TY 2020 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)	(F) Estimated amount of other compensation from the organization and related organizations
(1) JENA HAUSMANN...................................................................... CEO & PRESIDENT	40.0 ................. 7.0	X	X			1,710,797	306,766
(2) DAVID BIGGERSTAFF...................................................................... EVP AND COO	40.0 ................. 0.0			X		862,425	201,836
(3) JEFFREY HARRINGTON...................................................................... SR. VP/CFO	40.0 ................. 7.0		X			846,153	174,392
(4) MARGARET SABIN...................................................................... SVP COLORADO SPRINGS PRESIDENT	40.0 ................. 0.0				X	691,844	136,234
(5) MICHELLE LUCERO...................................................................... General Counsel/Secretary	40.0 ................. 4.0		X			641,351	145,577
(6) DANA MOORE...................................................................... SVP AND CIO	40.0 ................. 0.0			X		596,516	162,833
(7) ELIZABETH RODRIGUEZ...................................................................... SVP CHIEF HR OFFICER	40.0 ................. 0.0			X		556,246	125,610
(8) RAPHE SCHWARTZ...................................................................... SVP AND CHIEF STRATEGY OFFICER	40.0 ................. 0.0			X		523,775	128,991
(9) SUZANNE JAEGER...................................................................... SVP CHIEF PATIENT EXP & ACCESS	40.0 ................. 0.0				X	483,648	128,560
(10) PATRICIA GIVENS...................................................................... SVP PATIENT CARE SVCS & CNO	40.0 ................. 0.0				X	488,023	90,821
(11) GREGORY RAYMOND...................................................................... SVP COLORADO SPRINGS COO	40.0 ................. 0.0				X	426,653	115,892
(12) JARROD MILTON...................................................................... SVP PROFESSIONAL SUPPORT SVCS	40.0 ................. 0.0				X	401,022	106,027
(13) SOLEDAD HURST...................................................................... BOARD MEMBER	1.0 ................. 0.0	X				0	0
(14) JOHN IKARD...................................................................... BOARD MEMBER	1.0 ................. 0.0	X				0	0
(15) JUDITH KOFF...................................................................... BOARD MEMBER	1.0 ................. 0.0	X				0	0
(16) ANNITA MENOGAN...................................................................... BOARD MEMBER	1.0 ................. 0.0	X				0	0
(17) MARTHA MIDDLEMIST MD...................................................................... BOARD MEMBER	1.0 ................. 0.0	X				0	0

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(18) SHEN NAGEL MD........................................................................ BOARD MEMBER	1.0 .......................0.0	X
(19) VICTORIA QUINTANA........................................................................ BOARD MEMBER	1.0 .......................0.0	X
(20) KRISTIN RICHARDSON........................................................................ BOARD MEMBER	1.0 .......................0.0	X
(21) BRUCE WAGNER........................................................................ BOARD MEMBER	1.0 .......................0.0	X
(22) JACK WOLD........................................................................ BOARD MEMBER/chair elect	1.0 .......................4.0	X	X
(23) DONALD ELLIMAN........................................................................ BOARD MEMBER	1.0 .......................4.0	X
(24) JOHN REILLY MD........................................................................ BOARD MEMBER	1.0 .......................0.0	X
(25) ROBERT CUCULICH........................................................................ BOARD MEMBER	1.0 .......................0.0	X
(26) CRAIG PONZIO........................................................................ BOARD MEMBER	1.0 .......................0.0	X
(27) BRIAN SMITH........................................................................ BOARD MEMBER	1.0 .......................0.0	X
(28) PHYLLIS WISE........................................................................ BOARD MEMBER	1.0 .......................0.0	X
(29) BARTH WHITHAM........................................................................ BOARD MEMBER/PAST CHAIR	1.0 .......................7.0	X	X
(30) DAVID HOOVER........................................................................ BOARD MEMBER/CHAIR	1.0 .......................7.0	X	X
(31) DAVID HONEYFIELD........................................................................ Board Member/Treasurer	1.0 .......................4.0	X	X
(32) WAYNE HUTCHENS........................................................................ BOARD MEMBER	1.0 .......................0.0	X
(33) DEBRA FAULK MD........................................................................ BOARD MEMBER	1.0 .......................0.0	X
(34) WILLIAM N LINDSAY III........................................................................ BOARD MEMBER	1.0 .......................7.0	X
(35) ROB JOYCE........................................................................ BOARD MEMBER	1.0 .......................0.0	X
(36) JIM JOHNSON........................................................................ BOARD MEMBER	1.0 .......................0.0	X
(37) ANTHONY SPIKES........................................................................ BOARD MEMBER	1.0 .......................0.0	X
(38) RICK STODDARD........................................................................ BOARD MEMBER	1.0 .......................3.0	X
(39) LAURA BARTON........................................................................ BOARD MEMBER	1.0 .......................3.0	X
(40) MEGAN FEARNOW........................................................................ BOARD MEMBER	1.0 .......................0.0	X
(41) MICHAEL GOULD........................................................................ BOARD MEMBER	1.0 .......................0.0	X

(A) Name and business address	(B) Description of services	(C) Compensation
UNIVERSITY OF COLORADO MEDICINE, 13199 EAST MONTVIEW BLVD AURORA,CO80045	PHYSICIAN SERVICES	124,690,619
UNIVERSITY OF COLORADO DENVER, 13123 EAST 16TH AVE BOD B-219 AURORA,CO80045	EDUCATION SERVICES	21,122,459
UNIVERSITY HOSPITAL, 12605 E 16TH AVE AURORA,CO80045	PHYS/MEDICAL SERVICE	14,469,298
CROTHALL HEALTHCARE INC, 13028 COLLECTION CENTER DRIVE CHICAGO,IL60693	ENVIRONMENTAL SVCS	12,275,478
POUDRE VALLEY MEDICAL GROUP LLC, 2500 ROCY MOUNTAIN AVE LOVELAND,CO80538	PHYSICIAN SERVICES	4,007,197
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 142

- 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.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

Children's Hospital Colorado

Employer identification number

84-0166760

Part I

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

The organization is not a private foundation because it is: (For lines 1 through 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) 2020

Page 2

Part II

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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 5 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 2020 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2019 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2020. 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—2019. 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—2020. 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—2019. 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) 2020

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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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 5 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 2020 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2019 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2020 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2019 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2020. 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—2019. 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) 2020

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) 2020

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 lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described in 11a above?

11b

A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2020

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 0.015 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 0.035	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) 2020

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2020 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2020	(iii) Distributable Amount for 2020
1 Distributable amount for 2020 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2020:
a From 2015.......
b From 2016.......
c From 2017.......
d From 2018.......
e From 2019.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2020 distributable amount
i Carryover from 2015 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2020 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2020 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2020, 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 2020. 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 2021. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2016.....
b Excess from 2017.....
c Excess from 2018.....
d Excess from 2019.....
e Excess from 2020.....

Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020

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) 2020

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

2020

Name of the organization

Children's Hospital Colorado

Employer identification number

84-0166760

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, 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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2

Name of organization Children's Hospital Colorado

Part I Contributors	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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 3

Name of organization Children's Hospital Colorado		Employer identification number 84-0166760

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 4


Name of organization Children's Hospital Colorado			Employer identification number 84-0166760
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ 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) (2020)

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

2020

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 Hospital Colorado

Employer identification number

84-0166760

Part I-A

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

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (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) 2020

Page 2

Part II-A

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

A Check SchCMd Bullet

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

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

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................	90,731	0
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................	450,832	0
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................	541,563	0
d	Other exempt purpose expenditures ...............................................................................	1,176,949,567	0
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................	1,177,491,130	0
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000	0
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................	250,000	0
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................		0
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................		0
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................		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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) Total

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

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

c	Total lobbying expenditures	508,678	515,459	614,169	541,563	2,179,869

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

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

f	Grassroots lobbying expenditures	52,093	62,898	107,453	90,731	313,175

Schedule C (Form 990 or 990-EZ) 2020

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|No

(b)

Amount

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

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

Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2020

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 instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

Children's Hospital Colorado

Employer identification number

84-0166760

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" 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 FASB 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 FASB 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 FASB 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) 2020

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 ....	48,474,391	41,279,296	44,803,998	39,760,313	37,970,011
b	Contributions ...
c	Net investment earnings, gains, and losses	5,885,427	8,349,894	-2,040,626	5,959,341	2,303,237
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	883,405	1,059,492	1,390,736	826,784	430,693
f	Administrative expenses ....	100,701	95,307	93,340	88,872	82,242
g	End of year balance ......	53,375,712	48,474,391	41,279,296	44,803,998	39,760,313

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

100.000 %

Term endowment SchDMd Bullet

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)

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

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

Part VI

Land, Buildings, and Equipment.
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 .....	69,398,794		69,398,794
b	Buildings ....	1,220,555,644	321,247,663	899,307,981
c	Leasehold improvements	41,436,194	11,785,080	29,651,114
d	Equipment ....	608,820,687	348,746,717	250,073,970
e	Other .....	18,877,384	12,334,819	6,542,565
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,254,974,424

Schedule D (Form 990) 2020

Page 3

Part VII

Investments - Other 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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program 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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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)OPERATING LEASES				85,483,879
(2)TAMMEN TRUST				53,372,712
(3)MISC. RECEIVABLES				30,778,614
(4)OTHER NON CURRENT ASSETS				19,326,115
(5)INTERCOMPANY OTHER AFFILIATES				12,138,378
(6)457 ASSETS				9,529,654
(7)MISC. NOTE RECEIVABLES				5,997,121
(8)SELF INSURANCE TRUST LT REC.				2,084,285
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				218,710,758

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
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	184,644,524
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) 2020

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
SCHEDULE D, PART V, LINE 4	THE HOSPITAL IS THE INCOME BENEFICIARY OF THE H.H. TAMMEN TRUST, A PERPETUAL TRUST UNDER WHICH THE HOSPITAL HAS THE IRREVOCABLE RIGHT TO RECEIVE THE INCOME EARNED ON THE TRUST ASSETS IN PERPETUITY. FUNDS ARE USED TO SUPPORT HOSPITAL ACTIVITIES.
SCHEDULE D, PART X, LINE 2	MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.

Schedule D (Form 990) 2020

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

2020

Open to Public Inspection

Name of the organization

Children's Hospital Colorado

Employer identification number

84-0166760

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other 0 %

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? . . . . . .

Yes

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	4,807,053	1,058,386	3,748,667	0.270 %
b	Medicaid (from Worksheet 3, column a) . . . . .	570,506,063	350,859,242	219,646,821	15.830 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	0	0	0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	575,313,116	351,917,628	223,395,488	16.100 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	26,197,139	4,216,583	21,980,556	1.580 %
f	Health professions education (from Worksheet 5) . . .	27,926,961	7,793,435	20,133,526	1.450 %
g	Subsidized health services (from Worksheet 6) . . . .	51,556,291	39,971,237	11,585,054	0.830 %
h	Research (from Worksheet 7) .	25,012,151	10,229,005	14,783,146	1.070 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	465,424	0	465,424	0.030 %
j	Total. Other Benefits . .	131,157,966	62,210,260	68,947,706	4.960 %
k	Total. Add lines 7d and 7j .	706,471,082	414,127,888	292,343,194	21.060 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020

Schedule H (Form 990) 2020

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	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements	72,264	12,000	60,264
5	Leadership development and training for community members	64,048		64,048
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	809,156	100,000	709,156	0.050 %
9	Other
10	Total	945,468	112,000	833,468	0.050 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare 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. ......

42,796,768

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. ......

12,981,775

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).....

918,757

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

1,770,849

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

-852,092

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) 2020

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?5Name, 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)							Other (describe)	Facility reporting group
1	CHILDREN'S HOSPITAL CO - ANSCHUTZ 13123 EAST 16TH AVENUE AURORA,CO80045 WWW.CHILDRENSCOLORADO.ORG 010417	X	X	X	X	X		A
2	CHILDREN'S HOSPITAL COLORADO - SOUTH 1811 PLAZA DRIVE HIGHLANDS RANCH,CO80129 WWW.CHILDRENSCOLORADO.ORG 01F105	X	X	X	X	X		A
3	CHCHO - AT PARKER ADVENTIST HOSPITAL 9395 CROWN CREST BLVD PARKER,CO80138 WWW.CHILDRENSCOLORADO.ORG 13Z405	X	X			X	HOSPITAL UNIT OR HOSPITAL-WITHIN HOSPITAL	A
4	CHCO - COLORADO SPRINGS 4090 BRIARGATE PARKWAY COLORADO SPRINGS,CO80920 WWW.CHILDRENSCOLORADO.ORG 01B436	X	X	X	X	X		B
5	CHCO - NORTH CAMPUS 469 STATE HIGHWAY 7 BROOMFIELD,CO80023 WWW.CHILDRENSCOLORADO.ORG 018MU3	X	X	X	X	X		B

Schedule H (Form 990) 2020

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)

	A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

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 18

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

Yes

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): WWW.CHILDRENSCOLORADO.ORG

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 19

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

Yes

If "Yes" (list url): WWW.CHILDRENSCOLORADO.ORG

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) 2020

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	A
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 0.%
and FPG family income limit for eligibility for discounted care of 400.%

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):

www.childrenscolorado.org

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

www.childrenscolorado.org

A plain language summary of the FAP was widely available on a website (list url):
www.childrenscolorado.org

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) 2020

Page 6

Part VFacility Information (continued)

Billing and Collections

	A
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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2020

Page 7

Part VFacility Information (continued)

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

	A
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) 2020

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)

	B
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?........................

