2016-11-07T18:17:33-06:00 2015-12-31 ERNST & YOUNG US LLP 2 N CENTRAL AVE SUITE 2300 PHOENIX AZ 85004 990 2015-01-01 840166760 CHILDREN'S HOSPITAL COLORADO % Cathy Dal Santo VP Finance CHIL 7207771234 13123 East 16TH AVENUE AURORA CO 80045 Jeffrey Harrington SVP and CFO 7207771234 2016-11-07 true STEVEN T RUTTI P00775456 6023223000 2015 2017-02-10 21:41:12Z Jena Hausmann 13123 East 16th Avenue Aurora CO 80045 1031199569 false X WWW.CHILDRENSCOLORADO.ORG X 1908 CO TO IMPROVE THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH-QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY. 32 31 6993 2646 3889145 -213514 25543007 29185954 893154291 949352509 7771803 1333947 443148 232137 926912249 980104547 678722 845301 0 0 445927118 471786908 0 0 0 417779064 436400452 864384904 909032661 62527345 71071886 1314372391 1348367934 737311309 760628022 577061082 587739912 X To improve the health of children through the provision of high-quality, coordinated programs of patient care, education, research and advocacy. false false 713170002 845301 949352509 ROUTINE INPATIENT SERVICES; ANCILLARY INPATIENT SERVICES SUCH AS LAB RADIOLOGY, OPERATING ROOM, RECOVERY ROOM, CENTRAL SUPPLIES, ETC.; OUTPATIENT SERVICES SUCH AS EMERGENCY ROOM, MULTI-SPECIALTY AMBULATORY SERVICES INCLUDING ORTHO CLINIC, ONCOLOGY CLINIC, ETC. 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SCHEDULE D, PART X, LINE 2 MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. true true X true X true X true true true false true true 3655879 3655879 0 0.00000 382505123 281175473 101329650 0.11150 20855934 20218868 637066 0.00070 407016936 305050220 101966716 0.11220 7691240 2751183 4940057 0.00540 22161912 6172536 15989376 0.01760 290660535 243634678 47025857 0.05170 27104236 0 27104236 0.02980 414320 0 414320 0.00050 348032243 252558397 95473846 0.10500 755049179 557608617 197440562 0.21720 9600 0 9600 0.00000 15673 0 15673 0.00000 33137 0 33137 0.00000 11936 0 11936 0.00000 23999 4894 19105 0.00000 18024 0 18024 0.00000 49302 2837 46465 0.00010 605114 107000 498114 0.00050 0 0 0 0.00000 766785 114731 652054 0.00070 true 10328000 2245000 1328240 1493377 -165137 X true true 3 1 CHILDREN'S HOSPITAL COLORADO 13123 EAST 16TH AVENUE AURORA CO 80045 WWW.CHILDRENSCOLORADO.ORG 010417 X X X X X A 2 CHILDREN'S HOSPITAL COLORADO - SOUTH 1811 PLAZA DRIVE HIGHLANDS RANCH CO 80129 WWW.CHILDRENSCOLORADO.ORG 01F105 X X X X X A 3 CHILDREN'S HOSPITAL CO - MEMORIAL 1400 EAST BOULDER STREET COLORADO SPRINGS CO 80909 WWW.CHILDRENSCOLORADO.ORG 13U321 X X A A 13 false false true X X X X X X X X X 15 true true false true X WWW.CHILDRENSCOLORADO.ORG X X true 15 true WWW.CHILDRENSCOLORADO.ORG false false true X 200. 400. X X true true X true X www.childrenscolorado.org X www.childrenscolorado.org X www.childrenscolorado.org X true X false X X X true X false false SCHEDULE H, PART V, SECTION B A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP A. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED IN FACILITY REPORTING GROUP A: (1) CHILDREN'S HOSPITAL COLORADO (2) CHILDREN'S HOSPITAL COLORADO - SOUTH (3) CHILDREN'S HOSPITAL COLORADO - MEMORIAL SCHEDULE H, PART V, SECTION B, LINE 5 THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 5 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: BEFORE LAUNCHING THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), CHILDRENS HOSPITAL COLORADO CONDUCTED A REVIEW OF THE PRIOR HEALTH NEEDS ASSESSMENT, WHICH WAS PRODUCED IN 2012. TO INFORM THE CURRENT ASSESSMENT, WE ASKED BOTH INTERNAL AND EXTERNAL PARTIES TO READ THE PRIOR REPORT AND SUBMIT WRITTEN FEEDBACK. REPRESENTATIVES FROM PUBLIC HEALTH, POLICY AND ADVOCACY, CLINICAL PRACTICE AND THE NONPROFIT SECTOR PROVIDED FEEDBACK ON THE 2012 REPORT. WE ALSO COMMISSIONED A PROFESSOR WITH THE COLORADO SCHOOL OF PUBLIC HEALTH TO CONDUCT A FORMAL REVIEW OF THE PRIOR IMPLEMENTATION STRATEGY. TO PREPARE THE 2015 CHNA, CHILDRENS HOSPITAL COLORADO ENGAGED IN A COMPREHENSIVE PROCESS OF GATHERING DATA AND INPUT FROM NONPROFIT ORGANIZATIONS, GOVERNMENT AGENCIES, PUBLIC HEALTH DEPARTMENTS, THE BUSINESS COMMUNITY AND INDIVIDUAL PARENTS AND COMMUNITY MEMBERS. DATA COLLECTION INCLUDED 40 KEY INFORMANT INTERVIEWS, 9 FOCUS GROUPS (92 PARENT PARTICIPANTS), AN ONLINE SURVEY THAT WAS COMPLETED BY 346 PARENTS AND 13 COMPREHENSIVE DATA REPORTS. SPECIAL EFFORT WAS MADE TO SOLICIT INPUT FOR THE CHNA REPORT FROM UNDERSERVED POPULATIONS. OUTREACH TO THESE POPULATIONS INCLUDED CONTACTING NONPROFIT ORGANIZATIONS THAT REPRESENT THE INTERESTS OF UNDERSERVED GROUPS AND INCLUDING THEM IN STAKEHOLDER INTERVIEWS. KEY ORGANIZATIONS CONTACTED INCLUDED: COLORADO COALITION FOR THE MEDICALLY UNDERSERVED, COLORADO BLACK HEALTH COLLABORATIVE, COMITIS CRISIS CENTER, THE FIELDS FOUNDATION, PROMOTORAS DE SALUD, ROCKY MOUNTAIN YOUTH CLINIC AND STREET SMART. PLEASE REFER TO THE CHNA FOR A COMPLETE LIST OF STAKEHOLDERS. FOCUS GROUPS WERE HELD IN PARTNERSHIP WITH LOCAL NONPROFIT ORGANIZATIONS. EMPHASIS WAS PLACED ON WORKING WITH GROUPS THAT SERVE LOW-INCOME AND AT-RISK PARENTS. FOCUS GROUPS FOR THIS TARGETED POPULATION INCLUDED TWO SESSIONS AT THE HOFFMAN YOUTH CENTER IN WARD 1 OF AURORA. ONE SESSION WAS CONDUCTED IN ENGLISH AND ONE SESSION WAS CONDUCTED IN SPANISH. ONE SESSION WAS AT THE EPWORTH UNITED METHODIST CHURCH IN CENTRAL DENVER IN A PREDOMINANTLY AFRICAN AMERICAN NEIGHBORHOOD. THE OTHER WAS AT THE FIELDS OPPORTUNITY CENTER WITH PREGNANT AND PARENTING TEENS. TWO SESSIONS WERE AT THE COMITIS CRISIS CENTER WITH HOMELESS FAMILIES THAT WERE TEMPORARILY RESIDING AT THE CENTER. ONE OF THE TWO SESSIONS SPECIFICALLY TARGETED HOMELESS VETERANS. A TOTAL OF NINE FOCUS GROUPS WERE CONDUCTED IN A VARIETY OF LOCATIONS. COLLECTIVELY, THERE WERE 92 PARENT PARTICIPANTS. RECOGNIZING THAT THE NUMBER OF INDIVIDUALS WHO COULD BE REACHED THROUGH INTERVIEWS AND FOCUS GROUPS WAS INHERENTLY LIMITED, THE HOSPITAL ALSO SOUGHT TO REACH A SIGNIFICANTLY GREATER NUMBER OF COMMUNITY MEMBERS THROUGH AN ONLINE SURVEY. TO COMPENSATE FOR LACK OF INTERNET ACCESS AMONG SOME POPULATIONS, A PAPER VERSION OF THE SURVEY WAS DISTRIBUTED IN COMMUNITY HEALTH CLINICS, AT A MOBILE HOME COMMUNITY AND AT A CHILD CARE CENTER FOR LOW-INCOME FAMILIES. THE SURVEY WAS AVAILABLE IN BOTH ENGLISH AND SPANISH AND HAD A TOTAL OF 346 RESPONDENTS. SINCE MORE DEMOGRAPHIC INFORMATION WAS COLLECTED FOR THE PARENT SURVEY, WE WERE ABLE TO ANALYZE THE RESULTS IN A MORE IN-DEPTH MANNER. FIRST, AN ANALYSIS OF THE TOP-RATED ISSUES/CONCERNS WAS PERFORMED WITH DIFFERENCES NOTED BETWEEN THE ENGLISH LANGUAGE AND SPANISH LANGUAGE SURVEY RESPONSES. NEXT, WE SORTED RESULTS BY COUNTY AS WELL AS BY INCOME LEVELS TO DETERMINE SIGNIFICANT VARIATIONS IN THE ISSUES IDENTIFIED AS TOP CONCERNS. THIS APPROACH PERMITTED THE TEAM TO GAIN INSIGHT INTO A LARGE CROSS SECTION OF THE POPULATION. OVERALL, 42 PERCENT OF RESPONDENTS WERE ETHNIC MINORITIES AND CLOSE TO ONE-THIRD OF RESPONDENTS HAD HOUSEHOLD INCOMES OF LESS THAN $50,000 PER YEAR. SCHEDULE H, PART V, SECTION B, LINE 6A THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 6A APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: DUE TO THE PROXIMITY OF GEOGRAPHIC LOCATIONS, CHILDRENS HOSPITAL COLORADO CONDUCTED A JOINT CHNA FOR ITS LICENSED HOSPITAL FACILITIES, WHICH INCLUDED MAIN CAMPUS, SOUTH CAMPUS, AND PARKER ADVENTIST (HOSPITAL UNIT LICENSE). THE IRS ALLOWS HOSPITAL FACILITIES TO PRODUCE A JOINT CHNA REPORT AS LONG AS THE FACILITIES USE THE SAME DEFINITIONS OF COMMUNITY AND CONDUCT A JOINT CHNA PROCESS. WE HAVE FOLLOWED THOSE REQUIREMENTS FOR THIS REPORT. FOR THE PURPOSES OF THIS REPORT, "COMMUNITY" IS DEFINED AS THE EIGHT-COUNTY REGION SURROUNDING THE MAIN CAMPUS, SOUTH CAMPUS AND PARKER ADVENTIST LOCATIONS OF CHILDRENS COLORADO. EIGHTY-FOUR PERCENT OF PATIENTS AT THE MAIN CAMPUS, 93% OF PATIENTS AT THE SOUTH CAMPUS AND 92% OF PATIENTS AT THE PARKER ADVENTIST LOCATION RESIDE IN THESE COUNTIES (2014 DATA). PARTICULAR ATTENTION IS ALSO PAID TO THE NEIGHBORHOODS IMMEDIATELY SURROUNDING THESE FACILITIES. WHILE THE NEEDS OF CHILDREN STATEWIDE ARE CONSIDERED, THE FOCUS OF THE CHNA IS ON THE COUNTIES AND NEIGHBORHOODS WHERE THE HOSPITAL HAS THE GREATEST INFLUENCE. SCHEDULE H, PART V, SECTION B, LINE 7D THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 7C APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: IN ADDITION TO POSTING THE CHNA ON THE HOSPITALS EXTERNAL-FACING WEBSITE AND MAKING THE REPORT AVAILABLE UPON REQUEST, OVER 100 PHYSICAL COPIES HAVE BEEN DISTRIBUTED TO THE COMMUNITY SINCE DECEMBER 2015. CHILDRENS COLORADOS CHILD HEALTH ADVOCACY INSTITUTE (CHAI) STAFF PRESENTED THE CHNA FINDINGS TO A NUMBER OF