Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
A For the 2014 calendar year, or tax year beginning 01-01-2014 , and ending 12-31-2014
BCheck if applicable:
CName of organization
Children's Hospital Colorado
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
13123 East 16TH AVENUE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
AURORA, CO80045
D Employer identification number

84-0166760
E Telephone number

G Gross receipts $ 926,925,015
F Name and address of principal officer:
Jena Hausmann
13123 East 16TH AVENUE
AURORA,CO80045
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.CHILDRENSCOLORADO.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1908
M State of legal domicile: CO
Part I
Summary
Activities  & Governance 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 MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 32
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 31
5 Total number of individuals employed in calendar year 2014 (Part V, line 2a) ...... 5 6,623
6 Total number of volunteers (estimate if necessary) ............. 6 2,421
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 2,742,590
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 197,667
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 24,172,041 25,543,007
9 Program service revenue (Part VIII, line 2g) ......... 821,483,114 893,154,291
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 6,593,192 7,771,803
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 1,053,868 443,148
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 853,302,215 926,912,249
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 118,312 678,722
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) 415,223,172 445,927,118
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 389,472,537 417,779,064
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 804,814,021 864,384,904
19 Revenue less expenses. Subtract line 18 from line 12....... 48,488,194 62,527,345
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,310,599,404 1,314,372,391
21 Total liabilities (Part X, line 26)............. 691,405,465 737,311,309
22 Net assets or fund balances. Subtract line 21 from line 20..... 619,193,939 577,061,082
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2014)
Form 990 (2014)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: TO IMPROVE THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH-QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 672,705,360 including grants of $ 678,722 ) (Revenue $ 893,154,291 )
ROUTINE INPATIENT SERVICES; ANCILLARY INPATIENT SERVICES SUCH AS LAB RADIOLOGY, OPERATING ROOM, RECOVERY ROOM, CENTRAL SUPPLIES, ETC.; OUTPATIENT SERVICES SUCH AS EMERGENCY ROOM, MULTI-SPECIALTY AMBULATORY SERVICES INCLUDING ORTHO CLINIC, ONCOLOGY CLINIC, ETC. 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 $ 0 including grants of $ 0 ) (Revenue $ 0 )
4e Total program service expensesMediumBullet672,705,360
Form 990 (2014)
Form 990 (2014)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III
Click to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I.... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................ Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV
..................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
679
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
6,623
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?
.........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2014)
Form 990 (2014)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
32
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
31
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
Yes
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletCATHY DAL SANTO VP FINANCE
13123 E 16TH AVENUE
AURORA,CO80045 (720) 777-2788
Form 990 (2014)
Form 990 (2014)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) LAURA BARTON........................................................................
Chair of CHCO Foundation
1.0
.......................4.0
X           0 0 0
(2) DONNA BOYETTE........................................................................
PRES-VOLUNTEERS (PART YEAR)
1.0
.......................1.0
X           0 0 0
(3) RUSSELL DISPENSE........................................................................
BOARD MEMBER
1.0
.......................0.0
X           0 0 0
(4) DONALD M ELLIMAN........................................................................
CHANCELLOR UOC ANSCHUTZ CAMPUS
1.0
.......................0.0
X           0 0 0
(5) COLE FINEGAN........................................................................
VICE-CHAIR (OUTGOING)(PT YR)
1.0
.......................1.0
X   X       0 0 0
(6) CATHY M FINLON........................................................................
PAST CHAIR (OUTGOING)(pt yr)
1.0
.......................0.0
X           0 0 0
(7) Michael Gould........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(8) BRIAN GREFFE MD........................................................................
PRESIDENT OF MEDICAL STAFF
1.0
.......................0.0
X           400 0 0
(9) ROXANN HEADLEY MD........................................................................
BOARD MEMBER (PART YEAR)
1.0
.......................0.0
X           0 0 0
(10) RANDY HERTEL........................................................................
BOARD MEMBER
1.0
.......................0.0
X           0 0 0
(11) David Honeyfield........................................................................
Treasurer
1.0
.......................1.0
X   X       0 0 0
(12) DAVID HOOVER........................................................................
BOARD MEMBER
1.0
.......................0.0
X           0 0 0
(13) ROBERT HOTTMAN........................................................................
CHAIR (OUTGOING) / PAST CHAIR
1.0
.......................1.0
X   X       0 0 0
(14) WAYNE HUTCHENS........................................................................
SECRETARY
1.0
.......................1.0
X   X       0 0 0
(15) JOY JOHNSON........................................................................
BOARD MEMBER
1.0
.......................1.0
X           0 0 0
(16) Judith Koff........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(17) RICHARD KRUGMAN MD........................................................................
BOARD MEMBER, VICE CHANCELLOR
1.0
.......................0.0
X           0 0 0
Form 990 (2014)
Form 990 (2014)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Karen Leamer........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(19) WILLIAM LINDSAY........................................................................
BOARD MEMBER
1.0
.......................0.0
X           0 0 0
(20) LILLY MARKS........................................................................
BOARD MEMBER, VP HLTH AFFAIRS
1.0
.......................0.0
X           0 0 0
(21) Annita Menogan........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(22) Martha Middlemist........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(23) R Scott Nycum........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(24) CRAIG PONZIO........................................................................
BOARD MEMBER
1.0
.......................0.0
X           0 0 0
(25) Victoria Quintana........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(26) PAUL RADY........................................................................
BOARD MEMBER (PART YEAR)
1.0
.......................0.0
X           0 0 0
(27) KEVIN REIDY........................................................................
TREASURER (OUTGOING) / CHAIR
1.0
.......................4.0
X   X       0 0 0
(28) KRISTIN RICHARDSON........................................................................
BOARD MEMBER
1.0
.......................1.0
X           0 0 0
(29) Robyn Roggensack........................................................................
PRES-ASSOCIATION OF VOLUNTEERS
1.0
.......................0.0
X           0 0 0
(30) JANE SCHUMAKER........................................................................
BOARD MEMBER
1.0
.......................0.0
X           0 0 0
(31) David Shapiro........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(32) JAMES E SHMERLING DHA........................................................................
CEO
40.0
.......................4.0
X   X       1,493,363 0 242,574
(33) BRADLEY SMITH DDS........................................................................
Board Member (part year)
1.0
.......................0.0
X           0 0 0
(34) Ann Sperling........................................................................
Vice-Chair of Board
1.0
.......................1.0
X   X       0 0 0
(35) HAL STEIN MD........................................................................
BOARD MEMBER
1.0
.......................0.0
X           0 0 0
(36) BRUCE WAGNER........................................................................
BOARD MEMBER
1.0
.......................0.0
X           0 0 0
(37) BENJAMIN WALTON........................................................................
BOARD MEMBER (PART YEAR)
1.0
.......................0.0
X           0 0 0
(38) Steve White........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(39) BARTH WHITHAM........................................................................
BOARD MEMBER
1.0
.......................0.0
X           0 0 0
(40) JENA HAUSMANN........................................................................
PRESIDENT AND COO
40.0
.......................4.0
    X       782,060 0 153,848
(41) JOAN BOTHNER MD........................................................................
CHIEF MEDICAL OFFICER
40.0
.......................0.0
    X       682,975 0 0
(42) JEFFREY HARRINGTON........................................................................
SR. VP / CFO
40.0
.......................4.0
    X       536,625 0 101,732
(43) AMY CASSERI........................................................................
CHIEF STRATEGY OFFICER
40.0
.......................0.0
    X       503,455 0 39,228
(44) MICHELLE M LUCERO........................................................................
CHIEF LEGAL OFFICER
40.0
.......................0.0
    X       464,841 0 109,071
(45) MARY ANNE LEACH........................................................................
SR. VP / CIO
40.0
.......................0.0
    X       436,453 0 97,845
(46) KELLY JOHNSON........................................................................
SR. VP / CHIEF NURSING OFFICER
40.0
.......................0.0
    X       411,653 0 93,804
(47) Suzanne Jaeger........................................................................
Sr. VP Experience and Access
40.0
.......................0.0
      X     336,078 0 83,530
(48) Gil Peri........................................................................
Sr. VP Strategy
40.0
.......................0.0
      X     184,590 0 5,675
(49) TIMOTHY CROMBLEHOME MD........................................................................
SURGEON-IN-CHIEF
40.0
.......................0.0
        X   495,000 0 0
(50) STEPHEN DANIELS MD........................................................................
PEDIATRIC-IN-CHIEF
40.0
.......................0.0
        X   435,099 0 0
(51) DANIEL HYMAN MD........................................................................
CHIEF QUALITY OFFICER
40.0
.......................0.0
        X   469,608 0 0
(52) FRED SUCHY MD........................................................................
CHIEF RESEARCH OFFICER
40.0
.......................0.0
        X   432,760 0 0
(53) DENNIS MATTHEWS MD........................................................................
PPARDI-IN-CHIEF
40.0
.......................0.0
        X   228,185 0 0
(54) LEONARD J DRYER JR........................................................................
FORMER SR. VP / CFO
0.0
.......................0.0
          X 271,681 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 8,164,826 0 927,307
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet516
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
Yes
 