Yes

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

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

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

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

Hospital facility’s website (list url):

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

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

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

If "Yes" (list url):

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

10b

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) 2020

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	B
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 0.%
and FPG family income limit for eligibility for discounted care of 400.%

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

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):

www.childrenscolorado.org

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

www.childrenscolorado.org

A plain language summary of the FAP was widely available on a website (list url):
www.childrenscolorado.org

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)

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) 2020

Page 6

Part VFacility Information (continued)

Billing and Collections

	B
Name of hospital facility or letter of facility reporting group

Yes

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

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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) 2020

Page 7

Part VFacility Information (continued)

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

	B
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 prospective Medicare or Medicaid method

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) 2020

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, 20a, 20b, 20c, 20d, 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
SCHEDULE H, PART V, SECTION B	THE FOLLOWING RESPONSE APPLIES TO all hospital facilities included in Facility Reporting Group B: SCHEDULE H, PART V, SECTION B, LINE 2 CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS WAS PLACED INTO SERVICE IN MAY 2019. CHCO - NORTH CAMPUS WAS PLACED INTO SERVICE IN MARCH 2020. A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP A. THE FOLLOWING HOSPITAL FACILITES ARE INCLUDED IN FACILITY REPORTING GROUP A: (1) CHILDREN'S HOSPITAL COLORADO (CHCO) - ANSCHUTZ (2) CHCO-SOUTH CAMPUS (3) CHCO-AT PARKER ADVENTIST HOSPITAL A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP B. THE FOLLOWING HOSPITAL FACILITES ARE INCLUDED IN FACILITY REPORTING GROUP A: (4) CHCO-SOUTH COLORADO SPRINGS (5) CHCO-NORTH CAMPUS SCHEDULE H, PART V, SECTION B, LINE 3E IN 2018 CHILDREN'S HOSPITAL COLORADO CONDUCTED A JOINT CHNA FOR ITS LICENSED HOSPITAL FACILITIES, WHICH INCLUDED ANSCHUTZ CAMPUS, SOUTH CAMPUS AND PARKER ADVENTIST (HOSPITAL UNIT LICENSE). THE RESULTING CHNA PRIORITIES WERE MENTAL AND BEHAVIORAL HEALTH, INJURY PREVENTION, PREMATURITY, ASTHMA AND RESPIRATORY HEALTH, OBESITY, NUTRITION, AND PHYSICAL ACTIVITY. THE FIVE IDENTIFIED CHNA NEEDS ARE NOT PRIORITIZED, AND ALL RECEIVED EQUAL WEIGHT IN THE IMPLEMENTATION PLAN AND ON-GOING PROGRAMMING. THE CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS CHNA IS SCHEDULED TO BE COMPLETED BY DECEMBER 2021. THIS MEETS REQUIREMENT THAT NEWLY LICENSED HOSPITAL COMPLETE A CHNA BY THE LAST DAY OF THE SECOND TAXABLE YEAR. SCHEDULE H, PART V, SECTION B, LINE 5 THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 5 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: PRIOR TO LAUNCHING OUR 2018 ASSESSMENT, CHILDREN'S COLORADO SOLICITED INTERNAL AND EXTERNAL FEEDBACK ON OUR PREVIOUS ASSESSMENT, WHICH WAS CONDUCTED IN 2015. WE WERE INTERESTED IN LEARNING ABOUT AND IMPROVING BOTH THE PROCESS THAT WAS USED PREVIOUSLY AND THE CONCLUSIONS THAT WERE DRAWN IN THAT ASSESSMENT. A TOTAL OF SEVEN EXTERNAL EVALUATORS PROVIDED DETAILED WRITTEN FEEDBACK ON THE 2015 ASSESSMENT. THEY INCLUDED REPRESENTATIVES FROM PUBLIC HEALTH, NONPROFIT ORGANIZATIONS, HEALTH ADVOCACY ORGANIZATIONS AND HEALTH CARE PROVIDERS. REVIEWERS WERE ASKED TO IDENTIFY KEY STRENGTHS AND WEAKNESSES OF THE PREVIOUS ASSESSMENTS. AS PART OF THE 2018 CHNA, CHILDREN'S COLORADO ENGAGED IN A SIGNIFICANT COMMUNITY OUTREACH PROCESS TO ASSESS THE INTERESTS AND CONCERNS OF COMMUNITY IN THE NEIGHBORHOODS AND COUNTIES THAT THE HOSPITAL SERVES. AS PART OF THIS ASSESSMENT, WE PRIORITIZED GETTING INPUT FROM UNDER RESOURCED POPULATIONS INCLUDING LOW-INCOME AND MINORITY GROUPS AND GROUPS WHOSE PRIMARY LANGUAGE IS NOT ENGLISH. WE USED THREE QUALITATIVE DATA COLLECTION METHODS TO GAIN INPUT FROM IDIVIDUALS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY: A TOTAL OF 44 STAKEHOLDER INTERVIEWS WERE COMPLETED WITH INDIVIDUALS WHO REPRESENTED PUBLIC HEALTH, GOVERNMENT, PUBLIC SAFETY, DIRECT SERVICE, PUBLIC EDUCATION AND ADVOCACY ORGANIZATIONS. INTERVIEWEES ALSO REPRESENTED A RANGE OF GEOGRAPHIC AREAS AND ALL FOUR COUNTIES IN OUR COMMUNITY WERE WELL REPRESENTED. 7 OF THE INTERVIEWS WERE WITH STAFF MEMBERS OF THE TRI-COUNTY HEALTH DEPARTMENT, WHICH IS ONE OF THE LARGEST PUBLIC HEALTH DEPARTMENTS IN THE STATE AND COVERS ADAMS, ARAPAHOE, AND DOUGLAS COUNTIES. THE LIST OF ORGANIZATIONS INTERVIEWED IS IDENTIFIED IN THE CHNA. FOCUS GROUPS WERE CONDUCTED IN EACH OF THE FOUR COUNTIES THAT COMPRISED THE CHNA COMMUNITY. RECRUITMENT EFFORTS FOCUSED ON LOW-INCOME AND VULNERABLE POPULATIONS TO ENSURE THE DIVERSE VOICE OF THE COMMUNITY WAS HEARD. A TOTAL OF 48 COMMUNITY MEMEBRS PARTCIPATED IN THE SIX FOCUS GROUPS. THE TEAM WORKED WITH COMMUNITY PARTNERS AND OUR COMMUNITY HEALTH NAVIGATION TEAM TO ENSURE THAT THE PARENT SURVEY REACHED A SOCIO-ECONOMICALLY AND ETHNICALLY DIVERSE POPULATION. A TOTAL OF 582 PARENTS COMPLETED THE SURVEY. 60% OF OUR RESPONDENTS HAD A HOUSEHOLD INCOME THAT IS LESS THAN THE STATE'S AVERAGE HOUSEHOLD INCOME OF $75,000 AND 21% HAVE HOUSEHOLD INCOMES OF LESS THAN $25,000. 65% OF OUR RESPONDENTS ARE ETHNIC MINORITIES. BECAUSE THE PARENT SURVEY INCLUDED QUESTIONS ABOUT DEMOGRAPHICS, WE WERE ALSO ABLE TO DETERMINE IF THE ISSUES OF MOST CONCERN VARIED BY INCOME LEVEL, COUNTY OF RESIDENCE, OR RACE AND ETHNICITY. THIS INFORMATION WAS INVALUABLE IN PRIORITIZING NEEDS AND IN THE DEVELOPMENT OF THE IMPLEMENTATION PLAN.
SCHEDULE H, PART V, SECTION B, LINE 6A	DUE TO THE PROXIMITY OF GEOGRAPHIC LOCATIONS IN 2018 CHILDREN'S HOSPITAL COLORADO CONDUCTED A JOINT CHNA FOR ITS LICENSED HOSPITAL FACILITIES, WHICH INCLUDED ANSHUTZ MEDICAL CAMPUS, SOUTH CAMPUS AND PARKER ADVENTIST (HOSPITAL UNIT LICENSE). THE IRS ALLOWS HOSPITAL FACILITIES TO PRODUCE A JOINT CHNA REPORT IF THE FACILITIES USE THE SAME DEFINITIONS OF COMMUNITY AND CONDUCT A JOINT CHNA PROCESS. WE HAVE FOLLOWED THOSE REQUIREMENTS FOR THE 2018 CHNA. WHILE OUR NETWORK SERVES CHILDREN IN A SEVEN-STATE REGION, FOR THE PURPOSES OF THE 2018 CHNA WE DEFINED COMMUNITY AS ALL CHILDREN LIVING IN THE FOUR-COUNTY AREA FROM WHICH MOST OF OUR PATIENT POPULATION (72%) IS DRAWN AND IN WHICH WE HAVE FACILITIES. THIS INCLUDES ADAMS, ARAPHOE, DENVER, AND DOUGLAS COUNTIES.
SCHEDULE H, PART V, SECTION B, LINE 7D	IN ADDITION TO POSTING THE CHNA ON THE HOSPITAL'S EXTERNAL-FACING WEBSITE AND MAKING THE REPORT AVAILABLE UPON REQUEST, OVER 500 PHYSICAL COPIES HAVE BEEN DISTRIBUTED TO THE COMMUNITY SINCE DECEMBER 2018. AS PART OF THE CHNA COMMUNICATION PLAN CHILDREN'S CHILD HEALTH ADVOCACY INSTITUTE (CHAI) STAFF PRESENTED THE CHNA FINDINGS TO SEVERAL STAKEHOLDER GROUPS. CHAI STAFF ALSO ROUTINELY SHARE CHNA FINDINGS IN MEETINGS WITH COMMUNITY PARTNERS, WITH THE GOAL OF IDENTIFYING OPPORTUNITIES TO ENGAGE IN COLLABORATIVE EFFORTS TO ADDRESS THE AREAS OF NEED. WITH THE GOAL OF MAKING THE CHNA MORE ACCESSIBLE TO THE LARGER COMMUNITY, UPON THE COMPLETION OF THE IMPLEMENTATION STRATEGY, IN APRIL OF 2019, ADDITIONAL MATERIALS WERE MADE AVAILABLE IN VARIOUS FORMATS TO SUMMARIZE BOTH THE CHNA AND ACCOMPANYING PLAN.
SCHEDULE H, PART V, SECTION B, LINE 11	THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: IN 2018, AS PART OF OUR COMMITMENT TO BE AN ACTIVE PARTNER IN THE COMMUNITY THAT GOES WELL BEYOND THE PROVISION OF PATIENT CARE, WE CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT. THE GOAL OF THE ASSESSMENT WAS TO BETTER UNDERSTAND THE CONCERNS AND PRIORITIES OF THE FAMILIES WE SERVE, THE COMMUNITY ORGANIZATIONS WE PARTNER WITH, AND THE PROVIDERS WHO WORK WITH OUR PATIENTS. THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH SUMMARIZES THESE FINDINGS, CAN BE FOUND AT HTTPS://WWW.CHILDRENSCOLORADO.ORG/COMMUNITY/COMMUNITYHEALTH/COMMUNITY-HEAL TH-NEEDS-ASSESSMENT/. THE SUBSEQUENT IMPLEMNTATION PLAN (COMMUNITY HEALTH ACTION PLAN) COMPLETED IN 2019 SERVES AS THE FOUNDATION AND ROAD MAP TO ADDRESS THE FIVE PRIORITY NEEDS IDENTIFIED IN THE CHNA. THE PLAN OUTLINES OUR THREE-YEAR GOALS FOR EACH OF THOSE PRIORITIES AND DETAILS THE STRATEGIES THAT ARE IDENTIFIED TO ADDRESS THESE COMPLEX NEEDS. TO CREATE THE IMPLEMENTATION PLAN, CHILDREN'S HOSPITAL COLORADO USED THE INFORMATION GATHERED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT AS THE MAJOR SOURCE OF INFORMATION AND INCORPORATED ADDITIONAL INSIGHTS FROM PLANNING DISCUSSIONS WITH COMMUNITY PARTNERS. WE ALSO DECIDED TO FOCUS OUR WORK ON FIVE TYPES OF ACTIVITIES. WE BELIEVE THESE ACTIVITIES HAVE THE MOST POTENTIAL TO IMPACT CHILD HEALTH OUTCOMES AND WILL MAKE OUR WORK MORE EFFICIENT AND EFFECTIVE. STRATEGIES INCLUDE EDUCATION AND TRAINING, DIRECT SERVICES AND SUPPORT, SCREENING, REFERRALS AND NAVIGATION, AND POLICY AND ADVOCACY. A SERIES OF FIVE STRATEGY SESSIONS WAS CONVENED WITH PROVIDERS, COMMUNITY HEALTH STRATEGISTS AND ADMINISTRATORS. EACH OF THESE SESSIONS FOCUSED ON ONE OF THE CHNA FIVE PRIORITY AREAS. GOALS AND OBJECTIVES WERE DEVELOPED FOR EACH HEALTH PRIORITY AREA. THE OBJECTIVES SELECTED ARE ALL QUANTIFIABLE AND TIME-LIMITED, WHICH WILL ALLOW FOR EFFECTIVE EVALUATION OF OUR EFFORTS IN THE FUTURE. LINK TO THE 2019 COMMUNITY HEALTH ACTION PLAN: HTTPS://WWW.CHILDRENSCOLORADO.ORG/4ADC92/GLOBALASSETS/COMMUNITY/CHILDRENSH OSPITAL-COLORADO-2019-COMMUNITY-HEALTH-ACTION-PLAN.PDF CHILDREN'S HOSPITAL COLORADO RECOGNIZES THAT THE HEALTH NEEDS OF CHILDREN IN OUR COMMUNITY ARE EXTENSIVE AND REQUIRE CONTINUAL ASSESSMENT. THROUGH OUR WORK WITH SCHOOLS, PRIMARY CARE, AND COMMUNITY-BASED ORGANIZATIONS. WE CONTINUE TO LISTEN TO THE COMMUNITY AND TO IDENTIFY NEW OPPORTUNITIES TO ADDRESS COMMUNITY CONCERNS.

Schedule H (Form 990) 2020

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?12
Name and address		Type of Facility (describe)
1	CHILDREN'S HOSPITAL CO OP SPECIALTY CARE 4125 BRIARGATE PKWY COLORADO SPRINGS,CO80920	SPECIALTY CARE, ONCOLOGY CLINICS, URGENT CARE
2	CHILDREN'S CO HEALTH PAVILION 860 NORTH POTOMAC CIRCLE AURORA,CO80011	OT/PT, SPEECH & AUDIOLOGY, MULTI-SPECIALTY CLINICS,DENTAL CLINCIS, SPECIALTY PHARMACY
3	CHILDREN'S HOSPITAL CO - SPECIALTY CARE 9399 CROWN CREST BLVD SUITE 300 PARKER,CO80138	SPECIALTY CARE, SPORTS MEDICINE
4	Children's Hospital CO - Therapy Care 8401 Arista Place Broomfiled,CO80021	OT/PT, SPEECH & AUDIOLOGY SERVICES
5	Children's Hospital CO - Therapy Care 9139 South Ridgeline BLVD 100 HIGHLANDS RANCH,CO80129	REHABILITATION & THERAPY SERVICES
6	KidStreet 860 N Potomac Cir Aurora,CO80011	REHABILITATION & THERAPY SERVICES
7	Children's Hospital CO - Therapy Care PRINTERS PARK MEDICAL PLAZA COLORADO SPRINGS,CO80910	OT/PT, SPEECH & AUDIOLOGY SERVICES
8	Children's Hospital CO - Uptown 1830 FRANKLIN ST DENVER,CO80218	EMERGENCY CARE, UC, OP SPCLTY, DIAGNOSTIC, OBSERVATION LICENSEDC CMTY CLINIC 18M127
9	Children's Hospital CO - Therapy Care 19284 Cottonwood Drive PARKER,CO80138	OT/PT, SPEECH & AUDIOLOGY SERVICES
10	Children's Hospital CO - UC & OP Care 3455 Lutheran PKWY WHEATRIDGE,CO80033	URGENT CARE, SPECIALIST CARE SPORTS MEDICINE
11	Children's Hospital CO - Orthopedic Care 9094 E Mineral Ave Suite 110 CENTENNIAL,CO80112	ORTHOPEDIC CARE, RADIOLOGY SERVICES, SPORTS MEDDICINE
12	Children's Hospital CO - Therapy Care 704 Fortino Boulevard Suite A PUEBLO,CO81008	SPEECH THERAPY, LEARNING DISABILITIES

