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CHILDRENS HOSPITAL COLORADO: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL COLORADO (EIN 84-0166760)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201303169349303085
Schema version
2012v2.1
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)
Timestamp2013-11-12T09:41:32-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12 N CENTRAL AVE SUITE 2300AddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN840166760EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL COLORADOBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% CARLO ROTOLA CONTROLLERInCareOfName
Name ControlCHILNameControl
Phone7207771234Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line113123 E 16TH AVENUEAddressLine1
Address Line2SuiteAddressLine2
CityAURORACity
StateCOState
ZIP Code80045ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLEONARD J DRYER JRName
TitleSR. VP, CFOTitle
Date Signed2013-11-11DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone6023223000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJAMES E SHMERLINGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line113123 E 16TH AVENUEAddressLine1
CityAURORACity
StateCOState
ZIP Code80045ZIPCode
FieldValueIRS element (for citing)
Gross Receipts762334308GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHILDRENSCOLORADO.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1908YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH- QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY.ActivityOrMissionDescription
Nbr Voting Members Governing Body28NbrVotingMembersGoverningBody
Nbr Independent Voting Members25NbrIndependentVotingMembers
Total Nbr Employees5647TotalNbrEmployees
Total Nbr Volunteers1977TotalNbrVolunteers
Total Gross UBI2325688TotalGrossUBI
Net Unrelated Business Txbl Income731969NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year22635860ContributionsGrantsPriorYear
Contributions Grants Current Year22893129ContributionsGrantsCurrentYear
Program Service Revenue Prior Year626051296ProgramServiceRevenuePriorYear
Program Service Revenue CY720793418ProgramServiceRevenueCY
Investment Income Prior Year12529186InvestmentIncomePriorYear
Investment Income Current Year16437929InvestmentIncomeCurrentYear
Other Revenue Prior Year558979OtherRevenuePriorYear
Other Revenue Current Year1007956OtherRevenueCurrentYear
Total Revenue Prior Year661775321TotalRevenuePriorYear
Total Revenue Current Year761132432TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year391592GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY377090GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year324881451SalariesEtcPriorYear
Salaries Etc Current Year357879104SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year275396623OtherExpensePriorYear
Other Expenses Current Year323510752OtherExpensesCurrentYear
Total Expenses Prior Year600669666TotalExpensesPriorYear
Total Expenses Current Year681766946TotalExpensesCurrentYear
Revenues Less Expenses Prior Year61105655RevenuesLessExpensesPriorYear
Revenues Less Expenses CY79365486RevenuesLessExpensesCY
Total Assets BOY1522794877TotalAssetsBOY
Total Assets EOY1210407087TotalAssetsEOY
Total Liabilities BOY525206058TotalLiabilitiesBOY
Total Liabilities EOY539165462TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY997588819NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY671241625NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO IMPROVE THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH-QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY.MissionDescription
Significant New Program ServicestrueSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense498975493Expense
Grants377090Grants
Revenue720793418Revenue
DescriptionROUTINE INPATIENT SERVICES; ANCILLARY INPATIENT SERVICES SUCH AS LAB RADIOLOGY, OPERATING ROOM, RECOVERY ROOM, CENTRAL SUPPLIES, ETC.; OUTPATIENT SERVICES SUCH AS EMERGENCY ROOM, ORTHO CLINIC, ONCOLOGY CLINIC, ETC. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.Description
Total Program Service Expense498975493TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096538NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees5647NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members28NbrVotingGoverningBodyMembers
Number Independent Voting Members25NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCARLO ROTOLA CONTROLLERNamePerson
Telephone Number7207772788TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line113123 E 16TH AVENUEAddressLine1
CityAURORACity
StateCOState
ZIP Code80045ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (61 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
CATHY M FINLON
IMMEDIATE PAST CHAIR OF BOARD1.00.0X000
TERRANCE CARROLL
BOARD MEMBER1.00.0X000
KELLY KENNEDY
TCH FDN BOARD OF TRUSTEES1.00.0X000
RUSSELL DISPENSE
BOARD MEMBER1.00.0X000
DONALD M ELLIMAN
BOARD MEMBER1.00.0X000
BRIAN GREFFE MD
BOARD MEMBER1.00.0X000
COLE FINEGAN
SECRETARY1.01.0X000X
RHONDA KAY
PRES OF THE ASSN OF VOLUNTEERS1.00.0X000
ERIC HARTMEISTER - 4112
PRES OF THE ASSN OF VOLUNTEERS1.00.0X000
MARIA GUAJARDO PHD
BOARD MEMBER1.00.0X000
WILLIAM LINDSAY
BOARD MEMBER1.00.0X000
RANDY HERTEL
BOARD MEMBER1.00.0X000
ROXANN HEADLEY MD
BOARD MEMBER1.00.0X000
ROBERT HOTTMAN
CHAIRMAN OF BOARD1.01.0X000X
JOY JOHNSON
VICE-CHAIRMAN OF BOARD1.00.0X000X
KEVIN REIDY
TREASURER1.01.0X000X
BRADLEY SMITH DDS
PRESIDENT OF MEDICAL STAFF1.00.0X000
RICHARD KRUGMAN MD
BOARD MEMBER, VICE CHANCELLOR1.00.0X000
LILLY MARKS
BOARD MEMBER, VP HLTH AFFAIRS1.00.0X000
DAVID HOOVER
BOARD MEMBER1.00.0X000
R SCOTT NYCUM
BOARD MEMBER1.00.0X000
JAMES E SHMERLING DHA
PRESIDENT AND CEO40.02.0X15480400201231X
WAYNE HUTCHENS
BOARD MEMBER1.01.0X000
PAUL RADY
BOARD MEMBER1.00.0X000
KRISITIN RICHARDSON
BOARD MEMBER1.00.0X000
JANE SCHUMAKER
BOARD MEMBER, EXEC DIR UPI1.00.0X000
CRAIG PONZIO
BOARD MEMBER1.00.0X000
HAL STEIN MD
BOARD MEMBER1.00.0X000
BENJAMIN WALTON
BOARD MEMBER1.01.0X000
MARY GITTINGS-CRONIN
BOARD MEMBER UNTIL 4/1/121.00.0X000
JODY MATHIE
BOARD MEMBER UNTIL 4/1/121.00.0X000
ANN SPERLING
BOARD MEMBER UNTIL 4/1/121.00.0X000
THOMAS HONIG
BOARD MEMBER UNTIL 4/1/121.00.0X000
CANDY ERGEN
BOARD MEMBER UNTIL 4/1/121.00.0X000
ANDREW SIROTNAK MD
PRES MED STAFF UNTIL 4/1/121.00.0X000
JENA HAUSMANN
CHIEF OPERATING OFFICER40.00.07575720114274X
LEONARD J DRYER JR
SR. VP-CFO40.01.02127661020615X
MARY ANNE LEACH
SR. VP-CIO40.00.0431378048769X
JOHN LACOUTURE
CHIEF LEGAL OFFICER40.00.042187701260X
MICHELLE M LUCERO
CHIEF LEGAL OFFICER40.00.0109946022856X
KELLY JOHNSON
SR. VP / CHIEF NURSING OFFICER40.00.0440452067701X
JEFFREY HARRINGTON
VP FINANCE40.00.0335442063956X
MICHAEL WUKITSCH
VP HUMAN RESOURCE40.00.0389621071054X
SUZY JAEGER
VP AMBULATORY AND OPERATIONS40.00.0343482064463X
JERROD MILTON
VP OPERATIONS40.00.0284463043130X
BETH GAFFNEY
VP OPERATIONS40.00.022870804814X
AMY CASSERI
CHIEF STRATEGY OFFICER40.00.0498984078973X
ROBERT REID
VP SUPPORT SERVICES40.00.0166605023013X
JOAN BOTHNER MD
CHIEF MEDICAL OFFICER40.00.065172400X
DENNIS MATTHEWS
PPAARDI-IN-CHIEF40.00.026256900X
STEPHEN DANIELS
PEDIATRIC-IN-CHIEF40.00.048142200X
DANIEL HYMAN MD
CHIEF QUALITY OFFICER40.00.048660900X
FRED SUCHY
CHIEF RESEARCH OFFICER40.00.032491000X
TIMOTHY CROMBLEHOME
SURGEON-IN-CHIEF40.00.058794900X
MICHAEL CLARK
EXEC DIR RESEARCH ADMIN40.00.0221408012449X
DARLA VAN ESSEN
DIR NURSING PROJECTS40.00.0238095014316X
MARY BETH MARTIN
EXEC DIR MATERNAL-FETAL PROG40.00.0238526011696X
JOHN SCHLIEP
OPERATIONS CONSULTANT40.00.022404505427X
SUSAN L MORAN
NEONATAL NURSE PRACTITIONER40.00.0204066018367X
LINDA POWERS
DIR NURSING PROJECTS40.00.024639107249X
MARGI MORSE
DIR ADVANCED PRACTICE NURSING40.00.023328707249X
FieldValueIRS element (for citing)
Total Reportable Comp From Org12485232TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation902862TotalOtherCompensation
Number Individuals GT100 K383NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
UNIVERSITY PHYSICIANS INC
13611 E COLFAXAURORACO80045PHYSICIAN SERVICES46294209
UCDHSC
4200 E 9TH AVENUEAURORACO80045EDUCATIONAL SERVICES16868941
CROTHALL HEALTHCARE
13028 COLLECTION CENTER DRIVECHICAGOIL60693ENVIRONMENTAL SVCS6225432
HOSPITAL SHARED SERVICES
PO BOX 17033DENVERCO80217SOFTWARE SERVICES2557853
KAHL INSURANCE SERVICES
6399 S FIDDLERS GREEN CIRCLEGREENWOOD VILLAGECO80111INSURANCE SERVICES2390969
FieldValueIRS element (for citing)
Number Of Contractors GT100 K123NumberOfContractorsGT100K
Related Organizations16067372RelatedOrganizations
Government Grants6368822GovernmentGrants
All Other Contributions456935AllOtherContributions
Total Contributions22893129TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE622110694081988694081988
RESEARCH FUNDING54190096673309667330
CAFETERIA72221037903503790350
LAB BILLINGS561000144107501441075
ALL OTHER REVENUE9000991181267510928062884613
FieldValueIRS element (for citing)
Total Program Service Revenue720793418TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4398917TotalRevenueColumn
Exclusion$4,398,917ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1007956Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1007956Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1007956TotalRevenueColumn
Exclusion$1,007,956ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities13239388Securities
Other1500Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1201876Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities13239388Securities
Other-1200376Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column12039012TotalRevenueColumn
Exclusion$12,039,012ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column761132432TotalRevenueColumn
Related Or Exempt Function Income718467730RelatedOrExemptFunctionIncome
Unrelated Business Revenue2325688UnrelatedBusinessRevenue
Exclusion$17,445,885ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total377090Total
Program Services377090ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total11705525Total
Management And General11705525ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total601945Total
Program Services107768ProgramServices
Management And General494177ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total277046915Total
Program Services209674161ProgramServices
Management And General67372754ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total13692375Total
Program Services9926972ProgramServices
Management And General3765403ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total35237685Total
Program Services25547322ProgramServices
Management And General9690363ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total19594659Total
Program Services14206128ProgramServices
Management And General5388531ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total984949Total
Management And General984949ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total504521Total
Management And General504521ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total226371Total
Program Services226371ProgramServices
Management And General0ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total85737098Total
Program Services62159396ProgramServices
Management And General23577702ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total4039611Total
Program Services2928718ProgramServices
Management And General1110893ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total8852525Total
Program Services6418081ProgramServices
Management And General2434444ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total10529690Total
Program Services7634025ProgramServices
Management And General2895665ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total17124858Total
Program Services12415522ProgramServices
Management And General4709336ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1701415Total
Program Services1233526ProgramServices
Management And General467889ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total619069Total
Program Services448825ProgramServices
Management And General170244ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4999553Total
Program Services3624676ProgramServices
Management And General1374877ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total49377480Total
Program Services35798673ProgramServices
Management And General13578807ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2467069Total
Program Services1788625ProgramServices
Management And General678444ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES835470256057159322975432
HOSPITAL PROVIDER FEE2035964020359640
EQUIPMENT RENTAL & MAINT.998286572375772745288
ALL OTHER EXPENSES22457013162908046166209

