TY 2018 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Marc Gorelick MD...................................................................... President & CEO	50.0 ................. 0.0	X	X	955,459	36,090
(2) Stephen Nelson MD...................................................................... Staff Physician	50.0 ................. 0.0	X		510,677	48,984
(3) Martin L Bassett...................................................................... Board Chair	1.0 ................. 0.0	X	X	0	0
(4) Gary Blackford...................................................................... Vice Chair	1.0 ................. 0.0	X	X	0	0
(5) Bruce P Shay...................................................................... Treasurer	1.0 ................. 0.0	X	X	0	0
(6) Alvin Abraham...................................................................... Board Member	1.0 ................. 0.0	X		0	0
(7) J Hayes Batson...................................................................... Board Member	1.0 ................. 0.0	X		0	0
(8) Russell Becker...................................................................... Board Member	1.0 ................. 0.0	X		0	0
(9) Matt Furman...................................................................... Board Member	1.0 ................. 0.0	X		0	0
(10) Kelly Lemieux MD...................................................................... Board Member	1.0 ................. 0.0	X		0	0
(11) Lynn Littlejohn...................................................................... Board Member	1.0 ................. 0.0	X		0	0
(12) Paul H Marvin...................................................................... Board Member	1.0 ................. 0.0	X		0	0
(13) Bonnie Speer McGrath...................................................................... Board Member	1.0 ................. 0.0	X		0	0
(14) Richard Migliori MD...................................................................... Board Member	1.0 ................. 0.0	X		0	0
(15) Tom Tefft...................................................................... Board Member	1.0 ................. 0.0	X		0	0
(16) Maria Christu...................................................................... Chief Legal Officer	50.0 ................. 0.0		X	513,905	46,023
(17) Roxanne Fernandes...................................................................... CNO, VP Patient Care Svcs	50.0 ................. 0.0		X	500,120	170,063

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Jeffrey Young........................................................................ Chief Information Officer	50.0 .......................0.0	X				439,442	0	41,795
(19) Carol Wilcox........................................................................ VP Diagnostic/Therapeutic Svcs	50.0 .......................0.0	X				317,718	0	19,413
(20) Bjorn Gunnerud........................................................................ VP, Marketing & Communications	50.0 .......................0.0	X				348,999	0	135,312
(21) Jennifer Olson Market........................................................................ VP Business Dev and Strategy	50.0 .......................0.0	X				463,310	0	38,107
(22) Trevor Sawallish........................................................................ SVP Clinical Ops & COO	50.0 .......................0.0	X				523,405	0	40,953
(23) Emily Chapman MD........................................................................ CMO and VP Medical Affairs	50.0 .......................0.0	X				462,725	0	44,551
(24) Anupam Kharbanda MD........................................................................ Chief of Critical Care Service	50.0 .......................0.0	X				381,364	0	18,894
(25) Rebecca Woitalewicz........................................................................ Acting VP, Finance and CFO	50.0 .......................0.0	X				318,258	0	41,419
(26) Nancy Mendelsohn MD........................................................................ Chief of Specialty Pediatrics	50.0 .......................0.0	X				316,352	0	36,965
(27) Pamela Gigi Chawla MD........................................................................ Chief of General Pediatrics	50.0 .......................0.0	X				367,142	0	19,379
(28) Tracy Pfiefer........................................................................ VP Ops Mother Baby Clin Svc	50.0 .......................0.0	X				217,584	0	20,921
(29) Stuart Winter MD........................................................................ Chief Research Officer	50.0 .......................0.0	X				350,995	0	44,708
(30) Clark Smith MD........................................................................ Chief of Services Pediatrics	50.0 .......................0.0	X				286,896	0	57,219
(31) Nancy Stevens........................................................................ Interim CHRO	50.0 .......................0.0	X				256,779	0	30,588
(32) James Leste........................................................................ VP Support Operations	50.0 .......................0.0	X				284,682	0	37,316
(33) Monica Schiller........................................................................ VP Ambulatory Services	50.0 .......................0.0	X				231,032	0	36,559
(34) Pamala VanHazinga........................................................................ CNO, VP Patient Care Svcs	50.0 .......................0.0	X				313,599	0	42,543
(35) Susan Slocum........................................................................ Chief Investment Officer	50.0 .......................0.0	X				243,209	0	29,132
(36) Susan Sencer........................................................................ Chief of Specialty Pediatrics	50.0 .......................0.0	X				294,840	0	145,393
(37) Anna Youngerman........................................................................ Chief Value Officer	50.0 .......................0.0	X				215,035	12,641	33,372
(38) Phil Kibort........................................................................ VP Medical Affairs and CMO	0.0 .......................50.0	X				0	356,271	107,303
(39) Gloria Drake........................................................................ Sr Dir Clin SVCS-Perioperative	50.0 .......................0.0		X			228,519	53,477	39,544
(40) Alice Chernich........................................................................ Sr Dir Clinical Serv-Neonatal	50.0 .......................0.0		X			156,564	0	19,346
(41) Kathleen Penson........................................................................ Sr Dir Clin Svcs-Critical Care	50.0 .......................0.0		X			202,686	0	34,796
(42) Claudia Hines........................................................................ Sr Dir Clin Svcs - Pediatrics	50.0 .......................0.0		X			167,196	0	31,451
(43) Joseph Petronio MD........................................................................ Surgical Dir, Peds Neurosurg	50.0 .......................0.0			X		959,914	0	34,454
(44) Meysam Kebriaei MD........................................................................ Staff Physician	50.0 .......................0.0			X		883,089	0	42,568
(45) Barbara Malone MD........................................................................ Medical Director	50.0 .......................0.0			X		730,664	0	36,662
(46) Albert Tu MD........................................................................ Staff Physician	50.0 .......................0.0			X		812,835	0	23,759
(47) Kyle Halvorson MD........................................................................ Staff Physician	50.0 .......................0.0			X		717,396	0	36,146
(48) Robert Bonar JR........................................................................ Former President & CEO	0.0 .......................0.0				X	656,379	0	0
(49) Todd Ostendorf........................................................................ Former VP, Finance and CFO	0.0 .......................0.0				X	372,847	0	0
(50) Theresa Pesch........................................................................ Former President, Foundation	0.0 .......................0.0				X	40,946	368,521	186,921

(A) Name and business address	(B) Description of services	(C) Compensation
Children's Heart Clinic PA, 2525 Chicago Ave S Suite 500 Minneapolis,MN55404	Physician Services	11,784,883
Cerner Corporation, PO Box 412702 Kansas City,MO64141	IT SERVICES	9,211,903
Sodexo Inc Affiliates, 4880 Paysphere Circle Chicago,IL60674	Nutrition & Envi Svr	5,344,231
Children's Respiratory Critical C, 2530 Chicago Ave S Suite 400 Minneapolis,MN55404	Physician Services	4,745,475
Conifer Health Solutions LLC, 1500 South Douglas Road Anaheim,CA92806	Patient Billing	4,722,765
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 120

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

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

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

Children's Health Care

Employer identification number

41-1754276

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 12, check only one box.)

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

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

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

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

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

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

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

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

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

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

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

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

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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

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

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

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

Schedule A (Form 990 or 990-EZ) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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.)..

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

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2017. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

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

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

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.

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).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

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.

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.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

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.

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.

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).

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?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

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.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) 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.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

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

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

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

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

11b

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

Section B. Type I Supporting Organizations

Yes

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.

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.

Section C. Type II Supporting Organizations

Yes

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).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

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).

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.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

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.

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.

Parent of Supported Organizations. Answer (a) and (b) below.

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.

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.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). 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

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) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

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 2018 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-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

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) 2018

Additional Data

Software ID:
Software Version:

- TIN:

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

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

Children's Health Care

Employer identification number

41-1754276

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

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

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization Children's Health Care

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization Children's Health Care		Employer identification number 41-1754276

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization Children's Health Care			Employer identification number 41-1754276
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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

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

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on 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 Health Care

Employer identification number

41-1754276

Part I-A

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

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

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

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

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

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

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

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

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

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

Yes No

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

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

Page 2

Part II-A

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

A Check SchCMd Bullet

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

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

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................
c	Total lobbying expenditures (add lines 1a and 1b) ...................................................................
d	Other exempt purpose expenditures ........................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	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) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2018

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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

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

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

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

Yes

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

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

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

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

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

Yes

140,000

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

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

Yes

55,867

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

195,867

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

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
Form 990 Sch C Part II-B Line 1B, Line 1G, Line 1I	CHILDREN'S RETAINS A LOBBYIST TO ASSIST DIRECTLY WITH LOBBYING EFFORTS AT THE STATE LEVEL. CHILDREN'S PUBLIC POLICY DIRECTOR IS ALSO RESPONSIBLE FOR LOBBYING ACTIVITIES ON THE CITY, STATE, AND FEDERAL LEVEL. THOSE RESPONSIBILITIES INCLUDE PROVIDING TESTIMONY AT THE STATE CAPITOL, MAINTAINING RELATIONSHIPS, EDUCATING LEGISLATORS AND STAFF, AND WORKING WITH OUR REGULATORY AGENCIES. WITH RESPECT TO FEDERAL LOBBYING EFFORTS, CHILDREN'S SENIOR DIRECTOR OF CHILD HEALTH POLICY, PUBLIC POLICY DIRECTOR, AND CEO WILL OCCASIONALLY TRAVEL TO WASHINGTON TO MEET WITH FEDERAL LAWMAKERS. THIS IS GENERALLY DONE IN A COLLABORATION WITH INDUSTRY ORGANIZATIONS, SUCH AS NACHRI, WHO INDIRECTLY PROVIDE FEDERAL LOBBYING SUPPORT ON BEHALF OFCHILDREN'S. CHILDREN'S IS A MEMBER OF THE CHILDREN'S HOSPITAL ASSOCIATION (CHA). $36,664 OF MEMBERSHIP DUES PAID TO CHA RELATE TO LOBBYING ACTIVITIES. Children's IS A MEMBER OF THE MINNESOTA HOSPITAL ASSOCIATE (MHA). $6,072 OF MEMBERSHIP DUES PAID TO MHA RELATE TO LOBBYING ACTIVITIES. CHILDREN'S IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATE (AHA). $13,131 OF MEMBERSHIP DUES PAID TO AHA RELATE TO LOBBYING ACTIVITIES.

Return Reference

Explanation

Form 990 Sch C Part II-B Line 1B, Line 1G, Line 1I

CHILDREN'S RETAINS A LOBBYIST TO ASSIST DIRECTLY WITH LOBBYING EFFORTS AT THE STATE LEVEL. CHILDREN'S PUBLIC POLICY DIRECTOR IS ALSO RESPONSIBLE FOR LOBBYING ACTIVITIES ON THE CITY, STATE, AND FEDERAL LEVEL. THOSE RESPONSIBILITIES INCLUDE PROVIDING TESTIMONY AT THE STATE CAPITOL, MAINTAINING RELATIONSHIPS, EDUCATING LEGISLATORS AND STAFF, AND WORKING WITH OUR REGULATORY AGENCIES. WITH RESPECT TO FEDERAL LOBBYING EFFORTS, CHILDREN'S SENIOR DIRECTOR OF CHILD HEALTH POLICY, PUBLIC POLICY DIRECTOR, AND CEO WILL OCCASIONALLY TRAVEL TO WASHINGTON TO MEET WITH FEDERAL LAWMAKERS. THIS IS GENERALLY DONE IN A COLLABORATION WITH INDUSTRY ORGANIZATIONS, SUCH AS NACHRI, WHO INDIRECTLY PROVIDE FEDERAL LOBBYING SUPPORT ON BEHALF OFCHILDREN'S. CHILDREN'S IS A MEMBER OF THE CHILDREN'S HOSPITAL ASSOCIATION (CHA). $36,664 OF MEMBERSHIP DUES PAID TO CHA RELATE TO LOBBYING ACTIVITIES. Children's IS A MEMBER OF THE MINNESOTA HOSPITAL ASSOCIATE (MHA). $6,072 OF MEMBERSHIP DUES PAID TO MHA RELATE TO LOBBYING ACTIVITIES. CHILDREN'S IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATE (AHA). $13,131 OF MEMBERSHIP DUES PAID TO AHA RELATE TO LOBBYING ACTIVITIES.

Schedule C (Form 990 or 990EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

Children's Health Care

Employer identification number

41-1754276

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on 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 ........

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

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

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

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

Yes No

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

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

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

Yes No

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

Part III

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

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

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

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

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

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

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

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

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

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

Part V

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

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	158,713,414	144,734,538	39,136,928	41,329,339	39,959,574
b	Contributions ...	2,744,579	937,139	100,571,581	211,366	1,216,110
c	Net investment earnings, gains, and losses	-543,182	19,761,540	6,528,600	-1,037,098	1,904,157
d	Grants or scholarships ...	5,795,868	6,719,803	1,502,571	1,366,679	1,750,502
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	155,118,943	158,713,414	144,734,538	39,136,928	41,329,339

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

Board designated or quasi-endowment SchDMd Bullet

70.000 %

Permanent endowment SchDMd Bullet

22.000 %

Temporarily restricted endowment SchDMd Bullet

8.000 %

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

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

Yes

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

3a(i)

Yes

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

3a(ii)

Yes

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

Yes

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" on 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 .....	13,325,460		13,325,460
b	Buildings ....	437,677,262	206,847,767	230,829,495
c	Leasehold improvements	16,877,574	3,888,851	12,988,723
d	Equipment ....	312,738,091	232,803,982	79,934,109
e	Other .....	5,432,638	5,324,498	108,140
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				337,185,927

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on 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........
(3) Other (A) INVESTMENTS CARRIED AT N.A.V.	357,861,576	F
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	357,861,576

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) EXECUTIVE BENEFIT PLANS				6,709,879
(2) PHYSICIAN RELOCATION LOANS REC				610,000
(3) PHARMACEUTICAL SERVICE DEPOSIT				3,041,859
(4) FACILITY DEPOSIT				123,255
(5) UNITED SHARED SERVICE ARRNGMT				11,205,834
(6) INVESTMENT IN MOTHER/BABY				24,050,344
(7) OTHER				863,155
(8) BENEFICIAL INT IN NA OF FDTN				71,509,529
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				118,113,855

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
RSVP RETIREMENT PLAN	1,891,815
EXECUTIVE BENEFITS LIABILITY	4,344,670
MN CARE TAX PAYABLE	4,585,336
POST-RETIREMENT BENEFITS	2,383,062
WORKERS COMP LIABILITY	1,868,707
INTERCOMPANY PAYABLE	18,567,653
LONG TERM DEFERRED REVENUE	12,162,232
OTHER	457,791
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	46,261,266
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) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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' on 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

Form 990 Sch D Part V Line 4

EFFECTIVE NOVEMBER 1, 2016, THE CHILDREN'S BOARD OF DIRECTORS DESIGNATED $100 MILLION OF UNRESTRICTED INVESTMENTS FOR ENDOWMENT TO SUPPORT PROGRAMS AT CHILDREN'S HEALTH CARE. THE MAJORITY OF PERMANENT ENDOWMENT FUNDS ARE HELD BY CHILDREN'S HEALTH CARE FOUNDATION, A RELATED ORGANIZATION. THE INTENDED USE OF THE FUNDS IS TO SUPPORT THE PROGRAMS AT CHILDREN'S HEALTH CARE. THERE ARE ALSO TWO ENDOWMENT FUNDS THAT ARE HELD AND ADMINISTERED BY US BANK, AN UNRELATED ORGANIZATION, WHICH ARE ALSO USED TO SUPPORT THE PROGRAMS AT CHILDREN'S HEALTH CARE. REFER TO PART III, LINE 4 FOR A DESCRIPTION OF THE PROGRAMS OF CHILDREN'S HEALTH CARE.

Form 990 Sch D Part X Line 2

THE IRS HAS DETERMINED THAT CHILDREN'S AND ITS SUBSIDIARIES ARE EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE IRC. CHILDREN'S BELIEVES THAT IT CONTINUES TO MEET THE REQUIREMENTS OF THE IRC TO SUSTAIN ITS TAX-EXEMPT STATUS. IN ACCORDANCE WITH ASC SUBTOPIC 740-10, INCOME TAXES OVERALL, CHILDREN S RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THERE ARE NO FEDERAL INCOME TAX EXPENSES, PENALTIES, OR INTEREST RECOGNIZED IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AND NO UNRECOGNIZED TAX BENEFITS FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017. CHILDREN'S IS NOT SUBJECT TO AN INCOME TAX EXAMINATION FOR YEARS BEFORE 2015.