Schedule H (Form 990) 2020

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
SCHEDULE H, PART I, LINE 6A	CHILDREN'S COLORADO PUBLISHES AN ANNUAL COMMUNITY BENEFIT REPORT. THE 2020 REPORT WILL BE PUBLISHED AFTER THE FINALIZATION OF THE 2020 SCHEDULE H 990 REPORTING. THE 2019 REPORT CAN BE FOUND AT HTTPS://WWW.CHILDRENSCOLORADO.ORG/COMMUNITY/COMMUNITY-HEALTH/. PRIOR TO THE COMPLETION OF THE REPORT A DISTRIBUTION LIST OF COMMUNITY MEMBERS, PARTNERS AND STATE AND LOCAL OFFICIALS IS DEVELOPED, AND THE REPORT IS DISTRIBUTED UPON COMPLETION. COINCIDING WITH THE PHYSICAL DISTRIBUTION THE REPORT IS THEN PUBLISHED ON THE CHCO WEBSITE.
SCHEUDLE H, PART I, LINE 7	IN 2020, CHILDREN'S HOSPITAL COLORADO PROVIDED $292,343,134 IN BENEFIT TO THE COMMUNITY. MEDICAID AT CHILDREN'S HOSPITAL COLORADO ACCOUNTED FOR $219,646,821 OF NET COMMUNITY BENEFIT EXPENSE WITH $3,748,667 IN FINANCIAL ASSISTANCE. OTHER BENEFITS ACCOUNTED FOR $68,947,708 IN NET COMMUNITY BENEFIT EXPENSE. OF THAT $21,980,556 IN COMMUNITY HEALTH IMPROVEMENT, $20,133,526 IN HEALTH PROFESSION EDUCATION, $11,585,054 IN SUBSIDIZED HEALTH SERVICES, $14,783,146 IN RESEARCH AND $465,424 IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT. INCLUDED IN SUBSIDIZED HEALTH SERVICES ARE THOSE WHICH CHILDREN'S HOSPITAL COLORADO PROVIDES TO ITS PATIENT POPULATION AT A LOSS. IN 2020, PROGRAMS ASSOCIATED WITH THESE LOSSES ARE REHABILITATION, DERMATOLOGY, AND MENTAL HEALTH. THE NUMBER REFLECTED IN SUBSIDIZED HEALTH SERVICES EXCLUDES BAD DEBT, MEDICAID AND OTHER MEANS TESTED PROGRAMS SHORTFALLS AND FINANCIAL ASSISTANCE. CHILDREN'S HOSPITAL COLORADO IS COMMITTED TO SERVING ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.
SCHEDULE H, PART II, LINE 10	IN 2020, CHILDREN'S HOSPITAL COLORADO PROVIDED $833,468 IN COMMUNITY BUILDING ACTIVITIES. THESE ACTIVITIES ARE DESIGNED TO PROMOTE THE HEALTH OF THE BROADER COMMUNITY. WE CONTINUE TO BUILD ON OUR LONG AND STRONG RECORD OF COLLABORATION WITH COMMUNITY GROUPS, BUSINESSES, ACADEMIC INSTITUTIONS AND GOVERNMENTAL AND NON-GOVERNMENTAL ORGANIZATIONS, WITH THE GOAL OF IMPROVING HEALTH OUTCOMES AND REDUCING HEALTH DISPARITIES FOR CHILDREN AND THEIR FAMILIES.
SCHEDULE H, PART III, LINE 2	THE ORGANIZATION RECOGNIZES NET PATIENT SERVICE REVENUE IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) 606, REVENUE FROM CONTRACTS WITH CUSTOMERS. THE ADOPTION OF ASC 606 RESULTED IN CHANGES TO THE PRESENTATION FOR NET PATIENT SERVICES REVENUE RELATED TO UNINSURED OR UNDERINSURED PATIENTS. UNDER ASC 606, THE ESTIMATED UNCOLLECTABLE AMOUNTS DUE FROM THESE PATIENTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE, RATHER THAN AS A PROVISION FOR BAD DEBTS, AND ARE BASED PRIMARILY ON HISTORICAL COLLECTION EXPERIENCE. OTHER THAN THESE CHANGES IN PRESENTATION, THE ADOPTION OF ASC 606 DID NOT HAVE A MATERIAL IMPACT ON THE OVERALL FINANCIAL STATEMENTS OF THE ORGANIZATION. EXPANDED DISCLOSURES REQUIRED BY ASC 606 ARE INCLUDED WITHIN NOTE 4, NET PATIENT SERVICES REVENUE.
SCHEDULE H, PART III, LINE 3	CHILDREN'S HOSPITAL INACTIVATES AR BALANCES BETWEEN 150-175 DAYS AFTER THE FIRST BILLING CYCLE. ACCOUNTS ARE REFERRED TO COLLECTION AGENCIES FOR RECOVERY. THE HOSPITAL DOES NOT REPORT ANY BAD DEBT AMOUNT IN COMMUNITY BENEFIT.
SCHEDULE H, PART III, LINE 4	THE ORGANIZATION RECOGNIZES NET PATIENT SERVICE REVENUE IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) 606, REVENUE FROM CONTRACTS WITH CUSTOMERS. THE ADOPTION OF ASC 606 RESULTED IN CHANGES TO THE PRESENTATION FOR NET PATIENT SER VICES REVENUE RELATED TO UNINSURED OR UNDERINSURED PATIENTS. UNDER ASC 606, THE ESTIMATED UNCOLLECTABLE AMOUNTS DUE FROM THESE PATIENTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE, RATHER THAN AS A PROVISION FOR BAD DEBTS, AND ARE BASED PRIMARILY ON HISTORICAL COLLECTION EXPERIENCE. OTHER THAN THESE CHANGES IN PRESENTATION, THE ADOPTION OF ASC 606 DID NOT HAVE A MATERIAL IMPACT ON THE OVERALL FINANCIAL STATEMENTS OF THE ORGANIZATION. EXPANDED DISCLOSURES REQUIRED BY ASC 606 ARE INCLUDED WITHIN NOTE 4, NET PATIENT SERVICES REVENUE.
SCHEDULE H, PART III, LINE 8	THE SHORTFALL REPORTED IN LINE 7 REPRESENTS MEDICARE SHORTFALLS FOR HIGH NEED PEDIATRIC PATIENTS SERVED BY CHILDREN'S HOSPITAL COLORADO. IF CHILDREN'S HOSPITAL COLORADO DID NOT SUBSIDIZE THE HIGHLY SPECIALIZED CARE, ACCESS FOR THIS POPULATION WOULD BE LIMITED, THUS WE VIEW THIS CARE AS COMMUNITY BENEFIT. THE HOSPITAL UTILIZED COST TO CHARGE RATIO METHODOLOGY TO ARRIVE AT THIS NUMBER. THE AMOUNT INCLUDES ALL COSTS LESS ALL PAYMENTS RECEIVED.
SCHEDULE H, PART III, LINE 9B	YES, THE ORGANIZATION DOES HAVE A WRITTEN DEBT COLLECTION POLICY. PRIOR TO DEBT REFERRALS, ACCOUNTS ARE REVIEWED FOR ALL THIRD-PARTY PAYER ELIGBILITY PRIOR TO QUALIFYING FOR ANY CHARITY CARE OR FINANCIAL ASSISTANCE. ONCE THE PATIENT'S RESPONSIBILITY IS VALIDATED, THE HOSPITAL PROVIDES SLIDING SCALE DISCOUNTS BASED ON INCOME AND/OR EXPENSES. PARENTS WHOSE CHILDREN DO NOT QUALIFY FOR MEDICAID CAN ALSO APPLY FOR THIS DISCOUNT PLAN. THE HOSPITAL HAS A DEDICATED FINANCIAL COUNSELING/SERVICES DEPARTMENT WHO WORK CLOSELY WITH PARENTS TO ESTABLISH PAYMENT PLANS.
SCHEDULE H, PART VI, LINE 2	IN ADDITION TO THE CHNA, CHILDREN'S HOSPITAL COLORADO REGULARLY ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY WE SERVE. ACROSS THE HOSPITAL, NUMEROUS INTERNAL AND EXTERNAL DATA SOURCES ARE REGULARLY MONITORED AND UTILIZED TO IDENTIFY TRENDS AND OPPORTUNITIES TO IMPACT CHILD HEALTH. ADDITIONALLY, HOSPITAL STAFF DEDICATES SIGNIFICANT TIME TO SERVING ON COMMUNITY BOARDS AND OTHER COMMUNITY GROUPS THAT ASSESS HEALTH NEEDS OF THE COMMUNITY AND PROACTIVELY PARTICIPATES IN THE HEALTH IMPROVEMENT EFFORTS LED BY THESE PARTNERS. IN 2018, CHCO FORMALIZED A POPULATION HEALTH STRATEGY. THE GOAL IS THE CREATION AND OPERATION OF A COMMUNITY BASEDPARTNER DRIVEN NETWORK OF CARE. THIS NETWORK BOTH EXPANDS ACCESS TO TRADITIONAL PEDIATRIC HEALTHCARE AND EXPANDS ACCESS TO NON-TRADITIONAL CARE THAT ADDRESSES A CHILD'S TOTAL PICTURE OF HEALTH. A COMMUNITY BASED, PARTNER DRIVEN NETWORK OF CARE REQUIRES IDENTIFYING PARTNERS THAT WILL ENGAGE IN A TRANSFORMATIVE SYSTEM OF CARE, ONE THAT ALLOWS A PEDIATRIC SPECIALTY HOSPITAL TO WORK WITH COMMUNITY BASED PARTNERS TO GENERATE IMPROVED HEALTH FOR ALL KIDS IN A TARGETED REGION, DESPITE NEVER BEING PATIENTS OR HAVING LIMITED INTERACTIONS WITH THAT HOSPITAL. THE NETWORK SUPPORTS IMPROVEMENTS IN THE DELIVERY OF TRADITIONAL HEALTHCARE SERVICES, LIKE THE NUMBER OF IMMUNIZATIONS, WELL-CHILD VISITS, ORAL HEALTH SCREENINGS AND BEHAVIORAL HEALTH INTERVENTIONS. IN ADDITION, SUPPORTING IMPROVEMENTS IN SOCIAL CONDITIONS IMPACTING HEALTH SUCH AS INCREASED ATTENDANCE AT SCHOOL, INCREASED ACCESS TO NUTRITIONAL FOOD AND SUSTAINED ACCESS TO STABLE HOUSING. THIS WORK WILL INFORM HOW WE ESTABLISH EFFECTIVE HEALTH SYSTEM COMMUNITY BASED ORGANIZATION COLLABORATIONS WHILE WORKING TOWARD LONG-TERM SUSTAINABILITY IN HOW HEALTH CARE IS DELIVERED TO THE CHILDREN AND FAMILIES WE SERVE.
SCHEDULE H, PART VI, LINE 3	CHILDREN'S HOSPITAL COLORADO HAS A PROCESS FOR INFORMING AND EDUCATING FAMILIES ABOUT HOW THEY MAY BE BILLED FOR PATIENT CARE AND THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. CHILDREN'S HOSPITAL COLORADO'S FULL TIME PATIENT FINANCIAL COUNSELORS ARE DEDICATED TO WORKING WITH FAMILIES TO PROVIDE GUIDANCE REGARDING AVAILABLE FINANCIAL ASSISTANCE WHICH ENSURES THAT ITS PATIENT POPULATION RECEIVES THE CRITICAL CARE IT NEEDS. ADDITIONALLY, CHILDREN'S HOSPITAL COLORADO PROVIDES PATIENT ASSISTANCE TO HELP IDENTIFY COMMUNITY-BASED RESOURCES, FACILITATE SERVICES AND PROVIDE APPROPRIATE REFERRAL ASSISTANCE TO HELP WITH CONTINUITY OF CARE. INPATIENT PROCESS: THIS PROCESS APPLIES TO PATIENTS WHO ARE BEING ADMITTED FOR OBSERVATION, SURGERY OR OTHER INPATIENT SERVICES. IF THE PATIENT IS PRE-SCHEDULED, CHILDREN'S HOSPITAL COLORADO PATIENT ACCESS WORKS TO CONTACT THE FAMILY PRIOR TO ADMISSION TO ARRANGE FOR A FINANCIAL SCREENING APPOINTMENT. REGARDLESS OF WHETHER AN APPOINTMENT IS SET PRIOR TO ADMISSION, THE PATIENT FINANCIAL COUNSELING TEAM WORKS WITH THE FAMILY TO DETERMINE THEIR SELF-PAY STATUS (EITHER NON-COMMERCIAL OR GOVERNMENT INSURANCE) AND SUBSEQUENTLY WORKS WITH THEM TO SCREEN FOR FINANCIAL ASSISTANCE OPTIONS. OUTPATIENT PROCESS: WHEN A PATIENT SCHEDULES A NON-EMERGENT OR URGENT OUTPATIENT CLINIC VISIT, THEY WILL IDENTIFY THEMSELVES AS SELF-PAY IF THEY DO NOT HAVE EITHER COMMERCIAL OR GOVERNMENT INSURANCE. AT THIS POINT, THEY ARE GIVEN TWO OPTIONS: (1) PAY A $200 DEPOSIT AT THE TIME OF APPOINTMENT AND BE BILLED ANY REMAINING BALANCE OR (2) SCHEDULE TIME WITH PATIENT FINANCIAL COUNSELING FOR ASSISTANCE. IF THE PATIENT WAS SEEN IN THE EMERGENCY DEPARTMENT OR URGENT CARE WITHOUT THE PRE-SCREEN, THEY STILL CAN APPLY FOR FINANCIAL ASSISTANCE WITH THE PATIENT FINANCIAL COUNSELING OFFICE. ALL SELF-PAY FAMILIES ARE AUTOMATICALLY GIVEN A 35 PERCENT DISCOUNT. CHILDREN'S HOSPITAL COLORADO HAS A FORMAL POLICY REGARDING ELIGIBILITY CRITERIA FOR CHARITY CARE. THE DECISION TO PROVIDE CHARITY CARE WILL BE, IN ALL CASES, BASED ON A REVIEW OF THE INCOME, ASSETS AND LIABILITIES OF THE FAMILY AT THE TIME OF ADMISSION TO THE HOSPITAL OR CLINIC. THE LEVELS OF CHARITY CARE AND FINANCIAL ASSISTANCE PROVIDED BY CHILDREN'S HOSPITAL COLORADO WILL BE DETERMINED BASED ON FEDERAL POVERTY GUIDELINES WHICH MAY BE ADJUSTED UP TO 200 PERCENT AND REVISED FROM TIME TO TIME. FAMILIES WITH ADJUSTED GROSS INCOME BETWEEN 200 PERCENT AND 400 PERCENT OF FEDERAL POVERTY GUIDELINES MAY ALSO BE CONSIDERED FOR CHARITY CARE WITH A CAP FOR OUT-OF-POCKET RESPONSIBILITY. DETERMINATION OF ELIGIBILITY WILL BE EFFECTIVE FOR SIX MONTHS AND APPLY TO ALL PATIENTS REGARDLESS OF IMMIGRATION STATUS. CHILDREN'S COLORADO WORKS TO PROVIDE NECESSARY HOSPITAL-RELATED SERVICES CONSISTENT WITH ITS MISSION, ITS STATUS AS A NONPROFIT HOSPITAL AND ITS STEWARDSHIP RESPONSIBILITY TO ITS DONORS. CHILDREN'S HOSPITAL COLORADO'S FINANCIAL ASSISTANCE PUBLIC POLICY AND PLAIN LANGUAGE SUMMARY ARE LISTED ON THE ORGANIZATION'S HOMEPAGE WWW.CHILDRENSCOLORADO.ORG.
