TY 2023 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/1099-NEC)
(1) A KADE GOEPFERD...................................................................... CHIEF OF ED & FORMER BOARD MEMBER (THRU 3/23)	50.00 ................. 0.00	X		476,194	17,613
(2) ANDREW PUGH...................................................................... SVP CHIEF LEGAL OFFICER	48.00 ................. 2.00	X	X	605,205	44,256
(3) ANNA RICHO...................................................................... BOARD MEMBER	1.00 ................. 0.00	X		0	0
(4) ARCHELLE GEORGIOU...................................................................... BOARD MEMBER, CHAIR	1.00 ................. 3.00	X	X	0	0
(5) BRENDA MCCORMICK...................................................................... SVP AND CFO	47.00 ................. 3.00	X	X	916,032	44,336
(6) BROOKE MOORE...................................................................... BOARD MEMBER	1.00 ................. 0.00	X		0	0
(7) CAROLYN SMALLWOOD...................................................................... BOARD MEMBER (THRU 3/23)	1.00 ................. 0.00	X		0	0
(8) CHRIS HEDBERG...................................................................... BOARD MEMBER	1.00 ................. 1.00	X		0	0
(9) DAMU MCCOY...................................................................... BOARD MEMBER	1.00 ................. 0.00	X		0	0
(10) DENEEN VOJTA...................................................................... BOARD MEMBER (THRU (3/23)	1.00 ................. 0.00	X		0	0
(11) GARFIELD BOWEN...................................................................... BOARD MEMBER	1.00 ................. 0.00	X		0	0
(12) GARY BLACKFORD...................................................................... BOARD MEMBER, VICE CHAIR (THRU 3/23)	1.00 ................. 3.00	X	X	0	0
(13) JEAN KANE...................................................................... BOARD MEMBER	1.00 ................. 0.00	X		0	0
(14) JEFF VON GILLERN...................................................................... BOARD MEMBER/TREASURER	1.00 ................. 2.00	X		0	0
(15) JILL SCHURTZ...................................................................... BOARD MEMBER (THRU (3/23)	1.00 ................. 0.00	X		0	0
(16) JIM LESLIE...................................................................... BOARD MEMBER	1.00 ................. 0.00	X		0	0
(17) JJ KUHN...................................................................... BOARD MEMBER, CHAIR ELECT	1.00 ................. 2.00	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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) LINDA HALL........................................................................ BOARD MEMBER	1.00 .......................0.00	X					0	0	0
(19) MARC GORELICK MD........................................................................ PRESIDENT & CEO	47.00 .......................3.00	X	X				1,732,513	0	356,578
(20) MATT BILUNAS........................................................................ BOARD MEMBER, TREASURER (THRU 8/23)	1.00 .......................2.00	X	X				0	0	0
(21) SHELLY CARTHEN WATSON........................................................................ BOARD MEMBER	1.00 .......................0.00	X					0	0	0
(22) THOMAS GOODMANSON........................................................................ BOARD MEMBER	1.00 .......................0.00	X					0	0	0
(23) WILLIAM MIZE........................................................................ MD RADIOLOGY, BOARD MEMBER	47.00 .......................3.00	X					763,064	40,161	31,184
(24) CAROLINE NJAU........................................................................ SVP PATIENT CARE SVCS & CN	50.00 .......................0.00		X				561,145	0	31,638
(25) DAVID LUNDAL........................................................................ SVP CIO	50.00 .......................0.00		X				596,875	0	44,239
(26) EMILY CHAPMAN MD........................................................................ SVP MEDICAL AFFAIRS & CMO	50.00 .......................0.00		X				863,236	0	30,941
(27) JAMES BURROUGHS........................................................................ SVP GOVT & COMM RELATIONS/CEIO	50.00 .......................0.00		X				393,037	0	27,183
(28) JENNIFER OLSON MARKET........................................................................ SVP & COO (THRU 9/23)	48.00 .......................2.00		X				1,174,878	0	860,360
(29) JENNY SODERHOLM........................................................................ FOUNDATION PRESIDENT	18.00 .......................32.00		X				231,689	430,279	31,213
(30) ANDREW BERNDT........................................................................ VP CLINICAL SERVICES	50.00 .......................0.00			X			236,932	0	39,964
(31) ANUPAM KHARBANDA MD........................................................................ CLINICAL VP, CHIEF OF CRITICAL CARE	50.00 .......................0.00			X			502,601	0	23,567
(32) JAMES LESTE........................................................................ VP OPERATIONS	50.00 .......................0.00			X			432,747	0	48,300
(33) LAURIN CATHEY........................................................................ SVP & CHRO	50.00 .......................0.00			X			566,203	0	37,762
(34) MONICA SCHILLER........................................................................ VP AMBULATORY SERVICES	40.00 .......................10.00			X			305,256	76,314	39,040
(35) PAMELA GIGI CHAWLA MD........................................................................ VP CHIEF OF GENERAL PEDIAT	40.00 .......................10.00			X			409,679	102,420	45,281
(36) SUSAN SENCER........................................................................ VP CHIEF SPECIALTY PEDIATR	50.00 .......................0.00			X			517,670	0	64,188
(37) SUSAN SLOCUM........................................................................ CHIEF INVESTMENT OFFICER	50.00 .......................0.00			X			310,041	0	22,520
(38) TIMOTHY LANDER........................................................................ CLINICAL VP, CHIEF OF SURGERY	47.00 .......................3.00			X			514,786	27,094	31,184
(39) ANDREA LAMPLAND MD........................................................................ MEDICAL DIRECTOR NEONATOLO	50.00 .......................0.00				X		756,132	0	49,181
(40) KYLE HALVORSON MD........................................................................ STAFF PHYSICIAN	50.00 .......................0.00				X		1,136,116	0	15,420
(41) MEYSAM KEBRIAEI MD........................................................................ STAFF PHYSICIAN	50.00 .......................0.00				X		1,197,285	0	47,349
(42) SACHIN PATEL........................................................................ STAFF PHYSICIAN	50.00 .......................0.00				X		751,404	0	47,483
(43) SHILPA HEDGE........................................................................ STAFF PHYSICIAN	50.00 .......................0.00				X		698,106	0	23,733
(44) KRISTIN PETERSON........................................................................ FORMER VP ACUTE CARE/CLINICAL OPS	50.00 .......................0.00					X	133,817	0	21,941

(A) Name and business address	(B) Description of services	(C) Compensation
MEDICAL STAFFING SOLUTIONS INC PO BOX 101 RICE LAKE,WI54868	NURSE STAFFING	17,765,715
CHILDREN'S HEART CLINIC PA 2530 CHICAGO AVE S SUITE 500 MINNEAPOLIS,MN55404	PHYSICIAN SERVICES	17,468,272
CERNER CORPORATION PO BOX 412702 KANSAS CITY,MO64141	HARDWARE/SOFTWARE	8,430,953
SODEXO INC 9801 WASHINGTON BLVD GAITHERSBURG,MD20878	FOOD SERVICES	4,124,773
PEDIATRIC SURGICAL ASSOC LTD 2530 CHICAGO AVE SUITE 550 MINNEAPOLIS,MN55404	PHYSICIAN SERVICES	4,062,200
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 294

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

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

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

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

CHILDREN'S HEALTH CARE

Employer identification number

41-1754276

Part I

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

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

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

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

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 33 1/3% 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 33 1/3% 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 on 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) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. 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—2022. 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—2023. 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—2022. 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) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 on 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 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. 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—2022. 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) 2023

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) .

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

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 on 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 on 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) 2023

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

11a

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

11b

A 35% controlled entity of a person described on 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 on 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) 2023

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) 2023

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 2023 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-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

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) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

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

2023

Name of the organization

CHILDREN'S HEALTH CARE

Employer identification number

41-1754276

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

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

Special Rules

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

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

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

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

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

Cat. No. 30613XSchedule B (Form 990) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization CHILDREN'S HEALTH CARE

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) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization CHILDREN'S HEALTH CARE		Employer identification number 41-1754276

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization CHILDREN'S HEALTH CARE			Employer identification number 41-1754276
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

right arrow

Complete if the organization is described below. right arrow

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

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

OMB No. 1545-0047

2022

Open to Public
Inspection

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

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

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

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

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

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

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

Name of the organization

CHILDREN'S HEALTH CARE

Employer identification number

41-1754276

Part I-A

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

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

Political campaign activity expenditures. See instructions .................................................................... right arrow

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 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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 ..... right arrow

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

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

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.

Cat. No. 50084S

Schedule C (Form 990) 2022

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 right arrow

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 right arrow

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

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

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

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) Total

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2022

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)? ........

Yes

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

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

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

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

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

Yes

183,231

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

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

Yes

47,330

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

230,561

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
PART II-B, LINE 1:	CHILDREN'S RETAINS A LOBBYIST TO ASSIST DIRECTLY WITH LOBBYING EFFORTS AT THE STATE AND LOCAL LEVELS. CHILDREN'S PUBLIC POLICY DIRECTOR IS ALSO RESPONSIBLE FOR LOBBYING ACTIVITIES ON THE CITY, STATE, AND FEDERAL LEVEL. THOSE RESPONSIBILITIES INCLUDE COORDINATING AND PROVIDING TESTIMONY AT HEARINGS, MAINTAINING RELATIONSHIPS, EDUCATING ELECTING OFFICIAL AND STAFF, AND WORKING WITH OUR REGULATORY AGENCIES. WITH RESPECT TO FEDERAL LOBBYING EFFORTS, CHILDREN'S SENIOR DIRECTOR OF CHILD HEALTH POLICY, PUBLIC POLICY DIRECTOR, AND CEO WILL OCCASIONALLY TRAVEL TO WASHINGTON TO MEET WITH FEDERAL LAWMAKERS. THIS IS GENERALLY DONE IN A COLLABORATION WITH INDUSTRY ORGANIZATIONS, SUCH AS NACHRI, WHO INDIRECTLY PROVIDE FEDERAL LOBBYING SUPPORT ON BEHALF OF CHILDREN'S. CHILDREN'S IS A MEMBER OF THE CHILDREN'S HOSPITAL ASSOCIATION (CHA). $31,958 OF MEMBERSHIP DUES PAID TO CHA RELATE TO LOBBYING ACTIVITIES. CHILDREN'S IS A MEMBER OF THE MINNESOTA HOSPITAL ASSOCIATION (MHA). $8,292 OF MEMBERSHIP DUES PAID TO MHA RELATE TO LOBBYING ACTIVITIES. CHILDREN'S IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA). $7,080 OF MEMBERSHIP DUES PAID TO AHA RELATE TO LOBBYING ACTIVITIES.

Return Reference

Explanation

PART II-B, LINE 1:

CHILDREN'S RETAINS A LOBBYIST TO ASSIST DIRECTLY WITH LOBBYING EFFORTS AT THE STATE AND LOCAL LEVELS. CHILDREN'S PUBLIC POLICY DIRECTOR IS ALSO RESPONSIBLE FOR LOBBYING ACTIVITIES ON THE CITY, STATE, AND FEDERAL LEVEL. THOSE RESPONSIBILITIES INCLUDE COORDINATING AND PROVIDING TESTIMONY AT HEARINGS, MAINTAINING RELATIONSHIPS, EDUCATING ELECTING OFFICIAL AND STAFF, AND WORKING WITH OUR REGULATORY AGENCIES. WITH RESPECT TO FEDERAL LOBBYING EFFORTS, CHILDREN'S SENIOR DIRECTOR OF CHILD HEALTH POLICY, PUBLIC POLICY DIRECTOR, AND CEO WILL OCCASIONALLY TRAVEL TO WASHINGTON TO MEET WITH FEDERAL LAWMAKERS. THIS IS GENERALLY DONE IN A COLLABORATION WITH INDUSTRY ORGANIZATIONS, SUCH AS NACHRI, WHO INDIRECTLY PROVIDE FEDERAL LOBBYING SUPPORT ON BEHALF OF CHILDREN'S. CHILDREN'S IS A MEMBER OF THE CHILDREN'S HOSPITAL ASSOCIATION (CHA). $31,958 OF MEMBERSHIP DUES PAID TO CHA RELATE TO LOBBYING ACTIVITIES. CHILDREN'S IS A MEMBER OF THE MINNESOTA HOSPITAL ASSOCIATION (MHA). $8,292 OF MEMBERSHIP DUES PAID TO MHA RELATE TO LOBBYING ACTIVITIES. CHILDREN'S IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA). $7,080 OF MEMBERSHIP DUES PAID TO AHA RELATE TO LOBBYING ACTIVITIES.

Schedule C (Form 990) 2022

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.
right arrow

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

CHILDREN'S HEALTH CARE

Employer identification number

41-1754276

Part I

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

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

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

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

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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) 2022

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 ....	176,306,661	203,877,914	181,082,325	171,993,171	155,118,943
b	Contributions ...	485,371	905,579	2,426,002	186,678	2,564,577
c	Net investment earnings, gains, and losses	21,139,096	-21,107,044	27,004,317	14,916,660	20,519,755
d	Grants or scholarships ...	7,205,714	7,369,788	6,634,730	6,014,184	6,210,104
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	190,725,414	176,306,661	203,877,914	181,082,325	171,993,171

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

Board designated or quasi-endowment right arrow

66.530 %

Permanent endowment right arrow

20.150 %

Term endowment right arrow

13.320 %

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

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

Yes

(i) Unrelated organizations .................

3a(i)

Yes

(ii) Related organizations .................