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
Children's Health Care

Employer identification number

41-1754276

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	Central America and the Caribbean	Program Services	Self Insurance	124,164
	Central America and the Caribbean	Investments	N/A	9,784,331
	Europe (Including Iceland and Greenland)	Investments	N/A	1,057,222
	Central America and the Caribbean	Investments	N/A	6,498,946
	Central America and the Caribbean	Investments	N/A	5,400,163
	Central America and the Caribbean	Investments	N/A	348,255
	Europe (Including Iceland and Greenland)	Investments	N/A	13,431,517
	Central America and the Caribbean	Investments	N/A	8,690,779
	Central America and the Caribbean	Investments	N/A	8,273








3a	Sub-total .....			45,343,650
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)			45,343,650

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018

Schedule F (Form 990) 2018

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2018

Schedule F (Form 990) 2018Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

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

Schedule F (Form 990) 2018

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2018

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation

Schedule F (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

Children's Health Care

Employer identification number

41-1754276

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other 275 %

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

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

Yes

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

If the organization used factors other than FPG in determining eligibility, describe in Part VI the 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.

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

Yes

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

Yes

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

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	765,723		765,723	0.090 %
b	Medicaid (from Worksheet 3, column a) . . . . .	365,613,918	274,782,354	90,831,564	10.730 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	366,379,641	274,782,354	91,597,287	10.820 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	13,881,916	3,135,622	10,746,294	1.270 %
f	Health professions education (from Worksheet 5) . . .	7,840,708	2,832,596	5,008,112	0.590 %
g	Subsidized health services (from Worksheet 6) . . . .	57,903,530	42,653,280	15,250,250	1.800 %
h	Research (from Worksheet 7) .	6,374,635	3,843,299	2,531,336	0.300 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	60,665		60,665	0.010 %
j	Total. Other Benefits . .	86,061,454	52,464,797	33,596,657	3.970 %
k	Total. Add lines 7d and 7j .	452,441,095	327,247,151	125,193,944	14.790 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

Page

Part II

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

		(c) Total community building expense	(e) Net community building expense
1	Physical improvements and housing
2	Economic development
3	Community support	30,000	30,000
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	16,000	16,000
9	Other
10	Total	46,000	46,000

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

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

10,148,995

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. ......

2,537,249

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

Section B. Medicare

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

197,009

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

271,962

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

-74,953

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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

Yes

Part IV

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

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

Schedule H (Form 990) 2018

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?1Name, 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)
1	Children's Health Care 2525 Chicago Avenue South Minneapolis,MN55404 http://www.childrensmn.org/ 356144	X	X	X	X	X	X

Schedule H (Form 990) 2018

Page 4

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)

	Children's Health Care
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):

Yes

Community Health Needs Assessment

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?........................

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...............

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......................

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

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 .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

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. ............................

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

Yes

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

Hospital facility’s website (list url): REFER TO SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): REFER TO SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on 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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	Children's Health Care
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 275.% and FPG family income limit for eligibility for discounted care of 350.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

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):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

Refer to Section C

The FAP application form was widely available on a website (list url):

Refer to Section C

A plain language summary of the FAP was widely available on a website (list url):
Refer to Section C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	Children's Health Care
Name of hospital facility or letter of facility reporting group

Yes

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 nonpayment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized 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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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?..................

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

	Children's Health Care
Name of hospital facility or letter of facility reporting group

Yes

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

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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? ...............................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

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, 16j, 18e, 19e, 20e, 21c, 21d, 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
Form 990 Sch H Part V Line 5	OVER THE COURSE OF 2016, WE HEARD FROM PEOPLE WITHIN AND OUTSIDE OF CHILDREN'S ABOUT THEIR PERSPECTIVES ON HEALTH AND WELL-BEING, INCLUDING: MORE THAN 800 PEOPLE AT COMMUNITY EVENTS AND PRIMARY CARE CLINICS; 42 COMMUNITY STAKEHOLDERS, AND 195 CHILDREN'S MINNESOTA EMPLOYEES AND CLINICIANS. BUILDING OFF OF THE DATA AND PROCESS USED FOR OUR 2013 CHNA, THE ENTIRE ASSESSMENT PROCESS WAS GUIDED BY THE COMMUNITY ADVISORY COMMITTEE (CAC), A DIVERSE GROUP OF COMMUNITY STAKEHOLDERS, INCLUDING LOCAL ADVOCATES AND REPRESENTATIVES OF COMMUNITY ORGANIZATIONS AND SYSTEMS SERVING CHILDREN AND FAMILIES. HEALTH TOPICS CONSIDERED THROUGH THIS ASSESSMENT PROCESS WERE EXPANDED TO INCLUDE COMMUNITY CONDITIONS AND OTHER FACTORS THAT CONTRIBUTE TO HEALTH, SUCH AS POVERTY, EDUCATION AND HOUSING. THE TOP HEALTH PRIORITIES WERE DETERMINED THROUGH CRITERIA RECOMMENDED BY THE CAC THAT VALUED QUANTITATIVE AND QUALITATIVE DATA AND DREW ON THE EXPERIENCE AND EXPERTISE OF COMMITTEE MEMBERS. A MORE DETAILED DESCRIPTION OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND STAKEHOLDERS INTERVIEWED IS AVAILABLE IN THE FULL CHNA REPORT AT HTTPS://WWW.CHILDRENSMN.ORG/SUPPORT-CHILDRENS/COMMUNITY-HEALTH-ENGAGEMENT/ COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ IN ADDITION, CHILDREN'S ACTIVELY PARTICIPATES IN SEVERAL COMMUNITY HEALTH COALITIONS AND MAINTAINS ONGOING CONTACT WITH MANY OF THESE REPRESENTATIVES.
Form 990 Sch H Part V Line 7A	HTTPS://WWW.CHILDRENSMN.ORG/DOWNLOADS/2016/12/CHILDRENS-MINNESOTA-CHNA-REP ORT_2016.PDF
Form 990 Sch H Part V Line 10A	HTTPS://WWW.CHILDRENSMN.ORG/DOWNLOADS/2017/04/CHILDRENS-MINNESOTA-IMPLEMEN TATION-STRATEGY_2017-2019.PDF
Form 990 Sch H Part V Line 11	THE 2016 CHNA IDENTIFIED SIX ISSUES AS BEING THE MOST IMPORTANT FOR CHILDREN'S MINNESOTA TO FOCUS IN ORDER TO SUPPORT THE HEALTH AND WELL-BEING OF CHILDREN AND THEIR FAMILIES. THE IDENTIFIED FOCUS AREAS INCLUDE BOTH HEALTH STATUS INDICATORS SUCH AS ASTHMA AND MENTAL HEALTH AND WELL BEING, AS WELL AS SOCIAL DETERMINANTS OF HEALTH INCLUDING: ACCESS TO RESOURCES; INCOME AND EMPLOYMENT; EDUCATION; AND STRUCTURAL RACISM. CHILDREN'S CONTINUES TO PROVIDE THE FOLLOWING SERVICES TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN ITS CHNA, INCLUDING: ACCESS TO RESOURCES AND CARE: - COMMUNITY CONNECT: CHILDREN'S MINNESOTA LAUNCHED THE COMMUNITY CONNECT PROGRAM IN SEPTEMBER OF 2017. COMMUNITY CONNECT FOCUSES ON SUPPORTING FAMILIES' SOCIAL SUPPORT NEEDS BY EMPOWERING FAMILY DECISION-MAKING, RESPECTING CULTURAL TRADITIONS AND STRENGTHS, IMPROVING ACCESS TO SOCIAL SUPPORT RESOURCES AND DELIVERING MORE EQUITABLE CARE. A TOTAL OF 2,083 FAMILIES MET WITH A COMMUNITY CONNECT RESOURCE NAVIGATOR FROM SEPTEMBER 2018-DECEMBER 2018. FAMILIES WERE SCREENED FOR SOCIAL NEEDS WHICH INCLUDE THE FOLLOWING: FOOD, EMPLOYMENT/INCOME, EDUCATION, HOUSING, TRANSPORTATION, HOUSEHOLD GOODS. ONCE FAMILIES WERE SCREENED AND INDICATED A NEED, OUR NAVIGATORS WORKED TO CONNECT THEM WITH COMMUNITY-BASED ORGANIZATIONS AND RESOURCES. - HEALTHCARE LEGAL PARTNERSHIP: CHILDREN'S MINNESOTA LAUNCHED THE HEALTHCARE LEGAL PARTNERSHIP (HLP) IN OCTOBER 2017. THE PROGRAM SUPPORTS TWO ATTORNEYS BASED ON OUR ST. PAUL AND MINNEAPOLIS HOSPITAL CAMPUSES. THESE DEDICATED LAWYERS COLLABORATE WITH HEALTH CARE TEAMS TO IDENTIFY, PREVENT, AND REMEDY HEALTH-HARMING FACTORS THAT ARE ROOTED IN LEGAL PROBLEMS. DURING 2018, THE HEALTHCARE LEGAL PARTNERSHIP PROVIDED SERVICES IN 250 CASES ACROSS MULTIPLE LEGAL ISSUES INCLUDING: HOUSING, BENEFITS, FAMILY LAW, AND IMMIGRATION. - FOOD SECURITY: IN 2018, CHILDREN'S FOOD PANTRY PROVIDED 1,297 INDIVIDUAL MEALS. IN PARTNERSHIP WITH MATTER, A COMMUNITY-BASED NONPROFIT WHOSE MISSION INCLUDES EXPANDING ACCESS TO HEALTHY FOOD, 573 SETS OF MATTERBOXES (TAKE-HOME GROCERIES) WERE DISTRIBUTED TO PATIENT FAMILIES. - FAMILY RESOURCE CENTER: IN 2018, THE TOTAL NUMBER OF VISITS TO CHILDREN'S FAMILY RESOURCE CENTERS IN ST. PAUL AND MINNEAPOLIS WAS 42,308. FAMILY RESOURCE CENTER STAFF PROVIDED HANDS-ON HELP AND SUPPORT FOR 15,053 FAMILY ENCOUNTERS - WHICH INCLUDES AMENITY DISBURSEMENTS (MEAL COUPONS, PARKING VOUCHERS, CAB VOUCHERS, BUS PASSES, PERSONAL CARE ITEMS), CONSUMER HEALTH RESEARCH/REFERENCE REQUESTS, NOTARY TRANSACTIONS, TECHNOLOGY SUPPORT, ETC. EFFECTIVE 1-10-18, A NEW FAMILY-FRIENDLY AMENITIES DISBURSEMENT PROCESS WAS IMPLEMENTED ALLOWING FAMILIES TO RECEIVE UP TO 7 DAYS-WORTH OF MEALS/PARKING AT A TIME (VS.2), REDUCING THE NUMBER OF STAFF-MEDIATED ENCOUNTERS AS WELL. - FINANCIAL COUNSELING: CHILDREN'S FINANCIAL RESOURCE CENTER HELPED 4,487 PATIENTS IN 2018. APPOINTMENTS FOCUSED ON HELPING INDIVIDUALS AND FAMILIES WITH MA APPLICATIONS, ANSWERING QUESTIONS ABOUT SSI AND TEFRA APPLICATIONS, AND ASSISTING WITH APPLICATIONS FOR CHILDREN'S FINANCIAL ASSISTANCE. - INTERPRETER SERVICES: OVERALL, THE TOTAL NUMBER OF INTERPRETED ENCOUNTERS FOR 2018 WAS 100,092 IN A TOTAL OF 70 LANGUAGES. THE TOP THREE LANGUAGES INTERPRETED AT CHILDREN'S ARE: SPANISH, SOMALI AND Hmong. - SIBLING PLAY AREA: THE SIBLING PLAY AREA IS A CREATIVE SPACE ESPECIALLY DESIGNED FOR THE BROTHERS AND SISTERS OF PATIENTS. IT PROVIDES SIBLINGS OF PATIENTS A UNIQUE PLACE TO PLAY DURING APPOINTMENT AND WAIT TIMES, SURGERIES OR PROCEDURES. IN 2018, THE SIBLING PLAY AREA WAS USED BY 7,607 PEOPLE AND 4,012 CHILDREN. - HEALTH EQUITY: THE CHILDREN'S MINNESOTA CAMPUS IS LOCATED IN THE HEART OF ONE OF THE LARGEST AND MOST VIBRANT URBAN COMMUNITIES IN THE COUNTRY. RECOGNIZING THE CRITICAL ROLE CULTURE AND TRADITIONS PLAY IN A CHILD?S HEALTH AND WELL-BEING, WE'VE PARTNERED WITH COMMUNITY ORGANIZATIONS TO HELP PROVIDE A MORE CULTURALLY RESPONSIVE AND RESPECTFUL APPROACH TO HEALTH CARE. SPECIFIC HEALTH EQUITY PROGRAMS AND PARTNERSHIPS INCLUDE: - HEALTH EQUITY COUNCIL: A CROSS-DISCIPLINARY, CROSS-HIERARCHICAL GROUP OF APPROXIMATELY 20-25 CHILDREN'S STAFF (PLANS TO INVOLVE FAMILIES/COMMUNITY MEMBERS IN THE FUTURE) THAT FOCUSES ON BUILDING EQUITY PRACTICES INTO THE CULTURE OF CHILDREN'S AND IDENTIFYING AND ADDRESSING POLICIES, PRACTICES AND BEHAVIOR THAT MAINTAIN OR EXACERBATE INEQUITIES FOR PATIENTS, FAMILIES AND EMPLOYEES. - HEALTH EQUITY INDEX: IN 2018 CHILDREN'S WORKED TO DEVELOP A HEALTH EQUITY INDEX WHICH WILL BE IMPLEMENTED IN 2019 AS ONE OF THE METRICS INCLUDED IN MANAGEMENT AND EXECUTIVE INCENTIVE PLANS. - QUALITY-EQUITY ALIGNMENT: IN PARTNERSHIP WITH THE QUALITY TEAM, THE EQUITY TEAM HAS WORKED TO AFFIRM EQUITY AS A CORE ELEMENT OF CHILDREN'S QUALITY PROGRAM INCLUDING RE-SHAPING THE ORGANIZATION'S PERSPECTIVE ON HOW AND WHERE TO FOCUS QUALITY IMPROVEMENT EFFORTS. SPECIFIC EFFORTS INCLUDE THE DEVELOPMENT OF A RESPECT AND DIGNITY SERVICE LEARNING REPORT AND TOOLS FOR CONDUCTING ROOT CAUSE ANALYSES THROUGH AN EQUITY LENS. - AMERICAN INDIAN COMMUNITY COLLABORATIVE -"THE FIRST GIFT": "THE FIRST GIFT", IN PARTNERSHIP WITH CHILDREN'S MINNESOTA AND THE MINNEAPOLIS AMERICAN INDIAN CENTER, TWO RIVERS ART GALLERY, CONTINUES TO GROW AS A TRANSFORMATIVE PROGRAM THAT CONNECTS TRADITIONAL KNOWLEDGE, COMMUNITY HEALING AND POSITIVE STORYTELLING/NARRATIVES, TO PROMOTE HEALTHY AMERICAN INDIAN BABIES. TRADITIONALLY, THE FIRST GIFT IS A PAIR OF MOCCASINS GIVEN TO A BABY. AS A PART OF "THE FIRST GIFT" PROGRAM AT CHILDREN'S, AMERICAN INDIAN COMMUNITY MEMBERS GATHER TO MAKE AND DISTRIBUTE MOCCASINS TO AMERICAN INDIAN BABIES IN THE SPECIAL CARE NURSERY (SCN) AND THE NEONATAL INTENSIVE CARE UNIT. IN 2018 MORE THAN 100 COMMUNITY MEMBERS INVOLVED IN THE FIRST GIFT PARTNERSHIP GAVE MORE THAN 50 FAMILIES AT CHILDREN'S AND IN THE COMMUNITY THEIR "FIRST GIFT." - AMERICAN INDIAN VOLUNTEER COHORT: IN 2018, THE AMERICAN INDIAN VOLUNTEER COHORT CONTINUED TO RECRUIT AND RETAIN COMMUNITY VOLUNTEERS. THIS COHORT SPECIFICALLY AIMS TO RECRUIT AMERICAN INDIAN COMMUNITY MEMBERS TO COME TO CHILDREN'S TO HOLD BABIES IN OUR SPECIAL CARE NURSERY (SCN). THIS COHORT WAS DESIGNED TO CREATE A MORE INCLUSIVE, REPRESENTATIVE, AND CULTURALLY AWARE ENVIRONMENT FOR CHILDREN'S PATIENTS AND FAMILIES. - EQUITY WORK GROUPS: OVER THE LAST TWO YEARS, THE CHILDREN'S HEALTH EQUITY SPECIALIST HAS LED A COLLABORATION WITH THE CHILDREN'S SOCIAL WORK DEPARTMENT - WITH INVOLVEMENT FROM EXTERNAL SOCIAL WORKERS WHO WORK WITH THE AMERICAN INDIAN COMMUNITY - TO IDENTIFY OPPORTUNITIES FOR MORE EQUITABLE CARE/EXPERIENCE, TEACH AND IMPLEMENT EQUITY PRACTICES, PROVIDE TOOLS FOR EQUITY CASE REVIEWS AND COLLECT DATA ON PROCESSES THAT ARE SUSCEPTIBLE TO BIASED DECISION-MAKING. THIS MODEL IS NOW BEING CONSIDERED FOR IMPLEMENTATION WITH NURSING IN 2019. - MIDWEST REGIONAL CHILDREN'S ADVOCACY CENTER (MRCAC) PARTNERSHIP: IN 2018, MRCAC CONTINUED TO PARTNER WITH THE CHILDREN'S MINNESOTA ADVOCACY DEPARTMENT TO CREATE AND LEAD AN EFFORT FOCUSED ON IMPROVING ACCESS TO AND QUALITY OF CARE FOR AMERICAN INDIAN CHILDREN AND FAMILIES IMPACTED BY ABUSE. CHILDREN'S HAS STARTED WORKING IN CONCERT WITH CHILD ADVOCACY STATE CHAPTERS IN ND, SD, MN, WI, MI TO ASSESS GAPS IN CULTURALLY RESPONSIVE CARE FOR AMERICAN INDIAN CHILDREN. THE WORK BEGAN IN THE URBAN AND AMERICAN INDIAN POPULATIONS LIVING IN MINNEAPOLIS AND ST. PAUL BY IDENTIFYING KEY STAKEHOLDERS RESPONDING TO CHILDHOOD TRAUMA IN THE COMMUNITY. MATERNAL AND CHILD HEALTH: - PERINATAL HIV PREVENTION (ADULT): CHILDREN'S PROVIDED CARE COORDINATION TO 39 HIV POSITIVE PREGNANT WOMEN IN 2018. CHILDREN'S PROVIDED MEDICAL CASE MANAGEMENT SERVICES FOR 34 HIV INDIVIDUALS AND THEIR FAMILIES IN 2018. - PERINATAL HIV PREVENTION (INFANT): CHILDREN'S PROVIDED CARE COORDINATION AND SURVEILLANCE FOR 48 HIV EXPOSED INFANTS IN 2018. CHILDREN'S ALSO PROVIDED EMERGENCY CONSULTATION AND ASSISTANCE ON PERINATAL HIV PREVENTION TO FOUR DIFFERENT HEALTH CARE SYSTEMS ACROSS THE STATE AND PRESENTED THE PROGRAM TO THE MINNESOTA DEPARTMENT OF HEALTH'S HIV/STI/TB DIVISION.
Form 990 Sch H Part V Line 11 Narrative Continued	MENTAL HEALTH AND WELL-BEING: - THE MIDWEST CHILDREN'S RESOURCE CENTER (MCRC): MCRC IS A HOSPITAL-BASED PROGRAM THAT PROVIDES CLINICAL EVALUATIONS AND SERVICES TO CHILDREN WHO HAVE BEEN ABUSED OR NEGLECTED. MCRC BRINGS SUBSPECIALTY MEDICAL CONSULTATION, SKILLED CASE MANAGEMENT AND EXPERT PSYCHOLOGICAL SERVICES TO COMMUNITIES THROUGHOUT THE REGION, AND PROMOTES AND DELIVERS EXPERT SERVICE IN CHILD ABUSE RESPONSE. IN 2018, MCRC PERFORMED OVER 1800 MEDICAL EVALUATIONS FOR SUSPECTED ABUSE VICTIMS. ACHIEVING OPTIMAL OUTCOMES FOR MALTREATED CHILDREN REQUIRES CLOSE COLLABORATION WITH COMMUNITY PARTNERS IN LAW ENFORCEMENT, CHILD PROTECTION, ADVOCACY, MEDICINE, AND MENTAL HEALTH. SERVICES INCLUDE: MEDICAL EVALUATIONS AND HEALTH ASSESSMENTS; PSYCHOLOGICAL ASSESSMENTS; PROFESSIONAL CONSULTATIONS; AND PREVENTION PROGRAMS ON SHAKEN BABY SYNDROME, TEEN PARENTING PROGRAMS, AND CHILD SEXUAL ABUSE. THE MCRC ALSO ADMINISTERS THE NATIONALLY RECOGNIZED RUNAWAY INTERVENTION PROGRAM (RIP). RIP PROVIDES STRENGTH BASED MEDICAL CARE AND THERAPY TO RUN AWAY AND EXPLOITED YOUTH. CARE IS PROVIDED BY EXPERIENCED THERAPIST AND ADVANCED PRACTICE NURSES THROUGH A COMMUNITY-BASED DELIVERY MODEL THAT LASTS 1 YEAR. RIP HAS BEEN DEMONSTRATED TO DRAMATICALLY IMPROVE HEALTH OUTCOMES FOR THESE YOUTH. IN 2018 RIP PROVIDED INTENSIVE SERVICES TO 120 YOUTH. THE MCRC ALSO FUNCTIONS AS ONE OF THE FOUR REGIONAL CHILDREN'S ADVOCACY CENTERS ACROSS THE NATION, PROVIDING TRAINING AND TECHNICAL ASSISTANCE TO CHILD ABUSE PROFESSIONALS ACROSS THE MIDWEST AND NATION. IN 2018 MRCAC PROVIDED TRAINING OR TECHNICAL ASSISTANCE TO OVER 2,000 ORGANIZATIONS ACROSS THE COUNTRY. MORBIDITY AND MORTALITY (FOCUS ON OBESITY AND ASTHMA): - ASTHMA CONTROL PARTNERSHIPS WITH SCHOOLS: THANKS TO A GENEROUS GRANT FROM KOHL'S, CHILDREN'S WAS ABLE TO PARTNER WITH THE MINNEAPOLIS AND SAINT PAUL PUBLIC SCHOOL DISTRICTS, AND SEVERAL PUBLIC CHARTER SCHOOLS TO ENHANCE ASTHMA MANAGEMENT IN SCHOOL-AGED CHILDREN (KINDERGARTEN - 8TH GRADE). AS A RESULT OF THIS PARTNERSHIP MORE THAN 200 SCHOOL NURSES AND TEACHERS IN BOTH SCHOOL DISTRICTS WERE TRAINED AT THE "KOHL'S CARES: PARTNERING TO OPTIMIZE ASTHMA CARE IN SCHOOLS" PROFESSIONAL DEVELOPMENT SEMINAR, LED BY CHILDREN'S STAFF IN JANUARY 2018. - PUBLIC HEALTH AND POLICY COALITIONS: IN ORDER TO ADDRESS THE POLICIES, SYSTEMS AND ENVIRONMENTS THAT IMPACT CHILD HEALTH, CHILDREN'S ACTIVELY PARTICIPATED IN SEVERAL BROAD-BASED COALITIONS, INCLUDING: THE MINNESOTA HEALTHY KIDS COALITION, GOVERNOR'S EARLY LEARNING COUNCIL, MARCH OF DIMES GOVERNMENT AFFAIRS COMMITTEE, MINNEMINDS, SMOKE FREE COALITION, THE MENTAL HEALTH LEGISLATIVE NETWORK, AND THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP COLLABORATIONS IN HENNEPIN AND RAMSEY COUNTIES. THESE COALITIONS ADDRESS A VARIETY OF HEALTH ISSUES IN OUR COMMUNITY, INCLUDING IMPROVED BIRTH OUTCOMES, CHILDHOOD WEIGHT STATUS, EARLY CHILDHOOD DEVELOPMENT, ACCESS TO HEALTH CARE, SOCIAL CONNECTEDNESS, AND COMMUNITY HEALTH OVERALL. SOCIAL AND ECONOMIC FACTORS: - SCHOOL RE-ENTRY PROGRAM: WHEN A CHILD IS FORCED TO MISS SCHOOL FOR A PROLONGED PERIOD OF TIME DUE TO AN ILLNESS, THE SCHOOL RE-ENTRY PROGRAM HELPS HIM OR HER PREPARE FOR A RETURN TO THE CLASSROOM. IN 2018, CHILDREN'S PROVIDED 80 SCHOOL VISITS. - CHILD AND FAMILY SERVICES: IN 2018, THE FAMILIES AS PARTNERS (FAP) PROGRAM WORKED WITH 155 PATIENT FAMILY VOLUNTEERS WHO DONATED 3,562 HOURS OF SERVICE. THERE WERE 22 ACTIVE MEMBERS OF THE FAMILY ADVISORY COUNCIL AND 22 YOUTH ON THE YOUTH ADVISORY COUNCIL. YOUTH ADVISORY COUNCIL MEMBERS RANGED FROM 10-18 YEARS OF AGE, AND BETWEEN ALL 22 MEMBERS THEY VOLUNTEERED 316 HOURS OF SERVICE. Form 990 Sch H Part V Line 15e CHILDREN'S HOSPITALS AND CLINICS HAS A WRITTEN FINANCIAL ASSISTANCE POLICY. THE POLICY OUTLINES THE GUIDELINES, SCOPE OF SERVICES COVERED, AVAILABILITY OF INFORMATION, HOW TO APPLY, THE PATIENT/GUARANTOR'S RESPONSIBILITY FOR PROVIDING INFORMATION AND THE HOSPITALS RESPONSIBILITY FOR REVIEW AND COMMUNICATION OF DETERMINATION. THE POLICY IS BASED ON THE FEDERAL POVERTY GUIDELINES, UPDATED ANNUALLY WITH A DIFFERENTIATION FOR THOSE FAMILIES WITH INSURANCE AND THOSE WITHOUT AND INCLUDES AN EXCEPTION PROCESS. AMOUNTS GENERALLY BILLED IS DEFINED AND CHILDREN'S HAS CHOSEN THE LOOK BACK METHOD INCLUSIVE OF ALL CLAIMS.
Form 990 Sch H Part V Line 16A	HTTPS://WWW.CHILDRENSMN.ORG/YOUR-VISIT/AFTER-YOUR-VISIT/BILLING-AND-FINANC IAL-MATTERS/BILLING-POLICIES/ Form 990 SCH H PART V LINE 16B HTTPS://WWW.CHILDRENSMN.ORG/YOUR-VISIT/AFTER-YOUR-VISIT/BILLING-AND-FINANC IAL-MATTERS/FINANCIAL-COUNSELING-AND-ASSISTANCE/ Form 990 SCH H PART V LINE 16C HTTPS://WWW.CHILDRENSMN.ORG/YOUR-VISIT/AFTER-YOUR-VISIT/BILLING-AND-FINANC IAL-MATTERS/FINANCIAL-COUNSELING-AND-ASSISTANCE/ Form 990 SCH H PART V LINE 16J CHILDREN'S HOSPITALS AND CLINICS HAS A WRITTEN FINANCIAL ASSISTANCE POLICY AND A PLAIN LANGUAGE SUMMARY OF OUR POLICY. OUR POLICY IS POSTED ON OUR WEBSITE AS WELL AS AVAILABLE AT ALL REGISTRATION AREAS THROUGHOUT THE HOSPITAL AND OUR CLINICS. A COPY OF THE PLAIN LANGUAGE SUMMARY OF OUR POLICY IS PROVIDED TO ANY PATIENT WITHOUT INSURANCE AT EACH VISIT AND ANNUALLY TO ALL PATIENTS. THE POLICY AND PLAIN LANGUAGE SUMMARY IS CURRENTLY AVAILABLE IN ENGLISH, SPANISH, SOMALI, HMONG, RUSSIAN AND VIETNAMESE. WE ALSO HAVE POSTERS IDENTIFYING KEY POINTS OF OUR POLICY DISPLAYED IN ALL REGISTRATION AREAS IN ADDITION, WE HAVE A FINANCIAL ASSISTANCE CALCULATOR ON OUR WEBSITE WHERE FAMILIES ARE ABLE TO KEY IN THEIR INCOME AND FAMILY SIZE TO ASSESS WHETHER THEY MAY MEET OUR POLICY GUIDELINES.
Form 990 Sch H Part V Line 23	CHILDREN'S FINANCIAL ASSISTANCE POLICY IS BASED ON THE FEDERAL POVERTY GUIDELINES. FOR FAMILIES WITH NO INSURANCE AND INCOME LESS THAN 275% OF THE FPL, THE CARE PROVIDED TO THE FAMILY IS FREE. FOR FAMILIES WITH INCOME GREATER THAN 275% OF THE FPL BUT LESS THAN 350% OF THE FPL, THE FAMILY WILL BE CHARGED NOT MORE THAN AMOUNTS GENERALLY BILLED. CHILDREN'S HAS CHOSEN TO USE THE LOOK BACK METHOD AND INCLUDING ALL CLAIM PAYMENTS FOR THE PREVIOUS 12 MONTH PERIOD.

