmental partners, hospital system partners, community-based organizational partners, and many others work together to address the many needs faced by our communities.
FieldValueIRS element (for citing)
Facility10FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
CHILDREN'S HOSPITAL CO OP SPECIALTY CARE
4125 BRIARGATE PKWYCOLORADO SPRINGSCO80920SPECIALTY CARE, ONCOLOGY CLINICS, URGENT CARE
CHILDREN'S CO HEALTH PAVILION
860 NORTH POTOMAC CIRCLEAURORACO80011OT/PT, SPEECH & AUDIOLOGY, MULTI-SPECIALTY CLINICS,DENTAL CLINCIS, SPECIALTY PHARMACY
CHILDREN'S HOSPITAL CO - THERAPY CARE
9139 SOUTH RIDGELINE BLVD 100HIGHLANDS RANCHCO80129REHABILITATION & THERAPY SERVICES
CHILDREN'S HOSPITAL CO - THERAPY CARE
8401 ARISTA PLACEBROOMFIELDCO80021OT/PT, SPEECH & AUDIOLOGY SERVICES
KIDSTREET
860 N POTOMAC CIRAURORACO80011REHABILITATION & THERAPY SERVICES
CHILDREN'S HOSPITAL CO - UPTOWN
1830 FRANKLIN STDENVERCO80218EMERGENCY CARE, UC, OP SPCLTY, DIAGNOSTIC, OBSERVATION LICENSEDC CMTY CLINIC 18M127
CHILDREN'S HOSPITAL CO - ORTHOPEDIC CARE
9094 E MINERAL AVE SUITE 110CENTENNIALCO80112ORTHOPEDIC CARE, RADIOLOGY SERVICES, SPORTS MEDICINE
CHILDREN'S HOSPITAL CO - UC & OP CARE
3455 LUTHERAN PKWYWHEATRIDGECO80033URGENT CARE, SPECIALIST CARE SPORTS MEDICINE
CHILDREN'S HOSPITAL CO - THERAPY CARE
2375 TELSTAR DR SUITE 160COLORADO SPRINGSCO80920OT/PT, SPEECH THERAPY, THERAPY SERVICES
Children's Hospital CO - Outpatient and Urgent Care (SE Aurora)
23770 E Smoky Hill RdAuroraCO800163089Urgent Care, OT/PT, Sports Medicine

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 6a COMMUNITY BENEFIT REPORTCHILDREN'S COLORADO PUBLISHES AN ANNUAL COMMUNITY BENEFIT REPORT. THE 2024 REPORT WILL BE PUBLISHED AFTER THE FINALIZATION OF THE 2024 SCHEDULE H 990 REPORTING. ALL COMMUNITY BENEFIT-RELATED REPORTS CAN BE FOUND ON CHILDREN'S COLORADO'S WEBSITE AT REPORT CAN BE FOUND AT HTTPS://WWW.CHILDRENSCOLORADO.ORG/COMMUNITY/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
Schedule H, Part I, Line 7 COMMUNITY BENEFITSIN 2024, CHILDREN'S HOSPITAL COLORADO PROVIDED $440,569,912 IN BENEFIT TO THE COMMUNITY. MEDICAID AT CHILDREN'S HOSPITAL COLORADO ACCOUNTED FOR $334,139,901 OF NET COMMUNITY BENEFIT EXPENSE WITH $2,986,103 IN FINANCIAL ASSISTANCE AND $0 IN MEANS TESTED PROGRAMS. OTHER BENEFITS ACCOUNTED FOR $103,443,908 IN NET COMMUNITY BENEFIT EXPENSE. OF THAT $22,968,495 IN COMMUNITY HEALTH IMPROVEMENT, $35,286,879 IN HEALTH PROFESSION EDUCATION, $12,039,107 IN SUBSIDIZED HEALTH SERVICES, $32,579,424 IN RESEARCH AND $570,003 IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT. INCLUDED IN THE SUBSIDIZED HEALTH SERVICES ARE THOSE WHICH CHILDREN'S HOSPITAL COLORADO PROVIDES TO ITS PATIENT POPULATION AT A LOSS. THE NUMBER REFLECTED IN SUBSIDIZED HEALTH SERVICES EXCLUDES BAD DEBT, MEDICAID AND OTHER MEANS TESTED PROGRAMS SHORTFALLS AND FINANCIAL ASSISTANCE. CHILDREN'S HOSPITAL COLORADO IS COMMITTED TO SERVING ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.
Schedule H, Part VI, Line 7 State filing of community benefit reportIN 2019, COLORADO LAWMAKERS PASSED HB19-1320, HOSPITAL COMMUNITY BENEFIT ACCOUNTABILITY, REQUIRING NONPROFIT HOSPITALS TO SUBMIT AN ANNUAL COMMUNITY BENEFIT REPORT.
Schedule H, Part II, Line 10 COMMUNITY BUILDING ACTIVITIESIN 2024, CHILDREN'S HOSPITAL COLORADO PROVIDED $1,548,048 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.
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH (CONTINUED)WORKFORCE DEVELOPMENT: THE MEDICAL CAREER COLLABORATIVE (MC2) program propels high school students towards careers in healthcare through hands-on experiences and professional development opportunities. Applicants are selected in the spring of their sophomore year in high school by a committee with great emphasis placed on selecting a diverse group of students from a range of backgrounds and high schools in the Denver Metropolitan Area. Providing opportunities to underrepresented populations in the health professions has become identified as paramount to the nation's need to eliminate inequities in the quality and availability of healthcare for underserved populations. In the 2023-2024 academic year, MC2 served 130 high school students (68 juniors and 62 seniors) from 49 high schools. Nearly all (94% of the) graduates plan to attend a two- or four-year college and 91% of graduates declared a health or pre-health major. Ninety-seven percent of MC2 participants are students of color: 42% Hispanic/Latino, 23% Black/African American, 15% Asian/Pacific Islander, 14% multi-racial, 3% Middle Eastern, 3% White/Caucasian, and 0% American Indian/Alaskan Native. WORKFORCE DEVELOPMENT: PROJECT SEARCH is a school-to-work transition program for young adult students with significant disabilities. The program provides employment and educational opportunities which span a full academic year. Students complete four-day work weeks for 15 weeks, rotating worksites throughout the hospital. The goal of Project Search is that the participants leave the program employment-ready and subsequently gain successful employment at the host site's business or elsewhere in the community. In 2024, we supported 40 students and graduates. MEDICAL FACULTY PROFILE. Our open medical staff arrangement allows community practitioners to hold privileges at our hospitals, and more than half of our approximately 2,903 medical staff of providers and advanced practice nurses are community based. Among the thousands of referring providers throughout our seven-state region, these community staff members are frontline partners not only in establishing a seamless continuum of care for our young patients, but in providing training opportunities in primary care for the medical students and residents who will become tomorrow's pediatric professionals. Through our affiliation with family medicine residency programs in Colorado and Wyoming, we are able to provide pediatric rotation at our hospitals, offering significant benefit to a region with a large rural population and a shortage of rural care providers. These affiliations also ensure that a primary care perspective is central to our strategies for providing the region's children with the broadest spectrum of care. RESEARCH. 2024 marked another year of impressive growth and accomplishments for child health research teams with more than 1,200 active research studies. BOARD OF DIRECTORS. At the time of filing this form 990, Children's Hospital Colorado's Board of Directors is made up of twenty-four volunteers and the associated executive leaders from the hospital and affiliated institutions. Board service is a commitment to help further the hospital's mission of improving the health of children through the provision of high quality, coordinated programs of patient care, education, research, and advocacy. KIDS ARE OUR BOTTOM-LINE. As a non-profit organization, surplus funds are invested back into providing healthcare services and resources to the community, including but not limited to new patient care locations and equipment, expanded programs and services, community health promotion, research, and training of physicians, nurses, and other allied health professionals. 2024 ACTIVITIES IN RESPONSE TO 2021 AND 2022 CHNA'S Children's Colorado took a holistic approach to addressing (child) mental health, access to care, and nutrition security - our primary priority needs identified in our 2021 and 2022 CHNA's. Activities below occurred during 2024 in response to 2021 and 2022 CHNAs and as written in Community Health Implementation Strategy reports. MENTAL HEALTH The first priority area is Mental Health. Our approach focused on four areas: 1. Providing direct services and support to prevent or address mental health conditions, 2. Advocating for improved systems of care for mental health, 3. Reducing stressors that may impact mental health, and 4. Engaging community to inform and shape our priorities. These strategies occur at various levels: individual child or youth, caregiver, healthcare provider, school, community, or at the system and policy level. Together, these areas work together to address mental health needs among children and youth. Many of our goals and activities are intended to serve communities within and beyond the primary service area of the specific facility location; for example, much of our community work is conducted at the systems-level or statewide. Unless a specific geography is noted in the activities and outcomes below (i.e., Colorado Springs) the activities were carried out in a way that was inclusive of all our facility communities and/or statewide. GOAL 1: Improve mental health awareness and reduce the risk of suicide. ACTIVITY: In Colorado Springs, provide 1:1 coaching for youth with an assigned health coach to assist the students in identifying areas to build resilience, utilize motivational and strength-based techniques, and provide support where needed. Additionally, offer and provide peer coaching to give students the ability to strengthen their own resilience with their peers. Lead, engage, and participate in community collaboratives that aim to decrease youth suicide, decrease utilization of crisis services, and promote preventative services. OUTCOME: In 2024, the Behavioral Health Clinicians provided 3,742 services (individual therapy services and group therapy services) across 20 schools in Colorado Springs. ACTIVITY: Provide training and implementation support to meet mental health needs of students (e.g., dialectical behavior therapy (DBT), suicide intervention and postvention protocols). OUTCOMES: In 2024, we continued partnering with a subject matter expert to update the DBT series with three different audiences - elementary, middle, and high school. We created short videos to support the learning experience; over 16,500 people accessed these videos in 2024. In 2024, we trained almost 400 school professionals through our DBT series. DBT Skills attendees represented 14 school districts, six of which were in rural counties and two of which were in frontier counties. ACTIVITY: Provide training and implementation support to help clinics implement youth suicide prevention care pathways using evidence-based approaches (i.e., Ask Suicide-Screening Questions (ASQ) Suicide Screening, Brief Suicide Safety Assessment, and PracticeWISE MAP). OUTCOME: We offered Zero Suicide training to 232 medical professionals working in community primary care clinics (1,088 contact hours). We also provide more than 20 hours of content in partnership with ECHO Colorado (the Extension for Community Health Outcomes). Fifty-six individuals attended the 6-part ECHO series, "Pediatric Suicide Prevention: A Practical Care Pathway for Primary Care," which was presented several times over the last six months. Over half (64%) served Medicaid-covered patients and one in five (21%) were from rural or frontier counties. Fifty individuals attended the new, three-part ECHO series, "Navigating Complexities in Youth Experiencing Suicidality," which was presented for the first time in fall 2024. Nearly two-thirds (62%) of these folks served Medicaid-covered patients and 43% were from rural or frontier counties. ACTIVITY: Provide suicide prevention training and education with community members (e.g., Question Persuade Refer (QPR), Applied Suicide Intervention Skills Training, Youth Mental Health First Aid). OUTCOME: Pathway to Suicide Prevention YouTube videos were added to the Children's Colorado Partners for Children's Mental Health (PCMH) website. These videos outline steps of the pathway to suicide prevention program. In total, the site received 1,285 views in this reporting period. Our team hosted and attended over 50 meetings with local schools, government entities, and community mental health centers. In addition, we actively participated through attendance, facilitation, and/or financial support to three monthly school meetings that addressed mental health, including suicide prevention, in schools. Additionally, in the Colorado Springs area, activities during 2024 included a strong focus on targeted activities in the local community. Our team hosted and attended over 50 meetings with local schools, government entities, and community mental health centers. In addition, we actively participated - through attendance, facilitation, and/or financial support - in three monthly school meetings addressing mental
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH (CONTINUED)health, including suicide prevention, in schools. Additionally, in the Colorado Springs area, activities during 2024 included a strong focus on targeted activities in the local community. Our team hosted and attended over 50 meetings with local schools, government entities, and community mental health centers. In addition, we actively participated - through attendance, facilitation, and/or financial support - in three monthly school meetings addressing mental health, including suicide prevention, in schools. Partners included Colorado Schools Community of Practice, Colorado Alliance for School Health, and the School Climate Coalition. Approaches to mental health and suicide prevention in the school setting have been rapidly evolving with the rise of identified mental health issues and youth suicide risk. We actively engaged in conversations with schools and other school-serving organizations to identify needs and gaps to target with our future training. We extended this research to interviews with eight other children's hospitals on their best practices in the school settings, in addition to digging into best practices from national school agencies, The Substance Abuse and Mental Health Services Administration (SAMHSA), the National Alliance on Mental Illness (NAMI), and the review of 85 plus research articles related to suicide prevention and mental health in the school setting. From this work, we created a collection of evidence-based information to inform our future work in Schools. ACTIVITY: Expand Existing suicide ideation and depression screening to other clinical settings for patients aged 12 years and older. OUTCOME: In August 2023, universal suicide and depression screening was implemented within all the inpatient units of the Children's Colorado system; in 2024, we screened 9,119 in-patient and emergency department patients for suicide and depression in Colorado Springs for all overall screening rate of 80%. ACTIVITY: Host educational presentations by physicians, nurses, and other healthcare experts for community organizations and schools. OUTCOME: In 2024, we provided information on how to access mental health services as well as mental health education information at three community-based events, in two media stories, and on our mental health educational webpages - which reached 270 views. We also collaborated with school nurses on a Mental Health Action Plan for Anxiety that they began piloting in schools. The plan is available on our website for any school nurse to use in our state and beyond. Activities during 2024 included a strong focus on targeted activities in local communities. (https://www.childrenscolorado.org/globalassets/community/school-nurse/mental-health/anxiety-action-plan-for-schools.pdf) GOAL 