STAKEHOLDER GROUPS. CHAI STAFF ALSO ROUTINELY SHARE CHNA FINDINGS IN MEETINGS WITH COMMUNITY PARTNERS, WITH THE GOAL OF IDENTIFYING OPPORTUNITIES TO ENGAGE IN COLLABORATIVE EFFORTS TO ADDRESS THE AREAS OF NEED. WITH THE GOAL OF MAKING THE CHNA MORE ACCESSIBLE AND DIGESTIBLE TO THE LARGER COMMUNITY, CHAI DEVELOPED AN EXECUTIVE SUMMARY, WHICH SERVES AS A CONDENSED VERSION OF THE FULL CHNA. THIS SUMMARY IS AVAILABLE ON THE WEBSITE AND HAS ALSO BEEN WIDELY DISTRIBUTED TO COMMUNITY MEMBERS, PARTNERS, INTERNAL AND EXTERNAL STAKEHOLDERS. SCHEDULE H, PART V, SECTION B, LINE 11 THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 7D APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: AN INTERNAL LEADERSHIP COMMITTEE ESTABLISHED CRITERIA THAT WOULD BE USED TO ANALYZE THE DATA COLLECTED AND SELECT THE ISSUES THAT THE HOSPITAL WILL FOCUS ON FOR THE COMING YEARS. THOSE CRITERIA INCLUDE: SCALE THESE ISSUES TOUCH A LARGE NUMBER OF CHILDREN; IMPACT THESE ISSUES HAVE A SIGNIFICANT EFFECT ON CHILDREN; COMMUNITY INTEREST COMMUNITY MEMBERS EXPRESSED CONCERN ABOUT THESE ISSUES THROUGH THE VARIOUS CHANNELS WE USED TO GATHER INPUT; AND SUSTAINABILITY CHILDRENS HOSPITAL COLORADO HAS THE RESOURCES NEEDED TO ADDRESS THESE ISSUES. ONCE THE CRITERIA WERE ESTABLISHED, THE FINAL STEP IN THE PROCESS WAS TO PRESENT THE RESEARCH FINDINGS TO KEY STAKEHOLDERS AND ASK THEM FOR INPUT ON THE ISSUES THAT THE HOSPITAL WILL PRIORITIZE. TWO DIFFERENT PRIORITIZATION MEETINGS WERE HELD, ONE WITH REPRESENTATIVES FROM NONPROFIT, GOVERNMENT AND PUBLIC HEALTH AGENCIES, AND ONE WITH INTERNAL HOSPITAL LEADERSHIP. THERE WAS CLEAR CONSENSUS AMONG BOTH GROUPS THAT MENTAL HEALTH, OBESITY/NUTRITION/PHYSICAL ACTIVITY AND ORAL HEALTH WERE HIGH PRIORITIES. ALSO, FURTHER DISCUSSION WITH HOSPITAL LEADERSHIP LED TO THE CONCLUSION THAT SOME AREAS PRIORITIZED BY THE INTERNAL TEAM AND COMMUNITY (MEDICAL HOME, PARENT EDUCATION) ARE ACTUALLY STRATEGIES FOR ADDRESSING KEY ISSUES. WHILE THESE STRATEGIES WILL BE CONSIDERED AS PART OF THE IMPLEMENTATION PLAN, FOR THE PURPOSES OF THE NEEDS ASSESSMENT, THEY WERE NOT INCLUDED IN THE LIST OF TOP PRIORITIES. WE ACKNOWLEDGE THAT THE COMMUNITY RAISED NUMEROUS OTHER CONCERNS AND THAT THE DATA SUPPORTS THE NEED TO ADDRESS A WIDE RANGE OF ISSUES. HOWEVER, WE BELIEVE THAT CONCENTRATING OUR EFFORTS IN THESE THREE KEY AREAS WILL HAVE THE MOST MEANINGFUL AND LASTING IMPACT. IT SHOULD BE NOTED THAT MENTAL HEALTH AND OBESITY WERE ALSO IDENTIFIED AS PRIORITIES IN THE 2012 CHNA, AND THE HOSPITAL HAS LAUNCHED PROGRAMS THAT ADDRESS THESE NEEDS AND WILL CONTINUE TO EXPAND OUR WORK IN THESE RESPECTIVE PRIORITY AREAS. IT IS ALSO IMPORTANT TO POINT OUT THAT IN ADDITION TO THESE PRIORITY NEEDS, THE HOSPITAL WILL SUSTAIN OUR CURRENT WORK ON THREE ISSUES THAT ARE CRITICAL TO THE LONG-TERM HEALTH AND WELLNESS OF CHILDREN IN OUR COMMUNITY: INJURY, PREMATURITY AND RESPIRATORY ILLNESS. SCHEDULE H, PART V, SECTION B, LINE 22D THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 22D APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: CHILDREN'S HOSPITAL COLORADO USES A BLENDED AVERAGE OF ALL COMMERCIAL INSURANCE REIMBURSEMENT RATES. CHILDRENS HOSPITAL COLORADO USES THE "LOOK-BACK" METHOD BASED ON ACTUAL PAST CLAIMS PAID TO THE HOSPITAL FACILITY BY MEDICARE FEE-FOR-SERVICE TOGETHER WITH ALL PRIVATE HEALTH INSURERS PAYING CLAIM TO THE HOSPITAL FACILITY. CHILDRENS HOSPITAL COLORADO CALCULATES AN AGB PERCENTAGE AND USES THE LOWEST PERCENTAGE FOR ALL FACILITIES. 13 Children's Hospital Colorado - North 469 West State Highway 7 Broomfield CO 80023 UC, Specialty Care, IP Care Rehab & Sports Therapy, Diag. & Imaging, Lab Services Children's Hospital Colorado - Parker 9395 crown crest blvd Parker CO 80138 Emergency Care Children's Hospital Colorado - Uptown 1830 Franklin Street Denver CO 80218 Emergency Care, UC, OP Spclty Care, IP Care, Diagnostics & Imaging, Lab Services Children's Hospital CO Parker Adventist 19284 Cottonwood Drive Parker CO 80138 OT/PT, SPEECH & AUDIOLOGY Children's Hopstial CO Specialty Care 9399 Crown Crest Blvd Parker CO 80138 SPECIALITY CARE, SPORTS MEDICINE Children's Hospital CO Op Specialty Care 4125 Briargate Parkway Colorado Springs CO 80920 SPECIATLY CARE, ONCOLOGY CLINICS, URGENT CARE, SPEECH Children's Hospital CO Therapy Care Printers Park Medical Plaza Colorado Springs CO 80910 OT/PT, SPEECH & AUDIOLOGY Children's Hospital CO Therapy Care 8401 Arista Place Broomfield CO 80021 OT/PT, SPEECH & AUDIOLOGY SERVICES Children's Hospital CO UC & OP Care 3455 Lutheran Parkway Wheatridge CO 80033 URGENT CARE, SPECIALIST CARE SPORTS MEDICINE Children's Hospital CO UC & OP Care 9139 S Ridgeline Blvd 100 Highlands Ranch CO 80129 REHABILITATION & THERAPY SERVICES Kidstreet 3615 Martin Luther King Blvd Denver CO 80205 REHABILITATION & THERAPY SERVICES Children's Hospital CO Orthopedic Care 9094 E Mineral Ave Suite 110 Centennial CO 80112 Orthopedic care, Radiology SERVICES, SPORTS MEDICINE Children's Hospital CO Therapy Care 704 Fortino Blvd Ste A Pueblo CO 81008 SPEECH THERAPY, LEARNING DISABILITIES SCHEDULE H, PART I, LINE 6A CHILDRENS HOSPITAL COLORADO INCLUDES SELECT COMMUNITY BENEFIT INFORMATION IN THE HOSPITALS ANNUAL REPORT. THIS REPORT DESCRIBES A NUMBER OF THE ORGANIZATIONS PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITY. THE REPORT IS MADE PUBLIC THROUGH POSTING IT ON THE WEBSITE AND DISTRIBUTION VIA STAKEHOLDER ENGAGEMENT GROUPS AND PARTNER MEETINGS. FOR EXAMPLE, THROUGH CONVENING STAKEHOLDER MEETINGS SUCH AS THE 2015 KIDS CONVENING, WHICH FOCUSED ON THE IDENTIFICATION OF CHILDRENS NEEDS IN THE AURORA COMMUNITY SURROUNDING THE HOSPITAL, WE WERE ABLE TO SHARE INFORMATION ABOUT OUR COMMUNITY BENEFIT EFFORTS. THE HOSPITAL ALSO REGULARLY HIGHLIGHTS COMMUNITY BENEFIT EFFORTS IN A NUMBER OF COMMUNICATION PLATFORMS, INCLUDING ON THE HOSPITAL WEBSITE, IN MEDIA STORIES AND THROUGH VARIOUS PUBLICATIONS LIKE THE COLORADO HOSPITAL ASSOCIATIONS ANNUAL REPORT. SCHEDULE H, PART I, LINE 7 IN 2015 CHILDREN'S HOSPITAL COLORADO PROVIDED $197,440,562 OR 21.72% OF TOTAL OPERATING EXPENSES, IN BENEFIT TO THE COMMUNITY. MEDICAID AND MEANS TESTED GOVERNMENT PROGRAMS AT CHILDREN'S HOSPITAL COLORADO ACCOUNTED FOR $101,966,716 OR 11.22% OF TOTAL OPERATING EXPENSES. MEDICAID PAYMENT SHORTFALLS CONTINUE TO COMPRISE THE MAJORITY OF THIS FIGURE, ACCOUNTING FOR $101,329,650 OF THE TOTAL SHORTFALL. OTHER BENEFITS ACCOUNTED FOR $95,473,846 OR 10.50% OF TOTAL OPERATING EXPENSES. OTHER BENEFITS INCLUDE HEALTH PROFESSIONS EDUCATION OF $15,989,376 OR 1.76% OF TOTAL OPERATING EXPENSES; RESEARCH ACTIVITY OF $27,104,236 OR 2.98% OF TOTAL OPERATING EXPENSES; SUBSIDIZED HEALTH SERVICES OF $47,025,857 OR 5.17% OF TOTAL OPERATING EXPENSES; COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS OF $4,940,057 OR .54% OF TOTAL OPERATING EXPENSES AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS OF $414,320 OF .05% OF TOTAL OPERATING EXPENSES. INCLUDED IN SUBSIDIZED HEALTH SERVICES ARE THOSE WHICH CHILDREN'S HOSPITAL COLORADO PROVIDES TO ITS PATIENT POPULATION AT A LOSS. IN 2015 PROGRAMS ASSOCIATED WITH THESE LOSSES ARE MENTAL HEALTH, GENERAL MEDICINE, REHABILITATION SERVICES, TRAUMA, DERMATOLOGY, RESPIRATORY, ENDOCRINOLOGY, NEUROSCIENCES, AND INFECTIOUS DISEASE. THE NUMBER REFLECTED IN SUBSIDIZED HEALTH SERVICES EXCLUDES BAD DEBT, MEDICAID AND OTHER MEANS TESTED GOVERNMENT PROGRAM SHORTFALLS, FINANCIAL ASSISTANCE (CHARITY CARE). CHILDREN'S HOSPITAL COLORADO IS COMMITTED TO SERVING ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. SCHEDULE H, PART II IN 2015, CHILDRENS HOSPITAL COLORADO PROVIDED $652,054 IN COMMUNITY BUILDING ACTIVITIES THAT PROMOTED 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. EMPHASIS IS PLACED ON ADDRESSING BOTH THE SOCIAL DETERMINANTS OF HEALTH AND THE HEALTH CARE DELIVERY SYSTEM. ADDITIONALLY, SIGNIFICANT RESOURCES WERE ALLOCATED IN 2015 TO SUPPORT EFFORTS TO ENGAGE COMMUNITY MEMBERS IN ADVOCATING FOR ACCESS TO HEALTH CARE AS WELL AS PROVIDING EDUCATIONAL SESSIONS FOR BOTH POLICYMAKERS AND ADVOCATES ON CHILD HEALTH ISSUES OF IMPORTANCE. IMPROVING THE HEALTH OF THE COMMUNITY THROUGH ENVIRONMENTAL EFFORTS WAS ALSO A PRIORITY, INCLUDING A CAR POOL NETWORK FOR EMPLOYEES, AS WELL AS RECYCLING AND RETRO COMMISSIONING EFFORTS. FINALLY, THE HOSPITAL CONTRIBUTED SUBSTANTIAL RESOURCES TO PROGRAMS, SUCH AS OUR HIRE LOCAL PROGRAM, THAT PROVIDE A PIPELINE FOR AT-RISK HIGH SCHOOL STUDENTS, AND UNDERSERVED COMMUNITY MEMBERS TO PURSUE HEALTHCARE SPECIFIC CAREERS. SELECTED COMMUNITY BUILDING ACTIVITIES ARE HIGHLIGHTED BELOW. WORKFORCE DEVELOPMENT: THE HIRE LOCAL INITIATIVE IS A JOINT EFFORT BY THE ANSCHUTZ MEDICAL CAMPUS