Schedule H (Form 990) 2018

Page 9

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?9
Name and address		Type of Facility (describe)
1	Children's Clinics - Woodwinds 1825 Woodwinds Drive Suite 400 Woodbury,MN55125	Specialty and Rehabilitation Clinic
2	Children's - Maple Grove 7767 Elm Creek Blvd Suite 300 Maple Grove,MN55369	Specialty and Rehabilitation Clinic
3	Children's Rehab Clinic 5950 Clearwater Drive Suite 500 Minnetonka,MN55343	ENT and Rehabilitation Clinic
4	Children's - Roseville 1835 W County Rd C Roseville,MN55113	Specialty and Rehabilitation Clinic
5	Children's - Minnetonka 6060 Clearwater Drive Suite 204 Minnetonka,MN55343	Specialty Clinic - Diabetes and Endocrinology
6	Children's Sleep Center 310 North Smith Ave Suite 480 St Paul,MN55404	Specialty Clinic- Sleep Disorders
7	Center for the Treatment of Eating Dsrdr 910 E 26th Street Suite 410 Minneapolis,MN55404	Specialty Clinic - Eating Disorders
8	Children's Specialty Clinic 360 Sherman Street St Paul,MN55102	Specialty Clinic - Psychological Services
9	Children's Heart Clinic 2530 Chicago Avenue S Suite 500 Minneapolis,MN55404	Heart Disease cardiovascular clinic
10

