CHILDRENS HOSPITAL & MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HOSPITAL & MEDICAL CENTER (EIN 47-0379754)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-08-15
IRS object ID: 201212289349302186
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-08-15T11:27:20-05:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	Two Central Park Plaza Suite 1501	AddressLine1
City	Omaha	City
State	NE	State
ZIP Code	681021626	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	470379754	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HOSPITAL & MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% MICHAEL J BROWN	InCareOfName
Name Control	CHIL	NameControl
Phone	4029554116	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8200 DODGE STREET	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	68114	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MICHAEL J BROWN	Name
Title	SR. VICE PRESIDENT & CFO	Title
Phone	4029554116	Phone
Date Signed	2012-06-27	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	4023481450	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	GARY A PERKINS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	8200 DODGE STREET	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	68114	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	224375585	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.CHILDRENSOMAHA.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1948	YearFormation
State Legal Domicile	NE	StateLegalDomicile
Activity Or Mission Description	A FAMILY-CENTERED REGIONAL PROVIDER DEDICATED TO COST-EFFECTIVE, QUALITY HEALTHCARE Services & ADVOCACY FOR CHILDREN, INFANTS THROUGH ADOLESCENTS, WHILE ACTIVELY PROMOTING HEALTHCARE EDUCATION & Research.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	18	NbrIndependentVotingMembers
Total Nbr Employees	1998	TotalNbrEmployees
Total Nbr Volunteers	297	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	6856976	ContributionsGrantsPriorYear
Contributions Grants Current Year	4284969	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	200133005	ProgramServiceRevenuePriorYear
Program Service Revenue CY	211631952	ProgramServiceRevenueCY
Investment Income Prior Year	653743	InvestmentIncomePriorYear
Investment Income Current Year	-204156	InvestmentIncomeCurrentYear
Other Revenue Prior Year	8057766	OtherRevenuePriorYear
Other Revenue Current Year	8394992	OtherRevenueCurrentYear
Total Revenue Prior Year	215701490	TotalRevenuePriorYear
Total Revenue Current Year	224107757	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	3584092	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	3711498	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	98984678	SalariesEtcPriorYear
Salaries Etc Current Year	103961568	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	98472270	OtherExpensePriorYear
Other Expenses Current Year	102288591	OtherExpensesCurrentYear
Total Expenses Prior Year	201041040	TotalExpensesPriorYear
Total Expenses Current Year	209961657	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	14660450	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	14146100	RevenuesLessExpensesCY
Total Assets BOY	257508374	TotalAssetsBOY
Total Assets EOY	280529833	TotalAssetsEOY
Total Liabilities BOY	140536958	TotalLiabilitiesBOY
Total Liabilities EOY	150153513	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	116971416	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	130376320	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	SO THAT ALL CHILDREN MAY HAVE A BETTER CHANCE TO LIVE....CHILDREN'S HOSPITAL & MEDICAL CENTER DELIVERS EXTRAORDINARY CARE TO CHILDREN, EDUCATES HEALTH CARE PROFESSIONALS, AND PROMOTES PEDIATRIC RESEARCH.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	196617970	Expense
Grants	3711498	Grants
Revenue	219893906	Revenue
Description	THE HOSPITAL OPERATES A 145-BED PEDIATRIC HOSPITAL, WHICH INCLUDES SEVEN SURGICAL SUITES, A HYBRID HEART CATHETERIZATION LAB, 30 OUTPATIENT SPECIALTY CLINICS, AND A 33-BED OUTPATIENT "DAY HOSPITAL" KNOWN AS CHILDREN'S AMBULATORY RECOVERY AND EXPRESS STAY (CARES) UNIT, IN ADDITION TO OFFERING OUTPATIENT EATING DISORDER SERVICES AND PROVIDING A FULL ARRAY OF PEDIATRIC HOME HEALTH CARE SERVICES TO CHILDREN AND ADOLESCENTS WHO HAVE IMMEDIATE OR LONG-TERM HEALTH CARE NEEDS, INCLUDING HOME MEDICAL EQUIPMENT RENTALS AND SALES, HOME HEALTH NURSING, IN-HOME PRIVATE DUTY NURSING, CENTER BASED PRIVATE DUTY NURSING AT CHILDREN'S HOME HEALTHCARE'S WORLD, AND HOME INFUSION THERAPY SERVICES. CHILDREN'S HOSPITAL & MEDICAL CENTER IS THE ONLY DEDICATED PEDIATRIC EMERGENCY DEPARTMENT IN THE REGION AND ALSO PROVIDES SPECIALTY PEDIATRIC SERVICES IN LINCOLN, NEBRASKA.	Description
Total Program Service Expense	196617970	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	43	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1998	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	18	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	MICHAEL J BROWN	NamePerson
Telephone Number	4029554116	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	8200 DODGE STREET	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	68114	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
SUZANNE SCOTT
MEMBER	1.0	X	0	0	0
BARBARA SCHAEFER
CHAIR	1.0	X	0	0	0	X
DEB PERRY MD
SECRETARY	1.0	X	0	0	0	X
GARY A PERKINS FACHE
PRESIDENT/CEO/MEMBER	40.0	X	1118191	0	62401	X
ERIC BUTLER
MEMBER	1.0	X	0	0	0
JIM LANDEN
MEMBER	1.0	X	0	0	0
SUSAN WEIDNER
MEMBER	1.0	X	0	0	0
JOHN MOORE MD
MEMBER	40.0	X	225536	0	28301
DANA BRADFORD
MEMBER	1.0	X	0	0	0
SID DINSDALE
MEMBER	1.0	X	0	0	0
DAN HAMANN
TREASURER	1.0	X	0	0	0	X
JIM SIMPSON
VICE CHAIRMAN	1.0	X	0	0	0	X
ROWEN ZETTERMAN MD
MEMBER	1.0	X	0	0	0
RICH ANDERL
MEMBER	1.0	X	0	0	0
RODRIGO LOPEZ
MEMBER	1.0	X	0	0	0
MATTHEW MILLER
MEMBER	1.0	X	0	0	0
ELLEN WRIGHT
MEMBER	1.0	X	0	0	0
STEVE RAYNOR MD
MEMBER	1.0	X	0	0	0
LORRAINE CHANG
MEMBER	1.0	X	0	0	0
KATHY ENGLISH
EVP/COO	40.0		423743	0	47555	X
MICHAEL BROWN
SVP/CFO	40.0		439423	0	29995	X
CARL GUMBINER MD
SVP/CMO	40.0		343836	0	12978	X
GEORGE E REYNOLDS MD
VP/CMIO/CIO	40.0		457428	0	48804		X
BETSY J STEPHENSON MD
PHYSICIAN	40.0		310551	0	33857		X
JOHN ANDERSEN MD
PHYSICIAN	40.0		374017	0	21295		X
MICHAEL WILCZEWSKI MD
PHYSICIAN	40.0		300461	0	19793		X
DAWN GARY MD
PHYSICIAN	40.0		292602	0	29287		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4285788	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	334266	TotalOtherCompensation
Number Individuals GT100 K	83	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
KIEWIT BUILDING GROUP INC
3921 MASON STREET	OMAHA	NE	681051840	CONSTRUCTION	5914970
ELECTRIC COMPANY OF OMAHA
815 S 21ST STREET	OMAHA	NE	68103	ELECTRICAL CONTRACT.	707769
ALLSCRIPTS HEALTHCARE LLC
PO BOX 8538-0133	PHILADELPHIA	PA	19171	IT SUPPORT SERVICES	3356515
PYRAMID HEALTHCARE SOLUTION
PO BOX 17389	CLEARWATER	FL	337620389	MGMT STAFFING SVC.	877351
EPIC SYSTEMS CORP
PO BOX 88314	MILWAUKEE	WI	532880314	IT SUPPORT SERVICES	638944