2: Improve systems of care and access to mental health services. ACTIVITY: Strengthen the youth mental health system by: (1) Fighting for kids to get their fair share in the annual state budget, and (2) Strengthening the accountability and connectedness of the mental health system for kids with the new Behavioral Health Administration and the next phase of Colorado. OUTCOME: At the state level in 2024, Children's Hospital Colorado coordinated testimony on pending legislation from 30 experts at committee hearings, and actively monitored 173 bills. We activated our grassroots network on multiple child health policy topics which resulted in over 350 messages to state and federal lawmakers on youth mental health. We trained more than 200 people about how to advocate for children's health including youth mental health priorities. ACTIVITY: Support policies that address the social determinants of health, including supporting funding and policy decisions that prioritize housing, economic security, and food security to reduce risk factors for poor health outcomes, and promote the health and well-being of kids and families. OUTCOME: We partnered with clinicians, families, and advocates to pursue innovative policy solutions that will make a difference and positively impact the lives of children. Now that many of these policy priorities are passed and signed into law, we will continue to advocate for robust action on implementation. Priority policies in 2024 included defending access to care, elevating children's mental health solutions, and improving the conditions where children live, learn, and play. ACTIVITY: Advocate for healthcare financing models that provide better care for individuals with mental health conditions, including the integration of physical and mental health. OUTCOME: We work to expand the number of underinsured and uninsured children who can be served by Children's Hospital Colorado and other pediatric providers in Colorado and improve access to care and reduce disparities between private and public coverage. Serving as a bridge between patients, advocacy, providers, and the State, we engage deeply with behavioral health reform, as well as Medicaid, indigent care programs, and the Children's Health Insurance Program, among others. GOAL 3: Promote protective factors and reduce risk factors for mental health conditions. ACTIVITY: Address social needs of identified patients by using the social needs screener and increasing health navigation referrals. (Note: This activity is similar and related to activities in Access to Care: Goal 2.) OUTCOME: Our health navigation teams play a critical role addressing needs such as housing, food, benefits, and transportation, etc. Universal social needs screening has been standard practice in our primary care settings since 2016 and was launched for inpatient units in August 2023. In 2024, in the Denver Metro Area, we completed 21,402 in-patient social needs screenings with 2,609 (10%) patients screening positive for social needs. In 2024, Health Navigators in Colorado Springs provided education, community resource support, and/or community resource referrals to 3,597 unique patients over 7,149 encounters. ACTIVITY: Resource Connect and its partner organizations will increase families' access to health-related social supports. OUTCOME: Resource Connect is a physical suite of offices in the Children's Colorado Health Pavilion (located in Aurora, Colorado, 1.5 miles from our main hospital campus) where we host community-based organizations who help us respond to the social needs of our patient families and provide wraparound care and support. In 2024, our partners included: the Arapahoe County Public Health's Supplemental Nutrition Program for Women, Infants, and Children (WIC); Energy Outreach Colorado; Spectrum Advocacy; the Adams County Workforce and Business Center; A Precious Child; and several internal partner programs: Colorado Medical-Legal Partnership; Healthy Roots Food Clinic; and Injury Prevention (car seats and infant cribs education and distribution). The services provided in Resource Connect promote improved access to the resources that all families, including families with resource and access limitations, need to improve their health and well-being. In 2024, Children's Colorado providers and other team members referred 2,021 families to Resource Connect; of those referrals, 676 were for the Healthy Roots Food Clinic, 310 were for legal services, 126 for WIC, 241 for housing navigation, and 137 for energy assistance. ACTIVITY: The Injury Prevention team will promote safe sleep through the distribution of portable infant cribs and, in collaboration with the Community Health Navigation team, show families how to use them as a safe sleep option. OUTCOME: In 2024, we provided 85 portable infant cribs to families in need, along with safe sleep education and assistance. ACTIVITY: The Injury Prevention team will provide child car seats and education on proper car seat installation. OUTCOME: In 2024, Injury Prevention Denver Metro Area provided education to over 5,770 community members through over 70 community events and classes. The program provided 570 reduced-cost car seats and booster seats as well as training provided by certified Child Passenger Safety Technicians (CPST) from Children's Hospital Colorado in partnership with local community partners (trained 27 external partners in 2024) including law enforcement, healthcare, fire rescue, human services staff, and more. In 2024, our Colorado Springs Injury Prevention program provided education to over 250 caregivers on proper child restraint use, checked over 200 car seats and boosters and corrected over an 80% misuse rate, while also providing 205 reduced- or no-cost car seats and booster seats to families in need. We also held 13 child passenger safety (CPS) check events throughout the year across the community. Directly or through interpreters, we provided CPS education in English, Spanish, Dari, Swahili, Pashto, and French. We conducted five in-person CPS presentations for expecting military families, reaching over 50 military parents and caregivers.
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH (CONTINUED)We also trained 34 new Child Passenger Safety Technicians (CPST) through our CPST Certification Courses. ACTIVITY: Provide education and resources in Colorado Springs related to traumatic injury. OUTCOME: Wheeled activity injury remains a top-five cause of traumatic injury treated at the Colorado Springs hospital. We offer free helmets, in partnership with a local business, to our in-patient population through our Emergency Department and include educational handouts. We provide and fit free helmets at community outreach events and provided approximately 300 helmets in 2024. We also partnered with Deerfield Hills Community Center, Turman Elementary School, UCHealth, and non-profit Kids on Bikes to coordinate a Bike to School event, offering free helmets to participating kids, during which over 45 students and 20 adults participated. Additionally, in 2024, we reached our greater Colorado Springs and El Paso County community through over 40 outreach and educational events and opportunities, reaching over 1,900 adults and children to promote awareness of child safety including pedestrian safety, motor vehicle safety, firearm safety, fire and burn prevention, helmet safety, infant safe sleep, poison prevention, fall prevention, and other home safety topics. ACTIVITY: Increase injury prevention partnerships in and outreach to rural and frontier communities. OUTCOME: In 2024, we continued to strengthen our outreach to more rural communities within El Paso and Teller Counties. We successfully partnered with the town of Calhan, CO, in eastern El Paso County, providing and fitting free helmets at their Summer Fest and reaching over 40 children and adults. We also partnered with Calhan High School's Family, Career, and Community Leaders of America (FCCLA) students to support their Safety Day, providing over 200 helmets to elementary and middle school students, fitting them appropriately, and bringing the students together while educating them on the importance of helmet use. We also offered child passenger safety checks to caregivers during the Safety Day event and connected with 15 caregivers at a Back-to-School event to talk about booster seat safety, providing two free booster seats to families whose children did not have a safe seat belt fit. Additionally, we held a child passenger safety check in Cripple Creek, CO in Teller County, the first CPS event held in that county in many years to our knowledge. We also attended the Fremont County American Medical Response (AMR) Safety Jam, providing free firearm locks, activity books, and other resources to families. ACTIVITY: Improve perinatal health outcomes and decrease infant and maternal mortality and morbidity for African American and Black mothers through the Kindred Mamas mentorship model, which addresses social isolation, connects them to health and community resources, and provides anxiety and depression support. OUTCOME: In 2024, we supported 6 new mentees. ACTIVITY: Provide cultural responsiveness training for healthcare providers in partnership with community-based advocates and organizations through the Center for Advancing Professional Excellence (CAPE) simulation education training. OUTCOME: In 2024, we trained 68 providers (MD, PhD, PA, APN, MSW, and medical residents) and 63 community advocates (BS, BA, RN, MSN, MS, MPH) systemwide. ACTIVITY: Engage team members in the Experience Difference programming which practices and models inclusive behaviors to reduce health disparities among our patient population and fosters an organization that intentionally values inclusion of all team members. OUTCOME: In 2024, we launched the eighth and ninth cohorts of the Captains of Inclusion program, training a total of 42 new Captains. Each Captain completes a capstone project to expand efforts and reduce disparities in our patient population and greater community. ACTIVITY: Foster an inclusive workplace culture that reflects and responds to the communities we serve. OUTCOME: Our Human Resources department is advancing efforts to cultivate a culture of inclusion across all levels of leadership. This work is ongoing and centers on creating an environment where all individuals-regardless of background-feel valued, supported, and empowered to contribute. Through a variety of programs, we are committed to building a leadership team that champions inclusion, promotes belonging, and helps ensure high-quality care for every patient. ACTIVITY: The Team Member Resource Groups (TMRG) will support hospital-wide inclusion, belonging, and high-quality care initiatives; serve as a source of educational and professional development opportunities; and create forums for cultural celebrations, community events, and the exchange of ideas. OUTCOME: In 2024, the TMRG's consulted on hospital policies, conducted 82 educational events throughout the system, and participated in six educational events in the community. ACTIVITY: AsthmaCOMP (Colorado Comprehensive School-Centered Asthma Program) works with students, families, and school staff to improve school-based asthma care and pediatric asthma outcomes. Health navigators assess caregivers' mental health using the Patient Health Questionnaire-4 (PHQ-4) and work to connect caregivers to community mental health services as necessary. (Note: this activity relates to Access to Care: Goal 3.) OUTCOME: In 2024, this team served 197 students from 40 participating schools and completed 298 visits with students. Of these students served, 87% were insured by Medicaid or another public health insurance program. ACTIVITY: Just Keep Breathing (JKB) provides home visits to patients with high-risk asthma, improving outcomes through asthma education, environmental assessments and remediation, care coordination, and patient navigation. Health navigators assess caregivers' mental health using the Patient Health Questionnaire-4 (PHQ-4) and work to connect caregivers to community mental health services, as necessary. (Note: this activity relates to Access to Care: Goal 3.) OUTCOME: In 2024, 305 eligible patients were approached, 101 patients were active in the program, and the team completed 143 home visits either virtually or in person. ACTIVITY: Disparities Elimination through Coordinated Interventions to Prevent and Control Health and Lung Disease Risk (DECIPHeR) is expanding school-based asthma care into communities across Colorado with a focus on local adaptation led by cross-sector Community Advisory Boards. OUTCOME: In 2024, we facilitated 7 community advisory board meetings. ACTIVITY: An inpatient asthma navigator will serve asthma patients and families transitioning from the inpatient setting to home, ensuring they are connected to follow up care and providing resources for identified psychosocial needs. OUTCOME: In 2024, our inpatient asthma navigator served 101 patients. ACTIVITY: The School Health team will develop an action plan that will implement systematic training, professional development for nurses, education to students and families, and support for school nurses and childcare health consultants around behavioral health as well as information on how to access additional resources for students with 504, individualized education programs, individual family service plan, or care plans. OUTCOME: In 2024, we provided information on how to access mental health services as well as mental health education information at three community-based events, in two media stories, and on our mental health educational webpages - which reached 270 views. We also collaborated with school nurses on a Mental Health Action Plan for Anxiety that they began piloting in schools. The plan is available on our website for any school nurse to use in our state and beyond. Activities during 2024 included a strong focus on targeted activities in local communities. Additionally, in 2024, Children's Colorado's team of 29 School Nurse Consultants (SNCs served over 55 different school organizations (including public, private, charter, and childcares) touching 62,000 children's lives in the Denver Metropolitan Area. The School Health team also maintained the online resource hub for any school in Colorado to access and download student care plan templates for 16 different health conditions: https://www.childrenscolorado.org/community/community-health/school-health/school-nurse-resources/ ACTIVITY: PMHI is partnering with schools to train school personnel how to lead Unstuck and On Target, community-based curriculums for students that focus on cognitive behavioral techniques to promote executive functioning and students' success; these skills include including making goals and plans, balancing others' needs, and regulating emotions. This program will expand to the schools who receive training to lead the curriculum in their schools and classrooms. (Note: this activity is similar and relates to an activity in Access to Care: Goal 3.)