Schedule H (Form 990) 2018

Page 10

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
Form 990 Sch H Part I Line 3c	FEDERAL POVERTY GUIDELINES ARE THE PRIMARY MEASUREMENT USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, POLICY EXCEPTIONS MAY BE GRANTED FOR FAMILIES WHO HAVE MEDICAL DEBT EXCEEDING 10 PERCENT OF THEIR INCOME OR HAVE OTHER SPECIFIC DOCUMENTED NEEDS WHERE THEY ARE NOT ABLE TO PAY ALL OR A PORTION OF THEIR BALANCE. MEDICAID ELIGIBILITY MAY ALSO BE USED TO DETERMINE ELIGIBILITY.
Form 990 Sch H Part I Line 6a	CHILDREN'S INCLUDES INFORMATION ON COMMUNITY BENEFIT EXPENDITURES IN THE ORGANIZATION'S ANNUAL REPORT. THE 2016 ANNUAL REPORT IS AVAILABLE ONLINE AT HTTPS://WWW.CHILDRENSMN.ORG/DOWNLOADS/2017/06/2016-CHILDRENS-MN-ANNUAL-REP ORT.PDF. COMMUNITY BENEFIT NUMBERS AS WELL AS COMMUNITY HEALTH NEEDS ASSESSMENT INFORMATION ARE ALSO AVAILABLE ON THE COMMUNITY HEALTH SECTION OF THE WEBSITE: HTTP://WWW.CHILDRENSMN.ORG/COMMUNITY.
Form 990 Sch H Part I Line 7	SUBSIDIZED HEALTH SERVICES BENEFITS INCLUDE THE FOLLOWING PROGRAMS: ECMO (EXTRACORPOREAL MEMBRANE OXYGENATION) IS A LIFESAVING TREATMENT FOR THE MOST CRITICALLY ILL BABIES, CHILDREN AND TEENS. ECMO TAKES OVER TEMPORARILY WITH A MECHANICAL BLOOD PUMP AND ARTIFICIAL LUNG WHEN A CHILD'S HEART OR LUNG IS NOT FUNCTIONING. THE ECMO PROGRAM AT CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA IS THE LARGEST AND OLDEST IN THE STATE: $1,193,252 THE INFANT APNEA PROGRAM INCLUDES PEDIATRIC SPECIALISTS WHO UNDERSTAND THE SCIENCE BEHIND A BABY'S BREATHING PROCESS. OUR TEAM OF PULMONARY, NEONATOLOGY AND NURSE EXPERTS PROVIDES COMPREHENSIVE EVALUATIONS, FAMILY EDUCATION, ONGOING MANAGEMENT AND SUPPORT TO FAMILIES OF INFANTS DIAGNOSED WITH APNEA OR GASTROESOPHAGEAL REFLUX (GER), A REGURGITATION OF FOOD THAT CAN INTERFERE WITH BREATHING: $485,031 THE HOSPITALIST PROGRAM IS A TEAM ON THE GENERAL MEDICAL/SURGICAL UNITS 24/7 THAT ARE AMONG THE FIRST FACES A CHILD SEES. THE HOSPITALISTS CONFER WITH THE REFERRING DOCTOR AND THE PATIENT'S PEDIATRICIAN TO GATHER INFORMATION AND PLAN FOR FIRST-RATE CARE: $1,984,251 THE EATING DISORDERS CLINIC USES LEADING EVIDENCE-BASED TREATMENTS TO PATIENTS OF ALL AGES AND WITH ALL TYPES OF EATING DISORDERS. THE CENTER FOR THE TREATMENT OF EATING DISORDERS IS THE ONLY HOSPITAL-BASED PROGRAM IN THE TWIN CITIES TO OFFER IMMEDIATE ACCESS FOR MEDICAL STABILIZATION: $540,212 THE CLEFT AND CRANIOFACIAL CLINIC IS ONE OF THE PREMIER PROGRAMS IN THE REGION DEDICATED EXCLUSIVELY TO DIAGNOSING AND TREATING CLEFT AND CRANIOFACIAL DISORDERS IN BABIES, CHILDREN, ADOLESCENTS AND YOUNG ADULTS. THEY TREAT A WIDE RANGE OF CONDITIONS, FROM CLEFT LIPS TO ABNORMAL HEAD SHAPES, USING STATE-OF-THE-ART TECHNOLOGIES FOR 21ST CENTURY CARE: $781,811 THE DEVELOPMENT PEDIATRIC CLINIC ADDRESSES CONCERNS ABOUT YOUR CHILD'S DEVELOPMENTAL, BEHAVIORAL, SOCIAL OR LEARNING CHALLENGES. THE PROGRAM APPROACHES BEHAVIORAL AND DEVELOPMENTAL CONDITIONS, SUCH AS AUTISM AND DOWN SYNDROME, FROM ALL ANGLES: $506,822 PSYCHOLOGICAL SERVICES MEETS WITH CHILDREN FOR OUTPATIENT THERAPY, PSYCHOLOGICAL AND NEUROPSYCHOLOGICAL ASSESSMENTS, AND CONSULTATION TO OUTPATIENT AND INPATIENT MEDICAL SERVICE: $1,315,592 HOME HEALTH CARE ALLOWS KIDS TO RECEIVE THESE SERVICES NOT AT A HOSPITAL BEDSIDE, BUT AT HOME WITH THEIR FAMILIES. EDUCATION IS ALSO A BIG PART OF A HOME CARE NURSES' ROLE AND THEY ARE ALWAYS AVAILABLE TO ANSWER ANY QUESTIONS OR PROVIDE ASSISTANCE: $765,726 MIDWEST CHILDREN'S RESOURCES CENTER (MCRC) OFFERS MEDICAL EVALUATIONS AND CASE MANAGEMENT IN ALLEGED CHILD ABUSE CASES, SERIOUS NEGLECT AND WITNESS TO VIOLENCE. EVERY YEAR, MORE THAN 1,100 CHILDREN AGES 0 TO 18 VISIT US. MCRC RECEIVES REFERRALS FROM LAW ENFORCEMENT, EMERGENCY DEPARTMENTS, PRIMARY PHYSICIANS, CHILD PROTECTION SERVICES, PARENTS, SELF-REFERRALS AND A VARIETY OF COMMUNITY AGENCIES: $131,650 THE GENETICS CLINIC HELPS FAMILIES UNDERSTAND GENETIC CONDITIONS, LIKE CHROMOSOMAL DISORDERS AND SINGLE-GENE DISORDERS. WITH ONE OF THE LARGEST GENETICS PROGRAMS IN THE REGION, WE SEE MORE THAN 2,000 CHILDREN AND TEENS EVERY YEAR AND WE ARE THE ONLY GENETICS CLINIC IN MINNESOTA THAT FOCUSES ENTIRELY ON CARING FOR KIDS WITH GENETIC CONDITIONS: $1,134,120 THE NEUROLOGY CLINIC PROVIDES EXPERT DIAGNOSIS AND TREATMENT FOR KIDS' BRAIN AND NERVOUS SYSTEM CONDITIONS LIKE BRAIN TUMORS, EPILEPSY, HEAD TRAUMA, CEREBRAL PALSY AND OTHERS: $446,046 THE NEUROSURGERY CLINIC USES CUTTING EDGE SURGICAL TECHNIQUES AND TECHNOLOGY TO TREAT TUMORS, EPILEPSY AND OTHER BRAIN AND NERVOUS SYSTEM CONDITIONS. WE PERFORM HUNDREDS OF SURGERIES EACH YEAR ON BABIES, KIDS AND TEENS. THAT MAKES US ONE THE MOST EXPERIENCED PEDIATRIC NEUROSURGERY CENTERS ANYWHERE: $2,059,728 THE RHEUMATOLOGY CLINIC USES ADVANCED TOOLS TO DIAGNOSE THESE COMPLEX CONDITIONS, ALLEVIATE PAIN AND RESTORE FUNCTION IN KIDS AND TEENS: $70,451 PSYCHIATRIC SERVICES PROVIDES ASSESSMENT AND CONSULTATION TO CHILDREN. THEY CAN ALSO PRESCRIBE AND MANAGE MEDICATIONS USED TO TREAT EMOTIONAL AND BEHAVIORAL PROBLEMS: $935,492 THE SEDATION AND PROCEDURAL SERVICES (SPS) UNIT PROVIDES A BROAD RANGE OF SCHEDULED AND UNSCHEDULED SERVICES INCLUDING, NON-SURGICAL PROCEDURES, DIAGNOSTIC TESTING, MINIMAL, MODERATE, AND DEEP SEDATION, NURSE-ONLY VISITS, AND VASCULAR ACCESS SERVICES FOR THE HOSPITAL SITES. THE SPS UNITS ADMIT SCHEDULED AND UNSCHEDULED MEDICAL AND SURGICAL OBSERVATION STATUS PATIENTS AND CARE FOR INPATIENT OVERFLOW VOLUME IN TIMES OF HIGH CENSUS: $1,764,404 THE DIABETES AND ENDOCRINE CLINIC DIAGNOSES AND TREATS ALL KINDS OF ENDOCRINE DISORDERS IN CHILDREN AND TEENS, INCLUDING GROWTH DISORDERS, ABNORMALLY EARLY OR DELAYED PUBERTY AND DISEASES OF THE THYROID, PITUITARY AND ADRENAL GLANDS: $412,866 OUR INFECTIOUS DISEASE PROGRAM HAS EXPERTISE WITH BACTERIAL, VIRAL, FUNGAL AND PARASITIC INFECTIONS AND EVALUATES CHILDREN WITH RECURRENT FEVERS FOR POSSIBLE PERIODIC FEVER SYMPTOMS. WE ARE ALSO KNOWN FOR OUR MINNESOTA PERINATAL AND PEDIATRIC HIV PROGRAM: $722,796
Form 990 Sch H Part II	CHILDREN'S PROVIDED THE FOLLOWING COMMUNITY BUILDING ACTIVITIES IN 2018: Career Readiness: Cristo Rey Jesuit High School: Children's is one of the pioneer organizations in the Twin Cities that is involved in the Cristo Rey School initiative. This program provides college preparatory schooling to inner city minority students as well as targeted work-study opportunities. Children's has provided work-study and mentor opportunities to students since 2007. The goal of this initiative is to provide real-life work experiences that will broaden our minority talent pool while allowing students to earn a portion of the cost of their education. In 2018, Children's assisted 2 students. Project SEARCH: Children's partnered with the Minneapolis Public Schools Transitions Plus program to launch Project SEARCH in 2011. We are the first healthcare organization to launch Project SEARCH in the 5 state areas. PS is a unique business-led transition program for students with disabilities to work, explore careers and develop transferable job skills, with the goal of working in a competitive environment. Designed as an unpaid internship program, Project SEARCH places students in real situations where they learn all aspects of gaining and maintaining a job. This process of immersion facilitates the teaching and learning of new work skills on-site. Individualized job development and placement occurs based on the student's experiences, strengths, and skills. A series of job rotations allow students to find positions that best suit their preferences. Students receive support with accommodations, adaptations, and on-the-job coaching via Minneapolis school employees. Children's worked with 8 Project Search students in 2018. Project for Pride in Living: PPL helps low-income people achieve self-sufficiency through housing, employment training, support services and education. Children's partners with and provides financial support to PPL in their Train to Work initiative, which has trained hundreds of people to meet entry-level staffing needs of Children's and other major area healthcare partners. Train to Work offers training in healthcare-specific details, such as medical terminology and electronic health records, as well as a job shadowing internship that has been an essential component of the program's success. The internship gives participants hands-on experience in healthcare and gives employers an opportunity to observe potential employees. In 2018, Children's sponsored 4 PPL interns. Community Support: Children's provided a number of donations to community-based organizations in 2018 to support their work in supporting community health through their mission. The work of these organizations varied, both in scope and specific focus, but broadly worked to address the many social conditions that impact health.
Form 990 Sch H Part III Line 2	BAD DEBT IS DEFINED AS THE UNPAID OBLIGATION FOR CARE PROVIDED TO PATIENTS WHO HAVE BEEN DETERMINED TO BE ABLE TO PAY, BUT HAVE NOT DEMONSTRATED A WILLINGNESS TO PAY. THE AMOUNTS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY ARE DETERMINED BY A PATIENT'S WILLINGNESS TO PAY WITH A DOCUMENTED INABILITY TO PAY PER MEASURES ESTABLISHED BY OUR POLICY. BAD DEBT IS ESTIMATED BY APPLYING THE RATIO OF PATIENT CARE COST TO CHARGES, AS CALCULATED ON FORM 990, SCHEDULE H, WORKSHEET 2, TO THE ACTUAL PATIENT CHARGES.
Form 990 Sch H Part III Line 3	THE ORGANIZATION ESTIMATES THAT TWENTY-FIVE PERCENT OF BAD DEBT EXPENSES ARE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY (BUT WERE EITHER UNWILLING OR UNABLE TO PROVIDE SUFFICIENT INFORMATION TO MAKE A DETERMINATION OF THEIR ELIGIBILITY WHILE IN OUR CARE). THE ESTIMATE OF TWENTY-FIVE PERCENT IS BASED ON A REVIEW OF ACCOUNTS CLASSIFIED AS BAD DEBT AND MANAGEMENT JUDGMENT. Form 990 Sch H Part III Line 4 Effective January 1, 2018, Children's adopted ASU 2014-09 using a modified retrospective method of application to all contracts existing on January 1, 2018. For Children's hospital operations and ambulatory care segments, the adoption of ASU 2014-09 resulted in changes to our presentation for and disclosure of revenue primarily related to uninsured or underinsured patients. Prior to the adoption of ASU 2014-09, a significant portion of our provision for uncollectible accounts related to self-pay patients, as well as co-pays, co-insurance amounts and deductibles owed to us by patients with insurance. Under ASU 2014-09, the estimated uncollectible amounts due from these patients are generally considered implicit price concessions that are a direct reduction to net patient service revenue, with a corresponding reduction in the amounts presented separately as provision for uncollectible accounts. For the year ended December 31, 2018, Children's recorded approximately $23,574 of implicit price concessions as a direct reduction of net patient service revenue that would have been recorded as provision for uncollectible accounts prior to the adoption of ASU 2014-09. THE GROSS CHARGE EXPENSE IS $23,574,224, BUT CHC ESTIMATES THE COST TO BE $10,148,995. OF THAT, CHC STILL CONSIDERS 25% ($2,537,249) OF IT ELIGIBLE FOR CHARITY CARE BUT NO RESPONSE RECEIVED.
Form 990 Sch H Part III Line 8	THE ORGANIZATION PRIMARILY SERVES PEDIATRIC PATIENTS AND DOES NOT GENERATE SIGNIFICANT MEDICARE REVENUES. THE ORGANIZATION FILES A MEDICARE COST REPORT ANNUALLY. FORM 990, SCHEDULE H, WORKSHEET 3 - UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS WAS USED TO CALCULATE THE COSTS ASSOCIATED WITH MEDICARE CHARGES REPORTED IN PART III, LINE 6. THE ORGANIZATION DOES NOT REPORT ANY AMOUNTS FROM PART III, LINE 7 AS COMMUNITY BENEFIT.
Form 990 Sch H Part III Line 9b	WHEN COLLECTING MEDICAL DEBT, CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA TREATS ITS PATIENT FAMILIES WITH HONOR, DIGNITY, AND RESPECT; DEMONSTRATES COMPASSION; AND ARE GOOD STEWARDS OF HEALTH CARE RESOURCES. THERE IS A ZERO TOLERANCE FOR ABUSIVE, HARASSING, OPPRESSIVE, FALSE, DECEPTIVE, OR MISLEADING LANGUAGE OR COLLECTIONS CONDUCT BY CHILDREN'S EMPLOYEES AND CONTRACTORS WHO COLLECT MEDICAL DEBT FROM PATIENT FAMILIES. THIS POLICY APPLIES BROADLY TO ALL PATIENT FAMILIES WE SERVE. COMPONENTS OF CHILDREN'S COLLECTION POLICY INCLUDE: DURING THE PRE-REGISTRATION, REGISTRATION, OR ADMISSION PROCESS, CHILDREN'S ATTEMPTS TO IDENTIFY AND INFORM PATIENT FAMILIES WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE OR DISCOUNTED CARE THROUGH THE UNINSURED DISCOUNT OR FINANCIAL ASSISTANCE POLICY. IN ADDITION, ALL FAMILIES ARE PROVIDED WITH A PLAIN LANGUAGE SUMMARY OF OUR FINANCIAL ASSISTANCE POLICY AT REGISTRATION. INFORMATION ON OUR FINANCIAL ASSISTANCE POLICY IS POSTED IN EACH CLINIC AND REGISTRATION AREA, OUR WELCOME CENTER AND ON OUR WEBSITE. ALL CHILDREN'S EMPLOYEES AND CONTRACTED STAFF WHO HAVE DIRECT CONTACT WITH PATIENTS ARE EDUCATED ON AN ANNUAL BASIS OF CHILDREN'S FINANCIAL ASSISTANCE POLICIES. THE EDUCATION INFORMS STAFF OF PROGRAMS AVAILABLE AND HOW A PATIENT FAMILY MAY OBTAIN MORE INFORMATION AND SUBMIT AN APPLICATION FOR FINANCIAL ASSISTANCE. A COPY OF THE FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY IS included on the back of each HOSPITAL PATIENT STATEMENT EXPLAINING THE PROCESS and phone numbers to contact for questions FOR OBTAINING FINANCIAL ASSISTANCE for ALL PATIENT FAMILIES. The LOCATION ON CHILDREN'S WEBSITE WHERE THE POLICIES AND APPLICATIONS RESIDE IS ALSO REFERENCED. IF A PATIENT FAMILY INDICATES THE NEED FOR FINANCIAL ASSISTANCE DURING THE REGISTRATION PROCESS OR THROUGHOUT THE COLLECTION PROCESS, FINANCIAL ASSISTANCE INFORMATION IS PROVIDED TO THE FAMILY BY STAFF. ALL PATIENTS WHO ARE REGISTERED AS SELF-PAY ARE OFFERED THE FINANCIAL ASSISTANCE INFORMATION AT THE TIME OF REGISTRATION. ALL CORRESPONDENCE SEEKING COLLECTION OF MEDICAL DEBTS CONTAIN A REFERENCE TO THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THE FINAL NOTICE PRIOR TO BAD DEBT PLACEMENT INCLUDE THE REQUIRED LANGUAGE RELATED TO EXTRAORDINARY COLLECTION EFFORTS. MINNESOTA HOSPITAL PROVIDERS HAVE JOINTLY DEVELOPED CONSISTENT COLLECTION GUIDELINES SET OUT IN FORMAL AGREEMENTS WITH THE MINNESOTA ATTORNEY GENERAL'S OFFICE. THIS AGREEMENT IS CONSISTENT WITH CHILDREN'S COLLECTION POLICY. THE AUDIT COMMITTEE OF OUR BOARD OF DIRECTORS ANNUALLY REVIEWS THIS POLICY AND ALL POLICIES CONCERNING COLLECTION OF MEDICAL DEBT, UNINSURED DISCOUNT, AND CHARITY CARE. THE AUDIT COMMITTEE ALSO REVIEWS THE RESULTS OF AN ANNUAL AUDIT RELATED TO THESE AREAS IN ACCORDANCE WITH THE MINNESOTA ATTORNEY GENERAL'S AGREEMENT.
Form 990 Sch H Part VI Line 2	IN 2016, CHILDREN'S COMPLETED ITS SECOND COMMUNITY HEALTH NEEDS ASSESSMENT, AS REQUIRED UNDER THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 (PPACA). THE CHNA AND ACCOMPANYING IMPLEMENTATION STRATEGY WERE APPROVED BY THE CHILDREN'S BOARD OF DIRECTORS AT ITS BOARD MEETING. THE COMPLETE DOCUMENTS ARE AVAILABLE TO THE PUBLIC AT HTTP://WWW.CHILDRENSMN.ORG/COMMUNITY. IN CONDUCTING THE ASSESSMENT, CHILDREN'S CONSIDERED THE FOLLOWING TOPICS AND DATA: DEMOGRAPHICS; ECONOMIC ISSUES THAT AFFECT CHILDREN; COMMUNITY ISSUES; HEALTH STATUS INDICATORS; HEALTH ACCESS INDICATORS; HEALTH DISPARITIES INDICATORS AND AVAILABILITY OF HEALTHCARE FACILITIES AND RESOURCES. IN ADDITION TO THE CHNA PROCESS, CHILDREN'S ALSO REGULARLY ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IN THE FOLLOWING WAYS: A. BOARD OF DIRECTORS: THE ORGANIZATION'S GOVERNING BODY, COMPRISED PRIMARILY OF COMMUNITY MEMBERS WHO RESIDE LOCALLY, PROVIDES GOVERNANCE OVERSIGHT AND INPUT ON THE HEALTH CARE SERVICES CHILDREN'S PROVIDES TO THE LOCAL COMMUNITY. B. CHILDREN'S EMPLOYED PHYSICIANS, INDEPENDENT PHYSICIANS WHO PROVIDE CARE AT CHILDREN'S, AND NUMEROUS CLINICAL CARE PROVIDERS ASSESS COMMUNITY NEEDS DAILY THROUGH THE PEDIATRIC CARE PROVIDED THROUGHOUT THE COMMUNITY. C. COMMUNITY PARTNERSHIPS/RELATIONSHIPS: CHILDREN'S ADVOCACY AND HEALTH POLICY DEPARTMENT HAS DEVELOPED A CORE STRATEGY BASED ON ACTIVE AND SUBSTANTIVE ENGAGEMENT OF THE COMMUNITY, IN ITS VARYING FORMS. THIS INCLUDES COLLABORATION WITH COMMUNITY-BASED ORGANIZATIONS AND LEADERS, ALIGNED NON-PROFITS, SERVICE DELIVERY AGENCIES AND ASSOCIATIONS. WE ALSO ENGAGE IN LOCAL AND STATE GOVERNMENT-DRIVEN INITIATIVES AROUND CHILD HEALTH ISSUES. THROUGH THESE PARTNERSHIPS CHILDREN'S GAINS INSIGHT AND SUPPORTS PROGRESS ON A NUMBER OF KEY ISSUES IMPACTING CHILDREN, INCLUDING: EARLY CHILDHOOD DEVELOPMENT, CHILDHOOD ASTHMA, MENTAL HEALTH, PREMATURE BIRTH, TOBACCO CONTROL, EQUITY AND THE SOCIAL CONDITIONS THAT IMPACT HEALTH. D. THE FAMILY ADVISORY COUNCIL: THIS DIVERSE GROUP OF FAMILIES WHOSE CHILDREN ARE PRESENT OR PAST PATIENTS OF CHILDREN'S REGULARLY PROVIDES INPUT ON THE SERVICES PROVIDED AT CHILDREN'S. COUNCIL MEMBERS REPRESENT A WIDE RANGE OF INPATIENT AND OUTPATIENT EXPERIENCES TO HELP ENHANCE THE QUALITY OF CHILD AND FAMILY CARE EXPERIENCES AT CHILDREN'S. COUNCIL RESPONSIBILITIES INCLUDE: - DEVELOP, IMPLEMENT AND EVALUATE SERVICE AND FACILITY STANDARDS. - COMMUNICATE WITH MANAGEMENT ABOUT THE RECOMMENDATIONS AND CONCERNS EXPRESSED BY PARENTS, FAMILY MEMBERS, PARENT ASSOCIATIONS AND OTHERS. - ADVISE ON POLICY REVIEW, PROMOTE FAMILY-CENTERED CARE AND SUPPORT PROGRAM DEVELOPMENT. E. YOUTH ADVISORY COUNCIL: THIS IS A DEDICATED GROUP OF PATIENTS; AGES 10 TO 18, WHO HELP HOSPITAL STAFF, LEADERS, CLINICIANS AND PARENTS UNDERSTAND WHAT IS IMPORTANT TO CHILDREN, TEENS AND SIBLINGS DURING HOSPITAL STAYS, CLINIC VISITS AND EMERGENCY CARE. THE YAC BRINGS A VALUABLE PERSPECTIVE AND VOICE TO CHILDREN'S BY PARTICIPATING IN ACTIVITIES THAT PROMOTE DISCUSSION AND THOUGHT ABOUT HEALTH CARE SERVICES FOR PEDIATRIC AND YOUNG ADULT PATIENTS. THE COUNCIL ALSO BRINGS GREAT PERSPECTIVE TO LET OTHER CHILDREN KNOW HOW TO MAKE THEIR STAY AT CHILDREN'S A MORE COMFORTABLE AND POSITIVE EXPERIENCE. F. OTHER METHODS INCLUDE AND ARE NOT LIMITED TO PARTNERSHIPS AND PROJECTS WITH THIRD PARTY-PAYERS AND OTHER COMMUNITY PHYSICIANS AND HOSPITALS, MONITORING AND REPORTING OF INFECTIOUS DISEASE DATA, DISASTER READINESS EFFORTS, RESEARCH AND EDUCATION, SUPPORT GROUPS, AND OTHERS.
Form 990 Sch H Part VI Line 3	COMPONENTS OF CHILDREN'S COLLECTION POLICY INCLUDE: DURING THE PRE-REGISTRATION, REGISTRATION, OR ADMISSION PROCESS, CHILDREN'S WILL ATTEMPT TO IDENTIFY AND INFORM PATIENT FAMILIES WHO MAY BE ELIGIBLE FOR CHARITY CARE OR DISCOUNTED CARE THROUGH THE UNINSURED DISCOUNT OR CHARITY CARE POLICY. ALL CHILDREN'S EMPLOYEES AND CONTRACTED STAFF WHO HAVE DIRECT CONTACT WITH PATIENTS WILL BE EDUCATED ON AN ANNUAL BASIS OF CHILDREN'S FINANCIAL ASSISTANCE POLICIES. THE EDUCATION WILL INFORM STAFF OF PROGRAMS AVAILABLE AND HOW A PATIENT FAMILY MAY OBTAIN MORE INFORMATION AND SUBMIT AN APPLICATION FOR FINANCIAL ASSISTANCE. A FINANCIAL ASSISTANCE APPLICATION WILL BE SENT WITH THE INITIAL LETTER EXPLAINING THE PROCESS FOR OBTAINING FINANCIAL ASSISTANCE TO ALL SELF-PAY PATIENT FAMILIES. IF A PATIENT FAMILY INDICATES THE NEED FOR FINANCIAL ASSISTANCE DURING THE REGISTRATION PROCESS, FINANCIAL ASSISTANCE INFORMATION IS PROVIDED TO THE FAMILY BY THE REGISTRATION STAFF. ALL CORRESPONDENCE SEEKING COLLECTION OF MEDICAL DEBTS WILL CONTAIN A REFERENCE TO THE AVAILABILITY OF FINANCIAL ASSISTANCE. MINNESOTA HOSPITAL PROVIDERS HAVE JOINTLY DEVELOPED CONSISTENT COLLECTION GUIDELINES SET OUT IN FORMAL AGREEMENTS WITH THE MINNESOTA ATTORNEY GENERAL'S OFFICE. THIS AGREEMENT IS CONSISTENT WITH CHILDREN'S COLLECTION POLICY. THE BOARD OF DIRECTORS (AUDIT COMMITTEE) PERFORMS AN ANNUAL REVIEW OF THIS POLICY AND ALL POLICIES CONCERNING COLLECTION OF MEDICAL DEBT, UNINSURED DISCOUNT, AND CHARITY CARE. THE AUDIT COMMITTEE SHALL ALSO REVIEW THE RESULTS OF AN ANNUAL AUDIT RELATED TO THESE AREAS IN ACCORDANCE WITH THE MINNESOTA ATTORNEY GENERAL'S AGREEMENT.
Form 990 Sch H Part VI Line 4	Children's Hospitals and Clinics of Minnesota serves the five-state area of the upper Midwest (Minnesota, North Dakota, South Dakota, Iowa, and Wisconsin). In 2018, Children's served patients from 100 percent of Minnesota counties and 64 percent of the total counties in the five-state area. In support of a highly diverse patient population, Children's provided interpreter services for 70 languages with the most frequent languages being Spanish, Somali, and Hmong. Children's also serves a disproportionate share of economically disadvantaged patients with approximately 44 percent of net patient revenues from government programs in 2018. The Minneapolis campus is located within the Phillips-Powderhorn neighborhood home to one of the most ethnically diverse communities in Minnesota.
Form 990 Sch H Part VI Line 5	AS A TAX-EXEMPT ORGANIZATION, CHILDREN'S MAINTAINS AN OPEN MEDICAL STAFF AND IS GOVERNED BY A VOLUNTEER, COMMUNITY BOARD. CHILDREN'S PROVIDES A BROAD SPECTRUM OF BENEFITS TO THE COMMUNITIES IT SERVES THAT WOULD OTHERWISE BE UNAVAILABLE OR INSUFFICIENT TO MEET PATIENT DEMAND. CHILDREN'S DOES THIS FOR THE EXPRESS PURPOSE OF IMPROVING THE HEALTH STATUS OF CHILDREN IN THE COMMUNITY. THESE SERVICES AND DONATIONS ACCOUNT FOR A MEASURABLE PORTION OF THE HOSPITAL'S COSTS AND HELP TO PROMOTE HEALTHY LIFESTYLES, COMMUNITY DEVELOPMENT, HEALTH EDUCATION AND AFFORDABLE ACCESS TO CARE. EXAMPLE PROGRAMS INCLUDE: - PORTICO HEALTHNET: CHILDREN'S IS ONE OF THE LOCAL HOSPITALS AND HEALTH PLANS IN THE TWIN CITIES THAT ADVISES PORTICO HEALTHNET ON ISSUES RELATED TO PROGRAM SERVICES AND ALSO PROVIDES FUNDING FOR MEDICAL SERVICES TO PARTICIPANTS. PORTICO HEALTHNET IS A NONPROFIT HEALTH AND HUMAN SERVICES ORGANIZATION THAT SERVES THE COMMUNITY BY ASSISTING CHILDREN, PARENTS AND INDIVIDUALS WHO ARE UNINSURED WITH APPLICATIONS TO HEALTH CARE PROGRAMS AND BY OFFERING A PRIMARY AND PREVENTIVE HEALTH CARE ACCESS PROGRAM FOR PEOPLE INELIGIBLE FOR PUBLIC PROGRAMS. - THE EMERGENCY MEDICAL SERVICES FOR CHILDREN RESOURCE CENTER PROVIDES TECHNICAL ASSISTANCE TO AGENCIES TO IMPROVE PEDIATRIC EMERGENCY CARE. THE EMSC WORKS TO REDUCE CHILD MORBIDITY AND MORTALITY DUE TO TRAUMA AND CRITICAL ILLNESS AND IS THE ONLY STATEWIDE PROGRAM THAT FOCUSES ON IMPROVING PEDIATRIC COMPONENTS OF MEDICAL CARE. - THE SIMULATION CENTER IS A MOTOR COACH OUTFITTED WITH SIMULATION EQUIPMENT AND STAFFED WITH CHILDREN'S TRAINERS THAT TRAVELS THROUGHOUT THE MIDWEST TO TRAIN STAFF FROM HOSPITALS IN THE BEST PRACTICES WHEN RESPONDING TO PEDIATRIC OR NEONATAL MEDICAL EMERGENCIES. - PERINATAL HIV PREVENTION PROGRAM: OPTIMAL PRENATAL CARE FOR WOMEN WITH HIV IS ESSENTIAL IN PREVENTING TRANSMISSION OF THE DISEASE TO INFANTS. CHILDREN'S INFECTION PREVENTION DEPARTMENT WORKS WITH HIV POSITIVE PREGNANT WOMEN TO HELP THEM GET THIS CARE BY BUILDING RELATIONSHIPS WITH MEDICAL PROVIDERS THROUGHOUT THE STATE TO REFER EXPECTING MOTHERS INTO THE PROGRAM. - THE ADVOCACY AND HEALTH POLICY DEPARTMENT AT CHILDREN'S PROMOTES THE HEALTH OF THE COMMUNITY THROUGH ACTIVE AND INTENTIONAL ENGAGEMENT WITH THE COMMUNITY TO BUILD PARTNERSHIPS THAT CAN SUPPORT THE HEALTH AND WELL BEING OF CHILDREN IN MINNESOTA.
Form 990 Sch H Part VI Line 7	LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: MN