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total681766946Total
Program Services498975493ProgramServices
Management And General182791453ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY17028690BOY
EOY9264638EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY7929264BOY
EOY5577314EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY74367084BOY
EOY98140181EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5559573BOY
EOY6055742EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4983633BOY
EOY6774807EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1179283382LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec297213543LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY722856489BOY
EOY882069839EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY256754739BOY
EOY144748050EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY165423503BOY
EOY125000EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY267891902BOY
EOY57651516EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1522794877BOY
EOY1210407087EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY100805633BOY
EOY117427378EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY360298473BOY
EOY352943143EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY64101952BOY
EOY68794941EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY525206058BOY
EOY539165462EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY726871896BOY
EOY606832380EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY163961629BOY
EOY30588479EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY106755294BOY
EOY33820766EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY997588819BOY
EOY671241625EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1522794877BOY
EOY1210407087EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses79365486ReconcilationRevenueExpenses
Reconciliation Unrealized Invest13001725ReconciliationUnrealizedInvest
Reconcilation Other Changes-418714405ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals4000FilingOrganizationsTotals

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals222371FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals226371FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals710290093FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals710516464FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
FieldValueIRS element (for citing)
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3268141CurrentYearMinus3
Current Year Minus2226300CurrentYearMinus2
Current Year Minus1226371CurrentYearMinus1
Current Year226371CurrentYear
Total947183Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year Minus34000CurrentYearMinus3
Current Year Minus24000CurrentYearMinus2
Current Year Minus14000CurrentYearMinus1
Current Year4000CurrentYear
Total16000Total

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance31068294BeginningOfYearBalance
Investment Earnings Or Losses3971679InvestmentEarningsOrLosses
Other Expenditures1148212OtherExpenditures
Administrative Expenses70995AdministrativeExpenses
End Of Year Balance33820766EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance31490541BeginningOfYearBalance
Investment Earnings Or Losses213181InvestmentEarningsOrLosses
Other Expenditures566993OtherExpenditures
Administrative Expenses68435AdministrativeExpenses
End Of Year Balance31068294EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance29283714BeginningOfYearBalance
Investment Earnings Or Losses3172990InvestmentEarningsOrLosses
Other Expenditures900247OtherExpenditures
Administrative Expenses65916AdministrativeExpenses
End Of Year Balance31490541EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance24854564BeginningOfYearBalance
Investment Earnings Or Losses5828658InvestmentEarningsOrLosses
Other Expenditures1341892OtherExpenditures
Administrative Expenses57616AdministrativeExpenses
End Of Year Balance29283714EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance33761116BeginningOfYearBalance
Investment Earnings Or Losses-7949952InvestmentEarningsOrLosses
Other Expenditures956600OtherExpenditures
End Of Year Balance24854564EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis25617812OtherCostOrOtherBasis
Book Value25617812BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis777610685OtherCostOrOtherBasis
Depreciation95330655Depreciation
Book Value682280030BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis15244935OtherCostOrOtherBasis
Depreciation8224675Depreciation
Book Value7020260BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis303348570OtherCostOrOtherBasis
Depreciation186978437Depreciation
Book Value116370133BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis57461380OtherCostOrOtherBasis
Depreciation6679776Depreciation
Book Value50781604BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings882069839TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
RECEIVABLE FROM FOUNDATION1698672
PERPETUAL TRUST ASSETS -TAMMEN33820767
DEFERRED DEBT ISSUANCE COSTS4080234
OTHER MISCELLANEOUS RECEIVABLE12342320
I/CO RECEIVABLE-PARENT5709523
FieldValueIRS element (for citing)
Total Book Value Other Assets57651516TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
SELF INSURANCE TRUST LIABILITY$5,557,000
ACCRUED INTEREST PAYABLE$1,341,983
DUE TO RESTRICTED FUND$2,111,581
VALUE OF INTEREST RATE SWAP$40,335,714
DEFINED BENEFIT OBLIGATION$3,752,355
INVESTMENT IN NORTH ASC$2,101,122
LONG TERM NOTES PAYABLE$13,595,186
FieldValueIRS element (for citing)
Total Of Amounts68794941TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USE OF ENDOWMENT FUNDSSCHEDULE D, PART V, LINE 4THE 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.
ASC 740 FOOTNOTESCHEDULE D, PART X, LINE 2THE ORGANIZATION EVALUATES WHETHER THERE ARE ANY UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. AS OF DECEMBER 31, 2012 AND 2011, THE ORGANIZATION HAS DETERMINED THAT NO PROVISIONS ARE REQUIRED FOR UNCERTAIN TAX POSITIONS.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4302501TotalCommunityBenefitExpense
Direct Offsetting Revenue1014264DirectOffsettingRevenue
Net Community Benefit Expense3288237NetCommunityBenefitExpense
Percent Of Total Expense0.00480PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense274029427TotalCommunityBenefitExpense
Direct Offsetting Revenue188768241DirectOffsettingRevenue
Net Community Benefit Expense85261186NetCommunityBenefitExpense
Percent Of Total Expense0.12510PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense37166826TotalCommunityBenefitExpense
Direct Offsetting Revenue33044561DirectOffsettingRevenue
Net Community Benefit Expense4122265NetCommunityBenefitExpense
Percent Of Total Expense0.00600PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense315498754TotalCommunityBenefitExpense
Direct Offsetting Revenue222827066DirectOffsettingRevenue
Net Community Benefit Expense92671688NetCommunityBenefitExpense
Percent Of Total Expense0.13590PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense7302803TotalCommunityBenefitExpense
Direct Offsetting Revenue434600DirectOffsettingRevenue
Net Community Benefit Expense6868203NetCommunityBenefitExpense
Percent Of Total Expense0.01010PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense24516120TotalCommunityBenefitExpense
Direct Offsetting Revenue7142287DirectOffsettingRevenue
Net Community Benefit Expense17373833NetCommunityBenefitExpense
Percent Of Total Expense0.02550PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense42310093TotalCommunityBenefitExpense
Direct Offsetting Revenue30111568DirectOffsettingRevenue
Net Community Benefit Expense12198525NetCommunityBenefitExpense
Percent Of Total Expense0.01790PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense20805494TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense20805494NetCommunityBenefitExpense
Percent Of Total Expense0.03050PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense794815TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense794815NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense95729325TotalCommunityBenefitExpense
Direct Offsetting Revenue37688455DirectOffsettingRevenue
Net Community Benefit Expense58040870NetCommunityBenefitExpense
Percent Of Total Expense0.08520PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense411228079TotalCommunityBenefitExpense
Direct Offsetting Revenue260515521DirectOffsettingRevenue
Net Community Benefit Expense150712558NetCommunityBenefitExpense
Percent Of Total Expense0.22110PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense15500TotalCommunityBuildingExpense
Net Community Building Expense15500NetCommunityBuildingExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense62715TotalCommunityBuildingExpense
Net Community Building Expense62715NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense341794TotalCommunityBuildingExpense
Net Community Building Expense341794NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense24556TotalCommunityBuildingExpense
Net Community Building Expense24556NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense805182TotalCommunityBuildingExpense
Net Community Building Expense805182NetCommunityBuildingExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense379690TotalCommunityBuildingExpense
Net Community Building Expense379690NetCommunityBuildingExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense1629437TotalCommunityBuildingExpense
Net Community Building Expense1629437NetCommunityBuildingExpense
Percent Of Total Expense0.00240PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$11,710,143BadDebtExpenseAmount
Amount Attributable To1171014AmountAttributableTo
Amount Reimbursed By Medicare1677952AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare2938989CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1261037MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities5NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (5 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeWebsite AddressWebsiteAddressLicensed HospitalLicensedHospitalChildrens HospitalChildrensHospitalTeaching HospitalTeachingHospitalResearch FacilityResearchFacilityEr24 HoursEr24HoursFacility Reporting GroupFacilityReportingGroup
CHILDREN'S HOSPITAL COLORADO
113123 EAST 16TH AVENUEAURORACO80045WWW.CHILDRENSCOLORADO.ORGXXXXXA
CHILDREN'S HOSPITAL COLORADO - NORTH
2469 WEST STATE HIGHWAY 7BROOMFIELDCO80023WWW.CHILDRENSCOLORADO.ORGXXA
CHILDREN'S HOSPITAL COLORADO - PARKER
319284 COTTONWOOD DRIVEPARKERCO80138WWW.CHILDRENSCOLORADO.ORGXXXA
CHILDREN'S HOSPITAL CO - ST JOSEPHS
41830 FRANKLIN STREETDENVERCO80218WWW.CHILDRENSCOLORADO.ORGXXXA
CHILDREN'S HOSPITAL CO - MEMORIAL
51400 EAST BOULDER STCOLORADO SPRINGSCO80909WWW.CHILDRENSCOLORADO.ORGXXXA