SCHEDULE H, PART VI, LINE 4	THE ANSCHUTZ MEDICAL CAMPUS, SOUTH CAMPUS, NORTH CAMPUS AND CHILDREN'S HOSPITAL COLORADO AT PARKER ADVENTIST ARE WITHIN THE DESIGNATED DENVER METROPOLITAN AREA, "METRO DENVER." OUR PATIENT POPULATION REFLECTS THAT MOST INPATIENT ADMISSIONS AND OUTPATIENT VISITS ARE FROM CHILDREN WHO LIVE IN FOUR METRO DENVER COUNTIES: ARAPAHOE, ADAMS, DENVER, AND DOUGLAS. THE ANSCHUTZ MEDICAL CAMPUS RESIDES IN AURORA, COLORADO WHICH IS THE THIRD MOST POPULOUS CITY IN THE STATE OF COLORADO AND SPANS ACROSS THREE COUNTIES (ADAMS, ARAPAHOE, AND DOUGLAS). AURORA REPRESENTS SOME OF THE GREATEST CULTURAL, ETHNIC, AND ECONOMIC DIVERSITY IN THE STATE. THE CITY OF AURORA REPORTS THAT 20% OF AURORA RESIDENTS ARE BORN OUTSIDE THE UNITED STATES AND 33% OF RESIDENTS SPEAK ANOTHER LANGUAGE AT HOME. THE CHILDREN'S HOSPITAL COLORADO, COLORADO SPRINGS HOSPITAL OPENED MAY 28, 2019. THE FACILITY IS SOUTHERN COLORADO'S FIRST PEDIATRIC-ONLY HOSPITAL. PROVIDING MORE THAN 175,000 KIDS IN SOUTHERN COLORADO AND SURROUNDING STATES WITH PEDIATRIC CARE CLOSER TO HOME. CHILDREN'S HOSPITAL COLORADO, COLORADO SPRINGS IS IN EL PASO COUNTY WITHIN SOUTH CENTRAL COLORADO. THE CENSUS BUREAU'S 2020 RESULTS INDICATE EL PASO IS THE MOST POPULOUS COUNTY IN COLORADO, SURPASSING THE CITY AND COUNTY OF DENVER. 2019 U.S. CENSUS BUREAU DATA SHOWS THAT 10 PERCENT OF CHILDREN UNDER THE AGE OF 18 IN EL PASO COUNTY LIVE BELOW THE POVERTY LINE. THE COUNTY SEAT IS COLORADO SPRINGS, THE SECOND MOST POPULOUS CITY IN COLORADO. UNITED STATES ARMY, AIR FORCE AND SPACE FORCE BASES ARE SITUATED IN THE COUNTY, WHICH LEADS TO A SIGNIFICANT PRESENCE OF MILITARY FAMILIES AND ADDS TO THE DIVERSITY OF POPULATION. ADDITIONALLY, CHILDREN'S HOSPITAL COLORADO WORKS TO DELIVER OUR MISSION NOT ONLY IN THE DENVER METRO AREA AND THE STATE OF COLORADO, BUT ALSO THROUGHOUT THE ROCKY MOUNTAIN REGION AND ACROSS THE NATION. CHILDREN'S HOSPITAL COLORADO IS COMMITTED TO SERVING ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN 2020, THE COVERAGE MIX AMONGST OUR PATIENT POPULATION INCLUDE 46.5% MEDICAID, 45.7% MANAGED/COMMERCIAL CARE, 6.2% OTHER GOVERNMENT PROGRAMS, AND 1.7% SELF-PAY AND INDIGENT. IN 2020, THE NETWORK HAD MORE THAN 15,000 INPATIENT ADMISSIONS, 554,650 OUTPATIENT VISITS AND 120,000 EMERGENCY AND URGENT CARE VISITS.
SCHEDULE H, PART VI, LINE 5	IN 2020, THE COVID-19 PANDEMIC PRESENTED CHALLENGES THAT WILL HAVE LONG LASTING EFFECTS ON BOTH THE FIELD OF PEDIATRIC HEALTHCARE AND THE LIVES OF THE PATIENTS AND FAMILIES WE SERVE. SINCE MARCH 2020, CHILDREN'S HOSPITAL COLORADO HAS BEEN COMMITTED TO A SYSTEMATIC RESPONSE TO THE COVID-19 PANDEMIC. IN ADDITION TO MAINTAINING OUR FOCUS ON PROVIDING EXCEPTIONAL, QUALITY CARE FOR PATIENTS AND FAMILIES, CHILDREN'S COLORADO HAS DEDICATED FINANCIAL, PEOPLE AND PHYSICAL RESOURCES TO HELP MITIGATE THE EFFECTS OF THE PANDEMIC ON OUR COMMUNITY. EARLY IN THE COVID-19 PANDEMIC, CHILDREN'S HOSPITAL COLORADO'S INCIDENT COMMAND CENTER ESTABLISHED THE SCIENTIFIC ADVISORY COUNCIL (SAC), AN ACADEMIC-OPERATIONAL PARTNERSHIP TO ADVISE HOSPITAL LEADERS ON THE BEST AVAILABLE EVIDENCE FOR SCREENING AND TREATING CHILDREN WITH COVID-19 AND PROTECTING HEALTHCARE WORKERS. THIS MULTIDISCIPLINARY TEAM OF SCIENTISTS, CLINICIANS AND OPERATIONAL LEADERS' CHARGE IS TO REVIEW AND TRANSLATE THE RAPIDLY EVOLVING COVID-19 LITERATURE TO GUIDE THE ORGANIZATION'S CLINICAL AND OPERATIONAL PRACTICE AND POLICY THROUGHOUT THE CRISIS. CHILDREN'S COLORADO HAS PUBLICLY PROVIDED THESE TESTED DOCUMENTS, TOOLS AND RESOURCES TO ASSIST OTHER HEALTHCARE SYSTEMS. THESE RESOURCES ARE DESIGNED TO HELP WITH ANY RAPIDLY DEVELOPING PUBLIC HEALTH EMERGENCY OR EMERGING DISEASE - NOT ONLY COVID-19. THE STATE OF COLORADO HAS BEEN ABLE TO RELY ON CHILDREN'S HOSPITAL COLORADO'S DEDICATED PARTNERSHIP TO SUPPORT ITS COVID-19 RESPONSE AND TO IMPROVE THE HEALTH OF COLORADO'S CHILDREN AND FAMILIES. AT THE REQUEST OF OUR GOVERNOR AND STATE HEALTH DEPARTMENT, CHCO RAPIDLY INSTITUTED A COVID 19 RESPONSE INFRASTRUCTURE THAT INCLUDED MOBILE TESTING SITES, LAB SERVICES, PUBLIC HEALTH EDUCATION RESOURCES AND WEBINARS FOR MEDICAL PROFESSIONALS AS WELL AS COMMUNITY MEMBERS, MASK DECONTAMINATION FOR COMMUNITY-BASED PROVIDERS, LAB SERVICES FOR COMMUNITY-BASED TESTING, AND SHARED MEDICAL SUPPLIES TO MANAGE STATEWIDE NEEDS. CHCO WAS THE FIRST IN THE STATE - AND ONE OF THE FIRST IN THE COUNTRY - TO COLLECT ANTIBODY-RICH CONVALESCENT PLASMA TO COMBAT COVID-19. BETWEEN MARCH AND SEPTEMBER 2020, WE FACILITATED 522 CONVALESCENT PLASMA DONATIONS FROM 220 DONORS. WE ALSO PROVIDED THIS PLASMA TO 22 DIFFERENT ORGANIZATIONS. IN RESPONSE TO STAY-AT-HOME ORDERS, OUR TELEHEALTH DEPARTMENT MADE SWIFT ADJUSTMENTS IN THE USE OF TELEMEDICINE TO ENABLE CONTINUITY OF HIGH-QUALITY CARE FOR OUR PEDIATRIC PATIENTS. IN THE FIRST SIX BUSINESS DAYS OF APRIL 2020, 5,000 OUTPATIENT TELEHEALTH VISITS WERE COMPLETED. THAT'S ROUGHLY EQUAL TO THE NUMBER OF TELEHEALTH VISITS THEY COMPLETED IN ALL OF 2019. IN RECOGNITION OF THE CHALLENGES PRIMARY CARE PROVIDERS (PCPS) FACED DURING THE INITIAL STAGES OF THE PANDEMIC WE WORKED WITH PCPS TO ADDRESS OPERATIONAL CONCERNS REGARDING THE HEALTH AND SAFETY OF THEIR PATIENTS AND STAFF, SERVICES FOR PATIENTS, TELEHEALTH FUNCTIONALITY, PERSONAL PROTECTIVE EQUIPMENT (PPE) LEADING TO THE DEVELOPMENT OF AN ON-LINE RESOURCE GUIDE TO IMPLEMENTING TELEMEDICINE SERVICES AND OTHER HEALTH AND SAFETY PROTOCOLS. AT THE START OF THE PANDEMIC, WE BEGAN HOSTING COVID-19 VIRTUAL TOWN HALLS FOR PCPS ON THE SECOND AND FOURTH THURSDAY OF EACH MONTH FROM 6 TO 7:30 P.M. MST. EACH TOWN HALL FEATURES TIMELY EPIDEMIOLOGY UPDATES FROM CHILDREN'S COLORADO'S PEDIATRIC INFECTIOUS DISEASE AND SENIOR LEADERSHIP TEAMS, IMPLICATIONS FOR PRIMARY CARE AS A RESULT OF THE PANDEMIC (SUCH AS MENTAL HEALTH, RETURN TO SPORT, ETC.), AND AN OPEN FORUM Q&A FOR PARTICIPANTS. ADDITIONALLY, THROUGHOUT THE PANDEMIC, OUR SYSTEM WAS COMMITTED TO PROVIDING THE MOST UP-TO DATE FAMILY-FRIENDLY INFORMATION AND RESOURCES TO SUPPORT KIDS AND FAMILIES THROUGH THE PANDEMIC. INCLUDING A CORONAVIRUS HOTLINE, ANSWERING QUESTIONS ABOUT COVID-19 SYMPTOMS, VACCINES AND WHERE TO ACCESS HEALTH CARE. THE 2020 SCHOOL YEAR WAS PARTICULARLY CHALLENGING FOR THE SCHOOL AND CHILDCARE SITES WE SERVE. EARLY IN THE PANDEMIC, THE SCHOOL HEALTH NURSING TEAM FOUND THAT SOME NEEDS - LIKE FIELDING CALLS FROM EDUCATORS AND PARENTS WITH QUESTIONS ABOUT HOW TO MANAGE A CHILD'S DIABETES OR ASTHMA - COULD BE MET VIRTUALLY, VIA TELEHEALTH. THE SCHOOL HEALTH NURSING TEAM CONTINUED TO SERVE AS AN ADVISORY PARTNER FOR SCHOOL STAFF AND PARENTS THROUGHOUT THE PANDEMIC, DELIVERING TRAININGS AND CONSULTATIONS VIRTUALLY FOR BOTH INDIVIDUAL HEALTH NEEDS AND SYSTEMWIDE SAFETY GUIDANCE. COMPLICATING THE IMPACT OF COVID-19, COLORADO STUDENTS WENT VIRTUAL MID MARCH, BUT STATE PUBLIC HEALTH GUIDANCE FOR SCHOOLS WAS NOT RELEASED UNTIL SEPTEMBER. DURING THAT SIX-MONTH GAP, CHILDREN'S ORGANIZED BIWEEKLY TOWN HALL MEETINGS WITH SCHOOL ADMINISTRATORS AND THEIR HEALTH STAFF, PROVIDING THEM ACCESS TO OUR INFECTIOUS DISEASE DOCTORS WHO BEGAN TO ADVISE SCHOOLS HOW TO SAFETY OPERATE DURING THE PANDEMIC. THESE TOWN HALLS BECAME A BOON FOR MANY PARENTS, WHO WERE STRUGGLING TO BALANCE THEIR CONCERNS ABOUT CHILD AND FAMILY SAFETY WITH THEIR ABILITY TO ACCESS CHILDCARE, MANAGE VIRTUAL LEARNING, AND ENSURE THEIR CHILD CONTINUED ACCESSING THE HEALTH SERVICES NORMALLY DELIVERED IN-PERSON AT SCHOOL. AFTER THE STATE ISSUED THEIR GUIDANCE IN SEPTEMBER 2020, CHILDREN'S CONTINUED TO OFFER THESE TOWN HALLS AND PARTICIPATION HAS GROWN TO NEARLY 400 REGISTERED PARTICIPANTS FROM ACROSS COLORADO. THESE TOWN HALLS HAVE ALSO BEEN AN EXTREMELY EFFECTIVE VENUE TO SHARE THE LATEST INFORMATION ON THE COVID-19 VACCINE AND EQUIP SCHOOL LEADERS WITH THE INFORMATION THEY NEED TO ENCOURAGE IT AMONG THEIR STAFF AND SCHOOL COMMUNITY. THE IMMEDIATE IMPACT OF STAY-AT-HOME ORDERS IMPOSED COMPLEX SOCIAL AND ECONOMIC CHALLENGES FOR MANY FAMILIES. THE COMPLEXITY OF NEEDS CONTINUED TO BE PARAMOUNT THROUGHOUT 2020. CRITICAL NEEDS INCLUDED BABY FORMULA, DIAPERS, FOOD, UTILITY ASSISTANCE, HOUSING AND EVICTION PREVENTION, AND PUBLIC BENEFITS. PRIOR TO THE PANDEMIC, CHILDREN'S COLORADO HAD SYSTEMS IN PLACE TO ADDRESS SOCIAL DETERMINANTS OF HEALTH WITHIN OUR WALLS AND IN THE COMMUNITY AND WE WERE ABLE TO RAPIDLY ADJUST TO ADDRESS THE MOST PRESSING NEEDS OF OUR FAMILIES AND THE COMMUNITY. RESOURCE CONNECT, INCLUDING THE HEALTHY ROOTS FOOD CLINIC (HRFC), RESPONDED TO THE FINANCIAL STRAIN FAMILIES FACED BY THE RAPID ON-SET OF THE COVID-19 PANDEMIC. HRFC QUICKLY MOBILIZED TO OFFER FOOD DISTRIBUTION IN COORDINATION WITH THE AURORA PUBLIC SCHOOLS (APS) NUTRITION SERVICES DEPARTMENT AT 8 SCHOOL SITES 4 DAYS PER WEEK THROUGHOUT THE HEIGHT OF THE PANDEMIC. THE HRFC TEAM DISTRIBUTED 313 TONS OF FOOD TO 13,006 FAMILIES. AS EMERGENCY FOOD DISTRIBUTION EFFORTS WERE UNDERWAY, THE HRFC TEAM WORKED THROUGHOUT 2020 TO PROVIDE TECHNICAL ASSISTANCE TO APS TO OPEN A HEALTHY FOOD PANTRY AT CRAWFORD ELEMENTARY SCHOOL AND AURORA CENTRAL HIGH SCHOOL, PROVIDING A SUSTAINABLE MODEL THAT MIRRORED THE EFFORTS OF THE HRFC. IN ADDITION TO THE EXPANSION OF THE HRFC MODEL, PLANS WERE MADE TO INCREASE ENROLLMENT IN THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) AND EXECUTE PARTNER AGENCY AGREEMENTS WITH FOOD BANK OF THE ROCKIES. THE HEALTH NAVIGATION TEAM PLAYED A CRITICAL ROLE IN ADDRESSING SOCIAL DETERMINANTS OF HEALTH FOR PATIENTS AND FAMILIES IN A VARIETY OF CLINICAL AND COMMUNITY SETTINGS ADDRESSING NEEDS WHICH BECAME MORE PREVALENT DURING THE PANDEMIC. THE TEAM PROVIDED RESOURCE SUPPORT TO OVER 13,000 FAMILIES IN 2020. COVID-19 RESPONSE REQUIRED ADJUSTMENTS TO THE DELIVERY OF INJURY PREVENTION PROGRAMING ACROSS OUR SYSTEM PARTICULARLY OUR CHILD PASSENGER SAFETY PROGRAMS. AT OUR ANSCHUTZ CAMPUS, IN-PERSON PROGRAM WAS SHUT DOWN BETWEEN MARCH AND JULY OF 2020. REQUIRING THE TEAM TO SWITCH TO A VIRTUAL EDUCATION MODEL. THE TEAM WORKED TO MIRROR THIS VIRTUAL MODEL ACROSS ALL CLINICS INVOLVED IN OUR CHILD PASSENGER SAFETY VOUCHER PROGRAM AND WERE ABLE TO OFFER VIRTUAL SUPPORT AND UTILIZE SHIPPING CARRIERS TO DELIVER CAR SEATS DIRECTLY TO FAMILIES IN NEED. IN 2020, THIS TEAM PROVIDED A TOTAL OF 105 REAR-FACING CONVERTIBLE SEATS, 12 COMBINATION SEATS, AND 9 BOOSTER SEATS TO FAMILIES IN NEED AT A SUBSIDIZED COST OF $10 OR LESS. CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS (CHCO-COS), ALSO ADJUSTED TO CONDUCTING 1-ON-1 CAR SEAT APPOINTMENTS WHEN ALLOWED IN ALIGNMENT WITH COVID-19 PROTOCOLS. WE CHECKED A TOTAL OF 154 CAR SEATS AND EDUCATING 157 CAREGIVERS FOR THE YEAR, CONDUCTING APPOINTMENTS IN SPANISH WHEN REQUESTED, AND PROVIDING 30 SUBSIDIZED CAR SEATS TO FAMILIES IN NEED. THE TEAM ALSO CONDUCTED IN-PERSON AND VIRTUAL CAR SEAT SAFETY PRESENTATIONS FOR A MILITARY BASE AND NON-PROFIT ORGANIZATIONS, ONE WHICH SUPPORTS FAMILIES EXPERIENCING ABUSE, NEGLECT, AND ADDICTION, REACHING 48 CAREGIVERS. OUR GOVERNMENT AFFAIRS TEAM WORKED WITH ELECTED OFFICIALS AND COMMUNITY LEADERS TO HELP CHILDREN AND FAMILIES WEATHER THE CURRENT PUBLIC HEALTH EMERGENCY RELATED TO COVID-19. THE TEAM ENGAGED OUR CHILD HEALTH CHAMPIONS NETWORK TO SEND 940 EMAILS TO COLORADO'S FEDERAL CONGRESSIONAL DELEGATION, URGING THEM TO PASS EMERGENCY COVID-19 RELIEF TO ENSURE HEALTHCARE PROVIDERS HAVE THE RESOURCES NEEDE
SCHEDULE H, PART VI, LINE 6	AFFILIATIATED HC SYSTEM - N/A
SCHEDULE H, PART VI, LINE 7	IN 2019, COLORADO LAWMAKERS PASSED HB19-1320 REQUIRING NONPROFIT HOSPITALS TO SUBMIT AN ANNUAL COMMUNITY BENEFIT REPORT.

