TY 2012 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) CATHY M FINLON........................................................................ IMMEDIATE PAST CHAIR OF BOARD	1.0 .......................0.0	X
(2) TERRANCE CARROLL........................................................................ BOARD MEMBER	1.0 .......................0.0	X
(3) KELLY KENNEDY........................................................................ TCH FDN BOARD OF TRUSTEES	1.0 .......................0.0	X
(4) RUSSELL DISPENSE........................................................................ BOARD MEMBER	1.0 .......................0.0	X
(5) DONALD M ELLIMAN........................................................................ BOARD MEMBER	1.0 .......................0.0	X
(6) BRIAN GREFFE MD........................................................................ BOARD MEMBER	1.0 .......................0.0	X
(7) COLE FINEGAN........................................................................ SECRETARY	1.0 .......................1.0	X	X
(8) RHONDA KAY........................................................................ PRES OF THE ASSN OF VOLUNTEERS	1.0 .......................0.0	X
(9) ERIC HARTMEISTER - 4112........................................................................ PRES OF THE ASSN OF VOLUNTEERS	1.0 .......................0.0	X
(10) MARIA GUAJARDO PHD........................................................................ BOARD MEMBER	1.0 .......................0.0	X
(11) WILLIAM LINDSAY........................................................................ BOARD MEMBER	1.0 .......................0.0	X
(12) RANDY HERTEL........................................................................ BOARD MEMBER	1.0 .......................0.0	X
(13) ROXANN HEADLEY MD........................................................................ BOARD MEMBER	1.0 .......................0.0	X
(14) ROBERT HOTTMAN........................................................................ CHAIRMAN OF BOARD	1.0 .......................1.0	X	X
(15) JOY JOHNSON........................................................................ VICE-CHAIRMAN OF BOARD	1.0 .......................0.0	X	X
(16) KEVIN REIDY........................................................................ TREASURER	1.0 .......................1.0	X	X
(17) BRADLEY SMITH DDS........................................................................ PRESIDENT OF MEDICAL STAFF	1.0 .......................0.0	X

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) RICHARD KRUGMAN MD........................................................................ BOARD MEMBER, VICE CHANCELLOR	1.0 .......................0.0	X				0	0
(19) LILLY MARKS........................................................................ BOARD MEMBER, VP HLTH AFFAIRS	1.0 .......................0.0	X				0	0
(20) DAVID HOOVER........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(21) R SCOTT NYCUM........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(22) JAMES E SHMERLING DHA........................................................................ PRESIDENT AND CEO	40.0 .......................2.0	X	X			1,548,040	201,231
(23) WAYNE HUTCHENS........................................................................ BOARD MEMBER	1.0 .......................1.0	X				0	0
(24) PAUL RADY........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(25) KRISITIN RICHARDSON........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(26) JANE SCHUMAKER........................................................................ BOARD MEMBER, EXEC DIR UPI	1.0 .......................0.0	X				0	0
(27) CRAIG PONZIO........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(28) HAL STEIN MD........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(29) BENJAMIN WALTON........................................................................ BOARD MEMBER	1.0 .......................1.0	X				0	0
(30) MARY GITTINGS-CRONIN........................................................................ BOARD MEMBER UNTIL 4/1/12	1.0 .......................0.0	X				0	0
(31) JODY MATHIE........................................................................ BOARD MEMBER UNTIL 4/1/12	1.0 .......................0.0	X				0	0
(32) ANN SPERLING........................................................................ BOARD MEMBER UNTIL 4/1/12	1.0 .......................0.0	X				0	0
(33) THOMAS HONIG........................................................................ BOARD MEMBER UNTIL 4/1/12	1.0 .......................0.0	X				0	0
(34) CANDY ERGEN........................................................................ BOARD MEMBER UNTIL 4/1/12	1.0 .......................0.0	X				0	0
(35) ANDREW SIROTNAK MD........................................................................ PRES MED STAFF UNTIL 4/1/12	1.0 .......................0.0	X				0	0
(36) JENA HAUSMANN........................................................................ CHIEF OPERATING OFFICER	40.0 .......................0.0		X			757,572	114,274
(37) LEONARD J DRYER JR........................................................................ SR. VP-CFO	40.0 .......................1.0		X			2,127,661	20,615
(38) MARY ANNE LEACH........................................................................ SR. VP-CIO	40.0 .......................0.0		X			431,378	48,769
(39) JOHN LACOUTURE........................................................................ CHIEF LEGAL OFFICER	40.0 .......................0.0		X			421,877	1,260
(40) MICHELLE M LUCERO........................................................................ CHIEF LEGAL OFFICER	40.0 .......................0.0		X			109,946	22,856
(41) KELLY JOHNSON........................................................................ SR. VP / CHIEF NURSING OFFICER	40.0 .......................0.0		X			440,452	67,701
(42) JEFFREY HARRINGTON........................................................................ VP FINANCE	40.0 .......................0.0		X			335,442	63,956
(43) MICHAEL WUKITSCH........................................................................ VP HUMAN RESOURCE	40.0 .......................0.0		X			389,621	71,054
(44) SUZY JAEGER........................................................................ VP AMBULATORY AND OPERATIONS	40.0 .......................0.0		X			343,482	64,463
(45) JERROD MILTON........................................................................ VP OPERATIONS	40.0 .......................0.0		X			284,463	43,130
(46) BETH GAFFNEY........................................................................ VP OPERATIONS	40.0 .......................0.0		X			228,708	4,814
(47) AMY CASSERI........................................................................ CHIEF STRATEGY OFFICER	40.0 .......................0.0		X			498,984	78,973
(48) ROBERT REID........................................................................ VP SUPPORT SERVICES	40.0 .......................0.0		X			166,605	23,013
(49) JOAN BOTHNER MD........................................................................ CHIEF MEDICAL OFFICER	40.0 .......................0.0		X			651,724	0
(50) DENNIS MATTHEWS........................................................................ PPAARDI-IN-CHIEF	40.0 .......................0.0		X			262,569	0
(51) STEPHEN DANIELS........................................................................ PEDIATRIC-IN-CHIEF	40.0 .......................0.0		X			481,422	0
(52) DANIEL HYMAN MD........................................................................ CHIEF QUALITY OFFICER	40.0 .......................0.0		X			486,609	0
(53) FRED SUCHY........................................................................ CHIEF RESEARCH OFFICER	40.0 .......................0.0		X			324,910	0
(54) TIMOTHY CROMBLEHOME........................................................................ SURGEON-IN-CHIEF	40.0 .......................0.0		X			587,949	0
(55) MICHAEL CLARK........................................................................ EXEC DIR RESEARCH ADMIN	40.0 .......................0.0			X		221,408	12,449
(56) DARLA VAN ESSEN........................................................................ DIR NURSING PROJECTS	40.0 .......................0.0			X		238,095	14,316
(57) MARY BETH MARTIN........................................................................ EXEC DIR MATERNAL-FETAL PROG	40.0 .......................0.0			X		238,526	11,696
(58) JOHN SCHLIEP........................................................................ OPERATIONS CONSULTANT	40.0 .......................0.0			X		224,045	5,427
(59) SUSAN L MORAN........................................................................ NEONATAL NURSE PRACTITIONER	40.0 .......................0.0			X		204,066	18,367
(60) LINDA POWERS........................................................................ DIR NURSING PROJECTS	40.0 .......................0.0				X	246,391	7,249
(61) MARGI MORSE........................................................................ DIR ADVANCED PRACTICE NURSING	40.0 .......................0.0				X	233,287	7,249