3a(ii)

Yes

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

Yes

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

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	25,390,195		25,390,195
b	Buildings ....	475,234,298	294,180,509	181,053,789
c	Leasehold improvements	22,567,575	10,810,671	11,756,904
d	Equipment ....	371,870,174	294,603,397	77,266,777
e	Other .....	5,422,638	5,422,638	0
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				295,467,665

Schedule D (Form 990) 2022

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 (A) INVESTMENTS CARRIED AT NAV	536,032,484	F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	536,032,484

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

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

Part IX

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

(a) Description				(b) Book value
(1)EXECUTIVE BENEFIT PLANS				9,731,777
(2)PHYSICIAN RELOCATION LOANS REC				168,567
(3)PHARMACEUTICAL SERVICE DEPOSIT				4,187,745
(4)FACILITY DEPOSIT				123,255
(5)UNITED SHARED SERVICE ARRNGMT				5,555,834
(6)INVESTMENT IN MOTHER/BABY				18,053,401
(7)OTHER				6,000,620
(8)BENEFICIAL INT IN NA OF FDTN				95,593,515
(9)ROU-BASE ASSET				20,376,609
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				159,791,323

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
EXECUTIVE BENEFITS LIABILITY	4,341,531
MN CARE TAX PAYABLE	4,568,944
POST-RETIREMENT BENEFITS	2,652,596
WORKERS COMP LIABILITY	1,912,999
INTERCOMPANY PAYABLE	22,555,840
LONG TERM DEFERRED REVENUE	4,320,147
LEASE LIABILITY	29,170,866
OTHER	104,553

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	69,627,476
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) 2022

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

PART V, LINE 4:

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

PART X, LINE 2:

THE IRS HAS DETERMINED THAT CHILDREN'S AND ITS SUBSIDIARIES ARE EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE IRC. CHILDREN'S BELIEVES THAT IT CONTINUES TO MEET THE REQUIREMENTS OF THE IRC TO SUSTAIN ITS TAX-EXEMPT STATUS. IN ACCORDANCE WITH ASC SUBTOPIC 740-10, INCOME TAXES OVERALL, CHILDREN S RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. MANAGEMENT DETERMINED THERE WERE NO MATERIAL INCOME TAX POSITIONS FOR THE YEARS ENDED DECEMBER 31, 2023 OR 2022. CHILDREN'S IS NOT SUBJECT TO AN INCOME TAX EXAMINATION FOR YEARS BEFORE 2020.

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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

Attach to Form 990. Right arrow

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization
CHILDREN'S HEALTH CARE

Employer identification number

41-1754276

Part I

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

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

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

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

Yes

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

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

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region	(f) Total expenditures for and investments in the region
	EUROPE (INCLUDING ICELAND AND GREENLAND)			INVESTMENTS	N/A	12,528,950
	CENTRAL AMERICA AND THE CARIBBEAN			INVESTMENTS	N/A	81,661,834
	CENTRAL AMERICA AND THE CARIBBEAN			PROGRAM SERVICES	SELF INSURANCE	287,571
	CENTRAL AMERICA AND THE CARIBBEAN			INVESTMENTS	N/A	20,940,819
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3a	Sub-total ....	0	0			115,419,174
b	Total from continuation sheets to Part I ...	0	0			0
c	Totals (add lines 3a and 3b)	0	0			115,419,174

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2023

Schedule F (Form 990) 2023

Page 2

Part II

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

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

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

Schedule F (Form 990) 2023

Schedule F (Form 990) 2023Page 3

Part III

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

Part III can be duplicated if additional space is needed.

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

Schedule F (Form 990) 2023

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2023

Page 5

Part V

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

ReturnReference	Explanation

Schedule F (Form 990) 2023

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 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

CHILDREN'S HEALTH CARE

Employer identification number

41-1754276

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other 27500.0000000000 %

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) . . .	2,087,013	40,000	2,047,013	0.180 %
b	Medicaid (from Worksheet 3, column a) . . . . .	515,184,020	336,665,345	178,518,675	15.880 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	517,271,033	336,705,345	180,565,688	16.060 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	18,111,691	3,764,680	14,347,011	1.280 %
f	Health professions education (from Worksheet 5) . . .	8,891,270	3,071,601	5,819,669	0.520 %
g	Subsidized health services (from Worksheet 6) . . . .	75,024,019	55,980,886	19,043,133	1.690 %
h	Research (from Worksheet 7) .	10,049,581	5,906,134	4,143,447	0.370 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	5,000		5,000	0 %
j	Total. Other Benefits . .	112,081,561	68,723,301	43,358,260	3.860 %
k	Total. Add lines 7d and 7j .	629,352,594	405,428,646	223,923,948	19.920 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

Page

Part II

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

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing			1,000		1,000	0 %
2	Economic development			10,000		10,000	0 %
3	Community support			22,300		22,300	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building			12,500		12,500	0 %
7	Community health improvement advocacy			23,490		23,490	0 %
8	Workforce development			72,838		72,838	0.010 %
9	Other
10	Total			142,128		142,128	0.010 %

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. ......

8,500,691

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

2,125,173

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).....

16,527

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

97,079

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

-80,552

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) 2023

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	CHILDREN'S HEALTH CARE 2525 CHICAGO AVENUE SOUTH MINNEAPOLIS,MN55404 HTTP://WWW.CHILDRENSMN.ORG/ 356144	X	X	X	X	X	X

Schedule H (Form 990) 2023

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	CHILDREN'S HEALTH CARE
Name of hospital facility or letter of facility reporting group

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

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

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

Yes

6 a

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

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

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

Yes

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

Hospital facility’s website (list url): HTTP://WWW.CHILDRENSMN.ORG/CHNA

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 23

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

Yes

If "Yes" (list url): HTTP://WWW.CHILDRENSMN.ORG/CHNA

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) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	CHILDREN'S HEALTH CARE
Name of hospital facility or letter of facility reporting group

Yes

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

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

Yes

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

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 275.000000000000%
and FPG family income limit for eligibility for discounted care of 350.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

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

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

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

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

Other (describe in Section C)

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

Yes

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

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

REFER TO SECTION C

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

REFER TO SECTION C

A plain language summary of the FAP was widely available on a website (list url):
REFER TO SECTION C

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

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

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

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

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

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

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	CHILDREN'S HEALTH CARE
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (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) 2023

Page 7

Part VFacility Information (continued)

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

	CHILDREN'S HEALTH CARE
Name of hospital facility or letter of facility reporting group