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH (CONTINUED)OUTCOME: In 2024, 48,746 people received resources from Unstuck and On Target, and there were 29,619 visitors on the Unstuck and On Target websites. Additionally, 1,146 participants enrolled in Unstuck and On Target online training. Children's Colorado continued to maintain an external webpage to share care plan templates and other school health resources. ACTIVITY: The School-Based Dental Clinic team will provide dental hygiene services in schools to prevent caries and increase access to dental services. OUTCOME: In 2024, our oral health outreach program provided preventive oral health services to children in various school settings outside of a traditional dental clinic. Through collaborative efforts with Aurora Public Schools, 1,000 students received oral health education and screening services. The school-based dental clinics completed 700 encounters and provided preventive hygiene services to over 500 students, of which more than 75% were uninsured. The school-based dental program also provides dental services to students enrolled at KidStreet, a multidisciplinary early intervention program for medically complex young children who are dependent on medical technology. GOAL 4: Promote community voices and engagement to inform, advise, and shape mental health priorities and systems of care. ACTIVITY: Children's Colorado's Government Affairs, Medicaid Strategy, and Partners for Children's Mental Health (PCMH) teams will lead and participate in community coalitions and continue to cultivate a statewide network of child health advocates, encouraging Coloradans to voice their views on the importance of child and youth mental health in public policy. The PCMH Youth Council, led by youth from across Colorado, will shape how PCMH plans, develops, and executes initiatives. OUTCOME: In 2024, 341 Child Health Champions received child advocacy training. The PMHI Youth Action Board (YAB) was incorporated into the YCMH in 2024. PCMH's youth engagement work was revamped to create the Youth Council on Mental Health (YCMH). The new structure was built for youth, by youth. Over 45 Colorado youth applied to participate in the YCMH. The council holds 25 Colorado youth and two boards: Community Action Team and the Program Innovation Team. These boards meet monthly to discuss mental health initiatives in schools and youth-led resource development (social media guide for teens). ACTIVITY: Engage and collaborate with community-focused public organizations to offer guidance, support, and/or feedback on shared strategies and goals aimed at mental health and/or contributing factors. OUTCOME: We participate with and/or lead more than 30 community-focused organizations/coalitions. Some key efforts and partnerships include leading the Colorado Alliance for School Health and Safe Kids Colorado, and participating in the Colorado Blueprint to End Hunger, Metro Denver Partnership for Health, the Aurora Health Alliance, Future of Charitable Food, Resident Leadership Council, Child Fatality Review Boards (Adams, Arapahoe and Douglas), Colorado Department of Education, Aurora Public Schools District, Colorado Association of School Nurses, Colorado Department of Public Health and Environment, Colorado Perinatal Care Quality Collaborative (CPCQC), Families Forward Resource Center, Food Bank of the Rockies, Hunger Free Colorado, and more. ACTIVITY: Provide a defined avenue for families, youth, and community through Family Advisory Councils (FAC) and the Resource Connect Governance Council to advocate, engage, and educate Children's Hospital Colorado to improve the system of care and health outcomes for children and families receiving care. OUTCOME: In 2024, there were 14 Family Advisory Councils: Denver Metro Regional, Southern Colorado Regional, African American, Center for Cancer & Blood Disorders, Developmental Pediatrics, Hispanic, Mental Health, LGBTQ+, Special Care Clinic, Surgical, TRUE, Youth Advisory Council (YAC), Youth Advisory Council Southern Colorado, and the Youth Council on Mental Health (YCMH). These Councils each meet 11-12 times per year, virtually and in person. Consisting of patient-families, youth and students who serve along with team members and hospital leadership, the groups offer direct input on a variety of hospital initiatives, policies and procedures, comfort care practices and system design. Together, the family advisory councils enhance the quality and safety of healthcare, and ensure care is delivered in a sensitive, compassionate, and family-inclusive way. ACCESS TO CARE The second priority area is Access to care. Our approach will focus on three areas: 1. Partnering with practices, payers, and lawmakers to identify opportunities to improve access to healthcare services for children and families, 2. Promoting access to services and support that can reduce stress and address social and economic needs that affect healthcare seeking, and 3. Partnering with others in the community to promote services, expertise and access to evidence-based care across settings. These strategies occur at different levels across the system: individual child or youth, caregiver, healthcare provider, school, community, or at the system and policy level. Together, these areas will comprehensively work to address access to care for children and youth. GOAL 1: Improve systems of care and access to healthcare services ACTIVITY: Children's Colorado Government Affairs and Medicaid Strategy teams will promote access to care, including mental healthcare and health-related social needs, by supporting funding, legislation, regulations, and other policies that improve access to high-quality care. (Note that this activity is similar and relates to Mental Health: Goal 2.) OUTCOME: At the state level in 2024, Children's Hospital Colorado coordinated testimony from 30 experts on pending legislation at committee hearings and actively monitored 173 bills. We activated our grassroots network on multiple child health policy topics, generating hundreds of messages to state and federal lawmakers on youth mental health. We trained more than 200 people how to advocate for children's health including youth mental health priorities. GOAL 2: Promote navigation support to increase access to social services and supports that affect access to care. ACTIVITY: Expand social needs screenings to inpatient settings. (Note: This activity is similar and relates to activities in Mental Health: Goal 3.) OUTCOME: In 2024, the inpatient social needs screening rate in Children's Colorado Denver Metropolitan Area was 93% (21,402 screens out of 22,944 inpatient admissions). Of those admissions, 10% screened positive for at least one domain: 5% for food, 4% positive for utilities, 4% positive for housing, 3% positive for transportation, and 2% for interpersonal violence/safety. Specific to North Campus, the screening rate was 94%, screening 2,980 of the 3,172 admissions. ACTIVITY: Behavioral Health Navigators, as part of the Building Resiliency for Healthy Kids program (in several Colorado Springs school districts) will support school health coaches, provide 1:1 behavioral health services, when additional care is needed for students, and connect families to community resources when appropriate. OUTCOME: In Colorado Springs schools, behavioral health providers (licensed clinicians) delivered 3,742 therapeutic services (individual therapy and group therapy services) across 20 schools in Colorado Springs. ACTIVITY: Address social barriers to care by providing support, education, and referrals at our North Campus. OUTCOME: In 2024, our Health Navigators provided 532 encounters and served 387 patients at our North Campus in 2024. Throughout the rest of the Denver Metropolitan Area, Health Navigators provided 28,240 encounters and served 15,166 unique patients in 2024. GOAL 3: Promote community partnerships in support of access to care. ACTIVITY: Provide community-based asthma programs to strengthen the circle of support for patients with asthma to improve health outcomes. These programs plan to expand geographically and potentially add direct mental health support. OUTCOME: In the Denver Metropolitan Area in 2024, 283 patients were seen by community health navigators, 197 patients participated in AsthmaCOMP, and 86 patients received a home visit through Just Keep Breathing. ACTIVITY: In partnership with local schools, increase access to both behavioral health resources and clinical services in school settings. (Note: this activity is similar and relates to an activity in Mental Health: Goal 3.)
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH (CONTINUED)OUTCOME: In 2024, we supported 63 students with an Individual Health Plan for behavioral health needs. Children's Colorado continued to maintain an external webpage to share care plan templates and other school health resources. Additionally, 48,746 people received resources from Unstuck and On Target, there were 29,619 visitors on the Unstuck and On Target websites, and 1,146 participants enrolled in Unstuck and On Target online training. ACTIVITY: Build partnerships to help promote access to care for Medicaid members OUTCOME: In 2024, we continued to build relationships with community partners. The collective effort focused on creating a pediatric alternative payment methodology, mitigating the impact of Medicaid disenrollment on children and families (caused by the unwind of the public health emergency coverage). and advocating for child health priorities in the Accountable Care Collaborative (ACC) 3.0 contracts. All eight of our child health priorities were advanced in these final contracts. We also saw modest improvement in our Region 6 Regional Accountable Entity (RAE) catchment area: 3.6% well-child KPI improvement in latest data for overall well-child rate. NUTRITION SECURITY The third priority is Nutrition security. Our approach will focus on three areas: 1. Promoting Food as Medicine by increasing access to healthy foods, health education, and behavior change, 2. Promoting food assistance and education programs in schools, primary care, and communities, and 3. Partnering with local and statewide organizations to align goals for greater impact. These strategies occur at various levels: individual child or youth, caregiver, healthcare provider, school, community, or at the system and policy level. GOAL 1: Strengthen supports for families experiencing food insecurity. ACTIVITY: Screen families in various settings for food insecurity and public benefit eligibility and enrollment, and refer families that screen positive for resource and enrollment assistance. OUTCOME: In 2024, nearly all (95%) families were screened for social needs at our North Campus; 2.2% of completed screens were positive for food insecurity (39 out of 1,750 screens). Three-fourths (78%) of patients who screened positive for food insecurity and wanted help received help. Neary all (96%) of patients in the remaining Denver Metropolitan Area and 93% of patients in Colorado Springs who screened positive for food insecurity and wanted help received it. ACTIVITY: The Food as Medicine (FAM) team, who lead the Health Roots Food Clinic (HRFC), will increase families' access to healthy food and provide education to families about health eating, food preparation, and behavior change to encourage children to eat more fruits and vegetables and fewer unhealthy foods. OUTCOME: In 2024, the Healthy Roots Food Clinic received 676 referrals from primary care clinics in our Health Pavilion and served 3,574 people (1,757 children and 1,817 adults). Most of these referrals came from social needs screening within our Health Pavilion's primary care clinics which provides comprehensive, team-based, family-centered primary care in a medical home model to more than 12,000 visits annually to children aged 0-18, regardless of their ability to pay. Additionally, in 2024, our Healthy Roots Garden produced over 580 pounds of fresh produce that was distributed in our food clinic. GOAL 2: Raise awareness of the health impacts of food insecurity. ACTIVITY: Partner with schools and community-based organizations to identify opportunities to promote access to high-quality nutritious food and education. OUTCOME: The Food as Medicine (FAM) Team formalized its partnership, through a Memorandum of Understanding, with Adams 12 Five Star Education Foundation which supports the Adams 12 School District in populated northwest Adams County. Through the partnership, Children's Colorado distributed program funds to support implementation and expansion of the Nutritious Food and Education Initiative. The FAM team provided targeted recommendations for Five Star food sites to ensure alignment with FAM principles; this included identifying and addressing the presence of "sometimes" food items, and reallocating those items, creating communication protocols related to nutrition acceptability for food suppliers, and supporting actionable planning and process improvement related to food procurement, stocking, and distribution. In addition, the FAM team provided regular technical assistance and support of the Five Star team and shares insights into Children's Colorado's operational processes. GOAL 3: Promote community partnerships in support of food security. ACTIVITY: Align with statewide efforts to promote food security across community settings, including Blueprint to End Hunger and Hunger Free Colorado. OUTCOME: To share the burden of aligning with the statewide efforts, the FAM Team worked to reinstate the Children's Colorado system-wide Nutrition Security Work group to help streamline efforts. The team continues to support and align with the efforts and philosophy of the Blueprint to End Hunger and Hunger Free Colorado to address the specific needs of the North Campus. They also continue to work with our key partner, Food Bank of the Rockies, to extend services to the north region. ACTIVITY: Continue and expand partnerships in schools and with community-based organizations to promote access to high-quality nutritious food. OUTCOME: Children's Hospital Colorado is guiding Adams 12 Five Star Foundation in becoming a site for The Emergency Food Assistance Program (TEFAP), strengthening its ability to procure and distribute charitable, nutrient-dense foods to the community.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountTHE ORGANIZATION RECOGNIZES NET PATIENT SERVICE REVENUE IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) 606, REVENUE FROM CONTRACTS WITH CUSTOMERS. THE ADOPTION OF ASC 606 RESULTED IN CHANGES TO THE PRESENTATION FOR NET PATIENT SERVICES REVENUE RELATED TO UNINSURED OR UNDERINSURED PATIENTS. UNDER ASC 606, THE ESTIMATED UNCOLLECTABLE AMOUNTS DUE FROM THESE PATIENTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE, RATHER THAN AS A PROVISION FOR BAD DEBTS, AND ARE BASED PRIMARILY ON HISTORICAL COLLECTION EXPERIENCE. OTHER THAN THESE CHANGES IN PRESENTATION, THE ADOPTION OF ASC 606 DID NOT HAVE A MATERIAL IMPACT ON THE OVERALL FINANCIAL STATEMENTS OF THE ORGANIZATION. EXPANDED DISCLOSURES REQUIRED BY ASC 606 ARE INCLUDED WITHIN NOTE 4, NET PATIENT SERVICES REVENUE.