(A) Name and business address	(B) Description of services	(C) Compensation
UNIVERSITY PHYSICIANS INC, 13611 E COLFAXAURORACO80045	PHYSICIAN SERVICES	46,294,209
UCDHSC, 4200 E 9TH AVENUEAURORACO80045	EDUCATIONAL SERVICES	16,868,941
CROTHALL HEALTHCARE, 13028 COLLECTION CENTER DRIVECHICAGOIL60693	ENVIRONMENTAL SVCS	6,225,432
HOSPITAL SHARED SERVICES, PO BOX 17033DENVERCO80217	SOFTWARE SERVICES	2,557,853
KAHL INSURANCE SERVICES, 6399 S FIDDLERS GREEN CIRCLEGREENWOOD VILLAGECO80111	INSURANCE SERVICES	2,390,969
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 123

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	377,090	377,090
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	11,705,525		11,705,525
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	601,945	107,768	494,177
7	Other salaries and wages	277,046,915	209,674,161	67,372,754
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	13,692,375	9,926,972	3,765,403
9	Other employee benefits .......	35,237,685	25,547,322	9,690,363
10	Payroll taxes ...........	19,594,659	14,206,128	5,388,531
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	984,949		984,949
c	Accounting ...........	504,521		504,521
d	Lobbying ...........	226,371	226,371	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	85,737,098	62,159,396	23,577,702
12	Advertising and promotion ....	4,039,611	2,928,718	1,110,893
13	Office expenses .......	8,852,525	6,418,081	2,434,444
14	Information technology ......	10,529,690	7,634,025	2,895,665
15	Royalties ..	0
16	Occupancy ...........	17,124,858	12,415,522	4,709,336
17	Travel ............	1,701,415	1,233,526	467,889
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	619,069	448,825	170,244
20	Interest ...........	4,999,553	3,624,676	1,374,877
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	49,377,480	35,798,673	13,578,807
23	Insurance ..............	2,467,069	1,788,625	678,444
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	83,547,025	60,571,593	22,975,432
b	HOSPITAL PROVIDER FEE	20,359,640	20,359,640
c	EQUIPMENT RENTAL & MAINT.	9,982,865	7,237,577	2,745,288
d	ALL OTHER EXPENSES	22,457,013	16,290,804	6,166,209
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	681,766,946	498,975,493	182,791,453	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
	1	Cashnon-interest-bearing .............	17,028,690	1	9,264,638
2	Savings and temporary cash investments .........	0	2	0
3	Pledges and grants receivable, net ...........	7,929,264	3	5,577,314
4	Accounts receivable, net .............	74,367,084	4	98,140,181
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	0	7	0
8	Inventories for sale or use ..............	5,559,573	8	6,055,742
9	Prepaid expenses and deferred charges ..........	4,983,633	9	6,774,807
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,179,283,382
b	Less: accumulated depreciation .....	10b	297,213,543	722,856,489	10c	882,069,839
11	Investments—publicly traded securities ..........	256,754,739	11	144,748,050
12	Investments—other securities. See Part IV, line 11 .....	165,423,503	12	125,000
13	Investments—program-related. See Part IV, line 11 .....	0	13	0
14	Intangible assets ...............	0	14	0
15	Other assets. See Part IV, line 11 ...........	267,891,902	15	57,651,516
16	Total assets. Add lines 1 through 15 (must equal line 34)......	1,522,794,877	16	1,210,407,087
	17	Accounts payable and accrued expenses .........	100,805,633	17	117,427,378
18	Grants payable .................	0	18	0
19	Deferred revenue ................	0	19	0
20	Tax-exempt bond liabilities .............	360,298,473	20	352,943,143
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	64,101,952	25	68,794,941
26	Total liabilities. Add lines 17 through 25.........	525,206,058	26	539,165,462
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	726,871,896	27	606,832,380
28	Temporarily restricted net assets ...........	163,961,629	28	30,588,479
29	Permanently restricted net assets ...........	106,755,294	29	33,820,766
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	997,588,819	33	671,241,625
34	Total liabilities and net assets/fund balances ........	1,522,794,877	34	1,210,407,087

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

CHILDREN'S HOSPITAL COLORADO

Employer identification number

84-0166760

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2012

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2012. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2011. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2012. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 4

Part IV

Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2012

Name of the organization

CHILDREN'S HOSPITAL COLORADO

Employer identification number

84-0166760

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 2

Name of organization CHILDREN'S HOSPITAL COLORADO

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 3

Name of organization CHILDREN'S HOSPITAL COLORADO

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 4

Name of organization
CHILDREN'S HOSPITAL COLORADO

Employer identification number

84-0166760

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

CHILDREN'S HOSPITAL COLORADO

Employer identification number

84-0166760

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2012

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......	4,000
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......	222,371
c	Total lobbying expenditures (add lines 1a and 1b) ...................	226,371
d	Other exempt purpose expenditures ........................	710,290,093
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............	710,516,464
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................	250,000
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................		Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) Total