Schedule H (Form 990) 2020

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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

2020

Open to Public
Inspection

Name of the organization
Children's Hospital Colorado

Employer identification number
84-0166760

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

Grants and Other Assistance to 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	(h) Purpose of grant or assistance
(1) CROHNS & COLITIS FOUNDATION OF AMERICA 733 THIRD AVE 510 NEW YORK,NY10017	13-6193105	501(c)(3)	6,000	GENERAL PROGRAM SUPPORT
(2) ST ANTHONY HOSPITAL 11600 WEST 2ND PLACE LAKEWOOD,CO80228	84-0902211	501(c)(3)	6,000	GENERAL PROGRAM SUPPORT
(3) YOUNG AMERICANS CENTER FOR FINANCIAL 3550 E FIRST AVE DENVER,CO80206	84-1564926	501(c)(3)	10,000	GENERAL PROGRAM SUPPORT
(4) DENVER ZOO 2300 STEELE STREET DENVER,CO80205	84-0502539	501(c)(3)	50,000	GENERAL PROGRAM SUPPORT
(5) REAL COLORADO 8200 S AKRON ST 122 CENTENNIAL,CO80112	74-2392779	501(c)(3)	30,000	GENERAL PROGRAM SUPPORT
(6) COLORADO COLLEGE 14 E CACHE la POUDRE COL SPRINGS,CO80903	84-0402510	501(c)(3)	11,750	GENERAL PROGRAM SUPPORT
(7) CHEYENNE MOUNTAIN ZOOLOGICAL SOCIETY 4250 CHEYENNE Mtn COL SPRINGS,CO80906	84-0407039	501(c)(3)	81,000	GENERAL PROGRAM SUPPORT
(8) COLORADO RUSH SOCCER 8101 S SHAFFER PK 103 LITTLETON,CO80127	84-1411827	501(c)(3)	15,000	GENERAL PROGRAM SUPPORT
(9) CHILDRENS MUSEUM OF DENVER INC 2121 CHILDRENS MUS DR DENVER,CO80211	84-0658142	501(c)(3)	40,000	GENERAL PROGRAM SUPPORT
(10) PIKES PEAK LIBRARY DISTRICT FOUNDATION 1175 CHAPEL HILLS DR COL SPRINGS,CO80920	11-3690724	501(c)(3)	12,000	GENERAL PROGRAM SUPPORT
(11) YOUNG MEN CHRISTIAN ASSOCIATION 316 N TEJON ST COLORADO SPRINGS,CO80903	84-0404266	501(c)(3)	30,000	GENERAL PROGRAM SUPPORT
(12) CHEYENNE FRONTIER DAYS INC PO BOX 2477 CHEYENNE,WY82003	83-0297781	501(c)(3)	18,300	GENERAL PROGRAM Support
(13) SWITHBACKS FC 234 N TEJON ST COLORADO SPRINGS,CO80903	46-4110067	501(c)(3)	18,000	GENERAL PROGRAM SUPPORT
(14) RONALD MCDONALD HOUSE CHARITIES 4223 ROYAL PINE DR COL SPRINGS,CO80920	84-1013843	501(c)(3)	14,500	GENERAL PROGRAM SUPPORT
(15) FOOTHILLS PARK & RECREATION DISTRICT 6612 S WARD ST LITTLETON,CO80127	84-6013730	501(c)(3)	7,500	GENERAL PROGRAM SUPPORT
(16) COLORADO SPRINGS CONSERVATORY 415 S SAHWATCH ST COL SPRINGS,CO80903	84-1502211	501(c)(3)	10,000	GENERAL PROGRAM SUPPORT
(17) Gold Crown Foundation 1743 Wazee Street Ste 300 Denver,CO80202	74-2422126	501(c)(3)	45,000	GENERAL PROGRAM SUPPORT

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

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

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

Cat. No. 50055P

Schedule I (Form 990) 2020

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)
(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
SCHEDULE I, PART I, LINE 2	CHILDREN'S HOSPITAL COLORADO RELIES ON THE GOVERNANCE PRACTICES OF THE RECIPIENT EXEMPT ORGANIZATIONS TO MONITOR THE USE OF FUNDS AS INTENDED.

Schedule I (Form 990) 2020

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Graphic Arrow

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

Attach to Form 990.
Graphic Arrow

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

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

Children's Hospital Colorado

Employer identification number

84-0166760

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed 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 on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on 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? .............

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

Yes

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) 2020

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)
1GREGORY RAYMOND SVP COLORADO SPRINGS COO	(i) (ii)	268,938 ------------- 0	113,314 ------------- 0	44,401 ------------- 0	93,319 ------------- 0	22,573 ------------- 0	542,545 ------------- 0	42,960 ------------- 0
2MICHELLE LUCERO General Counsel/Secretary	(i) (ii)	417,415 ------------- 0	131,857 ------------- 0	92,079 ------------- 0	129,310 ------------- 0	16,267 ------------- 0	786,928 ------------- 0	86,117 ------------- 0
3DAVID BIGGERSTAFF EVP AND COO	(i) (ii)	602,854 ------------- 0	254,884 ------------- 0	4,687 ------------- 0	176,541 ------------- 0	25,295 ------------- 0	1,064,261 ------------- 0	0 ------------- 0
4SUZANNE JAEGER SVP CHIEF PATIENT EXP & ACCESS	(i) (ii)	315,496 ------------- 0	98,179 ------------- 0	69,973 ------------- 0	109,209 ------------- 0	19,351 ------------- 0	612,208 ------------- 0	65,515 ------------- 0
5JEFFREY HARRINGTON SR. VP/CFO	(i) (ii)	543,630 ------------- 0	195,785 ------------- 0	106,738 ------------- 0	151,819 ------------- 0	22,573 ------------- 0	1,020,545 ------------- 0	102,410 ------------- 0
6RAPHE SCHWARTZ SVP AND CHIEF STRATEGY OFFICER	(i) (ii)	386,845 ------------- 0	135,000 ------------- 0	1,930 ------------- 0	106,418 ------------- 0	22,573 ------------- 0	652,766 ------------- 0	0 ------------- 0
7PATRICIA GIVENS SVP PATIENT CARE SVCS & CNO	(i) (ii)	323,656 ------------- 0	95,335 ------------- 0	69,032 ------------- 0	90,803 ------------- 0	18 ------------- 0	578,844 ------------- 0	61,895 ------------- 0
8DANA MOORE SVP AND CIO	(i) (ii)	447,140 ------------- 0	142,824 ------------- 0	6,552 ------------- 0	137,538 ------------- 0	25,295 ------------- 0	759,349 ------------- 0	0 ------------- 0
9JENA HAUSMANN CEO & PRESIDENT	(i) (ii)	988,573 ------------- 0	518,881 ------------- 0	203,343 ------------- 0	281,471 ------------- 0	25,295 ------------- 0	2,017,563 ------------- 0	199,664 ------------- 0
10ELIZABETH RODRIGUEZ SVP CHIEF HR OFFICER	(i) (ii)	367,392 ------------- 0	113,006 ------------- 0	75,848 ------------- 0	101,670 ------------- 0	23,940 ------------- 0	681,856 ------------- 0	67,594 ------------- 0
11MARGARET SABIN SVP COLORADO SPRINGS PRESIDENT	(i) (ii)	454,587 ------------- 0	145,724 ------------- 0	91,533 ------------- 0	136,216 ------------- 0	18 ------------- 0	828,078 ------------- 0	81,508 ------------- 0
12JARROD MILTON SVP PROFESSIONAL SUPPORT SVCS	(i) (ii)	268,530 ------------- 0	81,293 ------------- 0	51,199 ------------- 0	85,596 ------------- 0	20,431 ------------- 0	507,049 ------------- 0	49,131 ------------- 0

Schedule J (Form 990) 2020

Page 3

Part III

Supplemental Information

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

Return Reference

Explanation

SCHEDULE J, PART I, LINE 4b

THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS FROM A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: SUZANNE JAEGER $ 65,515 JERROD MILTON $ 49,131 GREGORY RAYMOND $ 42,960 JEFFREY HARRINGTON $102,410 JENA HAUSMANN $199,664 PATRICIA GIVENS $ 61,895 MICHELLE LUCERO $ 86,117 ELIZABETH RODRIGUEZ $ 67,594 MARGARET SABIN $ 81,508

Schedule J, Part I, Line 7

CERTAIN INDIVIDUALS ARE ELIGIBLE TO PARTICIPATE IN THE INCENTIVE PLAN FOR CHILDREN'S COLORADO, THE COMPONENTS OF WHICH INCLUDE ACHIEVEMENT OF ORGANIZATIONAL PERFORMANCE GOALS AND INDIVIDUAL PERFORMANCE GOALS. BECAUSE THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS RESERVES THE RIGHT TO CHANGE, AMEND OR TERMINATE THIS PLAN AT ANY TIME, FOR ANY REASON, AT ITS SOLE DISCRETION AND BECAUSE OF CERTAIN OTHER CONDITIONS OF THE PLAN, LINE 7 REGARDING "NON-FIXED PAYMENTS" IS ANSWERED YES. NOTE THAT PRIOR TO THE PAYMENT OF ANY AMOUNTS TO AN INDIVIDUAL WHO IS CONSIDERED A DISQUALIFIED PERSON, THE COMPENSATION COMMITTEE SHALL CERTIFY IN WRITING THE EXTENT TO WHICH THE PERFORMANCE FACTORS ESTABLISHED BY THE COMPENSATION COMMITTEE HAVE BEEN SATISFIED AND SHALL APPROVE THE PAYMENT OF SUCH BONUSES TO SUCH INDIVIDUALS. SEE PART VI, LINES 15A AND 15B FOR ADDITIONAL INFORMATION ON EXECUTIVE COMPENSATION.