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyCHILDREN'S HOSPITAL INACTIVATES AR BALANCES BETWEEN 150-175 DAYS AFTER THE FIRST BILLING CYCLE. ACCOUNTS ARE REFERRED TO COLLECTION AGENCIES FOR RECOVERY. THE HOSPITAL DOES NOT REPORT ANY BAD DEBT AMOUNT IN COMMUNITY BENEFIT.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteTHE ORGANIZATION RECOGNIZES NET PATIENT SERVICE REVENUE IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) 606, REVENUE FROM CONTRACTS WITH CUSTOMERS. THE ADOPTION OF ASC 606 RESULTED IN CHANGES TO THE PRESENTATION FOR NET PATIENT SER VICES REVENUE RELATED TO UNINSURED OR UNDERINSURED PATIENTS. UNDER ASC 606, THE ESTIMATED UNCOLLECTABLE AMOUNTS DUE FROM THESE PATIENTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE, RATHER THAN AS A PROVISION FOR BAD DEBTS, AND ARE BASED PRIMARILY ON HISTORICAL COLLECTION EXPERIENCE. OTHER THAN THESE CHANGES IN PRESENTATION, THE ADOPTION OF ASC 606 DID NOT HAVE A MATERIAL IMPACT ON THE OVERALL FINANCIAL STATEMENTS OF THE ORGANIZATION. EXPANDED DISCLOSURES REQUIRED BY ASC 606 ARE INCLUDED WITHIN NOTE 4, NET PATIENT SERVICES REVENUE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsTHE SHORTFALL REPORTED IN LINE 7 REPRESENTS MEDICARE SHORTFALLS FOR HIGH NEED PEDIATRIC PATIENTS SERVED BY CHILDREN'S HOSPITAL COLORADO. IF CHILDREN'S HOSPITAL COLORADO DID NOT SUBSIDIZE THE HIGHLY SPECIALIZED CARE, ACCESS FOR THIS POPULATION WOULD BE LIMITED, THUS WE VIEW THIS CARE AS COMMUNITY BENEFIT. THE HOSPITAL UTILIZED COST TO CHARGE RATIO METHODOLOGY TO ARRIVE AT THIS NUMBER. THE AMOUNT INCLUDES ALL COSTS LESS ALL PAYMENTS RECEIVED.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceYES, THE ORGANIZATION DOES HAVE A WRITTEN DEBT COLLECTION POLICY. PRIOR TO DEBT REFERRALS, ACCOUNTS ARE REVIEWED FOR ALL THIRD-PARTY PAYER ELIGIBILITY PRIOR TO QUALIFYING FOR ANY CHARITY CARE OR FINANCIAL ASSISTANCE. ONCE THE PATIENT'S RESPONSIBILITY IS VALIDATED, THE HOSPITAL PROVIDES SLIDING SCALE DISCOUNTS BASED ON INCOME AND/OR EXPENSES. PARENTS WHOSE CHILDREN DO NOT QUALIFY FOR MEDICAID CAN ALSO APPLY FOR THIS DISCOUNT PLAN. THE HOSPITAL HAS A DEDICATED FINANCIAL COUNSELING/SERVICES DEPARTMENT WHO WORK CLOSELY WITH PARENTS TO ESTABLISH PAYMENT PLANS.
Schedule H, Part V, Section B, Line 16a FAP websiteA - CHILDREN'S HOSPITAL COLORADO (CHCO) - ANSCHUTZ MEDICAL CAMPUS: Line 16a URL: HTTPS://WWW.CHILDRENSCOLORADO.ORG/YOUR-VISIT/PAY-FOR-CARE/FINANCIAL-ASSISTANCEPROGRAMS/; - CHCO - COLORADO SPRINGS: Line 16a URL: https://www.childrenscolorado.org/your-visit/pay-for-care/financial-assistance-programs/;
Schedule H, Part V, Section B, Line 16b FAP Application websiteA - CHILDREN'S HOSPITAL COLORADO (CHCO) - ANSCHUTZ MEDICAL CAMPUS: Line 16b URL: HTTPS://WWW.CHILDRENSCOLORADO.ORG/YOUR-VISIT/PAY-FOR-CARE/FINANCIAL-ASSISTANCEPROGRAMS/; - CHCO - COLORADO SPRINGS: Line 16b URL: https://www.childrenscolorado.org/your-visit/pay-for-care/financial-assistance-programs/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary websiteA - CHILDREN'S HOSPITAL COLORADO (CHCO) - ANSCHUTZ MEDICAL CAMPUS: Line 16c URL: HTTPS://WWW.CHILDRENSCOLORADO.ORG/YOUR-VISIT/PAY-FOR-CARE/FINANCIAL-ASSISTANCEPROGRAMS/; - CHCO - COLORADO SPRINGS: Line 16c URL: https://www.childrenscolorado.org/your-visit/pay-for-care/financial-assistance-programs/;
Schedule H, Part VI, Line 2 Needs assessmentIN ADDITION TO THE CHNA, CHILDREN'S 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.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceCHILDREN'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. CHILDREN'S HOSPITAL COLORADO'S FINANCIAL ASSISTANCE PUBLIC POLICY AND PLAIN LANGUAGE SUMMARY ARE available at www.childrenscolorado.org/your-visit/insurance-financial-resources/financial-assistance-programs/.
Schedule H, Part VI, Line 4 Community informationChildren's Hospital Colorado serves infants, toddlers, adolescents, teens, and young adults, primarily from newborns through age 21. Children's Hospital Colorado also treats individuals over the age of 21 with special needs or congenital disorders that require continued care. Children, newborn to age 2, represent the largest proportion of the population served by Children's Colorado. In the state of Colorado, there are over 860,000 children and adolescents through age 21; 55% of them reside within the seven-county metropolitan area and 69% reside within Denver's seven-county metropolitan area with the addition of El Paso County (Colorado Springs) (Colorado State Demography Office, 2023). Children's Hospital Colorado is the largest provider of healthcare services for low-income children in Colorado, with 43.8% of patients in 2024 covered by Medicaid, 43.3% commercial insurance, 3.5% TRICARE, 3.7% CHP+, and 2.8% all other (including Medicare, cash-pay, uninsured, indigent care, etc.). Demographically, children served have diverse cultural and ethnic backgrounds. In 2024, Children's Hospital Colorado translated medical care and education instructions into 22 languages (including American Sign Language) to deliver culturally sensitive, high-quality pediatric healthcare. Most of our patients speak English, followed by significant numbers of families who speak Spanish, then Arabic, Dari, Amharic, Somali, American Sign Language, Vietnamese, Russian, French, Pashto, and Nepali. Additionally, Children's Hospital Colorado works to deliver our mission not only in the Denver metropolitan area and the state of Colorado, but also throughout the surrounding seven-state region. The region is geographically diverse and comprised of seven states in the western High Plains and Rocky Mountains. Children's Hospital Colorado is the only free-standing Children's Hospital in the region. In response to the unique characteristics of the region, in 2024 Children's Hospital Colorado delivered high-quality care through 1,175 clinic sessions across 14 specialties outside its primary service area. Children's Colorado also expanded access to care with 131,896 telehealth visits to patients in their homes or in a clinic setting close to home. An important strategy to meet its mission, Children's Colorado is dedicated to designing innovative approaches to providing medical education opportunities with the goal of strengthening the workforce to meet the needs not only of our main service areas but also of our rural and frontier communities, presently an underserved population in the U.S.
Schedule H, Part VI, Line 5 Promotion of community healthTo address the depth and breadth of community health, Children's Colorado continues to build on our long and strong record of collaborating with community-based organizations, school districts and 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 2024 to support efforts to engage community members advocating for access to healthcare as well as providing educational sessions for both policymakers and advocates on child health issues of importance. DISEASE AND CONDITION SPECIFIC COMMUNITY HEALTH EDUCATION. Children's Colorado plays a key role in creating content on various health topics accessible to the general public. The Children's Colorado digital content team developed and/or promoted health education for parents and the community-at-large via www.childrenscolorado.org and on our social media channels throughout 2024. Just Ask Children's is a collection of free programs and tools that improve access to healthcare services and educate parents on the fundamentals of keeping children safe and well. These services are offered through a variety of methods, including a free monthly email newsletter delivered to 22,803 subscribers, web content, social media, and paid media offering parenting tips and advice on key health topics. Examples of 2024 topics included: Internet safety, fitness and nutrition, safe sleep, neurodivergence, mental health resources, body positivity, loneliness, head injuries, germs, and respiratory illnesses. In 2024, there were more than 2.7 million people reached through this medium. THE AFTER-HOURS TELEPHONE CARE PROGRAM was developed in 1988 based on a pediatrician-identified need to provide healthcare information and care advice outside of regular business hours as well as providing a way to support physicians in maintaining a better work-life balance. Families in the community receive significant benefits from this program through access to timely, helpful advice concerning their child's illness or injury. CHILDREN'S COLORADO PARENTSMART HOTLINE provides parents and caregivers 24/7 access to experienced pediatric nurses who provide telephone triage and in-depth information on what may be ailing their child. In 2024, we answered 117,557 calls to our telephone hotlines. FAMILY AID reduces barriers to healthcare utilization by addressing the social determinants of health. Examples of areas of support are food/groceries, gas cards, bus passes, hotel, etc. TRANSPORATION ASSISTANCE is provided to families following a financial needs assessment that determines ineligibility for transportation assistance through any other program, like Medicaid-funded transportation or insurance reimbursement. The transportation provided is to accommodate access to care, barriers to discharge and the safety of the child. In 2024, we provided support for 1,833 rides. THE BUG WATCH 2.0 publication, led by the Department of Epidemiology, provides vital information to community providers to visualize and assess what organisms are prevalent in the community and to facilitate better, faster clinical decisions when treating patients. Staff update data within the Bug Watch 2.0 dashboard weekly during the respiratory season (usually October-April) and every two weeks during the non-respiratory months. In 2024, there were 859 community providers who received the weekly or biweekly distribution. MOTHER's MILK BANK. We are a milk donation and outreach center in collaboration with the Mothers' Milk Bank, a program of Rocky Mountain Children's Health Foundation. The donation and outreach center collects donated human milk as a community service and provides human milk to babies whose own mothers cannot supply the milk to meet their baby's needs. In 2024, there were 54 donations serving 39 mother-infant pairs. BURN CAMP is a specialty medical rehabilitative camp program for burn survivors 8-18 years-old and their families. Supported by a licensed medical and psychosocial staff, campers reprocess the traumatic pathways caused by a burn injury in an outdoor setting. The program addresses social skill development, body image, challenging negative or limiting beliefs, appropriate risk-taking, and overcoming challenges in a supportive community. Campers are encouraged to translate these experiences into life-long formative skills and build bridges to future successes. In 2024, we served 193 campers across three camp programs: Winter Burn Camp, Family Burn Camp, and Summer Burn Camp. The Children's Hospital Colorado Burn Camps Program is an American Camp Association accredited suite of programs structured to meet the rehabilitative and psychosocial needs of children who have sustained a burn injury. Our Burn Camps Program is made available free of charge to any child who sustains a burn injury. Summer Burn Camp is offered to all children who received their care at Children's Colorado or at one of four referring burn units. HEALTH PROFESSIONS EDUCATION. Annually, approximately 14,000 pediatric residents are trained in Children's Hospitals Graduate Medical Education (CHGME) across the United States, accounting for 50% of the total number of pediatric residents trained. In 2024, Children's Hospital Colorado was home to more than 350 pediatric medical residents and fellows, and 17 pediatric dental residents. Federal CHGME funding falls far below our institutional financial support and we backfill the needs at triple the amount currently funded by the federal government. From 2016-2024, 64% of our pediatric medical residents continued practicing in Colorado after program completion. Upon completion of training, many of these providers care for children throughout the broader Rocky Mountain region as well, where there are no other pediatric training programs. In 2024, we provided clinical experiences and internships for 866 nursing students (programs that lead to a registered nurse license). We also provided clinical experiences and internships for 112 advanced practice providers, including graduate nursing students, physician assistant and anesthesia students. In 2024, we hosted 51 Certified Nursing Assistant students for clinical rotations. In addition to training physicians and nurses, we provided internships and preceptorships for the following health professions in the Denver Metropolitan Area: Pharmacy Technicians (14 students), Surgical Technicians (8 students), Radiology Technicians (51 students), Diagnostic Imaging Technicians (4 students), Cardia and US Sonographer Technician (4 students), Respiratory Therapists (48 students), Physical Therapy (31 students), Child Life Specialists (11 students), Clinical Nutrition (2 students, Audiology, Human Factors Engineering (1 student, Social Work (4 students), and others. Some of the health colleges and universities we partnered with in 2024 include: Pickens Technical College, Pima Medical Institute, Pueblo Community College, Concorde Career College, Regis University, University of Colorado, Metropolitan State College of Denver, American Public University, Erikson, Mills College, Rocky Mountain University, Washington University, University of Utah, Creighton University, Edgewood and College of Charleston, and St. Louis University. In the Colorado Springs area, we provide internships and clinical experiences for Colorado Springs students in the following health professions: Pharmacy Technicians (14 students), Clinical Nutrition (2 students), and Medical Assistants (4 students). Some health colleges and universities we partnered with in 2024 to serve the Colorado Springs area include Pikes Peak Community College and the University of Northern Colorado. We provided clinical experiences and internships for 426 nursing students in Colorado Springs (programs that lead to a registered nurse license) in 2024. EMERGENCY MEDICAL SERVICES COMMUNITY EDUCATION. As a Level One Trauma Center, we emphasize education and outreach. The Children's Colorado Emergency Medical Services (EMS) Outreach Education team provides education to first responders, hospital providers, and other medical facilities across a seven-state region. Many of these first responders live and work in rural communities. The team uses evidence-based research and guidelines from the hospital, often changing the way EMS teams respond to situations to achieve better pediatric outcomes. In 2024, the team conducted 53 educational events covering all four quadrants of the state and reached 4,127 EMS providers. CLINICAL OUTREACH & EDUCATION FOR COMMUNITY-BASED HEALTHCARE PROVIDERS. In 2024, we reached 7,965 learners who participated in 329 education events (conferences, lectures, educational series).