2a	Lobbying nontaxable amount	1,000,000	1,000,000	1,000,000	1,000,000	4,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					6,000,000

c	Total lobbying expenditures	268,141	226,300	226,371	226,371	947,183

d	Grassroots nontaxable amount	250,000	250,000	250,000	250,000	1,000,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,500,000

f	Grassroots lobbying expenditures	4,000	4,000	4,000	4,000	16,000

Schedule C (Form 990 or 990-EZ) 2012

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Identifier	Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

CHILDREN'S HOSPITAL COLORADO

Employer identification number

84-0166760

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2012

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	31,068,294	31,490,541	29,283,714	24,854,564	33,761,116
b	Contributions ........
c	Net investment earnings, gains, and losses	3,971,679	213,181	3,172,990	5,828,658	-7,949,952
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	1,148,212	566,993	900,247	1,341,892	956,600
f	Administrative expenses ....	70,995	68,435	65,916	57,616
g	End of year balance ......	33,820,766	31,068,294	31,490,541	29,283,714	24,854,564

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

100.000 %

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

Yes

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	25,617,812		25,617,812
b	Buildings ................	777,610,685	95,330,655	682,280,030
c	Leasehold improvements ............	15,244,935	8,224,675	7,020,260
d	Equipment ................	303,348,570	186,978,437	116,370,133
e	Other .................	57,461,380	6,679,776	50,781,604
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				882,069,839

Schedule D (Form 990) 2012

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) RECEIVABLE FROM FOUNDATION				1,698,672
(2) PERPETUAL TRUST ASSETS -TAMMEN				33,820,767
(3) DEFERRED DEBT ISSUANCE COSTS				4,080,234
(4) OTHER MISCELLANEOUS RECEIVABLE				12,342,320
(5) I/CO RECEIVABLE-PARENT				5,709,523




Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				57,651,516

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
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


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		68,794,941
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................

Schedule D (Form 990) 2012

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
INTENDED USE OF ENDOWMENT FUNDS	SCHEDULE D, PART V, LINE 4	THE 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 FOOTNOTE	SCHEDULE D, PART X, LINE 2	THE 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 D (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

CHILDREN'S HOSPITAL COLORADO

Employer identification number

84-0166760

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	4,302,501	1,014,264	3,288,237	0.480 %
b	Medicaid (from Worksheet 3, column a) ....	274,029,427	188,768,241	85,261,186	12.510 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	37,166,826	33,044,561	4,122,265	0.600 %
d	Total Financial Assistance and Means-Tested Government Programs .	315,498,754	222,827,066	92,671,688	13.590 %
Other Benefits		7,302,803	434,600	6,868,203	1.010 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	7,302,803	434,600	6,868,203	1.010 %
f	Health professions education (from Worksheet 5) ..	24,516,120	7,142,287	17,373,833	2.550 %
g	Subsidized health services (from Worksheet 6) ..	42,310,093	30,111,568	12,198,525	1.790 %
h	Research (from Worksheet 7)	20,805,494	0	20,805,494	3.050 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	794,815	0	794,815	0.120 %
j	Total. Other Benefits ..	95,729,325	37,688,455	58,040,870	8.520 %
k	Total. Add lines 7d and 7j .	411,228,079	260,515,521	150,712,558	22.110 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012

Schedule H (Form 990) 2012

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	15,500	15,500
2	Economic development
3	Community support	62,715	62,715	0.010 %
4	Environmental improvements	341,794	341,794	0.050 %
5	Leadership development and training for community members	24,556	24,556
6	Coalition building
7	Community health improvement advocacy	805,182	805,182	0.120 %
8	Workforce development	379,690	379,690	0.060 %
9	Other
10	Total	1,629,437	1,629,437	0.240 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

11,710,143

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

1,171,014

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

1,677,952

Enter Medicare allowable costs of care relating to payments on line 5.....

2,938,989

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-1,261,037

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2012

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?5 Name, address, and primary website address							Facility reporting group
1	CHILDREN'S HOSPITAL COLORADO 13123 EAST 16TH AVENUE AURORA,CO80045 WWW.CHILDRENSCOLORADO.ORG	X	X	X	X	X	A
2	CHILDREN'S HOSPITAL COLORADO - NORTH 469 WEST STATE HIGHWAY 7 BROOMFIELD,CO80023 WWW.CHILDRENSCOLORADO.ORG	X	X				A
3	CHILDREN'S HOSPITAL COLORADO - PARKER 19284 COTTONWOOD DRIVE PARKER,CO80138 WWW.CHILDRENSCOLORADO.ORG	X	X			X	A
4	CHILDREN'S HOSPITAL CO - ST JOSEPHS 1830 FRANKLIN STREET DENVER,CO80218 WWW.CHILDRENSCOLORADO.ORG	X	X			X	A
5	CHILDREN'S HOSPITAL CO - MEMORIAL 1400 EAST BOULDER ST COLORADO SPRINGS,CO80909 WWW.CHILDRENSCOLORADO.ORG	X	X			X	A

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	A
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20