Yes

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

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

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

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

The hospital facility used a prospective Medicare or Medicaid method

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

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

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
CHILDREN'S HEALTH CARE	PART V, SECTION B, LINE 5: OVER THE COURSE OF 2022, CHILDREN'S MINNESOTA CONNECTED WITH STAKEHOLDERS BOTH WITHIN THE ORGANIZATION AND IN THE SURROUNDING COMMUNITY TO LEARN ABOUT THEIR PERSPECTIVES ON CHILDREN'S HEALTH AND WELL-BEING BY CONDUCTING FOCUS GROUPS WITH YOUTH AND PARENTS/CAREGIVERS, UTILIZING DISCUSSION BOARDS TO ENGAGE WITH PEOPLE AT COMMUNITY EVENTS, CONDUCTING INTERVIEWS WITH REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS, DISCUSSION GROUPS WITH CHILDREN'S MINNESOTA EMPLOYEES AND INTERVIEWS WITH CHILDREN'S MINNESOTA CLINICIANS. THE 2022 CHNA WAS LED AND INFORMED BY THE COMMUNITY VIA A CHNA COMMUNITY ADVISORY COMMITTEE. THE PROCESS, SIMILAR TO 2019, INCLUDED GATHERING INPUT FROM THE COMMUNITY AND CHILDREN'S MINNESOTA STAFF AND REVIEWING EXISTING SECONDARY DATA TO IDENTIFY CRITICAL NEEDS, WHILE PLACING A SPECIFIC EMPHASIS ON THE IMPACT OF THE COVID-19 PANDEMIC AND OTHER LOCAL AND GLOBAL EVENTS. GIVEN THAT MOST OF THE 2019 PRIORITIES FOCUSED ON BROAD SOCIAL ISSUES THAT IMPACT HEALTH, IT WOULD BE UNREALISTIC TO ANTICIPATE SIGNIFICANT, MEASURABLE IMPROVEMENTS TO BE ACHIEVED IN THREE YEARS. TO THAT END, THE 2022 ASSESSMENT WAS DESIGNED TO BUILD UPON KEY LEARNINGS FROM 2019 AND CONTINUED EFFORTS ADDRESS CONCERNS THROUGH INVESTMENTS IN SERVICES AND COMMUNITY RELATIONSHIPS.A MORE DETAILED DESCRIPTION OF THE CHILDREN'S MINNESOTA COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND A COPY OF THE FULL 2022 CHNA REPORT IS AVAILABLE AT WWW.CHILDRENSMN.ORG/CHNACHILDREN'S MINNESOTA ACTIVELY PARTICIPATES IN SEVERAL COMMUNITY HEALTH COALITIONS AND MAINTAINS PARTNERSHIPS WITH MANY OF THE STAKEHOLDERS AND COMMUNITY ORGANIZATIONS THAT PARTICIPATED IN THE 2022 CHNA.
CHILDREN'S HEALTH CARE	PART V, SECTION B, LINE 11: BASED ON COMMUNITY INPUT AND EXISTING DATA EXAMINED BY CHILDREN'S MINNESOTA STAFF AND THE CHNA COMMUNITY ADVISORY COMMITTEE, THE FOLLOWING HEALTH PRIORITIES WERE DETERMINED IN THE 2023 ASSESSMENT: STRUCTURAL RACISM, HEALTH DISPARITIES, ECONOMIC OPPORTUNITY AND INCOME, MENTAL HEALTH, ACCESS TO RESOURCES AND COMMUNITY SAFETY.CHILDREN'S MINNESOTA CONTINUES TO PROVIDE THE FOLLOWING SERVICES TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN ITS CHNA, INCLUDING: ACCESS TO RESOURCES AND CARE:COMMUNITY CONNECT: COMMUNITY CONNECT IS A COMPREHENSIVE FAMILY SUPPORT MODEL THAT ADDRESSES THE BROADER SOCIAL CONDITIONS THAT IMPACT CHILDHOOD HEALTH THROUGH SCREENING, CUSTOMIZED RESOURCE NAVIGATION, AND CASE MANAGEMENT. EMBEDDED IN THE MINNEAPOLIS, ST. PAUL, WEST ST. PAUL AND BROOKLYN PARK PRIMARY CARE CLINICS AND STAFFED BY A TEAM OF MULTI-LINGUAL, MULTI-CULTURAL RESOURCE NAVIGATORS, THE PROGRAM HELPS CONNECT FAMILIES TO ESSENTIAL COMMUNITY SERVICES AND RESOURCES, INCLUDING FOOD, TRANSPORTATION, LEGAL ASSISTANCE, HOUSING SUPPORT, EARLY CHILDHOOD EDUCATION PROGRAMS, EMPLOYMENT SEARCH ASSISTANCE AND MUCH MORE. THE AVERAGE POSITIVE SCREEN RATE FOR 2023 WAS 31%, AS COMPARED TO 34% IN 2022. THIS RATE WAS IMPACTED BY AN OVERALL DECREASE IN THE NUMBER OF CHILDREN WHO RECEIVED WELL CHILD CHECKS IN 2023 AS WELL AS A SURGE IN CASES OF FLU, RSV AND OTHER RESPIRATORY DISEASES WHICH RESULTED IN A NEED TO FOCUS RESOURCES TO RESPOND TO THE SURGE. A TOTAL OF 1,187 FAMILIES MET WITH A COMMUNITY CONNECT RESOURCE NAVIGATOR FROM JANUARY 2023-DECEMBER 2023. HEALTHCARE LEGAL PARTNERSHIP: CHILDREN'S MINNESOTA LAUNCHED THE HEALTHCARE LEGAL PARTNERSHIP (HLP) IN OCTOBER 2017. THE PROGRAM SUPPORTS TWO ATTORNEYS BASED ON THE CHILDREN'S MINNESOTA ST. PAUL AND MINNEAPOLIS HOSPITAL CAMPUSES. THESE DEDICATED LAWYERS COLLABORATE WITH HEALTH CARE TEAMS TO IDENTIFY, PREVENT, AND REMEDY HEALTH-HARMING FACTORS THAT ARE ROOTED IN LEGAL PROBLEMS. DURING 2023, THE HEALTHCARE LEGAL PARTNERSHIP PROVIDED SERVICES IN 397 CASES ACROSS MULTIPLE LEGAL ISSUES INCLUDING: HOUSING, BENEFITS, FAMILY LAW, AND IMMIGRATION.FOOD SECURITY: IN 2023, THE CHILDREN'S MINNESOTA FOOD SUPPORT PROGRAM PROVIDED 370 INDIVIDUAL MEALS. IN PARTNERSHIP WITH SECOND HARVEST HEARTLAND, A COMMUNITY-BASED NONPROFIT WHOSE MISSION INCLUDES EXPANDING ACCESS TO HEALTHY FOOD, 467 "FOODRX BOXES" (TAKE-HOME GROCERIES) WERE DISTRIBUTED TO PATIENT FAMILIES. FOODRX BOX TYPES INCLUDE TRADITIONAL, LATINX AND SOMALI/VEGETARIAN TO MEET PATIENT FAMILIES' CULTURAL NEEDS. FAMILY RESOURCE CENTER: IN 2023, THE TOTAL NUMBER OF VISITS TO CHILDREN'S FAMILY RESOURCE CENTERS IN ST. PAUL AND MINNEAPOLIS WAS 2,829. FAMILY RESOURCE CENTER STAFF PROVIDED HANDS-ON HELP AND SUPPORT IN THESE FAMILY ENCOUNTERS INCLUDING PERSONAL CARE ITEMS, BUSINESS SERVICES (FAX, COPIER, PRINTER), CONSUMER HEALTH RESEARCH/REFERENCE REQUESTS, NOTARY TRANSACTIONS, TECHNOLOGY SUPPORT, ETC. FINANCIAL COUNSELING: IN 2023 THE CHILDREN'S MINNESOTA FINANCIAL COUNSELING TEAM ASSISTED 1,190 PATIENTS WITH APPOINTMENTS FOR ASSISTANCE AND PROCESSED FINANCIAL ASSISTANCE APPLICATIONS FOR 1,854 PATIENTS. INTERPRETER SERVICES: OVERALL, THE TOTAL NUMBER OF INTERPRETING ENCOUNTERS FOR 2023 WAS 120,516 IN A TOTAL OF 68 LANGUAGES. THE TOP THREE LANGUAGES INTERPRETED AT CHILDREN'S ARE: SPANISH, SOMALI AND KAREN. SIBLING PLAY AREA: DUE TO COVID-19, THE SIBLING PLAY AREA WAS CLOSED IN JANUARY AND FEBRUARY 2023. THE SIBLING PLAY AREA REOPENED ON MARCH 14TH 2023. THERE WERE A TOTAL OF 1,075 VISITS IN THE YEAR. SCHOOL RE-ENTRY PROGRAM: WHEN A CHILD RETURNS TO SCHOOL AFTER A SIGNIFICANT DIAGNOSIS OR PROLONGED PERIOD OF TIME DUE TO MEDICAL CARE, THE SCHOOL RE-ENTRY PROGRAM HELPS THE CHILD, FAMILY, AND SCHOOL STAFF FEEL CONFIDENT DURING THAT TRANSITION. IN 2023, CHILDREN'S MINNESOTA'S CHILD LIFE TEAM PROVIDED 18 SCHOOL VISITS. THE TEAM DOES BOTH VIRTUAL AND IN-PERSON VISITS TO ACCOMMODATE THE INDIVIDUAL NEEDS OF EACH CHILD AND CLASSROOM. REACH OUT AND READ: CHILDREN'S MINNESOTA HAS BEEN A LONG-TIME PARTICIPANT IN REACH OUT AND READ, A PROGRAM THAT TRAINS DOCTORS AND NURSES TO GIVE BOOKS TO CHILDREN AND GIVE DEVELOPMENTAL GUIDANCE TO PARENTS AND CAREGIVERS AT THEIR CHILDREN'S ROUTINE WELL-CHILD VISITS. IN 2023, 21,295 BOOKS WERE DISTRIBUTED AT WELL-CHILD VISITS. STRUCTURAL RACISM & HEALTH DISPARITIES EQUITY AND INCLUSION: THE CHILDREN'S MINNESOTA CAMPUS IS LOCATED IN THE HEART OF ONE OF THE LARGEST AND MOST VIBRANT URBAN COMMUNITIES IN THE COUNTRY. RECOGNIZING THE CRITICAL ROLE CULTURE AND TRADITIONS PLAY IN A CHILD'S HEALTH AND WELL-BEING, CHILDREN'S MINNESOTA CONTINUES TO PARTNER WITH COMMUNITY ORGANIZATIONS TO HELP PROVIDE A MORE CULTURALLY RESPONSIVE AND RESPECTFUL APPROACH TO HEALTH CARE. SPECIFIC EQUITY PROGRAMS AND PARTNERSHIPS INCLUDE: HEALTH EQUITY INDEX: IN 2023, CHILDREN'S MINNESOTA CONTINUED TO UTILIZE A PATIENT FOCUSED EQUITY INDEX THAT HIGHLIGHTS DISPARITIES IN CLINICAL OUTCOMES. STRATEGIES CONTINUE TO BE DEVELOPED TO ADDRESS DISPARITIES IN SEVERAL CORE PEDIATRIC QUALITY METRICS OF THE IDENTIFIED DISPARITIES (ASTHMA WELL-CONTROLLED, COMBO 10 VACCINES, AND A PATIENT-EXPERIENCE MEASURE OF WHETHER THE FAMILY FELT LISTENED TO DURING THEIR CARE) AND PERFORMANCE OUTCOMES ARE TIED TO MANAGEMENT AND EXECUTIVE INCENTIVE PLANS. IN 2023 PROCESS CHANGES WERE TESTED IN POPULATIONS WITH THE WORST OUTCOMES AND IMPLEMENTED TO IMPROVE OUTCOMES FOR ALL PATIENTS. QUALITY-EQUITY ALIGNMENT: IN PARTNERSHIP WITH THE VALUE & CLINICAL EXCELLENCE DEPT, THE EQUITY TEAM CONTINUES TO AFFIRM EQUITY AND INCLUSION AS A CORE ELEMENT OF CHILDREN'S VALUE PROGRAM INCLUDING RE-SHAPING THE ORGANIZATION'S PERSPECTIVE ON HOW AND WHERE TO FOCUS QUALITY IMPROVEMENT EFFORTS. SPECIFIC EFFORTS INCLUDE THE IMPLEMENTATION AND ADVANCEMENT OF RESPECT AND DIGNITY SAFETY LEARNING REPORTS AND TOOLS FOR CONDUCTING ROOT CAUSE ANALYSES THROUGH AN EQUITY LENS. RESPECT & DIGNITY SAFETY LEARNING REPORTS: UTILIZING AN EXISTING REPORTING PLATFORM CHILDREN'S MINNESOTA IS ABLE TO COLLECT, ANALYZE, AND TRACK EVENTS THAT RESULT IN EMOTIONAL HARM. THESE INCLUDE BUT ARE NOT LIMITED TO MICRO-AGGRESSIONS AGAINST PATIENTS AND STAFF, EVENTS RELATED TO IMPLICIT BIAS, AND OPPORTUNITIES TO IMPROVE HEALTH EQUITY. THE REPORTS ARE REVIEWED BY PATIENT EXPERIENCE COACHES AND HEALTH EQUITY COACHES IN COLLABORATION WITH A PATIENT SAFETY TEAM TO INITIATE REAL-TIME ROOT CAUSE ANALYSIS AND REMEDIATION. REAL DATA: CHILDREN'S MINNESOTA ACKNOWLEDGES THAT ACCURATE DEMOGRAPHIC DATA IS FOUNDATIONAL TO UNDERSTANDING WHERE HEALTH DISPARITIES EXIST AND QUANTIFYING POTENTIAL IMPROVEMENT IMPACT. A MULTI-DISCIPLINARY TEAM IS WORKING TO LEVERAGE TECHNOLOGY AND ESTABLISH ORGANIZATION-WIDE PROCESSES TO ACCURATELY AND RELIABLY CAPTURE RACE, ETHNICITY, AND LANGUAGE DATA FOR EVERY PATIENT AND GUARDIAN. TALKING PEDIATRICS PODCAST EQUITY ACTIONS: THE CHILDREN'S MINNESOTA TALKING PEDIATRICS PODCAST INCLUDES A SPECIFIC EQUITY ACTIONS SERIES HOSTED BY THE CHILDREN'S MINNESOTA CHIEF EQUITY AND INCLUSION OFFICER AND HEALTH EQUITY MANAGER. THE SERIES INCLUDES REGULAR INTERVIEWS WITH LEADERS FROM ACROSS THE COUNTRY TO DISCUSS ISSUES RELATED TO HEALTH EQUITY, WORKPLACE DIVERSITY AND CREATING INCLUSIVE ENVIRONMENTS. LISTENING SESSIONS: THE EQUITY AND INCLUSION (E&I) TEAM IS WORKING CROSS-FUNCTIONALLY WITH HUMAN RESOURCES AND ORGANIZATIONAL LEARNING AND DEVELOPMENT TO CONDUCT LISTENING SESSIONS ACROSS CHILDREN'S MINNESOTA. THESE SESSIONS ARE DESIGNED TO GAIN A DEEPER UNDERSTANDING OF THE MEANINGFULNESS OF THE EMPLOYEE WORK EXPERIENCE IN CLINICAL AND NON-CLINICAL AREAS. THIS INFORMATION WILL BE UTILIZED TO IMPROVE RETENTION RATES FOR DIVERSE EMPLOYEES AND TO CONTINUE TO ADVANCE AN EQUITABLE, DIVERSE AND INCLUSIVE ORGANIZATION. CLINICAL DEPARTMENT WORK: THE E&I TEAM IS WORKING IN PARTNERSHIP WITH SEVERAL CLINICAL DEPARTMENTS WITHIN CHILDREN'S MINNESOTA TO REINFORCE EQUITY AND INCLUSION. THIS IS BEING SPEARHEADED BY THE CLINICAL DIRECTOR OF EQUITY AND INCLUSION. THESE ARE LONG-TERM PROJECTS AIMED TO CREATE SUSTAINABILITY IN THE EQUITY AND INCLUSION EFFORTS. URBAN PRIMARY CARE RESEARCH: CHILDREN'S MINNESOTA IS PARTNERING WITH PATIENT EXPERIENCE AND CHILDREN'S RESEARCH INSTITUTE ON A QUALITATIVE RESEARCH PROJECT TO UNDERSTAND CHALLENGES AND OPPORTUNITIES IN DELIVERING EQUITABLE PRIMARY CARE BY CENTERING PATIENT CAREGIVER PERSPECTIVE. THE ORGANIZATION IS INTERESTED IN UNDERSTANDING AND SYSTEMATICALLY DESCRIBING THE EXPERIENCES AND NEEDS OF DIVERSE PATIENT COMMUNITIES TO BETTER DESIGN EFFECTIVE AND EQUITABLE PRIMARY CARE SERVICE DELIVERY, WITH THE BROADER GOAL OF ADDRESSING AND ELIMINATING DISPARITIES.