Schedule H, Part VI, Line 7 State filing of community benefit reportCO

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
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Recipient Table RecipientTable (27 entries)

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BILLINGS CLINIC FOUNDATION
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BUFFALO SPORTS PROPERTIES LLC
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CHEYENNE FRONTIER DAYS INC
PO Box 2477CheyenneWY82003830297781501(c)(3)$18,300General Program Support
CHEYENNE MNTN ZLGCL SOC
4250 Chn Mntn Zoo RdCO SpringsCO80906840407039501(c)(3)$94,300General Program Support
CHILDRENS MSM OF DNVR INC
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CO COLLEGE
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CO SPRINGS SPORTS CORP
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CO SPRGS YOUTH SPRTS
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DENVER BOTANIC GARDENS
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DENVER ZOOLOGICAL FOUNDATION
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FOOTHILLS PARK & RECREATION DISTRICT
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GLD CRWN FNDTN INC
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ROCKY MOUNTAIN BUTTERFLY CONSORTIUM
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ROCKY MOUNTAIN VIBES
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RONALD MCDONALD HOUSE CHARITIES
4223 Royal Pine DriveColorado SpringsCO80920841013843501(c)(3)$14,000General Program Support
RONALD MCDONALD HOUSE OF CHARITIES
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ROUGHRIDER SPORTS CLUB LLC
1 Superior DrSuperiorCO80027263040721501(c)(3)$7,500General Program Support
SWITCHBACKS FC
234 N Tejon StColorado SpringsCO80903464110067501(c)(3)$41,200General Program Support
TEALL PROPERTIES GROUP LLC
PO Box 31384CharlotteNC28231832060347501(c)(3)$40,000General Program Support
YMCA OF METROPOLITAN DENVER
2625 S Colorado BlvdDenverCO80222840402696501(c)(3)$15,000General Program Support
YMCA OF NORTHERN COLORADO & BOULDER VALL
2800 Dagny WayLafayetteCO80026840459944501(c)(3)$12,000General Program Support
YMCA OF THE PIKES PEAK REGION
316 North Tejon StColorado SpringsCO80903840404266501(c)(3)$8,000General Program Support
YOUNG AMERICANS CENTER FOR FINANCIAL
3550 E First AveDenverCO80206841564926501(c)(3)$12,500General Program Support
FieldValueIRS element (for citing)
Total501c3 Org27Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant fundsFormAndLineReferenceDesc
ExplanationCHILDREN'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

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Jena Hausmann
Chief Executive Officer$1,461,308$0$367,250$0$2,019,805$0$406,512$0$31,319$0$4,286,194$0$2,016,217$0
Jeffrey Harrington
SVP and CFO, Corporate Treasurer$798,174$0$224,249$0$135,013$0$204,340$0$17,930$0$1,379,706$0$122,886$0
Michelle Lucero
Chief Legal Officer, Secretary$535,599$0$143,456$0$110,252$0$165,703$0$20,141$0$975,151$0$97,715$0
Amy Feaster
SVP Chief Digital info Officer$493,066$0$137,850$0$99,947$0$160,560$0$7,997$0$899,420$0$88,613$0
Suzanne Jaeger
SVP Experience and Access$446,582$0$110,119$0$86,955$0$145,395$0$21,909$0$810,960$0$77,382$0
Gregory Raymond
SVP Colorado Springs President$480,010$0$120,202$0$62,895$0$141,756$0$27,879$0$832,742$0$59,282$0
Jennifer Roth
SVP Chief Nursing Executive (AS OF 08/24)$338,304$0$60,542$0$5,225$0$97,298$0$27,879$0$529,248$0$4,047$0
Raphe Schwartz
SVP and Chief Strategy Officer$543,655$0$165,316$0$97,475$0$159,505$0$27,879$0$993,830$0$93,051$0
Duane McFadden
SVP Chief HR Officer (AS OF 07/24)$221,642$0$0$0$124,142$0$57,354$0$8,206$0$411,344$0$120,433$0
Jerrod Milton
SVP Chief Clinical Officer (THRU 07/24)$355,785$0$92,695$0$378,676$0$64,522$0$13,037$0$904,715$0$375,593$0
Patricia Givens
SVP Chief Nursing Executive (THRU 08/24)$339,864$0$127,342$0$73,560$0$102,277$0$17$0$643,060$0$59,141$0
Elizabeth Rodriguez
SVP Chief HR Officer (THRU 08/24)$162,437$0$117,143$0$25,040$0$89,938$0$16,410$0$410,968$0$19,443$0
Christopher Martin
VP Ambulatory Services$294,781$0$66,822$0$45,080$0$92,569$0$23$0$499,275$0$42,773$0
Kathleen Seerup
SVP Chief Nursing Ops Officer$298,504$0$85,333$0$61,520$0$108,755$0$21,909$0$576,021$0$54,645$0
Megan Zatz
VP Deputy General Counsel$315,588$0$75,398$0$1,709$0$100,892$0$27,879$0$521,466$0$50$0
Linda Michael
VP Compliance Business Ethics$290,187$0$57,982$0$45,270$0$89,252$0$17,565$0$500,256$0$41,229$0
Jenae Neiman
VP Research Operations$325,245$0$68,282$0$1,703$0$114,113$0$27,879$0$537,222$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 4a Severance or change-of-control paymentTHE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAY DURING 2024: Jerrod Milton $153,704
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planTHE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS FROM A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: SUZANNE JAEGER $77,382 AMY FEASTER $88,613 GREGORY RAYMOND $59,282 JEFFREY HARRINGTON $122,886 JENA HAUSMANN $2,016,217 PATRICIA GIVENS $59,141 MICHELLE LUCERO $97,715 ELIZABETH RODRIGUEZ $19,443 JERROD MILTON $375,593 RAPHAEL SCHWARTZ $93,051 KATHLEEN SEERUP $54,645 CHRISTOPHER MARTIN $42,773 JENNIFER ROTH $4,047 MEGAN ZATZ $50 LINDA MICHAEL $41,229 DUANE MCFADDEN $120,433
Schedule J, Part I, Line 7 Non-fixed paymentsCERTAIN INDIVIDUALS ARE ELIGIBLE TO PARTICIPATE IN THE INCENTIVE PLAN FOR CHILDREN'S COLORADO, THE COMPONENTS OF WHICH INCLUDE ACHIEVEMENT OF ORGANIZATIONAL PERFORMANCE GOALS AND INDIVIDUAL PERFORMANCE GOALS. BECAUSE THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS RESERVES THE RIGHT TO CHANGE, AMEND OR TERMINATE THIS PLAN AT ANY TIME, FOR ANY REASON, AT ITS SOLE DISCRETION AND BECAUSE OF CERTAIN OTHER CONDITIONS OF THE PLAN, LINE 7 REGARDING "NON-FIXED PAYMENTS" IS ANSWERED YES. NOTE THAT PRIOR TO THE PAYMENT OF ANY AMOUNTS TO AN INDIVIDUAL WHO IS CONSIDERED A DISQUALIFIED PERSON, THE COMPENSATION COMMITTEE SHALL CERTIFY IN WRITING THE EXTENT TO WHICH THE PERFORMANCE FACTORS ESTABLISHED BY THE COMPENSATION COMMITTEE HAVE BEEN SATISFIED AND SHALL APPROVE THE PAYMENT OF SUCH BONUSES TO SUCH INDIVIDUALS. SEE PART VI, LINES 15A AND 15B FOR ADDITIONAL INFORMATION ON EXECUTIVE COMPENSATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
COLORADO HEALTH FACILITIES AUTHORITY
A84075293219648A7J82016-05-24$200,724,807SERIES 2016A & 2016C - SEE PART VIfalsefalsefalse
COLORADO HEALTH FACILITIES AUTHORITY
B84075293219648A8D02016-05-24$70,300,000SERIES 2016B - SEE PART VIfalsefalsefalse
COLORADO HEALTH FACILITIES AUTHORITY
C8407529320000000002019-03-27$20,000,000SERIES 2019A - SEE PART VIfalsefalsefalse
COLORADO HEALTH FACILITIES AUTHORITY
D84075293219648FMY72019-11-04$235,360,000SERIES 2019BCD - SEE PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$54,370,000$200,724,807$1,519,986$80,000,000$119,204,8212019falseYes (true)Yes (true)Yes (true)
B$0$70,300,000$300,000$70,000,0002019falsefalseYes (true)Yes (true)
C$15,714,444$20,000,000$58,500$19,941,5002019falsefalseYes (true)Yes (true)
D$0$235,360,000$408,677$234,951,3232019Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalsefalsefalse000.0falsefalse0falseYes (true)
Bfalsefalsefalsefalsefalsefalse000.0falsefalse0falseYes (true)
Cfalsefalsefalsefalsefalsefalse000.0falsefalse0falseYes (true)
Dfalsefalsefalsefalsefalsefalse000.0falsefalse0falseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndTerm Of GICTermOfGICPctRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalsefalsefalseYes (true)falsefalse0falsefalsefalse0falsefalseYes (true)
BfalsefalsefalseYes (true)Yes (true)false0falsefalsefalse0falsefalseYes (true)
CfalseYes (true)falsefalsefalsefalse0falsefalsefalse0falsefalseYes (true)
DfalseYes (true)falseYes (true)Yes (true)false0falsefalsefalse0falsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part I, Column (f) Description of purposeBOND A - HOSPITAL REVENUE BONDS SERIES 2016A & 2016C THE PURPOSE OF THIS BOND ISSUE WAS TO FINANCE LONG-TERM PROJECTS AND TO REFUND SERIES 2004C AND 2004D BONDS. BOND B - HOSPITAL REVENUE BONDS SERIES 2016B THE PURPOSE OF THIS BOND ISSUE WAS TO FINANCE LONG-TERM PROJECTS. BOND C - HOSPITAL REVENUE BONDS SERIES 2019A THE PURPOSE OF THIS BOND ISSUE WAS TO PURCHASE EQUIPMENT. BOND D - HOSPITAL REVENUE BONDS SERIES 2019BCD THE PURPOSE OF THIS BOND ISSUE WAS TO REFUND SERIES 2013B, 2013C1 AND 2013C2. BOND E - HOSPITAL REVENUE BONDS SERIES 2020A-B THE PURPOSE OF THIS BOND ISSUE IS TO REFUND SERIES 2008A & 2010A BONDS. BOND F - HOSPITAL REVENUE BONDS SERIES 2021A THE PURPOSE OF THIS BOND ISSUE IS TO FINANCE CAPITAL EQUIPMENT. BOND G - HOSPITAL REVENUE BONDS SERIES 2022A THE PURPOSE OF THIS BOND ISSUE IS TO FINANCE CAPTIAL EQUIPMENT. BOND H - HOSPITAL REVENUE BONDS SERIES 2023A THE PURPOSE OF THIS BOND ISSUE IS TO REFUND SERIES 2013A. Bond I - Health Facilities Revenue Note Series 2024A The purpose of this bond issue is to finance capital equipment.