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
UNIVERSITY PHYSICIANS INC,
13611 E Colfax
Aurora,CO80045
Physician Services 58,051,961
UNIVERSITY OF COLORADO DENVER,
13001 East 17th Place
Aurora,CO80045
Educational Services 17,797,699
CROTHALL HEALTHCARE,
13028 Collection Center Drive
Chicago,IL60693
Environmental Svcs 7,319,396
UNIVERSITY HOSPITAL,
12605 E 16th Ave
Aurora,CO80045
Medical Research 7,311,700
MCKINSEY AND COMPANY INC,
3075A Hansen Way
Palo Alto,CA94304
Consulting services 3,400,000
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet120
Form 990 (2014)
Form 990 (2014)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 0
d Related organizations...1d 19,452,297
e Government grants (contributions)1e 6,060,000
f All other contributions, gifts, grants, and
similar amounts not included above
1f
30,710
g Noncash contributions included in lines
1a-1f:$
0
h Total. Add lines 1a-1f.......MediumBullet 25,543,007
 Program Service RevenueAmt Business Code
2a NET PATIENT SERVICES REVENUE 622110 863,661,000 863,661,000 0 0
b Research Funding 541900 10,883,415 10,883,415 0 0
c Cafeteria 722210 4,207,483 4,207,483 0 0
d Lab Billings 561000 2,568,269 0 2,568,269 0
e All other program service revenue 900099 11,834,124 11,659,803 174,321 0
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 893,154,291
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 1,857,088     1,857,088
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 443,148  
b Less: rental expenses    
c Rental income or (loss) 443,148 0
d Net rental income or (loss).......MediumBullet 443,148     443,148
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 5,927,481  
b Less: cost or other basis and sales expenses   12,766
c Gain or (loss) 5,927,481 -12,766
d Net gain or (loss)..........MediumBullet 5,914,715     5,914,715
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..MediumBullet 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...MediumBullet 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..MediumBullet 0      
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 0
12 Total revenue. See Instructions......MediumBullet 926,912,249 890,411,701 2,742,590 8,214,951
Form 990 (2014)
Form 990 (2014)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
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 domestic organizations and domestic governments. See Part IV, line 21 .... 678,722 678,722
2 Grants and other assistance to domestic individuals. See Part IV, line 22 .... 0 0
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............ 0 0
4 Benefits paid to or for members .... 0 0
5 Compensation of current officers, directors, trustees, and key employees .... 6,719,150 0 6,719,150 0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 377,884 106,203 271,681 0
7 Other salaries and wages .... 355,343,745 280,060,519 75,283,226 0
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 15,649,790 12,097,288 3,552,502 0
9 Other employee benefits ....... 43,622,334 33,720,064 9,902,270 0
10 Payroll taxes ........... 24,214,215 18,717,588 5,496,627 0
11 Fees for services (non-employees):        
a Management ...... 0 0 0 0
b Legal ......... 461,684 0 461,684 0
c Accounting ........... 8,087 0 8,087 0
d Lobbying ........... 445,246 445,246 0 0
e Professional fundraising services. See Part IV, line 17 0 0
f Investment management fees ...... 8,512 0 8,512 0
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) .... 131,736,630 101,832,415 29,904,215  
12 Advertising and promotion .... 6,254,725 4,834,902 1,419,823 0
13 Office expenses ....... 3,062,344 2,367,192 695,152 0
14 Information technology ...... 13,562,427 10,483,756 3,078,671 0
15 Royalties .. 0 0 0 0
16 Occupancy ........... 24,129,803 18,652,338 5,477,465 0
17 Travel ............ 2,047,594 1,582,790 464,804 0
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0 0 0 0
19 Conferences, conventions, and meetings .... 731,308 565,301 166,007 0
20 Interest ........... 15,385,732 11,893,171 3,492,561 0
21 Payments to affiliates ....... 0 0 0 0
22 Depreciation, depletion, and amortization ..... 59,403,527 45,918,926 13,484,601 0
23 Insurance .............. 2,845,785 2,199,792 645,993 0
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 104,441,001 80,732,894 23,708,107 0
b Hospital Provider Fee 20,605,404 20,605,404 0 0
c Equipment Rental & maint 10,201,655 7,885,879 2,315,776 0
d Swap Interest 6,593,937 5,097,113 1,496,824 0
e All other expenses 15,853,663 12,227,857 3,625,806  
25 Total functional expenses. Add lines 1 through 24e 864,384,904 672,705,360 191,679,544 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 MediumBullet if following SOP 98-2 (ASC 958-720). 0      
Form 990 (2014)
Form 990 (2014)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 44,749,396 1 50,724,569
2 Savings and temporary cash investments ......... 0 2 0
3 Pledges and grants receivable, net ........... 4,626,496 3 5,847,621
4 Accounts receivable, net ............. 101,582,985 4 110,160,809
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 .............. 6,954,960 8 7,671,653
9 Prepaid expenses and deferred charges .......... 5,936,620 9 8,645,630
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,353,662,932
b Less: accumulated depreciation ..... 10b 398,737,862 965,350,001 10c 954,925,070
11 Investments—publicly traded securities .......... 107,952,618 11 100,443,318
12 Investments—other securities. See Part IV, line 11 ..... 375,000 12 375,000
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 ........... 73,071,328 15 75,578,721
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 1,310,599,404 16 1,314,372,391
Liabilities 17 Accounts payable and accrued expenses ......... 143,572,984 17 122,479,108
18 Grants payable ................. 0 18 4,458,680
19 Deferred revenue ................ 0 19 0
20 Tax-exempt bond liabilities ............. 503,784,277 20 539,499,581
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 .... 13,357,596 24 13,377,882
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.................... 30,690,608 25 57,496,058
26 Total liabilities. Add lines 17 through 25......... 691,405,465 26 737,311,309
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 549,335,021 27 501,297,012
28 Temporarily restricted net assets ........... 32,124,276 28 36,912,433
29 Permanently restricted net assets ........... 37,734,642 29 38,851,637
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet 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 ........... 619,193,939 33 577,061,082
34 Total liabilities and net assets/fund balances ........ 1,310,599,404 34 1,314,372,391
Form 990 (2014)
Form 990 (2014)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
926,912,249
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
864,384,904
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
62,527,345
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
619,193,939
5
Net unrealized gains (losses) on investments ...............
5
-3,403,035
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-101,257,167
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
577,061,082
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? .................
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 13
Form 990, Special Condition Description:
Special Condition Description
Form 990 (2014)
Form 990 (2014)
Page 14
Additional Data


Software ID:  
Software Version:  
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.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
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.)
10
11
a
b
c
d
e
f
Enter the number of supported organizations .............................  
g
Provide the following information about the supported organization(s).
(i)Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total    

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
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) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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 VI.)..            
11 Total support Add lines 7 through 10.  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
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) 2014
Schedule A (Form 990 or 990-EZ) 2014
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) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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 VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 5
Part IV
Supporting Organizations (continued)

Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 6
Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1.   Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors (explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7   Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 7
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
 
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions
 
9 Distributable amount for 2014 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2014
(iii)
Distributable
Amount for 2014
1 Distributable amount for 2014 from Section C, line
6
 
2 Underdistributions, if any, for years prior to 2014
(reasonable cause required--see instructions)
 
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2014 distributable amount  
i Carryover from 2009 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2014 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2014 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2014, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)
 
6 Remaining underdistributions for 2014. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)
 
7 Excess distributions carryover to 2015. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......  
e From 2014.......  
Schedule A (Form 990 or 990-EZ) (2014)
Schedule A (Form 990 or 990-EZ) 2014
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2014

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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





Form 990-PF




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
Special Rules
......... 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 its Form 990PF, Part I, line 2, 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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 2
Name of organization
Children's Hospital Colorado
 
Employer identification number

84-0166760
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


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 3
Name of organization
Children's Hospital Colorado
 
Employer identification number

84-0166760
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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 4
Name of organization
Children's Hospital Colorado
 
Employer identification number

84-0166760
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. 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 (c) Use 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 (c) Use 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 (c) Use 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 (c) Use 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) (2014)

Additional Data


Software ID:  
Software Version:  
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 Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
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) 2014

Schedule C (Form 990 or 990-EZ) 2014
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 Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
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) ...... 119,051 0
b Total lobbying expenditures to influence a legislative body (direct lobbying) ....... 326,195 0
c Total lobbying expenditures (add lines 1a and 1b) ................... 445,246 0
d Other exempt purpose expenditures ........................ 672,260,114 0
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 672,705,360 0
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
1,000,000 0
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 0
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................   0
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................   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? ......................................

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2011 (b) 2012 (c) 2013 (d) 2014 (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 226,371 226,371 231,750 445,246 1,129,738
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 4,000 119,051 131,051
Schedule C (Form 990 or 990-EZ) 2014


Schedule C (Form 990 or 990-EZ) 2014
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)
No
Yes
(b)
Amount
1
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:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? ..........................
 
 
 
j
Total. Add lines 1c through 1i ...............................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
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
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
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."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
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? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C (Form 990 or 990EZ) 2014

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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 value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .......................................
9
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.
1a
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.
b
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)
Revenue included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
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:
a
Revenue included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2014

Schedule D (Form 990) 2014
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?........
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
b
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 .... 37,734,642 33,820,766 31,068,294 31,490,541 29,283,714
b Contributions ........          
c Net investment earnings, gains, and losses 2,029,994 4,746,146 3,971,679 213,181 3,172,990
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........
830,947 756,379 1,148,212 566,993 900,247
f Administrative expenses .... 82,052 75,891 70,995 68,435 65,916
g End of year balance ...... 38,851,637 37,734,642 33,820,766 31,068,294 31,490,541
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet100.000 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
Yes
 
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   26,575,643 26,575,643
b Buildings ................   872,289,864 153,266,852 719,023,012
c Leasehold improvements ............   12,041,902 6,632,796 5,409,106
d Equipment ................   379,667,437 234,887,649 144,779,788
e Other .................   63,088,086 3,950,565 59,137,521
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 954,925,070
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (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.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) PERPETUAL TRUST ASSETS-TAMMEN 38,851,637
(2) OTHER MISCELLANEOUS RECEIVABLE 9,643,349
(3) SELF INSURANCE TRUST REC. 7,628,000
(4) PENSION PLAN ASSETS 5,112,792
(5) DEFERRED DEBT ISSUANCE COSTS 4,649,515
(6) OTHER NON-CURRENT ASSETS 4,561,181
(7) RECEIVABLE FROM FOUNDATION 3,432,714
(8) RECEIVABLE FROM SYSTEM 1,699,533

Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 75,578,721
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 107,954
VALUE OF INTEREST RATE SWAP 36,890,121
SELF INSURANCE TRUST 11,711,000
PENSION PLAN LIABILITY 6,373,095
INVESTMENT IN NORTH ASC 2,413,888





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 57,496,058
2. Liability for uncertain tax positions. 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) 2014

Schedule D (Form 990) 2014
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 (losses) 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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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
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.
Return Reference Explanation
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.
SCHEDULE D, PART X, LINE 2 MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.
Schedule D (Form 990) 2014