COMMUNITY CAMPUS PARTNERSHIP (CCP) TO PROVIDE THE AURORA COMMUNITY (SURROUNDING THE CAMPUS) ACCESS TO EMPLOYMENT OPPORTUNITIES IN THE MEDICAL FIELD. THE VISION FOR THE HIRE LOCAL PROGRAM IS TO SERVE AS A CENTRAL POINT OF CONTACT FOR ALL LOCAL RESIDENTS, ESPECIALLY UNDERREPRESENTED RESIDENTS, TO ACCESS INFORMATION, SERVICES AND PROGRAMS RELATED TO JOBS ON ANSCHUTZ MEDICAL CAMPUS. ONE PROGRAM UNDER THIS INITIATIVE IS THE HEALTHCARE BRIDGE JOB PIPELINE PROGRAM WHICH IS A FULL-TIME, 10-WEEK TRAINING PROGRAM THROUGH THE COMMUNITY COLLEGE OF AURORA (CCA), IN PARTNERSHIP WITH THE CCP, WHERE STUDENTS LEARN THE SKILLS NEEDED TO BE BETTER QUALIFIED FOR SPECIFIC HEALTH-RELATED JOBS WHILE RECEIVING COLLEGE CREDIT AT NO COST TO THEM. FUNDED BY ARAPAHOE/DOUGLAS AND ADAMS COUNTY WORKFORCE CENTERS, THE CURRICULUM IS COMPRISED OF CORE CLASSES THAT INCLUDE: ADULT EDUCATION, MEDICAL TERMINOLOGY, COMPUTERS IN HEALTHCARE, CUSTOMER SERVICE IN HEALTHCARE, AND CAREERS AND JOB SEARCH NAVIGATION. STUDENTS HAVE THE OPTION OF SPECIALIZING IN EITHER STERILE PROCESSING OR PATIENT SERVICES, AND RECEIVE SPECIFIC TRAINING FROM INSTRUCTORS FROM CHILDRENS HOSPITAL COLORADO AND UNIVERSITY OF COLORADO HOSPITAL IN ORDER TO ENHANCE PIPELINE OPPORTUNITIES FOR THE GRADUATES TO THOSE EMPLOYERS. IN 2015, 47 STUDENTS COMPLETED THE PROGRAM WITH PARTICIPANTS RANGING IN AGE FROM 18 TO 60. SEVENTEEN GRADUATES HAVE BEEN HIRED BETWEEN UNIVERSITY OF COLORADO HEALTH AND CHILDRENS HOSPITAL COLORADO. TO DATE, THERE IS A 100% RETENTION RATE OF THOSE STUDENTS HIRED. OUR DIVERSITY AND INCLUSION EFFORTS ENCOMPASS RECRUITMENT AND RETENTION OF UNDERREPRESENTED EMPLOYEE GROUPS WITHIN THE HOSPITAL SYSTEM. FOR EXAMPLE, WE ACTIVELY PARTICIPATE IN TWO PROGRAMS THAT TRAIN REFUGEES FOR EMPLOYMENT IN THE U.S. WE ARE ALSO INVOLVED WITH THE BLACK NURSES ASSOCIATION AND THE LATINO NURSES ASSOCIATION FOR RECRUITMENT OF BEDSIDE NURSES. WE PARTICIPATE IN LOCAL AND NATIONAL JOB FAIRS THAT SUPPORT DIVERSITY HIRING INITIATIVES, INCLUDING THE DIVERSITY AND EMPLOYMENT CAREER DAY PROGRAM IN COLORADO AND LATPRO BILINGUAL JOB FAIR SPONSORED BY THE SOCIETY OF HISPANIC HUMAN RESOURCES PROFESSIONALS. WE HAVE MEMBERS OF OUR TEAM WHO PARTICIPATE IN THE HOSPITAL-WIDE DIVERSITY & INCLUSION SPROCKET PROGRAM AND WE ACTIVELY PARTICIPATE IN JOB FAIRS AND RECRUITMENT EFFORTS FOR THE HIRING OF VETERANS. WE UTILIZE AMERICAS JOB EXCHANGE TO POST OUR POSITIONS TO NUMEROUS DIVERSITY OUTREACH SITES. THE DIRECTOR OF TALENT ACQUISITION AND WORKFORCE PLANNING ALSO SITS ON THE ADAMS COUNTY WORKFORCE DEVELOPMENT BOARD AND THE GREATER METRO DENVER HEALTHCARE PARTNERSHIP BOARD AND ADVISORY COMMITTEE TO ENSURE OUR HOSPITAL STAFF APPROPRIATELY REPRESENTS THE DIVERSITY OF OUR COMMUNITY. COMMUNITY HEALTH IMPROVEMENT (ADVOCACY): AS PART OF ITS ONGOING MISSION, CHILDRENS HOSPITAL COLORADO DILIGENTLY MONITORS AND ADVOCATES FOR POLICIES THAT PROACTIVELY ADDRESS THE HEALTH OF CHILDREN. ALL OF OUR ADVOCACY EFFORTS RELY ON THE STRENGTH AND ACTION OF CHILDRENS HOSPITAL COLORADO GRASSROOTS ADVOCACY NETWORK-THE CHILD HEALTH CHAMPIONS. THIS IS A GROUP OF PEOPLE WHO CARE ABOUT KIDS' HEALTH AND WELL-BEING AND WANT TO MAKE A DIFFERENCE THROUGH POLICY AND ADVOCACY. MORE THAN 4,000 PEOPLE CURRENTLY PARTICIPATE IN THE NETWORK, WHICH JOINS THE VOICES OF PHYSICIANS, HEALTHCARE PROFESSIONALS, PATIENTS AND FAMILIES WITH BUSINESS LEADERS AND COMMUNITY MEMBERS TO SPEAK UP CLEARLY AND POWERFULLY FOR KIDS WHEN PUBLIC POLICY DECISIONS ARE MADE. ADVOCATES WRITE LETTERS, MAKE PHONE CALLS AND SHARE INFORMATION WHEN NEEDED TO INFLUENCE PUBLIC POLICY THAT IMPACTS CHILD HEALTH. IN 2015, THE ADVOCACY TEAM WORKED WITH A STATEWIDE COALITION TO ADDRESS NEW COLORADO DEPARTMENT OF HUMAN SERVICES CHILD CARE POLICIES. THE NEW HEALTHY EATING ACTIVE LIVING POLICIES LIMITS ACCESS TO SUGAR-SWEETENED BEVERAGES AND "SCREEN TIME" IN CHILD CARE CENTERS, INCREASES ANNUAL IMMUNIZATION TRAINING REQUIREMENTS FOR STAFF, IMPROVED SAFEGUARDS FOR MEDICATION STORAGE AND REQUIRED CHILD CARE CENTERS TO ESTABLISH POLICIES RELATED TO CARING FOR CHILDREN IN NEED OF SOCIAL AND EMOTIONAL HEALTH SERVICES. THE TEAM ALSO WORKED WITH A STATEWIDE WORKGROUP TO ADDRESS MARIJUANA RULES WITH THE COLORADO DEPARTMENT OF REVENUE. THEY SUCCESSFULLY ADVOCATED FOR A UNIVERSAL SYMBOL ON ALL EDIBLE MARIJUANA PRODUCTS AND WARNING LABELS FOR PREGNANT WOMEN. IN ADDITION, THE TEAM ADVOCATED FOR NEW RULES ABOUT HOW MUCH MARIJUANA CAN BE SOLD AT ONE TIME (KNOWN AS "MARIJUANA EQUIVALENCIES"), THEREBY REDUCING THE LIKELIHOOD OF CHILDREN GETTING INTO LARGE AMOUNTS OF MARIJUANA. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS: CHILDRENS ADVOCACY BOOT CAMP IS A NEW LEADERSHIP DEVELOPMENT PROGRAM FOR COMMUNITY MEMBERS WHO WANT TO LEARN HOW TO ADVOCATE FOR CHILD HEALTH ISSUES THAT MATTER TO THEM. CONSISTING OF SEVEN MONTHLY HALF-DAY SESSIONS FEATURING EXPERT SPEAKERS ON A VARIETY OF ADVOCACY-RELATED TOPICS, ADVOCACY BOOT CAMP RESEMBLES A TRADITIONAL LEADERSHIP PROGRAM GEARED TOWARD TEACHING THE FUNDAMENTALS OF BECOMING AN EFFECTIVE ADVOCATE-WHETHER THAT'S AT THE CAPITOL, IN THE COMMUNITY OR IN A HEALTHCARE SETTING. SKILLS DEVELOPMENT INCLUDES: IDENTIFICATION OF COMMUNITY RESOURCES THAT SUPPORT CHILDREN AND UNDERSTANDING OF HOW TO EFFECTIVELY UTILIZE THEM; BUILDING CONFIDENCE IN COMMUNICATING WITH ELECTED OFFICIALS AND OTHER COMMUNITY LEADERS ON BEHALF OF CHILDREN; DEVELOPING PUBLIC SPEAKING SKILLS AND STRATEGIES; LEARNING THE IMPORTANCE OF THE MEDIA AND HOW TO LEVERAGE IT TO MAKE POSITIVE SOCIETAL IMPROVEMENTS FOR CHILDREN; GAINING AN UNDERSTANDING OF THE LEGISLATIVE PROCESS AND STATE BUDGETING; AND NAVIGATING THE STATE CAPITOL. THE PROGRAM HAD 16 GRADUATES IN 2015. COALITION BUILDING: CHILDRENS COLORADOS MAIN HOSPITAL IS LOCATED ON THE ANSCHUTZ MEDICAL CAMPUS IN AURORA, COLORADO. THE COMMUNITY CONSISTS OF MANY LOW-INCOME NEIGHBORHOODS AND COMMUNITIES WITH SIGNIFICANT UNMET HEALTHCARE NEEDS. THROUGH AURORA HEALTH ACCESS (AHA), CHILDRENS HOSPITAL COLORADO HAS SUPPORTED A MULTI-PRONGED APPROACH TO CREATING A CULTURE OF HEALTH IN AURORA AN APPROACH THAT AIMS TO REDUCE THE NUMBER OF UNINSURED, PROMOTE ACCESS TO CARE, IMPROVE CARE COORDINATION AND ENCOURAGE HEALTHY BEHAVIORS. IN PARTICULAR, CHILDRENS HOSPITAL COLORADO LEADS THE PEDIATRIC ACCESS TO CARE SUBCOMMITTEE AND HELPS TO FOCUS THE COALITIONS EFFORTS ON IMPROVING ACCESS TO PRIMARY CARE AND MEDICAL HOMES FOR CHILDREN. CHILDRENS HOSTED THE 2015 KIDS CONVENING WHICH PULLED TOGETHER PARTNERS FROM THE AURORA COMMUNITY TO IDENTIFY CHILD HEALTH PRIORITIES IN THE AURORA COMMUNITY. BASED ON COMMUNITY INPUT, THE COMMITTEE BEGAN WORKING ON REFUGEE AND IMMIGRANT ACCESS TO CARE IN THE AURORA COMMUNITY. ANOTHER EXAMPLE IS AN ISSUE PAPER PUBLISHED IN JULY OF 2015, TITLED "NON-EMERGENT MEDICAL TRANSPORTATION AS A BARRIER TO CARE". EFFORTS LIKE THESE DEMONSTRATE HOW CHILDRENS SERVES AS A PRIMARY CONVENER IN THE COMMUNITY WHEN IT COMES TO WORKING TOGETHER TO ADDRESS URGENT HEALTH NEEDS FOR CHILDREN. SCHEDULE H, PART III, LINE 2 CHILDREN'S HOSPITAL COLORADO ESTIMATES BAD DEBT RESERVES BASED ON HISTORICAL EXPERIENCE, USING A LOOK BACK METHODOLOGY BY PAYOR AND AGING CATEGORIES APPLIED TO OPEN ACCOUNTS RECEIVABLE BALANCES. SCHEDULE H, PART III, LINE 3 THE HOSPITAL WRITES-OFF UNCOLLECTIBLE BALANCES 120 DAYS AFTER THE FIRST BILLING CYCLE. THE HOSPITAL DOES NOT REPORT ANY BAD DEBT AMOUNT IN COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 4 THE FOOTNOTE THAT DESCRIBES BAD DEBT IS ON PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 THE SHORTFALL REPORTED IN LINE 7 REPRESENTS MEDICARE SHORTFALLS FOR HIGH NEED PEDIATRIC PATIENTS SERVED BY CHILDREN'S HOSPITAL COLORADO. IF CHILDREN'S HOSPITAL COLORADO DID NOT SUBSIDIZE THE HIGHLY SPECIALIZED CARE, ACCESS FOR THIS POPULATION WOULD BE LIMITED, THUS WE VIEW THIS CARE AS COMMUNITY BENEFIT. THE HOSPITAL UTILIZED COST TO CHARGE RATIO METHODOLOGY TO ARRIVE AT THIS NUMBER. THE AMOUNT INCLUDES ALL COSTS LESS ALL PAYMENTS RECEIVED. SCHEDULE H, PART III, LINE 9B YES, THE ORGANIZATION DOES HAVE A WRITTEN DEBT COLLECTION POLICY. PRIOR TO DEBT REFERRALS, ACCOUNTS WITH ANY CHARITY CARE OR FINANCIAL ASSISTANCE CASES ARE REVIEWED TO ENSURE THE BALANCE IS NOT DUE FROM AN OUTSIDE PAYER. ONCE CONFIRMED THE OUTSTANDING BALANCE IS THE PATIENT'S RESPONSIBILITY. THE HOSPITAL PROVIDES SLIDING SCALE DISCOUNTS BASED ON INCOME AND/OR EXPENSES. PARENTS WHOSE CHILDREN DO NOT QUALIFY FOR MEDICAID CAN ALSO APPLY FOR THIS DISCOUNT PLAN. THE HOSPITAL HAS A DEDICATED FINANCIAL COUNSELING DEPARTMENT THAT WORKS CLOSELY WITH PARENTS TO ESTABLISH PAYMENT PLANS. SCHEDULE H, PART VI, LINE 2 IN ADDITION TO THE CHNA, CHILDRENS HOSPITAL COLORADO