2016-11-07T17:02:23-06:00 2015-12-31 ERNST & YOUNG US LLP 2 N CENTRAL AVE SUITE 2300 PHOENIX AZ 85004 990 2015-01-01 454182666 CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM % 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 26704034 false X WWW.CHILDRENSCOLORADO.ORG X 2011 CO TO MANAGE THE INVESTMENT OF FUNDS ON BEHALF OF CHILDREN'S HOSPITAL COLORADO AND CHILDREN'S HOSPITAL COLORADO FOUNDATION. 9 8 0 10 797581 0 0 0 0 0 19518377 25906453 -667147 797581 18851230 26704034 0 0 0 0 177855 36036 0 0 0 657995 663181 835850 699217 18015380 26004817 731880228 804721557 2907946 18526960 728972282 786194597 X TO MANAGE THE INVESTMENT OF FUNDS ON BEHALF OF CHILDREN'S HOSPITAL COLORADO AND CHILDREN'S HOSPITAL COLORADO FOUNDATION. false false 29074 0 0 SEE SCHEDULE O 29074 true false false false false false false false false true false true false false true true false true false false true false false false false false false false false true false false false false false false false false false false false false false true true true false false true X 0 0 0 true true false false false false false false false false false X 9 8 false false false false false false false true true false false true false false false false false false X CATHY DAL SANTO VP FINANCE 7207776126 13123 EAST 16TH AVENUE AURORA CO 80045 X LAURA BARTON CHAIR - CHCO FDN (OUTGOING) 1.0 4.0 X 0 0 0 DON ELLIMAN CHANCELLOR UOC ANSCHUTZ CAMPUS 1.0 0.0 X 0 0 0 DAVID HONEYFIELD TREASURER - CHCO 1.0 1.0 X 0 0 0 ANNITA M MENOGAN SECRETARY (CHCO) 1.0 1.0 X 0 0 0 WILLIAM N LINDSAY III VICE-CHAIR (CHCO) 1.0 1.0 X 0 0 0 KEVIN REIDY CHAIR - CHCO 1.0 4.0 X 0 0 0 ANN SPERLING VICE-CHAIR - CHCO (OUTGOING) 1.0 1.0 X 0 0 0 RICK STODDARD VC(OUTGOING) & CHAIR-CHCO FDN 1.0 3.0 X 0 0 0 FRED TAYLOR TREASURER - CHCO FOUNDATION 1.0 3.0 X 0 0 0 LAURA WRIGHT VICE-CHAIR - CHCO FOUNDATION 1.0 3.0 X 0 0 0 JENA HAUSMANN PRESIDENT AND CEO - CHCO 1.0 43.0 X X 0 1050779 195782 JEFFREY HARRINGTON SR. VP / CFO 1.0 43.0 X 0 660821 116670 JAMES E SHMERLING DHA PRESIDENT AND CEO - CHCO 0.0 0.0 X 0 2354905 121372 0 4066505 433824 0 true true true 0 0 0 0 0 549658 549658 0 0 0 0 0 25356795 25356795 25356795 25356795 0 0 0 PARTNERSHIP INCOME 900099 797581 0 797581 0 797581 26704034 0 797581 25906453 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36036 27067 8969 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 530740 0 530740 0 0 0 0 0 0 0 129769 0 129769 0 2672 2007 665 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 699217 29074 670143 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 287384878 341940335 443360847 460076894 0 0 0 0 1134503 2704328 731880228 804721557 512435 420976 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2395511 18105984 2907946 18526960 X 602690342 654366269 46707426 