Additional Data


Software ID:  
Software Version:  




SCHEDULE H (Form 990)
Department of the TreasuryInternal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
%
b
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: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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.
4
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"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
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? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (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) ..
    4,185,558 3,369,276 816,282 0.090 %
b Medicaid (from Worksheet 3,
column a) ....
    376,817,696 260,198,816 116,618,880 13.490 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
    23,019,002 21,768,930 1,250,072 0.140 %
d Total Financial Assistance
and Means-Tested
Government Programs .
    404,022,256 285,337,022 118,685,234 13.720 %
Other Benefits
    7,527,522 2,326,402 5,201,120 0.600 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    26,016,560 7,032,933 18,983,627 2.200 %
g Subsidized health services
(from Worksheet 6) ..
    47,378,992 34,963,791 12,415,201 1.440 %
h Research (from Worksheet 7)     18,368,357   18,368,357 2.130 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    438,705   438,705 0.050 %
j Total. Other Benefits ..     99,730,136 44,323,126 55,407,010 6.420 %
k Total. Add lines 7d and 7j .     503,752,392 329,660,148 174,092,244 20.140 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     1,800   1,800 0 %
2 Economic development     3,596   3,596 0 %
3 Community support     25,310   25,310 0 %
4 Environmental improvements     16,093   16,093 0 %
5 Leadership development and training for community members     90,102 4,000 86,102 0.010 %
6 Coalition building     24,793   24,793 0 %
7 Community health improvement advocacy     32,455 2,837 29,618  
8 Workforce development     464,868 77,400 387,468 0.050 %
9 Other            
10 Total     659,017 84,237 574,780 0.060 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
16,895,668
3
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. ......
3
1,689,567
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
2,047,356
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
2,280,740
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-233,384
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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.......................

9b

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) 2014
Schedule H (Form 990) 2014
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?6
Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 Children's Hospital Colorado
13123 EAST 16TH AVENUE
AURORA,CO80045
WWW.CHILDRENSCOLORADO.ORG
01O417
X   X X   X X     A
2 CHILDREN'S HOSPITAL COLORADO - NORTH
469 WEST STATE HIGHWAY 7
BROOMFIELD,CO80023
WWW.CHILDRENSCOLORADO.ORG
18F110
X   X             A
3 CHILDREN'S HOSPITAL COLORADO - PARKER
9395 CROWN CREST BLVD
PARKER,CO80138
WWW.CHILDRENSCOLORADO.ORG
13Z405
X   X       X     A
4 CHILDREN'S HOSPITAL CO - UPTOWN
1830 FRANKLIN STREET
DENVER,CO80218
WWW.CHILDRENSCOLORADO.ORG
13Y767
X   X       X     A
5 CHILDREN'S HOSPITAL CO - MEMORIAL
1400 EAST BOULDER STREET
COLORADO SPRINGS,CO80909
WWW.CHILDRENSCOLORADO.ORG
13U321
X   X             A
6 CHILDREN'S HOSPITAL COLORADO - SOUTH
1811 PLAZA DRIVE
HIGHLAND RANCH,CO80129
WWW.CHILDRENSCOLORADO.ORG
01F105
X   X X   X X     A
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
16
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 12
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): WWW.CHILDRENSCOLORADO.ORG
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

A
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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 individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