CHILDREN'S HEALTH CARE	PART V, SECTION B, LINE 15E: CHILDREN'S HOSPITALS AND CLINICS HAS A WRITTEN FINANCIAL ASSISTANCE POLICY. THE POLICY OUTLINES THE GUIDELINES, SCOPE OF SERVICES COVERED, AVAILABILITY OF INFORMATION, HOW TO APPLY, THE PATIENT/GUARANTOR'S RESPONSIBILITY FOR PROVIDING INFORMATION AND THE HOSPITALS RESPONSIBILITY FOR REVIEW AND COMMUNICATION OF DETERMINATION. THE POLICY IS BASED ON THE FEDERAL POVERTY GUIDELINES, UPDATED ANNUALLY WITH A DIFFERENTIATION FOR THOSE FAMILIES WITH INSURANCE AND THOSE WITHOUT AND INCLUDES AN EXCEPTION PROCESS. AMOUNTS GENERALLY BILLED IS DEFINED AND CHILDREN'S HAS CHOSEN THE LOOK BACK METHOD INCLUSIVE OF ALL CLAIMS.
FORM 990, SCHEDULE H, PART V, LINE 11 CONTINUED:	IDI: THE INTERCULTURAL DEVELOPMENT INVENTORY IS BEING ADMINISTERED BY THE E&I TEAM TO VARIOUS AREAS OF CHILDREN'S MINNESOTA. THIS ASSESSMENT HELPS TO GAUGE WHERE A GROUP OF PEOPLE AS WELL AS INDIVIDUALS ARE IN NAVIGATING CULTURAL DIFFERENCES. THIS IDI IS ALSO BEING ADMINISTERED EXTERNALLY THROUGH THE CHILDREN'S HEALTH NETWORK TO INDIVIDUAL CLINICS AROUND THE TWIN CITIES. INCLUSIVE LEADERSHIP: LEADERS AT VARIOUS LEVELS ARE PARTICIPATING IN ONGOING INCLUSIVE LEADERSHIP SESSIONS THAT ARE BEING FACILITATED BY SANKOFA LEADERSHIP NETWORK. THE E&I TEAM IS PROVIDING INTERNAL SUPPORT AND SUPPLEMENTAL ACTIVITIES FOR THE LEADERS AS THEY WIDEN THEIR TOOLBOX TO BE MORE INCLUSIVE LEADERS FOR CHILDREN'S MINNESOTA. THESE SESSIONS STARTED LATE IN 2023 AND WILL PROGRESS THROUGH THE END OF 2024. A NEW 2025 COHORT WILL BE DETERMINED THIS FALL/WINTER. EMPLOYEE RESOURCE GROUPS (ERGS): E&I STAFF CONTINUE TO WORK VERY CLOSELY WITH THE ERG'S. THIS IS TO SUPPORT CULTURAL PROGRAMMING, EXTERNAL PARTNERSHIPS, EDUCATIONAL OPPORTUNITIES, RECRUITMENT AND RETENTION AND COMMUNITY OUTREACH. THESE ARE THE ERGS: O ASIAN ERG O BLACK EMPLOYEE EMPOWERMENT NETWORK (BEEN) O DISABILITY ADVOCACY ERG O MILITARY AND VETERANS ERG O MUSLIM ERG O NURSES OF COLOR (NOC) ERG O PEOPLE RESPECTING INDIVIDUAL DIFFERENCES EQUALLY (PRIDE) ERG O VOCES ERG ECONOMIC OPPORTUNITY AND INCOME EQUITY AND INCLUSION SUMMER INTERNSHIP: IN PARTNERSHIP WITH TALENT ACQUISITION, THE E&I IS IMPLEMENTING THIS INTERNSHIP PROGRAM TO PROVIDE PRACTICAL WORK OPPORTUNITIES WITHIN CHILDREN'S MINNESOTA IN A CLINICAL AND NON-CLINICAL SETTING FOR HIGH SCHOOL AND COLLEGE STUDENTS. DURING THEIR TIME, INTERNS WILL ALSO ENGAGE IN LEADERSHIP DEVELOPMENT SESSIONS THAT EXPLORE DIVERSITY, EQUITY AND INCLUSION, CAREER GROWTH, PUBLIC SPEAKING AND PRACTICAL WORK SKILL BUILDING. O EXTERNAL PARTNERS INCLUDE: ST. PAUL RIGHT TRACK MINNEAPOLIS STEP UP ACHIEVE TWIN CITIES WALLIN PARTNERS DOUGHERTY FAMILY COLLEGE UPTURNSHIPSSUPPLIER DIVERSITY: THE E&I TEAM IS DEVELOPING A SUSTAINABLE FRAMEWORK FOR SUPPLIER DIVERSITY. THIS WILL ENABLE CHILDREN'S MINNESOTA TO ENGAGE WITH DIVERSE-OWNED, COMMUNITY BUSINESS WITH MORE INTENTIONALITY. IT IS THE GOAL OF THIS WORK TO INCREASE SPENDING WITH THE BUSINESSES IN ORDER TO PROVIDE MORE ACCESS TO BUSINESS OPPORTUNITIES AND PARTNERSHIPS TO THE COMMUNITIES WE SERVE. ALSO, WITHIN SUPPLIER DIVERSITY, THE E&I TEAM IS WORKING WITH THE MUSLIM EMPLOYEE RESOURCE GROUP TO HELP ROLLOUT A MODESTY GOWN WITH A SMALL MUSLIM-OWNED BUSINESS CALLED HENNA & HIJABS. THESE GOWNS WILL PROVIDE MORE COVERAGE FOR ALL PATIENTS AND HAVE THE ABILITY TO CONNECT AN OPTIONAL HIJAB. THE ANTICIPATED ROLL OUT OF THESE GOWNS WILL BE SEPTEMBER 2024.MENTAL HEALTH:IN ADDITION TO THE EXPANSION OF ACUTE MENTAL HEALTH SERVICES TO INCLUDE 2 PARTIAL HOSPITALIZATION PROGRAMS (2022 AND 2024) AND A NEW INPATIENT MENTAL HEALTH UNIT (2023) CHILDREN'S MINNESOTA ALSO CONTINUES TO IMPLEMENT THE FOLLOWING PROGRAMS:MIDWEST CHILDREN'S RESOURCE CENTER (MCRC): MCRC IS A HOSPITAL-BASED PROGRAM THAT PROVIDES CLINICAL EVALUATIONS AND SERVICES TO CHILDREN WHO HAVE BEEN ABUSED OR NEGLECTED. MCRC BRINGS SUBSPECIALTY MEDICAL CONSULTATION, SKILLED CASE MANAGEMENT AND EXPERT PSYCHOLOGICAL SERVICES TO COMMUNITIES THROUGHOUT THE REGION AND PROMOTES AND DELIVERS EXPERT SERVICE IN CHILD ABUSE RESPONSE. IN 2023, MCRC PERFORMED OVER 1200 MEDICAL EVALUATIONS FOR SUSPECTED ABUSE VICTIMS. ACHIEVING OPTIMAL OUTCOMES FOR MALTREATED CHILDREN REQUIRES CLOSE COLLABORATION WITH COMMUNITY PARTNERS IN LAW ENFORCEMENT, CHILD PROTECTION, ADVOCACY, MEDICINE, AND MENTAL HEALTH. SERVICES INCLUDE: MEDICAL EVALUATIONS AND HEALTH ASSESSMENTS FOR CHILD SEXUAL AND PHYSICAL ABUSE; PSYCHOLOGICAL ASSESSMENTS; PROFESSIONAL CONSULTATIONS; AND PREVENTION PROGRAMS RELATED TO TEEN PARENTING. MCRC ALSO ADMINISTERS THE NATIONALLY RECOGNIZED RUNAWAY INTERVENTION PROGRAM (RIP). RIP PROVIDES STRENGTH BASED MEDICAL CARE AND THERAPY TO RUN-AWAY AND EXPLOITED YOUTH. CARE IS PROVIDED BY EXPERIENCED TRAUMA-FOCUSED THERAPISTS AND ADVANCED PRACTICE NURSES THROUGH A COMMUNITY-BASED DELIVERY MODEL OVER THE COURSE OF A YEAR. RIP HAS BEEN DEMONSTRATED TO DRAMATICALLY IMPROVE HEALTH OUTCOMES FOR THESE YOUTH. IN 2023 RIP PROVIDED INTENSIVE SERVICES TO 99 YOUTH. THE MCRC ALSO FUNCTIONS AS ONE OF THE FOUR REGIONAL CHILDREN'S ADVOCACY CENTERS ACROSS THE NATION, PROVIDING TRAINING AND TECHNICAL ASSISTANCE TO CHILD ABUSE PROFESSIONALS ACROSS THE MIDWEST AND NATION. IN 2022 MRCAC PROVIDED TRAINING OR TECHNICAL ASSISTANCE TO 1,125 ORGANIZATIONS ACROSS THE COUNTRY. HEALTHY STEPS: HEALTHYSTEPS IS A NATIONAL PROGRAM SUPPORTED BY ZERO TO THREE AS AN EVIDENCE-BASED MODEL OF INTEGRATED BEHAVIORAL HEALTH IN PRIMARY CARE FOR VERY YOUNG PATIENTS (BIRTH TO THREE YEARS OLD). THE PROGRAM SUPPORTS THE RELATIONSHIP BETWEEN CAREGIVERS AND THEIR BABIES TO PROMOTE NURTURING PARENTING AND HEALTHY DEVELOPMENT. AN INFANT AND EARLY CHILDHOOD MENTAL HEALTH SPECIALIST, KNOWN AS A HEALTHYSTEPS SPECIALIST, CONNECTS WITH FAMILIES DURING WELL-CHILD VISITS AS PART OF THE PRIMARY CARE TEAM. THE HEALTHY STEPS SPECIALIST BRINGS FOCUS TO THE IMPORTANT SKILLS NEEDED FOR FAMILIES TO FOSTER HEALTHY CHILD DEVELOPMENT AND LIFE-LONG WELL-BEING. HEALTHYSTEPS IS CURRENTLY OFFERED IN THE MINNEAPOLIS PRIMARY CARE CLINIC. IN AUGUST OF 2023 A FULL-TIME HEALTHYSTEPS SPECIALIST AND A PART-TIME PROGRAM COORDINATOR WERE ADDED TO THE INTEGRATIVE BEHAVIORAL TEAM. COMMUNITY SAFETYGUN BUYBACK EVENT: IN 2023 CHILDREN'S MINNESOTA PARTNERED WITH COMMUNITY VIOLENCE PREVENTION ORGANIZATIONS AND HEALTH CARE INSTITUTIONS TO HOST A GUN BUYBACK EVENT WHERE MORE THAN 100 GUNS WERE COLLECTED. THIS EVENT SPURRED THE DEVELOPMENT OF A NEW PARTNERSHIP WITH NEXT STEP, A HOSPITAL VIOLENCE INTERVENTION PROGRAM. TRAUMA AND INJURY PREVENTION: THE CHILDREN'S MINNESOTA TRAUMA AND INJURY PREVENTION DEPARTMENT WORKS IN THE COMMUNITY TO PROVIDE INFORMATION AND EDUCATIONAL RESOURCES TO SUPPORT CAREGIVERS IN THEIR EFFORTS TO KEEP THEIR CHILDREN SAFE IN THEIR HOMES AND OTHER ENVIRONMENTS. ACTIVITIES INCLUDE BUT ARE NOT LIMITED TO: CAR SEAT SAFETY CHECKS, BIKE SAFETY EDUCATION AND HELMET GIVE AWAYS AND THE DEVELOPMENT OF AN ANIMATED VIDEO SERIES THAT SEEKS TO ENGAGE ALL CULTURAL COMMUNITIES WITH INFORMATION ABOUT INJURY PREVENTION IN THE HOME AS WELL AS PARENTAL WELLNESS.ADVOCACY AND ENGAGEMENT:PUBLIC HEALTH AND POLICY COALITIONS: IN ORDER TO ADDRESS THE POLICIES, SYSTEMS AND ENVIRONMENTS THAT IMPACT CHILD HEALTH, CHILDREN'S ACTIVELY PARTICIPATED IN SEVERAL BROAD-BASED COALITIONS AND COLLABORATIVES, INCLUDING: THE MENTAL HEALTH LEGISLATIVE NETWORK, THE THIS IS MEDICAID COALITION, THE PRENATAL TO THREE COALITION, THE MINNESOTA COALITION FOR TARGETED FAMILY HOME VISITING, MINNESOTANS FOR A SMOKE FREE GENERATION, THE HUNGER FREE SCHOOLS COALITION, THE MINNESOTA BUSINESS COALITION FOR RACIAL EQUITY, THE GROUNDBREAK COALITION AND LITTLE MOMENTS COUNT. THESE GROUPS ADDRESS A VARIETY OF HEALTH ISSUES IN THE COMMUNITY, INCLUDING MENTAL HEALTH, IMPROVED BIRTH OUTCOMES, ACCESS TO HEALTHY FOOD, EARLY CHILDHOOD DEVELOPMENT, ACCESS TO HEALTH CARE, MENTAL HEALTH, RACIAL EQUITY, ECONOMIC EQUITY, HOUSING AND COMMUNITY HEALTH OVERALL. ADDITIONALLY, CHILDREN'S MINNESOTA PARTICIPATES IN THE MINNESOTA HOSPITAL ASSOCIATION AND THE NATIONAL CHILDREN'S HOSPITAL ASSOCIATION BOTH OF WHOM ARE FOCUSED ON IMPROVING THE HEALTH CARE DELIVERY SYSTEM AND ENHANCING BOTH QUALITY AND ACCESS TO CARE. PATIENT AND FAMILY ENGAGEMENTFAMILIES AS PARTNERS (FAP)THE CHILDREN'S MINNESOTA FAMILIES AS PARTNERS PROGRAM PROMOTES, COORDINATES AND SUPPORTS PATIENT FAMILY ENGAGEMENT THROUGHOUT THE ORGANIZATION. THE PATHWAYS TO GET INVOLVED INCLUDE THE FAMILY-TO- FAMILY PROGRAM, FAMILY ADVISORY COUNCIL, FAMILY ADVOCATES, FAMILY ADVISORS, FAMILIES AS FACULTY AND THE FAMILY SPEAKER'S BUREAU. IN 2023, THE FAMILIES AS PARTNERS (FAP) PROGRAM HAD A TOTAL OF 75 ACTIVE PATIENT FAMILY VOLUNTEERS THAT CONTRIBUTED A COMBINED TOTAL OF 3,180 VOLUNTEER HOURS. YOUTH ADVISORY COUNCIL THE YOUTH ADVISORY COUNCIL CONSISTS OF PATIENTS AND SIBLINGS AGED 10-18 YEARS OF AGE THAT PROVIDE INSIGHT TO IMPROVE THE CHILDREN'S MINNESOTA CARE EXPERIENCE FOR CHILDREN AND TEENS. THIRTY-NINE YOUTH PARTICIPATED IN THE YOUTH ADVISORY COUNCIL IN 2023 AND THE MEMBERS VOLUNTEERED A COMBINED TOTAL OF 300 HOURS OF SERVICE.
FORM 990, SCHEDULE H, PART V, LINE 16A:	HTTPS://WWW.CHILDRENSMN.ORG/YOUR-VISIT/AFTER-YOUR-VISIT/BILLING-AND-FINANCIAL-MATTERS/BILLING-POLICIES/FORM 990, SCHEDULE H, PART V, LINE 16B:HTTPS://WWW.CHILDRENSMN.ORG/YOUR-VISIT/AFTER-YOUR-VISIT/BILLING-AND-FINANCIAL-MATTERS/FINANCIAL-COUNSELING-AND-ASSISTANCE/FORM 990, SCHEDULE H, PART V, LINE 16C:HTTPS://WWW.CHILDRENSMN.ORG/YOUR-VISIT/AFTER-YOUR-VISIT/BILLING-AND-FINANCIAL-MATTERS/FINANCIAL-COUNSELING-AND-ASSISTANCE/FORM 990, SCHEDULE H, PART V, LINE 16J:CHILDREN'S HOSPITALS AND CLINICS HAS A WRITTEN FINANCIAL ASSISTANCE POLICY AND A PLAIN LANGUAGE SUMMARY OF OUR POLICY. OUR POLICY IS POSTED ON OUR WEBSITE AS WELL AS AVAILABLE AT ALL REGISTRATION AREAS THROUGHOUT THE HOSPITAL AND OUR CLINICS. A COPY OF THE PLAIN LANGUAGE SUMMARY OF OUR POLICY IS PROVIDED TO ANY PATIENT WITHOUT INSURANCE AT EACH VISIT AND ANNUALLY TO ALL PATIENTS. THE POLICY AND PLAIN LANGUAGE SUMMARY IS CURRENTLY AVAILABLE IN ENGLISH, SPANISH, SOMALI, HMONG, RUSSIAN, VIETNAMESE, ARABIC AND KAREN. WE ALSO HAVE POSTERS IDENTIFYING KEY POINTS OF OUR POLICY DISPLAYED IN ALL REGISTRATION AREAS. IN ADDITION, WE HAVE A FINANCIAL ASSISTANCE CALCULATOR ON OUR WEBSITE WHERE FAMILIES ARE ABLE TO KEY IN THEIR INCOME AND FAMILY SIZE TO ASSESS WHETHER THEY MAY MEET OUR POLICY GUIDELINES.