Schedule H (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
Children's Health Care

Employer identification number
41-1754276

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) Cristo Rey Jesuit High School 2924 4th Ave S Minneapolis,MN55408	20-4548714	501(c)(3)	16,000	N/A	N/A	Sponsorship - Corporate Work Study Sponsorship - Corporate Work Study
(2) Abbott Northwestern Hospital Foundation 800 E 28th St Minneapolis,MN55407	04-3643816	501(c)(3)	10,075	N/A	N/A	Classroom-based PE curriculum GoNoodle Program Virginia Piper Cancer Inst and Memorial
(3) March of Dimes 5233 Edina Industrial Blvd Edina,MN55439	13-1846366	501(c)(3)	7,500	N/A	N/A	Sponsorship - Nurse of the Year Sponsorship - March of Dimes Sponsorship - Nurse of the Year
(4) Children's Hospital Association 347 Smith Ave S Suite 501 St Paul,MN55102	41-0711605	501(c)(3)	6,620	N/A	N/A	Sponsorship - Midtown Safety , NNO Sponsorship - Midtown Safety , NNO Sponsorship - Art, Gala, Table Talk
(5) Portico Healthnet 2610 University Ave W Suite 550 St Paul,MN55114	41-1814659	501(c)(3)	60,665	N/A	N/A	Assist families in obtaining insurance Assist families in obtaining insurance Assist families in obtaining insurance
(6) Congenital Heart Surgeons Society 500 Cummings Center Suite 4400 Beverly,MA01915	20-0198863	501(c)(3)	15,000	N/A	N/A	Health career job training Data Center AVSD Study Core Lab Data Center AVSD Study Core Lab
(7) Fetal Health Foundation 9786 S Holland St Littleton,CO80127	20-0837174	501(c)(3)	7,500	N/A	N/A	Health Career Program Wild about Children's Event Sponsorship Sponsorship - Candy Run
(8) Ronald McDonald House - Upper Midwest 818 Fulton Street NE Minneapolis,MN55414	41-1313107	501(c)(3)	14,500	N/A	N/A	Sponsorship - Golf, Brew Love, Gala Sponsorship - Golf, Brew Love, Gala Sponsorship - Golf, Brew Love, Gala
(9) YMCA Greater Twin Cities 651 Nicollet Mall Suite 500 Minneapolis,MN55402	46-3077108	501(c)(3)	15,250	N/A	N/A	Program Education Sponsorship Sponsorship - CycleHealth & YIG
(10) MN Wild Foundation 317 Washington St Suite 415 St Paul,MN55102	90-0158400	501(c)(3)	34,000	N/A	N/A	Event sponsorship Sponsorship Sponsorship - Wild about Children
(11) YWCA of Mpls 1130 Nicollet Mall Minneapolis,MN55403	41-0693891	501(c)(3)	8,000	N/A	N/A	Phillips Neighborhood revitalization Sponsorship - Gala and Memorial Learning center trip Sponsorship - Forums on Race
(12) Women's Health Leadership Trust 1000 Westgate Dr Suite 252 St Paul,MN55114	000000000	N/A	6,250	N/A	N/A	'Wild about Children's' Event Sponsorship - LEAP, Comm Baby Showers Sponsorship Sponsorship - Forum
(13) Children's Health Care Foundation 5901 Lincoln Drive CBC-3-FOUN Edina,MN55436	41-1814223	501(c)(3)	20,650	N/A	N/A	Operational support and sponsorship Youth mental health and NNO Community Connect, CHA Mpls, Memorials CHA Mpls, Memorials

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

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

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

Cat. No. 50055P

Schedule I (Form 990) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) Charity Care Assistance to Individuals	822	1,718,900	Charges	Charity Care to Indv
(1)
(2)
(3)
(4)
(5)
(6)
(7)

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

Form 990 Sch I Part I Line 2

FROM TIME TO TIME, CHILDREN'S GRANTS MONIES TO OTHER ORGANIZATIONS CONDUCTING PROGRAMS AND/OR RESEARCH THAT WILL BENEFIT THE CHILDREN THAT CHILDREN'S SERVES. CHILDREN'S ALSO OCCASIONALLY PROVIDES MONETARY SUPPORT TO ORGANIZATIONS THAT PROMOTE CAREERS IN THE HEALTH CARE FIELD AND COMMUNITY ORGANIZATIONS THAT SUPPORT THE ECONOMIC DEVELOPMENT OF THE AREA SURROUNDING THE CHILDREN'S MINNEAPOLIS CAMPUS. CHILDREN'S RECEIVES PERIODIC UPDATES REGARDING THE USE OF THE FUNDS.

Schedule I (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

Children's Health Care

Employer identification number

41-1754276

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

Yes

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? ..