A
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ................................ 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
SCHEDULE H, PART V, SECTION B A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP A. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED IN FACILITY REPORTING GROUP A: (1) CHILDREN'S HOSPITAL COLORADO (2) CHILDREN'S HOSPITAL COLORADO - NORTH (3) CHILDREN'S HOSPITAL COLORADO - PARKER (4) CHILDREN'S HOSPITAL COLORADO - UPTOWN (5) CHILDREN'S HOSPITAL COLORADO - MEMORIAL (6) CHILDREN'S HOSPITAL COLORADO - SOUTH
SCHEDULE H, PART V, SECTION B, LINE 5 THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 5 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: Children's Hospital Colorado engaged the Colorado School of Public Health to conduct the CHNA to ensure that individuals with expertise in public health were providing leadership and input into the process, methods, and findings. In addition to examining a variety of data sources, information was obtained from representatives of the community in three ways - key informant interviews, focus groups, and establishment of a community outreach subcommittee. Key informant interviews were conducted with 36 individuals representing state and local government, community based organizations, and local organizations serving minority and underinsured/low income populations. Four parent/adult focus groups and one teenage focus group were conducted to ensure input from those who reside in the community, both the immediate communities surrounding the hospital as well as those with a broader perspective of the Colorado community. Finally, a community outreach subcommittee that reported to the hospital's Children's Health Advocacy Leadership Institute (CHAI) met throughout 2012 to provide input on community engagement during the process of development of implementation strategies. The community outreach subcommittee included representatives with expertise in specific areas of need (behavioral health, access to care, injury, obesity) as well as representatives from public health and local community based organizations focused on underserved populations.
SCHEDULE H, PART V, SECTION B, LINE 6A THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 6A APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: Due to proximity of geographic locations, Children's Hospital Colorado conducted a joint CHNA in its hospital facilities which included Children's Hospital Colorado, Children's Hospital Colorado - North, Children's Hospital Colorado - Parker, Children's Hospital Colorado - UPTOWN, Children's Hospital Colorado - Memorial and Children's Hospital Colorado - South and developed a joint Implementation Strategy to respond to the priority health issues identified.
SCHEDULE H, PART V, SECTION B, LINE 7d THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 7d APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: In addition to posting the CHNA on the hospital's website and making the report available upon request, Children's Health Advocacy Institute (CHAI) staff presented CHNA findings to a number of internal stakeholder groups. CHAI staff also routinely shared high level CHNA findings in meetings with community partners, with the goal of identifying opportunities to engage in collaborative efforts to address areas of need also identified by community partners.
SCHEDULE H, PART V, SECTION B, LINE 11 THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: 2012 Implementation Plan Priority Health Needs Children's Hospital Colorado's Implementation Strategy was developed based on findings and priorities that emerged from the 2012 CHNA and a review of the hospital's existing community benefit activities. Following completion of the 2012 CHNA, the Child Health Advocacy Institute (CHAI) staff, internal and external stakeholders, and the CHAI community outreach subcommittee met to prioritize the identified needs. From the data gathered priority health needs were identified using the criteria established by the CHAI Leadership Board: population impact, efficacy of interventions, sustainability of impact, capability and resource availability, philanthropic support, policy alignment. The prioritization process identified four priority health issues: Access to Health Care, Obesity, Injury, and Mental Health. Other Health Needs Identified in the CHNA Not Addressed in the 2012 Implementation Plan: Three other important health needs were identified in the 2012 CHNA: Asthma, Dental care, and Reproductive Health. They are not being addressed in this Implementation Strategy due to current level of programing addressing the needs, existing policy alignment and the need to allocate significant resources to the four priority health issues identified above. Existing CHCO programs addressing priority needs not prioritized in the Implementation Strategy: Asthma (Denver Public School Asthma Education Program and ONE Step Second Hand Smoke Reduction Program), Dental (Cavity-Free at Three, Healthy Smiles, and Child Care Ctr. Dental Screenings), Reproductive Health (Adolescent CHIP Clinic, Adolescent Family Planning Clinic, and Colorado Adolescent Maternity Program).
SCHEDULE H, PART V, SECTION B, LINE 22D THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 22D APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: Children's Hospital Colorado uses a blended average of all commercial insurance reimbursement rates.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section D. 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?12
Name and address Type of Facility (describe)
1 CHILDREN'S HOSPITAL CO PARKER ADVENTIST
19284 COTTONWOOD DRIVE
PARKER,CO80138
OT/PT, SPEECH & AUDIOLOGY
2 CHILDREN'S HOSPITAL CO SPECIALTY CARE
9399 CROWN CREST BLVD
PARKER,CO80138
SPECIALITY CARE, SPORTS MEDICINE
3 CHILDREN'S HOSPITAL CO OP SPECIALTY CARE
4125 BRIARGATE PARKWAY
COLORADO SPRINGS,CO80920
SPECIATLY CARE, ONCOLOGY CLINICS, URGENT CARE, SPEECH
4 CHILDREN'S HOSPITAL CO THERAPY CARE
Printers Park Medical Plaza
COLORADO SPRINGS,CO80910
OT/PT, SPEECH & AUDIOLOGY
5 CHILDREN'S HOSPITAL CO THERAPY CARE
8401 ARISTA PLACE
BROOMFIELD,CO80021
OT/PT, SPEECH & AUDIOLOGY SERVICES
6 CHILDREN'S HOSPITAL CO UC & OP CARE
3455 LUTHERAN PARKWAY
WHEAT RIDGE,CO80033
URGENT CARE, SPECIALIST CARE SPORTS MEDICINE
7 CHILDREN'S HOSPITAL CO UC & OP CARE
151 W COUNTY LINE ROAD
LITTLETON,CO80129
REHABILITATION & THERAPY SERVICES
8 CHILDREN'S HOSPITAL CO CCBD
7720 S BROADWAY
LITTLETON,CO80122
OP PED SPECIALTY CARE OF CANCER & BLOOD DISORDERS
9 KIDSTREET
3615 MARTIN LUTHER KING BLVD
DENVER,CO80205
REHABILITATION & THERAPY Services
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, RADIOLOGY SERVICES, SPORTS MEDICINE
12 CHILDREN'S HOSPITAL CO THERAPY CARE
704 FORTINO BLVD SUITE A
PUEBLO,CO81008
SPEECH THERAPY, LEARNING DISABILITIES
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.
Form and Line Reference 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 venues including Hospital website, media stories and publications such as the Colorado Hospital Association's annual report.
SCHEDULE H, PART I, LINE 7 In 2014 Children's Hospital Colorado provided $174,092,244 or 20.14% 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 $118,685,234 or 13.72% of total operating expenses. Medicaid payment shortfalls continue to comprise the majority of this figure, accounting for $ 116,618,880 of the total shortfall. The shortfall for financial assistance (charity care) provided in 2014 was $816,282. This represents the cost of providing these services calculated using the Hospital's cost accounting system. Other benefits accounted for $55,407,010 of total operating expenses. Other benefits include health professions education of $18,983,627 or 2.20% of total operating expenses; research activity of $18,368,357, or 2.13% of total operating expenses; subsidized health services of $12,415,201 or 1.44% of total operating expenses; community health improvement services and community benefit operations of $5,201,120 or .60% of total operating expenses and cash and in-kind contributions to community groups of $438,705 of .05% of total operating expenses. Included in subsidized health services are those which Children's Hospital Colorado provides to its patient population at a loss. In 2014 programs associated with these losses are Mental Health, Dermatology, and Rehabilitation services. The number reflected in Subsidized Health Services excludes bad debt, Medicaid and other means tested government program shortfalls, financial assistance (charity care). Children's Hospital Colorado is committed to serving all patients regardless of their ability to pay.
SCHEDULE H, PART II In 2014, Children's Hospital Colorado provided $574,780 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. Community Support and Workforce Development-Community-Campus Partnership The Community-Campus Partnership (CCP) founded in 2013 fosters, promotes and supports mutually beneficial collaborations between Anschutz Medical Campus and the surrounding Aurora community to improve the health and economic well-being of the community. Anschutz Medical Campus includes Children's Hospital of Colorado, University of Colorado Hospital, University Physicians, Inc. and the University of Colorado's health science academic programs and research centers. Nearly 16,000 people are employed on the Anschutz Campus of which fewer than three percent are residents from area neighborhoods. North Aurora residents in neighborhoods immediately surrounding the campus -particularly those living in ZIP codes 80010 and 80011 - are largely low-income and a large percentage of residents in these neighborhoods have not graduated from high school. According to the most recent Census data, almost 30 percent of 80010 residents over age 25 lack a high school diploma or a GED. In 2014, the campus Community partnership developed a formal "hire local" program for the medical campus. The goal of "hire local" is to increase pipeline opportunities such as the healthcare training course at Community College of Aurora that funnel more local residents into entry-level jobs on the medical campus. Children's Hospital has identified two positions (sterile processing and patient services) that will serve as pipeline jobs for the "hire local" initiative. In addition, representatives for Children's serve on the CCP Authority and Implementation Committees. Leadership Development and Training for Community Members The Family Leadership Training Institute (FLTI) is a first-of-its-kind family civics program. The goals of FLTI are to effect positive family leadership development by: 1) helping families become leaders in their communities through civic engagement; 2) expanding and facilitating the capacity of families to be change agents on a neighborhood, regional and state level; 3) developing supportive communities of families within regions of the state; 4) facilitating family involvement in state and local policy decision-making processes; 5) increasing parent-child interaction through family involvement. Children's Hospital Colorado along with the Colorado Department of Public Health and Environment, Colorado State University Extension, Colorado Department of Human Services, and Colorado Health Foundation are primary partners of this state-wide initiative. Program graduates spend more than 120 hours to develop skills needed to become effective leaders in their communities. Once recruited and accepted in to the program, participants attend a 20-week curriculum that integrates personal and child development, leadership training, civic literacy and civic participation skills. In 2014, 15 community members graduated from the CHCO sponsored Institute. 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 strives to strengthen our community and state by serving as advocates for children's health and well-being. We work to advance the mission of the hospital through comprehensive and strategic advocacy and legislative efforts on the local, state and national level. This includes researching and engaging in legislative and policy issues, directing advocacy campaigns, conducting public awareness/education, and fostering organizational relationships with community partners, advocacy groups/coalitions, elected officials, their staff, and policy makers. In January 2014, the sale of marijuana in Colorado was legalized. With the increasing availability of marijuana, Children's was concerned that Colorado hospitals would see a rise in unintentional exposures in children. Accidental exposures of marijuana products to children in Colorado have increased in the past three years, based on the rate of emergency department visits and admissions at Children's Colorado. Most of the accidental ingestion incidents in Colorado requiring hospital admission involve young children, especially toddlers. Many of these children are getting into edible products with high concentrations of THC. Symptoms vary anywhere from mild sleepiness, to poor respiratory effort, to coma requiring insertion of a breathing tube. To address this concern, Children's played a major role in crafting and supporting a marijuana safe-packaging bill. Passed by the House and Senate and signed into law by the governor, House Bill 1122 contains a number of provisions intended to limit youth access to marijuana, including a series of changes that simplify and strengthen marijuana regulations. These include closing a loophole that allowed some marijuana edible products to be sold in non-child-resistant packaging, and aligning child-safe packaging laws governing medical and retail marijuana products. Why it's good for kids: All marijuana products will now be sold in child-resistant, opaque, and re-sealable packaging, and the laws regulating packaging for both medical and retail marijuana are clearer to understand and enforce. 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. Workforce Development Medical Career Collaborative program (MC2)- Founded in 1998, MC2 engages high school students in experiences that give them a jump start on careers in health, medicine and the biosciences. The program recruits students from underrepresented backgrounds and those from socio-economically disadvantaged groups. The two-year program familiarize students with different aspects of health care through internships, field trips, workshops, student seminars, service learning opportunities, mentoring by hospital staff, post-secondary coaching and when appropriate, career guidance and job placement assistance at Children's Hospital. The Medical Career Collaborative is a strategic program as part of HR's workforce development efforts. As the program invests in these students it is essentially increasing the diversity and cultural awareness of the healthcare workforce as it builds the next generation of professionals here at Children's Colorado and in the community. In 2014 there were 50 enrolled students.
SCHEDULE H, PART III, LINE 2 Children's Hospital Colorado estimates bad debt reserves based on historical experience.
SCHEDULE H, PART III, LINE 3 THE HOSPITAL EXPENSES UNCOLLECTIBLE BALANCES 120 DAYS AFTER THE FIRST BILLING CYCLE. THE HOSPITAL DOES NOT REPORT ANY BAD DEBT AMOUNT IN COMMUNITY BENEFIT.
SCHEDULE H, PART III, LINE 4 THE FOOTNOTE THAT DESCRIBES BAD DEBT IS ON PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, LINE 8 The shortfall reported in Line 7 represents Medicare shortfalls for high need pediatric patients served by Children's Hospital Colorado. If Children's Hospital Colorado did not subsidize the highly specialized care, access for this population would be limited, thus we view this care as community benefit. The Hospital utilized cost to charge ratio methodology to arrive at this number. The amount includes all costs less all payments received.
SCHEDULE H, PART III, LINE 9B Yes, the organization does have a written debt collection policy. Prior to debt referrals, accounts with any charity care or financial assistance cases are reviewed to ensure the balance is not due from an outside payer. Once confirmed the outstanding balance is the patient's responsibility. The hospital provides sliding scale discounts based on income and/or expenses. Parents whose children do not qualify for Medicaid can also apply for this discount plan. The hospital has a dedicated financial counseling department that works closely with parents to establish payment plans.
SCHEDULE H, PART VI, LINE 2 Across the hospital, numerous internal and external data sources are regularly monitored and utilized to identify trends and opportunities to impact child health. Additionally, hospital staff dedicates time to serving on community boards and other community groups that assess health needs of the community and proactively participate in the health improvement efforts led by these partners.
SCHEDULE H, PART VI, LINE 3 Children's Hospital Colorado has a process for informing and educating families about how they may be billed for patient care and their eligibility for financial assistance. Children's Hospital Colorado's full time patient financial counselors are dedicated to working with families to provide guidance regarding available financial assistance which ensures that its patient population receives the critical care it needs. Additionally, Children's Hospital Colorado provides patient assistance to help identify community-based resources, facilitate services and provide appropriate referral assistance to help with continuity of care. Inpatient Process: This process applies to patients who are being admitted for observation, surgery or other inpatient services. If the patient is pre-scheduled, Children's Hospital Colorado Patient Access works to contact the family prior to admission to arrange for a financial screening appointment. Regardless of whether an appointment is set prior to admission, the Patient Financial Counseling team works with the family to determine their self-pay status (either non-commercial or government insurance) and subsequently works with them to screen for financial assistance options. Outpatient Process: When a patient schedules a non-emergent or urgent outpatient clinic visit, they will identify themselves as self-pay if they do not have either commercial or government insurance. At this point, they are given two options: (1) pay A $200 deposit at the time of appointment and be billed any remaining balance or (2) schedule time with Patient Financial Counseling for assistance. If the patient was seen in the Emergency Department or Urgent Care without the pre-screen, they still have the opportunity to apply for financial assistance with the Patient Financial Counseling office. All self-pay families are automatically given a 35 percent discount. Children's Hospital Colorado has a formal policy regarding eligibility criteria for charity care. The decision to provide charity care will be, in all cases, based on a review of the income, assets and liabilities of the family at the time of admission to the Hospital or clinic. The levels of charity care and financial assistance provided by Children's Hospital Colorado will be determined based on Federal Poverty Guidelines which may be adjusted up to 200 percent and revised from time to time. Families with adjusted gross income between 200 percent and 400 percent of Federal Poverty Guidelines may also be considered for charity care with a cap for out-of-pocket responsibility. Determination of eligibility will be effective for six months and apply to all patients regardless of immigration status. Children's Colorado works to provide necessary hospital-related services consistent with its mission, its status as a nonprofit hospital and its stewardship responsibility to its donors.
SCHEDULE H, PART VI, LINE 4 Children's Colorado on the Anschutz Medical Campus provides comprehensive medical care for kids from birth through adolescence. In addition to being the only pediatric Level 1 trauma center in the region, Children's Colorado treats virtually all conditions, minor and serious, that affect children at its main campus, its 15 network of care locations and 400 clinics. In 2014, Children's Colorado saw 217,767 unique patients; provided 158,159 emergency and urgent care visits; and provided 526,887 outpatient visits. 96.4% of these patients came from Colorado, representing all 64 counties; of these, 76.1% came from Metro Denver and 17.4% from other Front Range counties. The hospital also saw patients from all 50 states and Washington D.C., as well as many other countries. Children's Hospital Colorado is the largest provider of health care services for low income children in Colorado with 46.8% of patients receiving Medicaid benefits, 6.6% other government programs and 1.3% self-pay and indigent. 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.
SCHEDULE H, PART VI, LINE 5 In 2014, Children's Hospital Colorado provided 20.14% of financial assistance and other community benefits 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. Medical Faculty Profile Children's Hospital Colorado has an open medical staff, meaning community practitioners can hold privileges at the hospital. It has approximately 2,330 medical staff and 230 residents and fellows including 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. Highlighted Activities Obesity: TO address the obesity health issue identified in the 2012 CHNA, a plan was established to integrate healthy weight screening and counseling into the primary care setting. This included the development of a training program, resources and the establishment of a healthy weight action plan within the electronic health record. In 2014, this effort was implemented in the Child Health Clinic (primary care) at Children's Hospital Colorado. Concurrently, Children's Colorado staff is working with the Colorado Pediatric Collaborative to support implementation in primary care practices throughout the community. K-12 Health Education: Launched in 2012, the 5th Gear Kids program is a collaborative effort between the University of Colorado Anschutz Health and Wellness Center, Children's Hospital Colorado, Aurora Public Schools and the Cherry Creek School District. 5th Gear Kids was designed to provide greater access to physical activity and healthy eating opportunities, and to increase the desirability among 5th graders to participate in healthy lifestyles. In 2014, 7,000 students in the Aurora Public Schools and Cherry Creek School Districts participated in the program. The data collected and analyzed is used to positively impact childhood obesity trends. With the design and implementation phase of the program complete, we're now working with partners to develop a scalable model to release the program across Colorado and the nation. Injury Prevention: The "Each One Teach One" CPS Outreach Program is a collaborative effort between Street-Smart, Inc., a Denver-based NPO, and the Injury Prevention Program at Children's Hospital Colorado. The goals of this program are to (1) increase the number of Denver County children ages birth-8 who are properly restrained in a car or booster seat, with special emphasis on increasing usage rates among African-American families living in the underserved neighborhoods of Northeast Denver, Park Hill, and Montebello; (2) increase the community's knowledge of the proper use of child restraints by offering CPS education and outreach opportunities to residents of these three communities; and (3) reduce the barrier of cost of child restraints to parents and caregivers by providing them to families in need. The goals were accomplished by partnering with Denver Health to staff CPS inspection stations at the Eastside and Montebello Family Health Centers, partnering with Mile High Montessori Head Start Centers to conduct CPS education and distribution events in neighborhoods at greatest statistical risk for MVC injuries sustained by children, conducting quarterly booster seat usage surveys in targeted neighborhoods, and evaluating progress toward increasing parent and caregiver knowledge, attitude, and skills through implementation of a CPS inspection station survey. In 2014, results included staffing over 100 hours at inspection stations, providing an additional 25 hours of CPS education and inspections at Head Start centers, distribution of over 400 child restraints to low-income families qualifying for federal entitlement programs, an observed increase of 4% in the number of booster seat-sized children traveling in booster seats during the course of program efforts, and an assessment of CPS awareness of over 100 parents and caregivers. Violence Prevention Regarding child abuse prevention, the hospital continued to convene stakeholders to lead a comprehensive statewide prevention effort and monitor outcomes through a formal research study, public health campaign evaluation, and monitoring of abusive head trauma cases. Additionally, the hospital provided education sessions and train- the -trainer instruction for thousands of community providers, partners, and interested individuals. Finally, the hospital furthered its role as a Center of Excellence for child abuse prevention by opening the multi-disciplinary Non Accidental Brain Injury Care Clinic in 2013. So far the clinic has cared for more than 50 newly diagnosed young children. In the past, children like these did not have comprehensive treatment for their unique medical, social, emotional, and academic needs. Children's Colorado is currently one of only a few hospitals in the U.S. to offer a multidisciplinary follow-up clinic for these young victims. Access to Care To address the multiple dimensions of increasing Access to Care, a priority identified in the 2012 CHNA, Children's Hospital Colorado continues to work in collaboration with several organizations to accomplish this end. Children's Hospital Colorado, Colorado Community Managed Care Network, and University of Colorado Hospital founded Colorado Access, a non-profit health plan that provides access to behavioral and physical health services for Coloradoans. Colorado Access is a community oriented organization driven by the needs of its members. Through regular provider and consumer advisory, engagement, and partnerships, Colorado Access works to strengthen the communities they serve through access to quality care. Over the past 20 year, Children's Hospital Colorado has provided consistent leadership to the organization. The Colorado Children's Healthcare Access Program (CCHAP) is a nonprofit organization that has grown from awareness that private practice healthcare providers throughout Colorado want to do their share in taking care of underserved children, but numerous barriers prevent them from doing so. Although the barriers to private practices serving these children were numerous, CCHAP, in coordination with private pediatric practices and family practices, have shown that these barriers can be overcome. Since 2006, CCHAP has recruited, coached and supported over 250 pediatric and family practices, which includes over 800 providers, to provide a Medical Home for over 200,000 children on Medicaid and CHP+. A Medical Home is a family-centered, cost-effective, and coordinated approach to care that ensures a child receives preventive physical, mental, and oral health services. CCHAP serves as the implementation arm of the Access-to-Care mission of the Children's Hospital Advocacy Institute (CHAI) by providing assistance to all medical homes that serve children both in the
Schedule H (Form 990) 2014
Additional Data