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1
FieldValueIRS element (for citing)
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities11NumberOfOtherFacilities

Other Facilities OtherFacilities (11 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
CHILDREN'S HOSPITAL CO OP SPECIALTY CARE
4125 BRIARGATE PARKWAYCOLORADO SPRINGSCO80920OP PED SPECIALTY CARE FOR CANCER & BLOOD DISORDERS
CHILDREN'S HOSPITAL CO PARKER ADVENTIST
9395 CROWN CREST BLVDPARKERCO80138THERAPY CARE
CHILDREN'S HOSPITAL CO UC & OP CARE
151 W COUNTY LINE ROADLITTLETONCO80129URGENT CARE OP PED SPECIALIST; REHAB THERAPY; SPORTS MEDICINE
CHILDREN'S HOSPITAL CO UC & OP CARE
3455 LUTHERAN PARKWAY SUITE 230WHEAT RIDGECO80033URGENT CARE; PED SPECIALISTS; SPORTS MEDICINE
CHILDREN'S HOSPITAL CO THERAPY CARE
8401 ARISTA PLACEBROOMFIELDCO80021THERAPY CARE
CHILDREN'S HOSPITAL CO SPECIALTY CARE
9399 CROWN CREST BLVDPARKERCO80138PEDIATRIC SPECIALIST
KIDSTREET
3615 MARTIN LUTHER KING BLVDDENVERCO80205REHAB THERAPY
CHILDREN'S HOSPITAL CO THERAPY CARE
704 FORTINO BLVD SUITE APUEBLOCO81008THERAPY CARE
CHILDREN'S HOSPITAL CO CCBD
7720 S BROADWAYLITTLETONCO80122OP PED SPECIALY CARE OF CANCER & BLOOD DISORDERS
CHILDREN'S HOSPITAL CO OP SPECIALTY CARE
7960 UNIVERSITY BLVDCENTENNIALCO80112PULMONARY CARE
CHILDREN'S HOSPITAL CO ORTHOPEDIC CARE
9094 E MINERAL AVE STE 110CENTENNIALCO80112ORTHOPEDIC CARE