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

Yes

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

Yes

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

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

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

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

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

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

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

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

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

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

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

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

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2018

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 on 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 on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Robert Bonar JR Former President & CEO	(i) (ii)	0 ------------- 0	0 ------------- 0	656,379 ------------- 0	0 ------------- 0	0 ------------- 0	656,379 ------------- 0	622,740 ------------- 0
2Todd Ostendorf Former VP, Finance and CFO	(i) (ii)	0 ------------- 0	16,642 ------------- 0	356,205 ------------- 0	0 ------------- 0	0 ------------- 0	372,847 ------------- 0	------------- 0
3Maria Christu Chief Legal Officer	(i) (ii)	400,738 ------------- 0	54,099 ------------- 0	59,068 ------------- 0	20,087 ------------- 0	25,936 ------------- 0	559,928 ------------- 0	45,364 ------------- 0
4Roxanne Fernandes CNO, VP Patient Care Svcs	(i) (ii)	81,957 ------------- 0	165,928 ------------- 0	252,235 ------------- 0	165,082 ------------- 0	4,981 ------------- 0	670,183 ------------- 0	10,057 ------------- 0
5Jeffrey Young Chief Information Officer	(i) (ii)	346,289 ------------- 0	46,822 ------------- 0	46,331 ------------- 0	17,938 ------------- 0	23,857 ------------- 0	481,237 ------------- 0	39,497 ------------- 0
6Carol Wilcox VP Diagnostic/Therapeutic Svcs	(i) (ii)	229,753 ------------- 0	29,435 ------------- 0	58,530 ------------- 0	16,858 ------------- 0	2,555 ------------- 0	337,131 ------------- 0	53,400 ------------- 0
7Bjorn Gunnerud VP, Marketing & Communications	(i) (ii)	87,365 ------------- 0	44,978 ------------- 0	216,656 ------------- 0	125,510 ------------- 0	9,802 ------------- 0	484,311 ------------- 0	34,777 ------------- 0
8Jennifer Olson Market VP Business Dev and Strategy	(i) (ii)	377,125 ------------- 0	42,728 ------------- 0	43,457 ------------- 0	19,821 ------------- 0	18,286 ------------- 0	501,417 ------------- 0	35,686 ------------- 0
9Trevor Sawallish SVP Clinical Ops & COO	(i) (ii)	419,547 ------------- 0	48,206 ------------- 0	55,652 ------------- 0	15,558 ------------- 0	25,395 ------------- 0	564,358 ------------- 0	39,339 ------------- 0
10Emily Chapman MD CMO and VP Medical Affairs	(i) (ii)	401,085 ------------- 0	43,389 ------------- 0	18,251 ------------- 0	18,157 ------------- 0	26,394 ------------- 0	507,276 ------------- 0	15,763 ------------- 0
11Anupam Kharbanda MD Chief of Critical Care Service	(i) (ii)	308,000 ------------- 0	56,354 ------------- 0	17,010 ------------- 0	14,808 ------------- 0	4,086 ------------- 0	400,258 ------------- 0	15,634 ------------- 0
12Rebecca Woitalewicz Acting VP, Finance and CFO	(i) (ii)	288,080 ------------- 0	24,935 ------------- 0	5,243 ------------- 0	18,696 ------------- 0	22,723 ------------- 0	359,677 ------------- 0	0 ------------- 0
13Marc Gorelick MD President & CEO	(i) (ii)	845,108 ------------- 0	94,102 ------------- 0	16,249 ------------- 0	16,500 ------------- 0	19,590 ------------- 0	991,549 ------------- 0	0 ------------- 0
14Nancy Mendelsohn MD Chief of Specialty Pediatrics	(i) (ii)	228,318 ------------- 0	45,569 ------------- 0	42,465 ------------- 0	18,373 ------------- 0	18,592 ------------- 0	353,317 ------------- 0	18,666 ------------- 0
15Pamela Gigi Chawla MD Chief of General Pediatrics	(i) (ii)	289,857 ------------- 0	47,658 ------------- 0	29,627 ------------- 0	15,588 ------------- 0	3,791 ------------- 0	386,521 ------------- 0	18,512 ------------- 0
16Tracy Pfiefer VP Ops Mother Baby Clin Svc	(i) (ii)	204,001 ------------- 0	13,583 ------------- 0	0 ------------- 0	11,043 ------------- 0	9,878 ------------- 0	238,505 ------------- 0	0 ------------- 0
17Stuart Winter MD Chief Research Officer	(i) (ii)	338,710 ------------- 0	0 ------------- 0	12,285 ------------- 0	16,500 ------------- 0	28,208 ------------- 0	395,703 ------------- 0	0 ------------- 0
18Clark Smith MD Chief of Services Pediatrics	(i) (ii)	240,463 ------------- 0	22,480 ------------- 0	23,953 ------------- 0	38,030 ------------- 0	19,189 ------------- 0	344,115 ------------- 0	8,645 ------------- 0
19Nancy Stevens Interim CHRO	(i) (ii)	203,720 ------------- 0	50,060 ------------- 0	2,999 ------------- 0	13,761 ------------- 0	16,827 ------------- 0	287,367 ------------- 0	0 ------------- 0
20James Leste VP Support Operations	(i) (ii)	250,583 ------------- 0	28,485 ------------- 0	5,614 ------------- 0	14,723 ------------- 0	22,593 ------------- 0	321,998 ------------- 0	0 ------------- 0
21Monica Schiller VP Ambulatory Services	(i) (ii)	209,808 ------------- 0	19,874 ------------- 0	1,350 ------------- 0	14,036 ------------- 0	22,523 ------------- 0	267,591 ------------- 0	0 ------------- 0
22Pamala VanHazinga CNO, VP Patient Care Svcs	(i) (ii)	249,600 ------------- 0	44,131 ------------- 0	19,868 ------------- 0	20,081 ------------- 0	22,462 ------------- 0	356,142 ------------- 0	9,000 ------------- 0
23Susan Slocum Chief Investment Officer	(i) (ii)	202,225 ------------- 0	31,405 ------------- 0	9,579 ------------- 0	20,168 ------------- 0	8,964 ------------- 0	272,341 ------------- 0	0 ------------- 0
24Susan Sencer Chief of Specialty Pediatrics	(i) (ii)	222,775 ------------- 0	47,055 ------------- 0	25,010 ------------- 0	121,484 ------------- 0	23,909 ------------- 0	440,233 ------------- 0	15,814 ------------- 0
25Anna Youngerman Chief Value Officer	(i) (ii)	184,669 ------------- 12,641	28,580 ------------- 0	1,786 ------------- 0	10,508 ------------- 0	22,864 ------------- 0	248,407 ------------- 12,641	0 ------------- 0
26Gloria Drake Sr Dir Clin SVCS-Perioperative	(i) (ii)	199,205 ------------- 53,477	27,373 ------------- 0	1,941 ------------- 0	23,561 ------------- 0	15,983 ------------- 0	268,063 ------------- 53,477	0 ------------- 0
27Alice Chernich Sr Dir Clinical Serv-Neonatal	(i) (ii)	111,512 ------------- 0	23,547 ------------- 0	21,505 ------------- 0	8,220 ------------- 0	11,126 ------------- 0	175,910 ------------- 0	0 ------------- 0
28Kathleen Penson Sr Dir Clin Svcs-Critical Care	(i) (ii)	171,073 ------------- 0	29,179 ------------- 0	2,434 ------------- 0	13,791 ------------- 0	21,005 ------------- 0	237,482 ------------- 0	0 ------------- 0
29Claudia Hines Sr Dir Clin Svcs - Pediatrics	(i) (ii)	137,734 ------------- 0	19,183 ------------- 0	10,279 ------------- 0	14,899 ------------- 0	16,552 ------------- 0	198,647 ------------- 0	0 ------------- 0
30Joseph Petronio MD Surgical Dir, Peds Neurosurg	(i) (ii)	865,992 ------------- 0	0 ------------- 0	93,922 ------------- 0	7,892 ------------- 0	26,562 ------------- 0	994,368 ------------- 0	40,884 ------------- 0
31Meysam Kebriaei MD Staff Physician	(i) (ii)	729,568 ------------- 0	100,000 ------------- 0	53,521 ------------- 0	16,500 ------------- 0	26,068 ------------- 0	925,657 ------------- 0	35,427 ------------- 0
32Barbara Malone MD Medical Director	(i) (ii)	518,283 ------------- 0	153,076 ------------- 0	59,305 ------------- 0	16,500 ------------- 0	20,162 ------------- 0	767,326 ------------- 0	52,027 ------------- 0
33Albert Tu MD Staff Physician	(i) (ii)	741,281 ------------- 0	63,201 ------------- 0	8,353 ------------- 0	11,084 ------------- 0	12,675 ------------- 0	836,594 ------------- 0	5,336 ------------- 0
34Kyle Halvorson MD Staff Physician	(i) (ii)	715,334 ------------- 0	0 ------------- 0	2,062 ------------- 0	30,292 ------------- 0	5,854 ------------- 0	753,542 ------------- 0	0 ------------- 0
35Stephen Nelson MD Staff Physician	(i) (ii)	215,121 ------------- 0	102,055 ------------- 0	193,501 ------------- 0	25,075 ------------- 0	23,909 ------------- 0	559,661 ------------- 0	185,739 ------------- 0
36Theresa Pesch Former President, Foundation	(i) (ii)	0 ------------- 0	3,010 ------------- 27,094	37,936 ------------- 341,427	18,692 ------------- 168,229	0 ------------- 0	59,638 ------------- 536,750	-------------
37Phil Kibort VP Medical Affairs and CMO	(i) (ii)	0 ------------- 92,144	0 ------------- 52,873	0 ------------- 211,254	0 ------------- 99,609	0 ------------- 7,694	0 ------------- 463,574	0 ------------- 3,317

Schedule J (Form 990) 2018

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
Form 990 Sch J Part I Line 1a	MARC GORELICK WAS REIMBURSED FOR HIS MEMBERSHIP FEES FOR THE MINNEAPOLIS CLUB, WHICH IS USED SOLELY FOR BUSINESS PURPOSES.
Form 990 Sch J Part I Line 4a	2018 SEVERANCE: ROXANNE FERNANDES - $223,495 PAID IN 2018, $156,808 DEFERRED IN 2018 TODD OSTENDORF - $356,205 PAID IN 2018 ROBERT BONAR - $656,379 PAID IN 2018 BJORN GUNNERUD - $120,531 PAID IN 2018, $117,263 DEFERRED IN 2018 PHIL KIBORT - $158,268 PAID IN 2018, $56,423 DEFERRED IN 2018 THERESA PESCH - $341,427 PAID IN 2018, $154,229 DEFERRED IN 2018
Form 990 Sch J Part I Line 4b	CERTAIN EMPLOYEES OF CHILDREN'S HEALTH CARE, PARENT OF CHILDREN'S CLINIC NETWORK, ARE PROVIDED THE OPPORTUNITY TO PARTICIPATE IN THE 457(F) DEFERRAL PLAN (THE DEFERRAL PLAN). THE DEFERRAL PLAN REQUIRES THAT THE EMPLOYEE IS A PHYSICIAN OR EXECUTIVE AND IS A .5 FTE OR MORE IN ORDER TO BE ELIGIBLE TO PARTICIPATE IN THE DEFERRAL PLAN. PAYMENTS FROM THE DEFERRAL PLAN OCCUR AT VESTING AND ARE BASED ON PERCENTAGE OF SALARY. THE FOLLOWING AMOUNTS REPRESENT THE AMOUNT PAID UNDER THE DEFERRAL PLAN IN 2018: JOSPEH PETRONIO - $40,884 MEYSAM KEBRIAEI - $35,427 BARBARA MALONE - $52,027 STEPHEN NELSON - $185,739 MARIA CHRISTU - $45,364 JENNIFER OLSON MARKET - $35,686 JEFFREY YOUNG - $39,497 CAROL WILCOX - $53,400 BJORN GUNNDERUD - $34,777 TREVOR SAWALLISH - $39,339 ALBERT TU - $5,336 EMILY CHAPMAN - $15,763 ANUPAM KHARBANDA - $15,634 NANCY MENDELSOHN - $18,666 PAMELA CHAWLA - $18,512 CLARK SMITH - $8,645 PAMALA VANHAZINGA - $9,000 SUSAN SENCER - $15,814 ROXANNE FERNANDES - $10,057 PHIL KIBORT - $3,317 ROBERT BONAR JR - $622,740

Schedule J (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

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

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
Children's Health Care

Employer identification number
41-1754276

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	1995B2004A - See Part VI	41-6005375	603695FG7	08-24-2004	77,550,000	Healthcare equip & bldg & ref bond		X		X		X
B	2004B - See Part VI	41-6005375	603695FH5	05-25-2005	51,550,000	Refunding of taxable bond		X		X		X
C	2007A - See Part VI	41-6005375	603695FP7	11-15-2007	103,000,000	Facility expansion and upgrade		X		X		X
D	1995B2004A-12010A - See Part VI	41-6005375	603695GQ4	03-25-2010	97,051,274	Facility expns & upgrd & ref bond		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	60,025,000		30,075,000		16,175,000		38,175,000
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	77,550,000		51,500,000		106,148,383		97,071,507
4 Gross proceeds in reserve funds .............	1,425		1,778		2,447		5,436
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	810,064		0		862,000		0
8 Credit enhancement from proceeds .............	1,239,936		0		1,582,951		0
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	50,000,000		0		103,703,432		51,120,684
11 Other spent proceeds .............	25,500,000		51,550,000		0		45,950,823
12 Other unspent proceeds .............	0		0		0		0
13 Year of substantial completion .............	2004				2009		2011
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		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		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2018

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		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?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		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		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.010 %		0 %		0.010 %		0.010 %
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 .........
6 Total of lines 4 and 5 .............	0.010 %				0.010 %		0.010 %
7 Does the bond issue meet the private security or payment test? ...		X		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		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		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		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		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X		X
b Exception to rebate? ........	X		X		X		X
c No rebate due? .........		X		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			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X		X		X			X
b Name of provider ..........	Piper Jaffray		Piper Jaffray		Piper Jaffray		0
c Term of hedge .........	2520 %		1620 %		2380 %
d Was the hedge superintegrated? ......		X		X		X
e Was the hedge terminated? ........		X		X		X

Schedule K (Form 990) 2018

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		X
b Name of provider ..........	0		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		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		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		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Supplemental Information 1	Schedule K, Part I, Line 1 Column A Health Care Facilities Revenue Bonds 1995B/2004A - Issuer of the bond is City of Minneapolis, MN (41-6005375) and Housing and Redevelopment Authority of the City of St. Paul, MN (41-6005521). Schedule K, Part I, Line 2 Column A Health Care Facilities Revenue Bonds 2004B - Issuer of the bond is City of Minneapolis, MN (41-6005375) and Housing and Redevelopment Authority of the City of St. Paul, MN (41-6005521). Schedule K, Part I, Line 3 Column A Health Care Facilities Revenue Bonds 2007A - Issuer of the bond is City of Minneapolis, MN (41-6005375) and Housing and Redevelopment Authority of the City of St. Paul, MN (41-6005521). Schedule K, Part I, Line 4 Column A Health Care Facilities Revenue Bonds 1995B/2004A-1/2010A - Issuer of the bond is City of Minneapolis, MN (41-6005375) and Housing and Redevelopment Authority of the City of St. Paul, MN (41-6005521).
Supplemental Information 2	THE REPORT PERIODS SELECTED FOR ALL FOUR BOND ISSUES RECORDED ON SCHEDULE K ARE NOT THE SAME AS THE FISCAL YEAR END FOR THE REST OF THE FORM 990. SCHEDULE K USES THE BOND YEAR ENDING OF AUGUST 15, 2018. Part I, Column (g) Although these bonds are not defeased, a portion of the bonds was currently refunded by a reissuance on 3/25/2010.
Sch K Part II Line 3	Differences between Part I, Column (e) and Part II, Line 3 are due to investment earnings.
Sch K Part II Line 13	Year of Substantial Completion - B As this bond issue consists entirely of refunding bonds, it is Children's understanding that the concept of "year of substantial completion" does not apply to this issue.