In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?11
Name and address		Type of Facility (describe)
1	CHILDREN'S HOSPITAL CO OP SPECIALTY CARE 4125 BRIARGATE PARKWAY COLORADO SPRINGS,CO80920	OP PED SPECIALTY CARE FOR CANCER & BLOOD DISORDERS
2	CHILDREN'S HOSPITAL CO PARKER ADVENTIST 9395 CROWN CREST BLVD PARKER,CO80138	THERAPY CARE
3	CHILDREN'S HOSPITAL CO UC & OP CARE 151 W COUNTY LINE ROAD LITTLETON,CO80129	URGENT CARE OP PED SPECIALIST; REHAB THERAPY; SPORTS MEDICINE
4	CHILDREN'S HOSPITAL CO UC & OP CARE 3455 LUTHERAN PARKWAY SUITE 230 WHEAT RIDGE,CO80033	URGENT CARE; PED SPECIALISTS; SPORTS MEDICINE
5	CHILDREN'S HOSPITAL CO THERAPY CARE 8401 ARISTA PLACE BROOMFIELD,CO80021	THERAPY CARE
6	CHILDREN'S HOSPITAL CO SPECIALTY CARE 9399 CROWN CREST BLVD PARKER,CO80138	PEDIATRIC SPECIALIST
7	KIDSTREET 3615 MARTIN LUTHER KING BLVD DENVER,CO80205	REHAB THERAPY
8	CHILDREN'S HOSPITAL CO THERAPY CARE 704 FORTINO BLVD SUITE A PUEBLO,CO81008	THERAPY CARE
9	CHILDREN'S HOSPITAL CO CCBD 7720 S BROADWAY LITTLETON,CO80122	OP PED SPECIALY CARE OF CANCER & BLOOD DISORDERS
10	CHILDREN'S HOSPITAL CO OP SPECIALTY CARE 7960 UNIVERSITY BLVD CENTENNIAL,CO80112	PULMONARY CARE
11	CHILDREN'S HOSPITAL CO ORTHOPEDIC CARE 9094 E MINERAL AVE STE 110 CENTENNIAL,CO80112	ORTHOPEDIC CARE

Schedule H (Form 990) 2012

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8	Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.

Identifier	ReturnReference	Explanation
SCHEDULE H, PART I, LINE 6A		CHILDREN'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 7		IN 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 II		IN 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 2		CHILDREN'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 4		THE FOOTNOTE THAT DESCRIBES BAD DEBT IS ON PAGE 13 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS
SCHEDULE H, PART III, LINE 8		THE 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 9B		YES, THE ORGANIZATION DOES HAVE A WRITTEN DEBT COLLECTION POLICY. PRIOR TO DEBT REFERRALS, ACCOUNTS WITH ANY CHARITY CARE OR FINANCIAL ASSISTANCE CASES ARE REVIEWED TO ENSURE THE BALANCE IS NOT DUE FROM AN OUTSIDE PAYER. ONCE CONFIRMED THE OUTSTANDING BALANCE IS THE PATIENT'S RESPONSIBILITY. THE HOSPITAL PROVIDES SLIDING SCALE DISCOUNTS BASED ON INCOME AND/OR EXPENSES. PARENTS WHOSE CHILDREN DO NOT QUALIFY FOR MEDICAID CAN ALSO APPLY FOR THIS DISCOUNT PLAN. THE HOSPITAL HAS A DEDICATED FINANCIAL COUNSELING DEPARTMENT THAT WORKS CLOSELY WITH PARENTS TO ESTABLISH PAYMENT PLANS.
NEEDS ASSESSMENT	SCHEDULE H, PART VI, LINE 2	ACROSS 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.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	SCHEDULE H, PART VI, LINE 3	CHILDREN'S HOSPITAL COLORADO HAS A PROCESS FOR INFORMING AND EDUCATING FAMILIES ABOUT HOW THEY MAY BE BILLED FOR PATIENT CARE AND THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. CHILDREN'S HOSPITAL COLORADO'S FULL TIME PATIENT FINANCIAL COUNSELORS ARE DEDICATED TO WORKING WITH FAMILIES TO PROVIDE GUIDANCE REGARDING AVAILABLE FINANCIAL ASSISTANCE WHICH ENSURES THAT ITS PATIENT POPULATION RECEIVES THE CRITICAL CARE IT NEEDS. ADDITIONALLY, CHILDREN'S HOSPITAL COLORADO PROVIDES PATIENT ASSISTANCE TO HELP IDENTIFY COMMUNITY-BASED RESOURCES, FACILITATE SERVICES AND PROVIDE APPROPRIATE REFERRAL ASSISTANCE TO HELP WITH CONTINUITY OF CARE. INPATIENT PROCESS: THIS PROCESS APPLIES TO PATIENTS WHO ARE BEING ADMITTED FOR OBSERVATION, SURGERY OR OTHER INPATIENT SERVICES. IF THE PATIENT IS PRE-SCHEDULED, CHILDREN'S HOSPITAL COLORADO PATIENT ACCESS WORKS TO CONTACT THE FAMILY PRIOR TO ADMISSION TO ARRANGE FOR A FINANCIAL SCREENING APPOINTMENT. REGARDLESS OF WHETHER AN APPOINTMENT IS SET PRIOR TO ADMISSION, THE PATIENT FINANCIAL COUNSELING TEAM WORKS WITH THE FAMILY TO DETERMINE THEIR SELF-PAY STATUS (EITHER NON-COMMERCIAL OR GOVERNMENT INSURANCE) AND SUBSEQUENTLY WORKS WITH THEM TO SCREEN FOR FINANCIAL ASSISTANCE OPTIONS. OUTPATIENT PROCESS: WHEN A PATIENT SCHEDULES A NON-EMERGENT OR URGENT OUTPATIENT CLINIC VISIT, THEY WILL IDENTIFY THEMSELVES AS SELF-PAY IF THEY DO NOT HAVE EITHER COMMERCIAL OR GOVERNMENT INSURANCE. AT THIS POINT, THEY ARE GIVEN TWO OPTIONS: (1) PAY $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.
COMMUNITY INFORMATION	SCHEDULE H, PART VI, LINE 4	CHILDREN'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.
PROMOTION OF COMMUNITY HEALTH	SCHEDULE H, PART VI, LINE 5	IN 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.
COLORADO PEDIATRIC COLLABORATIVE		DURING 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 GROUP	SCHEDULE H, PART VI, LINE 8	A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP A. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED IN FACILITY REPORTING GROUP A: (1) CHILDREN'S HOSPITAL COLORADO (2) CHILDREN'S HOSPITAL COLORADO - 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 (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization
CHILDREN'S HOSPITAL COLORADO