REGULARLY ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY WE SERVE. ACROSS THE HOSPITAL, NUMEROUS INTERNAL AND EXTERNAL DATA SOURCES ARE REGULARLY MONITORED AND UTILIZED TO IDENTIFY TRENDS AND OPPORTUNITIES TO IMPACT CHILD HEALTH. ADDITIONALLY, HOSPITAL STAFF DEDICATES SIGNIFICANT TIME TO SERVING ON COMMUNITY BOARDS AND OTHER COMMUNITY GROUPS THAT ASSESS HEALTH NEEDS OF THE COMMUNITY AND PROACTIVELY PARTICIPATES IN THE HEALTH IMPROVEMENT EFFORTS LED BY THESE PARTNERS. SCHEDULE H, PART VI, LINE 3 CHILDREN'S HOSPITAL COLORADO HAS A PROCESS FOR INFORMING AND EDUCATING FAMILIES ABOUT HOW THEY MAY BE BILLED FOR PATIENT CARE AND THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. CHILDREN'S HOSPITAL COLORADO'S FULL TIME PATIENT FINANCIAL COUNSELORS ARE DEDICATED TO WORKING WITH FAMILIES TO PROVIDE GUIDANCE REGARDING AVAILABLE FINANCIAL ASSISTANCE WHICH ENSURES THAT ITS PATIENT POPULATION RECEIVES THE CRITICAL CARE IT NEEDS. ADDITIONALLY, CHILDREN'S HOSPITAL COLORADO PROVIDES PATIENT ASSISTANCE TO HELP IDENTIFY COMMUNITY-BASED RESOURCES, FACILITATE SERVICES AND PROVIDE APPROPRIATE REFERRAL ASSISTANCE TO HELP WITH CONTINUITY OF CARE. INPATIENT PROCESS: THIS PROCESS APPLIES TO PATIENTS WHO ARE BEING ADMITTED FOR OBSERVATION, SURGERY OR OTHER INPATIENT SERVICES. IF THE PATIENT IS PRE-SCHEDULED, CHILDREN'S HOSPITAL COLORADO PATIENT ACCESS WORKS TO CONTACT THE FAMILY PRIOR TO ADMISSION TO ARRANGE FOR A FINANCIAL SCREENING APPOINTMENT. REGARDLESS OF WHETHER AN APPOINTMENT IS SET PRIOR TO ADMISSION, THE PATIENT FINANCIAL COUNSELING TEAM WORKS WITH THE FAMILY TO DETERMINE THEIR SELF-PAY STATUS (EITHER NON-COMMERCIAL OR GOVERNMENT INSURANCE) AND SUBSEQUENTLY WORKS WITH THEM TO SCREEN FOR FINANCIAL ASSISTANCE OPTIONS. OUTPATIENT PROCESS: WHEN A PATIENT SCHEDULES A NON-EMERGENT OR URGENT OUTPATIENT CLINIC VISIT, THEY WILL IDENTIFY THEMSELVES AS SELF-PAY IF THEY DO NOT HAVE EITHER COMMERCIAL OR GOVERNMENT INSURANCE. AT THIS POINT, THEY ARE GIVEN TWO OPTIONS: (1) PAY A $200 DEPOSIT AT THE TIME OF APPOINTMENT AND BE BILLED ANY REMAINING BALANCE OR (2) SCHEDULE TIME WITH PATIENT FINANCIAL COUNSELING FOR ASSISTANCE. IF THE PATIENT WAS SEEN IN THE EMERGENCY DEPARTMENT OR URGENT CARE WITHOUT THE PRE-SCREEN, THEY STILL HAVE THE OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE WITH THE PATIENT FINANCIAL COUNSELING OFFICE. ALL SELF-PAY FAMILIES ARE AUTOMATICALLY GIVEN A 35 PERCENT DISCOUNT. CHILDREN'S HOSPITAL COLORADO HAS A FORMAL POLICY REGARDING ELIGIBILITY CRITERIA FOR CHARITY CARE. THE DECISION TO PROVIDE CHARITY CARE WILL BE, IN ALL CASES, BASED ON A REVIEW OF THE INCOME, ASSETS AND LIABILITIES OF THE FAMILY AT THE TIME OF ADMISSION TO THE HOSPITAL OR CLINIC. THE LEVELS OF CHARITY CARE AND FINANCIAL ASSISTANCE PROVIDED BY CHILDREN'S HOSPITAL COLORADO WILL BE DETERMINED BASED ON FEDERAL POVERTY GUIDELINES WHICH MAY BE ADJUSTED UP TO 200 PERCENT AND REVISED FROM TIME TO TIME. FAMILIES WITH ADJUSTED GROSS INCOME BETWEEN 200 PERCENT AND 400 PERCENT OF FEDERAL POVERTY GUIDELINES MAY ALSO BE CONSIDERED FOR CHARITY CARE WITH A CAP FOR OUT-OF-POCKET RESPONSIBILITY. DETERMINATION OF ELIGIBILITY WILL BE EFFECTIVE FOR SIX MONTHS AND APPLY TO ALL PATIENTS REGARDLESS OF IMMIGRATION STATUS. CHILDREN'S COLORADO WORKS TO PROVIDE NECESSARY HOSPITAL-RELATED SERVICES CONSISTENT WITH ITS MISSION, ITS STATUS AS A NONPROFIT HOSPITAL AND ITS STEWARDSHIP RESPONSIBILITY TO ITS DONORS. CHILDRENS HOSPITAL COLORADOS FINANCIAL ASSISTANCE PUBLIC POLICY AND PLAIN LANGUAGE SUMMARY ARE LISTED ON THE ORGANIZATIONS HOMEPAGE WWW.CHILDRENSCOLORADO.ORG. SCHEDULE H, PART VI, LINE 4 CHILDRENS HOSPITAL COLORADO PROVIDES COMPREHENSIVE MEDICAL CARE FOR KIDS FROM BIRTH THROUGH ADOLESCENCE. CHILDRENS HOSPITAL COLORADO SERVES A SEVEN-STATE REGION; HOWEVER, THE MAJORITY OF OUR PATIENTS COME FROM COLORADO AND SPECIFICALLY THE DENVER METRO AREA. ADDITIONALLY, CHILDRENS HOSPITAL COLORADO IS THE ONLY LEVEL 1 PEDIATRIC TRAUMA CENTER IN OUR SEVEN STATE REGION. DEMOGRAPHICALLY, CHILDREN SERVED COME FROM DIVERSE CULTURAL AND ETHNIC BACKGROUNDS. NORTHWEST AURORA, SURROUNDING THE MAIN CAMPUS IS ONE OF THE MOST DIVERSE AREAS IN THE CITY. MORE THAN HALF OF AURORAS 350,000 RESIDENTS BELONG TO A MINORITY POPULATION, AND OVER 100 LANGUAGES ARE SPOKEN IN AURORA PUBLIC SCHOOLS. ALONG WITH ITS DIVERSITY, AURORA FACES CHALLENGES WITH HEALTH DISPARITIES, LOWER INCOME AND EMPLOYMENT LEVELS AND OTHER SOCIAL DETERMINANTS OF HEALTH AND ECONOMIC WELL-BEING AS COMPARED TO OTHER PARTS OF AURORA, THE METRO DENVER AREA AND THE STATE OF COLORADO AS A WHOLE. IN RESPONSE TO OUR DIVERSE POPULATION, CHILDRENS HOSPITAL COLORADO TRANSLATES MEDICAL CARE AND EDUCATION INSTRUCTIONS INTO 65 LANGUAGES, INCLUDING SIGN LANGUAGE, TO DELIVER CULTURALLY SENSITIVE, HIGH-QUALITY PEDIATRIC HEALTH CARE. THE MAJORITY OF PATIENTS SPEAK ENGLISH, FOLLOWED BY A SIGNIFICANT NUMBER OF FAMILIES WHO SPEAK SPANISH, ARABIC, BURMESE, VIETNAMESE, SOMALIAN, RUSSIAN AND KOREAN. THE PAYER MIX OF THE EIGHT COMMUNITIES (ADAMS, ARAPAHOE, BOULDER, BROOMFIELD, DENVER, DOUGLAS, JEFFERSON AND EL PASO) WHICH FRAMED THE CHNA IS AS FOLLOWS: 44.1 % COMMERCIAL INSURANCE, 47.7 % MEDICAID, 3.1 % TRI-CARE, AND 3.3 % SELF -PAY, INDIGENT CARE AND OTHER. WITHIN THOSE RESPECTIVE COUNTIES THERE ARE 52 FEDERALLY QUALIFIED HEALTH CENTERS, 54 COMMUNITY MENTAL HEALTH CLINICS AND 20 COMMUNITY SAFETY NET CLINICS, ONE OF WHICH CHILDRENS HOSPITAL COLORADO OPERATES. TO INFORM THE DEVELOPMENT OF THE IMPLEMENTATION STRATEGY, CHILDRENS HOSPITAL COLORADO IS WORKING WITH THE COLORADO HEALTH INSTITUTE TO IDENTIFY FACTORS CLOSELY ASSOCIATED WITH THE PRIORITY HEALTH NEEDS IDENTIFIED IN THE 2015 CHNA. THIS WORK ENTAILS THE DEVELOPMENT OF STATISTICAL MODELS, BASED ON THE LATEST DATA AVAILABLE, TO IDENTIFY THE LIKELIHOOD OF POOR OUTCOMES AT THE ZIP CODE LEVEL FOR EACH OF THE PRIORITY HEALTH NEEDS IN THE RESPECTIVE COUNTIES. SCHEDULE H, PART VI, LINE 5 IN 2015, CHILDRENS HOSPITAL COLORADO PROVIDED 21.72% OF TOTAL OPERATING EXPENSES IN BENEFIT TO THE COMMUNITY BY COMMITTING TO IMPROVING THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH-QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY. CHILDRENS HOSPITAL COLORADO WORKS TO DELIVER ON THIS MISSION NOT ONLY IN THE DENVER METRO AREA AND IN THE STATE OF COLORADO, BUT ALSO THROUGHOUT THE ROCKY MOUNTAIN REGION. THERE ARE EXTENSIVE EFFORTS LED BY CHILDRENS HOSPITAL COLORADO THAT POSITIVELY IMPACT THE HEALTH AND SAFETY OF CHILDREN IN THE COMMUNITY. BOARD OF DIRECTORS: AT THE TIME OF FILING THIS FORM 990, CHILDRENS HOSPITAL COLORADOS BOARD OF DIRECTORS IS MADE UP OF 32 VOLUNTEERS FROM THE DENVER AREA COMMUNITY AND 28 EXECUTIVE LEADERS FROM THE HOSPITAL AND ITS AFFILIATED INSTITUTIONS. BOARD SERVICE IS A COMMITMENT TO HELP FURTHER THE HOSPITALS MISSION OF IMPROVING THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY. THE BOARD REPRESENTS THE COMMUNITY AT LARGE INCLUDING THE BROADER MEDICAL COMMUNITY AND PROVIDES EXPERTISE IN MANY AREAS OF BUSINESS AND COMMUNITY RELATIONS, SUCH AS BANKING, REAL ESTATE, INSURANCE, MARKETING/PR, ETC. MEDICAL FACULTY PROFILE: CHILDRENS HOSPITAL COLORADO HAS AN OPEN MEDICAL STAFF, MEANING COMMUNITY PRACTITIONERS CAN HOLD PRIVILEGES AT THE HOSPITAL. THERE ARE APPROXIMATELY 2,078 MEDICAL STAFF AND 225 RESIDENTS AND FELLOWS, INCLUDING ADVANCED PRACTICE NURSES, MORE THAN HALF OF WHOM ARE COMMUNITY-BASED. CURRENTLY, THERE ARE 787 COMMUNITY PHYSICIANS ON STAFF. THOUGH THERE ARE THOUSANDS OF REFERRING PROVIDERS ALONG THE FRONT RANGE OF THE ROCKY MOUNTAINS AND THE PRAIRIES, CHILDREN'S COLORADOS COMMUNITY STAFF MEMBERS ARE ITS FRONT-LINE PARTNERS IN ADVANCING A CONTINUUM OF CARE FOR YOUNG PATIENTS. ITS COMMUNITY CLINICAL STAFF MEMBERS PROVIDE TRAINING OPPORTUNITIES IN PRIMARY CARE FOR MEDICAL STUDENTS AND RESIDENTS, HELPING TO BROADEN THE MEDICAL EDUCATION OF TOMORROW'S PEDIATRIC DOCTORS. CHILDRENS HOSPITAL COLORADO IS AFFILIATED WITH FAMILY MEDICINE RESIDENCY PROGRAMS IN COLORADO AND WYOMING, WHICH PROVIDES A SIGNIFICANT BENEFIT TO THE REGION WITH A LARGE RURAL POPULATION AND A SHORTAGE OF RURAL PHYSICIANS. CHILDRENS HOSPITAL COLORADO ALSO ENSURES THAT THE PRIMARY CARE PERSPECTIVE IS ADDRESSED IN DISCUSSIONS ABOUT HOW TO BEST PROVIDE THE BROADEST SPECTRUM OF CARE TO THE REGION'S CHILDREN. ADDITIONALLY, BOTH HOSPITAL AND COMMUNITY MEDICAL STAFF SERVE ON VARIOUS BOARDS AND COMMITTEES, SUCH AS THE COLORADO CHAPTER OF THE AAP, MDA NATIONAL CLINICAL ADVISORY COMMITTEE, COLORADO CHILDREN'S IMMUNIZATION COALITION, THE STATE TRAUMA BOARD, VARIOUS HEALTH ADVISORY BOARDS AND NUMEROUS SCHOOL HEALTH PROGRAMS. MANY ALSO PARTICIPATE IN INTERNATIONAL MEDICAL MISSIONS TO IMPROVE THE HEALTH