Schedule J (Form 990) 2020

Additional Data

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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 instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization
Children's Hospital Colorado

Employer identification number
84-0166760

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	1964BAL52	08-14-2013	309,252,566	SERIES 2013 - SEE PART VI		X		X		X
B	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648A7J8	05-24-2016	200,724,807	SERIES 2016A & 2016C - SEE PART VI		X		X		X
C	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648A8D0	05-24-2016	70,300,000	SERIES 2016B - SEE PART VI		X		X		X
D	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	000000000	03-27-2019	20,000,000	SERIES 2019A - SEE PART VI		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648FMY7	11-04-2019	235,360,000	SERIES 2019BCD - SEE PART VI		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648FPT5	07-01-2020	105,685,000	SERIES 2020A-B - SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	236,915,000		26,770,000		0		5,080,189
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	309,252,566		200,724,807		70,300,000		20,000,000
4 Gross proceeds in reserve funds .............	0		0		0		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	1,844,600		1,519,986		300,000		58,500
8 Credit enhancement from proceeds .............	0		0		0		0
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	197,052,966		80,000,000		70,000,000		19,941,500
11 Other spent proceeds .............	110,355,000		119,204,821		0		0
12 Other unspent proceeds .............	0		0		0		0
13 Year of substantial completion .............	2013		2019		2019		2019
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2019, a current refunding issue)? ........	X			X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2019, 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

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

Cat. No. 50193E

Schedule K (Form 990) 2020

Page 2

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
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?
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?
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 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
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

Schedule K (Form 990) 2020

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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 ..........	JP MORGAN		0		0		0
c Term of hedge .........	2490 %
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
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

BOND A - HOSPITAL REVENUE BONDS SERIES 2013 THE PURPOSE OF THIS BOND ISSUE WAS TO FINANCE LONG-TERM PROJECTS AND TO REFUND SERIES 2008B AND 2008C BONDS. BOND B - HOSPITAL REVENUE BONDS SERIES 2016A & 2016C THE PURPOSE OF THIS BOND ISSUE WAS TO FINANCE LONG-TERM PROJECTS AND TO REFUND SERIES 2004C AND 2004D BONDS. BOND C - HOSPITAL REVENUE BONDS SERIES 2016B THE PURPOSE OF THIS BOND ISSUE WAS TO FINANCE LONG-TERM PROJECTS. BOND D - HOSPITAL REVENUE BONDS SERIES 2019A THE PURPOSE OF THIS BOND ISSUE WAS TO PURCHASE EQUIPMENT. BOND E - HOSPITAL REVENUE BONDS SERIES 2019BCD THE PURPOSE OF THIS BOND ISSUE WAS TO REFUND SERIES 2013B, 2013C1 AND 2013C2. BOND F - HOSPITAL REVENUE BONDS SERIES 2020A-B THE PURPOSE OF THIS BOND ISSUE IS TO REFUND SERIES 2008A & 2010A BONDS.

Schedule K (Form 990) 2020

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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 instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization
Children's Hospital Colorado

Employer identification number
84-0166760

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	1964BAL52	08-14-2013	309,252,566	SERIES 2013 - SEE PART VI		X		X		X
B	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648A7J8	05-24-2016	200,724,807	SERIES 2016A & 2016C - SEE PART VI		X		X		X
C	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648A8D0	05-24-2016	70,300,000	SERIES 2016B - SEE PART VI		X		X		X
D	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	000000000	03-27-2019	20,000,000	SERIES 2019A - SEE PART VI		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648FMY7	11-04-2019	235,360,000	SERIES 2019BCD - SEE PART VI		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648FPT5	07-01-2020	105,685,000	SERIES 2020A-B - SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	236,915,000		26,770,000		0		5,080,189
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	309,252,566		200,724,807		70,300,000		20,000,000
4 Gross proceeds in reserve funds .............	0		0		0		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	1,844,600		1,519,986		300,000		58,500
8 Credit enhancement from proceeds .............	0		0		0		0
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	197,052,966		80,000,000		70,000,000		19,941,500
11 Other spent proceeds .............	110,355,000		119,204,821		0		0
12 Other unspent proceeds .............	0		0		0		0
13 Year of substantial completion .............	2013		2019		2019		2019
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2019, a current refunding issue)? ........	X			X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2019, 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

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

Cat. No. 50193E

Schedule K (Form 990) 2020

Page 2

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
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?
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?
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 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
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

Schedule K (Form 990) 2020

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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 ..........	JP MORGAN		0		0		0
c Term of hedge .........	2490 %
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
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