Schedule K (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

Children's Health Care

Employer identification number

41-1754276

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..	X		168,896	COST/SELLING PRICE
5 Clothing and household goods .......	X		747,162	COST/SELLING PRICE
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....	X	1	40	COST/SELLING PRICE
19 Food inventory ...	X	110	66,494	COST/SELLING PRICE
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( ENTERTAINMENT )	X	84	101,184	COST/SELLING PRICE
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which is not required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2018)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation

Schedule M (Form 990) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

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

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

Children's Health Care

Employer identification number

41-1754276

Return Reference	Explanation
Form 990 Part III Line 4a	PROGRAM SERVICE ACCOMPLISHMENTS: CHILDREN'S - ST. PAUL HAS BEEN NAMED A 2018 TOP HOSPITAL BY THE LEAPFROG GROUP. WHILE MORE THAN 1,600 HOSPITALS REPORTED SAFETY AND QUALITY INFORMATION TO THE LEAPFROG GROUP, ONLY 6 PERCENT WERE RECOGNIZED THIS YEAR FOR THEIR HIGH MARKS FOR QUALITY AND EFFICIENCY. WE'RE ONE OF ONLY 12 PEDIATRIC HOSPITALS ACROSS THE U.S. THAT HAS EARNED THIS HONOR AND THE ONLY ONE RECOGNIZED IN THE UPPER MIDWEST. THIS IS THE NINTH TIME THAT CHILDREN'S (MINNEAPOLIS, ST. PAUL OR BOTH) HAS BEEN RECOGNIZED BY THE LEAPFROG GROUP SINCE 2006. FOR THE TWELFTH YEAR, U.S. NEWS & WORLD REPORT HAS NAMED CHILDREN'S AS ONE OF AMERICA'S BEST CHILDREN'S HOSPITALS, WITH OUR PULMONOLOGY PROGRAM RANKING 33RD, OUR DIABETES AND ENDOCRINOLOGY PROGRAM RANKING 42ND AND OUR NEPHROLOGY PROGRAM - IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA MASONIC CHILDREN'S HOSPITAL - RANKING 33RD IN THE NATION FOR2018-2019. IN DECEMBER 2018 CHILDREN'S HOSPITALS WAS THE FIRST AND ONLY HOSPITAL IN MINNESOTA TO BE VERIFIED AS A LEVEL I CHILDREN'S SURGERY CENTER BY THE AMERICAN COLLEGE OF SURGEONS CHILDRENS SURGERY VERIFICATION QUALITY IMPROVEMENT PROGRAM, WE ARE ONE OF FEWER THAN 20 SUCH CENTERS IN THE NATION. ACHIEVING LEVEL I VERIFICATION IS THE HIGHEST LEVEL OF DISTINCTION FOR HEALTH SYSTEMS THAT PERFORM COMPLEX SURGICAL PROCEDURES IN NEWBORNS, CHILDREN AND TEENS. IN MARCH 2018, CHILDREN'S EARNED MAGNET RECOGNITION FROM THE AMERICAN NURSES CREDENTIALING CENTER. WE ARE MINNESOTA'S LARGEST PROVIDER OF CARE TO CHILDREN WITH COMPLEX SURGICAL CONDITIONS, HEART DISEASE, CANCER, DIABETES, AND EXTREME PRE-MATURITY. IN 2018, CHILDREN'S CARED FOR 15,748 INPATIENT ADMISSIONS REPRESENTING 108,459 PATIENT DAYS, PERFORMED 24,704 SURGICAL CASES, TREATED 91,495 EMERGENCY ROOM VISITS AND CARED FOR 467,118 OUTPATIENT CLINIC VISITS, MANY OF WHICH PROVIDED TO INNER CITY MINNEAPOLIS AND ST. PAUL RESIDENTS. CHILDREN'S CONTINUES TO SERVE A DIVERSE POPULATION WITH 100,092 FAMILY ENCOUNTERS FOR LANGUAGE INTERPRETATION IN 70 DIFFERENT LANGUAGES. CHILDREN'S CONSIDERS CERTAIN MAJOR PROGRAMS AS DESTINATION PROGRAMS, WHICH ARE SOUGHT OUT DUE TO THEIR HIGH QUALITY OUTCOMES. THESE PROGRAMS MEET RIGOROUS CRITERIA FOR EXCELLENCE, INCLUDING OUTSTANDING USE OF EVIDENCE-BASED PRACTICES, CLINICAL RESEARCH, AND ADVANCED TECHNOLOGIES. - CARDIOVASCULAR - CHILDREN'S PEDIATRIC CARDIOVASCULAR PROGRAM IS ONE OF THE LARGEST IN THE REGION WITH SOME OF THE MOST IMPRESSIVE OUTCOMES IN THE U.S. TEAM MEMBERS CARE FOR THOUSANDS OF THE REGION'S SICKEST CHILDREN WITH HEART CONDITIONS, INCLUDING FETUSES, NEWBORNS, INFANTS, CHILDREN, ADOLESCENTS, AND ADULT, LONG-TERM PATIENTS WITH PEDIATRIC CARDIOVASCULAR CONDITIONS. - NEONATAL INTENSIVE CARE - CHILDREN'S SPECIALIZES IN CARING FOR MULTIPLES, BABIES WITH CONGENITAL ANOMALIES, VERY PREMATURE AND VERY LOW BIRTH WEIGHT BABIES, AND INFANTS BORN WITH OTHER COMPLEX DIAGNOSES. WE OFFER EXCEPTIONAL TERTIARY AND QUATERNARY CARE FOR BABIES, WITH SURVIVAL OUTCOMES AMONG THE BEST IN THE WORLD. CHILDREN'S NEONATAL PROGRAM IS ONE OF THE NATION'S LARGEST PROGRAMS WITH 155 STAFFED BEDS AND MORE THAN 41,000 PATIENT DAYS. OUR NEONATAL TEAM INCLUDES HIGHLY-TRAINED AND EXPERIENCED PROFESSIONALS FROM A FULL SPECTRUM OF MEDICAL SPECIALTIES. WE HAVE OUR MOTHER BABY CENTER AT ABBOTT & CHILDREN'S MINNEAPOLIS AND IN 2015 WE OPENED OUR SECOND AND THIRD MOTHER BABY CENTERS AT MERCY HOSPITAL IN COON RAPIDS AND UNITED HOSPITAL AND CHILDREN'S - ST. PAUL. - HEMATOLOGY/ONCOLOGY - THE HEMATOLOGY/ONCOLOGY PROGRAM AT CHILDREN'S IS THE LARGEST IN THE UPPER MIDWEST WITH TREATMENT OUTCOMES THAT CONSISTENTLY RANK CHILDREN'S AS ONE OF THE TOP TEN PROGRAMS IN THE U.S. IN OUR NATIONALLY UNIQUE MODEL, YOUR CHILD'S OR TEEN'S CARE IS SPEARHEADED AND COORDINATED BY A BOARD-CERTIFIED HEMATOLOGIST/ONCOLOGIST, WHO LEADS A HIGHLY EXPERIENCED TEAM OF MULTIDISCIPLINARY PROFESSIONALS. - CYSTIC FIBROSIS - THE CYSTIC FIBROSIS (CF) CENTER AT CHILDREN'S OF MINNESOTA DIAGNOSES AND TREATS CHILDREN IN ALL STAGES OF CF. OUR DEDICATION TO FAMILY-CENTERED CARE AND EDUCATION HELPS CHILDREN AND THEIR FAMILIES LEARN TO LIVE WITH CF. CARE AT CHILDREN'S FOR PATIENTS WITH CF RANKS AMONG THE TOP 10 PROGRAMS NATIONALLY IN KEY OUTCOMES MEASURED BY THE NATIONAL CYSTIC FIBROSIS REGISTRY. CHILDREN'S PROVIDES A CONTINUUM OF CARE THROUGH COORDINATED INPATIENT AND OUTPATIENT SERVICES, FROM DIAGNOSIS THROUGH LONG-TERM FOLLOW-UP. THE CYSTIC FIBROSIS CENTER OF CHILDREN'S PROVIDES STATE-OF-THE ART COMPREHENSIVE CARE FOR CHILDREN WITH CF. - DIABETES/ENDOCRINOLOGY - THE MCNEELY PEDIATRIC DIABETES CENTER IS THE ONLY DIABETES CENTER IN THE REGION TO SPECIALIZE IN WORKING SOLELY WITH CHILDREN AND TEENS. THE STAFF PROVIDES EXPERT HEALTH CARE TO HELP MAINTAIN A CHILD'S TARGETED BLOOD SUGAR RANGES. MOST CHILDREN SEEN IN THE DIABETES CENTER HAVE TYPE 1 DIABETES. A SMALL BUT GROWING NUMBER HAVE TYPE 2. IN ADDITION TO DIABETES, THE CLINIC PROVIDES DIAGNOSTIC SERVICES AND TREATMENT FOR CHILDREN WITH DISORDERS OF GROWTH, ADVANCED OR DELAYED SEXUAL DEVELOPMENT, PITUITARY DISORDERS, THYROID ABNORMALITIES, DISORDERS OF CALCIUM BALANCE, ADRENAL DISORDERS, AND HYPOGLYCEMIA. THE MCNEELY PEDIATRIC DIABETES CENTER HAS RECEIVED RECOGNITION FOR ITS DIABETES EDUCATION PROGRAM FROM THE AMERICAN DIABETES ASSOCIATION, BY MEETING THE ASSOCIATION'S HIGH EDUCATIONAL STANDARDS. - CHILDREN'S PROVIDES OTHER HIGH QUALITY PROGRAMS SUCH AS SURGERY. CHILDREN'S SURGERY TEAMS DELIVER NEXT-GENERATION CARE IN AN AWARD-WINNING ENVIRONMENT THAT IS EXCLUSIVELY DEDICATED TO PEDIATRICS. HEALTH PROFESSIONALS OF MANY DISCIPLINES WORK TOGETHER TO PROVIDE CHILDREN WITH THE BEST POSSIBLE SURGERY EXPERIENCE. CHILDREN'S BODIES ARE DIFFERENT THAN ADULTS. FOR EXAMPLE, THEY OFTEN REQUIRE SPECIALLY-SIZED SURGICAL EQUIPMENT. THEY REACT DIFFERENTLY TO ANESTHESIA AND TO PAIN. THEIR BODIES RESPOND DIFFERENTLY TO ILLNESS AND TREATMENT, IN PART BECAUSE THEY ARE STILL GROWING. THAT'S WHY CHILDREN BENEFIT FROM OUR HIGHLY ACCOMPLISHED, PEDIATRIC-SPECIFIC SURGERY TEAMS. AT CHILDREN'S, OVER 20,000 SURGERIES ARE PERFORMED EACH YEAR ON FETUSES, NEWBORNS, CHILDREN, ADOLESCENTS, AND YOUNG ADULTS FROM THROUGHOUT THE UPPER MIDWEST. SURGICAL TREATMENT RESULTS RANK CHILDREN'S AMONG THE TOP HOSPITALS IN THE U.S. IN PEDIATRIC SURGICAL CARE. CHILDREN'S HAS SOME OF THE LOWEST RATES IN THE U.S. OF POST-SURGERY COMPLICATIONS AND SOME OF THE HIGHEST RATES OF PATIENT AND FAMILY SATISFACTION. ADDITIONAL DESTINATION PROGRAMS INCLUDE NEUROSCIENCES, ENT AND FACIAL PLASTIC SURGERY, AND TRAUMA CARE. AS A CHARITABLE ORGANIZATION, CHILDREN'S HOSPITALS & CLINICS OF MINNESOTA ALSO PROVIDES A BROAD SPECTRUM OF BENEFITS TO THE COMMUNITIES WE SERVE. THESE SERVICES AND DONATIONS ACCOUNT FOR A MEASUREABLE PORTION OF THE HOSPITALS' COSTS AND HELP TO PROMOTE HEALTHY LIFESTYLES, COMMUNITY DEVELOPMENT, HEALTH EDUCATION, AND AFFORDABLE ACCESS TO CARE. PLEASE SEE IRS FORM 990, SCHEDULE H FOR A SUMMARY OF THESE COMMUNITY BENEFITS.
Form 990 Part III Line 4b	PROGRAM SERVICE ACCOMPLISHMENTS: WE CONTINUE TO PARTICIPATE IN MULTIPLE PRESTIGIOUS NATIONAL COLLABORATIONS AND CLINICAL TRIALS. WE ARE ALSO GENERATING LANDMARK INVESTIGATOR-INITIATED RESEARCH, AIMED AT NOVEL WAYS TO DELIVER LIFE-SAVING TREATMENTS, MANAGE PAIN AND SYMPTOMS AND DEVELOP NEW METHODS FOR PREVENTING OR TREATING CHILDHOOD DISEASES. EVERY DAY, CHILDREN'S RESEARCHERS EXPRESS THEIR COMMITMENT TO BUILDING BETTER OUTCOMES FOR OUR CHILDREN. THESE OUTCOMES WILL HAVE BOTH IMMEDIATE AND LASTING IMPACT FOR CHILDREN RECEIVING STATE OF THE SCIENCE CARE AT OUR SPECIALTY CENTERS. CHILDREN WITH CARDIAC DISEASE, CANCER, GENETIC AND BLOOD DISORDERS, DIABETES, CYSTIC FIBROSIS, AND OTHER LIFE-IMPACTING CONDITIONS ALL HAVE BENEFITED FROM RESEARCH AT CHILDREN'S. THE VISION AND STRATEGIC INNOVATION OF OUR RESEARCH LEADERS HAVE BROUGHT US TO IMPRESSIVE MILESTONES IN THE PAST YEAR. WE CONTINUE TO TAKE STEPS TOWARD ADVANCING OUR RESEARCH AND COMMITTED TO THRIVING INTO THE FUTURE WITH OUR CHILDREN AND FAMILIES.
Form 990 Part III Line 4c	PROGRAM SERVICE ACCOMPLISHMENTS: THE ROTATIONS WERE PERFORMED IN CHILDREN'S EMERGENCY DEPARTMENT, INPATIENT MEDICAL/SURGICAL, PICU AND NEONATAL INPATIENT CARE UNITS, SURGERY AND ANESTHESIA, ENT SURGERY, UROLOGY, AND SUBSPECIALTY CLINICS. IN ADDITION, CHILDREN'S OFFERED 35 CONTINUING MEDICAL EDUCATION COURSES, AND PRODUCED 147 PEER REVIEWED PUBLICATIONS. CULTIVATING MEDICAL LEADERS ENSURES THAT WE CONTINUE OUR MISSION - CHAMPIONING THE SPECIAL HEALTH NEEDS OF CHILDREN AND THEIR FAMILIES. 2) EDUCATION AND TRAINING OF HEALTH CARE AND OTHER PROVIDERS OF SERVICES TO CHILDREN: I) THE MIDWEST REGIONAL CHILDREN'S ADVOCACY CENTER AT CHILDREN'S IS A LEADER IN IMPROVING THE CARE OF ABUSED AND NEGLECTED CHILDREN WHOSE GOAL IS TO IMPROVE SERVICES FOR ABUSED CHILDREN IN LOCAL COMMUNITIES THROUGHOUT THE REGION. THE CENTER OFFERS INFORMATION, CONSULTATION, TECHNICAL ASSISTANCE, AND TRAINING TO PHYSICIANS, NURSES, AND NON-MEDICAL MEMBERS OF COMMUNITY CHILD ABUSE TEAMS, INCLUDING LAW ENFORCEMENT PERSONNEL, ATTORNEYS AND CHILD PROTECTION WORKERS. II) RECOGNIZED, AS THE NATION'S LEADER IN PALLIATIVE CARE EDUCATION, CHILDREN'S INSTITUTE FOR PALLIATIVE CARE (CIPC) DEVELOPED A MODEL FOR A REGIONAL TRAINING AND CONSULTATION CENTER. CIPC DEVELOPS AND LEADS TRAINING SEMINARS USING RECOGNIZED CURRICULUM FOR PEDIATRIC PALLIATIVE CARE, PROVIDES HOSPITAL-BASED CONSULTATION TO CHILDREN WHO ARE IN NEED OF HOSPICE OR PALLIATIVE CARE WHILE THEY ARE HOSPITALIZED, OFFERS A REGIONAL 24/7 TELEPHONE CONSULTATION PROGRAM PROVIDING EDUCATION, SUPPORT, AND GUIDANCE TO FAMILIES AND PROFESSIONAL PROVIDERS, AND SERVES AS A RESOURCE CENTER FOR PEDIATRIC PALLIATIVE CARE. III) THE EMERGENCY MEDICAL SERVICES FOR CHILDREN (EMSC) RESOURCE CENTER HOUSED AT CHILDREN'S CREATES AWARENESS REGARDING THE SPECIAL NEEDS OF CHILDREN IN EMERGENCY MEDICAL SITUATIONS. EMSC EDUCATIONAL PROGRAMS ARE DESIGNED TO TRAIN PRE-HOSPITAL PERSONNEL, FIRST RESPONDERS, PHYSICIANS, NURSES, AND SCHOOL NURSES IN THE UNIQUE NEEDS OF INFANTS AND CHILDREN IN EMERGENCY SITUATIONS. THE EMSC RESOURCE CENTER ALSO PROVIDES TECHNICAL ASSISTANCE, PARTICIPATES IN STATEWIDE PEDIATRIC EMERGENCY/DISASTER PREPAREDNESS PLANNING, DEVELOPS AND DISSEMINATES PEDIATRIC EMERGENCY ARE GUIDELINES, AND CONDUCTS MORTALITY REVIEWS AND RESEARCH. EDUCATION AND EMPLOYMENT - BECAUSE DISPARITIES IN CHILD HEALTH ARE SO CLOSELY ASSOCIATED WITH LOW EDUCATIONAL ATTAINMENT AND POOR JOB SKILLS, CHILDREN'S IS ENGAGED IN SEVERAL KEY COMMUNITY PARTNERSHIPS TO IMPROVE EDUCATIONAL SUCCESS AND EARNING POTENTIAL AMONG YOUTH AND ADULTS. EXAMPLES INCLUDE THE ROOSEVELT HIGH SCHOOL AND CRISTO REY JESUIT HIGH SCHOOL HEALTH CAREERS PROGRAM THAT PROVIDES STUDENTS INTERESTED IN HEALTH CARE CAREERS THE OPPORTUNITY TO RECEIVE HEALTH CARE SPECIFIC EDUCATION AND OBTAIN INTERNSHIPS WITH HEALTH CARE ORGANIZATIONS, THE ACHIEVE MINNEAPOLIS/STEP-UP SUMMER JOBS PROGRAM THAT PLACES YOUTH IN SUPERVISED SUMMER INTERNSHIPS AT PARTICIPATING COMPANIES AND ORGANIZATIONS, AND A PARTNERSHIP WITH PROJECT FOR PRIDE IN LIVING THAT RECOGNIZES THAT A HEALTHY, SUSTAINABLE COMMUNITY REQUIRES RESIDENTS WITH WELL-PAYING JOBS.
Form 990 Part VI Line 11b	CHILDREN'S SENIOR MANAGEMENT REVIEWS THE DRAFT FORM 990 WITH THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY PRIOR TO FILING OF THE FORM. THIS REVIEW INCLUDES AN OVERVIEW OF THE FORM AND DISCUSSION RELATED TO KEY SECTIONS. COPIES OF THE FINAL FORM 990 ARE MADE AVAILABLE TO MEMBERS OF THE COMMITTEE AND ALL DIRECTORS PRIOR TO THE FORM BEING FILED. THE AUDIT AND COMPLIANCE COMMITTEE HAS BEEN DELEGATED THE AUTHORITY TO OVERSEE THE COMPLETION AND FILING OF THE FORM 990 BY THE FULL BOARD, AND THE COMMITTEE REPORTS THE RESULTS OF ITS REVIEW AND APPROVAL TO THE FULL BOARD AT A REGULARLY SCHEDULED BOARD MEETING.
Form 990 Part VI Line 12c	MANAGEMENT OF CHILDREN'S ENSURE THAT CONFLICT OF INTEREST DISCLOSURE FORMS ARE COMPLETED BY ALL MEMBERS OF THE GOVERNING BODY AND BOARD COMMITTEES AT LEAST ANNUALLY. FORMS ARE COMPLETED AT THE BEGINNING OF THE YEAR, AND DIRECTORS AND COMMITTEE MEMBERS ARE INSTRUCTED TO PROVIDE ADDITIONAL DISCLOSURES IF NECESSARY DURING THE COURSE OF THE YEAR. THE GOVERNANCE COMMITTEE OF THE GOVERNING BODY, ALONG WITH SENIOR MANAGEMENT (CEO AND GENERAL COUNSEL) REVIEW ALL DISCLOSURES PROVIDED BY GOVERNING BOARD MEMBERS. THE RESULTS OF THIS REVIEW AND ANY CONCERNS, LIMITATIONS, ETC., ARE REPORTED BY THE GOVERNANCE COMMITTEE TO THE FULL BOARD. IF CONFLICTS ARE IDENTIFIED, THE GOVERNANCE COMMITTEE AND MANAGEMENT WORK TO ENSURE THAT DIRECTORS DO NOT PARTICIPATE IN DISCUSSION OR VOTING ON THE AFFECTED MATTER.
Form 990 Part VI Line 15a	CHILDREN'S FOLLOWS THE REQUIREMENTS SET FORTH IN THE IRS REBUTTABLE PRESUMPTION OF REASONABLENESS IN DETERMINING COMPENSATION FOR THE CEO AND OTHER OFFICERS AND EXECUTIVE LEADERS OF CHILDREN'S. THIS FUNCTION IS PERFORMED BY THE COMPENSATION COMMITTEE OF THE GOVERNING BOARD, WHICH IS COMPOSED OF ONLY INDEPENDENT DIRECTORS. THE PROCESS INCLUDES REVIEW OF COMPARABILITY DATA, RETENTION OF AN OUTSIDE COMPENSATION CONSULTANT AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION THROUGH DETAILED MINUTES OF THE COMPENSATION COMMITTEE AND FULL BOARD MEETINGS WHERE EXECUTIVE COMPENSATION IS CONSIDERED.
Form 990 Part VI Line 16a	CURRENTLY CHILDREN'S DOES NOT HAVE ANY JOINT VENTURES WITH A TAXABLE ENTITY THAT ARE MISSION RELATED OR JOINT VENTURES THAT ARE NOT MISSION RELATED. WITHIN THE CONTEXT OF THEIR INVESTMENT PORTFOLIO, THE ORGANIZATION HAS INVESTED IN A NUMBER OF LIMITED PARTNERSHIP OPPORTUNITIES.
Form 990 Part VI Line 19	CHILDREN'S MAKES FINANCIAL STATEMENT INFORMATION PUBLIC THROUGH A SUMMARY OF FINANCIAL PERFORMANCE IN ITS ANNUAL REPORT. IN ADDITION, FINANCIAL STATEMENTS ARE PROVIDED PUBLICLY THROUGH DIGITAL ASSURANCE CERTIFICATION, A DISSEMINATION AGENT, WHO THEREFORE MAKE THIS INFORMATION PUBLICLY AVAILABLE. CHILDREN'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC.
Form 990 Part XI Line 9	CHANGES IN NET ASSETS: RSVP RETIREMENT PLAN-RELATED CHANGES (2,923,855) CHANGE IN VALUE OF INTEREST RATE SWAP VALUATION 4,985,073 CHANGE IN PERPETUAL TRUSTS AND OTHER IN-KIND CHANGES 1,455,161 TOTAL TO FORM 990, PART XI, LINE 9 3,516,379
FORM 990 PART IX LINE 11G	DESCRIPTION:Medical Residents - Pediatrics TOTAL FEES:4086763
FORM 990 PART IX LINE 11G	DESCRIPTION:Consulting Fees TOTAL FEES:4256702
FORM 990 PART IX LINE 11G	DESCRIPTION:Security TOTAL FEES:67929
FORM 990 PART IX LINE 11G	DESCRIPTION:Linen TOTAL FEES:1790286
FORM 990 PART IX LINE 11G	DESCRIPTION:Purchased Services TOTAL FEES:69645293
FORM 990 PART IX LINE 11G	DESCRIPTION:Stipends and Honorariums TOTAL FEES:333782
FORM 990 PART IX LINE 11G	DESCRIPTION:Leased Equipment TOTAL FEES:1348299
FORM 990 PART IX LINE 11G	DESCRIPTION:Maintenance/Service Contracts TOTAL FEES:5483441
FORM 990 PART IX LINE 11G	DESCRIPTION:Equipment Repair & Maintenance TOTAL FEES:1134284