OF CHILDREN WORLDWIDE. HEALTH PROFESSION EDUCATION: THE PROFESSIONAL DEVELOPMENT DEPARTMENT FACILITATES BSN AND GRADUATE EDUCATION FOR NURSING STUDENTS AND WORKS COLLABORATIVELY WITH SCHOOLS OF NURSING TO MEET THEIR ACADEMIC MISSIONS. CHILDRENS COLORADOS ADVANCED PRACTICE NURSES (APNS) ACT AS CONTENT EXPERTS IN PROVIDING CLASSROOM/SIMULATED INSTRUCTION FOR PEDIATRIC COURSES. STUDENTS ARE SUPERVISED BY CHILDRENS HOSPITAL COLORADO CLINICAL SCHOLARS AND ASSISTED AT THE BEDSIDE BY EXPERIENCED STAFF NURSES. THE GROWTH OF THIS PROGRAM EACH YEAR, AS WELL AS THE 10 IN-STATE AND 7 OUT-OF-STATE SCHOOL PARTNERSHIPS, REFLECT CHILDRENS COLORADOS STRONG COMMITMENT TO TRAINING THE NEXT GENERATION OF PEDIATRIC NURSES. IN 2015, WE PLACED 603 NURSING STUDENTS THROUGHOUT OUR ORGANIZATION, TOTALING 60,426 HOURS OF CLINICAL INSTRUCTION, REFLECTING A 3% INCREASE IN 2015. THE STUDENT COMPOSITION WAS AS FOLLOWS: 420 BASIC PEDIATRIC STUDENTS; 58 MENTAL HEALTH STUDENTS; AND 125 SENIOR PRACTICUM STUDENTS. THE GRADUATE STUDENT PROGRAM SAW A 17.5% INCREASE IN 2015, WITH 188 STUDENTS COMPLETING 17,206 HOURS OF INSTRUCTION. THERE WAS AN INCREASE IN THE TOTAL NUMBER OF UNDERGRADUATE NURSING STUDENTS RECEIVING CLINICAL EDUCATION IN 2015. THE INCREASE WAS EXPLAINED BY ADDITIONAL CLINICAL SCHOLARS, AND THE ADDITION OF NIGHT SHIFT ROTATIONS. THERE WAS A 66% INCREASE IN THE NUMBER OF SENIOR PRACTICUM STUDENTS, SECONDARY TO THE UTILIZATION OF UNIT EDUCATORS WITH GRADUATE DEGREES SERVING AS CLINICAL SCHOLARS. CHILD HEALTH ADVOCACY INSTITUTE (CHAI): THE MISSION OF CHAI IS TO IMPROVE THE HEALTH AND SAFETY OF CHILDREN BY ENGAGING PUBLIC AND PRIVATE PARTNERS IN CREATING A THRIVING COMMUNITY FOR CHILDREN. CHAI SERVES AS A CENTRALIZED RESOURCE FOR THE HOSPITAL TO IDENTIFY COMMUNITY CHILD HEALTH NEEDS AND DEVELOP AND IMPLEMENT EVIDENCE-BASED PROGRAMS AND STRATEGIES IN PARTNERSHIP WITH THE COMMUNITY THAT SEEK TO ADDRESS THESE NEEDS. BELOW ARE EXAMPLES OF KEY HIGHLIGHTED PROGRAMS THAT DELIVER SIGNIFICANT BENEFIT TO THE COMMUNITY AND ADDRESS THE CHNA PRIORITY NEEDS. OBESITY: TO ADDRESS THE OBESITY HEALTH ISSUE IDENTIFIED IN THE 2012 CHNA, THE HOSPITAL HAS EMPLOYED A MULTI-PRONGED APPROACH. IN 2014, THE CHILD HEALTH CLINIC (PRIMARY CARE) AT CHILDRENS HOSPITAL COLORADO INTEGRATED HEALTHY WEIGHT SCREENING AND COUNSELING INTO THE PRIMARY CARE SETTING. ADDITIONALLY, CHILDRENS HOSPITAL COLORADO STAFF PARTNERED WITH THE COLORADO PEDIATRIC COLLABORATIVE TO SUPPORT IMPLEMENTATION IN PRIMARY CARE PRACTICES THROUGHOUT THE COMMUNITY. AS AN ADDITIONAL ELEMENT OF THIS APPROACH, THE HEALTHY KIDS PROGRAM AT CHILDRENS HOSPITAL COLORADO OFFERS SEVERAL HEALTHY LIFESTYLE PROGRAMS TARGETED AT INCREASING OPPORTUNITY FOR LOW-INCOME FAMILIES TO LEARN ABOUT AND IMPLEMENT HEALTHY BEHAVIORS IN THEIR HOMES. IN 2011, CHILDRENS HOSPITAL COLORADO LAUNCHED BIKES FOR LIFE, ONE OF THE PROGRAMS CREATED TO HELP CHILDREN DEVELOP HEALTHY LIFESTYLE HABITS THROUGH CYCLING. BIKES FOR LIFE ADVOCATES FOR HEALTHIER KIDS IN THREE WAYS: USING BIKES TO ENCOURAGE PHYSICAL ACTIVITY; PROVIDING ONGOING SKILLS AND EDUCATION SERVICES; AND CONDUCTING RESEARCH RELATED TO HEALTHY LIFESTYLE BEHAVIORS AMONG CHILDREN. LOW-INCOME CHILDREN FROM THE BOYS AND GIRLS CLUBS OF METRO DENVER, CHILDRENS HOSPITAL COLORADO CLINICS AND ROCKY MOUNTAIN YOUTH CLINICS ARE REFERRED TO THE PROGRAM. BICYCLE, HELMET, LOCK, ODOMETER, BICYCLE EDUCATION AND ONE YEAR OF PROGRAM SUPPORT IS PROVIDED TO PROGRAM PARTICIPANTS. IN 2015, 30 SAFETY CLINICS WERE CONDUCTED AND A TOTAL OF 206 YOUTH PARTICIPATED IN THE PROGRAM. BIKES FOR LIFE IS PROUDLY SUPPORTED BY COMMUNITY PARTNERS, INCLUDING UNITED HEALTHCARE, BIKESOURCE, BOYS AND GIRLS CLUBS OF DENVER METRO, ROCKY MOUNTAIN YOUTH CLINICS, BICYCLE COLORADO, DONG'S CYCLING PALS, BIKE DEPOT, DENVER REGIONAL COUNCIL OF GOVERNMENTS, NORTHEAST TRANSPORTATION CONNECTIONS AND USA PRO CYCLING CHALLENGE. SINCE 2011, 737 YOUTH HAVE PARTICIPATED IN THE PROGRAM. CHILDRENS HOSPITAL COLORADO ALSO COORDINATES COOKING MATTERS COURSES IN THE COMMUNITY AS ANOTHER HEALTHY KIDS INITIATIVE. COOKING MATTERS IS PART OF THE SHARE OUR STRENGTHS NO KID HUNGRY CAMPAIGN, WHICH CONNECTS KIDS IN NEED WITH NUTRITIOUS FOOD AND TEACHES THEIR FAMILIES HOW TO COOK HEALTHY, AFFORDABLE MEALS. OUR TEAM RECRUITS FAMILIES, COORDINATES PROGRAM VOLUNTEERS (INCLUDING THE CHEF AND NUTRITIONIST), DOES THE GROCERY SHOPPING, PREPARES MEAL BAGS FOR FAMILIES TO TAKE HOME AND EMPOWERS FAMILIES THROUGHOUT THE COURSE TO BE SELF-SUFFICIENT IN THE KITCHEN. CHILDRENS HOSPITAL COLORADO THEN COORDINATES AND LEADS CLASSES IN BOTH SPANISH AND ENGLISH FOR LOW-INCOME FAMILIES IN THE COMMUNITY. IN 2015, 140 PEOPLE WERE SERVED THROUGH OUR PROGRAM. INJURY PREVENTION: CHILDRENS HOSPITAL COLORADO CURRENTLY HAS A PARTNERSHIP WITH TRI-COUNTY HEALTH DEPARTMENT TO CONDUCT CHILD PASSENGER SAFETY (CPS) EDUCATION AND DISTRIBUTION EFFORTS WITH FAMILIES ENROLLED IN THEIR WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM IN THREE HIGH PRIORITY ZIP CODES. THIS APPROACH ALIGNS WITH THE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATIONS MATERNAL & CHILD HEALTH BUREAUS EFFORT TO REDUCE HOSPITAL ADMISSIONS FOR NONFATAL INJURY AMONG CHILDREN 0-19 YEARS OLD. AS PART OF THIS PROGRAM, COMMUNITY MEMBERS ATTEND A CLASS, OFFERED IN ENGLISH AND SPANISH, AND TAUGHT BY CERTIFIED CHILD PASSENGER SAFETY INSTRUCTORS FROM CHILDRENS COLORADO. PARTICIPANTS RECEIVE EDUCATION ON COLORADOS CHILD RESTRAINT LAW AND BEST PRACTICES RECOMMENDED BY NATIONAL SAFETY EXPERTS. FAMILIES RECEIVE FREE HANDS-ON TRAINING ON PROPER CAR SEAT INSTALLATION AND MUST DEMONSTRATE CORRECT INSTALLATION BEFORE RECEIVING A CAR SEAT AT THE END OF THE CLASS. IN 2015, THE PROGRAM PROVIDED 6 CLASSES AND 141 CAR SEATS WERE DISTRIBUTED. THROUGH THIS PARTNERSHIP, CHILDRENS HOSPITAL COLORADO IS HELPING TO BUILD A FOUNDATION IN CHILD PASSENGER SAFETY THAT WILL RESULT IN AN INCREASED LEVEL OF AWARENESS FOR SAFE TRAVEL AMONG FAMILIES. WE ANTICIPATE THAT THIS WILL ULTIMATELY CONTRIBUTE TO A REDUCTION IN THE NUMBER MOTOR VEHICLE CRASH INJURIES AND FATALITIES ACROSS THE LIFESPAN. EARLY CHILDHOOD AND NONFATAL CHILD MALTREATMENT: CHILDRENS HOSPITAL COLORADO HAS PARTNERE true AMERICAN HEART ASSOCIATION 1365 GARDEN OF THE GODS ROAD COLORADO SPRINGS CO 80909 135613797 501(c)(3) 30000 GENERAL PROGRAM SUPPORT ASPEN PARKS AND RECREATION 130 S GALENA STREET ASPEN CO 81611 846000563 GOVERNMENT 6000 YOUTH SPORTS JERSEYS AURORA CHAMBER OF COMMERCE 14305 E ALAMEDA AVE AURORA CO 80012 840417773 501(c)(6) 7166 GENERAL PROGRAM SUPPORT BRENT ELEY FOUNDATION 11980 E 16TH AVE DENVER CA 80010 841387528 501(c)(3) 9000 GENERAL PROGRAM SUPPORT CHAPEL HILLS MALL 1350 AVENUE OF THE AMERICAS 9TH FL NEW YORK NY 10019 452121815 7100 KIDS FIRST SAFETY DAYS CHEYENNE MOUNTAIN ZOOLOGICAL SOCIETY 4250 CHEYENNE MTN ZOO COLORADO SPRINGS CO 80906 840407039 501(c)(3) 81000 GENERAL PROGRAM SUPPORT CHILDREN'S MUSEUM OF DENVER INC 2121 CHILDRENS MUSEUM DRIVE DENVER CO 80211 840658142 501(c)(3) 30000 GENERAL PROGRAM SUPPORT COLORADO BRIGHT BEGINNINGS 730 COLORADO BLVD 202 DENVER CO 80206 841382420 501(c)(3) 6000 GENERAL PROGRAM SUPPORT COLORADO CENTER FOR NURSING EXCELLENCE 5290 EAST YALE CIRCLE SUITE 102 DENVER CO 80222 320022295 501(c)(3) 10000 GENERAL PROGRAM SUPPORT COLORADO COLLEGE 14 CACE LA POUDRE COLORADO SPRINGS CO 80903 840402510 501(c)(3) 10500 GENERAL PROGRAM SUPPORT COLORADO I HAVE A DREAM FOUNDATION 1836 GRANT ST DENVER CO 80203 742497109 501(c)(3) 6000 GENERAL PROGRAM SUPPORT COLORADO MUSEUM OF NATURAL HISTORY 2001 COLORADO BLVD DENVER CO 80205 840518447 501(c)(3) 35000 GENERAL PROGRAM SUPPORT COLUMBINE LAKEWOOD COLORADO SOCCER 8101 S SHAFFER PARKWAY 103 LITTLETON CO 80127 841411827 501(c)(3) 15000 CO RUSH SPONSORSHIP DENVER BOTANIC GARDENS 909 YORK ST DENVER CO 80206 840440359 501(c)(3) 6500 GENERAL PROGRAM SUPPORT DENVER ZOOLOGICAL FOUNDATION 2300 STEELE STREET DENVER CO 80205 840502539 501(c)(3) 53000 GENERAL PROGRAM SUPPORT DOUGLAS COUNTY SOCCER ASSOCIATION 8200 S AKRON STREEN CENTENNIAL CO 80112 742392779 501(c)(3) 30000 GENERAL PROGRAM SUPPORT FETAL HEALTH FDN (TTTS RACE FOR HOPE) 9786 S HOLLAND ST LITTLETON CO 80127 200837174 501(c)(3) 15000 RUN SPONSORSHIP HIGHLANDS RANCH COMMUNITY ASSOC 9568 UNVERSITY BLVD HIGHLANDS RANCH CO 80126 840869474 501(c)(4) 20000 GENERAL PROGRAM SUPPORT KROENKE SPORTS CHARITIES 1000 CHOPPER CIR DENVER CO 80204 742442488 501(c)(3) 82500 GENERAL PROGRAM SUPPORT MAKE A WISH FOUNDATION OF COLORADO INC 7951 E MAPLEWOOD AVE SUITE 126 GREENWOOD VILLAGE CO 80111 742273004 501(c)(3) 6500 GENERAL PROGRAM SUPPORT MARCH OF DIMES 1325 S COLORADO BLVD B508 DENVER CO 80222 131846366 501(c)(3) 32500 GENERAL PROGRAM