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	19	NumberOfContractorsGT100K
Related Organizations	3236964	RelatedOrganizations
Government Grants	1048005	GovernmentGrants
Total Contributions	4284969	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SERVICE REVENUE	Description
Business Code	621110	BusinessCode
Total Revenue Column	211631952	TotalRevenueColumn
Related Or Exempt Function Income	211631952	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	211631952	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	63672	TotalRevenueColumn
Exclusion	$63,672	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	133038	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	133038	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	133038	TotalRevenueColumn
Exclusion	$133,038	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	267828	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-267828	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-267828	TotalRevenueColumn
Exclusion	-$267,828	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MANAGEMENT FEE	541610	4293226	4293226
OTHER REVENUE	900099	3030315	3030315
METHODIST SERV INCOME	541900	938413	938413

Field	Value	IRS element (for citing)
Total Other Revenue	8261954	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	224107757	TotalRevenueColumn
Related Or Exempt Function Income	219893906	RelatedOrExemptFunctionIncome
Exclusion	-$71,118	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	479000	Total
Program Services	479000	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	3232498	Total
Program Services	3232498	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3015612	Total
Management And General	3015612	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	83878110	Total
Program Services	83878110	ProgramServices

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4566597	Total
Program Services	4566597	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	6609536	Total
Program Services	6609536	ProgramServices

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5891713	Total
Program Services	5891713	ProgramServices

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	192560	Total
Program Services	192560	ProgramServices

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	157663	Total
Program Services	157663	ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	21188	Total
Program Services	21188	ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	16797547	Total
Program Services	10792298	ProgramServices
Management And General	6005249	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2705023	Total
Management And General	2705023	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	30937516	Total
Program Services	30937516	ProgramServices

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	5528991	Total
Program Services	5528991	ProgramServices

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	6573754	Total
Program Services	6573754	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	433146	Total
Program Services	433146	ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	5840770	Total
Program Services	5840770	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	10281706	Total
Program Services	10281706	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	17179673	Total
Program Services	17179673	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1231819	Total
Management And General	1231819	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
COLLECTION EXPENSE	1430096	1430096
OPERATING LEASES	1010941	1010941
BUILDING MAINTENANCE	959436	959436
PROFESSIONAL DUES & SUBSCRIP.	385984		385984