Schedule K, Part IV, Line 2c Date of rebate computationBond A (SERIES 2016A & 2016C): November 9, 2021 Bond B (SERIES 2016B): November 17, 2021
Schedule K, Part IV, Line 2c COLUMN DIssuer name: COLORADO HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 12/01/2023

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
COLORADO HEALTH FACILITIES AUTHORITY
A84075293219648FPT52020-07-01$105,685,000SERIES 2020A-B - SEE PART VIfalsefalsefalse
COLORADO HEALTH FACILITIES AUTHORITY
B8407529320000000002021-07-29$20,000,000SERIES 2021A - SEE PART VIfalsefalsefalse
COLORADO HEALTH FACILITIES AUTHORITY
C8407529320000000002022-03-29$20,000,000SERIES 2022A - SEE PART VIfalsefalsefalse
Colorado Health Facilities Authority
D8407529320000000002023-12-01$72,815,000Series 2023A - see part VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmt
A$4,625,000$105,685,000$844,996$104,840,0042020Yes (true)falseYes (true)Yes (true)
B$9,087,480$20,000,000$34,5002021falsefalseYes (true)Yes (true)$19,965,500
C$8,275,623$20,000,000$34,5002022falsefalseYes (true)Yes (true)$19,965,500
D$215,000$72,815,000$174,166$72,640,834Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalsefalsefalse000.0falsefalse0falseYes (true)
Bfalsefalsefalsefalsefalsefalse000.0falsefalse0falseYes (true)
Cfalsefalsefalsefalsefalsefalse000.0falsefalse0falseYes (true)
Dfalsefalsefalsefalsefalsefalse000.0falsefalse0falseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndTerm Of GICTermOfGICPctRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalseYes (true)falsefalseYes (true)false0falsefalsefalse0falsefalseYes (true)
BfalseYes (true)falsefalsefalsefalse0falsefalsefalse0falsefalseYes (true)
CfalseYes (true)falsefalsefalsefalse0falsefalsefalse0falsefalseYes (true)
DfalseYes (true)falsefalsefalsefalse0falsefalsefalse0falsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COLORADO HEALTH FACILITIES AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN840752932BondIssuerEIN
CUSIP000000000CUSIPNum
Bond Issued2024-10-31BondIssuedDt
Issue Price$8,239,869IssuePriceAmt
PurposeSeries 2024A - see part VIPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$116,443RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$8,239,869TotalProceedsAmt
Issuance Costs From Proceeds$42,850IssuanceCostsFromProceedsAmt
Capital Expenditures$8,197,019CapitalExpendituresAmt
Refunding Tax Exempt BondsfalseRefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Engage Bond Counsel ContractsfalseEngageBondCounselContractsInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Engage Bond Counsel ResearchfalseEngageBondCounselResearchInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Private Bus Concerning UBI0PrivateBusConcerningUBIPct
Total Private Business Use0.0TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropPct
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Term Of Hedge0TermOfHedgePct
Superintegrated HedgefalseSuperintegratedHedgeInd
Hedge TerminatedfalseHedgeTerminatedInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Term Of GIC0TermOfGICPct
Regulatory Safe Harbor StsfdfalseRegulatorySafeHarborStsfdInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part I, Line 6 NUMBER OF VOLUNTEERSFROM TEENAGERS TO GREAT GRANDPARENTS, FROM HOMEMAKERS TO PROFESSIONAL ATHLETES, CHILDREN'S HOSPITAL COLORADO VOLUNTEERS ENCOMPASS ALL WALKS OF LIFE AND ALL INCOME LEVELS, EACH VOLUNTEER WITH SOMETHING UNIQUE TO OFFER. OUR DIVERSE GROUP OF VOLUNTEERS HAS ONE THING IN COMMON, HOWEVER, THE DESIRE TO HELP SICK CHILDREN AND THEIR FAMILIES. CHILDREN'S HOSPITAL COLORADO IS FORTUNATE TO HAVE THOUSANDS OF DEDICATED VOLUNTEERS WHO WORK REGULARLY, FROM SEVERAL HOURS A YEAR TO SEVERAL HOURS A WEEK, TO PROVIDE BETTER CARE FOR THE CHILDREN OF CHILDREN'S HOSPITAL COLORADO. THE ASSOCIATION OF VOLUNTEERS THE VOLUNTEERS AT CHILDREN'S HOSPITAL COLORADO ARE ALL PART OF A GROUP CALLED CHILDREN'S HOSPITAL COLORADO ASSOCIATION OF VOLUNTEERS (AOV). THE AOV COORDINATES PLACEMENTS FOR VOLUNTEERS AND ENSURES THAT COMPLETE ORIENTATION AND TRAINING IS PROVIDED TO ALL VOLUNTEERS. OUR VOLUNTEER'S SKILLS AND INTERESTS ARE ALL SO APPRECIATED AND WE TRY TO PLACE EVERYONE IN A ROLE THAT SUITS THEM AND OUR NEEDS. THE EXAMPLES BELOW ARE JUST SOME OF THE WAYS THAT OUR VOLUNTEERS CONTRIBUTE: - VOLUNTEERS ARE ACTIVE ACROSS THE SYSTEM OF CARE INCLUDING AT THE ANSCHUTZ MEDICAL CAMPUS, THE SOUTH CAMPUS, THE NORTH CAMPUS, COLORADO SPRINGS HOSPITAL CAMPUS . - VOLUNTEERS SPEND TIME WITH OUR PATIENTS BY HOLDING, COMFORTING, PLAYING WITH THEM AND MAKING THEM LAUGH. - VOLUNTEERS BRING SPECIALLY SCREENED DOGS TO PROVIDE ANIMAL-ASSISTED THERAPY FOR THE PRESCRIPTION PET PROGRAM. - SPECIALLY TRAINED VOLUNTEERS SERVE AS AMBASSADORS WITH THE WELCOME PROGRAM. VOLUNTEERS GREET NEWLY ADMITTED PATIENT FAMILIES UPON THEIR ARRIVAL AND INTRODUCE THEM TO THE HOSPITAL'S MANY AMENITIES. THE GOAL IS TO PROVIDE A WARM AND WELCOMING ENVIRONMENT AND TO ANSWER ANY NON-MEDICAL QUESTIONS. - THE WINE EVENT IS THE ASSOCIATION OF VOLUNTEERS' SIGNATURE EVENT. THE SPECIAL EVENING FEATURES A SILENT AND LIVE AUCTION OF FINE WINES AND EXPERIENCES WITH ALL PROCEEDS BENEFITING THE HOSPITAL AND ITS PROGRAMS. - 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 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 PROGRAM SERVICE ACCOMPLISHMENTS - CONTINUATION (3)HEART INSTITUTE COMMUNITY REPORT The Heart Institute at Children's Hospital Colorado (CHCO) has been a national leader in the diagnosis, treatment, and lifelong care of infants, children, and young adults with congenital and acquired heart disease. As one of the most comprehensive pediatric cardiovascular centers in the country, the Heart Institute delivers care across the full continuum-from fetal diagnosis to transplant and adult congenital cardiology. With more than 22,000 outpatient visits and over 2,600 inpatient encounters in 2024, the Heart Institute is among the highest-volume pediatric heart centers in the region. Our multidisciplinary model brings together cardiologists, cardiothoracic surgeons, critical care physicians, anesthesiologists, nurse practitioners, nurses, sonographers, ECMO specialists, pharmacists, respiratory therapists, psychologists, and social workers to care for some of the most complex cardiovascular conditions seen in children today. Volumes and Outcomes That Matter High volumes support our ability to deliver excellent outcomes. In 2024, the Heart Institute achieved: * 798 open-heart surgeries * 1,273 cardiac catheterizations, including electrophysiology procedures * 32,049 echocardiograms * 2,617 inpatient encounters (up from 2,369 in 2023) * 22,462 outpatient visits (up from 21,620 in 2023) Outcomes consistently exceed national benchmarks: * STAT 4 STS surgical survival: 94% * STAT 5 STS surgical survival: 91% * 1-year heart transplant survival: 97.6% (national average: 92.8%) * 3-year heart transplant survival: 92.3% (national average: 87.0%) The Heart Institute cares for a wide range of conditions - including single ventricle physiology, neonatal heart failure, cardiomyopathies, arrhythmias, vascular anomalies, and complex congenital heart disease - with specialized expertise in surgical innovation, mechanical circulatory support, and interventional cardiology. Innovations in Infrastructure and Access In 2023, the Heart Institute opened a state-of-the-art Hybrid Catheterization Lab, which enabled a significant increase in procedural volume and supported more complex interventions. In early 2025, the Cardiac Progressive Care Unit (CPCU) expanded to 40 beds to enhance throughput from the CICU and operating rooms, while maintaining a family-centered care environment. A major area of focus in 2024 was access to outpatient care. Targeted improvements in clinic scheduling, workflow redesign, and provider optimization led to increased clinic and echocardiography volumes, reduced patient wait times, and improved visit efficiency. The introduction of a Patient Flow Navigator role enhanced coordination between inpatient and outpatient settings-especially for high-risk patients with complex needs. Critical Care and ECMO Program Growth The Heart Institute's ECMO program continued to grow in 2024. Focused efforts to stabilize the workforce led to a 16.8% reduction in ECMO specialist turnover, supporting safer and more reliable care. A new Surgical CICU model was implemented to improve postoperative coordination and quality. As a result, the CICU achieved a reduction in its central line-associated bloodstream infection (CLABSI) rate from 2.78 to 1.76 per 1,000-line days. Commitment to Quality, Safety, and Equity The Heart Institute is actively involved in national quality and research collaboratives including PC4, PAC3, and STS-CHSD, which promote transparency, benchmarking, and continuous improvement. In 2024, quality initiatives included: * Cardiac arrest prevention * Improved language access for families with limited English proficiency * Optimization of blood product transfusion practices * Equity-focused initiatives in the Cardiac Acute Care Unit * Fellow-led project to improve preoperative feeding * Discharge process standardization and education * Formation of a multidisciplinary Chylothorax and Thrombosis Work Group The Heart Institute participates in high-fidelity simulations, daily safety huddles, and post-event debriefs to promote a culture of high reliability. Data from these activities informs system-level improvements and supports real-time learning for front-line teams. Family-Centered, Team-Based Care Families are essential partners in care and are encouraged to participate in daily rounds and decision-making throughout the care journey. The Heart Institute also benefits from a Family Advisory Council to help shape programs and improve the patient experience. Our team collaborates across specialties including neonatology, genetics, pulmonology, surgery, and critical care to care for some of the most medically complex children in the region. The Heart Institute at Children's Hospital Colorado remains committed to delivering outstanding outcomes, advancing clinical and research innovation, and improving the lives of children with heart disease across Colorado and the region.