SUPPORT MEMORIAL HEALTH SYSTEM FOUNDATION 1519 E BOULDER ST COLORADO SPRINGS CO 80909 841576338 501(c)(3) 5550 GENERAL PROGRAM SUPPORT NATIONAL KIDNEY ASSOCIATION 650 S CHERRY ST SUITE 435 DENVER CO 80246 131673104 501(c)(3) 10500 GENERAL PROGRAM SUPPORT NATIONAL WESTERN STOCK SHOW ASSOCIATION 4655 HUMBOLDT STREET DENVER CO 80216 840517361 501(c)(3) 26485 GENERAL PROGRAM SUPPORT NORTHWEST DOUGLAS CTY ECONOMIC DEV CORP 8351 RAMPART RANGE ROAD LITTLETON CO 80125 453723816 501(c)(6) 10000 GENERAL PROGRAM SUPPORT PIKES PEAK LIBRARY DISTRICT FOUNDATION 1175 CHAPEL HILLS DRIVE COLORADO SPRINGS CO 80920 113690724 501(c)(3) 15000 GENERAL PROGRAM SUPPORT RONALD MCDONALD HOUSE 1300 E 21ST AVE DENVER CO 80205 840728926 501(c)(3) 166000 GENERAL PROGRAM SUPPORT ST ANTHONY'S HOSPITAL FOUNDATION 11600 W 2ND PL LAKEWOOD CO 80228 840902211 501(c)(3) 11000 2015 GALA THE BUDDY PROGRAM 110 E HALLAM STREET SUITE 125 ASPEN CO 81611 742594693 501(c)(3) 15000 GENERAL PROGRAM SUPPORT YOUNG AMERICANS CENTER FOR FINANCIAL EDU 3550 EAST FIRST AVE DENVER CO 80206 841564926 501(c)(3) 7000 GENERAL PROGRAM SUPPORT YOUNG MENS CHRISTIAN ASSOCIATION 316 NORTH TEJON STREET COLORADO SPRINGS CO 80903 840404266 501(c)(3) 30000 GENERAL PROGRAM SUPPORT 27 4 SCHEDULE I, PART I, LINE 2 CHILDREN'S HOSPITAL COLORADO RELIES ON THE GOVERNANCE PRACTICES OF THE RECIPIENT EXEMPT ORGANIZATIONS TO MONITOR THE USE OF FUNDS AS INTENDED. X X X X true true false false false false false true false JENA HAUSMANN PRESIDENT AND CEO 625929 0 399260 0 25590 0 173668 0 22114 0 1246561 0 22149 0 JEFFREY HARRINGTON SR. VP / CFO 464318 0 147234 0 49269 0 96981 0 19689 0 777491 0 43192 0 JOAN BOTHNER MD CHIEF MEDICAL OFFICER 568360 0 172725 0 0 0 0 0 0 0 741085 0 0 0 MICHELLE M LUCERO CHIEF LEGAL OFFICER 391985 0 116395 0 3330 0 86704 0 14233 0 612647 0 0 0 MARY ANNE LEACH SR. VP / CIO 321245 0 116360 0 4749 0 78737 0 6951 0 528042 0 0 0 KELLY JOHNSON SR. VP / CHIEF NURSING OFFICER 286354 0 119640 0 4123 0 68710 0 16407 0 495234 0 0 0 GIL PERI SR VP / CHIEF STRATEGY OFFICER 329314 0 42318 0 1303 0 103781 0 48 0 476764 0 0 0 SUZANNE JAEGER SR. VP EXPERIENCE AND ACCESS 250023 0 87631 0 2394 0 66332 0 19689 0 426069 0 0 0 DWINITA HENRY MOSBY SVP HR/CHIEF INCLUSION OFFICER 247479 0 54002 0 8844 0 55729 0 6951 0 373005 0 0 0 JAMES JAGGERS MD SURGEON-IN-CHIEF 514420 0 14000 0 0 0 0 0 0 0 528420 0 0 0 TIMOTHY CROMBLEHOME MD SURGEON-IN-CHIEF 295000 0 172000 0 0 0 0 0 0 0 467000 0 0 0 DANIEL HYMAN MD CHIEF QUALITY OFFICER 345079 0 107477 0 0 0 0 0 0 0 452556 0 0 0 STEPHEN DANIELS MD PEDIATRIC-IN-CHIEF 356891 0 92258 0 0 0 0 0 0 0 449149 0 0 0 Fred Suchy MD CHIEF RESEARCH OFFICER 272365 0 137292 0 0 0 0 0 0 0 409657 0 0 0 JAMES E SHMERLING DHA FORMER CEO 567251 0 578813 0 1208841 112680 0 8692 0 2476277 0 762724 0 SCHEDULE J, PART I, LINE 4A JAMES SHMERLING RECEIVED SEPARATION PAYMENTS IN THE AMOUNT OF $441,000. SCHEDULE J, PART I, LINE 4B THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS FROM A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: JEFFREY HARRINGTON $43,192 JENA HAUSMANN $22,149 JAMES SHMERLING $762,724 SCHEDULE J, PART I, LINE 7 CERTAIN INDIVIDUALS ARE ELIGIBLE TO PARTICIPATE IN THE INCENTIVE PLAN FOR CHILDREN'S COLORADO, THE COMPONENTS OF WHICH INCLUDE ACHIEVEMENT OF ORGANIZATIONAL PERFORMANCE GOALS AND INDIVIDUAL PERFORMANCE GOALS. BECAUSE THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS RESERVES THE RIGHT TO CHANGE, AMEND OR TERMINATE THIS PLAN AT ANY TIME, FOR ANY REASON, AT ITS SOLE DISCRETION AND BECAUSE OF CERTAIN OTHER CONDITIONS OF THE PLAN, LINE 7 REGARDING "NON-FIXED PAYMENTS" IS ANSWERED YES. NOTE THAT PRIOR TO THE PAYMENT OF ANY AMOUNTS TO AN INDIVIDUAL WHO IS CONSIDERED A DISQUALIFIED PERSON, THE COMPENSATION COMMITTEE SHALL CERTIFY IN WRITING THE EXTENT TO WHICH THE PERFORMANCE FACTORS ESTABLISHED BY THE COMPENSATION COMMITTEE HAVE BEEN SATISFIED AND SHALL APPROVE THE PAYMENT OF SUCH BONUSES TO SUCH INDIVIDUALS. SEE PART VI, LINES 15A/B FOR ADDITIONAL INFORMATION ON EXECUTIVE COMPENSATION. SCHEDULE J, PART II CHILDREN'S COLORADO PAID UNIVERSITY PHYSICIANS INCORPORATED, AN UNRELATED TAX-EXEMPT ORGANIZATION, FOR SERVICES PROVIDED BY THE FOLLOWING INDIVIDUALS WHO ARE LISTED ON FORM 990, PART VII: JOAN BOTHNER, M.D. - $568,360 BASE COMPENSATION AND $172,725 OF 2014 BONUS PAID IN 2015. JAMES JAGGERS, M.D. - $514,420 BASE COMPENSATION AND $14,000 OF 2014 BONUS PAID IN 2015. TIMOTHY CROMBLEHOLME, M.D. - $295,000 BASE COMPENSATION AND $172,000 OF 2014 BONUS PAID IN 2015. STEPHEN DANIELS, M.D. - $356,891 BASE COMPENSATION AND $92,258 OF 2014 BONUS PAID IN 2015. DANIEL HYMAN, M.D. - $345,079 BASE COMPENSATION AND $107,477 OF 2014 BONUS PAID IN 2015. FRED SUCHY, MD. - $272,365 BASE COMPENSATION AND $137,292 OF 2014 BONUS PAID IN 2015. A CITY OF AURORA CO 846000564 05155XBT5 2008-06-06 258814487 SERIES 2008 - SEE PART VI false false false B CITY OF AURORA CO 846000564 05155XBX6 2010-05-25 59999130 SERIES 2010A - SEE PART VI false false false C COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648AL52 2013-08-14 309252566 SERIES 2013 - SEE PART VI false false false A 133505000 0 258814487 0 0 0 2381234 183253 0 0 256250000 0 2008 true false true true B 0 0 59999130 0 0 0 709432 0 0 59289698 0 0 2012 false false true true C 365000 0 309252566 0 0 0 1844600 0 0 197052966 110355000 0 2013 true false true true A false false false true true 0 false false false true B false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true C false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true A false false false true true false 0 false 0 false true B false false false true false false 0 false 0 false true C false true false false true false 0 false 0 false true A true B true C true . SCHEDULE K, PART I, COLUMN (F) BOND A - HOSPITAL REVENUE BONDS SERIES 2008 - THE PURPOSE OF THIS BOND ISSUE IS TO REFUND BONDS THAT WERE PREVIOUSLY ISSUED ON 1/22/04 AND 4/7/08. THE REMAINING WEIGHTED AVERAGE MATURITY OF THE BONDS CURRENTLY REFUNDED WAS 11.8929 YEARS. BOND B - HOSPITAL REVENUE BONDS SERIES 2010A - THE PURPOSE OF THIS BOND ISSUE IS TO PAY FOR THE CONSTRUCTION OF A NEW TEN-STORY ADDITION TO THE EXISTING FACILITY, EQUIPMENT FOR THAT ADDITION, AND EXPANSION OF AN EXISTING PARKING GARAGE. BOND C - HOSPITAL REVENUE BONDS SERIES 2013 - THE PURPOSE OF THIS BOND ISSUE IS TO FINANCE LONG-TERM PROJECTS AND TO REFUND SERIES 2008B AND 2008C BONDS. SCHEDULE K, PART IV, LINE 2C BOND A - THE REBATE COMPUTATION WAS PERFORMED JUNE 1, 2013. BOND B - THE REBATE COMPUTATION WAS PERFORMED OCTOBER 12, 2016. FORM 990, PART I, LINE 6 FROM TEENAGERS TO GREAT GRANDPARENTS, FROM HOMEMAKERS TO PROFESSIONAL ATHLETES, CHILDREN'S HOSPITAL COLORADO VOLUNTEERS ENCOMPASS ALL WALKS OF LIFE AND ALL INCOME LEVELS, EACH VOLUNTEER WITH SOMETHING UNIQUE TO OFFER. OUR DIVERSE GROUP OF VOLUNTEERS HAS ONE THING IN COMMON, HOWEVER, THE DESIRE TO HELP SICK CHILDREN AND THEIR FAMILIES. CHILDREN'S HOSPITAL COLORADO IS FORTUNATE TO HAVE HUNDREDS OF DEDICATED VOLUNTEERS WHO WORK REGULARLY, FROM SEVERAL HOURS A YEAR TO SEVERAL HOURS A WEEK, TO PROVIDE BETTER CARE FOR THE CHILDREN OF CHILDREN'S HOSPITAL COLORADO. THE ASSOCIATION OF VOLUNTEERS THE VOLUNTEERS AT CHILDREN'S HOSPITAL COLORADO ARE ALL PART OF A GROUP CALLED CHILDREN'S HOSPITAL COLORADO ASSOCIATION OF VOLUNTEERS (AOV). THE AOV COORDINATES PLACEMENTS FOR VOLUNTEERS AND ENSURES THAT COMPLETE ORIENTATION AND TRAINING IS PROVIDED TO ALL VOLUNTEERS. OUR VOLUNTEER'S SKILLS AND INTERESTS ARE ALL SO APPRECIATED AND WE TRY TO PLACE EVERYONE IN A ROLE THAT SUITS THEM AND OUR NEEDS. THE EXAMPLES BELOW ARE JUST SOME OF THE WAYS THAT OUR VOLUNTEERS CONTRIBUTE: - VOLUNTEERS ARE ACTIVE AT THE HOSPITAL ON THE ANSCHUTZ MEDICAL CAMPUS, THE SOUTH CAMPUS, HIGHLANDS RANCH THERAPY CARE CENTER, BRIARGATE, AND THE NORTH CAMPUS. - VOLUNTEERS SPEND TIME WITH OUR PATIENTS BY HOLDING, COMFORTING, PLAYING WITH THEM AND MAKING THEM LAUGH. - VOLUNTEERS BRING SPECIALLY-SCREENED DOGS TO PROVIDE ANIMAL-ASSISTED THERAPY FOR THE PRESCRIPTION PET PROGRAM. - SPECIALLY TRAINED VOLUNTEERS SERVE AS AMBASSADORS WITH THE WELCOME PROGRAM. VOLUNTEERS GREET NEWLY ADMITTED PATIENT FAMILIES UPON THEIR ARRIVAL AND INTRODUCE THEM TO THE HOSPITAL'S MANY AMENITIES. THE GOAL IS TO PROVIDE A WARM AND WELCOMING ENVIRONMENT AND TO ANSWER ANY NON-MEDICAL QUESTIONS. - THE WINE EVENT IS THE ASSOCIATION OF VOLUNTEERS' SIGNATURE EVENT. THE SPECIAL EVENING FEATURES A SILENT AND LIVE AUCTION OF FINE WINES AND EXPERIENCES WITH ALL PROCEEDS BENEFITING THE MATERNAL FETAL MEDICINE PROGRAM. - MANY GROUPS OF VOLUNTEERS DO NOT SPEND TIME DIRECTLY WITH OUR PATIENTS, BUT PERFORM MORE ADMINISTRATIVE