40298321 79574514 91530007 728972282 786194597 731880228 804721557 X 26004817 -27451484 0 0 0 58668982 X false true X true true true X X X 2 CHILDREN'S HOSPITAL COLORADO 840166760 3 true 6001000 0 CHILDREN'S HOSPITAL COLORADO FOUNDATION 840813462 7 true 5966000 0 2 11967000 true false false false false false false false false false false false false false false true true true X true true SCHEDULE A, PART IV, SECTION D, LINE 3 CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM (CHCHS) MEETS THE SIGNIFICANT VOICE REQUIREMENT OF TREAS. REG. SECTION 1.509(A)-4(I)(3)(III) BECAUSE THE OFFICERS AND DIRECTORS OF THE TWO SUPPORTED ORGANIZATIONS (CHILDREN'S HOSPITAL COLORADO AND CHILDREN'S HOSPITAL COLORADO FOUNDATION) HAVE A SIGNIFICANT VOICE IN DIRECTING THE USE OF THE INCOME OF CHCHS. SPECIFICALLY, EIGHT OF CHCHS'S TEN VOTING MEMBERS OF THE BOARD OF DIRECTORS ARE ALSO DIRECTORS OF THE SUPPORTED ORGANIZATIONS. CHCHS IS ALSO THE PARENT ORGANIZATION AND SOLE MEMBER OF EACH OF THE SUPPORTED ORGANIZATIONS. IN ADDITION, THE CHAIRMAN OF CHILDREN'S HOSPITAL COLORADO SERVES AS THE PERMANENT CHAIRMAN OF THE BOARD OF CHCHS, THE CHAIRMAN OF CHILDREN'S HOSPITAL COLORADO FOUNDATION SERVES AS THE PERMANENT VICE CHAIRMAN OF THE BOARD OF CHCHS, THE PRESIDENT OF CHILDREN'S HOSPITAL COLORADO SERVES AS THE CHIEF EXECUTIVE OFFICER OF CHCHS, AND THE PRESIDENT OF CHILDREN'S HOSPITAL COLORADO FOUNDATION SERVES AS AN EX-OFFICIO MEMBER OF THE BOARD OF DIRECTORS OF CHCHS. BASED ON THE FOREGOING, THE DIRECTORS AND OFFICERS OF THE TWO SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN DIRECTING THE INVESTMENT POLICIES AND THE USE OF THE INCOME OR ASSETS OF CHCHS, THE SUPPORTING ORGANIZATION. SCHEDULE A, PART IV, SECTION E, LINES 3A AND 3B CHCHS MEETS THE INTEGRAL PART TEST OF TREAS. REG. SECTION 1.509(A)-4(I)(4)(I)(B) AND TREAS. REG. SECTION 1.509(A)-4(I)(4)(III) AS CHCHS IS THE SOLE MEMBER AND PARENT ORGANIZATION OF EACH OF THE TWO SUPPORTED ORGANIZATIONS AND A MAJORITY OF THE OFFICERS AND DIRECTORS OF EACH SUPPORTED ORGANIZATION ARE APPOINTED OR ELECTED BY CHCHS. AS THE PARENT AND SOLE MEMBER OF EACH SUPPORTED ORGANIZATION, CHCHS EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS AND ACTIVITIES OF EACH SUPPORTED ORGANIZATION. 135959693 11967943 -209379 6367203 141351054 126406622 9568001 5348168 5363098 135959693 105937631 10482667 14783538 4797214 126406622 0 103396180 3729848 1188397 105937631 0.06590 0.64750 0.28660 false false VIKING GLOBAL EQUITIES III LTD 43051398 F WELLINGTON 40616319 F SILCHESTER INTERNATIONAL 37709553 F KING STREET 30615409 F CONVEXITY S&P 500 27836058 F FARALLON CAPITAL PARTNERS LP 26640000 F ANCHORAGE 25602559 F GOLDMAN SACHS 25213359 F ROCK SPRINGS 23420259 F NEWPORT ASIA 21509062 F HIGHFIELDS CAPITAL LTD 21117800 F ANGELO GORDON 16609563 