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	620778	Total
Program Services	620778	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	209961657	Total
Program Services	196617970	ProgramServices
Management And General	13343687	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	4193063	BOY
EOY	4134523	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	15996973	BOY
EOY	31271941	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	1506000	BOY
EOY	1408000	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	32795432	BOY
EOY	37143949	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2654723	BOY
EOY	2855497	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1907180	BOY
EOY	1904593	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	300069679	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	126141918	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	175030197	BOY
EOY	173927761	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	10471372	BOY
EOY	13180949	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	3154554	BOY
EOY	4137356	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	374983	BOY
EOY	179340	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	9423897	BOY
EOY	10385924	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	257508374	BOY
EOY	280529833	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	26750591	BOY
EOY	31997654	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	37014	BOY
EOY	55627	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	100426669	BOY
EOY	100380922	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	7078768	BOY
EOY	6896147	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	6243916	BOY
EOY	10823163	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	140536958	BOY
EOY	150153513	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	115465416	BOY
EOY	128968320	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1506000	BOY
EOY	1408000	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	116971416	BOY
EOY	130376320	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	257508374	BOY
EOY	280529833	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	14146100	ReconcilationRevenueExpenses
Reconcilation Other Changes	-741196	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	21188	FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	21188	FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	209940469	FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	209961657	FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	1000000	FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	250000	FilingOrganizationsTotals

Field	Value	IRS element (for citing)
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	1000000	CurrentYearMinus3
Current Year Minus2	1000000	CurrentYearMinus2
Current Year Minus1	1000000	CurrentYearMinus1
Current Year	1000000	CurrentYear
Total	4000000	Total

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

Field	Value	IRS element (for citing)
Current Year Minus3	7300	CurrentYearMinus3
Current Year Minus2	5371	CurrentYearMinus2
Current Year Minus1	20707	CurrentYearMinus1
Current Year	21188	CurrentYear
Total	54566	Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	250000	CurrentYearMinus3
Current Year Minus2	250000	CurrentYearMinus2
Current Year Minus1	250000	CurrentYearMinus1
Current Year	250000	CurrentYear
Total	1000000	Total

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

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	46369324	BeginningOfYearBalance
Contributions	1889083	Contributions
Investment Earnings Or Losses	836292	InvestmentEarningsOrLosses
Grants Or Scholarships	2806131	GrantsOrScholarships
End Of Year Balance	46288568	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	47818091	BeginningOfYearBalance
Contributions	734290	Contributions
Investment Earnings Or Losses	2140797	InvestmentEarningsOrLosses
Grants Or Scholarships	4323854	GrantsOrScholarships
End Of Year Balance	46369324	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	44226562	BeginningOfYearBalance
Contributions	7371562	Contributions
Investment Earnings Or Losses	10645327	InvestmentEarningsOrLosses
Grants Or Scholarships	8254241	GrantsOrScholarships
Other Expenditures	6171119	OtherExpenditures
End Of Year Balance	47818091	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	48753075	BeginningOfYearBalance
Contributions	9675396	Contributions
Investment Earnings Or Losses	-13889726	InvestmentEarningsOrLosses
Grants Or Scholarships	312183	GrantsOrScholarships
End Of Year Balance	44226562	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.81000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.07000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.12000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11705265	OtherCostOrOtherBasis
Book Value	11705265	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	175135722	OtherCostOrOtherBasis
Depreciation	47550334	Depreciation
Book Value	127585388	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11729407	OtherCostOrOtherBasis
Depreciation	6586569	Depreciation
Book Value	5142838	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	98661456	OtherCostOrOtherBasis
Depreciation	71550090	Depreciation
Book Value	27111366	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2837829	OtherCostOrOtherBasis
Depreciation	454925	Depreciation
Book Value	2382904	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	173927761	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
DEFERRED COMPENSATION LIAB	$1,352,531
MINORITY INTEREST IN CP LIABIL	$1,379,119
SWAP LIABILITY	$8,091,513

Field	Value	IRS element (for citing)
Total Of Amounts	10823163	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SCHEDULE D, PART X, LINE 2	FIN 48 FOOTNOTE	In accordance with ASC subtopic 740-10, Income Taxes-Overall, the company recognizes the effect of income tax position if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. During 2011 and 2010, the company did not record any amounts related to uncertain tax positions or any accrued interest and penalties.
SCHEDULE D	PART V, LINE 4	TO SUPPORT PROGRAMS, FUTURE CAPITAL IMPROVEMENTS, AND OPERATIONS OF THE CHILDREN'S HOSPITAL & MEDICAL CENTER

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1718000	TotalCommunityBenefitExpense
Net Community Benefit Expense	1718000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00800	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	79537000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	57667000	DirectOffsettingRevenue
Net Community Benefit Expense	21870000	NetCommunityBenefitExpense
Percent Of Total Expense	0.10400	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	81255000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	57667000	DirectOffsettingRevenue
Net Community Benefit Expense	23588000	NetCommunityBenefitExpense
Percent Of Total Expense	0.11200	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1486000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	69000	DirectOffsettingRevenue
Net Community Benefit Expense	1417000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00700	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7705000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	965000	DirectOffsettingRevenue
Net Community Benefit Expense	6740000	NetCommunityBenefitExpense
Percent Of Total Expense	0.03200	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	76528000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	44911000	DirectOffsettingRevenue
Net Community Benefit Expense	31617000	NetCommunityBenefitExpense
Percent Of Total Expense	0.15100	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1239000	TotalCommunityBenefitExpense
Net Community Benefit Expense	1239000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00600	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	747000	TotalCommunityBenefitExpense
Net Community Benefit Expense	747000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00400	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	87705000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	45945000	DirectOffsettingRevenue
Net Community Benefit Expense	41760000	NetCommunityBenefitExpense
Percent Of Total Expense	0.20000	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	168960000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	103612000	DirectOffsettingRevenue
Net Community Benefit Expense	65348000	NetCommunityBenefitExpense
Percent Of Total Expense	0.31200	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	29000	TotalCommunityBuildingExpense
Net Community Building Expense	29000	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	3000	TotalCommunityBuildingExpense
Net Community Building Expense	3000	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	32000	TotalCommunityBuildingExpense
Net Community Building Expense	32000	NetCommunityBuildingExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$1,869,000	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	64110	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	197303	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-133193	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HOSPITAL & MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	8200 DODGE STREET	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	681144113	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Childrens Hospital	X	ChildrensHospital
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HOSPITAL & MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	400.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	6	NumberOfOtherFacilities