Employer identification number
84-0166760

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) REAL COLORADO 8200 SOUTH AKRON ST CENTENNIAL,CO80112	74-2392779	501(C)(3)	120,000	GENERAL PROGRAM SUPPORT
(2) MARCH OF DIMES 1325 S COLORADO BLVD DENVER,CO80222	13-1846366	501(C)(3)	50,000	GENERAL PROGRAM SUPPORT
(3) DENVER ART MUSEUM 100 W 14TH AVE PKWY DENVER,CO80204	84-6038240	501(C)(3)	40,000	GENERAL PROGRAM SUPPORT
(4) DENVER METRO CHAMBER OF COMMERCE PO BOX 5751 DENVER,CO80217	84-0186760	501(C)(6)	25,000	GENERAL PROGRAM SUPPORT
(5) AMERICAN RED CROSS PIKES PEAK 1040 S 8TH ST COLORADO SPRINGS,CO80905	84-0437753	501(C)(3)	25,000	GENERAL PROGRAM SUPPORT
(6) CHILDREN'S HEALTH FOUNDATION 400 WEST MAIN ST ASPEN,CO81611	20-2015631	501(C)(3)	10,000	GENERAL PROGRAM SUPPORT
(7) RONALD MCDONALD GALA 1300 E 21ST AVE DENVER,CO802055218	84-0728926	501(C)(3)	10,000	GENERAL PROGRAM SUPPORT
(8) RONALD MCDONALD HOUSE 311 N LOGAN COLORADO SPRINGS,CO80909	84-0728926	501(C)(3)	10,000	GENERAL PROGRAM SUPPORT
(9) SOUTH METRO FIRE RESCUE PO BOX 324 PARKER,CO80138	84-1174330	501(C)(3)	10,000	GENERAL PROGRAM SUPPORT
(10) REACH OUT AND READ 4380 S SYRACUSE ST DENVER,CO80237	86-1172160	501(C)(3)	10,000	GENERAL PROGRAM SUPPORT
(11) ROUND UP RIVER RANCH PO BOX 8589 AVON,CO81620	20-4632248	501(C)(3)	7,000	GENERAL HEALTH AND EDUCATION
(12) ST ANTHONY HEALTH 11600 W 2ND PLACE LAKEWOOD,CO80228	84-0902211	501(C)(3)	5,500	GENERAL PROGRAM SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2012

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information.

Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Identifier	Return Reference	Explanation
PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS	SCHEDULE I, PART I, LINE 2	CHILDREN'S HOSPITAL COLORADO RELIES ON THE GOVERNANCE PRACTICES OF THE RECIPIENT EXEMPT ORGANIZATIONS TO MONITOR THE USE OF FUNDS AS INTENDED.

Schedule I (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

CHILDREN'S HOSPITAL COLORADO

Employer identification number

84-0166760

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2012

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)JAMES E SHMERLING DHAPRESIDENT AND CEO	(i) (ii)	741,508 0	410,940 0	395,592 0	184,537 0	16,694 0	1,749,271 0	2,791 0
(2)JENA HAUSMANNCHIEF OPERATING OFFICER	(i) (ii)	408,317 0	182,597 0	166,658 0	97,453 0	16,821 0	871,846 0	0 0
(3)LEONARD J DRYER JRSR. VP-CFO	(i) (ii)	377,100 0	1,110,667 0	639,894 0	3,750 0	16,865 0	2,148,276 0	505,350 0
(4)MARY ANNE LEACHSR. VP-CIO	(i) (ii)	249,172 0	72,944 0	109,262 0	47,198 0	1,571 0	480,147 0	0 0
(5)JOHN LACOUTURECHIEF LEGAL OFFICER	(i) (ii)	9,474 0	85,322 0	327,081 0	0 0	1,260 0	423,137 0	0 0
(6)KELLY JOHNSONSR. VP / CHIEF NURSING OFFICER	(i) (ii)	267,104 0	88,013 0	85,335 0	46,372 0	21,329 0	508,153 0	0 0
(7)JEFFREY HARRINGTONVP FINANCE	(i) (ii)	204,085 0	57,848 0	73,509 0	47,709 0	16,247 0	399,398 0	0 0
(8)MICHAEL WUKITSCHVP HUMAN RESOURCE	(i) (ii)	240,026 0	68,642 0	80,953 0	51,907 0	19,147 0	460,675 0	0 0
(9)SUZY JAEGERVP AMBULATORY AND OPERATIONS	(i) (ii)	206,681 0	57,615 0	79,186 0	48,210 0	16,253 0	407,945 0	0 0
(10)JERROD MILTONVP OPERATIONS	(i) (ii)	168,138 0	47,785 0	68,540 0	41,476 0	1,654 0	327,593 0	0 0
(11)BETH GAFFNEYVP OPERATIONS	(i) (ii)	145,922 0	57,541 0	25,245 0	3,750 0	1,064 0	233,522 0	0 0
(12)AMY CASSERICHIEF STRATEGY OFFICER	(i) (ii)	287,919 0	102,143 0	108,922 0	63,150 0	15,823 0	577,957 0	0 0
(13)LINDA POWERSDIR NURSING PROJECTS	(i) (ii)	50,409 0	28,377 0	167,605 0	0 0	7,249 0	253,640 0	0 0
(14)MARGI MORSEDIR ADVANCED PRACTICE NURSING	(i) (ii)	52,338 0	25,210 0	155,739 0	0 0	7,249 0	240,536 0	0 0
(15)ROBERT REIDVP SUPPORT SERVICES	(i) (ii)	126,089 0	28,239 0	12,277 0	7,297 0	15,716 0	189,618 0	0 0
(16)MICHAEL CLARKEXEC DIR RESEARCH ADMIN	(i) (ii)	147,316 0	40,017 0	34,075 0	11,771 0	678 0	233,857 0	0 0
(17)DARLA VAN ESSENDIR NURSING PROJECTS	(i) (ii)	105,551 0	26,418 0	106,126 0	0 0	14,316 0	252,411 0	0 0
(18)MARY BETH MARTINEXEC DIR MATERNAL-FETAL PROG	(i) (ii)	171,577 0	32,605 0	34,344 0	1,464 0	10,232 0	250,222 0	0 0
(19)JOHN SCHLIEPOPERATIONS CONSULTANT	(i) (ii)	90,486 0	20,218 0	113,341 0	0 0	5,427 0	229,472 0	0 0
(20)SUSAN L MORANNEONATAL NURSE PRACTITIONER	(i) (ii)	176,854 0	2,797 0	24,415 0	3,203 0	15,164 0	222,433 0	0 0
(21)JOAN BOTHNER MDCHIEF MEDICAL OFFICER	(i) (ii)	497,772 0	153,952 0	0 0	0 0	0 0	651,724 0	0 0
(22)DENNIS MATTHEWSPPAARDI-IN-CHIEF	(i) (ii)	198,989 0	63,580 0	0 0	0 0	0 0	262,569 0	0 0
(23)STEPHEN DANIELSPEDIATRIC-IN-CHIEF	(i) (ii)	403,872 0	77,550 0	0 0	0 0	0 0	481,422 0	0 0
(24)DANIEL HYMAN MDCHIEF QUALITY OFFICER	(i) (ii)	373,440 0	113,169 0	0 0	0 0	0 0	486,609 0	0 0
(25)FRED SUCHYCHIEF RESEARCH OFFICER	(i) (ii)	201,211 0	123,699 0	0 0	0 0	0 0	324,910 0	0 0
(26)TIMOTHY CROMBLEHOMESURGEON-IN-CHIEF	(i) (ii)	379,149 0	208,800 0	0 0	0 0	0 0	587,949 0	0 0