Schedule H (Form 990) 2023

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?6
Name and address		Type of Facility (describe)
1	1 - CHILDREN'S CLINICS - WOODWINDS 628 BIELENBERG DR STE 200 WOODBURY,MN55125	SPECIALTY AND REHABILITATION CLINIC
2	2 - CHILDREN'S - MAPLE GROVE 7767 ELM CREEK BLVD SUITE 300 MAPLE GROVE,MN55369	SPECIALTY AND REHABILITATION CLINIC
3	3 - CHILDREN'S REHAB CLINIC 5950 CLEARWATER DRIVE SUITE 500 510 MINNETONKA,MN55343	REHABILIATION CLINIC
4	4 - CHILDREN'S - ROSEVILLE 1835 W COUNTY RD C ROSEVILLE,MN55113	SPECIALTY AND REHABILITATION CLINIC
5	5 - CHILDREN'S REHAB LAKEVILLE 18432 KENDRICK AVE LAKEVILLE,MN55044	REHABILIATION CLINIC
6	6 - CHILDRENS'S SPECIALTY CLINIC 6060 CLEARWATER DRIVE STE 100 MINNETONKA,MN55343	SPECIALTY CLINIC
7
8
9
10

Schedule H (Form 990) 2023

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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
PART I, LINE 3C:	FEDERAL POVERTY GUIDELINES ARE THE PRIMARY MEASUREMENT USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, POLICY EXCEPTIONS MAY BE GRANTED FOR FAMILIES WHO HAVE MEDICAL DEBT EXCEEDING 10 PERCENT OF THEIR INCOME OR HAVE OTHER SPECIFIC DOCUMENTED NEEDS WHERE THEY ARE NOT ABLE TO PAY ALL OR A PORTION OF THEIR BALANCE.
PART I, LINE 6A:	CHILDREN'S INCLUDES INFORMATION ON COMMUNITY BENEFIT EXPENDITURES IN THE ORGANIZATION'S ANNUAL REPORT. THE 2023 ANNUAL REPORT IS AVAILABLE ONLINE AT HTTPS://WWW.CHILDRENSMN.ORG/ABOUT-US/ANNUAL-REPORT/.
PART I, LINE 7:	THE ECMO PROGRAM AT CHILDREN'S MINNESOTA IS THE LARGEST PROVIDER OF NEONATAL AND PEDIATRIC ECMO IN THE STATE AND HAS RECEIVED THE EXTRACORPOREAL LIFE SUPPORT ORGANIZATION AWARD FOR EXCELLENCE IN LIFE SUPPORT SINCE 2008: $1,798,889THE INFANT APNEA PROGRAM INCLUDES PEDIATRIC SPECIALISTS WHO UNDERSTAND THE SCIENCE BEHIND A BABY'S BREATHING PROCESS. OUR TEAM OF PULMONARY, NEONATOLOGY AND NURSE EXPERTS PROVIDES COMPREHENSIVE EVALUATIONS, FAMILY EDUCATION, ONGOING MANAGEMENT AND SUPPORT TO FAMILIES OF INFANTS DIAGNOSED WITH APNEA OR GASTROESOPHAGEAL REFLUX (GER), A REGURGITATION OF FOOD THAT CAN INTERFERE WITH BREATHING: $808,202THE EATING DISORDERS CLINIC USES LEADING EVIDENCE-BASED TREATMENTS TO PATIENTS OF ALL AGES AND WITH ALL TYPES OF EATING DISORDERS. THE CENTER FOR THE TREATMENT OF EATING DISORDERS IS THE ONLY HOSPITAL-BASED PROGRAM IN THE TWIN CITIES TO OFFER IMMEDIATE ACCESS FOR MEDICAL STABILIZATION:$512,684OUR GENDER HEALTH PROGRAM IS AN EXCLUSIVELY PEDIATRIC, MULTIDISCIPLINARY GENDER HEALTH PROGRAM, AND INCLUDES PEDIATRIC GENDER HEALTH, ENDOCRINOLOGY AND GYNECOLOGY PHYSICIANS. THE GENDER HEALTH PROGRAM PROVIDES COMPASSIONATE AND COMPREHENSIVE CARE FOR TRANSGENDER AND GENDER-DIVERSE YOUTH. WE'RE DEDICATED TO SERVING AS AN ESSENTIAL MEDICAL PARTNER AND RESOURCE FOR TRANSGENDER YOUTH AND FAMILIES ALONG THEIR JOURNEY: $104,927THE DEVELOPMENT PEDIATRIC CLINIC ADDRESSES CONCERNS ABOUT YOUR CHILD'S DEVELOPMENTAL, BEHAVIORAL, SOCIAL OR LEARNING CHALLENGES. THE PROGRAM APPROACHES BEHAVIORAL AND DEVELOPMENTAL CONDITIONS, SUCH AS AUTISM AND DOWN SYNDROME, FROM ALL ANGLES: $1,204,388HOME HEALTH CARE ALLOWS KIDS TO RECEIVE THESE SERVICES NOT AT A HOSPITAL BEDSIDE, BUT AT HOME WITH THEIR FAMILIES. EDUCATION IS ALSO A BIG PART OF A HOME CARE NURSES' ROLE AND THEY ARE ALWAYS AVAILABLE TO ANSWER ANY QUESTIONS OR PROVIDE ASSISTANCE: $1,248,042THE PERFUSION TEAM CARES FOR THE ESSENTIAL BODILY FUNCTIONS OF THE PATIENT DURING SURGERY. WHILE THE HEART-LUNG MACHINE PUMPS FRESH OXYGENATED BLOOD INTO THE BODY, THE PERFUSIONIST MONITORS THE PATIENT'S BLOOD FLOW, SUPPORTS OPTIMAL SURGICAL CONDITIONS, COMMUNICATES WITH BOTH THE SURGEON AND ANESTHESIOLOGIST, MAINTAINS THE PATIENT'S BODY TEMPERATURE AND EXTENDS SUPPORT OF THE PATIENT'S CIRCULATION AFTER SURGERY: $178,711ST PAUL PRIMARY CARE CLINIC PROVIDES A WIDE VARIETY OF PRIMARY CARE SERVICES THAT KIDS NEED DURING A TYPICAL CHILDHOOD. AND, IF SOMETHING IS OUT OF THE ORDINARY, THEY CONNECT YOU TO THE REST OF THE SERVICES THROUGHOUT THE CHILDREN'S MINNESOTA SYSTEM: $190,020THE GENETICS CLINIC HELPS FAMILIES UNDERSTAND GENETIC CONDITIONS, LIKE CHROMOSOMAL DISORDERS AND SINGLE-GENE DISORDERS. WITH ONE OF THE LARGEST GENETICS PROGRAMS IN THE REGION, WE SEE MORE THAN 2,000 CHILDREN AND TEENS EVERY YEAR AND WE ARE THE ONLY GENETICS CLINIC IN MINNESOTA THATFOCUSES ENTIRELY ON CARING FOR KIDS WITH GENETIC CONDITIONS: $1,198,967OUR PHARMACOGENOMICS TEAM EVALUATES PATIENTS WHO DO NOT RESPOND OR MAY HAVE ADVERSE SIDE EFFECTS TO MEDICATIONS. THEY IDENTIFY GENETIC CHANGES THAT IMPACT HOW CHILDREN RESPOND TO MEDICATION IN ORDER TO USE THEM MORE SAFELY AND EFFECTIVELY AND PERFORM SAFE CLINICAL TRIAL TO SEE HOW MUCH BETTER NEW TREATMENTS CAN BE: $356,899THE NEUROLOGY CLINIC PROVIDES EXPERT DIAGNOSIS AND TREATMENT FOR KIDS' BRAIN AND NERVOUS SYSTEM CONDITIONS LIKE BRAIN TUMORS, EPILEPSY, HEAD TRAUMA, CEREBRAL PALSY AND OTHERS: $1,942,858CHILDREN'S CONCUSSION CLINIC PROVIDES COMPREHENSIVE MEDICAL EVALUATION AND TREATMENT FOR CHILDREN AND YOUNG ADULTS WHO HAVE CONCUSSIONS CAUSED BY SPORTS, ACCIDENTS OR FALLS. THE PEDIATRIC CONCUSSION CLINIC IS PART OF CHILDREN'S NEUROSCIENCE PROGRAM THAT INCLUDES HEALTH SPECIALISTS IN NEUROSURGERY, NEUROLOGY, NEUROPSYCHOLOGY, REHABILITATION AND OTHER DEPARTMENTS THAT CARE FOR BRAIN AND SPINE ISSUE: $39,914THE NEUROSURGERY CLINIC USES CUTTING EDGE SURGICAL TECHNIQUES AND TECHNOLOGY TO TREAT TUMORS, EPILEPSY AND OTHER BRAIN AND NERVOUS SYSTEM CONDITIONS. WE PERFORM HUNDREDS OF SURGERIES EACH YEAR ON BABIES, KIDS AND TEENS. THAT MAKES US ONE THE MOST EXPERIENCED PEDIATRIC NEUROSURGERYCENTERS ANYWHERE: $1,564,020THE RHEUMATOLOGY CLINIC USES ADVANCED TOOLS TO DIAGNOSE THESE COMPLEX CONDITIONS, ALLEVIATE PAIN AND RESTORE FUNCTION IN KIDS AND TEENS: $58,338PSYCHIATRIC SERVICES PROVIDES ASSESSMENT AND CONSULTATION TO CHILDREN. THEY CAN ALSO PRESCRIBE AND MANAGE MEDICATIONS USED TO TREAT EMOTIONAL AND BEHAVIORAL PROBLEMS: $751,379PSYCHOLOGICAL SERVICES MEETS WITH CHILDREN FOR OUTPATIENT THERAPY, PSYCHOLOGICAL AND NEUROPSYCHOLOGICAL ASSESSMENTS, AND CONSULTATION TO OUTPATIENT AND INPATIENT MEDICAL SERVICE: $1,985,904OUR INFECTIOUS DISEASE PROGRAM HAS EXPERTISE WITH BACTERIAL, VIRAL, FUNGAL AND PARASITIC INFECTIONS AND EVALUATES CHILDREN WITH RECURRENT FEVERS FOR POSSIBLE PERIODIC FEVER SYMPTOMS. WE ARE ALSO KNOWN FOR OUR MINNESOTA PERINATAL AND PEDIATRIC HIV PROGRAM: $1,212,887IN OUR IMMUNOLOGY PROGRAM, EVERY DOCTOR HAS HAD DEDICATED TRAINING IN BOTH PEDIATRIC INFECTIOUS DISEASES AND PEDIATRIC IMMUNOLOGY. WE COORDINATE CARE WITH OTHER DEPARTMENTS WITHIN THE HOSPITAL SO THAT PATIENTS CAN SEE EVERYONE THEY NEED, ALL AT THE SAME TIME AND IN THE SAME PLACE. WE COLLABORATE WITH CLINICAL IMMUNOLOGISTS NATIONALLY TO PROVIDE THE MOST ADVANCED DIAGNOSTIC TESTS AND TREATMENTS AVAILABLE, AND WE STAY UP TO DATE BY ATTENDING THE ANNUAL CLINICAL IMMUNOLOGY SOCIETY MEETING: $471,132CHILDREN'S MINNESOTA IS THE LARGEST PEDIATRIC CANCER AND BLOOD DISORDERS PROGRAM IN THE UPPER MIDWEST. WE CARE FOR MORE THAN 58 PERCENT OF CHILDREN DIAGNOSED WITH CANCER OR BLOOD DISORDERS IN MINNESOTA, AND 74 PERCENT OF THOSE DIAGNOSED IN THE TWIN CITIES METRO. EACH YEAR, MORE THAN 1,000 CHILDREN ARE ADMITTED AS INPATIENTS TO THE JIM AND COLLEEN RYAN PEDIATRIC CANCER AND BLOOD DISORDERS CENTER AT CHILDREN'S MINNESOTA MINNEAPOLIS HOSPITAL: $517,954THE DIABETES AND ENDOCRINE CLINIC DIAGNOSES AND TREATS ALL KINDS OF ENDOCRINE DISORDERS IN CHILDREN AND TEENS, INCLUDING GROWTH DISORDERS, ABNORMALLY EARLY OR DELAYED PUBERTY AND DISEASES OF THE THYROID, PITUITARY AND ADRENAL GLANDS: $671,857THE SEDATION AND PROCEDURAL SERVICES (SPS) UNIT PROVIDES A BROAD RANGE OF SCHEDULED AND UNSCHEDULED SERVICES INCLUDING, NON-SURGICAL PROCEDURES, DIAGNOSTIC TESTING, MINIMAL, MODERATE, AND DEEP SEDATION, NURSE-ONLY VISITS, AND VASCULAR ACCESS SERVICES FOR THE HOSPITAL SITES. THE SPSUNITS ADMIT SCHEDULED AND UNSCHEDULED MEDICAL AND SURGICAL OBSERVATION STATUS PATIENTS AND CARE FOR INPATIENT OVERFLOW VOLUME IN TIMES OF HIGH CENSUS: $2,225,161