Software ID:  
Software Version:  
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.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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
1
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? ....................................
2
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 Domestic Organizations and Domestic Governments. 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 section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) American Heart Association
1777 S Harrison Street
Denver,CO80210
13-5613797 501(c)(3) 13,000 0     GENERAL PROGRAM SUPPORT
(2) Arapahoe Youth League Inc
6834 S University
Centennial,CO80122
51-0160095 501(c)(3) 8,000 0     GENERAL PROGRAM SUPPORT
(3) Aurora Chamber of Commerce
14305 E Alameda Ave
Aurora,CO80012
84-0417773 501(c)(6) 12,957 0     GENERAL PROGRAM SUPPORT
(4) Aurora Economic Development Council
14001 E Ilif Ave
Aurora,CO80014
84-0776480 501(c)(6) 22,000 0     GENERAL PROGRAM SUPPORT
(5) Benevolent Healthcare Foundation
10377 E Geddes Ave
Centennial,CO80112
84-1568556 501(c)(3) 15,000 0     GENERAL PROGRAM SUPPORT
(6) Brent Eley Foundation
11980 E 16th Ave
Aurora,CO80110
84-1387528 501(c)(3) 9,000 0     GENERAL PROGRAM SUPPORT
(7) Cheyenne Mounatin Zoological Society
4250 Cheyenne Mtn Zoo
CO Springs,CO80906
84-0407039 501(c)(3) 81,000 0     GENERAL PROGRAM SUPPORT
(8) Child Health Corporation of America
6803 W 64th Street
Shawnee Misson,KS66202
52-1421302   36,700 0     GENERAL PROGRAM SUPPORT
(9) Colorado Childrens Campaign Annual Lunch
1580 Lincoln St Ste 420
Denver,CO80203
74-2374672 501(c)(3) 10,000 0     GENERAL PROGRAM SUPPORT
(10) Colorado Nurses Foundation
9200 E Mineral Ave
Centennial,CO80112
74-2523583 501(c)(3) 6,000 0     GENERAL PROGRAM SUPPORT
(11) Colorado Springs Regional Bus Alliance
102 S Tejon Street
CO Springs,CO80903
84-1339670 501(c)(3) 50,465 0     General Program Support
(12) Columbine Lakewood Colorado Soccer
8101 S Shaffer Parkway
Littleton,CO80127
84-1411827 501(c)(3) 15,000 0     General Program Support
(13) Crohns & Colitis Foundation of America
1805 S Bellaire St
Denver,CO80222
13-6193105 501(c)(3) 26,000 0     General Program Support
(14) Denver Art Museum
100 West 14th Avenue Parkway
Denver,CO80204
84-6038240 501(c)(3) 46,000 0     General Program Support
(15) Denver Zoo
2300 Steele Street
Denver,CO80205
84-0502539 501(c)(3) 80,000 0     General Program Support
(16) Highlands Ranch Community Assoc
9568 University
Highlands Ranch,CO80126
84-0869474 501(c)(3) 20,000 0     General Program Support
(17) IMG College Inc
PO Box 16533
Palatine,IL60055
27-3646546   30,000 0     General Program Support
(18) March of Dimes
1325 S Colorado Blvd
Denver,CO80222
13-1846366 501(c)(3) 22,500 0     General Program Support
(19) March of Dimes Southern Colorado Division
421 S Tejon St
Colorado Springs,CO80903
13-1846366 501(c)(3) 5,500 0     General Program Support
(20) Memorial Administrative Center
2420 E Pikes Peak
CO Springs,CO80909
84-1179794 501(c)(3) 12,500 0     General Program Support
(21) Memorial Health System Foundation
1519 E Boulder
Colorado Springs,CO80909
84-1576338 501(c)(3) 8,100 0     General Program Support
(22) Northwest Douglas Cty Economic Dev Corp
8351 Rampart Range Rd
Littleton,CO80125
45-3723816 501(c)(6) 10,000 0     General Program Support
(23) REAL Colorado
8200 S Akron
Centennial,CO80112
84-0728422 501(c)(3) 60,000 0     General Program Support
(24) Ronald McDonald House of Charities
1300 E 21st Avenue
Denver,CO80205
84-0728926 501(c)(3) 10,500 0     General Program Support
(25) Ronald McDonald House of Charities South
311 North Logan
Colorado Springs,CO80909
84-1013843 501(c)(3) 12,500 0     General Program Support
(26) St Anthony Health Foundation
11600 W 2nd Pl
Lakewood,CO80228
74-2262028 501(c)(3) 6,000 0     General Program Support
(27) University of Colorado
13001 E 17th Avenue C290
Aurora,CO80045
84-6000555 501(c)(3) 10,000 0     General Program Support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
21
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
5
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. 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. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
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) 2014


Additional Data


Software ID:  
Software Version:  


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, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
Children's Hospital Colorado
 