F MARSHALL WACE 15289553 F IMPALA 15244000 F KYLIN 15000000 F CASTLELAKE III 13892348 F FIR TREE 13429771 F SPINNAKER 13313154 F FORTRESS CREDIT OPPORTUNITY 7978111 F DENHAM COMMODITY PARTNERS 7056425 F AG STAR NET LEASE 5573954 F CLAYTON DUBILLER RICE IX 4887837 F MOUNT KELLET 3669551 F CONVEXITY CAPITAL OFFSHORE LP 3077841 F MADISON DEABORN 1213884 F ORBIMED 509126 F 460076894 0 I/CO PAYABLE-CHILDRENS HOSPITAL CO 17445686 I/CO PAYABLE-FOUNDATION 660298 18105984 X SCHEDULE D, PART V, LINE 4 INCOME FROM THE ENDOWMENTS ARE CURRENTLY BEING DISTRIBUTED TO CHILDREN'S HOSPITAL COLORADO ON A MONTHLY BASIS TO BE USED FOR THE ENDOWMENTS' INTENDED PURPOSES. 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. Central America and the Caribbean Investments 237550502 Europe (Including Iceland and Greenland) Investments 15289553 252840055 252840055 true false true true true false true true false false false false false false false JENA HAUSMANN PRESIDENT AND CEO - CHCO 0 625929 0 399260 0 25590 0 173668 0 22114 0 1246561 0 22149 JEFFREY HARRINGTON SR. VP / CFO 0 464318 0 147234 0 49269 0 96981 0 19689 0 777491 0 43192 JAMES E SHMERLING DHA PRESIDENT AND CEO - CHCO 0 567251 0 578813 0 1208841 0 112680 0 8692 0 2476277 0 762724 SCHEDULE J, PART I, LINE 3 THE CEO OF THE ORGANIZATION IS COMPENSATED BY CHILDREN'S HOSPITAL COLORADO, A RELATED TAX-EXEMPT ORGANIZATION. SCHEDULE J, PART I, LINE 4A JAMES SCHMERLING RECEIVED SEPARATION PAYMENTS IN THE AMOUNT OF $441,000. SCHEDULE J, PART I, LINE 4B THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT FROM A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: JENA HAUSMANN $22,149 JEFFREY HARRINGTON $43,192 JAMES SCHMERLING $762,724 FORM 990, PART III, LINE 4A THE HEALTH SYSTEM WAS FORMED BY THE HOSPITAL WITH AN EFFECTIVE DATE OF JANUARY 1, 2012 TO BE THE PARENT HOLDING COMPANY OF THE HOSPITAL. THE HEALTH SYSTEM'S BOARD WAS INITIALLY FORMED SUBSTANTIALLY WITH HOSPITAL AND CHLIDREN'S HOSPITAL FOUNDATION BOARD MEMBERS AND CHIEF EXECUTIVE OFFICERS. IN CONNECTION WITH THE FORMATION OF THE HEALTH SYSTEM, THE FOUNDATION AMENDED ITS ARTICLES OF INCORPORATION SUCH THAT THE HEALTH SYSTEM BECAME THE SOLE CORPORATE MEMBER OF THE FOUNDATION. AS A RESULT, THE HEALTH SYSTEM ALSO ACQUIRED CONTROL OF THE FOUNDATION, WHICH WAS PREVIOUSLY GOVERNED SEPARATELY FROM THE HOSPITAL AND WAS REFLECTED AS A FINANCIALLY INTERRELATED ORGANIZATION OF THE HOSPITAL. DURING 2012, BOTH THE HOSPITAL AND THE FOUNDATION TRANSFERRED THE MAJORITY OF THEIR LONGER-TERM DESIGNATED ENDOWMENTS AND INVESTMENTS TO THE HEALTH SYSTEM. THE HEALTH SYSTEM INVESTS AND DISTRIBUTES THESE FUNDS FOR THE BENEFIT OF THE HOSPITAL. FORM 990, PART V, LINE 2A; PART VII, SECTION A; AND PART IX CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM DOES NOT HAVE EMPLOYEES, BUT