Form 990, Part VI, Line 1a Delegate broad authority to a committeeCHILDREN'S HOSPITAL COLORADO'S EXECUTIVE COMMITTEE CONSISTS OF THE BOARD CHAIR, CHAIR ELECT, CHIEF EXECUTIVE OFFICER, SECRETARY, BOARD TREASURER, CORPORATE TREASURER, IMMEDIATE PAST CHAIR, THE CHAIR OF THE CHILDREN'S HOSPITAL COLORADO FOUNDATION, THE CHANCELLOR (OR DESIGNEE) AND UP TO TWO (2) ADDITIONAL SEATS TO BE FILLED BY THE BOARD CHAIR. THE EXECUTIVE COMMITTEE HAS ALL THE POWERS OF THE BOARD OF DIRECTORS, EXCEPT AS LIMITED BY LAW, DURING THE PERIOD BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD.
Form 990, Part VI, Line 6 Classes of members or stockholdersCHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL COLORADO.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyTHE WRITTEN CONSENT OF CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM IS REQUIRED TO APPROVE THE BOARD OF DIRECTORS OF CHILDREN'S HOSPITAL COLORADO.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersCHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM AS THE SOLE MEMBER HAS CERTAIN APPROVAL POWERS AS DESCRIBED IN THE AMENDED AND RESTATED BYLAWS DATED SEPTEMBER 22, 2011 AND AMENDED MOST RECENTLY IN FEBRUARY 2017.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyCHILDREN'S HOSPITAL COLORADO'S FINANCE DEPARTMENT WORKS CLOSELY WITH HUMAN RESOURCES, CORPORATE COMPLIANCE, LEGAL, COMMUNITY HEALTH AND PUBLIC RELATIONS TO GATHER ALL THE DATA REQUIRED TO COMPLETE THE FORM 990. THE VICE PRESIDENT FINANCE & ACCOUNTING CONDUCTS A REVIEW WITH THE CFO PRIOR TO THE DRAFT BEING DISTRIBUTED TO THE COMPLIANCE AND BUSINESS ETHICS COMMITTEE OF THE BOARD AND THE BOARD OF DIRECTORS FOR ITS REVIEW. NECESSARY CHANGES ARE MADE THOUROUT THE REVIEW PROCESS. THE FORM IS SIGNED BY THE CFO 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 Conflict of interest policyBOARD MEMBERS ARE REQUIRED TO DISCLOSE, ON AN ANNUAL BASIS, POTENTIAL CONFLICTS OF INTEREST PURSUANT TO THE WRITTEN POLICIES OF CHILDREN'S HOSPITAL COLORADO (CHCO) AND CHILDREN'S HOSPITAL COLORADO FOUNDATION (CHCF). ALL EMPLOYEES AND BOARD MEMBERS MUST PROMPTLY PROVIDE A WRITTEN DESCRIPTION OF MATERIAL FACTS OF AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST TO CORPORATE COMPLIANCE AND/OR GENERAL COUNSEL ON THE APPROPRIATE DISCLOSURE FORM. SUCH DISCLOSURE WILL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF THE CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. POLICIES AND PROCEDURES FOR DISCLOSING CONFLICTS OF INTEREST ARE TO BE FOLLOWED ACCORDING TO THE INDIVIDUAL'S FUNCTION, IN COMPLIANCE WITH STATE AND FEDERAL REGULATIONS. COMPLETED DISCLOSURE FORMS ARE SUBJECT TO AUDIT REVIEW BY LEGAL, THE CORPORATE COMPLIANCE PROGRAM, AND THE COMPLIANCE AND BUSINESS ETHICS COMMITTEE OF THE BOARD OF DIRECTORS. FAILURE TO COMPLY WITH CONFLICT OF INTEREST POLICIES MAY LEAD TO DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT OR WORKING RELATIONSHIP WITH THE CHILDREN'S HOSPITAL COLORADO. ONCE THE COMPLIANCE AND BUSINESS ETHICS (CABE) COMMITTEE HAS DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS WITH RESPECT TO AN AGREEMENT/CONTRACT THEN: 1. THE (CABE) COMMITTEE WILL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER CHILDREN'S HOSPITAL COULD OBTAIN A MORE ADVANTAGEOUS AGREEMENT/CONTRACT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES AND, IF APPROPRIATE, WILL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT. 2. IN CONSIDERING WHETHER TO ENTER THE PROPOSED AGREEMENT/CONTRACT, THE CABE COMMITTEE MAY APPROVE SUCH CONTRACT, TRANSACTION OR ARRANGEMENT ONLY IF THE DISINTERESTED PERSON OR COMMITTEE DETERMINE BY A MAJORITY VOTE THAT: - THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT IS IN CHILDREN'S COLORADO'S 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, Line 15a Process to establish compensation of top management officialCHILDREN'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. EXECUTIVE COMPENSATION PROGRAMS FOR CHILDREN'S HOSPITAL COLORADO (CHCO) ARE DESIGNED TO ATTRACT AND RETAIN TOP EXECUTIVE TALENT. PROGRAM OBJECTIVES INCLUDE: - MAINTAIN EXECUTIVE PAY RANGES THAT REFLECT MARKET AND INTERNAL ALIGNMENT - ESTABLISH PAY FOR INDIVIDUAL EXECUTIVES BASED ON SKILLS, EXPERIENCE AND/OR PERFORMANCE HISTORY - PROVIDE ANNUAL PAY INCREASE TO REWARD INDIVIDUAL PERFORMANCE AND MAINTAIN MARKET COMPETITIVENESS - UTILIZE INCENTIVE PAY TO REWARD THE EXECUTIVE'S ABILITY TO ALIGN DIVISIONAL PERFORMANCE TO ORGANIZATIONAL PERFORMANCE - PROMOTE THE HEALTH AND WELLNESS OF EXECUTIVES AND THEIR FAMILIES, WHILE PROVIDING FAMILY FRIENDLY PROGRAM OPTIONS CONSISTENT WITH CHCO MISSION - MAINTAIN OVERALL PROGRAM AFFORDABILITY AND SUSTAINABILITY FOR THE ORGANIZATION THE EXECUTIVE COMPENSATION PACKAGE CONSISTS OF BASE PAY, INCENTIVE PAY, AND BENEFITS (MEDICAL, DENTAL, VISION, LIFE, DISABILITY, RETIREMENT, AND VOLUNTARY BENEFIT PROGRAMS). CHCO DEFINES MARKET COMPETITIVENESS BASED ON COMPARISONS WITH A PEER GROUP CONSISTING OF NATIONAL PEDIATRIC AND REGIONAL HEALTH SYSTEMS THAT ARE SIMILAR IN SIZE AND COMPLEXITY. IN DETERMINING MARKET COMPETITIVENESS, CHCO PARTNERS WITH AN EXTERNAL EXECUTIVE COMPENSATION CONSULTANT TO GATHER AND ASSESS MARKET DATA FROM INDEPENDENT COMPENSATION AND BENEFIT SURVEYS THAT REFLECT FUNCTIONALLY COMPARABLE POSITIONS IN THE PEER GROUP. AS NEEDED, THE EXTERNAL EXECUTIVE COMPENSATION CONSULTANT WILL PROVIDE RECOMMENDATIONS TO HELP RESOLVE DIFFICULTIES IN RECRUITING AND RETAINING EXECUTIVES OR ENSURE CRITICAL BUSINESS OR STRATEGIC ISSUES ARE ADDRESSED. 2024 CUSTOM PEER GROUP - TEXAS CHILDREN'S HOSPITAL (HOUSTON, TX) - THE CHILDREN'S HOSPITAL OF PHILADELPHIA (PHILADELPHIA, PA) - NATIONWIDE CHILDREN'S HOSPITAL (COLUMBUS, OH) - BOSTON CHILDREN'S HOSPITAL (BOSTON, MA) - COOK CHILDREN'S HEALTH CARE SYSTEM (FORT WORTH, TX) - CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER (CINCINNATI, OH) - CHILDREN'S HEALTHCARE OF ATLANTA (ATLANTA, GA) - LUCILE PACKARD CHILDREN'S HOSPTIAL STANFORD (PALO ALTO, CA) - SEATTLE CHILDREN'S (SEATTLE, WA) - CHILDREN'S HEALTH SYSTEM OF TEXAS (DALLAS, TX) - THE NEMOURS FOUNDATION (JACKSONVILLE, FL) - CHILDREN'S MERCY KANSAS CITY (KANSAS CITY, MO) - CHILDREN'S WISCONSIN (MILWAUKEE, WI) - CHILDREN'S NATIONAL HEALTH SYSTEM (WASHINGTON, DC) - RADY CHILDREN'S HOSPITAL - SAN DIEGO (SAN DIEGO, CA) - DRISCOLL HEALTH SYSTEM (CORPUS CHRISTI, TX) - CHILDREN'S HOSPITAL LOS ANGELES (LOS ANGELES, CA) - PHOENIX CHILDREN'S HOSPITAL (PHOENIX, AZ) - VALLEY CHILDREN'S HEALTHCARE (FRESNO, CA) - CHOC CHILDREN'S (ORANGE, CA) - ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO (CHICAGO, IL) - CHILDREN'S HOSPITALS AND CLINICAL OF MINNESOTA (MINNEAPOLIS, MN) - NICKLAUS CHILDREN'S HEALTH SYSTEM (MIAMI, FL) - ARKANSAS CHILDREN'S HOSPITAL (LITTLE ROCK, AR) - CHILDREN'S OF ALABAMA (BIRMINGHAM, AL) - CHILDREN'S OF NEBRASKA (OMAHA, NE) - UCHEALTH (AURORA, CO) - CENTURA HEALTH (CENTENNIAL, CO) - ST. LUKE'S HEALTH SYSTEM (BOISE, ID) THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN 2024.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesSEE FORM 990, PART VI, LINE 15A NARRATIVE ABOVE.
Form 990, Part VI, Line 19 Required documents available to the publicTHESE DOCUMENTS ARE MADE AVAILABLE UPON REASONABLE REQUEST.