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SCHEDULE H, PART I, LINE 6ACHILDREN'S HOSPITAL COLORADO INCLUDES SELECT COMMUNITY BENEFIT INFORMATION IN THE HOSPITAL'S ANNUAL REPORT. CHILDREN'S HOSPITAL COLORADO ALSO REGULARLY HIGHLIGHTS COMMUNITY BENEFIT EFFORTS IN A NUMBER OF COMMUNICATION VEHICLES INCLUDING HOSPITAL WEBSITE, MEDIA STORIES AND PUBLICATIONS SUCH AS THE COLORADO HOSPITAL ASSOCIATION'S ANNUAL COMMUNITY BENEFIT REPORT.
SCHEDULE H, PART I, LINE 7IN 2012 CHILDREN'S HOSPITAL COLORADO PROVIDED $150,712,558, OR 22.11% OF TOTAL OPERATING EXPENSES, IN BENEFIT TO THE COMMUNITY. FINANCIAL ASSISTANCE (CHARITY CARE) AND MEANS TESTED GOVERNMENT PROGRAMS (MEDICAID AND OTHER) AT CHILDREN'S HOSPITAL COLORADO ACCOUNTED FOR $92,671,688, OR 13.59% OF TOTAL OPERATING EXPENSES. MEDICAID PAYMENT SHORTFALLS CONTINUE TO COMPRISE THE MAJORITY OF THIS FIGURE, ACCOUNTING FOR $85,261,186 OF THE TOTAL SHORTFALL. IN 2012, MEDICAID VOLUME, AS A PERCENT OF TOTAL PATIENT CHARGES, WAS 41.4% WITH REIMBURSEMENT ONLY COVERING 77% OF COST. THE SHORTFALL FOR FINANCIAL ASSISTANCE (CHARITY CARE) PROVIDED IN 2012 WAS $3,288,237. THIS REPRESENTS THE COST OF PROVIDING THESE SERVICES CALCULATED USING THE HOSPITAL'S COST ACCOUNTING SYSTEM. OTHER BENEFITS ACCOUNTED FOR $58,040,870, OR 8.52% OF TOTAL OPERATING EXPENSES. OTHER BENEFITS INCLUDE HEALTH PROFESSIONS EDUCATION OF $17,373,833, OR 2.55% OF TOTAL OPERATING EXPENSES; RESEARCH ACTIVITY OF $20,805,494, OR 3.05% OF TOTAL OPERATING EXPENSES; SUBSIDIZED HEALTH SERVICES OF $12,198,525, OR 1.79% OF TOTAL OPERATING EXPENSES; COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS OF $6,868,203, OR 1.01% OF TOTAL OPERATING EXPENSES AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS OF $794,815, OR 0.12% 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 2012 PROGRAMS ASSOCIATED WITH THESE LOSSES ARE MENTAL HEALTH, REPRODUCTIVE, SOLID ORGAN TRANSPLANT, DERMATOLOGY AND REHABILITATION SERVICES. ALSO, INCLUDED IN SUBSIDIZED SERVICES IS THE NET COMMUNITY BENEFIT EXPENSE RELATED TO LOSSES ASSOCIATED WITH THE HOSPITAL'S INVESTMENT IN AN AMBULATORY SURGERY CENTER. THE NUMBER REFLECTED IN SUBSIDIZED HEALTH SERVICES EXCLUDES BAD DEBT, MEDICAID AND OTHER MEANS TESTED GOVERNMENT PROGRAM SHORTFALLS, FINANCIAL ASSISTANCE (CHARITY CARE) AND MEMORIAL DATA. CHILDREN'S HOSPITAL COLORADO IS COMMITTED TO SERVING ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.
SCHEDULE H, PART IIIN 2012, CHILDREN'S HOSPITAL COLORADO PROVIDED $1,629,437 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. SELECTED COMMUNITY BUILDING ACTIVITIES ARE HIGHLIGHTED BELOW. COALITION BUILDING CHILDREN'S HOSPITAL COLORADO'S 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), CHILDREN'S 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, CHILDREN'S HOSPITAL COLORADO LEADS THE PEDIATRIC ACCESS TO CARE SUBCOMMITTEE AND HELPS TO FOCUS THE COALITION'S EFFORTS ON IMPROVING ACCESS TO PRIMARY CARE AND MEDICAL HOMES FOR CHILDREN. COMMUNITY HEALTH IMPROVEMENT (ADVOCACY) AS PART OF ITS ONGOING MISSION, CHILDREN'S HOSPITAL COLORADO IS COMMITTED TO ADVOCATING ON BEHALF OF CHILDREN BY WORKING TO INFLUENCE PUBLIC POLICY BOTH AT A HIGH LEVEL AND THROUGH GRASSROOTS SUPPORT. THE HOSPITAL PROACTIVELY INFLUENCES LOCAL, STATE AND FEDERAL HEALTHCARE POLICY THAT IMPACTS ISSUES IDENTIFIED IN THE COMMUNITY NEEDS ASSESSMENT SUCH AS CHILDHOOD OBESITY, BEHAVIORAL HEALTH, INJURY PREVENTION AND ACCESS TO CARE. CHILDREN'S HOSPITAL COLORADO HAS ALSO DEVELOPED A PROGRAM THAT TEACHES PATIENTS, FAMILIES AND COMMUNITY MEMBERS HOW TO ADVOCATE ON BEHALF OF THE INTERESTS IMPORTANT TO THEM, THEREBY ADDRESSING THE NEED FOR COMMUNITY EMPOWERMENT. CHILDREN'S HOSPITAL COLORADO HAS A GRASSROOTS ADVOCACY NETWORK COMPRISED OF NEARLY 4000 ADVOCATES ACROSS THE STATE. THE GOAL IN LEADING THIS NETWORK IS TO MAKE IT SIMPLE FOR ALL COMMUNITY MEMBERS TO SPEAK UP ON BEHALF OF CHILD HEALTH ISSUES. COMMUNITY HEALTH IMPROVEMENT (LITERACY) A CRITICAL COMPONENT TO LIVING A HEALTHY LIFE IS THE ABILITY FOR PEOPLE TO ACCESS INFORMATION THEY NEED ABOUT THEIR HEALTH. THIS CANNOT BE DONE EFFECTIVELY WITHOUT BASIC LITERACY SKILLS. UNDERSTANDING THAT CHILDREN'S HOSPITAL COLORADO IS INVESTED IN CREATING PROGRAMS THAT ADDRESS THE ENTIRE PICTURE OF HEALTH, WE COMMITTED SIGNIFICANT RESOURCES TO IMPROVE LOW INCOME, HIGH RISK POPULATION LITERACY RATES. CHILDREN'S HOSPITAL COLORADO HAS TEAMED UP WITH REACH OUT AND READ WITH THE GOAL OF ENROLLING 100% OF LOW INCOME CHILDREN IN THIS EVIDENCE BASED LITERACY PROGRAM RUN THROUGH PRIMARY CARE OFFICES DURING WELL CHILD VISITS. BECAUSE 90% OF BRAIN DEVELOPMENT OCCURS BETWEEN BIRTH AND AGE 5 WE WANTED TO UTILIZE A PROGRAM THAT OFFERS AN EFFECTIVE INTERVENTION DURING A CRITICAL WINDOW FOR LEARNING. WE RECOGNIZE THAT IF CHILDREN MISS THE OPPORTUNITY TO ACQUIRE FOUNDATIONAL LANGUAGE SKILLS, THEY ARE SET UP FOR IMMEDIATE STRUGGLES THAT IMPACT THEIR OVERALL HEALTH AND WELL-BEING. WE ARE USING OUR RELATIONSHIPS WITH COMMUNITY PHYSICIANS AND OUR ADVOCACY EXPERTISE AND RESOURCES TO SUPPORT OUR OBJECTIVE. COMMUNITY SUPPORT MEDICAL-LEGAL PARTNERSHIP IS A HEALTH CARE DELIVERY MODEL THAT IMPROVES THE HEALTH AND WELL-BEING OF LOW-INCOME AND OTHER VULNERABLE POPULATIONS BY ADDRESSING UNMET LEGAL NEEDS AND REMOVING LEGAL BARRIERS THAT IMPEDE HEALTH. LEGAL PROFESSIONALS FROM THE LEGAL AID, LAW SCHOOL AND PRIVATE SECTOR PRO BONO COMMUNITIES ARE INTEGRATED INTO THE HEALTHCARE TEAM, WHERE THEY PARTNER WITH FRONT-LINE PHYSICIANS, NURSES, CASE MANAGERS AND OTHERS TO: (1) PROVIDE DIRECT LEGAL ASSISTANCE TO PATIENTS; (2) DEVELOP/ALIGN STRATEGIES TO IMPROVE HEALTH AND LEGAL INSTITUTIONS AND PRACTICES; AND (3) CHANGE POLICIES, ALL IN SERVICE OF ENSURING THAT VULNERABLE PEOPLE GET AND STAY HEALTHY. THE MEDICAL-LEGAL PARTNERSHIP MODEL IS UNIQUE BECAUSE IT BRIDGES PATIENT TO POPULATION LEVEL INTERVENTIONS AND ALSO ADDS A LEVEL OF INSTITUTIONAL SYSTEMS CHANGE. HEALTH AND LEGAL SERVICES ARE INTEGRATED, RATHER THAN OPERATING AS A REFERRAL MECHANISM, LEADING TO LONG-TERM, SUSTAINABLE, MORE EFFECTIVE SOLUTIONS TO HEALTH AND LEGAL PROBLEMS. ENVIRONMENTAL IMPROVEMENT RECOGNIZING THAT EFFECTIVE ADVOCACY FOR IMPROVED ACCESS TO HEALTH CARE INCLUDES WORK TO ENSURE THAT FAMILIES HAVE ACCESS TO AFFORDABLE TRANSPORTATION; CHILDREN'S HOSPITAL COLORADO SERVES AS A CHAMPION OF THE CAUSE OF EXPANDED LIGHT RAIL SERVICES TO THE ANSCHUTZ MEDICAL CAMPUS. IN 2012 CHILDREN'S HOSPITAL COLORADO COORDINATED ADVOCACY WORK WITH OTHER HEALTHCARE PLAYERS ON CAMPUS AND THE CITY OF AURORA TO ENSURE THAT OUR REGIONAL TRANSPORTATION DISTRICT ("RTD") BEGIN WORK TO EXPAND THE LIGHT RAIL LINE DOWN THE HIGHWAY WITH THE CLOSEST PROXIMITY TO THE CAMPUS. FOLLOWING THIS SUCCESSFUL EFFORT, CHILDREN'S HOSPITAL COLORADO HAS STARTED WORK TO EXPAND THAT LINE EVEN FURTHER TO RUN THROUGH THE CAMPUS, FURTHER ENHANCING ACCESS TO CRITICAL MEDICAL SERVICES.
SCHEDULE H, PART III, LINE 2CHILDREN'S HOSPITAL COLORADO ESTIMATES BAD DEBT RESERVES BASED ON HISTORICAL EXPERIENCE. THE HOSPITAL EXPENSES UNCOLLECTIBLE BALANCES 120 DAYS AFTER THE FIRST BILLING CYCLE. SCHEDULE H, PART III, LINE 3 THE HOSPITAL DOES NOT REPORT ANY BAD DEBT AMOUNT IN COMMUNITY BENEFIT.
SCHEDULE H, PART III, LINE 4THE FOOTNOTE THAT DESCRIBES BAD DEBT IS ON PAGE 13 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS
SCHEDULE H, PART III, LINE 8THE SHORTFALL REPORTED IN LINE 7 REPRESENTS MEDICARE SHORTFALLS FOR HIGH NEEDS PEDIATRIC PATIENTS SERVED BY CHILDREN'S HOSPITAL COLORADO. IF CHILDREN'S HOSPITAL COLORADO DID NOT SUBSIDIZE THIS 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 PAYMENTS SHORT OF COSTS.
SCHEDULE H, PART III, LINE 9BYES, 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.
NEEDS ASSESSMENTACROSS THE HOSPITAL, NUMEROUS INTERNAL AND EXTERNAL DATA SOURCES ARE REGULARLY MONITORED AND UTILIZED TO IDENTIFY TRENDS AND OPPORTUNITIES TO IMPACT CHILD HEALTH. IN TERMS OF A FORMAL COMMUNITY NEEDS ASSESSMENT, CHILDREN'S HOSPITAL COLORADO HAS CONTRACTED WITH A THIRD PARTY, THE CENTER FOR PUBLIC HEALTH PRACTICE AT THE COLORADO SCHOOL OF PUBLIC HEALTH, TO CONDUCT A HEALTH CARE NEEDS ASSESSMENT REGARDING COLORADO CHILDREN. THE ASSESSMENT IS IN PROCESS AND WILL BE REPORTED ON IN A SUBSEQUENT YEAR. THE ASSESSMENT WILL CONSIDER THE IMMEDIATE COMMUNITY WHERE THE HOSPITAL MAIN CAMPUS IS LOCATED AS WELL AS STATEWIDE INFORMATION. THE METHODS USED WILL ASSESS HEALTH OUTCOMES AND RISK FACTORS FOR ALL CHILDREN UNDER AGE 21 IN THESE POPULATIONS USING BOTH QUANTITATIVE AND QUALITATIVE METHODS.SCHEDULE H, PART VI, LINE 2