PART II, COMMUNITY BUILDING ACTIVITIES:	CAREER READINESS:ACHIEVE STEP-UP: STEP-UP IS MINNEAPOLIS' LARGEST TRAINING PROGRAM WHICH PROVIDES JOB OPPORTUNITIES TO YOUTH. SINCE 2006 CHILDREN'S MINNESOTA HAS HIRED STEP-UP SUMMER INTERNS. THE STUDENTS WORK IN A VARIETY OF AREAS TO GAIN KNOWLEDGE IN PATIENT CARE AND NON-PATIENT CARE DEPARTMENTS. MANY OF THE CHILDREN'S STEP-UP STUDENTS ATTENDED OR WILL BE ATTENDING HIGHER EDUCATION INSTITUTIONS. STUDENTS MAY RETURN TO THEIR POSITIONS DURING BREAKS IN A CASUAL CAPACITY WHILE ATTENDING SCHOOL OR VOLUNTEERING. THE PROGRAM AT CHILDREN'S FOCUSES ON IMMERSING AND INTEGRATING STUDENTS IN THE HOSPITAL WORK ENVIRONMENT TO ASSIST WITH BUILDING SKILLS AND COMPETITIVE EMPLOYMENT IN HEALTHCARE. IN THE SUMMER OF 2023, CHILDREN'S MINNESOTA HOSTED 5 COLLEGE LEVEL INTERNS AND 3 HIGH SCHOOL LEVEL INTERNS. UNIVERSITY OF SAINT THOMAS-DOUGHERTY FAMILY COLLEGE: THE DOUGHERTY FAMILY COLLEGE PROVIDES COLLEGE AGE STUDENTS WITH A CAREER DEVELOPMENT OPPORTUNITY THROUGH THEIR CORPORATE INTERNSHIP PROGRAM. THIS PROGRAM ALLOWS STUDENTS TO HAVE THE OPPORTUNITY TO DEVELOP REAL-WORLD, PROFESSIONAL EXPERIENCE IN PAID INTERNSHIPS AT LEADING ORGANIZATIONS THROUGHOUT THE TWIN CITIES WHERE THEY'LL START USING THEIR EDUCATION TO BUILD A CAREER THAT MAKES A DIFFERENCE. IN THE SUMMER OF 2023, CHILDREN'S MINNESOTA HOSTED 4 COLLEGE LEVEL INTERNS. CRISTO REY JESUIT HIGH SCHOOL: CHILDREN'S IS ONE OF THE PIONEER ORGANIZATIONS IN THE TWIN CITIES THAT IS INVOLVED IN THE CRISTO REY SCHOOL INITIATIVE. THIS PROGRAM PROVIDES COLLEGE PREPARATORY SCHOOLING TO INNER CITY MINORITY STUDENTS AS WELL AS TARGETED WORK-STUDY OPPORTUNITIES. CHILDREN'S MINNESOTA HAS PROVIDED WORK-STUDY AND MENTOR OPPORTUNITIES TO STUDENTS SINCE 2007. THE GOAL OF THIS INITIATIVE IS TO PROVIDE REAL-LIFE WORK EXPERIENCES THAT WILL BROADEN THE MINORITY TALENT POOL WHILE ALLOWING STUDENTS TO EARN A PORTION OF THE COST OF THEIR EDUCATION. IN THE 2023-2024 ACADEMIC YEAR, CHILDREN'S MINNESOTA HOSTED 2 STUDENT INTERNS. PROJECT SEARCH: CHILDREN'S MINNESOTA PARTNERED WITH THE MINNEAPOLIS PUBLIC SCHOOLS TRANSITIONS PLUS PROGRAM TO LAUNCH PROJECT SEARCH IN 2011. CHILDREN'S MINNESOTA WAS ONE OF THE FIRST HEALTHCARE ORGANIZATIONS TO LAUNCH PROJECT SEARCH IN THE 5-STATE AREA. PROJECT SEARCH IS A UNIQUE BUSINESS-LED TRANSITION PROGRAM FOR STUDENTS WITH DISABILITIES TO WORK, EXPLORE CAREERS AND DEVELOP TRANSFERABLE JOB SKILLS, WITH THE GOAL OF WORKING IN A COMPETITIVE ENVIRONMENT. DESIGNED AS AN UNPAID INTERNSHIP PROGRAM, PROJECT SEARCH PLACES STUDENTS IN REAL SITUATIONS WHERE THEY LEARN ALL ASPECTS OF GAINING AND MAINTAINING A JOB. THIS PROCESS OF IMMERSION FACILITATES THE TEACHING AND LEARNING OF NEW WORK SKILLS ON-SITE. INDIVIDUALIZED JOB DEVELOPMENT AND PLACEMENT OCCURS BASED ON THE STUDENT'S EXPERIENCES, STRENGTHS, AND SKILLS. A SERIES OF JOB ROTATIONS ALLOW STUDENTS TO FIND POSITIONS THAT BEST SUIT THEIR PREFERENCES. STUDENTS RECEIVE SUPPORT WITH ACCOMMODATION, ADAPTATIONS, AND ON-THE-JOB COACHING VIA MINNEAPOLIS SCHOOL EMPLOYEES. IN 2023-2024 ACADEMIC YEAR, CHILDREN'S MINNESOTA HOSTED 6 INTERNS FROM PROJECT SEARCH AND HIRED 1 PREVIOUS INTERN INTO A STERILE PROCESSING TECH ROLE. PROJECT FOR PRIDE IN LIVING (PPL): PPL HELPS LOW-INCOME PEOPLE ACHIEVE SELF-SUFFICIENCY THROUGH HOUSING, EMPLOYMENT TRAINING, SUPPORT SERVICES AND EDUCATION. CHILDREN'S MINNESOTA PARTNERS WITH AND PROVIDES FINANCIAL SUPPORT TO PPL IN THEIR TRAIN TO WORK INITIATIVE, WHICH HAS TRAINED HUNDREDS OF PEOPLE TO MEET ENTRY-LEVEL STAFFING NEEDS OF CHILDREN'S MINNESOTA AND OTHER MAJOR AREA HEALTHCARE PARTNERS. TRAIN TO WORK OFFERS TRAINING IN HEALTHCARE-SPECIFIC DETAILS, SUCH AS MEDICAL TERMINOLOGY AND ELECTRONIC HEALTH RECORDS, AS WELL AS A JOB SHADOWING INTERNSHIP THAT HAS BEEN AN ESSENTIAL COMPONENT OF THE PROGRAM'S SUCCESS. THE INTERNSHIP GIVES PARTICIPANTS HANDS-ON EXPERIENCE IN HEALTHCARE AND GIVES EMPLOYERS AN OPPORTUNITY TO OBSERVE POTENTIAL EMPLOYEES. IN 2023, CHILDREN'S MINNESOTA PARTNERED ON THEIR NURSING ASSISTANT AND PHARMACY TECH PROGRAMS WITH ACTIVITIES SUCH AS PRESENTATIONS, AND MOCK INTERVIEWS, AND WAS ABLE TO HIRE 3 PARTICIPANTS INTO NURSING ASSISTANT ROLES, 1 INTO AN ENVIRONMENTAL SERVICES ROLE, AND 1 INTO A UNIT OPERATIONS COORDINATOR ROLE. URBAN SCHOLARS: THE URBAN SCHOLARS PROGRAM INTENTIONALLY CONNECTS STUDENTS AND ORGANIZATIONS IN PURSUIT OF AN EQUITABLE WORKFORCE. URBAN SCHOLARS IS A PAID, FULL TIME, 10-WEEK SUMMER INTERNSHIP PROGRAM. SCHOLARS SPEND 32 HOURS IN THEIR WORK PLACEMENT, AND 8 HOURS IN THE URBAN SCHOLARS LEADERSHIP INSTITUTE EVERY WEEK. IN THE SUMMER OF 2023, CHILDREN'S MINNESOTA HOSTED 2 URBAN SCHOLARS INTERNS. RIGHTTRACK: RIGHT TRACK BRINGS TOGETHER THE CITY OF SAINT PAUL, THE SAINT PAUL PUBLIC SCHOOLS, LOCAL BUSINESSES, AND COMMUNITY-BASED ORGANIZATIONS TO PROVIDE EMPLOYMENT OPPORTUNITIES AND PROFESSIONAL SKILLS TRAINING FOR HIGH SCHOOL YOUTH. IN THE SUMMER OF 2023, CHILDREN'S MINNESOTA HOSTED 2 RIGHT TRACK HIGH SCHOOL INTERNS.WALLIN EDUCATION PARTNERS: WALLIN EDUCATION PARTNERS WORKS WITH STUDENTS TO PROVIDE FINANCIAL AID, ADVISING, AND ACCESS TO COMMUNITY AND CAREER OPPORTUNITIES. IN THE SUMMER OF 2023 CHILDREN'S MINNESOTA HOSTED 2 COLLEGE LEVEL INTERNS.INTERNATIONAL INSTITUTE OF MINNESOTA: IIOFMN HELPS NEW AMERICANS ACHIEVE SELF-SUFFICIENCY AND FULL MEMBERSHIP IN AMERICAN LIFE. CHILDREN'S MINNESOTA CONSULTS WITH THE INTERNATIONAL INSTITUTE OF MINNESOTA ON HIGH NEEDS AREAS, HOSTS INFORMATION SESSIONS, MOCK INTERVIEWS AND PROVIDES EMPLOYMENT ASSISTANCE AND SITE VISITS FOR NURSING ASSISTANT, HOUSEKEEPING, DIETARY, AND RN STUDENTS. IN 2023, CHILDREN'S MINNESOTA HIRED 1 STUDENT INTO AN ENVIRONMENTAL SERVICES AIDE POSITION. SUMMIT ACADEMY: IN SEPTEMBER 2022 CHILDREN'S MINNESOTA BEGAN WORKING WITH THE SUMMIT ACADEMY OIC PROGRAM WHICH OFFERS TRAINING FOR IN-DEMAND CAREERS, INCLUDING HEALTHCARE. CHILDREN'S MINNESOTA PARTICIPATES IN INFORMATION SESSIONS, MOCK INTERVIEWS AND CAREER FAIRS WHILE ALSO PROVIDING EMPLOYMENT ASSISTANCE. IN 2023 CHILDREN'S MINNESOTA HIRED 8 STUDENTS FROM THE SUMMIT OIC MEDICAL ADMINISTRATIVE ASSISTANT CLASS INTO ADMINISTRATIVE ROLES. CHILDREN'S MINNESOTA ALSO HOSTED A STUDENT AS AN INFORMATION TECHNOLOGY SERVICES INTERN. CAPI: CAPI CONNECTS IMMIGRANTS, REFUGEES, AND US-BORN PERSONS OF COLOR WITH RESOURCES THEY NEED TO THRIVE. CHILDREN'S MINNESOTA WORKS WITH CAPI ON THEIR NURSING ASSISTANT TRAINING BY OFFERING INFO SESSIONS, MOCK INTERVIEWS, AND JOB ASSISTANCE FOR REFERRALS. IN 2023, CHILDREN'S MINNESOTA ABLE TO HIRE ONE OF THEIR REFERRALS INTO A FAMILY RESOURCE REP POSITION.CLUES: CLUES ADVANCES SOCIAL AND ECONOMIC EQUITY AND WELLBEING FOR LATINOS. CHILDREN'S MINNESOTA WORKS WITH CLUES NURSING ASSISTANT, HEALTHCARE TECH, AND PHLEBOTOMY TRAINING BY GOING TO THEIR EVENTS, MOCK INTERVIEWING, INFO SESSIONS, AND OFFERING JOB ASSISTANCE. IN 2023, WE WERE ABLE TO HIRE 2 STUDENTS FROM CLUES INTO CLINICAL SUPPORT ASSOCIATE ROLES.HIRED: HIRED SUPPORTS PARTICIPANTS WITH RESOURCES AND CONNECTING THEM TO THE RIGHT TRAINING TO BUILD SUSTAINABLE CAREERS. CHILDREN'S MINNESOTA PARTNERS WITH THEM ON THEIR MEDICAL CALL CENTER AND OFFICEADMIN TRAINING BY DOING INFORMATION SESSIONS AND EMPLOYMENT ASSISTANCE. IN 2023, CHILDREN'S MINNESOTA HIRED 1 PARTICIPANT INTO A CLINIC ASSISTANT ROLE.HMONG AMERICA PARTNERSHIP: HAP EMPOWERS THE COMMUNITY WITH CULTURALLY SENSITIVE SOCIAL SERVICES, PROMOTING THE RICH HERITAGE OF THEIR ETHNIC COMMUNITIES, AND OFFERING HOUSING AND ECONOMIC DEVELOPMENT OPPORTUNITIES. CHILDREN'S MINNESOTA PARTNERS WITH THEM ON THEIR NURSING ASSISTANT TRAINING PROGRAM AND THEIR JOB FAIRS.TWIN CITIES R!SE: TCR TRANSFORMS THE LIVES OF THOSE IMPACTED BY RACIAL OR SOCIO-ECONOMIC BARRIERS THROUGH PERSONAL EMPOWERMENT, CAREER TRAINING, AND MEANINGFUL EMPLOYMENT. CHILDREN'S MINNESOTA PARTNERS WITH THEM ON INFORMATION SESSIONS, MOCK INTERVIEWING, AND JOB FAIRS.JOB CORPS: JOB CORPS PROVIDES FREE CAREER TRAINING AND EDUCATION FOR 16 THROUGH 24-YEAR-OLDS TO BEGIN A CAREER OR ADVANCE HIGHER EDUCATION. CHILDREN'S MINNESOTA PARTNERS WITH THEM ON THEIR JOB FAIRS AND GENERAL EMPLOYMENT ASSISTANCE.
PART III, LINE 2:	BAD DEBT IS DEFINED AS THE UNPAID OBLIGATION FOR CARE PROVIDED TO PATIENTS WHO HAVE BEEN DETERMINED TO BE ABLE TO PAY, BUT HAVE NOT DEMONSTRATED A WILLINGNESS TO PAY. THE AMOUNTS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY ARE DETERMINED BY A PATIENT'S WILLINGNESS TO PAY WITH A DOCUMENTED INABILITY TO PAY PER MEASURES ESTABLISHED BY OUR POLICY. BAD DEBT IS ESTIMATED BY APPLYING THE RATIO OF PATIENT CARE COST TO CHARGES, AS CALCULATED ON FORM 990, SCHEDULE H, WORKSHEET 2, TO THE ACTUAL PATIENT CHARGES.
PART III, LINE 3:	THE ORGANIZATION ESTIMATES THAT TWENTY-FIVE PERCENT OF BAD DEBT EXPENSES ARE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY (BUT WERE EITHER UNWILLING OR UNABLE TO PROVIDE SUFFICIENT INFORMATION TO MAKE A DETERMINATION OF THEIR ELIGIBILITY WHILE IN OUR CARE). THE ESTIMATE OF TWENTY-FIVE PERCENT IS BASED ON A REVIEW OF ACCOUNTS CLASSIFIED AS BAD DEBT AND MANAGEMENT JUDGMENT.
PART III, LINE 4:	GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. CHILDREN'S ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. CHILDREN'S ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCES AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. CONSISTENT WITH CHILDREN'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, CHILDREN'S HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES (E.G., CO-PAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS CHILDREN'S EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS. PATIENTS WHO MEET CHILDREN'S CRITERIA FOR CHARITY CARE ARE PROVIDED CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SUCH AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE ARE NOT REPORTED AS REVENUE.