Form 990, Part VIII, Line 2f Other Program Service RevenueAll other program service revenue - Total Revenue: 95259436, Related or Exempt Function Revenue: 92109338, Unrelated Business Revenue: 3150098, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other FeesPHYSICIAN SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 31092544, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 96948458, Program Service Expense: 82111694, Management and General Expenses: 14836764, Fundraising Expenses: ; CONSULTING FEES - Total Expense: 4812053, Program Service Expense: 4075628, Management and General Expenses: 736425, Fundraising Expenses: ; OTHER - Total Expense: 6678765, Program Service Expense: 5656663, Management and General Expenses: 1022102, Fundraising Expenses: ; FREIGHT & Delivery - Total Expense: 1733972, Program Service Expense: 1468609, Management and General Expenses: 265363, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesEQUITY TRANSFER FROM FOUNDATION - 44446355; CHANGE IN PERPETUAL TRUST - 6056483; OTHER CHANGES IN NET ASSETS - 4900045; Total - 55402883;
FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS - CONTINUATION (1)CHILDREN'S HOSPITAL COLORADO (CHCO) works collaboratively with its affiliates as an academic medical center to fulfill a joint mission to provide excellent services and the best health outcomes for children, through teaching, research, clinical care and community support services. CHCO is committed TO INCLUSION AND BELONGING IN OUR WORKFORCE AND IN OUR COMMUNITY. WE STRIVE FOR EVERYONE TO FEEL VALUED. The following section describes CHCO's program service accomplishments for each of the three largest program services, as measured by expense. CENTER FOR CHILDREN'S SURGERY COMMUNITY BENEFIT REPORT Service Overview: The Center for Children's Surgery (CCS) at Children's Hospital Colorado is a nationally recognized leader in pediatric surgical care, treating everything from routine conditions to the most complex cases. The expert team of 335 surgeons, including both hospital-based and community providers, delivers care in 43 state-of-the-art operating rooms across seven locations, all specifically designed to support healing and comfort for children. In 2024, the CCS performed over 37,000 procedures, serving 31,000 unique patients from 45 states, with nearly 9% of procedures performed on patients from outside Colorado. The CCS program is driven by innovation, research, and cutting-edge technology. This year, CCS reached major milestones in robotic surgery, including the 100th Da Vinci robotic case and the 500th spine surgery using the Mazor X system. Across all locations, surgeons specialize in minimally invasive procedures that result in shorter recovery times, reduced complications, and improved outcomes-consistently placing us among the top pediatric surgical programs in the country. With more than 3 million minutes of surgical care delivered in 2024, CCS continues to be a destination for families seeking world-class surgical treatment for their children. Quality and Process Improvement Initiatives: The CCS is committed to quality and process improvement strategies as a core clinical strategy to advance the effectiveness, efficiency, safety, experience, and coordination of the care it provides to its patients. The Perioperative Performance Improvement and Patient Safety (PIPS) Committee is broadly representative, multidisciplinary and guides the range of activities and initiatives through which the CCS is pursuing its clinical, operational, value-driven, and financial improvement goals. The CCS had several active Quality & Process Improvement initiatives underway in 2024 including: * First Case on Time Starts (FCOTS): * Increased FCOTS at CHCO's Main OR from a 2023 average of 37% to a 2024 average of 49%. This improvement means 2 additional patients have their procedure start at or ahead of time daily. * Surgical Site Infections (SSIs) * Surgical Site Infection prevention efforts expanded beyond high-risk areas to a universal approach, leading to a decrease in the overall SSI rate from 0.31% in 2023 to 0.22% in 2024. Improvements include updated policies aligned with national standards, staff education, pre-op CHG wipe implementation, and enhanced OR traffic and hand hygiene practices. * Integration of Epic and Sterile Processing Microsystem (SPM): * This integration connects the systems used by nurses, scrub techs, and physicians with those used by the Sterile Processing team, improving tracking and documentation of sterile instruments. It also enables precise identification of the instruments and sets used during each specific surgery. * Intranasal Versed for IUD placement: * Gynecology introduced intranasal Versed for in-clinic IUD insertions, enhancing patient comfort and reducing the need for OR use. As of November, 189 procedures were completed safely in a more appropriate, lower-acuity setting. National/Global Presence: The CCS are national and global leaders in developing and operationalizing innovative procedures, often enabling new diagnostic, less invasive, and/or therapeutic options for patients and families. In 2024 the Center accomplished: * Plastic Surgery residents had the opportunity to gain global surgery experience during a two-week trip to Vietnam, led by Phuong Nguyen, MD, who was recently named the Department of Surgery's first Associate Vice Chair of Global Surgery. The team-comprised of residents, students, and faculty-partnered with Nuoy Reconstructive International, a nonprofit co-founded by Dr. Nguyen, to provide complex reconstructive procedures, including craniofacial, microsurgery, and hand surgery, at multiple hospitals across Vietnam. * Nicholas Cost, MD, Urology, was named chair of the Renal Tumor Committee of the Children's Oncology Group (COG). He is the first surgeon to hold the role. COG is a National Cancer Institute-supported clinical trials group and is the world's largest organization devoted exclusively to childhood and adolescent cancer research. * CCS faculty maintain medical licenses across a 7-state catchment region-including New Mexico, Montana, and Wyoming-to deliver care closer to home through telehealth and in-person regional outreach clinics. In 2024, over 2,500 out-of-state patients received care from CCS providers, with many continuing follow-up via telehealth. Regular outreach clinics on Colorado's Western Slope and in Montana extend sub-specialty surgical expertise to rural communities, reducing the need for long-distance travel to the Denver metro area. Research: Through basic, translational, and clinical research, the CCS is committed to advancing knowledge and clinical care to improve surgical outcomes for patients. In 2024 significant advancements include: * A multicenter study on bilateral Wilms tumor (BWT) revealed higher-than-expected rates of bilateral partial nephrectomy (BPNx) at high-volume institutions compared to previous national data, supporting the need for a follow-up study to improve nephron-sparing approaches. * In patients with neurogenic bladder, caregivers generally reported low levels of decisional regret following bladder reconstruction, though a subset-particularly caregivers of male children-reported higher regret, suggesting areas for improved counseling. * Among childhood cancer survivors treated for pelvic solid tumors, a study evaluated long-term lower urinary tract function, analyzing outcomes associated with external beam radiation therapy (EBRT) through patient-reported measures and urodynamic testing. * A quality improvement initiative targeting opioid prescribing in pediatric patients with chronic kidney disease (CKD) demonstrated safe implementation of NSAID alternatives and a dedicated opioid reduction protocol, with no increase in unplanned healthcare visits. * Allyson Alexander, MD, PhD (Neurosurgery) received a NIH K08 award for her project exploring mechanisms that lead to seizure-prone neurons in cortical malformations using human and mouse models. * Aubrey Armento, MD (Orthopedics) was awarded a K12 grant to study the effects of weight-bearing exercise on bone health in female adolescents with restrictive eating disorders.
FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS - CONTINUATION (2)NEONATOLOGY COMMUNITY REPORT For more than 50 years, the Neonatal Intensive Care Unit (NICU) at Children's Hospital Colorado (CHCO) has been a nationally recognized leader in the treatment of critically ill infants. The leading-edge Level IV NICU (the highest distinction by the American Academy of Pediatrics), at Children's Hospital Colorado, provides 82 critical care beds specifically for this patient population. The NICU provides excellence in care for infants throughout Colorado and the mountain state region. Named one of the country's top centers by U.S. News & World Report, our Level IV Neonatal Intensive Care Unit offers the highest level of care to more than 1,400 newborns every year -one of the largest centers in the region. We care for any condition affecting a newborn, no matter how rare or critical that condition may be. Therapies include extra corporeal membrane oxygenation (ECMO), continuous renal replacement (CRRT), genetic testing, and neonatal surgery. Volumes matter. Children's Colorado's NICU is among the highest volume centers in the U.S. for high-complexity patients, meaning we see more and treat more neonates with complex congenital conditions and severe complications of prematurity than most other centers. The NICU cares for both premature and term infants with a variety of conditions, including hypoxic respiratory failure, infections, hematological, neurological, cardiovascular, and metabolic disorders. Infants with single major or multiple anomalies requiring diagnostic evaluation or surgical intervention are often treated in the NICU. Our survival rates rank among the best in the nation. Our high volumes not only allow for the development of highly specialized teams and standardized approaches to care, they also build our surgical and medical sub-specialists' experience and expertise. The Neonatology team has pioneered many critical developments in neonatal clinical care including surfactant replacement for premature infants, inhaled nitric oxide therapy for pulmonary hypotension, therapeutic hypothermia for perinatal brain injury, optimal nutrition for low-birth-weight infants and innovative care following fetal surgery. Collectively, the neonatologists and PhD research faculty published 80 articles in 2024. Throughout a visit, a baby and their family stay together in an environment we specifically designed to feel as much like home as possible. Families are integral to the care delivered. Key areas of focus include developmentally supportive care of the newborn, primary nursing and a family centered care approach. Parents are encouraged to participate in daily rounds and in all aspects of care. There is a Family Advisory Council to support current families and provide perspective on the patient experience. The clinical care team in the NICU is comprised of Neonatologists, Neonatal Nurse Practitioners, specialty trained nurses, respiratory therapists, pharmacists, physical, speech and occupational therapists, lactation specialists, neonatal nutrition, social work, chaplains, and case managers. Specialty consultants include neurology, pulmonology, genetics, gastroenterology, nutrition, metabolic, endocrinology, hematology, cardiology and cardiovascular surgery, general pediatric surgery, renal, ophthalmology, orthopedics and ear, nose and throat specialists. Children's Hospital Colorado neonatologists have diverse expertise caring for an array of complex conditions. The Section of Neonatology provides full clinical support for infants and their families at multiple hospitals in the Denver metropolitan area including Children's Hospital Colorado, University of Colorado Hospital and Denver Health Medical Center. The 35 board-certified neonatologists are nationally and internationally recognized leaders in neonatal care as well as clinical and scientific research. With advances in technology, the NICU team can provide teleconferencing for referring providers and/or parents who may not be present. They can also provide tele-NICU services to hospitals in rural areas to ensure those infants are properly treated in their home community and transferred only when appropriate. The NICU team continuously reviews quality and patient safety data focusing on excellence in patient outcomes. The NICU leadership team meets for Quality Rounds, promoting engagement of front-line staff and a multi-disciplinary approach to care. The NICU team promotes the safest environment possible with key communication in safety huddles each shift to review details of our safety and quality improvement work. Optimal communication with a large multidisciplinary team is one of our key strategies to promote the highest quality care possible. 2024 NICU Quality and Process Improvement Initiatives: * Family experience scores are consistently 86% or greater. Parents are invited to rounds with the NICU team daily. Our goal is to partner with parents in their child's plan of care. There is a strong foundation of Primary nursing as the model of care. * In 2024, the NICU achieved 94% hand hygiene compliance. The multi-disciplinary team partnered together to collectively focus on this rate to decrease infection rates. * A significant focus on the prevention of central line associated blood stream infections (CLABSI's). Our goal is to sustain a CLABSI rate of 1/1000-line days or less in 2024. The rate for 2024 was 0.82/1000 line days. There is frequent auditing of compliance to the CLABSI bundle regarding the care of the central lines and prevention measures. Line days totaled 6,075 in 2024, demonstrating the complex, high acuity NICU patient population that is cared for. * Ongoing key quality initiatives include focusing on a sustained decrease in unplanned extubations, patient identification events, pressure injuries, adverse medication events and peripheral intravenous catheter extravasations. * The Lactation program has sustained the goal of 82% or greater of NICU infants receiving breast milk while hospitalized and upon discharge. In addition, this team is working to increase first feeds at breast. Outcomes of this work is currently being tracked and reviewed. * Clinical outcomes of infants delivered in the Labor and Delivery Care Unit at CHCO and admitted to the NICU are followed closely. In 2024, the NICU team attended 302 deliveries of high risk infants, often requiring complex surgical or cardiac interventions. * Team debriefs are held after infant resuscitations to strengthen team dynamics and clinical practices. The NICU team also participates in high fidelity, multi-disciplinary code simulations. * A standardized, evidenced based approach to caring for extremely low birth weight infants (ELBW), within the NICU. This includes a specialized team of nurses and providers. Key clinical outcomes are tracked and reviewed. * Close follow up of infants treated with surgical interventions, hypothermic therapy for neonatal encephalopathy, unique ventilation strategies, Supporting Preemie Respiratory Outcomes (SPROUT) Transitional Team, extracorporeal membrane oxygenation (ECMO), inhaled nitric oxide (iNO), continuous renal replacement therapy (CRRT) and peritoneal dialysis.

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Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line15314 INSURANCE COMPANY LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1677 ALA MOANA BLVDAddressLine1Txt
Address Line2SUITE 316AddressLine2Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd
FieldValueIRS element (for citing)
EIN843975618EIN
Primary ActivitiesCAPTIVE INS.PrimaryActivitiesTxt
Legal Domicile StateHILegalDomicileStateCd
Total Income$4,783,655TotalIncomeAmt
End Of Year Assets$39,115,081EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CH-COLORADOBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CHILDREN'S HOSPITAL COLORADO HLTH SYSTEM
13123 EAST 16TH AVEAURORACO80045454182666HEALTHCARECO501(c)(3)Type III-FINAfalse
The Children's Hospital Colorado Foundation
13123 EAST 16TH AVEAURORACO80045840813462FOUNDATIONCO501(c)(3)7CHCHSfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
PEDIATRIC CARE NETWORK CHCH LLC
13123 EAST 16TH AVEAURORACO80045813554450HEALTHCARECOCH-COLORADOC Corporation$4,024,149$3,914,5651Yes (true)
PERPETUAL TRUST
HOSPITAL SUPPORTCOCH-COLORADOYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PEDIATRIC CARE NETWORKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$323,579InvolvedAmt
Method Of Amount DeterminationACCRUALMethodOfAmountDeterminationTxt