SHARES THE COST OF CERTAIN EXPENSES WITH, CHILDREN'S HOSPITAL COLORADO, A RELATED TAX-EXEMPT ORGANIZATION. FORM 990, PART VI, LINE 11B CHILDREN'S HOSPITAL COLORADO'S (A RELATED TAX-EXEMPT ORGANIZATION) FINANCE DEPARTMENT LEADERSHIP CONDUCTS A REVIEW OF THE FORM 990 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, 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, LINES 12, 13, AND 14 A CONFLICT OF INTEREST POLICY, WHISTLEBLOWER POLICY AND DOCUMENT RETENTION AND DESTRUCTION POLICY WERE NOT FORMALLY ADOPTED BY THE BOARD OF CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM (CHCHS) IN 2015, THEREFORE THESE QUESTIONS HAVE BEEN ANSWERED "NO." HOWEVER, CHCHS DOES FOLLOW THE POLICIES ADOPTED BY CHILDREN'S HOSPITAL COLORADO (CHC) AND CHILDREN'S HOSPITAL COLORADO FOUNDATION (CHCF), RELATED TAX-EXEMPT ORGANIZATIONS WHOSE BOARD MEMBERS MAKE UP THE CHCHS BOARD. AS EACH BOARD MEMBER OF CHCHS IS ALSO A MEMBER OF THE BOARD OF DIRECTORS OF CHC OR CHCF, SUCH BOARD MEMBERS ARE REQUIRED TO DISCLOSE, ON AN ANNUAL BASIS, POTENTIAL CONFLICT OF INTERESTS PURSUANT TO THE WRITTEN POLICIES OF CHC AND CHCF. IN ADDITION, ARTICLE XV OF THE BYLAWS OF CHCHS ADDRESSES CONFLICTS OF INTEREST. FORM 990, PART VI, LINE 19 THESE DOCUMENTS ARE MADE AVAILABLE UPON REASONABLE REQUEST. FORM 990, PART XI, LINE 9 EQUITY TRANSFER FROM CHCO $60,000,000 EQUITY TRANSFER TO CHCF $(5,966,000) EQUITY TRANSFER TO CHCO $(6,001,000) EQUITY TRANSFER FROM CHCF $11,955,000 BOOK TO TAX DIFFERENCE FROM K-1 FLOW THROUGH $(797,581) OTHER CHANGES $(521,437) ------------ TOTAL $ 58,668,982 ============ CHILDREN'S HOSPITAL COLORADO 13123 EAST 16TH AVENUE AURORA CO 80045 840166760 HEALTHCARE CO 501(c)(3) 3 CHCHS true CHILD HEALTH MANAGEMENT SERVICES INC 13123 EAST 16TH AVENUE AURORA CO 80045 742266667 BILLING SVCS CO 501(c)(3) 3 CH-COLORADO true CHILDREN'S HOSPITAL COLORADO FOUNDATION 13123 EAST 16TH AVENUE AURORA CO 80045 840813462 FOUNDATION CO 501(c)(3) 7 CHCHS true CHILDREN'S HEALTH CORPORATION 13123 EAST 16TH AVENUE AURORA CO 80045 742235572 SUPPORTING CO 501(c)(3) 11, TYPE 1 CH-COLORADO true CHILDREN'S NORTH SURGERY CTR 13123 EAST 16TH AVENUE AURORA CO 80045 262394578 OUTPATIENT SURG CO CH-COLORADO RELATED 0 0 false 0 false RMCHS MANAGEMENT SERVICES INC 13123 EAST 16TH AVENUE AURORA CO 80045 840957415 BILLING CO CH-COLORADO C Corp 0 0 0.00000 true false true true false false false false false false false false false true true true false false false false CHILDREN'S HOSPITAL COLORADO b 6001000 ACCRUAL CHILDREN'S HOSPITAL COLORADO c 60000000 ACCRUAL CHILDREN'S HOSPITAL COLORADO FOUNDATION b 5966000 ACCRUAL CHILDREN'S HOSPITAL COLORADO FOUNDATION c 11955000 ACCRUAL SCHEDULE R, PART III, COLUMN (A) CHILDREN'S NORTH SURGERY CENTER EIN: 26-2394578 ADDRESS: 13123 EAST 16TH AVENUE AURORA, CO 80045