DUTIES, WHICH CAN BE JUST AS IMPORTANT TO THE DAY-TO-DAY OPERATIONS OF CHILDREN'S HOSPITAL COLORADO. - TEENAGERS BETWEEN 13 AND 18 YEARS OF AGE PARTICIPATE IN THE JUNIOR VOLUNTEER PROGRAM. THEY SUPPORT THE HOSPITAL BY WORKING IN A NUMBER OF DEPARTMENTS AS WELL AS SUPPORTING FUNDRAISING ACTIVITIES. - VOLUNTEERS ALSO ASSIST IN FUNDRAISING BY STAFFING CHILDREN'S HOSPITAL COLORADO GIFT SHOP AND LA CACHE. - CHAPTER VOLUNTEERS IN THE COMMUNITY ARE VERY ACTIVE IN FUNDRAISING EVENTS THROUGHOUT THE YEAR THAT HELP TO FUND SPECIAL EQUIPMENT, FACILITIES AND PROGRAMS FOR THE PATIENTS OF CHILDREN'S HOSPITAL COLORADO. FORM 990, PART III, LINE 4A WHEN IT WAS FOUNDED IN 1908 IN DENVER, CHILDREN'S HOSPITAL COLORADO SET OUT TO BE A LEADER IN PROVIDING THE BEST HEALTHCARE OUTCOMES FOR CHILDREN. THAT CALLING HAS CONSISTENTLY MADE US ONE OF THE TOP 10 CHILDREN'S HOSPITALS IN THE NATION AND A PLACE PARENTS ACROSS THE ROCKY MOUNTAIN REGION HAVE COME TO TRUST. OUR MISSION IS TO IMPROVE THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH-QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY. AS A PRIVATE, NOT-FOR-PROFIT PEDIATRIC HEALTHCARE NETWORK, CHILDREN'S HOSPITAL COLORADO IS 100% DEDICATED TO CARING FOR KIDS AT ALL AGES AND STAGES OF GROWTH. WE HAVE MORE THAN 2,450 PEDIATRIC SPECIALISTS AND MORE THAN 5,700 FULL-TIME EMPLOYEES HELPING TO CARRY OUT OUR MISSION. WE PROVIDE COMPREHENSIVE PEDIATRIC CARE AT OUR MAIN CAMPUS AND AT OUR 15 REGIONAL LOCATIONS. ROUTINE INPATIENT SERVICES; ANCILLARY INPATIENT SERVICES SUCH AS LAB RADIOLOGY, OPERATING ROOM, RECOVERY ROOM, CENTRAL SUPPLIES, ETC.; OUTPATIENT SERVICES SUCH AS EMERGENCY ROOM, MULTI-SPECIALITY AMBULATORY SERVICES INCLUDING ORTHO CLINIC, ONCOLOGY CLINIC, ETC. WEVE TREATED PATIENTS FROM ALL 50 STATES AND 22 COUNTRIES. EDUCATION CHILDREN'S HOSPITAL COLORADO IS COMMITTED TO PROVIDING CONTINUING EDUCATIONAL OPPORTUNITIES THAT WILL ENHANCE AND ADVANCE THE PEDIATRIC KNOWLEDGE AND CLINICAL SKILLS OF DOCTORS, NURSES AND OTHER HEALTHCARE PROFESSIONALS ACROSS THE REGION. THESE EDUCATIONAL TOPICS RANGE FROM PRIMARY CARE TO CRITICAL CARE AND ARE AVAILABLE IN-PERSON AND ONLINE. THIS IS OUR WAY OF ENSURING KIDS ACROSS THE REGION HAVE ACCESS TO UP-TO-DATE TECHNIQUES AND TREATMENT FOR KIDS. RESEARCH WE ARE AT THE FOREFRONT OF RESEARCH IN CHILDHOOD DISEASE WITH SEVERAL NATIONALLY AND INTERNATIONALLY RECOGNIZED MEDICAL AND SURGICAL PROGRAMS. TOGETHER, WITH OUR PARTNERS, WE ARE RESPONSIBLE FOR VIRTUALLY ALL OF THE PEDIATRIC RESEARCH PUBLISHED IN THE ROCKY MOUNTAIN REGION FOR AT LEAST A DECADE. WE ARE ALWAYS STRIVING TO FIND NEW AND BETTER WAYS TO CURE KIDS SO YOU CAN BE SURE YOU ARE RECEIVING THE BEST CARE FOR YOUR CHILD AT OUR FACILITIES. ADVOCACY OUR CLINICAL WORK MAY BE THE MOST VISIBLE PART OF OUR MISSION, BUT ADVOCACY IS JUST AS IMPORTANT. ADVOCACY IS HOW WE INFLUENCE DECISIONS RELATING TO CHILDREN'S HEALTH POLICY ISSUES, SUCH AS INJURY PREVENTION AND ACCESS TO QUALITY CARE. CHILDREN'S HOSPITAL COLORADO'S ADVOCACY EFFORTS EXPAND OUT INTO COMMUNITIES ACROSS COLORADO AND ARE AIMED AT MAKING SURE THAT KIDS' CONCERNS ARE ALWAYS HEARD WHEN PUBLIC POLICIES ARE MADE. OUR GOAL IS TO HELP KEEP KIDS HEALTHY AND OUT OF THE HOSPITAL. WE ENVISION A WORLD WHERE NO CHILD NEEDS A HOSPITAL. UNTIL WE MAKE THAT HAPPEN, WE'RE HERE FOR YOUR KIDS. TERTIARY SERVICES CHILDREN'S COLORADO PROVIDES A COMPREHENSIVE ARRAY OF DIAGNOSTIC AND THERAPEUTIC PEDIATRIC SERVICES ON BOTH AN INPATIENT AND OUTPATIENT BASIS. THE WIDE RANGE OF TERTIARY SERVICES AT THE CHILDREN'S COLORADO ANSCHUTZ CAMPUS HOSPITAL INCLUDES: LEVEL I PEDIATRIC TRAUMA CENTER - THE ONLY SUCH FACILITY IN THE ROCKY MOUNTAIN REGION; APPROXIMATELY 70% OF PATIENTS ARE TRANSFERRED FROM OTHER HOSPITALS OR CLINICS. LEVEL IV NEONATAL INTENSIVE CARE UNIT - SERVES AS A REFERRAL CENTER FOR COLORADO AND SURROUNDING STATES. NEUROSURGERY - CHILDREN'S COLORADO IS A REFERRAL CENTER FOR PEDIATRIC NEUROSURGERY FOR A LARGE PORTION OF THE WESTERN UNITED STATES OFFERING THE REGION'S ONLY COMPREHENSIVE TREATMENT PROGRAM FOR CHRONIC SEIZURE DISORDERS AND THE FIRST PEDIATRIC NEUROFIBROMATOSIS CLINIC. CARDIOTHORACIC AND VASCULAR SURGERY - IN ADDITION TO THE HEART TRANSPLANT PROGRAM, CHILDREN'S COLORADO HAS THE ONLY PEDIATRIC VENTRICULAR-ASSIST DEVICE PROGRAM IN THE ROCKY MOUNTAIN REGION. BURN CENTER - THE ONLY MULTIDISCIPLINARY PROVIDER OF ACUTE AND REHABILITATIVE PEDIATRIC BURN CARE IN COLORADO. NEUROTRAUMA REHABILITATION PROGRAM - THE ROCKY MOUNTAIN REGION'S ONLY PEDIATRIC NEUROTRAUMA REHABILITATION PROGRAM. ONCOLOGY/HEMATOLOGY/BONE MARROW TRANSPLANT - THE CANCER CENTER AT CHILDREN'S COLORADO OFFERS THE ROCKY MOUNTAIN REGION'S MOST COMPREHENSIVE DIAGNOSTIC, TREATMENT AND SUPPORT SERVICES FOR PEDIATRIC AND ADOLESCENT PATIENTS AND INCLUDES THE ONLY PEDIATRIC BONE MARROW TRANSPLANT CENTER IN THE REGION. EATING DISORDERS TREATMENT PROGRAMS - THE ROCKY MOUNTAIN REGION'S MOST COMPREHENSIVE CENTER FOR EVALUATION AND TREATMENT OF EATING DISORDERS IN CHILDREN, ADOLESCENTS AND YOUNG ADULTS; INCLUDES AN INPATIENT CENTER PROVIDING SPECIALIZED INPATIENT CARE AND A DAY TREATMENT PROGRAM PROVIDING INTENSIVE OUTPATIENT CARE INCLUDING GROUP AND FAMILY THERAPY. CHILDREN'S HOSPITAL IMMUNODEFICIENCY PROGRAM ("CHIP") - A REGIONAL REFERRAL CENTER FOR PEDIATRIC PATIENTS WITH HIV INFECTION OR AIDS; CHIP PROVIDES COMPREHENSIVE MEDICAL TREATMENT AND WIDE-RANGING SUPPORT IN THE CONTEXT OF A PROGRAM AFFILIATED WITH THE NIH. THE ANSCHUTZ CAMPUS HOSPITAL IS A RESEARCH SITE FOR THE PEDIATRIC AIDS CLINICAL TRIALS GROUP. CYSTIC FIBROSIS CENTER - A TREATMENT AND RESEARCH CENTER DESIGNATED BY THE CYSTIC FIBROSIS FOUNDATION AS ONE OF NINE NATIONAL RESOURCE CENTERS IN THE UNITED STATES. CENTER FOR GAIT AND MOVEMENT ANALYSIS - THE ROCKY MOUNTAIN REGION'S ONLY CLINICAL GAIT ANALYSIS FACILITY, THE CENTER ACCEPTS REFERRALS FOR BOTH CHILDREN AND ADULTS. THE CENTER USES SPECIALIZED MEASUREMENT TOOLS TO IDENTIFY FUNCTIONAL CAUSES OF A PATIENT'S MOVEMENT PROBLEM. TREATMENT PLANS INCLUDE SURGERY AND NON-SURGICAL TREATMENTS, SUCH A NEUROMUSCULAR INJECTIONS, PHYSICAL THERAPY, BIOFEEDBACK AND ORTHO-PROSTHETIC MODIFICATIONS. THE CENTER HAS TREATED MORE THAN 1,000 PATIENTS. EXPERIMENTAL THERAPEUTICS PROGRAM - PROVIDES ACCESS TO NEW AND PROMISING EXPERIMENTAL THERAPIES TO CANCER AND BLOOD DISORDER PATIENTS WITH RECURRENT DISEASE, THOSE RESISTANT TO TRADITIONAL TREATMENT OR WITH A DIAGNOSIS THAT HAS NO REASONABLE CURATIVE PROSPECT. IT IS THE ONLY PROGRAM OF ITS KIND IN THE ROCKY MOUNTAIN REGION, AND HAS PROVIDED CONSULTATION AND TREATMENT FOR PATIENTS FROM 32 STATES AND 11 FOREIGN COUNTRIES SINCE 2004. CHILDREN'S COLORADO IS A FOUNDING MEMBER (WITH MEMORIAL SLOAN-KETTERING CANCER CENTER) OF THE PEDIATRIC ONCOLOGY EXPERIMENTAL THERAPEUTICS INVESTIGATORS' CONSORTIUM, AN INTERNATIONAL ASSOCIATION DEDICATED TO THE ADVANCEMENT OF PROMISING THERAPIES FOR THE TREATMENT OF CANCER IN CHILDREN, ADOLESCENTS AND YOUNG ADULTS. THIS PROGRAM ALSO PARTICIPATES IN THE NEW APPROACHES TO NEUROBLASTOMA TREATMENT AND THE THERAPEUTIC ADVANCES FOR CHILDHOOD LEUKEMIA COOPERATIVE GROUPS, AND HAS LED AN INTERNATIONAL EFFORT IN WORLDWIDE CHILDHOOD CANCER DRUG DEVELOPMENT COLLABORATION. COLORADO INSTITUTE FOR MATERNAL AND FETAL HEALTH ("CIMFH") - CHILDREN'S COLORADO AND UNIVERSITY HOSPITAL HAVE COLLABORATED SINCE 2008 TO ESTABLISH A PREEMINENT MATERNAL-FETAL/NEONATAL MEDICINE PROGRAM. CHILDREN'S COLORADO OPENED ITS BRANCH OF THE CIMFH IN OCTOBER 2012 IN THE RECENTLY COMPLETED EAST TOWER OF THE ANSCHUTZ CAMPUS HOSPITAL. A COLLABORATION AMONG CHILDREN'S COLORADO, UNIVERSITY HOSPITAL AND UCSOM, THE CIMFH OFFERS MOTHERS, BABIES AND THEIR FAMILIES UNPARALLELED MULTIDISCIPLINARY CARE AND TREATMENT BEFORE, DURING AND AFTER LOW- OR HIGH-RISK PREGNANCIES. THE CIMFH SPACE IN THE EAST TOWER INCLUDES A DISCRETE ENTRANCE/EXIT; TWELVE LDRP (LABOR, DELIVERY AND RECOVERY AND POSTPARTUM) ROOMS EQUIPPED FOR FULL MATERNAL CARE, AS WELL AS CARE OF THE BABY; ONE MATERNAL OPERATING ROOM (FOR C-SECTIONS); ONE FETAL INTERVENTION SUITE (FOR FETAL CARE, SURGERIES AND RELATED PROCEDURES); AND TWO INFANT STABILIZATION ROOMS. CAPABILITIES INCLUDE PRENATAL AND FETAL DIAGNOSTIC TECHNIQUES; FETOSCOPIC SURGERY; EX UTERO INTRAPARTUM TREATMENT; AND OPEN-FETAL PROCEDURES. THE MATERNAL AND CHILD HEALTH DIVISION WITHIN THE COLORADO SCHOOL OF PUBLIC HEALTH'S CENTER FOR GLOBAL HEALTH WAS DESIGNATED IN 2012 BY THE WORLD HEALTH ORGANIZATION AS A WHO COLLABORATING CENTER FOR PROMOTING FAMILY AND CHILD HEALTH. THE DIVISION IS A PARTNERSHIP BETWEEN CHILDREN'S COLORADO AND UCSOM AND IS ONE OF ONLY TWO PROGRAMS IN THE AMERICAS TO RECEIVE THIS DESIGNATION IN MATERNAL AND CHILD HEALTH. THE