Employer identification number

84-0166760
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
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....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
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:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
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:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
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 ............
7
Yes
 
8
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 .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
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 in column(B) reported as deferred in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1JENA HAUSMANNPRESIDENT AND COO (i)
(ii)
496,890
...............................
0
283,038
...............................
0
2,132
...............................
0
133,108
...............................
0
20,740
...............................
0
935,908
...............................
0
0
...............................
0
2JOAN BOTHNER MDCHIEF MEDICAL OFFICER (i)
(ii)
505,386
...............................
0
177,589
...............................
0
0
...............................
0
0
...............................
0
0
...............................
0
682,975
...............................
0
0
...............................
0
3TIMOTHY CROMBLEHOME MDSURGEON-IN-CHIEF (i)
(ii)
295,000
...............................
0
200,000
...............................
0
0
...............................
0
0
...............................
0
0
...............................
0
495,000
...............................
0
0
...............................
0
4STEPHEN DANIELS MDPEDIATRIC-IN-CHIEF (i)
(ii)
335,641
...............................
0
99,458
...............................
0
0
...............................
0
0
...............................
0
0
...............................
0
435,099
...............................
0
0
...............................
0
5LEONARD J DRYER JRFORMER SR. VP / CFO (i)
(ii)
0
...............................
0
0
...............................
0
271,681
...............................
0
0
...............................
0
0
...............................
0
271,681
...............................
0
47,213
...............................
0
6JEFFREY HARRINGTONSR. VP / CFO (i)
(ii)
385,367
...............................
0
148,920
...............................
0
2,338
...............................
0
83,271
...............................
0
18,461
...............................
0
638,357
...............................
0
0
...............................
0
7AMY CASSERICHIEF STRATEGY OFFICER (i)
(ii)
155,589
...............................
0
137,497
...............................
0
210,369
...............................
0
31,413
...............................
0
7,815
...............................
0
542,683
...............................
0
155,563
...............................
0
8DANIEL HYMAN MDCHIEF QUALITY OFFICER (i)
(ii)
354,431
...............................
0
115,177
...............................
0
0
...............................
0
0
...............................
0
0
...............................
0
469,608
...............................
0
0
...............................
0
9Suzanne JaegerSr. VP Experience and Access (i)
(ii)
247,539
...............................
0
86,223
...............................
0
2,316
...............................
0
65,069
...............................
0
18,461
...............................
0
419,608
...............................
0
0
...............................
0
10MICHELLE M LUCEROCHIEF LEGAL OFFICER (i)
(ii)
351,090
...............................
0
110,957
...............................
0
2,794
...............................
0
92,592
...............................
0
16,479
...............................
0
573,912
...............................
0
0
...............................
0
11MARY ANNE LEACHSR. VP / CIO (i)
(ii)
306,312
...............................
0
125,626
...............................
0
4,515
...............................
0
90,948
...............................
0
6,897
...............................
0
534,298
...............................
0
0
...............................
0
12KELLY JOHNSONSR. VP / CHIEF NURSING OFFICER (i)
(ii)
304,343
...............................
0
102,341
...............................
0
4,969
...............................
0
75,343
...............................
0
18,461
...............................
0
505,457
...............................
0
0
...............................
0
13Gil PeriSr. VP Strategy (i)
(ii)
102,054
...............................
0
77,829
...............................
0
4,707
...............................
0
0
...............................
0
5,675
...............................
0
190,265
...............................
0
0
...............................
0
14JAMES E SHMERLING DHACEO (i)
(ii)
863,793
...............................
0
619,500
...............................
0
10,070
...............................
0
240,944
...............................
0
1,630
...............................
0
1,735,937
...............................
0
0
...............................
0
15FRED SUCHY MDCHIEF RESEARCH OFFICER (i)
(ii)
284,824
...............................
0
147,936
...............................
0
0
...............................
0
0
...............................
0
0
...............................
0
432,760
...............................
0
0
...............................
0
16DENNIS MATTHEWS MDPPARDI-IN-CHIEF (i)
(ii)
152,616
...............................
0
75,569
...............................
0
0
...............................
0
0
...............................
0
0
...............................
0
228,185
...............................
0
0
...............................
0
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
Page 3
Part III
Supplemental Information
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.
Return Reference Explanation
SCHEDULE J, PART I, LINE 4A LEONARD J. DRYER, JR. RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $224,468. SCHEDULE J, PART I, LINE 4B THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS FROM A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: LEONARD J. DRYER $47,213 AMY CASSERI $155,563
SCHEDULE J, PART I, LINE 7 CERTAIN INDIVIDUALS ARE ELIGIBLE TO PARTICIPATE IN THE INCENTIVE PLAN FOR CHILDREN'S COLORADO, THE COMPONENTS OF WHICH INCLUDE ACHIEVEMENT OF ORGANIZATIONAL PERFORMANCE GOALS AND INDIVIDUAL PERFORMANCE GOALS. BECAUSE THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS RESERVES THE RIGHT TO CHANGE, AMEND OR TERMINATE THIS PLAN AT ANY TIME, FOR ANY REASON, AT ITS SOLE DISCRETION AND BECAUSE OF CERTAIN OTHER CONDITIONS OF THE PLAN, LINE 7 REGARDING "NON-FIXED PAYMENTS" IS ANSWERED YES. NOTE THAT PRIOR TO THE PAYMENT OF ANY AMOUNTS TO AN INDIVIDUAL WHO IS CONSIDERED A DISQUALIFIED PERSON, THE COMPENSATION COMMITTEE SHALL CERTIFY IN WRITING THE EXTENT TO WHICH THE PERFORMANCE FACTORS ESTABLISHED BY THE COMPENSATION COMMITTEE HAVE BEEN SATISFIED AND SHALL APPROVE THE PAYMENT OF SUCH BONUSES TO SUCH INDIVIDUALS. SEE PART VI, LINES 15A/B FOR ADDITIONAL INFORMATION ON EXECUTIVE COMPENSATION.
SCHEDULE J, PART II CHILDREN'S COLORADO PAID UNIVERSITY PHYSICIANS INCORPORATED, AN UNRELATED TAX-EXEMPT ORGANIZATION, FOR SERVICES PROVIDED BY THE FOLLOWING INDIVIDUALS WHO ARE LISTED ON FORM 990, PART VII: Joan Bothner, M.D. - $505,386 base compensation and $177,589 of 2013 bonus paid in 2014. Fred Suchy, M.D. - $284,824 base compensation and $147,936 of 2013 bonus paid in 2014. Daniel Hyman, M.D. - $354,431 base compensation and $115,177 of 2013 bonus paid in 2014. Stephen Daniels, M.D. - $335,641 base compensation and $99,458 of 2013 bonus paid in 2014. Timothy Crombleholme, M.D. - $295,000 base compensation and $200,000 of 2013 bonus paid in 2014. Dennis Matthews, M.D. - $152,616 base compensation and $75,569 of 2013 bonus paid in 2014.
Schedule J (Form 990) 2014

Additional Data


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Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet 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.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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
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 05155XBX6 05-25-2010 59,999,130 SERIES 2010A - SEE PART VI   X   X   X
C COLORADO HEALTH FACILITIES AUTHORITY
 
84-0752932 19648AL52 08-14-2013 309,252,566 SERIES 2013 - SEE PART VI   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 50,375,000 0 155,000  
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0  
3 Total proceeds of issue . . . . . . . . . . . . . . 258,814,487 59,999,130 309,252,566  
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 . . . . . . . . . . . . 2,381,234 709,432 1,844,600  
8 Credit enhancement from proceeds . . . . . . . . . . . 183,253 0 0  
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0  
10 Capital expenditures from proceeds . . . . . . . . . . . 0 59,289,698 197,052,966  
11 Other spent proceeds . . . . . . . . . . . . . . 256,250,000 0 110,355,000  
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0  
13 Year of substantial completion . . . . . . . . . . . . 2008 2012 2013
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) 2014
Schedule K (Form 990) 2014
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 . . SchKMediumBullet 0 % 0 % 0 %  
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 . . . . . . . SchKMediumBullet 0 %      
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0 %      
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   X   X   X    
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X X   X      
b Exception to rebate? . . . . . . . .   X   X   X    
c No rebate due? . . . . . . . . X     X   X    
If "Yes" to 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 the hedge terminated? . . . . . .                
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
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
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. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
. SCHEDULE K, PART I, COLUMN (F) BOND A - HOSPITAL REVENUE BONDS SERIES 2008 - THE PURPOSE OF THIS BOND ISSUE IS TO REFUND BONDS THAT WERE PREVIOUSLY ISSUED ON 1/22/04 AND 4/7/08. THE REMAINING WEIGHTED AVERAGE MATURITY OF THE BONDS CURRENTLY REFUNDED WAS 11.8929 YEARS. BOND B - HOSPITAL REVENUE BONDS SERIES 2010A - THE PURPOSE OF THIS BOND ISSUE IS TO PAY FOR THE CONSTRUCTION OF A NEW TEN-STORY ADDITION TO THE EXISTING FACILITY, EQUIPMENT FOR THAT ADDITION, AND EXPANSION OF AN EXISTING PARKING GARAGE. THE WEIGHTED AVERAGE MATURITY OF THE BONDS IS 29.1602 YEARS. BOND C - HOSPITAL REVENUE BONDS SERIES 2013 - THE PURPOSE OF THIS BOND ISSUE IS TO FINANCE LONG-TERM PROJECTS AND TO REFUND SERIES 2008B AND 2008C BONDS. SCHEDULE K, PART IV, LINE 2C BOND B - THE REBATE COMPUTATION WAS PERFORMED JUNE 1, 2013.
Schedule K (Form 990) 2014

Additional Data


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Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet 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.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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), section 501(c)(4), and 501(c)(29) 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 (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
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?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefiting 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) 2014
Schedule L (Form 990 or 990-EZ) 2014
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?
Yes No
(1) MATTHEW M DRYER SON OF FORMER OFFICER 106,203 compensation   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2014

Additional Data


Software ID:  
Software Version:  




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 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Children's Hospital Colorado
 