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 $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 250 PERCENT AND REVISED FROM TIME TO TIME. FAMILIES WITH ADJUSTED GROSS INCOME BETWEEN 250 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.SCHEDULE H, PART VI, LINE 3
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 APPROXIMATELY ONE MILLION CHILDREN AND ADOLESCENTS; 70 PERCENT RESIDE WITHIN DENVER'S SEVEN COUNTY METROPOLITAN AREA, BORDERED ON THE NORTH BY BROOMFIELD COUNTY AND ON THE SOUTH BY DOUGLAS COUNTY. CHILDREN'S HOSPITAL COLORADO SERVES PATIENTS AND FAMILIES FROM THE SEVEN-STATE MOUNTAIN REGION, WITH 10 PERCENT OF ITS PATIENT POPULATION TRAVELING FROM OUT OF THE STATE. IN ADDITION, CHILDREN'S HOSPITAL COLORADO DELIVERS HIGH-QUALITY CARE IN MORE THAN 400 OUTREACH CLINICS OUTSIDE ITS PRIMARY SERVICE AREA EACH YEAR. DEMOGRAPHICALLY, CHILDREN SERVED HAVE DIVERSE CULTURAL AND ETHNIC BACKGROUNDS -- CHILDREN'S HOSPITAL COLORADO TRANSLATES MEDICAL CARE AND EDUCATION INSTRUCTIONS INTO 65 LANGUAGES (INCLUDING SIGN LANGUAGE) TO DELIVER CULTURALLY SENSITIVE, HIGH-QUALITY PEDIATRIC HEALTHCARE. THE MAJORITY OF ITS PATIENTS SPEAK ENGLISH, FOLLOWED BY SIGNIFICANT NUMBERS OF FAMILIES WHO SPEAK SPANISH, ARABIC, BURMESE, VIETNAMESE, SOMALIAN, RUSSIAN, AND KOREAN. ADDITIONALLY, CHILDREN'S HOSPITAL COLORADO WORKS TO DELIVER OUR MISSION NOT ONLY IN THE DENVER METRO AREA AND THE STATE OF COLORADO, BUT ALSO THROUGHOUT THE SURROUNDING SEVEN-STATE REGION. THE REGION IS GEOGRAPHICALLY DIVERSE AND IS COMPRISED OF SEVEN STATES LOCATED IN THE WESTERN HIGH PLAINS AND ROCKY MOUNTAINS REGIONS. CHILDREN'S HOSPITAL COLORADO IS THE ONLY FREE-STANDING CHILDREN'S HOSPITAL IN THE REGION. IN RESPONSE TO THE UNIQUE CHARACTERISTICS OF THE REGION, CHILDREN'S HOSPITAL COLORADO DELIVERS HIGH QUALITY CARE IN MORE THAN 400 OUTREACH CLINICS OUTSIDE ITS PRIMARY SERVICE AREA EACH YEAR. CHCO IS DEDICATED TO DESIGNING INNOVATIVE APPROACHES TO PROVIDING MEDICAL EDUCATION OPPORTUNITIES WITH THE GOAL OF STRENGTHENING THE WORKFORCE TO MEET THE NEEDS OF OUR RURAL COMMUNITIES, PRESENTLY AN UNDERSERVED POPULATION IN THE U.S.SCHEDULE H, PART VI, LINE 4
PROMOTION OF COMMUNITY HEALTHIN 2012, CHILDREN'S HOSPITAL COLORADO PROVIDED 22.11% 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. CHILDREN'S HOSPITAL COLORADO WORKS TO DELIVER ON THIS MISSION NOT ONLY IN THE DENVER METRO AREA AND THE STATE OF COLORADO, BUT ALSO THROUGHOUT THE ROCKY MOUNTAIN REGION. THERE ARE EXTENSIVE EFFORTS LED BY CHILDREN'S HOSPITAL COLORADO THAT POSITIVELY IMPACT THE HEALTH AND SAFETY OF CHILDREN IN THE COMMUNITY - TO DESCRIBE ALL OF THEM IN DETAIL IS NOT REALISTIC IN A LIMITED SPACE, THUS BELOW ARE SOME OF THE HIGHLIGHTS. OUR BOARD OF DIRECTORS AT THE TIME OF FILING THIS FORM 990, CHILDREN'S HOSPITAL COLORADO'S BOARD OF DIRECTORS IS MADE UP OF 28 VOLUNTEERS FROM THE DENVER AREA COMMUNITY AND 18 EXECUTIVE LEADERS FROM THE HOSPITAL AND ITS 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. 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. ALL ARE PASSIONATE ABOUT THE HOSPITAL'S MISSION, MANY THROUGH PERSONAL EXPERIENCE, AND MOST HAVE THE ABILITY TO FUNDRAISE. WHILE THE MAJORITY OF BOARD OF DIRECTORS ARE CAUCASIAN, BOARD COMPOSITION IS ALSO REPRESENTATIVE OF THE AFRICAN-AMERICAN AND LATINO POPULATIONS. MEDICAL FACULTY PROFILE CHILDREN'S HOSPITAL COLORADO HAS AN OPEN MEDICAL STAFF, MEANING COMMUNITY PRACTITIONERS CAN HOLD PRIVILEGES AT THE HOSPITAL. IT HAS APPROXIMATELY 1,700 MEDICAL STAFF MEMBERS THAT INCLUDE ADVANCED PRACTICE NURSES, MORE THAN HALF OF WHOM ARE COMMUNITY-BASED. THOUGH THERE ARE THOUSANDS OF REFERRING PROVIDERS ALONG THE FRONT RANGE OF THE ROCKY MOUNTAINS AND THE PRAIRIES, CHILDREN'S HOSPITAL COLORADO'S 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. CHILDREN'S HOSPITAL COLORADO IS AFFILIATED WITH FAMILY MEDICINE RESIDENCY PROGRAMS IN COLORADO AND WYOMING. THIS PROVIDES FOR A PEDIATRIC ROTATION AT THE HOSPITAL WHICH PROVIDES A SIGNIFICANT BENEFIT TO THE REGION THAT HAS A LARGE RURAL POPULATION AND A SHORTAGE OF RURAL PHYSICIANS. CHILDREN'S 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 PARTICIPATE IN INTERNATIONAL MEDICAL MISSIONS TO IMPROVE THE HEALTH OF CHILDREN WORLDWIDE. CHILDREN'S 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. RECOGNIZING CHILDHOOD OBESITY AS A MAJOR CHILD HEALTH NEED IN OUR COMMUNITY, CHAI HAS ACTIVELY WORKED TO DEVELOP PROGRAMMING THAT WILL SUPPORT CHILDREN AND FAMILIES IN PREVENTING THE ONSET OF OBESITY. ONE SUCH PROGRAM THAT WAS ESTABLISHED IN 2011 AND WAS CONTINUED IN 2012 IS "BIKES FOR LIFE". BIKES FOR LIFE AIMS TO INCREASE PHYSICAL ACTIVITY IN YOUTH. IT CONNECTS CHILDREN WITHOUT ACCESS TO A BICYCLE WITH A HELMET, BICYCLE AND BICYCLE LOCK. CHILDREN ARE ENROLLED IN THE PROGRAM THROUGH THREE AVENUES - THE HOSPITAL'S PRIMARY CARE CLINIC, WEIGHT MANAGEMENT CLINICS, AND THE BOYS AND GIRLS CLUBS OF METRO DENVER. AFTER COMPLETING A BIKE CLINIC WHERE THEY ARE FITTED FOR THEIR HELMET AND BIKE, LEARN HOW TO RIDE, AND TAUGHT BIKE SAFETY AND RULES OF THE ROAD, THE CHILDREN SET GOALS ABOUT INCREASING PHYSICAL ACTIVITY. THE CHILDREN ENROLLED IN THE PROGRAM ARE FOLLOWED BY RESEARCHERS FOR A YEAR TO STUDY IMPACT ON HEALTH INDICATORS AND THE CHILD'S PHYSICAL ACTIVITY LEVELS AND SEDENTARY TIME. CHAI ALSO CONTINUED LEADING A STATEWIDE HEALTH LITERACY COLLABORATIVE THAT PROVIDES COMPREHENSIVE HEALTH AND SAFETY LESSON PLANS AND TEACHER RESOURCES TO NEARLY 500 SCHOOLS IN SIX COUNTIES. THIS TRANSLATES TO NEARLY 350,000 STUDENTS IN GRADES K-12 POTENTIALLY IMPACTED IF THE RESOURCE IS FULLY UTILIZED BY THE SCHOOLS. OTHER CHAI PROGRAMS THAT BENEFITED THE COMMUNITY IN 2012 INCLUDED THE ONGOING LEADERSHIP OF THE SAFE KIDS DENVER METRO COALITION AND THE SAFE KIDS COLORADO COALITION. THE MISSION OF SAFE KIDS IS TO IDENTIFY AND PREVENT INJURIES IN CHILDREN AGES 14 AND YOUNGER THROUGH A COMBINED PROGRAM OF EDUCATION, RESEARCH, ADVOCACY AND MEDIA. ACCIDENTAL CHILDHOOD INJURY IS A LEADING KILLER OF CHILDREN 14 AND UNDER, SO EFFORTS TO EDUCATE ABOUT SAFETY, INJURY AND TRAUMA PREVENTION ARE CRITICAL TO HELP AVOID THESE UNNECESSARY TRAGEDIES. EXAMPLES OF ACTIVITIES THAT CHILDREN'S COLORADO AND SAFE KIDS PROMOTES ARE CAR SEAT INSTALLATIONS AND INSPECTIONS, BICYCLE HELMET SAFETY EDUCATION AND SAFE SLEEP ENVIRONMENTS. THE HOSPITAL ALSO INCREASED THE COMMUNITY'S CAPACITY TO HELP ENSURE CAR SEATS ARE BEING USED AND ARE INSTALLED CORRECTLY BY TRAINING AND CERTIFYING CHILD PASSENGER SAFETY TECHNICIANS ACROSS THE STATE. TEEN DRIVING AND CAR SEATS FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS ARE ALSO PROGRAMMATIC FOCUS AREAS FOR CHILDREN'S HOSPITAL COLORADO. INJURY PREVENTION CHILDREN'S HOSPITAL COLORADO PARTNERS WITH THE ROCKY MOUNTAIN KIWANIS DISTRICT TO LEAD THE KIWANIS PEDIATRIC TRAUMA INSTITUTE (KPTI). KPTI CONDUCTS INJURY RESEARCH, PREVENTION AND OUTREACH EDUCATION IN HIGH-RISK AREAS SUCH AS FALLS, MOTOR VEHICLE CRASHES, CHILD ABUSE, BURNS, NEAR-DROWNINGS, POISONINGS AND INJURIES INCLUDING AUTO-PEDESTRIAN, HEAD, SPORTS, PLAYGROUND, DOG BITES, ALL-TERRAIN VEHICLE, LAWN MOWER, BICYCLE, INFANT WALKER AND MORE. THE KPTI PARTNERSHIP ALSO MANAGES A JUNGLEMOBILE PROGRAM THAT PROVIDES EFFECTIVE INJURY PREVENTION EDUCATION TO YOUNG CHILDREN, AGES THREE TO SEVEN, THROUGHOUT THE RURAL AREAS OF COLORADO, WYOMING AND WESTERN NEBRASKA. RURAL HEALTH OUTREACH CHILDREN'S COLORADO SUPPORTS FACULTY PROVIDERS CONDUCTING OUTREACH CLINICS AND EDUCATION IN RURAL AREAS OF COLORADO, WYOMING, MONTANA AND NEBRASKA. THESE COMMUNITIES DO NOT HAVE ACCESS TO PEDIATRIC SUB-SPECIALTY PROVIDERS, SO PROVIDING THESE SERVICES IMPROVES CARE COORDINATION, REDUCES PATIENT WAIT TIMES, AND RELIEVES FAMILY BURDENS INCLUDING TRAVEL EXPENSES, LOST WORK TIME, ETC. IN 2012, MORE THAN 6,500 CHILDREN WERE SERVED THROUGH CHILDREN'S HOSPITAL COLORADO OUTREACH CLINICS. GLOBAL HEALTH INSTITUTE THE GLOBAL HEALTH INSTITUTE AT CHILDREN'S HOSPITAL COLORADO WAS FORMED TO SERVE AS THE CENTRALIZED POINT OF CONTACT AT CHILDREN'S HOSPITAL COLORADO TO SUPPORT INTERNATIONAL ADVOCACY ACTIVITIES. ACTIVITIES INCLUDE PARTNERING WITH ONE OR MORE ORGANIZATIONS TO BUILD CAPACITY WITHIN IDENTIFIED INTERNATIONAL COMMUNITIES AND DELIVER ON-GOING CLINICAL SERVICES SUCH AS CONTINUING CONSULTATIVE SUPPORT, TRAINING AND EDUCATION. SUPPORT WILL ALSO BE GIVEN TO THE EVACUATION OF CHILDREN IN NEED, EITHER BECAUSE OF A NATURAL DISASTER OR INDIVIDUAL NEED BASIS.SCHEDULE H, PART VI, LINE 5