PART III, LINE 8:	UNREIMBURSED MA: ACTUAL MEDICAID REIMBURSEMENT RATE FOR FY 2023 LESS ACTUAL PAYMENTS RECEIVED, MN CARE PROVIDER TAX, MA SURCHARGE AND COSTS DERIVED VIA A COST ACCOUNTING METHODOLOGY THAT ALLOCATES OVERHEAD TO OPERATING DEPARTMENTS. FOR 2023, THE REMAINING COVID RELIEF GRANTS NOT COUNTED IN OTHER CATEGORIES WERE APPLIED AS DIRECT OFFSETTING REVENUE.COMMUNITY HEALTH IMPROVEMENT SERVICES: A COST ACCOUNTING METHODOLOGY THAT ALLOCATES OVERHEAD TO OPERATING DEPARTMENTS AND REMOVES DIRECT COMMUNITY BENEFITS COSTS ACCOUNTED FOR IN OTHER PORTION OF THE SCHEDULE TO ENSURE WE DO NOT DOUBLE COUNT LESS DIRECT OFFSETTING REVENUE. THIS METHODOLOGY ADDRESSES ALL PATIENT SEGMENTS AND IS A DIFFERENT METHODOLOGY THAN USED IN WORKSHEET 2.COMMUNITY BENEFIT OPERATIONS: ACTUAL AND ESTIMATED COSTS INCURRED FOR SUPPORTING CHNA AND COMMUNITY BENEFITS OPERATIONS INCLUDING EXTERNAL COSTS, INTERNAL DEPARTMENT TIME AND A PERCENTAGE OF FOUNDATION SUPPORT COSTS BASED ON ACTUAL COMMUNITY BENEFIT REVENUE ACTIVITIES.HEALTH PROFESSIONS EDUCATION: A COST ACCOUNTING METHODOLOGY THAT ALLOCATES OVERHEAD TO OPERATING DEPARTMENTS AND REMOVES DIRECT COMMUNITY BENEFITS COSTS ACCOUNTED FOR IN OTHER PORTION OF THE SCHEDULE TO ENSURE WE DO NOT DOUBLE COUNT LESS DIRECT OFFSETTING REVENUE. THIS METHODOLOGY ADDRESSES ALL PATIENT SEGMENTS AND IS A DIFFERENT METHODOLOGY THAN USED IN WORKSHEET 2.SUBSIDIZED HEALTH SERVICES: A COST ACCOUNTING METHODOLOGY THAT ALLOCATES OVERHEAD TO OPERATING DEPARTMENTS AND REMOVES DIRECT COMMUNITY BENEFITS COSTS ACCOUNTED FOR IN OTHER PORTION OF THE SCHEDULE TO ENSURE WE DO NOT DOUBLE COUNT LESS DIRECT OFFSETTING REVENUE. THIS METHODOLOGY ADDRESSES ALL PATIENT SEGMENTS AND IS A DIFFERENT METHODOLOGY THAN USED IN WORKSHEET 2. FOR 2023, THE REMAINING COVID RELIEF GRANTS NOT COUNTED IN OTHER CATEGORIES WERE APPLIED AS DIRECT OFFSETTING REVENUE.RESEARCH: A COST ACCOUNTING METHODOLOGY IS THAT ALLOCATES OVERHEAD TO OPERATING DEPARTMENTS AND REMOVES DIRECT COMMUNITY BENEFITS COSTS ACCOUNTED FOR IN OTHER PORTION OF THE SCHEDULE TO ENSURE WE DO NOT DOUBLE COUNT LESS DIRECT OFFSETTING REVENUE. THIS METHODOLOGY ADDRESSES ALL PATIENT SEGMENTS AND IS A DIFFERENT METHODOLOGY THAN USED IN WORKSHEET 2.THE ORGANIZATION PRIMARILY SERVES PEDIATRIC PATIENTS AND DOES NOT GENERATE SIGNIFICANT MEDICARE REVENUES. THE ORGANIZATION FILES A MEDICARE COST REPORT ANNUALLY. FORM 990, SCHEDULE H, WORKSHEET 3 - UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS WAS USED TO CALCULATE THE COSTS ASSOCIATED WITH MEDICARE CHARGES REPORTED IN PART III, LINE 6. THE ORGANIZATION DOES NOT REPORT ANY AMOUNTS FROM PART III, LINE 7 AS COMMUNITY BENEFIT.
PART III, LINE 9B:	WHEN COLLECTING MEDICAL DEBT, CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA TREATS ITS PATIENT FAMILIES WITH HONOR, DIGNITY, AND RESPECT; DEMONSTRATES COMPASSION; AND ARE GOOD STEWARDS OF HEALTH CARE RESOURCES. THERE IS A ZERO TOLERANCE FOR ABUSIVE, HARASSING, OPPRESSIVE, FALSE, DECEPTIVE, OR MISLEADING LANGUAGE OR COLLECTIONS CONDUCT BY CHILDREN'S EMPLOYEES AND CONTRACTORS WHO COLLECT MEDICAL DEBT FROM PATIENT FAMILIES. THIS POLICY APPLIES BROADLY TO ALL PATIENT FAMILIES WE SERVE.COMPONENTS OF CHILDREN'S COLLECTION POLICY INCLUDE: DURING THE PRE-REGISTRATION, REGISTRATION, OR ADMISSION PROCESS, CHILDREN'S ATTEMPTS TO IDENTIFY AND INFORM PATIENT FAMILIES WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE OR DISCOUNTED CARE THROUGH THE UNINSURED DISCOUNT OR FINANCIAL ASSISTANCE POLICY. IN ADDITION, ALL FAMILIES ARE PROVIDED WITH A PLAIN LANGUAGE SUMMARY OF OUR FINANCIAL ASSISTANCE POLICY AT REGISTRATION. INFORMATION ON OUR FINANCIAL ASSISTANCE POLICY IS POSTED IN EACH CLINIC AND REGISTRATION AREA, OUR WELCOME CENTER AND ON OUR WEBSITE.ALL CHILDREN'S EMPLOYEES AND CONTRACTED STAFF WHO HAVE DIRECT CONTACT WITH PATIENTS ARE EDUCATED ON AN ANNUAL BASIS OF CHILDREN'S FINANCIAL ASSISTANCE POLICIES. THE EDUCATION INFORMS STAFF OF PROGRAMS AVAILABLE AND HOW A PATIENT FAMILY MAY OBTAIN MORE INFORMATION AND SUBMIT AN APPLICATION FOR FINANCIAL ASSISTANCE.A COPY OF THE FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY IS INCLUDED ON THE BACK OF EACH HOSPITAL PATIENT STATEMENT EXPLAINING THE PROCESS AND PHONE NUMBERS TO CONTACT FOR QUESTIONS FOR OBTAINING FINANCIAL ASSISTANCE FOR ALL PATIENT FAMILIES THE LOCATION ON CHILDREN'S WEB SITE WHERE THE POLICIES AND APPLICATIONS RESIDE IS ALSO REFERENCED. .. IF A PATIENT FAMILY INDICATES THE NEED FOR FINANCIAL ASSISTANCE DURING THE REGISTRATION PROCESS OR THROUGHOUT THE COLLECTION PROCESS, FINANCIAL ASSISTANCE INFORMATION IS PROVIDED TO THE FAMILY BY STAFF. ALL PATIENTS WHO ARE REGISTERED AS SELF PAY ARE OFFERED THE FINANCIAL ASSISTANCE INFORMATION AT THE TIME OF REGISTRATION.ALL CORRESPONDENCE SEEKING COLLECTION OF MEDICAL DEBTS CONTAIN A REFERENCE TO THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THE FINAL NOTICE PRIOR TO BAD DEBT PLACEMENT INCLUDE THE REQUIRED LANGUAGE RELATED TO EXTRAORDINARY COLLECTION EFFORTS.MINNESOTA HOSPITAL PROVIDERS HAVE JOINTLY DEVELOPED CONSISTENT COLLECTION GUIDELINES SET OUT IN FORMAL AGREEMENTS WITH THE MINNESOTA ATTORNEY GENERAL'S OFFICE. THIS AGREEMENT IS CONSISTENT WITH CHILDREN'S COLLECTION POLICY. THE AUDIT COMMITTEE OF OUR BOARD OF DIRECTORS ANNUALLY REVIEWS THIS POLICY AND ALL POLICIES CONCERNING COLLECTION OF MEDICAL DEBT, UNINSURED DISCOUNT, AND CHARITY CARE. THE AUDIT COMMITTEE ALSO REVIEWS THE RESULTS OF AN ANNUAL AUDIT RELATED TO THESE AREAS IN ACCORDANCE WITH THE MINNESOTA ATTORNEY GENERAL'S AGREEMENT.
PART VI, LINE 2:	IN 2023, CHILDREN'S MINNESOTA COMPLETED ITS FOURTH COMMUNITY HEALTH NEEDS ASSESSMENT, AS REQUIRED UNDER THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 ("PPACA"). THE CHNA AND ACCOMPANYING IMPLEMENTATION STRATEGY WERE APPROVED BY THE EXECUTIVE COMMITTEE OF THE CHILDREN'S MINNESOTA BOARD OF DIRECTORS. THE COMPLETE DOCUMENTS ARE AVAILABLE TO THE PUBLIC AT COMMUNITY HEALTH NEEDS ASSESSMENT \| CHILDREN'S MINNESOTA (CHILDRENSMN.ORG)IN CONDUCTING THE ASSESSMENT, CHILDREN'S MINNESOTA CONSIDERED THE FOLLOWING TOPICS AND DATA: DEMOGRAPHICS; ECONOMIC ISSUES THAT AFFECT CHILDREN; COMMUNITY ISSUES; HEALTH STATUS INDICATORS; HEALTH ACCESS INDICATORS; HEALTH DISPARITIES INDICATORS AND AVAILABILITY OF HEALTHCARE FACILITIES AND RESOURCES.IN ADDITION TO THE CHNA PROCESS, CHILDREN'S MINNESOTA ALSO REGULARLY ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IN THE FOLLOWING WAYS:A. BOARD OF DIRECTORS: THE ORGANIZATION'S GOVERNING BODY, COMPRISED PRIMARILY OF COMMUNITY MEMBERS WHO RESIDE LOCALLY, PROVIDES GOVERNANCE OVERSIGHT AND INPUT ON THE HEALTH CARE SERVICES CHILDREN'S MINNESOTA PROVIDES TO THE LOCAL COMMUNITY.B. CHILDREN'S MINNESOTA EMPLOYED PHYSICIANS, INDEPENDENT PHYSICIANS WHO PROVIDE CARE AT CHILDREN'S, AND NUMEROUS CLINICAL CARE PROVIDERS ASSESS COMMUNITY NEEDS DAILY THROUGH THE PEDIATRIC CARE PROVIDED THROUGHOUT THE COMMUNITY.C. COMMUNITY PARTNERSHIPS/RELATIONSHIPS: THE CHILDREN'S MINNESOTA COLLECTIVE FOR COMMUNITY HEALTH, EQUITY AND INCLUSION DEPARTMENT, HEALTH EQUITY TEAM AND OTHERS CONTINUE TO DEVELOP A CORE STRATEGY BASED ON ACTIVE AND SUBSTANTIVE ENGAGEMENT OF THE COMMUNITY, IN ITS VARYING FORMS. THIS INCLUDES COLLABORATION WITH COMMUNITY-BASED ORGANIZATIONS AND LEADERS, ALIGNED NON-PROFITS, SERVICE DELIVERY AGENCIES AND ASSOCIATIONS. CHILDREN'S MINNESOTA ALSO ENGAGES IN LOCAL AND STATE GOVERNMENT-DRIVEN INITIATIVES AROUND CHILD HEALTH ISSUES. THROUGH THESE PARTNERSHIPS CHILDREN'S MINNESOTA GAINS INSIGHT AND SUPPORTS PROGRESS ON A NUMBER OF KEY ISSUES IMPACTING CHILDREN, INCLUDING: MENTAL HEALTH, ACCESS TO HEALTH CARE, HEALTH AND RACIAL EQUITY, COMMUNITY SAFETY AND OTHER SOCIAL CONDITIONS THAT IMPACT HEALTH. D. THE FAMILIES AS PARTNERS (FAP) PROGRAM: THE CHILDREN'S MINNESOTA FAP PROGRAM PROMOTES, COORDINATES, AND SUPPORTS PATIENT FAMILY ENGAGEMENT THROUGHOUT THE ORGANIZATION. THE PATHWAYS TO GET INVOLVED INCLUDE THE -FAMILY-TO- FAMILY PROGRAM, FAMILY ADVISORY COUNCIL, FAMILY ADVOCATES, FAMILY ADVISORS, FAMILIES AS FACULTY AND FAMILY SPEAKER'S BUREAU. -FAMILY-TO-FAMILY PROGRAM CHILDREN'S MINNESOTA PATIENT FAMILIES THAT MENTOR AND SUPPORT OTHER HOSPITALIZED PATIENTS AND FAMILIES-FAMILY ADVISORY COUNCIL (FAC) A DIVERSE GROUP OF FAMILIES WHO COLLABORATE WITH STAFF TO ENHANCE THE PATIENT AND FAMILY EXPERIENCE-FAMILY ADVOCATES PATIENT FAMILIES WHO ADVOCATE FOR PEDIATRIC HEALTH POLICIES-FAMILY ADVISORS REPRESENT THE FAMILY PERSPECTIVE ON COMMITTEES, EXPERIENCE TEAMS, FACILITY DESIGN TEAMS AND FOCUS GROUPS -FAMILIES AS FACULTY PARTICIPATE IN SESSIONS THAT PROVIDE PATIENT AND FAMILY CENTERED CARE EDUCATION FOR PHYSICIANS, NURSES AND STAFF-FAMILY SPEAKER'S BUREAU SHARE INFORMATION ABOUT THEIR INDIVIDUAL EXPERIENCE AT SPECIAL EVENTS AND MEETINGSE. YOUTH ADVISORY COUNCIL (YAC) -- THIS IS A DEDICATED GROUP OF PATIENTS; AGES 10 TO 18, WHO HELP HOSPITAL STAFF, LEADERS, CLINICIANS AND PARENTS UNDERSTAND WHAT IS IMPORTANT TO CHILDREN, TEENS AND SIBLINGS DURING HOSPITAL STAYS, CLINIC VISITS AND EMERGENCY CARE. THE YAC BRINGS A VALUABLE PERSPECTIVE AND VOICE TO CHILDREN'S MINNESOTA BY PARTICIPATING IN ACTIVITIES THAT PROMOTE DISCUSSION AND THOUGHT ABOUT HEALTH CARE SERVICES FOR PEDIATRIC AND YOUNG ADULT PATIENTS. THE COUNCIL ALSO BRINGS GREAT PERSPECTIVE TO LET OTHER CHILDREN KNOW HOW TO MAKE THEIR STAY AT CHILDREN'S MINNESOTA A MORE COMFORTABLE AND POSITIVE EXPERIENCE. F. OTHER METHODS INCLUDE AND ARE NOT LIMITED TO PARTNERSHIPS AND PROJECTS WITH THIRD PARTY-PAYERS AND OTHER COMMUNITY PHYSICIANS AND HOSPITALS, MONITORING AND REPORTING OF INFECTIOUS DISEASE DATA, DISASTER READINESS EFFORTS, RESEARCH AND EDUCATION, SUPPORT GROUPS, AND OTHERS.