Schedule J (Form 990) 2012

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Identifier	Return Reference	Explanation
SUPPLEMENTAL COMPENSATION INFORMATION	SCHEDULE J, PART I, LINE 4B	CHILDREN'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 INFORMATION	SCHEDULE J, PART I, LINE 7	CERTAIN INDIVIDUALS ARE ELIGIBLE TO PARTICIPATE IN THE INCENTIVE PLAN FOR CHILDREN'S COLORADO, THE COMPONENTS OF WHICH INCLUDE ACHIEVEMENT OF ORGANIZATIONAL PERFORMANCE GOALS AND INDIVIDUAL PERFORMANCE GOALS. BECAUSE THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS RESERVES THE RIGHT TO CHANGE, AMEND OR TERMINATE THIS PLAN AT ANY TIME, FOR ANY REASON, AT ITS SOLE DISCRETION AND BECAUSE OF CERTAIN OTHER CONDITIONS OF THE PLAN, LINE 7 REGARDING "NON-FIXED PAYMENTS" IS ANSWERED YES. NOTE THAT PRIOR TO THE PAYMENT OF ANY AMOUNTS TO AN INDIVIDUAL WHO IS CONSIDERED A DISQUALIFIED PERSON, THE COMPENSATION COMMITTEE SHALL CERTIFY IN WRITING THE EXTENT TO WHICH THE PERFORMANCE FACTORS ESTABLISHED BY THE COMPENSATION COMMITTEE HAVE BEEN SATISFIED AND SHALL APPROVE THE PAYMENT OF SUCH BONUSES TO SUCH INDIVIDUALS. SEE SCHEDULE O DISCLOSURE FOR PART VI, LINES 15A/B FOR ADDITIONAL INFORMATION ON EXECUTIVE COMPENSATION.
OTHER INFORMATION		CHILDREN'S COLORADO PAID UNIVERSITY PHYSICIANS INCORPORATED, AN UNRELATED TAX-EXEMPT ORGANIZATION, FOR SERVICES PROVIDED BY THE FOLLOWING INDIVIDUALS WHO ARE LISTED ON FORM 990, PART VII: JOAN BOTHNER, M.D. - $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 J (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization
CHILDREN'S HOSPITAL COLORADO

Employer identification number
84-0166760

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CITY OF AURORA CO	84-6000564	05155XBT5	06-06-2008	258,814,487	SERIES 2008 - SEE PART VI		X		X		X
B	CITY OF AURORA CO	84-6000564	05155XBV0	12-10-2008	67,580,000	SERIES 2008C - SEE PART VI		X		X		X
C	CITY OF AURORA CO	84-6000564	05155XBX6	05-25-2010	59,999,130	SERIES 2010A - SEE PART VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	24,905,000		7,600,000		0
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	258,814,487		67,580,000		59,999,130
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		0		0
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	2,381,234		500,625		709,432
8 Credit enhancement from proceeds . . . . . . . . . . .	183,253		79,375		0
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	0		0		59,289,698
11 Other spent proceeds . . . . . . . . . . . . . .	256,250,000		67,000,000		0
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2012				2012
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X		X			X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2012

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X			X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .	X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.00000%		0%		0.00000%		%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.00000%		0.00000%		0.00000%		%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .	0.00000%		0%		0.00000%		%
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.	%		%		%		%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?	X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .	X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .
b Exception to rebate? . . . . . . . .
c No rebate due? . . . . . . . . . .
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .	X		X			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider . . . . . . . . .	0		0		0
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . . . .
e Was a hedge terminated? . . . . . . .

Schedule K (Form 990) 2012

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X
b Name of provider . . . . . . . . .	0		0		0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X

Part VI

Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
DESCRIPTION OF PURPOSES OF BONDS	0	SCHEDULE 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.

Schedule K (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

CHILDREN'S HOSPITAL COLORADO

Employer identification number

84-0166760

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No
(1) CHILDREN'S NORTH ASC	JOINT VENTURE	LOAN GUARANTEE	X		4,651,000	4,651,000		No	Yes		Yes





Total ...... $						4,651,000

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2012

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) PHIPPS MCCARTHY	KAY - CHCO DIRECTOR	62,858,051	CONSTRUCTION FEES		No
(2) LOCKTON COMPANY	LINDSAY - CHCO DIRECTOR	357,900	CONSULTING FEES		No
(3) MATTHEW M DRYER	SON OF OFFICER	94,229	COMPENSATION		No
(4) DEBRA SHMERLING	WIFE OF OFFICER	13,539	COMPENSATION		No