COLORADO PEDIATRIC COLLABORATIVEDURING THE SPRING OF 2011, CHILDREN'S HOSPITAL COLORADO, COLORADO PEDIATRIC PARTNERS AND PHYSICIAN HEALTH PARTNERS FORMED A NON-PROFIT PARTNERSHIP, COLORADO PEDIATRIC COLLABORATIVE (CPC), TO IMPROVE THE QUALITY, COORDINATION AND EFFICIENCY OF HEALTHCARE FOR CHILDREN IN COLORADO. CPC IS THE FIRST ORGANIZATION OF ITS KIND IN THE DENVER AREA COMBINING THE EXPERTISE OF A HOSPITAL, PRIMARY CARE PHYSICIANS, SPECIALISTS AND A MEDICAL MANAGEMENT COMPANY TO IMPROVE THE OVERALL QUALITY OF CARE FOR THE CHILDREN AND FAMILIES THEY SERVE. MORE THAN 200 PHYSICIANS FROM THE METRO AREA - PRIMARY CARE PEDIATRICIANS, PEDIATRIC SPECIALISTS AND PHYSICIANS INCLUDING FACULTY FROM THE UNIVERSITY OF COLORADO SCHOOL OF MEDICINE - WILL COLLABORATE WITH CHILDREN'S HOSPITAL COLORADO TO INCREASE FOCUS ON KEY PEDIATRIC HEALTH ISSUES, SUCH AS ASTHMA, OBESITY AND IMMUNIZATIONS IN THOUSANDS OF CHILDREN IN THE DENVER METRO AREA. THE FORMATION OF CPC IS A STEP TOWARD CREATING A MEDICAL NEIGHBORHOOD AND PROVIDING HIGH-QUALITY, ACCOUNTABLE HEALTHCARE, KEY ELEMENTS OF HEALTHCARE REFORM. CHILDREN AND FAMILIES WILL RECEIVE MORE STREAMLINED CARE, AND PHYSICIANS WILL BE ABLE TO EXCHANGE IMPORTANT HEALTH INFORMATION TO TREAT CHILDREN EFFICIENTLY AND EFFECTIVELY. IN 2012, THE CPC INITIATED SEVERAL QUALITY IMPROVEMENT EFFORTS, INCLUDING ASTHMA MANAGEMENT AND INTEGRATING HEALTHY WEIGHT SCREENING AND COUNSELING INTO THE PRIMARY CARE SETTING. ADDITIONALLY, CHILDREN'S HOSPITAL COLORADO ALSO ACTIVELY PROMOTES CHILDHOOD IMMUNIZATIONS THROUGH EDUCATION AND SUPPORT FOR BOTH PARENTS AND PROVIDERS. ORAL HEALTH RECOGNIZING THE LINK BETWEEN ORAL HEALTH AND PHYSICAL HEALTH, AS WELL AS THE BENEFIT OF EARLY INTERVENTION WHEN IT COMES TO ORAL HEALTH, THE CHILDREN'S HOSPITAL COLORADO DENTAL CLINIC CONDUCTED DENTAL SCREENINGS AND ORAL HEALTH EDUCATION IN LOCAL SCHOOLS AND COMMUNITY BASED ORGANIZATIONS, IMPACTING THOUSANDS OF CHILDREN. CHILDREN NEEDING FURTHER CARE WERE REFERRED TO THE HOSPITAL'S DENTAL CLINIC FOR A FOLLOW UP VISIT. FAMILY SUPPORT BEREAVEMENT GROUPS AND SPECIALIZED SUPPORT GROUPS FOR FAMILIES DEALING WITH A PARTICULAR ILLNESS ARE OFFERED THROUGHOUT THE HOSPITAL AS A MEANS TO ENSURE THE NEEDS OF THE ENTIRE FAMILY ARE BEING MET. ADDITIONALLY, CHILDREN'S HOSPITAL COLORADO SUPPORTS A NUMBER OF COMMUNITY BASED CAMPS DESIGNED AROUND CHILDREN WITH SPECIFIC CONDITIONS AND HEALTH CARE NEEDS. OTHER EFFORTS TO MEET THE NEEDS OF FAMILIES BEYOND THE PROVISION OF MEDICAL CARE INCLUDED NEARLY 20,000 STAFF HOURS SPENT PROVIDING FINANCIAL COUNSELING FOR FAMILIES AS WELL AS MANAGING PROGRAMS SUCH AS THE FAMILY NAVIGATOR, WHICH HELPS CONNECT FAMILIES OF CHILDREN WITH COMPLEX MEDICAL NEEDS WITH NEEDED SERVICES AND SUPPORT UPON LEAVING THE HOSPITAL AND RETURNING TO THE COMMUNITY, AND THE MEDICAL LEGAL PARTNERSHIP, WHICH HELPS ADDRESS THE LEGAL NEEDS OF PATIENT FAMILIES. PARENT EDUCATION CHILDREN'S HOSPITAL COLORADO PROVIDES SERVICES TO PARENTS FREE OF CHARGE THAT EDUCATE AND GUIDE THEM THROUGH COMMON CONCERNS AND QUESTIONS. OFTEN, PARENTS NEED QUICK TIPS, IDEAS AND ALTERNATE APPROACHES TO VARIOUS CHILDHOOD ISSUES. CHILDREN'S HOSPITAL COLORADO'S PARENT ADVICE LINE PROVIDES MORE THAN 275 TOPICS RELATED TO THE HEALTH OF THEIR INFANTS, CHILDREN AND TEENAGERS. THE MESSAGES WERE DEVELOPED BY ONE OF CHILDREN'S HOSPITAL COLORADO'S PEDIATRICIANS. CHILDREN'S HOSPITAL COLORADO PROVIDES CONSUMER HEALTH INFORMATION TO THE PUBLIC THROUGH ITS FAMILY HEALTH LIBRARY, SERVING NEARLY 25,000 PEOPLE. THE HOSPITAL'S EXTERNAL WEBSITE IS ANOTHER WAY THE HOSPITAL MAKES HEALTH AND SAFETY RESOURCES WIDELY AVAILABLE TO THE PUBLIC, REACHING OVER A MILLION PEOPLE EACH YEAR. ADDITIONALLY, CHILDREN'S HOSPITAL COLORADO CONDUCTS FREE PARENTING SEMINARS TO MEMBERS OF THE COMMUNITY. TOPICS ADDRESSED INCLUDE: SUCCESSFUL PARENTING STRATEGIES, SOLVING COMMON SLEEP PROBLEMS, POTTY TRAINING, AND HELPING TEENS AND TWEENS COPE WITH CHALLENGING ISSUES. LEADERSHIP IN THE COMMUNITY THE HOSPITAL'S DEDICATED STAFF MEMBERS DO NOT LIMIT THEIR CARE TO ONLY HOSPITALIZED PATIENTS. STAFF MEMBERS CONTRIBUTE THOUSANDS OF HOURS ON STAFF TIME OR AS A VOLUNTEER TO ACTIVITIES SUCH AS: EDUCATING COMMUNITY GROUPS ABOUT FIRST AID, NUTRITION, INJURY PREVENTION, EATING DISORDERS/MENTAL HEALTH ISSUES AND OTHER IMPORTANT TOPICS; PARTICIPATING IN COMMUNITY COMMITTEES, NON-PROFIT BOARDS, HEALTH COALITIONS AND OTHER SIMILAR ORGANIZATIONS; PARTICIPATING IN HEALTH FAIRS, COMMUNITY CLINICS, HANDICAPPED SPORTS PROGRAMS, AND CAMPS FOR CHILDREN WITH SPECIAL NEEDS. COLORADO BREASTFEEDING COALITION, COLORADO RURAL HEALTH CENTER BOARD, COLORADO SPEECH, LANGUAGE, AND HEARING ASSOCIATION, COLORADO MANAGED CARE COLLABORATIVE BOARD, AURORA HEALTH CARE ACCESS TASK FORCE, MARCH OF DIMES, AND THE COLORADO ASSOCIATION OF SCHOOL NURSES ARE JUST A FEW OF THE MANY ORGANIZATIONS WHERE STAFF MEMBERS DEDICATE THEIR TIME AND EXPERTISE. CHILDREN'S HOSPITAL COLORADO ALSO USES ITS INFLUENCE IN THE COMMUNITY TO SERVE AS A CONVENOR ON KEY CHILD HEALTH ISSUES. FOR EXAMPLE, IN EARLY 2011 THE HOSPITAL CONVENED NEARLY 100 STAKEHOLDERS FROM A VARIETY OF PERSPECTIVES - MEDICAL, INSURANCE, GOVERNMENT, SCHOOLS, PARENTS, COMMUNITY BASED ORGANIZATIONS AND MORE - TO EXPLORE HOW TO ADDRESS BEHAVIORAL HEALTH NEEDS IN COLORADO. INFORMATION GLEANED IS BEING USED TO HELP DEVELOP CHILDREN'S HOSPITAL COLORADO MENTAL HEALTH STRATEGY IN RESPONSE TO PRIORITY NEEDS IDENTIFIED IN THE 2012 COMMUNITY NEEDS ASSESSMENT. RESEARCH LEADERSHIP AT THE HOSPITAL BELIEVES THAT ADVANCES IN RESEARCH LEAD TO IMPROVED OUTCOMES FOR ALL CHILDREN, THROUGH BOTH TREATMENT AND PREVENTION EFFORTS IN AND OUTSIDE OF HOSPITAL SETTINGS. RESEARCH IN CHILDHOOD DISEASES FORMALLY BEGAN IN 1978 AT CHILDREN'S HOSPITAL COLORADO. TODAY, CHILDREN'S HOSPITAL COLORADO IS NATIONALLY RECOGNIZED FOR ITS EXCELLENCE IN RESEARCH IN THE DISEASES OF THE NEWBORN, CHILD, AND TEEN. CHILDREN'S HOSPITAL COLORADO RESEARCH INSTITUTE SERVES AS AN UMBRELLA ORGANIZATION FOR ALL RESEARCH AT THE HOSPITAL. PROGRAMS UNDER THIS UMBRELLA INCLUDE THE SPONSORED PROGRAMS OFFICE, THE COLORADO MULTIPLE INSTITUTIONAL REVIEW BOARD (COMIRB), THE CLINICAL TRIALS ORGANIZATION, AND THE CLINICAL TRANSLATIONAL RESEARCH CENTER. THE RESEARCH INSTITUTE HAS ALSO FOCUSED ON NEW, YOUNG CHILDREN'S HOSPITAL COLORADO INVESTIGATORS BY FUNDING THEM FOR PROJECTS THAT MAY SUBSEQUENTLY PROVIDE THE PRELIMINARY DATA NECESSARY FOR THE INVESTIGATOR TO COMPETE FOR FUNDS FROM OUTSIDE AGENCIES. MORE THAN HALF OF RESEARCH INSTITUTE GRANT RECIPIENTS HAVE BEEN SUCCESSFUL IN OBTAINING ADDITIONAL FUNDS FROM OUTSIDE GRANTING AGENCIES SUCH AS THE NATIONAL INSTITUTES OF HEALTH AND THE AMERICAN HEART ASSOCIATION, AS WELL AS OTHER FOUNDATIONS AND GRANTING AGENCIES. FINALLY, THE COLORADO CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE, FOUNDED IN 2008, SPECIFICALLY PROMOTES COLLABORATION BETWEEN PRIMARY CARE PHYSICIANS AND PRINCIPLE INVESTIGATORS TO ENSURE A "CONTINUUM OF RESEARCH" THAT BROADENS PARTICIPATION IN BASIC RESEARCH AND FACILITATES THE TRANSLATION OF RESEARCH ADVANCES TO PRIMARY CARE APPLICATIONS. KIDS ARE OUR BOTTOM LINE DRIVEN BY ITS MISSION AND DREAM OF A WORLD WHERE CHILDREN NO LONGER NEED A HOSPITAL, THE HOSPITAL RE-INVESTS ANY AVAILABLE SURPLUS FUNDS TO CONTINUE TO IMPROVE AND EXPAND UPON CURRENT PEDIATRIC PATIENT NEEDS.
FACILITY REPORTING GROUPA 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 - NORTH (3) CHILDREN'S HOSPITAL COLORADO - PARKER (4) CHILDREN'S HOSPITAL COLORADO - ST JOSEPHS (5) CHILDREN'S HOSPITAL COLORADO - MEMORIAL THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 20(D) APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: CHILDREN'S HOSPITAL OF COLORADO USES A BLENDED AVERAGE OF ALL COMMERCIAL INSURANCE REIMBURSEMENT RATES.SCHEDULE H, PART VI, LINE 8