Employer identification number

84-0166760
Return Reference Explanation
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. - TEENAGERS BETWEEN 13 AND 18 YEARS OF AGE PARTICIPATE IN THE JUNIOR VOLUNTEER PROGRAM. THEY SUPPORT THE HOSPITAL BY WORKING IN A NUMBER OF DEPARTMENTS AS WELL AS SUPPORTING FUNDRAISING ACTIVITIES. - VOLUNTEERS ALSO ASSIST IN FUNDRAISING BY STAFFING CHILDREN'S HOSPITAL COLORADO GIFT SHOP AND LA CACHE. - CHAPTER VOLUNTEERS IN THE COMMUNITY ARE VERY ACTIVE IN FUNDRAISING EVENTS THROUGHOUT THE YEAR THAT HELP TO FUND SPECIAL EQUIPMENT, FACILITIES AND PROGRAMS FOR THE PATIENTS OF CHILDREN'S HOSPITAL COLORADO.
FORM 990, PART III, LINE 4A WHEN IT WAS FOUNDED IN 1908 IN DENVER, CHILDREN'S HOSPITAL COLORADO SET OUT TO BE A LEADER IN PROVIDING THE BEST HEALTHCARE OUTCOMES FOR CHILDREN. THAT CALLING HAS CONSISTENTLY MADE US ONE OF THE TOP 10 CHILDREN'S HOSPITALS IN THE NATION AND A PLACE PARENTS ACROSS THE ROCKY MOUNTAIN REGION HAVE COME TO TRUST. OUR MISSION IS TO IMPROVE THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH-QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY. AS A PRIVATE, NOT-FOR-PROFIT PEDIATRIC HEALTHCARE NETWORK, CHILDREN'S HOSPITAL COLORADO IS 100% DEDICATED TO CARING FOR KIDS AT ALL AGES AND STAGES OF GROWTH. WE HAVE MORE THAN 2,450 PEDIATRIC SPECIALISTS AND MORE THAN 5,700 FULL-TIME EMPLOYEES HELPING TO CARRY OUT OUR MISSION. WE PROVIDE COMPREHENSIVE PEDIATRIC CARE AT OUR MAIN CAMPUS AND AT OUR 15 REGIONAL LOCATIONS. ROUTINE INPATIENT SERVICES; ANCILLARY INPATIENT SERVICES SUCH AS LAB RADIOLOGY, OPERATING ROOM, RECOVERY ROOM, CENTRAL SUPPLIES, ETC.; OUTPATIENT SERVICES SUCH AS EMERGENCY ROOM,MULTI-SPECIALITY AMBULATORY SERVICES INCLUDING ORTHO CLINIC, ONCOLOGY CLINIC, ETC. EDUCATION CHILDREN'S HOSPITAL COLORADO IS COMMITTED TO PROVIDING CONTINUING EDUCATIONAL OPPORTUNITIES THAT WILL ENHANCE AND ADVANCE THE PEDIATRIC KNOWLEDGE AND CLINICAL SKILLS OF DOCTORS, NURSES AND OTHER HEALTHCARE PROFESSIONALS ACROSS THE REGION. THESE EDUCATIONAL TOPICS RANGE FROM PRIMARY CARE TO CRITICAL CARE AND ARE AVAILABLE IN-PERSON AND ONLINE. THIS IS OUR WAY OF ENSURING KIDS ACROSS THE REGION HAVE ACCESS TO UP-TO-DATE TECHNIQUES AND TREATMENT FOR KIDS. RESEARCH WE ARE AT THE FOREFRONT OF RESEARCH IN CHILDHOOD DISEASE WITH SEVERAL NATIONALLY AND INTERNATIONALLY RECOGNIZED MEDICAL AND SURGICAL PROGRAMS. TOGETHER, WITH OUR PARTNERS, WE ARE RESPONSIBLE FOR VIRTUALLY ALL OF THE PEDIATRIC RESEARCH PUBLISHED IN THE ROCKY MOUNTAIN REGION FOR AT LEAST A DECADE. WE ARE ALWAYS STRIVING TO FIND NEW AND BETTER WAYS TO CURE KIDS SO YOU CAN BE SURE YOU ARE RECEIVING THE BEST CARE FOR YOUR CHILD AT OUR FACILITIES. ADVOCACY OUR CLINICAL WORK MAY BE THE MOST VISIBLE PART OF OUR MISSION, BUT ADVOCACY IS JUST AS IMPORTANT. ADVOCACY IS HOW WE INFLUENCE DECISIONS RELATING TO CHILDREN'S HEALTH POLICY ISSUES, SUCH AS INJURY PREVENTION AND ACCESS TO QUALITY CARE. CHILDREN'S HOSPITAL COLORADO'S ADVOCACY EFFORTS EXPAND OUT INTO COMMUNITIES ACROSS COLORADO AND ARE AIMED AT MAKING SURE THAT KIDS' CONCERNS ARE ALWAYS HEARD WHEN PUBLIC POLICIES ARE MADE. OUR GOAL IS TO HELP KEEP KIDS HEALTHY AND OUT OF THE HOSPITAL. WE ENVISION A WORLD WHERE NO CHILD NEEDS A HOSPITAL. UNTIL WE MAKE THAT HAPPEN, WE'RE HERE FOR YOUR KIDS. TERTIARY SERVICES CHILDREN'S COLORADO PROVIDES A COMPREHENSIVE ARRAY OF DIAGNOSTIC AND THERAPEUTIC PEDIATRIC SERVICES ON BOTH AN INPATIENT AND OUTPATIENT BASIS. THE WIDE RANGE OF TERTIARY SERVICES AT THE CHILDREN'S COLORADO ANSCHUTZ CAMPUS HOSPITAL INCLUDES: LEVEL I PEDIATRIC TRAUMA CENTER - THE ONLY SUCH FACILITY IN THE ROCKY MOUNTAIN REGION; APPROXIMATELY 70% OF PATIENTS ARE TRANSFERRED FROM OTHER HOSPITALS OR CLINICS. LEVEL III NEONATAL INTENSIVE CARE UNIT - SERVES AS A REFERRAL CENTER FOR COLORADO AND SURROUNDING STATES. NEUROSURGERY - CHILDREN'S COLORADO IS A REFERRAL CENTER FOR PEDIATRIC NEUROSURGERY FOR A LARGE PORTION OF THE WESTERN UNITED STATES OFFERING THE REGION'S ONLY COMPREHENSIVE TREATMENT PROGRAM FOR CHRONIC SEIZURE DISORDERS AND THE FIRST PEDIATRIC NEUROFIBROMATOSIS CLINIC. CARDIOTHORACIC AND VASCULAR SURGERY - IN ADDITION TO THE HEART TRANSPLANT PROGRAM, CHILDREN'S COLORADO HAS THE ONLY PEDIATRIC VENTRICULAR-ASSIST DEVICE PROGRAM IN THE ROCKY MOUNTAIN REGION. BURN CENTER - THE ONLY MULTIDISCIPLINARY PROVIDER OF ACUTE AND REHABILITATIVE PEDIATRIC BURN CARE IN COLORADO. NEUROTRAUMA REHABILITATION PROGRAM - THE ROCKY MOUNTAIN REGION'S ONLY PEDIATRIC NEUROTRAUMA REHABILITATION PROGRAM. ONCOLOGY/HEMATOLOGY/BONE MARROW TRANSPLANT - THE CANCER CENTER AT CHILDREN'S COLORADO OFFERS THE ROCKY MOUNTAIN REGION'S MOST COMPREHENSIVE DIAGNOSTIC, TREATMENT AND SUPPORT SERVICES FOR PEDIATRIC AND ADOLESCENT PATIENTS AND INCLUDES THE ONLY PEDIATRIC BONE MARROW TRANSPLANT CENTER IN THE REGION. EATING DISORDERS TREATMENT PROGRAMS - THE ROCKY MOUNTAIN REGION'S MOST COMPREHENSIVE CENTER FOR EVALUATION AND TREATMENT OF EATING DISORDERS IN CHILDREN, ADOLESCENTS AND YOUNG ADULTS; INCLUDES AN INPATIENT CENTER PROVIDING SPECIALIZED INPATIENT CARE AND A DAY TREATMENT PROGRAM PROVIDING INTENSIVE OUTPATIENT CARE INCLUDING GROUP AND FAMILY THERAPY. CHILDREN'S HOSPITAL IMMUNODEFICIENCY PROGRAM ("CHIP") - A REGIONAL REFERRAL CENTER FOR PEDIATRIC PATIENTS WITH HIV INFECTION OR AIDS; CHIP PROVIDES COMPREHENSIVE MEDICAL TREATMENT AND WIDE-RANGING SUPPORT IN THE CONTEXT OF A PROGRAM AFFILIATED WITH THE NIH. THE ANSCHUTZ CAMPUS HOSPITAL IS A RESEARCH SITE FOR THE PEDIATRIC AIDS CLINICAL TRIALS GROUP. CYSTIC FIBROSIS CENTER - A TREATMENT AND RESEARCH CENTER DESIGNATED BY THE CYSTIC FIBROSIS FOUNDATION AS ONE OF NINE NATIONAL RESOURCE CENTERS IN THE UNITED STATES. CENTER FOR GAIT AND MOVEMENT ANALYSIS - THE ROCKY MOUNTAIN REGION'S ONLY CLINICAL GAIT ANALYSIS FACILITY, THE CENTER ACCEPTS REFERRALS FOR BOTH CHILDREN AND ADULTS. THE CENTER USES SPECIALIZED MEASUREMENT TOOLS TO IDENTIFY FUNCTIONAL CAUSES OF A PATIENT'S MOVEMENT PROBLEM. TREATMENT PLANS INCLUDE SURGERY AND NON-SURGICAL TREATMENTS, SUCH A NEUROMUSCULAR INJECTIONS, PHYSICAL THERAPY, BIOFEEDBACK AND ORTHO-PROSTHETIC MODIFICATIONS. THE CENTER HAS TREATED MORE THAN 1,000 PATIENTS. EXPERIMENTAL THERAPEUTICS PROGRAM - PROVIDES ACCESS TO NEW AND PROMISING EXPERIMENTAL THERAPIES TO CANCER AND BLOOD DISORDER PATIENTS WITH RECURRENT DISEASE, THOSE RESISTANT TO TRADITIONAL TREATMENT OR WITH A DIAGNOSIS THAT HAS NO REASONABLE CURATIVE PROSPECT. IT IS THE ONLY PROGRAM OF ITS KIND IN THE ROCKY MOUNTAIN REGION, AND HAS PROVIDED CONSULTATION AND TREATMENT FOR PATIENTS FROM 32 STATES 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. THE MIBG PROGRAM (CALLED "MIBG" FOR SHORT) IN THE CENTER FOR CANCER AND BLOOD DISORDERS IS DEDICATED TO THE SAFE ADMINISTRATION OF MIBG. AN INNOVATIVE THERAPY THAT USES INTRAVENOUS (IV) RADIATION TARGETED TO CERTAIN CANCER CELLS. CHILDREN'S COLORADO IS THE ONLY HOSPITAL IN THE ROCKY MOUNTAIN REGION AND ONE OF ONLY APPROXIMATELY 12 HOSPITALS IN THE UNITED STATES THAT OFFERS MIBG THERAPY FOR KIDS. IN ADDITION, CHILDREN'S COLORADO HAS SPECIALISTS IN RARE PEDIATRIC DISORDERS, SUCH AS INHERITED METABOLIC DISEASE AND HYPOPLASTIC LEFT HEART SYNDROME. OTHER SERVICES; PHYSICIAN OUTREACH, TELEMEDICINE AND SCHOOL HEALTH PROGRAMS CHILDREN'S COLORADO PROVIDES A VARIETY OF OTHER SERVICES RELATED TO AND IN SUPPORT OF ITS INPATIENT AND OUTPATIENT CLINICAL SERVICES. THESE SERVICES RANGE FROM THE AFTER HOURS TELEPHONE CARE PROGRAM TO THE HANDICAPPED SPORTS PROGRAM, WHICH SPONSORS CAMPS FOR CHILDREN WITH PHYSICAL DISABILITIES. EDUCATIONAL SERVICES ARE PROVIDED IN SCHOOLS AS WELL AS IN THE COMMUNITY, AND THE CHILDREN'S COLORAD
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.
FORM 990, PART VI, LINE 6 CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL COLORADO.
FORM 990, PART VI, LINE 7A THE WRITTEN CONSENT OF CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM IS REQUIRED TO APPROVE THE BOARD OF DIRECTORS OF CHILDREN'S HOSPITAL COLORADO.
FORM 990, PART VI, LINE 7B CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM AS THE SOLE MEMBER HAS CERTAIN APPROVAL POWERS AS DESCRIBED IN THE AMENDED AND RESTATED BYLAWS DATED SEPTEMBER 22, 2011.
FORM 990, PART VI, LINE 11B CHILDREN'S HOSPITAL COLORADO'S FINANCE DEPARTMENT WORKS CLOSELY WITH HUMAN RESOURCES, CORPORATE COMPLIANCE, LEGAL AND PUBLIC RELATIONS TO GATHER ALL OF THE DATA REQUIRED TO COMPLETE THE FORM 990. THE VP Of Finance and the Director of Acctg. & Reporting CONDUCT A REVIEW WITH THE CFO PRIOR TO THE DRAFT BEING DISTRIBUTED TO THE BOARD OF DIRECTORS. ANY NECESSARY CHANGES ARE MADE, THE FORM IS SIGNED BY THE CFO, REVIEWED BY THE AUDIT COMMITTEE, AND A FINAL COPY IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE IRS VIA A SECURED WEBSITE.
FORM 990, PART VI, LINE 12C BOARD MEMBERS ARE REQUIRED TO DISCLOSE, ON AN ANNUAL BASIS, POTENTIAL CONFLICT OF INTERESTS PURSUANT TO THE WRITTEN POLICIES OF CHILDREN'S HOSPITAL COLORADO (CHCO) AND CHILDREN'S HOSPITAL COLORADO FOUNDATION (CHCF). ALL EMPLOYEES AND BOARD MEMBERS MUST PROMPTLY PROVIDE A WRITTEN DESCRIPTION OF MATERIAL FACTS OF AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST TO CORPORATE COMPLIANCE AND/OR GENERAL COUNSEL ON THE APPROPRIATE DISCLOSURE FORM. SUCH DISCLOSURE WILL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF THE CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. POLICIES AND PROCEDURES FOR DISCLOSING CONFLICTS OF INTEREST ARE TO BE FOLLOWED ACCORDING TO THE INDIVIDUAL'S FUNCTION, IN COMPLIANCE WITH STATE AND FEDERAL REGULATIONS. COMPLETED DISCLOSURE FORMS ARE SUBJECT TO AUDIT REVIEW BY LEGAL, THE CORPORATE COMPLIANCE PROGRAM, AND THE 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 CHCO COULD OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES.
FORM 990, PART VI, LINES 15A AND 15B CHILDREN'S COLORADO HAS AN EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS THAT REVIEWS AND APPROVES ANY PROPOSED INCREASES RELATED TO ANY OFFICERS AND KEY EMPLOYEES OF THE COMPANY. THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE ALONG WITH THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS EACH YEAR. ONCE A CHANGE IN COMPENSATION IS APPROVED, FORMAL DOCUMENTS ARE COMPLETED AND MINUTES OF THE MEETING ARE PREPARED, REVIEWED AND APPROVED. REVIEW PROCESS INCLUDES: O REVIEW MARKET RATIO - SHOULD FALL BETWEEN 80% TO 120% OF MARKET O REVIEW 25TH, 50TH, AND 75TH PERCENTILE -- BASE SALARY - INDIVIDUAL QUALIFICATIONS AND PERFORMANCE DETERMINES MARKET POSITION -- 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 JANUARY 2014 MEETING O ON POSITIONS WITH INSUFFICIENT DATA (LESS THAN 10 MATCHES) -- USED EXPANDED PEER GROUP OF ALL ACUTE CARE ORGANIZATIONS O BENCHMARKED BASE PAY, TOTAL CASH COMPENSATION, AND BENEFITS 2014 CUSTOM PEER GROUP O ATLANTA O BOSTON O CHICAGO O CINCINNATI O COLUMBUS O DALLAS O HOUSTON O KANSAS CITY O LOS ANGELES O MIAMI O MILWAUKEE O MINNEAPOLIS O PALO ALTO O PHILADELPHIA O WASHINGTON, DC O FORT WORTH O SEATTLE
FORM 990, PART VI, LINE 19 THESE DOCUMENTS ARE MADE AVAILABLE UPON REASONABLE REQUEST.
FORM 990, PART XI, LINE 9 Equity transfer to parent (CHCHS) (80,000,000) Change in value of interest rate swaps (15,935,901) Change in pension assets (10,444,842) Net income reported on other tax returns (549,801) Change in Restricted Net Assets 4,788,157 Other changes in net assets 888,220 -------------- TOTAL $(101,257,167) ==============
FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES - UPI TOTAL FEES:87582750
FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING SERVICES TOTAL FEES:28777917
FORM 990 PART IX LINE 11G DESCRIPTION:ENVIRONMENTAL SERVICES TOTAL FEES:8532365
FORM 990 PART IX LINE 11G DESCRIPTION:SECURITY SERVICES TOTAL FEES:2510107
FORM 990 PART IX LINE 11G DESCRIPTION:THIRD PARTY BILLING SERVICES TOTAL FEES:2397868
FORM 990 PART IX LINE 11G DESCRIPTION:LAUNDRY SERVICES TOTAL FEES:1827414
FORM 990 PART IX LINE 11G DESCRIPTION:ALL OTHER SERVICES TOTAL FEES:108209
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2014