Schedule K (Form 990) 2020

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

2020

Open to Public
Inspection

Name of the organization

Children's Hospital Colorado

Employer identification number

84-0166760

Return Reference	Explanation
FORM 990, PART I, LINE 6	FROM TEENAGERS TO GREAT GRANDPARENTS, FROM HOMEMAKERS TO PROFESSIONAL ATHLETES, CHILDREN'S HOSPITAL COLORADO VOLUNTEERS ENCOMPASS ALL WALKS OF LIFE AND ALL INCOME LEVELS, EACH VOLUNTEER WITH SOMETHING UNIQUE TO OFFER. OUR DIVERSE GROUP OF VOLUNTEERS HAS ONE THING IN COMMON, HOWEVER, THE DESIRE TO HELP SICK CHILDREN AND THEIR FAMILIES. CHILDREN'S HOSPITAL COLORADO IS FORTUNATE TO HAVE HUNDREDS OF DEDICATED VOLUNTEERS WHO WORK REGULARLY, FROM SEVERAL HOURS A YEAR TO SEVERAL HOURS A WEEK, TO PROVIDE BETTER CARE FOR THE CHILDREN OF CHILDREN'S HOSPITAL COLORADO. THE ASSOCIATION OF VOLUNTEERS THE VOLUNTEERS AT CHILDREN'S HOSPITAL COLORADO ARE ALL PART OF A GROUP CALLED CHILDREN'S HOSPITAL COLORADO ASSOCIATION OF VOLUNTEERS (AOV). THE AOV COORDINATES PLACEMENTS FOR VOLUNTEERS AND ENSURES THAT COMPLETE ORIENTATION AND TRAINING IS PROVIDED TO ALL VOLUNTEERS. OUR VOLUNTEER'S SKILLS AND INTERESTS ARE ALL SO APPRECIATED AND WE TRY TO PLACE EVERYONE IN A ROLE THAT SUITS THEM AND OUR NEEDS. THE EXAMPLES BELOW ARE JUST SOME OF THE WAYS THAT OUR VOLUNTEERS CONTRIBUTE: - VOLUNTEERS ARE ACTIVE AT THE HOSPITAL ON THE ANSCHUTZ MEDICAL CAMPUS, THE SOUTH CAMPUS, HIGHLANDS RANCH THERAPY CARE CENTER, BRIARGATE, COLORADO SPRINGS HOSPITAL AND THE NORTH CAMPUS. - VOLUNTEERS SPEND TIME WITH OUR PATIENTS BY HOLDING, COMFORTING, PLAYING WITH THEM AND MAKING THEM LAUGH. - VOLUNTEERS BRING SPECIALLY-SCREENED DOGS TO PROVIDE ANIMAL-ASSISTED THERAPY FOR THE PRESCRIPTION PET PROGRAM. - SPECIALLY TRAINED VOLUNTEERS SERVE AS AMBASSADORS WITH THE WELCOME PROGRAM. VOLUNTEERS GREET NEWLY ADMITTED PATIENT FAMILIES UPON THEIR ARRIVAL AND INTRODUCE THEM TO THE HOSPITAL'S MANY AMENITIES. THE GOAL IS TO PROVIDE A WARM AND WELCOMING ENVIRONMENT AND TO ANSWER ANY NON-MEDICAL QUESTIONS. - THE WINE EVENT IS THE ASSOCIATION OF VOLUNTEERS' SIGNATURE EVENT. THE SPECIAL EVENING FEATURES A SILENT AND LIVE AUCTION OF FINE WINES AND EXPERIENCES WITH ALL PROCEEDS BENEFITING THE MATERNAL FETAL MEDICINE PROGRAM. - MANY GROUPS OF VOLUNTEERS DO NOT SPEND TIME DIRECTLY WITH OUR PATIENTS, BUT PERFORM MORE ADMINISTRATIVE DUTIES, WHICH CAN BE JUST AS IMPORTANT TO THE DAY-TO-DAY OPERATIONS OF CHILDREN'S HOSPITAL COLORADO. - TEENAGERS BETWEEN 13 AND 18 YEARS OF AGE PARTICIPATE IN THE JUNIOR VOLUNTEER PROGRAM. THEY SUPPORT THE HOSPITAL BY WORKING IN SEVERAL DEPARTMENTS AS WELL AS SUPPORTING FUNDRAISING ACTIVITIES. - VOLUNTEERS ALSO ASSIST IN FUNDRAISING BY STAFFING CHILDREN'S HOSPITAL COLORADO GIFT SHOP AND LA CACHE. - CHAPTER VOLUNTEERS IN THE COMMUNITY ARE VERY ACTIVE IN FUNDRAISING EVENTS THROUGHOUT THE YEAR THAT HELP TO FUND SPECIAL EQUIPMENT, FACILITIES AND PROGRAMS FOR THE PATIENTS OF CHILDREN'S HOSPITAL COLORADO.
FORM 990, PART III, LINE 4A	Neonatology For more than 50 years, the Neonatal Intensive Care Unit (NICU) at Children's Hospital Colorado has been a nationally recognized leader in the treatment of critically ill infants. The state-of-the-art Level IV NICU (the highest distinction by the American Academy of Pediatrics), at Children's Hospital Colorado, provides 82 critical care beds specifically for this patient population. The NICU provides excellent care for infants throughout Colorado and the mountain state region. Named one of the country's top centers by U.S. News & World Report, our Level IV Neonatal Intensive Care Unit offers the highest level of care to more than 2,000 newborns every year - one of the largest centers in the region. We care for any condition affecting a newborn, no matter how rare or critical that condition may be. Therapies include extra corporeal membrane oxygenation (ECMO), genetic testing, and neonatal surgery. Volumes matter. Children's Colorado's NICU is among the highest volume centers in the U.S. for high-complexity patients, meaning we see more and treat more neonates with complex congenital conditions and severe complications of prematurity than most other centers. The NICU cares for both premature and term infants with a variety conditions, including hypoxic respiratory failure, infections, hematological, neurological, cardiovascular and metabolic disorders. Infants with single major or multiple anomalies requiring diagnostic evaluation or surgical intervention are often treated in the NICU. Our survival rates rank among the best in the nation. Our high volumes not only allow for the development of highly specialized teams and standardized approaches to care, they also build our surgical and medical sub-specialists' experience and expertise. The Neonatology team has pioneered many critical developments in neonatal care including surfactant replacement for premature infants, inhaled nitric oxide therapy for pulmonary hypotension, therapeutic hypothermia for perinatal brain injury, optimal nutrition for low-birth-weight infants and innovative care following fetal surgery. Collectively, the neonatologists and PhD research faculty published 90 articles in 2020. Throughout a visit, a baby and their family stay together in an environment we specifically designed to feel as much like home as possible. Families are integral to the care delivered and key areas of focus include developmentally supportive care of the newborn, primary nursing and a family centered care approach. They are encouraged to participate in daily rounds and in all aspects of care. There is a Family Advisory Council to support current families and provide perspective on the patient experience. The clinical care team in the NICU is comprised of Neonatologists, Neonatal Nurse Practitioners, specialty trained nurses, respiratory therapists, pharmacists, physical, speech and occupational therapists, lactation specialists, neonatal nutrition, social work, chaplains, and case managers. Specialty consultants include neurology, pulmonology, genetics, gastroenterology, nutrition, metabolic, endocrinology, hematology, cardiology and cardiovascular surgery, general pediatric surgery, renal, ophthalmology, orthopedics and ear, nose and throat specialists. Children's Hospital Colorado neonatologists have diverse expertise caring for an array of complex conditions. The Section of Neonatology provides full clinical support for infants and their families at multiple hospitals in the Denver metropolitan area including Children's Hospital Colorado, University of Colorado Hospital and Denver Health Medical Center. The 36 board-certified neonatologists are nationally and internationally recognized leaders in neonatal care as well as clinical and scientific research. With advances in technology, the NICU team can provide teleconferencing for referring providers and/or parents who may not be present to provide optimal communication. They can also provide tele-NICU services to hospitals in rural areas to ensure those infants are properly treated in their home community and transferred only when appropriate. The NICU team continuously reviews quality and patient safety data focusing on excellence in patient outcomes. The NICU leadership team meets bimonthly for Quality Rounds, promoting engagement of front-line staff. This avenue elicits great discussions among staff regarding what is going well as well as in identifying opportunities and creative ideas for improvement. The NICU team promotes the safest environment possible with key communication in safety huddles each shift to review details of our safety and quality improvement work. Optimal communication with a large multidisciplinary team is one of our key strategies to promote the highest quality care possible. 2021 NICU Quality and Process Improvement Initiatives: . Increasing the family experience scores to 80% or greater. The NICU is involved in a regional collaborative to improve family engagement and satisfaction within NICU's, focusing on parents as partners in care and consistent, frequent communication. Strong foundation of Primary nursing for patients and families remains a model of care within the NICU. . The NICU continues work with a large national quality improvement initiative, Children's Hospital Neonatal Consortium (CHNC) focusing on the standardization of unique clinical quality measures of the surgical and critically ill neonate. . Ongoing key quality initiatives include focusing on decreasing unplanned extubations, patient identification events, pressure injuries, adverse medication events and peripheral intravenous catheter extravasations. . There is major focus on infection prevention practices and hand washing compliance among the large multidisciplinary team in the NICU. . Continue a significant focus on the prevention of central line associated blood stream infections (CLABSI). Our goal is to sustain a CLABSI goal of 2/1000-line days or less in 2021. Following staff compliance to the CLABSI bundle of prevention measures and auditing clinical practices related to CLABSI prevention. . Lactation program focuses on a goal of 82% or greater of NICU infants receiving breast milk while hospitalized and upon discharge. In addition, there are several other quality projects with a nutrition focus lead by Clinician Nutrition and the broader multi-disciplinary team. . Following clinical outcomes of infants delivered in the Labor and Delivery Care Unit at CHCO and admitted to the NICU at CHCO. . Trending data from codes/resuscitations in the NICU with processes identified for improvement, including code simulations and standardization of processes within the resuscitation. . A standardized, evidenced based approach to caring for infants in the Small Baby Unit within the NICU. Key clinical outcomes are tracked and reviewed in this patient population. . Close follow up of infants treated with hypothermic therapy for neonatal encephalopathy, unique ventilation strategies, Supporting Preemie Respiratory Outcomes (SPROUT) Transitional Team, extracorporeal membrane oxygenation (ECMO), inhaled nitric oxide (iNO), continuous renal replacement therapy (CRRT) and renal dialysis.
FORM 990, PART III, LINE 4A (cont'd)	CENTER FOR CANCER AND BLOOD DISORDERS Children's Hospital Colorado's Center for Cancer and Blood Disorders (CCBD) has one of the best pediatric hematology, oncology, and bone marrow transplant programs in the country. The CCBD has been ranked in the Top 10 programs by US News & World Report. The Center provides care for many pediatric cancers & blood disorders including: Oncology, Solid Tumors, Neuro- Oncology, Hemophilia & Thrombosis, Hematology, Experimental Therapeutics, and Bone Marrow Transplant & Cell Therapy. Helping children realize their full potential is also achieved through our Wellness Program, Adolescent & Young Adult care, and our HOPE survivorship program. Every year we see more between 300-350 new cancer diagnoses. The CCBD experienced 24,872 patient visits in 2020, seeking to serve the Colorado community, as well as our 7-state region. Of these visits 91% of patients were from Colorado while the remaining almost 9% were from the 7-state region or beyond. Our Anschutz facility location saw 17,582 visits of the total visits, with our infusion center volume making up 30% of those visits. Our Network of Care sites in Highlands Ranch, Colorado Springs, and our Hemophilia Thrombosis Center had patient visits in 2020 of 7,870 of which 33% were infusions. In early 2020, we expanded care to include infusion services at North Campus in Broomfield, Colorado. Because of the depth and breadth of CCBD outpatient services, a large number of our clinic and infusion visits mean that many children can be cared for on an outpatient basis instead of being admitted to the hospital. Limiting hospitalization when possible is our high priority to enable our families live healthier lives. CCBD Inpatient had 8,661 patient days recorded in 2020; 1.3% of these occurred at Children's Hospital Colorado, Colorado Springs. The Anschutz Medical Campus inpatient unit had a total of 6,691 inpatient Hematology and Oncology patient days and 1,970 BMT patient days recorded. National/Regional Presence: CCBD has an outreach program reaching from Montana to New Mexico with extensive presence in Colorado. Our outreach clinics in Grand Junction bring Hematology sub-specialty expertise to the Western slope. Our Hemophilia & Thrombosis Center (HTC) provides comprehensive care clinics throughout the region. We host bi-weekly Bone Marrow Transplant (BMT) teleconferences with cancer programs in New Mexico. Our CCBD nursing program travels throughout the region and provides virtual teaching to train other hospital nurse staff on best practices in chemotherapy administration. In 2020 we expanded our telemedicine efforts. We were successful in arranging physician licensing, credentialing, and contracts in Montana and New Mexico. Our HTC faculty successfully treated rural out of state patients via telemedicine in 2020, and they have set the stage for expanding this platform. CCBD is acknowledged by Optum as a Center of Excellence for both our Cancer Care as well as Bone Marrow Transplant. We are the only pediatric Foundation for the Accreditation of Cellular Therapy (FACT) program in a 16-state region, which brings us the capacity to deliver the most sophisticated stem cell transplant and chimeric antigen receptor T (CAR- T) cell immunotherapy. Continued expansion of the application of CAR-T therapy has also advanced in both the targeted antibodies and different diseases. Our Neuro-Oncology and Experimental Therapeutics programs draw patients nationally and internationally for treatment and clinical trials that are available in only a few centers in the world. CCBD Fellowship Program: Each year we select 4 new fellows to join our highly selective 3-year Accreditation Council of Graduate Medical Education-sanctioned Fellowship Program. Our fellows train in all aspects of sub-specialty care of children, adolescents and young adults with blood and cancer disorders in preparation for a career in academic medicine. We emphasize excellence in clinical care and research, developing fellows in the physician-scientist model with numerous mentors among the faculty such that our graduates acquire the skills and strategies needed for a career as life-long learners, educators, and influential leaders. We have successfully prepared subspecialty pediatricians that provide comprehensive, patient- and family-centered care with particular focus on excellent communication skills, as well as safety and quality improvement. Training the next generation of physicians is imperative to the health of children in our communities. Multi & Interdisciplinary Care: CCBD is privileged to have a dedicated Wellness program. This interdisciplinary team is comprised of specialists in Social Work, Psychology, Child Life, Family Navigation, Creative Arts Therapy, Chaplaincy, and Learning Specialists. The Wellness program benefits families and patients by integrating and coordinating clinical services to meet every family's needs at the individual level and increases possibilities for prevention/intervention and on-going care and connection. The CCBD is a home for multiple sub-programs within Oncology, Hematology and BMT. Our Vascular Anomalies Center is also a national and regional leader. This interdisciplinary team evaluates and treats vascular anomalies in children. NThe team includes specialists from Otolaryngology (ear, nose, and throat), Plastic Surgery, Dermatology, Hematology, Pediatric General Surgery, and Interventional Radiology. This program exemplifies our priority to put the patient first. Our specialists coordinate their care in one patient appointment to minimize the number of visits needed to evaluate and treat the patient's condition. Quality Improvement: The CCBD is committed to developing quality improvement as a core clinical strategy by continually advancing the effectiveness, efficiency, safety, experience, and coordination of the care it provides to its patients. The Clinical Effectiveness Collaborative (CEC) supports data driven improvement work on clinical effectiveness, operational excellence, and value throughout the CCBD, CHC, and the University of Colorado Anschutz Medical Campus with multidisciplinary standing membership drawn from individuals within the CCBD who can provide meaningful review and guidance to projects shared and supported by the CEC. The CEC is broadly representative, multidisciplinary and guides the range of activities and initiatives through which the CCBD is pursuing its clinical, operational, value-driven, and financial improvement goals. One primary function of the CEC is to review and provide feedback related to clinical and operational improvement projects, including measures, PI methods, and project alignment across the CCBD and CHC. The Collaborative's members help guide clinical and operational improvement initiatives, spread successful interventions, identify, and recommend strategies to overcome barriers/challenges, and serve as enthusiastic advocates for, participants and leaders of continuous learning and improvement in their respective areas and across the CCBD. The CCBD has several active Quality & Process Improvement initiatives underway in 2020 (and continuing into 2021) to include, but not limited to: . The CCBD areas of patient care patient satisfaction meet or exceed all other patient care areas within Children's Hospital Colorado. . Standardizing an approach to screening for transfusion-associated iron overload increasing the number of patients identified and treated for this complication and preventing long-term toxicities. . Decreasing length of stay of high-dose methotrexate admissions resulting in more time outside the hospital for children with leukemia and osteosarcoma. . Preventing blood stream infections in patients with a central line/catheter. . Improving time to antibiotics for patients receiving cancer care that present with fever and neutropenia (low white blood cell count) in all settings: Emergency Department & Outpatient clinic. . Decreasing the rate of clostridium difficile infections resulting in decreased mortality, decreased length of inpatient hospital stay and decreased cost for both community and hospital onset. . Increase reliability rates of Chemotherapy administered: both prescribing and administration process. . Successful Foundation for the Accreditation of Cellular Therapy (FACT) re-accreditation. FACT accreditation is a threshold for excellence in cellular therapy within the bone marrow or cord blood transplant (BMT) patient population. . Evaluating and changing the Bone Marrow Harvest process to reduce the positive sterility rate of products collected by CHCO providers.
FORM 990, PART III, LINE 4A (cont'd)	Neurosciences Children's Hospital Colorado's Neuroscience Institute (NSI) has one of the best developmental pediatrics, neurology, and neurosurgery programs in the country. We have consistently ranked among the Top 15 programs by U.S. News & World Report and ranked #10 in 2020-21 and 2021-22. The NSI provides evaluation and treatment of neurological disorders, parent and patient education, and inpatient and outpatient treatments, therapies and procedures. Our neurology team is specially trained to diagnose and treat disorders of the brain and nervous system, caring for kids with conditions like stroke, neuromuscular disorders, movement disorders, neurometabolic disorders, epilepsy, and migraines. Our neurosurgery team provides surgical treatment for all types of disorders affecting the brain, spinal cord and skull including epilepsy, hydrocephalus, traumatic injury, brain tumors, spina bifida, and facial and skull deformities. Our Developmental Pediatrics team sees children with a variety of developmental and neurobehavioral differences such as autism spectrum disorders, X&Y chromosome variations, fragile X and developmental delays. NSI includes more than 50 physicians, 26 advanced practice providers, and 29 psychologists across 8 Children's sites as well as 7 outreach sites across Colorado and a growing telemedicine practice. The clinical care team is comprised of neurologists, neurosurgeons, developmental pediatricians, neuropsychologists, psychologists, advanced practice providers, as well as specially trained nurses, genetic counselors, social workers, nutritionists, pharmacists, and physical, speech and occupational therapists. Our Children's sites include Anschutz, COS/Briargate, North/Broomfield, Parker, Uptown, Wheatridge, South, Highlands Ranch Therapy. The NSI saw 32,742 patient visits in 2020, serving the Colorado community and our 7-state region. With the pandemic, NSI was quick to shift to telemedicine, quickly training our providers, and implementing new workflows with clinical and administrative support staff. As a result, NSI had 13,926 telemedicine visits in 2020, which enabled us to continue to provide much needed care. Our providers were at the forefront of researching the impact of telemedicine visits in pediatric neurology and contributing to national guidelines for the neuro exam in a telemedicine visit. Due to the consistent demand for NSI's services, we continue to expand our outreach and telemedicine efforts to better serve patients across Colorado and the 7-state region. Increasing access to care for NSI's specialized services is a top priority to enable our families to live healthier lives. NSI Inpatient had 6,605 patient days recorded in 2020. There was a total of 1,299 inpatient discharges in 2020, and 756 neurosurgeries. In 2020, we opened a new Interventional Radiology suite, with new machines that produce CT scan-like cross-sectional images as well as 3D navigational images of blood vessels to enhance our ability to perform biopsies, drain complex collections, and treat vascular malformations. We saw a 6.1% decrease in 2020 in our Epilepsy Monitoring Unit admissions, for 2,640, due to COVID-19 pandemic, and challenges around COVID-19 testing. National/Regional Presence: NSI's outreach program extends from Montana to New Mexico with extensive presence in Colorado. We host over 100 Neurology outreach clinics annually across Colorado, in Alamosa, Durango, Ft. Morgan, Grand Junction, Montrose, Pueblo and Sterling. Our neurologists provide EEG reading services for 11 hospitals/medical centers in Colorado, Montana, Nebraska, and New Mexico. Our Developmental Pediatrics team travels throughout the state to train PCPs on best practices in diagnosing and managing patients with autism, with a focus on rural and frontier outreach clinics within the state and continues to expand the number of sites. We have a Developmental Pediatric psychologist work closely with the Pediatric Care Network (PCN) providers to educate them about how to obtain information needed to make a referral, provide them with easy to use templates, expedite assessments, and provide feedback about their initial impression of their patients after the assessment in Developmental Pediatrics, as a learning model for them. We continue to expand our regional partnerships, including ongoing exploration of outreach and telemedicine clinics in Casper, WY. NSI's Epilepsy program is accredited by the National Association of Epilepsy Centers as a Level 4 Epilepsy Center, which have the professional expertise and facilities to provide the highest level medical and surgical evaluation and treatment for patients with complex epilepsy. In 2020, our Epilepsy Monitoring Unit was accredited as an ABRET Long-Term Monitoring (LTM) laboratory, the only one in the Colorado and several surrounding states for either adult or pediatrics. We are recognized by the International Foundation for CDKL5 Research as Center of Excellence for Rett patients, one of only 15 institutions across the U.S., drawing patients nationally to be treated by Dr. Tim Benke, an international expert in this area. Our Neurology Complex Drugs Program draw patients from around the region to be treated for complex neurodegenerative diseases, and the program has been recognized as model for care for these treatments. Our faculty offer local and regional CMEs and organize an annual Rett Symposium and regular Seizure Safety Schools for parents and families. After several years of diligent advocacy by our physicians and genetic counselors, Colorado (and Wyoming) have included Spinal Muscular Atrophy in their Newborn Screening Programs. With 3 available treatments for this neurodegenerative disease, this screening, done in partnership with Children's Colorado, provides families with knowledge and options for their children. Quality Improvement: The NSI is committed to developing quality improvement as a core clinical strategy by continually advancing the effectiveness, efficiency, safety, experience and coordination of the care it provides to its patients. As a result of ongoing quality and process improvement initiatives, NSI has seen the following outcomes: . Seizure Free Rate (12 months post-surgery): 100% . SSI Bundle Compliance for Shunts: 90% . Shut Revisions within 90 days: 0% . Infantile Spasm LOS (% of pts with stay <4 days): 93% . EEG Lead Pressure Injuries (continuous EEG): 0.07% . Maintained high patient satisfaction scores: 89.1% across NSI, above Children's Ambulatory average of 88.9% NSI maintains a strong research portfolio, with faculty garnering numerous NIH and foundation grants in the past year. Within the hospital, we have the second largest portfolio of industry trials. With over 150 clinical research studies patients are ability to participate in new, emerging treatments for neurological disorders, including gene therapies.
FORM 990, PART VI, LINE 1A	CHILDREN'S HOSPITAL COLORADO'S EXECUTIVE COMMITTEE CONSISTS OF THE BOARD CHAIR, CHAIR ELECT, CHIEF EXECUTIVE OFFICER, SECRETARY, BOARD TREASURER, CORPORATE TREASURER, IMMEDIATE PAST CHAIR, THE CHAIR OF THE CHILDREN'S HOSPITAL COLORADO FOUNDATION, THE CHANCELLOR (OR DESIGNEE) AND UP TO TWO (2) ADDITIONAL SEATS TO BE FILLED BY THE BOARD CHAIR. THE EXECUTIVE COMMITTEE HAS ALL THE POWERS OF THE BOARD OF DIRECTORS, EXCEPT AS LIMITED BY LAW, DURING THE PERIOD BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD. FORM 990, PART VI, LINE 6 CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL COLORADO. FORM 990, PART VI, LINE 7A THE WRITTEN CONSENT OF CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM IS REQUIRED TO APPROVE THE BOARD OF DIRECTORS OF CHILDREN'S HOSPITAL COLORADO. FORM 990, PART VI, LINE 7B CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM AS THE SOLE MEMBER HAS CERTAIN APPROVAL POWERS AS DESCRIBED IN THE AMENDED AND RESTATED BYLAWS DATED SEPTEMBER 22, 2011 AND AMENDED MOST RECENTLY IN FEBRUARY 2017. FORM 990, PART VI, Line 11B CHILDREN'S HOSPITAL COLORADO'S FINANCE DEPARTMENT WORKS CLOSELY WITH HUMAN RESOURCES, CORPORATE COMPLIANCE, LEGAL AND PUBLIC RELATIONS TO GATHER ALL THE DATA REQUIRED TO COMPLETE THE FORM 990. THE DIRECTOR OF ACCTG. & REPORTING CONDUCTS A REVIEW WITH THE CFO PRIOR TO THE DRAFT BEING DISTRIBUTED TO THE BOARD OF DIRECTORS. ANY NECESSARY CHANGES ARE MADE, THE FORM IS SIGNED BY THE CFO, REVIEWED BY THE AUDIT COMMITTEE, AND A FINAL COPY IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE IRS VIA A SECURED WEBSITE. FORM 990, PART VI, LINE 12C BOARD MEMBERS ARE REQUIRED TO DISCLOSE, ON AN ANNUAL BASIS, POTENTIAL CONFLICTS OF INTEREST PURSUANT TO THE WRITTEN POLICIES OF CHILDREN'S HOSPITAL COLORADO (CHCO) AND CHILDREN'S HOSPITAL COLORADO FOUNDATION (CHCF). ALL EMPLOYEES AND BOARD MEMBERS MUST PROMPTLY PROVIDE A WRITTEN DESCRIPTION OF MATERIAL FACTS OF AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST TO CORPORATE COMPLIANCE AND/OR GENERAL COUNSEL ON THE APPROPRIATE DISCLOSURE FORM. SUCH DISCLOSURE WILL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF THE CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. POLICIES AND PROCEDURES FOR DISCLOSING CONFLICTS OF INTEREST ARE TO BE FOLLOWED ACCORDING TO THE INDIVIDUAL'S FUNCTION, IN COMPLIANCE WITH STATE AND FEDERAL REGULATIONS. COMPLETED DISCLOSURE FORMS ARE SUBJECT TO AUDIT REVIEW BY LEGAL, THE CORPORATE COMPLIANCE PROGRAM, AND THE COMPLIANCE AND BUSINESS ETHICS COMMITTEE OF THE BOARD OF DIRECTORS. FAILURE TO COMPLY WITH CONFLICT OF INTEREST POLICIES MAY LEAD TO DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT OR WORKING RELATIONSHIP WITH THE CHILDREN'S HOSPITAL COLORADO. ONCE THE COMPLIANCE AND BUSINESS ETHICS (CABE) COMMITTEE HAS DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS WITH RESPECT TO AN AGREEMENT/CONTRACT THEN: 1. THE (CABE) COMMITTEE WILL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER CHILDREN'S HOSPITAL COULD OBTAIN A MORE ADVANTAGEOUS AGREEMENT/CONTRACT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES AND, IF APPROPRIATE, WILL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT. 2. IN CONSIDERING WHETHER TO ENTER THE PROPOSED AGREEMENT/CONTRACT, THE CABE COMMITTEE MAY APPROVE SUCH CONTRACT, TRANSACTION OR ARRANGEMENT ONLY IF THE DISINTERESTED PERSON OR COMMITTEE DETERMINE BY A MAJORITY VOTE THAT: - THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT IS IN CHILDREN'S COLORADO'S BEST INTERESTS AND FOR COLORADO CHILDREN'S OWN BENEFIT; AND - THE PROPOSED TRANSACTION IS FAIR AND REASONABLE TO CHILDREN'S HOSPITAL COLORADO (CHCO), CONSIDERING, AMONG OTHER RELEVANT FACTORS, WHETHER CHCO COULD OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. FORM 990, PART VI, LINES 15A AND 15B CHILDREN'S HOSPITAL COLORADO HAS AN EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS THAT REVIEWS AND APPROVES ANY PROPOSED INCREASES RELATED TO ANY OFFICERS AND KEY EMPLOYEES OF THE COMPANY. THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE ALONG WITH THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS EACH YEAR. ONCE A CHANGE IN COMPENSATION IS APPROVED, FORMAL DOCUMENTS ARE COMPLETED AND MINUTES OF THE MEETING ARE PREPARED, REVIEWED AND APPROVED. EXECUTIVE COMPENSATION PROGRAMS FOR CHILDREN'S HOSPITAL COLORADO (CHCO) ARE DESIGNED TO ATTRACT AND RETAIN TOP EXECUTIVE TALENT. PROGRAM OBJECTIVES INCLUDE: -MAINTAIN EXECUTIVE PAY RANGES THAT REFLECT MARKET AND INTERNAL ALIGNMENT -ESTABLISH PAY FOR INDIVIDUAL EXECUTIVES BASED ON SKILLS, EXPERIENCE AND/OR PERFORMANCE HISTORY -PROVIDE ANNUAL PAY INCREASE TO REWARD INDIVIDUAL PERFORMANCE AND MAINTAIN MARKET COMPETITIVENESS -UTILIZE INCENTIVE PAY TO REWARD THE EXECUTIVE'S ABILITY TO ALIGN DIVISIONAL PERFORMANCE TO ORGANIZATIONAL PERFORMANCE -PROMOTE THE HEALTH AND WELLNESS OF EXECUTIVES AND THEIR FAMILIES, WHILE PROVIDING FAMILY FRIENDLY PROGRAM OPTIONS CONSISTENT WITH CHCO MISSION -MAINTAIN OVERALL PROGRAM AFFORDABILITY AND SUSTAINABILITY FOR THE ORGANIZATION THE EXECUTIVE COMPENSATION PACKAGE CONSISTS OF BASE PAY, INCENTIVE PAY, AND BENEFITS (MEDICAL, DENTAL, VISION, LIFE, DISABILITY, RETIREMENT, AND VOLUNTARY BENEFIT PROGRAMS). CHCO DEFINES MARKET COMPETITIVENESS BASED ON COMPARISONS WITH A PEER GROUP CONSISTING OF NATIONAL PEDIATRIC AND REGIONAL HEALTH SYSTEMS THAT ARE SIMILAR IN SIZE AND COMPLEXITY. IN DETERMINING MARKET COMPETITIVENESS, CHCO PARTNERS WITH AN EXTERNAL EXECUTIVE COMPENSATION CONSULTANT TO GATHER AND ASSESS MARKET DATA FROM INDEPENDENT COMPENSATION AND BENEFIT SURVEYS THAT REFLECT FUNCTIONALLY COMPARABLE POSITIONS IN THE PEER GROUP. AS NEEDED, THE EXTERNAL EXECUTIVE COMPENSATION CONSULTANT WILL PROVIDE RECOMMENDATIONS TO HELP RESOLVE DIFFICULTIES IN RECRUITING AND RETAINING EXECUTIVES OR ENSURE CRITICAL BUSINESS OR STRATEGIC ISSUES ARE ADDRESSED. 2020 CUSTOM PEER GROUP -TEXAS CHILDREN'S HOSPITAL (HOUSTON, TX) -THE CHILDREN'S HOSPITAL OF PHILADELPHIA (PHILADELPHIA, PA) -BOSTON CHILDREN'S HOSPITAL (BOSTON, MA) -CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER (CINCINNATI, OH) -NATIONWIDE CHILDREN'S HOSPITAL (COLUMBUS, OH) -CHILDREN'S HEALTHCARE OF ATLANTA (ATLANTA, GA) -COOK CHILDREN'S HEALTH CARE SYSTEM (FORT WORTH, TX) -CHILDREN'S HEALTH SYSTEM OF TEXAS (DALLAS, TX) -SEATTLE CHILDREN'S (SEATTLE, WA) -CHILDREN'S MERCY KANSAS CITY (KANSAS CITY, MO) -CHILDREN'S NATIONAL HEALTH SYSTEM (WASHINGTON, DC) -RADY CHILDREN'S HOSPITAL - SAN DIEGO (SAN DIEGO, CA) -CHILDREN'S HOSPITAL LOS ANGELES (LOS ANGELES, CA) -ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO (CHICAGO, IL) -CHILDREN'S WISCONSIN (MILWAUKEE, WI) -CHILDREN'S HOSPITALS AND CLINICAL OF MINNESOTA (MINNEAPOLIS, MN) -PHOENIX CHILDREN'S HOSPITAL (PHOENIX, AZ) -CHOC CHILDREN'S (ORANGE, CA) -ARKANSAS CHILDREN'S HOSPITAL (LITTLE ROCK, AR) -UCHEALTH (AURORA, CO) -CENTURA HEALTH (CENTENNIAL, CO) -SCL HEALTH (BROOMFIELD, CO) -ST. LUKE'S HEALTH SYSTEM (BOISE, ID) THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN 2020.
FORM 990, PART VI, LINE 19	THESE DOCUMENTS ARE MADE AVAILABLE UPON REASONABLE REQUEST.
FORM 990, PART XI, LINE 9	EQUITY TRANSFER FROM CHCHS $ 7,680,610 EQUITY TRANSFER FROM FOUNDATION $39,946,614 CHANGE IN PERPETUAL TRUST $ 4,898,321 OTHER CHANGES IN NET ASSETS ($ 3,385,712) ------------- TOTAL $49,139,833 =============
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:59156879
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING FEES TOTAL FEES:4865278
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER TOTAL FEES:6448603