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
REAL COLORADO
8200 SOUTH AKRON STCENTENNIALCO80112742392779501(C)(3)120000GENERAL PROGRAM SUPPORT
MARCH OF DIMES
1325 S COLORADO BLVDDENVERCO80222131846366501(C)(3)50000GENERAL PROGRAM SUPPORT
DENVER ART MUSEUM
100 W 14TH AVE PKWYDENVERCO80204846038240501(C)(3)40000GENERAL PROGRAM SUPPORT
DENVER METRO CHAMBER OF COMMERCE
PO BOX 5751DENVERCO80217840186760501(C)(6)25000GENERAL PROGRAM SUPPORT
AMERICAN RED CROSS PIKES PEAK
1040 S 8TH STCOLORADO SPRINGSCO80905840437753501(C)(3)25000GENERAL PROGRAM SUPPORT
CHILDREN'S HEALTH FOUNDATION
400 WEST MAIN STASPENCO81611202015631501(C)(3)10000GENERAL PROGRAM SUPPORT
RONALD MCDONALD GALA
1300 E 21ST AVEDENVERCO802055218840728926501(C)(3)10000GENERAL PROGRAM SUPPORT
RONALD MCDONALD HOUSE
311 N LOGANCOLORADO SPRINGSCO80909840728926501(C)(3)10000GENERAL PROGRAM SUPPORT
SOUTH METRO FIRE RESCUE
PO BOX 324PARKERCO80138841174330501(C)(3)10000GENERAL PROGRAM SUPPORT
REACH OUT AND READ
4380 S SYRACUSE STDENVERCO80237861172160501(C)(3)10000GENERAL PROGRAM SUPPORT
ROUND UP RIVER RANCH
PO BOX 8589AVONCO81620204632248501(C)(3)7000GENERAL HEALTH AND EDUCATION
ST ANTHONY HEALTH
11600 W 2ND PLACELAKEWOODCO80228840902211501(C)(3)5500GENERAL PROGRAM SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants11TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationCHILDREN'S HOSPITAL COLORADO RELIES ON THE GOVERNANCE PRACTICES OF THE RECIPIENT EXEMPT ORGANIZATIONS TO MONITOR THE USE OF FUNDS AS INTENDED.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (26 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JAMES E SHMERLING DHA
PRESIDENT AND CEO74150804109400395592018453701669401749271027910
JENA HAUSMANN
CHIEF OPERATING OFFICER408317018259701666580974530168210871846000
LEONARD J DRYER JR
SR. VP-CFO377100011106670639894037500168650214827605053500
MARY ANNE LEACH
SR. VP-CIO2491720729440109262047198015710480147000
JOHN LACOUTURE
CHIEF LEGAL OFFICER9474085322032708100012600423137000
KELLY JOHNSON
SR. VP / CHIEF NURSING OFFICER2671040880130853350463720213290508153000
JEFFREY HARRINGTON
VP FINANCE2040850578480735090477090162470399398000
MICHAEL WUKITSCH
VP HUMAN RESOURCE2400260686420809530519070191470460675000
SUZY JAEGER
VP AMBULATORY AND OPERATIONS2066810576150791860482100162530407945000
JERROD MILTON
VP OPERATIONS168138047785068540041476016540327593000
BETH GAFFNEY
VP OPERATIONS14592205754102524503750010640233522000
AMY CASSERI
CHIEF STRATEGY OFFICER287919010214301089220631500158230577957000
LINDA POWERS
DIR NURSING PROJECTS50409028377016760500072490253640000
MARGI MORSE
DIR ADVANCED PRACTICE NURSING52338025210015573900072490240536000
ROBERT REID
VP SUPPORT SERVICES126089028239012277072970157160189618000
MICHAEL CLARK
EXEC DIR RESEARCH ADMIN14731604001703407501177106780233857000
DARLA VAN ESSEN
DIR NURSING PROJECTS1055510264180106126000143160252411000
MARY BETH MARTIN
EXEC DIR MATERNAL-FETAL PROG171577032605034344014640102320250222000
JOHN SCHLIEP
OPERATIONS CONSULTANT90486020218011334100054270229472000
SUSAN L MORAN
NEONATAL NURSE PRACTITIONER17685402797024415032030151640222433000
JOAN BOTHNER MD
CHIEF MEDICAL OFFICER49777201539520000000651724000
DENNIS MATTHEWS
PPAARDI-IN-CHIEF1989890635800000000262569000
STEPHEN DANIELS
PEDIATRIC-IN-CHIEF4038720775500000000481422000
DANIEL HYMAN MD
CHIEF QUALITY OFFICER37344001131690000000486609000
FRED SUCHY
CHIEF RESEARCH OFFICER20121101236990000000324910000
TIMOTHY CROMBLEHOME
SURGEON-IN-CHIEF37914902088000000000587949000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL COMPENSATION INFORMATIONSCHEDULE J, PART I, LINE 4BCHILDREN'S HOSPITAL COLORADO ("CHILDREN'S COLORADO") SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN WAS FROZEN. LEONARD J. DRYER, JR. IS THE ONLY PARTICIPANT IN THE PLAN. THE PLAN WAS FULLY DISTRIBUTED TO THE PARTICIPANT DURING 2012 IN THE AMOUNT OF $505,350.
SUPPLEMENTAL COMPENSATION INFORMATIONSCHEDULE J, PART I, LINE 7CERTAIN 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 SCHEDULE O DISCLOSURE FOR PART VI, LINES 15A/B FOR ADDITIONAL INFORMATION ON EXECUTIVE COMPENSATION.
OTHER INFORMATIONCHILDREN'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. - $497,772 BASE COMPENSATION AND $153,952 OF 2011 BONUS PAID IN 2012 DENNIS MATTHEWS - $198,989 BASE COMPENSATION AND $63,580 OF 2011 BONUS PAID IN 2012 STEPHEN DANIELS - $403,872 BASE COMPENSATION AND $77,550 OF 2011 BONUS PAID IN 2012 DANIEL HYMAN, M.D. - $373,440 BASE COMPENSATION AND $113,169 OF 2011 BONUS PAID IN 2012 FRED SUCHY - $201,211 BASE COMPENSATION AND $123,699 OF 2011 BONUS PAID IN 2012 TIMOTHY CROMBLEHOME - $379,149 BASE COMPENSATION AND $208,800 OF 2011 BONUS PAID IN 2012