Part V

Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

CHILDREN'S HOSPITAL COLORADO

Employer identification number

84-0166760

Identifier	Return Reference	Explanation
VOLUNTEERS	FORM 990, PART I, LINE 6	FROM TEENAGERS TO GREAT GRANDPARENTS, FROM HOMEMAKERS TO PROFESSIONAL ATHLETES, CHILDREN'S HOSPITAL COLORADO VOLUNTEERS ENCOMPASS ALL WALKS OF LIFE AND ALL INCOME LEVELS, EACH VOLUNTEER WITH SOMETHING UNIQUE TO OFFER. OUR DIVERSE GROUP OF VOLUNTEERS HAS ONE THING IN COMMON, HOWEVER, THE DESIRE TO HELP SICK CHILDREN AND THEIR FAMILIES. CHILDREN'S HOSPITAL COLORADO IS FORTUNATE TO HAVE HUNDREDS OF DEDICATED VOLUNTEERS WHO WORK REGULARLY, FROM SEVERAL HOURS A YEAR TO SEVERAL HOURS A WEEK, TO PROVIDE BETTER CARE FOR THE CHILDREN OF CHILDREN'S HOSPITAL COLORADO. THE ASSOCIATION OF VOLUNTEERS THE VOLUNTEERS AT CHILDREN'S HOSPITAL COLORADO ARE ALL PART OF A GROUP CALLED CHILDREN'S HOSPITAL COLORADO ASSOCIATION OF VOLUNTEERS (AOV). THE AOV COORDINATES PLACEMENTS FOR VOLUNTEERS AND ENSURES THAT COMPLETE ORIENTATION AND TRAINING IS PROVIDED TO ALL VOLUNTEERS. OUR VOLUNTEER'S SKILLS AND INTERESTS ARE ALL SO APPRECIATED AND WE TRY TO PLACE EVERYONE IN A ROLE THAT SUITS THEM AND OUR NEEDS. THE EXAMPLES BELOW ARE JUST SOME OF THE WAYS THAT OUR VOLUNTEERS CONTRIBUTE: - VOLUNTEERS 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 SERVICES	FORM 990, PART III, LINE 2	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.
ADDITIONAL PROGRAM SERVICE ACCOMPLISHMENTS	FORM 990, PART III, LINE 4A	WHEN IT WAS FOUNDED IN 1908 IN DENVER, CHILDREN'S HOSPITAL COLORADO SET OUT TO BE A LEADER IN PROVIDING THE BEST HEALTHCARE OUTCOMES FOR CHILDREN. THAT CALLING HAS CONSISTENTLY MADE US ONE OF THE TOP 10 CHILDREN'S HOSPITALS IN THE NATION AND A PLACE PARENTS ACROSS THE ROCKY MOUNTAIN REGION HAVE COME TO TRUST. 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 SERVICES		CHILDREN'S COLORADO PROVIDES A COMPREHENSIVE ARRAY OF DIAGNOSTIC AND THERAPEUTIC PEDIATRIC SERVICES ON BOTH AN INPATIENT AND OUTPATIENT BASIS. THE WIDE RANGE OF TERTIARY SERVICES AT THE CHILDREN'S COLORADO ANSCHUTZ CAMPUS HOSPITAL INCLUDES: LEVEL I PEDIATRIC TRAUMA CENTER - THE ONLY SUCH FACILITY IN THE ROCKY MOUNTAIN REGION; APPROXIMATELY 70% OF PATIENTS ARE TRANSFERRED FROM OTHER HOSPITALS OR CLINICS. LEVEL 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 BODY	FORM 990, PART VI, LINE 1A	CHILDREN'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 STOCKHOLDERS	FORM 990, PART VI, LINE 6	CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL COLORADO.
GOVERNANCE DECISIONS REQUIRING APPROVAL	FORM 990, PART VI, LINE 7B	CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM AS THE SOLE MEMBER HAS CERTAIN APPROVAL POWERS AS DESCRIBED IN THE AMENDED AND RESTATED BYLAWS DATED SEPTEMBER 22, 2011.
PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990	FORM 990, PART VI, LINE 11B	CHILDREN'S HOSPITAL COLORADO'S FINANCE DEPARTMENT WORKS CLOSELY WITH HUMAN RESOURCES, CORPORATE COMPLIANCE, LEGAL AND PUBLIC RELATIONS TO GATHER ALL OF THE DATA REQUIRED TO COMPLETE THE FORM 990. THE 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 INTEREST	FORM 990, PART VI, LINE 12C	ALL EMPLOYEES AND BOARD MEMBERS MUST PROMPTLY PROVIDE A WRITTEN DESCRIPTION OF MATERIAL FACTS OF AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST TO CORPORATE COMPLIANCE AND/OR GENERAL COUNSEL ON THE APPROPRIATE DISCLOSURE FORM. SUCH DISCLOSURE WILL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF THE CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. POLICIES AND PROCEDURES FOR DISCLOSING CONFLICTS OF INTEREST ARE TO BE FOLLOWED ACCORDING TO THE INDIVIDUAL'S FUNCTION, IN COMPLIANCE WITH STATE AND FEDERAL REGULATIONS. COMPLETED DISCLOSURE FORMS ARE SUBJECT TO AUDIT REVIEW BY LEGAL, THE CORPORATE COMPLIANCE PROGRAM, AND THE 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 EMP	FORM 990, PART VI, LINES 15A AND 15B	CHILDREN'S COLORADO HAS AN EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS THAT REVIEWS AND APPROVES ANY PROPOSED INCREASES RELATED TO ANY OFFICERS AND KEY EMPLOYEES OF THE COMPANY. THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE ALONG WITH THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS EACH YEAR. ONCE A CHANGE IN COMPENSATION IS APPROVED, FORMAL DOCUMENTS ARE COMPLETED AND MINUTES OF THE MEETING ARE PREPARED, REVIEWED AND APPROVED. REVIEW PROCESS INCLUDES: O REVIEW MARKET RATIO - SHOULD FALL BETWEEN 80% TO 120% OF MARKET O REVIEW 25TH, 50TH, AND 75TH PERCENTILE -- BASE SALARY - INDIVIDUAL QUALIFICATIONS AND PERFORMANCE DETERMINES MARKET POSITION -- 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 DOCUMENTS	FORM 990, PART VI, LINE 19	THESE DOCUMENTS ARE MADE AVAILABLE UPON REASONABLE REQUEST.
OTHER CHANGES IN NET ASSETS	FORM 990, PART XI, LINE 9	CHANGE 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) =============