Other Facilities OtherFacilities (6 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
W VILLAGE PTE URGENT CARE&AMBUL CLINICS
110 N 175TH STREET	OMAHA	NE	68118	UCC OPENS 6AM-10PM & ROTATING AMBULATORY CLINICS
CHILDREN'S HOME HEALTHCARE
4156 S 52ND STREET	OMAHA	NE	68117	PEDIATRIC HOME HEALTH CARE SERVICES
CHILDREN'S HOME HEALTHCARE WORLD
7815 FARNAM STREET	OMAHA	NE	68114	PRIVATE DUTY PEDIATRIC NURSING CENTER
LINCOLN CLINIC
300 NORTH 44TH STREET	LINCOLN	NE	68503	PEDIATRIC CLINIC
CAROLYN SCOTT RAINBOW HOUSE
7815 HARNEY STREET	OMAHA	NE	68114	MINIMUM TO NO-COST ACCOMODATIONS FOR FAMILIES OF PATIENTS
VAL VERDE URGENT CARE
9801 GILES ROAD SUITE 1	LA VISTA	NE	68128	UCC OPENS 6AM-10PM

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
PART I, LINE 3C	If the organization did not use FPG to determine eligibility, describe the income based criteria for determining eligibility for free or discounted care. Federal Poverty Guidelines are used to determine eligibility for free or discounted care. Financial assistance is available for medically necessary procedures and services. Services not eligible for financial assistance include cosmetic and other elective procedures, helmet clinic, eating disorders program and HEROES weight management program. Certification or proof of Medicaid denial is a requirement for financial assistance consideration. Financially responsible parties who submit a complete and verifiable Application for Financial Assistance (including proof of Medicaid denial) will be considered for free or reduced assistance on the basis of Federal Poverty Guidelines (400% FPL limit). Families that do not qualify for income based financial assistance that have verifiable out of pocket medical debt greater than 20% of gross income may qualify for catastrophic assistance leaving 1% of the family's gross income as the responsibility. Presumptive Eligibility is available in a variety of circumstances including the absence of documentation required to comply with the traditional charity care application requirements. The predictive incorporates income and household size estimates, a socio-economic need factor, census block data, as well as information on home ownership.
PART I, LINE 6A	The community benefit report is prepared by the organization. The values reported in the 2011 Community Benefit report include $1.8M in FINANCIAL ASSISTANCE and unreimbursed Medicaid costs associated with an affiliated sub, Children's Physicians.
PART I, LINE 7G	The organization did not include costs attributable to physician clinics as subsidized health services.
PART I, LINE 7	Explanation of the costing methodology used to calculate subsidized health services: A subsidized health service benefit was calculated for the NICU, emergency and trauma care, urgent care, behavioral health, and ambulatory care clinic outpatient services recognizing that these areas operate at a negative margin when the indirect costs of operation are considered. A cost to charge ratio calculation similar to worksheet 2 in the schedule H instructions is used. The reported subsidized loss represents the difference in net revenue received from all payors PLUS any miscellaneous operating revenue reported by the department LESS total operating expenses including indirect costs applicable to each department. Unreimbursed Medicaid costs reported on line 7b and other operating expense applicable to the department reported elsewhere on schedule H as a community benefit are EXCLUDED from the operating expense total as are bad debt and nonpatient care expense associated with each department. Indirect costs for each department were calculated by applying the Medicare cost report overhead rate applicable to that department to the department's total operating expenses excluding unreimbursed Medicaid expenses and/or any other expense already reported elsewhere on the schedule H as a community benefit.
PART II	Children's Hospital & Medical Center supports "economic development" in its sponsorship donations to organizations such as Nebraska Chamber of Commerce & Industry and the Omaha Sports Commission. Children's Hospital and Medical Center goes beyond joint commission requirements to ensure community disaster readiness through our committee work involvement with the Omaha Medical Management Response team.	Community Building Activities
PART III, Section A, Line 4	New Accounting Standard Effective December 31, 2011, the Company adopted Accounting Standards Update (ASU) 2011-07, Health Care Entities (Topic 954): Presentation and Disclosure of Patient Service Revenue, Provision for Bad Debts, and the Allowance for Doubtful Accounts for Certain Health Care Entities, which requires health care entities to present the provision for bad debt relating to patient service revenue as a deduction from patient service revenue in the consolidated statements of operations rather than as operating expense. Additional disclosures relating to the sources of patient revenue and the allowance for doubtful accounts related to patient accounts receivable are also required. The adoption of this ASU had no impact on the financial condition, results of operations, or cash flows. Describe the costing method used to determine the amounts reported on lines 2 & 3: Bad debt expense at 100% charge value was multiplied by the 2011 Medicare Cost to Charge Ratio to arrive at an approximate cost value. Bad debt expense at 100% charge value $3,516,796 Medicare Cost to Charge Ratio x .5314 Bad debt expense at cost $1,869,000 Estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's charity care policy: This process includes identifying "Charity Care" financial assistance codes congruent with the financial assistance policy that were charged to Bad Debt Expense at 100% charge value. This amount is $0 for 2011 and reflects the efforts of Children's Hospital & Medical Center to ensure that no child with a medical need is turned away due to inability to pay for health care. Describe how the organization accounts for discounts or payments on patient accounts in determining bad debt expense: Bad Debt expense is credited for any payment received on accounts previously written off.	Bad Debt Expense
PART III, Section B, Line 8	Describe the extent to which any shortfall reported in line 7 should be treated as a community benefit and the costing methodology used to determine the amount reported on line 6 and indicate what costing methodology was used. 2011 Medicare charges reported by CMS in the Provider Statistical and Reimbursement System for provider FYE 12/31 were multiplied by the 2011 cost to charge ratio to arrive at an approximate cost of care related to the reimbursement payments reported on line 5.	Medicare
PART III, Section C, Line 9b	Does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. Administrative policy: Collection of Self Pay and Balance After Insurance monies Self pay accounts with no verifiable insurance and balance after insurance accounts are considered for financial assistance throughout the collection process for those guarantors who are financially unable to pay, either through a government program or through Children's Hospital & Medical Centers financial assistance program. All correspondence, including statements and collection letters state that Financial Assistance may be available.	Collection Practices
PART V, LINE 13g	In regard to 13b, the policy is provided to the public in summary and directed to visit the Children's Hospital website for the full policy.
PART V, SECTION B, LINE 19D	Indicate how the hospital facility determined the amounts billed to individuals who did not have insurance covering emergency or other medically necessary care: At Children's, commercial insurers, government payors and self-pay billing parties are all billed the same gross charge rate for each specific procedure performed (as opposed to a DRG rate). Upon request, self-pay billings are eligible for a 10% discount for prompt payment. Federal Poverty Guidelines are used to determine eligibility for free or discounted care. Financial assistance is available for medically necessary procedures and services. Financially responsible parties who submit a complete and verifiable Application for Financial Assistance (including proof of Medicaid denial) will be considered for free or reduced assistance on the basis of Federal Poverty Guidelines (400% FPL limit). Families that do not qualify for income based financial assistance that have verifiable out of pocket medical debt greater than 20% of gross income may qualify for catastrophic assistance leaving 1% of the family's gross income as the responsibility. Presumptive Eligibility is available in a variety of circumstances including the absence of documentation required to comply with the tradition charity care application requirements.
PART VI	Children's Hospital & Medical Center uses numerous resources to conduct assessments of the health care needs of children in the communities we serve. These resources include national pediatric care standards and trends as identified by Child Health Corporation of America (CHCA) and the National Association of Children's Hospitals and Related Institutions (NACHRI). There are many local and state reports available for our use, including Vital Statistics, the Douglas County Health Department, United Way of the Midlands, Our Healthy Community Partnership (in which we are a member partner), and Kids Count in Nebraska. The hospital conducts consumer surveys, as well as medical staff and referring physician surveys, to help identify gaps in service(s). In addition to analyzing internal utilization of services, data is available to track utilization of services by all providers in the communities served by Children's. Other internal resources that assist with the assessment of child health needs are the Family Advisory Council, physicians and clinical service units. An analysis of the information and/or data collected from these various resources is conducted to identify potential gaps in child health needs in the communities served. Needs that align with the hospital's mission and capacity are selected for review by Administration, which prioritizes needs and authorizes implementation based on the scope or seriousness of the problem, availability of community resources, availability of funding, and/or alignment with the hospital's expertise and strategic goals. In 2011, Children's collaborated with Boys Town National Research Hospital in Omaha to plan and conduct a comprehensive community needs assessment survey focusing solely on pediatrics in 2012. Preofessional Research Consultants, Inc. (PRC) has been hired to gather data to assist in determining the health status, behaviors and needs of children and adolescents in the Omaha Metropolitan area.	2-NEEDS ASSESSMENT