MIBG PROGRAM (CALLED "MIBG" FOR SHORT) IN THE CENTER FOR CANCER AND BLOOD DISORDERS IS DEDICATED TO THE SAFE ADMINISTRATION OF MIBG. AN INNOVATIVE THERAPY THAT USES INTRAVENOUS (IV) RADIATION TARGETED TO CERTAIN CANCER CELLS. CHILDREN'S COLORADO IS THE ONLY HOSPITAL IN THE ROCKY MOUNTAIN REGION AND ONE OF ONLY APPROXIMATELY 12 HOSPITALS IN THE UNITED STATES THAT OFFERS MIBG THERAPY FOR KIDS. IN ADDITION, CHILDREN'S COLORADO HAS SPECIALISTS IN RARE PEDIATRIC DISORDERS, SUCH AS INHERITED METABOLIC DISEASE AND HYPOPLASTIC LEFT HEART SYNDROME. OTHER SERVICES; PHYSICIAN OUTREACH, TELEMEDICINE AND SCHOOL HEALTH PROGRAMS CHILDREN'S COLORADO PROVIDES A VARIETY OF OTHER SERVICES RELATED TO AND IN SUPPORT OF ITS INPATIENT AND OUTPATIENT CLINICAL SERVICES. THESE SERVICES RANGE FROM THE AFTER HOURS TELEPHONE CARE PROGRAM TO THE HANDICAPPED SPORTS PROGRAM, WHICH SPONSORS CAMPS FOR CHILDREN WITH PHYSICAL DISABILITIES. EDUCATIONAL SERVICES ARE PROVIDED IN SCH FORM 990, PART VI, LINE 1A CHILDREN'S HOSPITAL COLORADO'S EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR, VICE CHAIR, CHIEF EXECUTIVE OFFICER, SECRETARY, TREASURER, IMMEDIATE PAST CHAIR, AND THE CHAIR OF THE CHILDREN'S HOSPITAL COLORADO FOUNDATION. THE EXECUTIVE COMMITTEE HAS ALL THE POWERS OF THE BOARD OF DIRECTORS, EXCEPT AS LIMITED BY LAW, DURING THE PERIOD BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD. FORM 990, PART VI, LINE 6 CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL COLORADO. FORM 990, PART VI, LINE 7A THE WRITTEN CONSENT OF CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM IS REQUIRED TO APPROVE THE BOARD OF DIRECTORS OF CHILDREN'S HOSPITAL COLORADO. FORM 990, PART VI, LINE 7B CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM AS THE SOLE MEMBER HAS CERTAIN APPROVAL POWERS AS DESCRIBED IN THE AMENDED AND RESTATED BYLAWS DATED SEPTEMBER 22, 2011, AND AMENDED IN MAY 2015. FORM 990, PART VI, LINE 11B CHILDREN'S HOSPITAL COLORADO'S FINANCE DEPARTMENT WORKS CLOSELY WITH HUMAN RESOURCES, CORPORATE COMPLIANCE, LEGAL AND PUBLIC RELATIONS TO GATHER ALL OF THE DATA REQUIRED TO COMPLETE THE FORM 990. THE VP OF FINANCE AND THE DIRECTOR OF ACCOUNTING & REPORTING CONDUCT A REVIEW WITH THE CFO PRIOR TO THE DRAFT BEING DISTRIBUTED TO THE BOARD OF DIRECTORS. ANY NECESSARY CHANGES ARE MADE, THE FORM IS SIGNED BY THE CFO, REVIEWED BY THE AUDIT COMMITTEE, AND A FINAL COPY IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE IRS VIA A SECURED WEBSITE. FORM 990, PART VI, LINE 12C BOARD MEMBERS ARE REQUIRED TO DISCLOSE, ON AN ANNUAL BASIS, POTENTIAL CONFLICT OF INTERESTS PURSUANT TO THE WRITTEN POLICIES OF CHILDREN'S HOSPITAL COLORADO (CHCO) AND CHILDREN'S HOSPITAL COLORADO FOUNDATION (CHCF). ALL EMPLOYEES AND BOARD MEMBERS MUST PROMPTLY PROVIDE A WRITTEN DESCRIPTION OF MATERIAL FACTS OF AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST TO CORPORATE COMPLIANCE AND/OR GENERAL COUNSEL ON THE APPROPRIATE DISCLOSURE FORM. SUCH DISCLOSURE WILL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF THE CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. POLICIES AND PROCEDURES FOR DISCLOSING CONFLICTS OF INTEREST ARE TO BE FOLLOWED ACCORDING TO THE INDIVIDUAL'S FUNCTION, IN COMPLIANCE WITH STATE AND FEDERAL REGULATIONS. COMPLETED DISCLOSURE FORMS ARE SUBJECT TO AUDIT REVIEW BY LEGAL, THE CORPORATE COMPLIANCE PROGRAM, AND THE COMPLIANCE AND BUSINESS ETHICS COMMITTEE OF THE BOARD OF DIRECTORS. FAILURE TO COMPLY WITH CONFLICT OF INTEREST POLICIES MAY LEAD TO DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT OR WORKING RELATIONSHIP WITH THE CHILDREN'S COLORADO. ONCE THE COMPLIANCE AND BUSINESS ETHICS ("CABE") COMMITTEE HAS DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS WITH RESPECT TO A PARTICULAR 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 INTO 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 BEST INTERESTS AND FOR COLORADO CHILDREN'S OWN BENEFIT; AND - THE PROPOSED TRANSACTION IS FAIR AND REASONABLE TO CHILDREN'S COLORADO, TAKING INTO ACCOUNT, AMONG OTHER RELEVANT FACTORS, WHETHER CHCO COULD OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. FORM 990, PART VI, LINES 15A AND 15B CHILDREN'S COLORADO HAS AN EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS THAT REVIEWS AND APPROVES ANY PROPOSED INCREASES RELATED TO ANY OFFICERS AND KEY EMPLOYEES OF THE COMPANY. THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE ALONG WITH THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS EACH YEAR. ONCE A CHANGE IN COMPENSATION IS APPROVED, FORMAL DOCUMENTS ARE COMPLETED AND MINUTES OF THE MEETING ARE PREPARED, REVIEWED AND APPROVED. REVIEW PROCESS INCLUDES: O REVIEW MARKET RATIO - SHOULD FALL BETWEEN 80% TO 120% OF MARKET O REVIEW 25TH, 50TH, AND 75TH PERCENTILE -- BASE SALARY - INDIVIDUAL QUALIFICATIONS AND PERFORMANCE DETERMINES MARKET POSITION. BASE SALARY FOR EACH INDIVIDUAL IS TARGETED AT THE MEDIAN (50TH PERCENTILE) OF THE PEER GROUP. -- VARIABLE PAY - LEADERSHIP INCENTIVE IS IN PLACE WHICH REWARDS FOR ORGANIZATIONAL PERFORMANCE WITH A COMPONENT ALSO BASED ON INDIVIDUAL PERFORMANCE FOR ALL EXCEPT THE CEO. THE INCLUSION OF VARIBABLE PAY WILL PLACE TOTAL CASH COMPENSATION (E.G. BASE SALARY AND VARIABLE PAY) BETWEEN THE 50TH AND 75TH PERCENTILE FOR EACH INDIVIDUAL. O AWARDS ARE BASED ON ACHIEVEMENT OF PRE-ESTABLISHED CHILDREN'S COLORADO GOALS WHICH SUPPORT THE STRATEGIC PLAN -- BENEFITS - TARGETED AT THE "MIDDLE OF MARKET" DECISION FACTORS IN EXECUTIVE COMPENSATION DECISIONS: -- MARKET DATA FROM INDEPENDENT COMPENSATION SURVEYS THAT REFLECT FUNCTIONALLY COMPARABLE POSITIONS IN ORGANIZATIONS OF SIMILAR SIZE AND SCOPE -- DIFFICULTIES IN RECRUITING AND RETAINING EXECUTIVES -- SKILLS, EXPERIENCE AND PERFORMANCE HISTORY OF INDIVIDUAL EXECUTIVES -- CRITICAL BUSINESS OR STRATEGIC ISSUES THAT THE ORGANIZATION MAY FACE O WHEN ASSESSING EXECUTIVE COMPENSATION, CHILDREN'S COLORADO CONSIDERS BOTH MARKET RATIOS O UTILIZED APPROVED PEER GROUP FROM JANUARY 2015 MEETING O ON POSITIONS WITH INSUFFICIENT DATA (LESS THAN 10 MATCHES) -- USED EXPANDED PEER GROUP OF ALL ACUTE CARE ORGANIZATIONS O BENCHMARKED BASE PAY, TOTAL CASH COMPENSATION, AND BENEFITS 2015 CUSTOM PEER GROUP O AKRON O ATLANTA O BOSTON O CHICAGO O CINCINNATI O COLUMBUS O DALLAS O HOUSTON O KANSAS CITY O LOS ANGELES O MIAMI O MILWAUKEE O MINNEAPOLIS O PALO ALTO O PHILADELPHIA O WASHINGTON, DC O FORT WORTH O SEATTLE FORM 990, PART VI, LINE 19 THESE DOCUMENTS ARE MADE AVAILABLE UPON REASONABLE REQUEST. FORM 990, PART XI, LINE 9 Equity transfer to parent (CHCHS) (60,000,000) Change in value of interest rate swaps 661,738 Change in pension assets 30,522,000 Net income reported on other tax returns (243,030) Change in Restricted Net Assets 7,262,728 Pension settlement loss, consisting primarily of unrecognized actuarial losses (34,450,936) Other changes in net assets 514,341 -------------- TOTAL $(55,733,159) ============== FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:86444460 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:30956585 FORM 990 PART IX LINE 11G DESCRIPTION:ENVIRONMENTAL TOTAL FEES:8442908 FORM 990 PART IX LINE 11G DESCRIPTION:SECURITY FEES TOTAL FEES:2449305 FORM 990 PART IX LINE 11G DESCRIPTION:THIRD PARTY BILLING TOTAL FEES:2208644 FORM 990 PART IX LINE 11G DESCRIPTION:LAUNDRY TOTAL FEES:1764150 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER TOTAL FEES:2175343 CHILDRENS' HOSPITAL COLORADO HLTH SYSTEM 13123 EAST 16TH AVE AURORA CO 80045 454182666 HEALTHCARE CO 501(c)(3) 11-III, FI NA false CHILD HEALTH MANAGEMENT SERVICES INC 13123 EAST 16TH AVE AURORA CO 80045 742266667 IT SVCS CO 501(c)(3) 3 CH-COLORADO true THE CHILDREN'S HOSPITAL FOUNDATION 13123 EAST 16TH AVE AURORA CO 80045 840813462 FOUNDATION CO 501(c)(3) 7 CHCHS true CHILDREN'S HEALTH CORPORATION 13123 EAST 16TH AVE AURORA CO 80045 742235572 SUPPORTING CO 501(c)(3) 11, TYPE I CH-COLORADO true CHILDREN'S NORTH SURGERY CNTR 13123 EAST 16TH AVENUE AURORA CO 80045 262394578 OUTPATIENT SURG CO CH-COLORADO Related 206528 2690648 false 0 true 0.73000 RMCHS MANAGEMENT SERVICES INC 13123 EAST 16TH AVE AURORA CO 80045 840957415 BILLING CO CH-COLORADO C Corp 4358415 115488 1.00000 true PERPETUAL TRUST HOSPITAL SUPPORT CO CH-COLORADO true true true true true false false false false false false false true true true false false false false false CHILDREN'S NORTH SURGERY CENTER LLC d 4001000 LOAN GUARANTEED CHILDREN'S NORTH SURGERY CENTER LLC a 300000 FINANCIAL STMT THE CHILDREN'S HOSPITAL FOUNDATION c 23903101 FINANCIAL STMT SCHEDULE R, PART III, COLUMN (A) CHILDREN'S NORTH SURGERY CENTER EIN: 26-2394578 ADDRESS: 13123 EAST 16TH AVENUE AURORA, CO 80045