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

CHILDREN'S HOSPITAL COLORADO

Employer identification number

84-0166760

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) CHILDREN'S HOSPITAL COLORADO HLTH SYSTEM 13123 EAST 16TH AVENUE AURORA,CO80045 45-4182666	HEALTHCARE	CO	501(C)(3)	7	NA		No
(2) CHILDREN'S HEALTH CORPORATION 13123 EAST 16TH AVENUE AURORA,CO80045 74-2235572	SUPPORTING	CO	501(C)(3)	11, TYPE I	CH-COLORADO	Yes
(3) CHILD HEALTH MANAGEMENT SERVICES INC 13123 EAST 16TH AVENUE AURORA,CO80045 74-2266667	IT SERVICE	CO	501(C)(3)	3	CH-COLORADO	Yes
(4) CHILDREN'S HOSPITAL COLORADO FOUNDATION 13123 EAST 16TH AVENUE AURORA,CO80045 84-0813462	FOUNDATION	CO	501(C)(3)	7	CHCHS	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2012

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) CHILDREN'S NORTH SURGERY CENTER LLC 13123 E 16TH AVE AURORA,CO80045 26-2394578	OUTPATIENT SURG	CO	NA	RELATED	-877,370	-2,101,122		No	0		No	73.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) RMCHS MANAGEMENT SERVICES 13123 E 16TH AVE AURORA,CO80045 84-0957415	BILLING	CO	NA	C CORP	5,065,087	115,488	100.000 %		No

Schedule R (Form 990) 2012

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CHILDRENS NORTH SURGERY CENTER LLC	B	265,000	SEE PART VII
(2) CHILDRENS NORTH SURGERY CENTER LLC	D	5,450,000	SEE PART VII
(3) CHILDRENS NORTH SURGERY CENTER LLC	A, J	491,099	SEE PART VII
(4) THE CHILDRENS HOSPITAL FOUNDATION	C	15,298,447	SEE PART VII

Schedule R (Form 990) 2012

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2012

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation
METHOD USED TO DETERMINE AMOUNTS OF TRANSACTIONS WITH CONTROLLED ENTITIES	SCHEDULE R, PART V, LINE 2	THE 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.

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO IMPROVE THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH- QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	28
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	25
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ......	5	5,647
6	Total number of volunteers (estimate if necessary) .............	6	1,977
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,325,688
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	731,969

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	22,635,860	22,893,129
9	Program service revenue (Part VIII, line 2g) .........	626,051,296	720,793,418
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	12,529,186	16,437,929
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	558,979	1,007,956
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	661,775,321	761,132,432
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	391,592	377,090
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	324,881,451	357,879,104
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	275,396,623	323,510,752
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	600,669,666	681,766,946
19	Revenue less expenses. Subtract line 18 from line 12.......	61,105,655	79,365,486
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,522,794,877	1,210,407,087
21	Total liabilities (Part X, line 26).............	525,206,058	539,165,462
22	Net assets or fund balances. Subtract line 21 from line 20.....	997,588,819	671,241,625

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 498,975,493 including grants of $ 377,090 ) (Revenue $ 720,793,418 )
	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. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses498,975,493

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	12,485,232	0	902,862

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		16,067,372
e	Government grants (contributions)1e		6,368,822

f	All other contributions, gifts, grants, and similar amounts not included above1f		456,935

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			22,893,129
			Business Code
2a	NET PATIENT SERVICE REVENUE		622110	694,081,988	694,081,988
b	RESEARCH FUNDING		541900	9,667,330	9,667,330
c	CAFETERIA		722210	3,790,350	3,790,350
d	LAB BILLINGS		561000	1,441,075	0	1,441,075
e	ALL OTHER REVENUE		900099	11,812,675	10,928,062	884,613
f	All other program service revenue .
g	Total. Add lines 2a–2f........			720,793,418
3	Investment income (including dividends, interest, and other similar amounts).......			4,398,917			4,398,917
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents	1,007,956
b	Less: rental expenses
c	Rental income or (loss)	1,007,956	0
d	Net rental income or (loss).......			1,007,956			1,007,956
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	13,239,388	1,500
b	Less: cost or other basis and sales expenses		1,201,876
c	Gain or (loss)	13,239,388	-1,200,376
d	Net gain or (loss)..........			12,039,012			12,039,012
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See Instructions......			761,132,432	718,467,730	2,325,688	17,445,885


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............			17,028,690	1	9,264,638
2	Savings and temporary cash investments .........			0	2	0
3	Pledges and grants receivable, net ...........			7,929,264	3	5,577,314
4	Accounts receivable, net .............			74,367,084	4	98,140,181
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			0	7	0
8	Inventories for sale or use ..............			5,559,573	8	6,055,742
9	Prepaid expenses and deferred charges ..........			4,983,633	9	6,774,807
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,179,283,382
b	Less: accumulated depreciation .....	10b	297,213,543	722,856,489	10c	882,069,839
11	Investments—publicly traded securities ..........			256,754,739	11	144,748,050
12	Investments—other securities. See Part IV, line 11 .....			165,423,503	12	125,000
13	Investments—program-related. See Part IV, line 11 .....			0	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			267,891,902	15	57,651,516
16	Total assets. Add lines 1 through 15 (must equal line 34)......			1,522,794,877	16	1,210,407,087
17	Accounts payable and accrued expenses .........			100,805,633	17	117,427,378
18	Grants payable .................			0	18	0
19	Deferred revenue ................			0	19	0
20	Tax-exempt bond liabilities .............			360,298,473	20	352,943,143
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			64,101,952	25	68,794,941
26	Total liabilities. Add lines 17 through 25.........			525,206,058	26	539,165,462
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			726,871,896	27	606,832,380
28	Temporarily restricted net assets ...........			163,961,629	28	30,588,479
29	Permanently restricted net assets ...........			106,755,294	29	33,820,766
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			997,588,819	33	671,241,625
34	Total liabilities and net assets/fund balances ........			1,522,794,877	34	1,210,407,087