PART VI	Financially responsible parties who experience difficulty in meeting their financial obligations will be encouraged to and assisted in applying for financial help through government programs and other potential funding sources or alternatively qualified for Children's financial assistance program. Eligibility for financial assistance is ideally determined either prior to services being provided or at the time services are rendered and is based upon family/guarantor income, family size and other special considerations. The primary responsibility to identify financial need is with the financial counselors, patient financial services, and Social Work staff. These staff members are trained to identify patient needs and answer financial assistance questions. There are several points in the patient experience where financial assistance resources are offered. The first occurs at the pre-registration of inpatient admits and outpatients presenting through CARES and for those patients scheduled in the Specialty Pediatric Center clinics. At this time, electronic eligibility is ran on the insured. The benefit detail including deductible, co-payment and coinsurance amounts are discussed with the family at that time. All individuals who are financially unable to pay will be encouraged to and assisted in applying for financial help through government programs and other potential funding sources or alternatively qualified for Children's financial assistance program. At the time of registration, insurance is discussed and families again are offered the assistance of financial counselors who are available M-F. All self pay families are encouraged to speak to a financial counselor. Care estimates or questions regarding estimate of cost for upcoming testing is directed to the Patient Registration Manager and these services are again offered prior to ending the conversation. Financial assistance information is also located in the patient handbooks. Brochures which explain the billing process are available. Patient statements include leaflets and all mailed correspondence including bills, statements, and collection letters state that "Financial Assistance may be available." Children's Hospital & Medical Center's internet website also offers a "Financial Assistance" link that informs readers "if you are uninsured or have limited income, you may qualify for financial assistance through government programs or Children's Financial Assistance Program." The website explains that depending on income level, all or part of the medical costs may be funded by Medicaid and alternatively if they are determined "not eligible" for Medicaid after providing all of the required documentation that they may then apply for the Children's Financial Assistance Program. Contact numbers for the financial counselors and hours of service are provided. All other billing, payment and financial responsibility related links on Children's website states that "Financial Assistance may be available." The Financial Assistance policy is currently available on the Children's Hospital & Medical Center website and is also available upon request. www.childrensomaha.org	3- PATIENT EDUCATION OF ELIGIBILITY
PART VI	The Hospitals primary service area consists of Douglas and Sarpy Counties in Nebraska and Pottawattamie County in Iowa. The primary service area has a current aggregate population of approximately 777,000. The Hospitals secondary service area consists of eight surrounding counties in Nebraska and nine surrounding counties in Iowa. For year ended December 31, 2011, 57% of the Hospitals inpatient discharges were from patients residing in the three-county primary service area. Patients residing in the seventeen-county secondary service area accounted for 19% of total hospital inpatient discharges during this same time period. The remaining 24% of total discharges were from patients residing outside the primary and secondary service areas. 2011 Demographic Summary Omaha Metro Market Area: Douglas, Sarpy and Pottawattamie Counties Sources: United States Census Bureau and Children's Hospital & Medical Center patient encounter database. Communities Served Urban, Suburban and Rural # of hospitals serving community 12 Total Population 777,230 Pediatric Population 203,625 Average Household Income $68,838 Percent of residents below federal poverty level Total Population 13.2% Under age 18 18.6% Percent of residents on Medicaid 12.3% Age Population % of Total Less than 18 203,625 26.2% 18 to 24 76,854 9.9% 25 to 44 220,454 28.4% 45 to 64 192,474 24.8% 65+ 83,823 10.7% Total 777,230 100.0% Race Population % of Total White 593,804 76.4% Black 65,287 8.4% Hispanic 79,277 10.2% Asian/Pacific Islander 17,876 2.3% Other 17,877 2.3% Am. Ind./Alaska Nat. 3,109 0.4% Total 777,230 100.0% Federally-Designated Medically Underserved Areas Approximate % of patients from medically underserved areas: 9.0% County # of Census Tracts* Total Census Tracts % of Total Douglas 36 156 23.1% Sarpy 1 43 2.3% Pottawattamie 3 30 10.0% Total 40 229 17.5% *Census tract is a geographical division of 500 to 3,000 households.	4- COMMUNITY INFORMATION
PART VI	Proudly serving children since 1948, Children's Hospital and Medical Center is the only full-service, pediatric health care center in Nebraska. Located in Omaha, it provides expertise in more than 30 pediatric specialty services to children and families across a five-state region and beyond. The 145 bed, non-profit hospital houses the only dedicated pediatric emergency department in the region and offers 24-hour, in-house services by pediatric critical care specialists. The critical care transport team provides state-of-the-art care and transportation to critically ill and injured neonates, infants and children. The team currently has the ability to transport these patients utilizing a dedicated ground ambulance or helicopter aircraft. Children's has achieved the Magnet designation for nursing excellence, is an InfoWorld 100 award winner for innovation in information technology and has received recognition in U.S. News and World Report's Best Children's Hospitals ranking 41 in Orthopedics and 47 in Cardiology and Heart Surgery. A pediatric affiliation established between Children's and the University of Nebraska Meedical Center College of Medicine (UNMC) supports enhancements in pediatric education, research and clinical care. Children's is the primary teaching site for the family practice and joint pediatrics residency programs at Creighton University and UNMC. Children's Hospital and Medical Center is committed to ensuring that no child with a medical need is ever turned away due to a family's inability to pay for services. In 2011, our hospital: -Provided $3.5 million in services in the form of uncompensated care\charity care ($1.7 million) and bad debt write-offs(1.9 million) to families unable to pay the bills associated with their children's medical care. With 43 percent of patient care revenues devoted to the care of low-income children assisted by Medicaid, the Medicaid reimbursement shortfall for FY 2011 was $22 million less than the cost of the care provided. This amount has been steadily increasing and is expected to continue to rise with an uncertain national economic future. -Contributed $2.2 million towards community health education aimed at promoting health and preventing illness and injury made available through the Kohl's Keep Kids Safe Program, Parenting U education classes, outreach classes, health fairs, Just Kids magazine and the consumer web site. Public health assistance is available through social work, pastoral and spiritual, child life services, financial counseling and a variety of support groups. Children's gives back to the community through advocacy services which are available to anyone suspecting child abuse or neglect, low-cost lodging for families of out-of-town patients, agency representation, community event sponsorships and charitable donations. -Contributed $6.7 million in pediatric health care education costs to educate tomorrow's healers and an additional $1.2 million to support pediatric education, research and clinical care that will in turn improve the health care of all children. In 2011, the hospital supported the joint Creighton-Nebraska Universities Health Foundation pediatrics residency programs at UNMC and Creighton University, as well as many of the region's nursing and health professional schools. -Provided $31.6 million in subsidized clinical health services, or programs offered despite financial loss because they meet an identified community need. The emergency department and emergency transport services, in addition to behavioral health and many of the ambulatory clinic programs all operate at negative margins. Non-billed services provided include financial counseling, pastoral and spiritual care, social work and child life services provided at no cost or nominal to the patient. In 2011, Children's Hospital and Medical Center contributed in total over $65 million in community benefits representing 31 percent of the hospital's operating expenses.	5- PROMOTION OF COMMUNITY HEALTH
PART VI	Children's Hospital and Medical Center is not affiliated with a greater health care system, but is its' own health care system which the hospital operates the following related organizations: - Children's Hospital & Medical Center Foundation - Children's Foundation	6-AFFILIATED HEALTH CARE SYSTEM
PART VI	The Children's Hospital and Medical Center Community Benefit Report is filed in the State of NEbraska through the Nebraska Hospital Association, and is available to the public on the website. Internet Site: www.childrensomaha.org	7- STATE FILING OF COMMUNITY BENEFIT REPORT
PART V, SECTION B, LINE 21	AT CHILDREN'S - COMMERCIAL INSURERS, GOVERNMENT PAYORS AND SELF-PAY BILLING PARTIES ARE ALL BILLED THE SAME GROSS CHARGE RATE FOR EACH SPECIFIC PROCEDURE PERFORMED. GROSS CHARGES ON AN FAP-PATIENT BILL ARE THEN DISCOUNTED ACCORDING TO THEIR FPG ELIGIBILITY WHICH REDUCES OR ELIMINATES THE AMOUNT THE PATIENT IS REQUIRED TO PAY.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
Nebraska Pediatric Practice Inc
8200 Dodge St	Omaha	NE	68114	263064869	501(c)(3)	355000	Pediatrics
University of NE College of Medicine
985520 NE Med Ctr	Omaha	NE	68198	470049123	501(c)(3)	124000	Ped. Research