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: CHILDREN'S HOSPITALS AND CLINICS OF MN CHAMPIONS THE SPECIAL NEEDS OF CHILDREN.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	5,865
6	Total number of volunteers (estimate if necessary) .............	6	1,957
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,271,587
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	34,503,534	29,335,746
9	Program service revenue (Part VIII, line 2g) .........	807,048,767	875,635,934
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	64,830,358	46,580,961
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	2,652,968	2,598,840
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	909,035,627	954,151,481
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,718,809	2,062,252
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)	482,381,931	496,477,949
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	338,064,812	370,508,176
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	823,165,552	869,048,377
19	Revenue less expenses. Subtract line 18 from line 12.......	85,870,075	85,103,104
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,312,673,145	1,352,722,146
21	Total liabilities (Part X, line 26).............	384,464,842	368,768,842
22	Net assets or fund balances. Subtract line 21 from line 20.....	928,208,303	983,953,304

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 749,932,920 including grants of $ 2,062,252 ) (Revenue $ 868,600,488 )
	HOSPITAL PROGRAM SERVICES: FAMILIES LOOK TO CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA FOR THE FINEST IN PEDIATRIC CARE. WITH TWO PEDIATRIC HOSPITAL FACILITIES AND 430 STAFFED BEDS, WE CHAMPION THE SPECIAL HEALTH NEEDS OF CHILDREN AND THEIR FAMILIES AND ARE COMMITTED TO PROVIDING HIGH-QUALITY, FAMILY CENTERED PEDIATRIC SERVICES. THE LEAPFROG GROUP'S ANNUAL LIST OF TOP HOSPITALS NAMED CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA'S MINNEAPOLIS AND ST. PAUL HOSPITALS AS TWO OF THE TOP TEN PEDIATRIC HOSPITALS IN THE COUNTRY FOR QUALITY AND EFFICIENCY. SEE SCHEDULE O.

4b	(Code: ) (Expenses $ 4,373,483 including grants of $ ) (Revenue $ 1,382,476 )
	EDUCATION: MANY EFFORTS TO IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN AND YOUTH REQUIRE LONG-TERM INVESTMENT IN THEIR FUTURE. CHILDREN'S PROVIDES EDUCATION AND TRAINING PROGRAMS FOR PROVIDERS, HEALTH CARE STUDENTS, AND OTHER HEALTH PROFESSIONALS IN THE FOLLOWING AREAS: 1) COMMUNITY MEDICAL EDUCATION FOR COMMUNITY PHYSICIANS: DURING THE 2018 CALENDAR YEAR, CHILDREN'S PROVIDED TRAINING TO 406 AFFILIATED RESIDENTS AND FELLOWS, AND HOSTED 293 MEDICAL STUDENT & 380 RESIDENT ROTATIONS AT CHILDREN'S MINNEAPOLIS, CHILDREN'S ST PAUL, OR BOTH LOCATIONS. SEE SCHEDULE O.

4c	(Code: ) (Expenses $ 4,668,206 including grants of $ ) (Revenue $ 60,657 )
	RESEARCH: CHILDREN'S HAS 465 OPEN RESEARCH STUDIES, OF WHICH 187 ARE ACTIVELY RECRUITING CLINICAL TRIALS. IN 2018 CHILDREN'S RECEIVED ABOUT $23 MILLION FROM INDUSTRY CONTACTS AND FEDERAL STATE AND FOUNDATION SPONSORS. TYPES OF STUDIES AND TRIALS CONDUCTED AT CHILDREN'S ARE INVESTIGATOR-INITIATED STUDIES, EXTERNAL MULTI-CENTER TRIALS, OBSERVATIONAL STUDIES, REGISTRIES, AND SUPPORTIVE SERVICES SUCH AS CASE MANAGEMENT. CHILDREN'S HAD ONGOING RESEARCH IN EMERGENCY/TRAUMA, CYSTIC FIBROSIS, DIABETES AND ENDOCRINOLOGY, CARDIOVASCULAR AND CRITICAL CARE, PAIN AND PALLIATIVE CARE, INTEGRATIVE MEDICINE, GENETICS, CANCER AND BLOOD DISORDERS, AND NEONATOLOGY ENT AND REHAB. SEE SCHEDULE O.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses758,974,609

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	15,042,562	790,910	1,808,649

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	15,117,130
e	Government grants (contributions)		1e	14,218,616

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$ 1,083,776
h Total. Add lines 1a-1f.......		29,335,746

		Business Code
2a	Patient Service Revenue	621400	537,413,142	537,413,142
b	Medicare/Medicaid payment	621400	244,771,194	244,771,194
c	Pharmacy Revenue	621400	1,933,808			1,933,808
d	Parking	812930	3,153,166		371,842	2,781,324
e	Lab Revenue	621500	87,870,502	87,365,163	505,339
f	All other program service revenue.		494,122	494,122
g	Total. Add lines 2a–2f ....		875,635,934

3 Investment income (including dividends, interest, and othersimilar amounts) ......			32,808,007		1,394,406	31,413,601
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		1,449,034
b	Less: rental expenses		1,499,496
c	Rental income or (loss)	0	-50,462
d	Net rental income or (loss)......			-50,462			-50,462
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	7,209,239	372,962,649
b	Less: cost or other basis and sales expenses	3,385,741	363,013,193
c	Gain or (loss)	3,823,498	9,949,456
d	Net gain or (loss).....			13,772,954			13,772,954
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a		0
b	Less: cost of goods sold ..b		0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	Cafeteria		722514	2,224,203			2,224,203
b	Marketplace		453220	389,162			389,162
c	Vending machines		722514	27,272			27,272
d	All other revenue ....			8,665			8,665
e	Total. Add lines 11a–11d ......			2,649,302
12	Total revenue. See Instructions......			954,151,481	870,043,621	2,271,587	52,500,527

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	343,352	343,352
2	Grants and other assistance to domestic individuals. See Part IV, line 22	1,718,900	1,718,900
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	15,001,616	5,559,114	9,442,502
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	376,022,109	334,835,401	41,186,708
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	27,902,121	25,957,827	1,944,294
9	Other employee benefits .......	51,200,500	45,139,602	6,060,898
10	Payroll taxes ...........	26,351,603	23,120,125	3,231,478
11	Fees for services (non-employees):
a	Management ......	4,919,141	3,852,071	1,067,070
b	Legal .........	1,674,142	138,114	1,536,028
c	Accounting ...........	614,444	30,430	584,014
d	Lobbying ...........	195,867		195,867
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	5,909,971	5,909,971
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	88,146,779	78,851,561	9,295,218
12	Advertising and promotion ....	1,268,672	92,492	1,176,180
13	Office expenses .......	8,836,720	7,667,074	1,169,646
14	Information technology ......	17,455,041		17,455,041
15	Royalties ..	0
16	Occupancy ...........	14,871,678	13,445,372	1,426,306
17	Travel ............	1,824,013	1,356,687	467,326
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	2,615,638	2,414,933	200,705
20	Interest ...........	8,362,603	8,362,603
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	43,234,588	33,743,691	9,490,897
23	Insurance ...	2,657,407	2,657,407
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	85,071,557	85,071,557
b	MNCare Tax	15,867,274	15,867,274
c	Medicaid Surcharge	10,635,846	10,635,846
d	Temp Labor	10,389,164	9,510,948	878,216
e	All other expenses	45,957,631	42,692,257	3,265,374
25	Total functional expenses. Add lines 1 through 24e	869,048,377	758,974,609	110,073,768	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			21,676,670	1	10,436,685
2	Savings and temporary cash investments .........			9,294,775	2	23,121,432
3	Pledges and grants receivable, net ......			1,089,915	3	1,053,972
4	Accounts receivable, net .............			123,361,714	4	176,297,231
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 ........			6,797,848	8	7,785,560
9	Prepaid expenses and deferred charges ......			12,524,735	9	14,437,643
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	786,051,025
b	Less: accumulated depreciation	10b	448,865,098	355,979,615	10c	337,185,927
11	Investments—publicly traded securities .			394,904,463	11	285,164,431
12	Investments—other securities. See Part IV, line 11 .....			248,365,702	12	357,861,576
13	Investments—program-related. See Part IV, line 11 ..			20,406,163	13	21,263,834
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			118,271,545	15	118,113,855
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,312,673,145	16	1,352,722,146

17	Accounts payable and accrued expenses .....	107,361,397	17	117,967,519
18	Grants payable ...	0	18	0
19	Deferred revenue .........	1,951,262	19	1,316,372
20	Tax-exempt bond liabilities .........	217,158,419	20	203,127,527
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 ..	143,647	23	96,158
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	57,850,117	25	46,261,266
26	Total liabilities. Add lines 17 through 25..	384,464,842	26	368,768,842

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	858,150,535	27	912,443,775
28	Temporarily restricted net assets ...........	0	28	0
29	Permanently restricted net assets	70,057,768	29	71,509,529
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	928,208,303	33	983,953,304
34	Total liabilities and net assets/fund balances ........	1,312,673,145	34	1,352,722,146

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)Children's HC SVCS INC DBA Minnetonka 2525 Chicago Ave S Minneapolis,MN55404 41-1756478	Healthcare	MN	501(c)(3)	Line 3	NA	Yes
(2)Children's Health Care Foundation 2525 Chicago Ave S Minneapolis,MN55404 41-1814223	Healthcare	MN	501(c)(3)	Line 7	NA	Yes
(3)Children's Clinic Network 2525 Chicago Ave S Minneapolis,MN55404 45-3765330	Healthcare	MN	501(c)(3)	Line 3	NA	Yes
(4)Mother Baby Facility LLC 2525 Chicago Ave S Minneapolis,MN55404 45-4078371	Healthcare	MN	501(c)(3)	Line 12A	NA	Yes

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Children's Health Care Foundation	c	15,117,130	accrual
(2) Children's Health Care Foundation	l	5,828,277	accrual
(3) Children's Health Care Foundation	o	4,411,257	accrual
(4) Children's Health Care Foundation	r	11,147,755	accrual
(5) Children's Health Care Services Inc	l	869,532	accrual
(6) Children's Health Care Services Inc	o	265,134	accrual
(7) Children's Health Care Services Inc	q	10,743,870	accrual
(8) Children's Health Care Services Inc	p	6,656,869	accrual
(9) Children's Clinic Network	l	1,321,154	accrual
(10) Children's Clinic Network	o	88,946	accrual
(11) Children's Clinic Network	p	2,047,309	accrual
(12) Children's Clinic Network	q	46,906,284	accrual
(13) Children's Clinic Network	r	48,372,353	accrual
(14) Children's Clinic Network	s	22,435	accrual

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