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2020

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO IMPROVE THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH-QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	27
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	26
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	9,123
6	Total number of volunteers (estimate if necessary) .............	6	2,422
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	7,041,621
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	994,165

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	16,507,484	67,569,948
9	Program service revenue (Part VIII, line 2g) .........	1,304,256,340	1,329,405,373
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	9,285,499	2,639,776
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	-2,534,840	-10,215,125
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,327,514,483	1,389,399,972
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	805,527	435,050
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)	644,571,961	699,222,900
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)....	618,487,937	687,826,052
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,263,865,425	1,387,484,002
19	Revenue less expenses. Subtract line 18 from line 12.......	63,649,058	1,915,970
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,027,673,274	2,079,968,900
21	Total liabilities (Part X, line 26).............	1,051,387,850	1,052,733,473
22	Net assets or fund balances. Subtract line 21 from line 20.....	976,285,424	1,027,235,427

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,177,476,482 including grants of $ 435,050 ) (Revenue $ 1,329,405,373 )
	ROUTINE INPATIENT SERVICES; ANCILLARY INPATIENT SERVICES SUCH AS LAB, RADIOLOGY, OPERATING ROOM, RECOVERY ROOM, CENTRAL SUPPLIES, ETC.; OUTPATIENT SERVICES SUCH AS EMERGENCY ROOM, MULTI-SPECIALTY AMBULATORY SERVICES INCLUDING ORTHO CLINIC, ONCOLOGY CLINIC, ETC. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.

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












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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,177,476,482

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	8,228,453	0	1,823,539

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	8,567,897
e	Government grants (contributions)		1e	59,002,051

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

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		67,569,948

		Business Code
2a	NET PATIENT SERVICES REVENUE	622110	1,239,589,034	1,239,589,034	0	0
b	RESEARCH FUNDING	541900	13,559,296	13,559,296	0	0
c	LAB BILLING	561000	6,294,486	446,811	5,847,675	0
d	CAFETERIA	722210	3,543,994	3,543,994	0	0
e	PARKING LOT REVENUE	461790	1,853,481	1,853,481	0	0
f	All other program service revenue.		64,565,082	63,371,136	1,193,946	0
g	Total. Add lines 2a–2f .....		1,329,405,373

3 Investment income (including dividends, interest, and othersimilar amounts) ......			3,585,290			3,585,290
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		2,222,506	6a
b	Less: rental expenses		316,353	6b
c	Rental income or (loss)	0	1,906,153	6c
d	Net rental income or (loss).......			1,906,153			1,906,153
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		-945,514	7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)		-945,514	7c
d	Net gain or (loss).........			-945,514			-945,514
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	GAIN/LOSS INTEREST RATE SWAPS			-12,121,278	0	0	-12,121,278
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			-12,121,278
12	Total revenue. See instructions.....			1,389,399,972	1,322,363,752	7,041,621	-7,575,349

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	435,050	435,050
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0	0
4	Benefits paid to or for members .......	0	0
5	Compensation of current officers, directors, trustees, and key employees ...........	8,228,453	6,937,369	1,291,084	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	0	0	0	0
7	Other salaries and wages........	553,615,992	466,750,966	86,865,026	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	30,612,027	25,808,852	4,803,175	0
9	Other employee benefits .......	67,243,881	56,692,991	10,550,890	0
10	Payroll taxes ...........	39,522,547	33,321,268	6,201,279	0
11	Fees for services (non-employees):
a	Management ......	0	0	0	0
b	Legal .........	1,416,520	0	1,416,520	0
c	Accounting ...........	20,730	0	20,730	0
d	Lobbying ...........	541,563	541,563	0	0
e	Professional fundraising services. See Part IV, line 17	0			0
f	Investment management fees ......	99,851	0	99,851	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	225,160,136	189,831,422	35,328,714	0
12	Advertising and promotion ....	9,851,751	8,305,964	1,545,787	0
13	Office expenses .......	3,587,708	3,024,779	562,929	0
14	Information technology ......	23,150,676	19,518,223	3,632,453	0
15	Royalties ..	0	0	0	0
16	Occupancy ...........	26,015,020	21,933,138	4,081,882	0
17	Travel ............	1,481,637	1,249,161	232,476	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0	0	0	0
19	Conferences, conventions, and meetings ....	368,445	310,634	57,811	0
20	Interest ...........	22,532,969	18,997,437	3,535,532	0
21	Payments to affiliates .......	0	0	0	0
22	Depreciation, depletion, and amortization ..	89,264,227	75,258,238	14,005,989	0
23	Insurance ...	2,023,915	1,706,353	317,562	0
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL/PHARM SUPPLIES	188,937,834	159,292,574	29,645,260	0
b	HOSPITAL PROVIDER FEE	56,327,876	56,327,876	0	0
c	EQUIPMENT RENTAL & MAINT	16,309,809	13,750,721	2,559,088	0
d	FOOD	5,057,073	4,263,594	793,479	0
e	All other expenses	15,678,312	13,218,309	2,460,003
25	Total functional expenses. Add lines 1 through 24e	1,387,484,002	1,177,476,482	210,007,520	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 ........			55,988,438	1	105,016,227
2	Savings and temporary cash investments .........			0	2	0
3	Pledges and grants receivable, net ......			4,839,398	3	5,310,490
4	Accounts receivable, net .............			252,014,254	4	228,394,577
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	0
8	Inventories for sale or use ............			16,389,828	8	19,275,525
9	Prepaid expenses and deferred charges ......			14,784,176	9	14,063,149
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,959,088,703
b	Less: accumulated depreciation	10b	694,114,279	1,254,140,946	10c	1,264,974,424
11	Investments—publicly traded securities .			208,876,102	11	217,776,448
12	Investments—other securities. See Part IV, line 11 .....			6,436,399	12	6,447,302
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			214,203,733	15	218,710,758
16	Total assets. Add lines 1 through 15 (must equal line 33)...			2,027,673,274	16	2,079,968,900

17	Accounts payable and accrued expenses .....	213,863,321	17	194,641,853
18	Grants payable ...	6,007,643	18	6,430,891
19	Deferred revenue .........	49,475	19	70,472
20	Tax-exempt bond liabilities .........	657,319,129	20	649,514,254
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	18,248,655	24	17,431,479
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	155,899,627	25	184,644,524
26	Total liabilities. Add lines 17 through 25..	1,051,387,850	26	1,052,733,473

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	854,900,505	27	881,287,198
28	Net assets with donor restrictions ...........	121,384,919	28	145,948,229
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	976,285,424	32	1,027,235,427
33	Total liabilities and net assets/fund balances ........	2,027,673,274	33	2,079,968,900

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) CHILDREN'S NORTH SURGERY CENTER 469 STATE HIGHWAY 7 SUITE 2 BROOMFIELD,CO80023 26-2394578	O/P SURGERY	CO	2,031,902	269,646	CH-COLORADO
(2) 5314 INSURANCE COMPANY LLC 677 Ala Moana Blvd Suite 316 HONOLULU,HI96813 84-3975618	CAPTIVE INS.	HI	16,252,178	21,052,335	CH-COLORADO

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)CHILDREN'S HOSPITAL COLORADO HLTH SYSTEM 13123 EAST 16TH AVE AURORA,CO80045 45-4182666	HEALTHCARE	CO	501(c)(3)	12c,III-FI	NA		No
(2)CHILD HEALTH MANAGEMENT SERVICES INC 13123 EAST 16TH AVE AURORA,CO80045 74-2266667	IT SERVICES	CO	501(c)(3)	3	CH-COLORAD	Yes
(3)THE CHILDREN'S HOSPITAL FOUNDATION 13123 EAST 16TH AVE AURORA,CO80045 84-0813462	FOUNDATION	CO	501(c)(3)	7	CHCHS	Yes
(4)CHILDREN'S HEALTH CORPORATION 13123 EAST 16TH AVE AURORA,CO80045 74-2235572	SUPPORTING	CO	501(c)(3)	12a-I	CH-COLORAD	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?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

(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?		(k) Percentage ownership
(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	(k) Percentage ownership