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	2	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	CHARITY CARE ASSISTANCE TO THOSE PATIENTS IN NEED	TypeOfGrant
Number Of Recipients	2231	NumberOfRecipients
Amount Of Non Cash Assistance	3232498	AmountOfNonCashAssistance
Method Of Valuation	Book	MethodOfValuation
Description Of Non Cash Assistance	WRITE OFF PAT. ACCTS	DescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE I, PART I, LINE 2	Identifier
Return Reference	SCHEDULE I - SUPPLEMENTAL INFORMATION	ReturnReference
Explanation	CHILDREN'S HOSPITAL & MEDICAL CENTER HAS A WRITTEN FINANCIAL ASSISTANCE/CHARITY CARE POLICY. THE AMOUNT OF FINANCIAL ASSISTANCE IS BASED ON THE ANNUAL GROSS INCOME THRESHOLDS USING THE CURRENT FEDERAL POVERTY LEVEL GUIDELINES. Grants are only distributed to 501(c)(3) organizations based on the Hospital's evaluation criteria.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
GARY A PERKINS FACHE
478848	0	240707	0	398636	0	53319	0	9082	0	1180592	0	0	0
KATHY ENGLISH
286090	0	98934	0	38719	0	38550	0	9005	0	471298	0	0	0
MICHAEL BROWN
275307	0	136945	0	27171	0	17150	0	12845	0	469418	0	0	0
JOHN MOORE MD
221290	0		0	4246	0	16279	0	12022	0	253837	0	0	0
CARL GUMBINER MD
299730	0	41332	0	2774	0	12250	0	728	0	356814	0	0	0
GEORGE E REYNOLDS MD
343917	0	110135	0	3376	0	36100	0	12704	0	506232	0	0	0
BETSY J STEPHENSON MD
306614	0		0	3937	0	33650	0	207	0	344408	0	0	0
JOHN ANDERSEN MD
370535	0		0	3482	0	13252	0	8043	0	395312	0	0	0
MICHAEL WILCZEWSKI MD
297279	0		0	3182	0	19600	0	193	0	320254	0	0	0
DAWN GARY MD
289197	0		0	3405	0	17150	0	12137	0	321889	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier

ExplanationExplanation

PART I, LINE 1A

GARY PERKINS' SOCIAL CLUBS DUES ARE PAID FOR BY THE ORGANIZATION TO BE USED FOR BUSINESS PURPOSES.

PART II, COLUMN B (III)

THE FIGURE FOR GARY A. PERKINS ITEMIZED AT PART II B (III) "OTHER REPORTABLE COMPENSATION" INCLUDES A PAYMENT OF THREE HUNDRED SEVENTY THOUSAND DOLLARS REPRESENTING A CONTRIBUTION TO A SUPPLEMENT EXECUTIVE RETIREMENT PLAN ("SERP") FOR MR. PERKINS IN HIS CAPACITY AS CHIEF EXECUTIVE OFFICER. THE SERP BENEFIT TARGET IS BASED ON MR. PERKINS 30 YEARS OF SERVICE AND WILL PROVIDE A MARKET COMPETITIVE BENEFIT IN THE OPINION OF THE HOSPITAL'S INDEPENDENT COMPENSATION CONSULTANT.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	HOSP AUTHORITY NO 2 OF DOUGLAS CO NE	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	521440796	IssuerEIN
CUSIP Number	259230KT6	CUSIPNumber
Date Issued	2008-08-12	DateIssued
Issue Price	100881609	IssuePrice
Description Of Purpose	REFUND CHILD HOSP 2007 Series A&B	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	0	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	100881843	TotalProceeds
Amount In Reserve Fund	5000176	AmountInReserveFund
Capitalized Interest	0	CapitalizedInterest
Refunding Escrow	0	RefundingEscrow
Issuance Costs From Proceeds	751783	IssuanceCostsFromProceeds
Credit Enhancement	24826	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	2755000	CapitalExpenditures
Other Spent Proceeds	92350000	OtherSpentProceeds
Amount Unspent	0	AmountUnspent
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	true	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	false	Form8038TFiled
Variable Rate Issue	true	VariableRateIssue
Hedge Identified In Books And Recds	true	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