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF AURORA CO
A84600056405155XBT52008-06-06258814487SERIES 2008 - SEE PART VIfalsefalsefalse
CITY OF AURORA CO
B84600056405155XBV02008-12-1067580000SERIES 2008C - SEE PART VIfalsefalsefalse
CITY OF AURORA CO
C84600056405155XBX62010-05-2559999130SERIES 2010A - SEE PART VIfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindYear Of Subst CompletionYearOfSubstCompletion
A2490500002588144870002381234183253002562500000truefalsetruetrue
B76000000675800000005006257937500670000000truefalsetruetrue
C0059999130000709432005928969800falsefalsetruetrue2012

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsefalsefalsetruetrue0.000000.000000.00000falsefalsefalsetrue
Bfalsefalsefalsefalse0.001000.000000.00100falsefalsefalsetrue
Cfalsefalsefalsefalse0.000000.000000.00000falsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
0
Atruetruefalsefalse0falsetrue
0
Btruetruefalsefalse0falsetrue
0
Ctruefalsefalsefalse0falsetrue

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Atrue
Btrue
Ctrue

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF PURPOSES OF BONDSIdentifier
Return Reference0ReturnReference
ExplanationSCHEDULE K, PART I, COLUMN (F) HOSPITAL REVENUE REFUNDING 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. HOSPITAL REVENUE REFUNDING BONDS SERIES 2008C - THE PURPOSE OF THIS BOND ISSUE IS TO REFUND BONDS THAT WERE PREVIOUSLY ISSUED ON 1/22/04. THE REMAINING WEIGHTED AVERAGE MATURITY OF THE BONDS CURRENTLY REFUNDED WAS 14.5966 YEARS. 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. THE WEIGHTED AVERAGE MATURITY OF THE BONDS IS 29.1602 YEARS.Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonCHILDREN'S NORTH ASCNamePerson
Relationship With OrganizationJOINT VENTURERelationshipWithOrganization
Purpose Of LoanLOAN GUARANTEEPurposeOfLoan
Loan To OrganizationXLoanToOrganization
Original Principal$4,651,000OriginalPrincipalAmount
Balance Due4651000BalanceDue
DefaultfalseDefault
Approved By BoardtrueApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due4651000TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
PHIPPS MCCARTHY
KAY - CHCO DIRECTOR62858051CONSTRUCTION FEESfalse
LOCKTON COMPANY
LINDSAY - CHCO DIRECTOR357900CONSULTING FEESfalse
MATTHEW M DRYER
SON OF OFFICER94229COMPENSATIONfalse
DEBRA SHMERLING
WIFE OF OFFICER13539COMPENSATIONfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
VOLUNTEERSFORM 990, PART I, LINE 6FROM 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 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.
NEW SIGNIFICANT PROGRAM SERVICESFORM 990, PART III, LINE 2COLORADO 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.
ADDITIONAL PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4AWHEN 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. 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 1,800 PEDIATRIC SPECIALISTS AND MORE THAN 5,000 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, ORTHO CLINIC, ONCOLOGY CLINIC, ETC. 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. FROM PROVIDING IMMUNIZATIONS AND CAR SEAT CHECKS, 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 SERVICESCHILDREN'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 III NEONATAL INTENSIVE CARE UNIT - SERVES AS A REFERRAL CENTER FOR COLORADO AND SURROUNDING STATES. ORGAN AND BONE MARROW TRANSPLANTATION - 361 HEART TRANSPLANTS, 180 LIVER TRANSPLANTS, 193 KIDNEY TRANSPLANTS AND 665 BONE MARROW TRANSPLANTS HAVE BEEN COMPLETED AT CHILDREN'S COLORADO FROM 1990 THROUGH 2012. 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 AND11 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. MIBG PROGRAM - CHILDREN'S COLORADO EXPECTS TO START TREATING PATIENTS WITH NEUROBLASTOMA, A PEDIATRIC CANCER, IN THE FALL OF 2013 USING 131I-MIBG, A RADIOPHARMACEUTICAL. MIBG IS INFUSED AND, DUE TO THE HIGH LEVEL OF RADIOACTIVITY, THE PATIENTS WILL STAY IN A DEDICATED LEAD-LINED ROOM IN THE ANSCHUTZ CAMPUS HOSPITAL. THIS TREATMENT IS ONLY AVAILABLE AT A LIMITED NUMBER OF FACILITIES THROUGHOUT THE UNITED STATES. 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 SCHOOLS AS WELL AS IN THE COMMUNITY, AND THE CHILDREN'S COLORADO FAMILY HEALTH LIBRARY IS AVAILABLE TO THE PUBLIC. CHILDREN'S COLORADO BELIEVES ITS PHYSICIAN OUTREACH PROGRAM IS A SIGNIFICANT FACTOR IN ESTABLISHING AND MAINTAINING ITS TERTIARY STATUS AND REGIONAL REFERRAL MARKET. THIS PROGRAM PROVIDES SPECIALISTS TO STAFF CLINICS THROUGHOUT COLORADO AND ADJOINING STATES (MORE THAN 1,200 CLINIC DAYS ANNUALLY). CHILDREN'S COLORADO HAS IMPLEMENTED A TELEMEDICINE PROGRAM WHICH ALLOWS PHYSICIANS TO HOLD CLINICS IN RURAL COMMUNITIES AND PROVIDE SPECIALTY MEDICAL ADVICE BOTH WITHIN AND OUTSIDE THE STATE OF COLORADO. CURRENTLY, REGIONAL OUTREACH CLINICS ARE HELD USING TELEMEDICINE IN RURAL COLORADO, WYOMING, MONTANA AND OTHER SURROUNDING STATES. THIS TECHNOLOGY HAS ALSO PROVEN TO BE INVALUABLE IN ALLOWING THE STAFF AND PROVIDERS TO COMMUNICATE AND PROVIDE EDUCATION PROGRAMS ACROSS THE CHILDREN'S ANSCHUTZ CAMPUS AND THROUGHOUT THE NETWORK OF CARE. CHILDREN'S COLORADO ALSO SPONSORS AND COORDINATES A SCHOOL HEALTH NURSING PROGRAM THAT PLACES PEDIATRIC NURSES IN SEVERAL SCHOOL DISTRICTS AND DAY CARE CENTERS ACROSS THE DENVER METRO AREA AND SURROUNDING COMMUNITIES.
POWER OF THE VOTING MEMBERS OF THE GOVERNING BODYFORM 990, PART VI, LINE 1ACHILDREN'S HOSPITAL COLORADO'S EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR, VICE CHAIR, PRESIDENT, 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.
DESCRIPTION OF CLASSES OF MEMBERS OF STOCKHOLDERSFORM 990, PART VI, LINE 6CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL COLORADO.
GOVERNANCE DECISIONS REQUIRING APPROVALFORM 990, PART VI, LINE 7BCHILDREN'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.
PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990FORM 990, PART VI, LINE 11BCHILDREN'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 CONTROLLER CONDUCTS 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, AND A FINAL COPY IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE IRS VIA A SECURED WEBSITE.
PROCESS USED TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTFORM 990, PART VI, LINE 12CALL 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 AUDIT 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 CONFLICT OF INTEREST COMMITTEE HAS DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS WITH RESPECT TO A PARTICULAR AGREEMENT/CONTRACT THEN: 1. THE COI 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 COI COMMITTEE MAY APPROVE SUCH CONTRACT, TRANSACTION OR ARRANGEMENT ONLY IF THE DISINTERESTED PERSON OR COMMITTEE DETERMINE BY A MAJORITY VOTE THAT: * THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT IN CHILDREN'S COLORADO BEST INTERESTS AND FOR COLORADO CHILDREN'S OWN BENEFIT; AND * THE PROPOSED TRANSACTION IS FAIR AND REASONABLE TO CHILDREN'S COLORADO, TAKING INTO ACCOUNT, AMONG OTHER RELEVANT FACTORS, WHETHER TCH COULD OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES.
PROCESS FOR DETERMINING COMPENSATION OF TOP OFFICIAL, OFFICERS, & KEY EMPFORM 990, PART VI, LINES 15A AND 15BCHILDREN'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 -- VARIABLE PAY - LEADERSHIP INCENTIVE IS IN PLACE WHICH REWARDS FOR ORGANIZATIONAL PERFORMANCE WITH A COMPONENT ALSO BASED ON DIVISION PERFORMANCE FOR ALL EXCEPT THE CEO. 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 MARCH 2013 MEETING O ON POSITIONS WITH INSUFFICIENT DATA (LESS THAN 6 MATCHES) -- USED EXPANDED PEER GROUP OF ALL HEALTHCARE ORGANIZATION O BENCHMARKED BASE PAY, TOTAL CASH COMPENSATION, AND BENEFITS 2013 CUSTOM PEER GROUP O ATLANTA O BOSTON O CHICAGO O CINCINNATI O COLUMBUS O DALLAS O HOUSTON O LOS ANGELES O MILWAUKEE O MINNEAPOLIS O PALO ALTO O PHILADELPHIA O WASHINGTON, DC O FORT WORTH O SEATTLE
AVAILABILITY OF CERTAIN DOCUMENTSFORM 990, PART VI, LINE 19THESE DOCUMENTS ARE MADE AVAILABLE UPON REASONABLE REQUEST.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 9CHANGE IN VALUE OF INTEREST RATE SWAP $ (3,035,616) OTHER CHANGE IN UNRESTRICTED NET ASSETS 2,810,841 CHANGE IN RESTRICTED NET ASSETS 905,850 CHANGE IN PERMANENTLY RESTRICTED NET ASSETS 2,752,472 RELEASE OF BENEFICIAL INTEREST (209,966,000) NET INCOME REPORTED ON OTHER TAX RETURN (RMCHS) (1,720,847) EQUITY TRANSFER TO PARENT (CHCHS) (210,461,105) ------------- TOTAL $(418,714,405) =============

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CHILDREN'S HOSPITAL COLORADO HLTH SYSTEM
13123 EAST 16TH AVENUEAURORACO80045454182666HEALTHCARECO501(C)(3)7NAfalse
CHILDREN'S HEALTH CORPORATION
13123 EAST 16TH AVENUEAURORACO80045742235572SUPPORTINGCO501(C)(3)11, TYPE ICH-COLORADOtrue
CHILD HEALTH MANAGEMENT SERVICES INC
13123 EAST 16TH AVENUEAURORACO80045742266667IT SERVICECO501(C)(3)3CH-COLORADOtrue
CHILDREN'S HOSPITAL COLORADO FOUNDATION
13123 EAST 16TH AVENUEAURORACO80045840813462FOUNDATIONCO501(C)(3)7CHCHStrue

Form990 Schedule R Part III Form990ScheduleRPartIII

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Share Of EOY Assets-2101122ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
Code V$0CodeVAmount
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Percentage Ownership0.73000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV

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Share Of EOY Assets115488ShareOfEOYAssets
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Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CHILDRENS NORTH SURGERY CENTER LLC
B265000SEE PART VII
CHILDRENS NORTH SURGERY CENTER LLC
D5450000SEE PART VII
CHILDRENS NORTH SURGERY CENTER LLC
A, J491099SEE PART VII
THE CHILDRENS HOSPITAL FOUNDATION
C15298447SEE PART VII

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierMETHOD USED TO DETERMINE AMOUNTS OF TRANSACTIONS WITH CONTROLLED ENTITIESIdentifier
Return ReferenceSCHEDULE R, PART V, LINE 2ReturnReference
ExplanationTHE AMOUNTS REPORTED ON LINES 2(1), 2(3), AND 2(4) OF SCHEDULE R, PART V ARE THE ACTUAL AMOUNTS REPORTED ON COLORADO CHILDREN'S FINANCIAL STATEMENTS. THE AMOUNT REPORTED ON LINE 2(2) IS THE MAXIMUM AMOUNT OF THE LOAN GUARANTEED BY COLORADO CHILDREN'S.Explanation