Additional Data


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SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2014
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" on 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" on 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?
Yes No
(1) CHILDRENS' HOSPITAL COLORADO HLTH SYSTEM
13123 EAST 16TH AVENUE

Aurora,CO80045
45-4182666
Healthcare CO 501(c)(3) 11-III, fi na
 
 
No
(2) CHILD HEALTH MANAGEMENT SERVICES INC
13123 EAST 16TH AVENUE

Aurora,CO80045
74-2266667
IT Svcs CO 501(c)(3) 3 CH-Colorado
 
Yes
 
(3) THE CHILDREN'S HOSPITAL FOUNDATION
13123 EAST 16TH AVENUE

Aurora,CO80045
84-0813462
Foundation CO 501(c)(3) 7 CHCHS
 
Yes
 
(4) Children's Health Corporation
13123 EAST 16th AVENUE

AURORA,CO80045
74-2235572
SUPPORTING CO 501(C)(3) 11, TYPE I CH-COLORADO
 
Yes
 






For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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 V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) CHILDREN'S NORTH SURGERY CTR

SEE PART VII
AURORA,CA80045
26-2394578
OUTPATIENT SURG CO CH-COLORADO
 
RELATED -95,322 1,964,455   No 0   No 73.000 %












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on 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?
Yes No
(1) RMCHS MANAGEMENT SERVICES INC

13123 EAST 16TH AVENUE
AURORA,CO80045
84-0957415
BILLING CO CH-COLORADO
 
C Corp 5,255,159 115,488 100.000 % Yes  
(2) Perpetual Trust

 
 
HOSPITAL SUPPORT CO CH-COLORADO
 
        Yes  










Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on 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
No
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 . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
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 related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) CHILDREN'S NORTH SURGERY CENTERLLC

d 4,301,000 LOAN GUARANTEED
(2) CHILDREN'S NORTH SURGERY CENTERLLC

a 248,000 FINANCIAL STMT
(3) THE CHILDREN'S HOSPITAL FOUNDATION

C 19,452,297 FINANCIAL STMT



Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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 V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
SCHEDULE R, PART III, COLUMN (A) CHILDREN'S NORTH SURGERY CENTER EIN: 26-2394578 ADDRESS: 13123 EAST 16TH AVENUE AURORA, CO 80045
Schedule R (Form 990) 2014
Additional Data


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