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

Field	Value	IRS element (for citing)
Term Of Hedge	25.	TermOfHedge
Superintegrated Hedge	false	SuperintegratedHedge
Hedge Terminated	false	HedgeTerminated
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	true	ExceptionToRebate

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	PART II, LINE 3	Identifier
Return Reference	0	ReturnReference
Explanation	THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 15	POLICIES	Each year an independent company (Towers Watson) conducts a market analysis of the Executive Compensation. This information is presented to the Compensation Committee. Executive base salaries are targeted for the 50th percentile of the market. Towers Watson issues an annual reasonableness opinion letter regarding the appropriateness of the executive pay levels. The Compensation Committee is a sub-committee of the Board of Directors. The Compensation Committee reviews base pay change for the top four executives (Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, and Chief Medical Officer) and Vice Presidents. The Board of Directors receives a report from the committee. The Compensation Committee of the Board of directors is responsible for reviewing the CEO's performance which affects his pay rate indirectly.
Form 990, Part VI, Line 12C	POLICIES	The Conflicts of Interest policy applies to any person in a position to exercise influence in connection with any contract, transaction or arrangement presented to the Board of Directors or a Board committee for approval (interested person). This includes, but is not limited to, any director, officer, or member of a committee with board-designated powers. Each interested person has the obligation to annually submit a completed conflicts of interest questionnaire and has a continuing obligation to disclose any potential conflict of interest promptly. Each interested person signs annually an acknowledgement that states that the interested person has received, read and understands the conflict of interest policy, agrees to comply with the policy; understands that the policy applies to the board of directors and committees; understands that Children's Hospital & Medical Center is a not-for-profit organization that must engage primarily in exempt activities; agrees to report to the compliance Officer any change to matters previously disclosed on the Conflicts of Interest Questionnaire; states that the information provided in the conflicts of interest questionnaire is true and accurate to the best of his/her knowledge and belief. The governance committee reviews each completed conflicts of interest questionnaire to determine if any further investigation of potential conflicts is necessary. When a potential conflict is voluntarily identified by an interested person or through disclosure by another person, the remaining board/committee members review the matter and determine whether a conflict exists. Only disinterested board/committee members may vote to determine whether a conflict exists. The interested person in question cannot be present during the vote. If a conflict of interest exists, the disinterested board/committee members determine whether a more advantageous contract, transaction or arrangement should be obtained. When considering whether to enter into the proposed contract, transaction, or arrangement, only disinterested board/committee members can vote to determine if it is in the best interest of Children's and for Children's own benefit. The interested person may be required to leave the room when the matter is discussed and is required to leave the room when the matter is voted on. Only disinterested board/committee members may vote on the matter. Failure to comply with the conflict of interest policy may result in removal from the board.
FORM 990, PART VI, LINE 11b	GOVERNANCE, MANAGEMENT, AND DISCLOSURE	The Form 990 will be available for all Board members through the Board Portal on the intranet and an overview will be presented to the Executive Committee prior to filing with the IRS.
Form 990, Part VI, Line 19	GOVERNANCE, MANAGEMENT, AND DISCLOSURE	Governing documents and Conflict of Interest policy are not available to the public. The Children's Hospital & Medical Center and Affiliates audited financial statements can be obtained in administration.
Form 990, Part XI, Line 5	Other Changes in Net Assets	1,776,689 Minority Interest in Children's Physicians (3,684,117) Change in Value of Swap 1,255 Capital Transfers Children's Health Network 1,164,977 Capital Transfers Chil. Hospital & Med. Ctr Fdn (741,196) Total Change in Net Assets

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
CHILDREN'S HOSPITAL & MEDICAL CENTER FDN
8200 DODGE STREET	OMAHA	NE	68114	476105603	FUNDRAISING	NE	501(C)(3)	LINE 7	CHMC	true
CHILDREN'S PHYSICIANS
8200 DODGE STREET	OMAHA	NE	68144	470689372	PED. CLINIC	NE	501(C)(3)	LINE 9	CHMC	true

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
KENT INC
8200 DODGE STREET	OMAHA	NE	68114	470527928	REAL ESTATE	NE	CHMC	C corp	0	219495	1.00000
CHILDREN'S HEALTH NETWORK
8200 DODGE STREET	OMAHA	NE	68114	363967578	HEALTH NETWORK	NE	CHMC	C corp	0	0	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
CHILDREN'S HOSPITAL & MEDICAL CENTER FDN
C	3236964	BOOK
CHILDREN'S HOSPITAL & MEDICAL CENTER FDN
IKLMN	2568312	BOOK
CHILDREN'S PHYSICIANS
D	1706105	BOOK
CHILDREN'S HOSPITAL & MEDICAL CENTER FDN
R	1164977	BOOK