PART VI, LINE 3:	COMPONENTS OF CHILDREN'S COLLECTION POLICY INCLUDE:DURING THE PRE-REGISTRATION, REGISTRATION, OR ADMISSION PROCESS, CHILDREN'S WILL ATTEMPT TO IDENTIFY AND INFORM PATIENT FAMILIES WHO MAY BE ELIGIBLE FOR CHARITY CARE OR DISCOUNTED CARE THROUGH THE UNINSURED DISCOUNT OR CHARITY CARE POLICY.ALL CHILDREN'S EMPLOYEES AND CONTRACTED STAFF WHO HAVE DIRECT CONTACT WITH PATIENTS WILL BE EDUCATED ON AN ANNUAL BASIS OF CHILDREN'S FINANCIAL ASSISTANCE POLICIES. THE EDUCATION WILL INFORM STAFF OF PROGRAMS AVAILABLE AND HOW A PATIENT FAMILY MAY OBTAIN MORE INFORMATION AND SUBMITAN APPLICATION FOR FINANCIAL ASSISTANCE.A FINANCIAL ASSISTANCE APPLICATION WILL BE SENT WITH THE INITIAL LETTER EXPLAINING THE PROCESS FOR OBTAINING FINANCIAL ASSISTANCE TO ALL SELF-PAY PATIENT FAMILIES. IF A PATIENT FAMILY INDICATES THE NEED FOR FINANCIAL ASSISTANCE DURING THE REGISTRATION PROCESS, FINANCIAL ASSISTANCE INFORMATION IS PROVIDED TO THE FAMILY BY THE REGISTRATION STAFF.ALL CORRESPONDENCE SEEKING COLLECTION OF MEDICAL DEBTS WILL CONTAIN A REFERENCE TO THE AVAILABILITY OF FINANCIAL ASSISTANCE.MINNESOTA HOSPITAL PROVIDERS HAVE JOINTLY DEVELOPED CONSISTENT COLLECTION GUIDELINES SET OUT IN FORMAL AGREEMENTS WITH THE MINNESOTA ATTORNEY GENERAL'S OFFICE. THIS AGREEMENT IS CONSISTENT WITH CHILDREN'S COLLECTION POLICY. THE BOARD OF DIRECTORS (AUDIT COMMITTEE) PERFORMS AN ANNUAL REVIEW OF THIS POLICY AND ALL POLICIES CONCERNING COLLECTION OF MEDICAL DEBT, UNINSURED DISCOUNT, AND CHARITY CARE. THE AUDIT COMMITTEE SHALL ALSO REVIEW THE RESULTS OF AN ANNUAL AUDIT RELATED TO THESE AREAS IN ACCORDANCE WITH THE MINNESOTA ATTORNEY GENERAL'S AGREEMENT.
PART VI, LINE 4:	CHILDREN'S MINNESOTA SERVES THE FIVE-STATE AREA OF THE UPPER MIDWEST (MINNESOTA, NORTH DAKOTA, SOUTH DAKOTA, IOWA, AND WISCONSIN). IN 2023, CHILDREN'S MINNESOTA SERVED PATIENTS FROM 100 PERCENT OF MINNESOTA COUNTIES AND 59 PERCENT OF THE TOTAL COUNTIES IN THE FIVE-STATE AREA. IN SUPPORT OF A HIGHLY DIVERSE PATIENT POPULATION, CHILDREN'S MINNESOTA PROVIDED INTERPRETER SERVICES FOR 68 LANGUAGES WITH THE MOST FREQUENT LANGUAGES BEING SPANISH, SOMALI, AND KAREN. CHILDREN'S MINNESOTA ALSO SERVES A DISPROPORTIONATE SHARE OF ECONOMICALLY DISADVANTAGED PATIENTS WITH APPROXIMATELY 47 PERCENT OF THE CHILDREN'S MINNESOTA PATIENT POPULATION BEING ELIGIBLE FOR MEDICAID IN 2023. THE MINNEAPOLIS CAMPUS IS LOCATED WITHIN THE PHILLIPS-POWDERHORN NEIGHBORHOOD, HOME TO ONE OF THE MOST RACIALLY AND ETHNICALLY DIVERSE COMMUNITIES IN MINNESOTA.
PART VI, LINE 5:	AS A TAX-EXEMPT ORGANIZATION, CHILDREN'S MINNESOTA MAINTAINS AN OPEN MEDICAL STAFF AND IS GOVERNED BY A VOLUNTEER, COMMUNITY BOARD. CHILDREN'S MINNESOTA PROVIDES A BROAD SPECTRUM OF BENEFITS TO THE COMMUNITIES IT SERVES THAT WOULD OTHERWISE BE UNAVAILABLE OR INSUFFICIENT TO MEET PATIENT DEMAND. CHILDREN'S MINNESOTA DOES THIS FOR THE EXPRESS PURPOSE OF IMPROVING THE HEALTH STATUS OF CHILDREN IN THE COMMUNITY. THESE SERVICES AND DONATIONS ACCOUNT FOR A MEASURABLE PORTION OF THE HOSPITAL'S COSTS AND HELP TO PROMOTE HEALTHY LIFESTYLES, COMMUNITY DEVELOPMENT, HEALTH EDUCATION AND AFFORDABLE ACCESS TO CARE. EXAMPLE PROGRAMS INCLUDE:THE COLLECTIVE FOR COMMUNITY HEALTH AT CHILDREN'S MINNESOTA PROMOTES THE HEALTH OF THE COMMUNITY THROUGH PROGRAMS AND SERVICES THAT ADDRESS PATIENTS' SOCIAL NEEDS AS WELL AS ACTIVE AND INTENTIONAL ADVOCACY AND ENGAGEMENT WITH THE COMMUNITY TO BUILD PARTNERSHIPS THAT CAN SUPPORT THE HEALTH AND WELL-BEING OF CHILDREN IN THE COMMUNITIES CHILDREN'S MINNESOTA SERVES.THE MINNESOTA EMERGENCY MEDICAL SERVICES FOR CHILDREN (EMSC) PROGRAM WAS ESTABLISHED IN 1996 TO REDUCE CHILD AND YOUTH MORTALITY AND MORBIDITY RESULTING FROM SEVERE ILLNESS OR TRAUMA. IT IS THE ONLY PROGRAM IN THE UNITED STATES THAT IS FOCUSED ON PEDIATRIC EMERGENCY CARE AND IS HOUSED AT CHILDREN'S MINNESOTA. EMSC WORKS TO ENSURE ALL CHILDREN AND ADOLESCENTS, NO MATTER WHERE THEY LIVE OR TRAVEL, RECEIVE THE BEST CARE POSSIBLE IN AN EMERGENCY SITUATION. IN 2023, EMSC PROVIDED OVER 20 HOURS OF PEDIATRIC CONTINUING EDUCATION TO ROUGHLY 3,900 PRE-HOSPITAL AND HOSPITAL-BASED PROVIDERS. ADDITIONALLY, EMSC HAS DISTRIBUTED OVER 4,300 PEDIATRIC RESOURCES (PEDIATRIC PROCEDURES FOR EMERGENCY CARE, PEDIATRIC VITAL SIGN CARDS, COMMUNICATION CARDS, AND COLORING/ACTIVITY BOOKS) TO THE COMMUNITY THIS PAST YEAR. CLINIC IN THE CLASSROOM IS A WEBINAR SERIES HOSTED AS A COLLABORATIVE EFFORT BETWEEN THE CHILDREN'S MINNESOTA COLLECTIVE FOR COMMUNITY HEALTH AND MEDICAL EDUCATION TEAMS. THE SERIES WAS LAUNCHED IN 2023 AND RETURNED IN THE FALL OF 2023 AND SUPPORTS SCHOOL NURSES ACROSS THE STATE WITH EDUCATIONAL CONTENT THAT IS ELIGIBLE FOR CONTINUING EDUCATION CREDITS. IN 2023 1,450 SCHOOL HEALTH STAFF ATTENDED A WEBINAR LIVE OR VIEWED THE RECORDING LATER FOR CREDIT. CONTENT WAS FOCUSED ON MENTAL HEALTH, DIABETES, ASTHMA AND HEALTH EQUITY.THE SIMULATION CENTER IS A MOTOR COACH OUTFITTED WITH SIMULATION EQUIPMENT AND STAFFED WITH CHILDREN'S MINNESOTA TRAINERS THAT TRAVELS THROUGHOUT THE MIDWEST TO TRAIN STAFF FROM HOSPITALS IN THE BEST PRACTICES WHEN RESPONDING TO PEDIATRIC OR NEONATAL MEDICAL EMERGENCIES. CHILDRENS MN SIMULATION PROGRAM CONSISTS OF SIM CENTERS IN MINNEAPOLIS, ST. PAUL, AND EDINA, A SIMULATION BUS, AND THE ABILITY TO DEPLOY EDUCATION IN-SITU. CHILDREN'S MINNESOTA'S SIMULATION TEAM HOSTS SIMULATION AND EDUCATION OPPORTUNITIES FOR INTERNAL STAFF, PATIENT FAMILIES AND CAREGIVERS, AND THE BROADER COMMUNITY. COMMUNITY OUTREACH - AT SIMULATION CENTERS OR OUT IN THE COMMUNITY, THE SIMULATION TEAM HOSTS EVENTS WITH DIVERSE STUDENTS OF ALL AGES, FROM ELEMENTARY SCHOOL THROUGH COLLEGE, DEMONSTRATING WHAT SIMULATION IS AND PROVIDING THE ABILITY TO EXPLORE HEALTHCARE CAREERS. THE SIMULATION TEAM ALSO PROVIDES MENTORSHIP AND SHADOWING OPPORTUNITIES FOR THOSE WHO ARE INTERESTED IN OR ARE NEW TO THE SIMULATION FIELD TO HELP TRAIN THEM IN PEDIATRIC SIMULATION BEST PRACTICES. COMMUNITY EDUCATION - THE SIMULATION BUS TRAVELS AROUND THE BROADER COMMUNITY TO TRAIN EXTERNAL HOSPITAL AND CLINIC STAFF ON BEST PRACTICES IN RESPONDING TO PEDIATRIC OR NEONATAL MEDICAL EMERGENCIES.FOR THOSE CARING FOR CHILDREN WITH COMPLEX CARDIAC CONDITIONS, FEEDING TUBES, OR TRACHEOSTOMY/VENTILATORS, CAREGIVER SIMULATIONS GIVE PATIENT FAMILIES AND CAREGIVERS THE OPPORTUNITY TO PRACTICE COMPLEX MEDICAL CARE SKILLS IN A SAFE ENVIRONMENT WITH THE GOAL OF INCREASED SELF-CONFIDENCE, DECREASED ANXIETY, AND IMPROVED PERFORMANCE OF THE CARES THEY WILL BE PROVIDING AT HOME. IN PARTNERSHIP WITH THE TELEHEALTH DEPT, THE SIMULATION TEAM HOSTS SIMULATION DAYS FOR SITES WHO UTILIZE VIRTUAL CARE CARTS. THESE CARTS CONNECT HOSPITALS WHO MAY NOT HAVE THE STAFF OR EXPERTISE IN NEONATAL AND INFANT EMERGENCIES, WITH CHILDREN'S MINNESOTA EXPERTS. THESE SIMULATIONS HELP PREPARE THEIR TEAM IN BEST PRACTICES IN UTILIZING THE CARTS DURING AN EMERGENCY. THE SIMULATION TEAM ALSO PROVIDES CONTINUING EDUCATION WITH THESE PARTNER SITES TO REFRESH TEAMWORK SKILLS POST IMPLEMENTATION.THE EMERGENCY RESPONSE TRAINING CENTER, A DEPARTMENT WITHIN THE SIMULATION TEAM, HOSTS BLS, ACLS, PEARS, PALS COURSES THAT ARE OPEN TO THE PUBLIC. LEARNERS CAN TRAIN ALONGSIDE CHILDREN'S MINNESOTA EMPLOYEES ON BEST PRACTICES IN RESPONDING TO PEDIATRIC EMERGENCIES. NEONATAL TRANSPORT SIMULATIONS ALLOW THE NEONATAL TRANSPORT TEAM TO TRAIN IN SIMULATION ALONGSIDE THE FIRST RESPONDERS THAT THEY WORK WITH DURING TRANSPORT CALLS, PREPARING THEM TO QUICKLY AND EFFECTIVELY WORK WITH CHILDREN'S MINNESOTA TEAM IN EMERGENT SITUATIONS. THE CHILDREN'S MINNESOTA MOBILE CLINIC IS A MOTOR COACH OUTFITTED WITH THE APPROPRIATE MEDICAL EQUIPMENT AND STAFF TO PROVIDE HEALTH SCREENINGS, VACCINATIONS AND OTHER SERVICES AT COMMUNITY EVENTS, SCHOOLS AND OTHER LOCATIONS.PERINATAL HIV PREVENTION PROGRAM: OPTIMAL PRENATAL CARE FOR WOMEN WITH HIV IS ESSENTIAL IN PREVENTING TRANSMISSION OF THE DISEASE TO INFANTS. THE CHILDREN'S MINNESOTA INFECTION PREVENTION DEPARTMENT WORKS WITH HIV POSITIVE PREGNANT WOMEN TO HELP THEM GET THIS CARE BY BUILDING RELATIONSHIPS WITH MEDICAL PROVIDERS THROUGHOUT THE STATE TO REFER EXPECTING MOTHERS INTO THE PROGRAM.PERINATAL HIV PREVENTION (ADULT): CHILDREN'S PROVIDED PERINATAL CARE COORDINATION TO 50 HIV POSITIVE PREGNANT PEOPLE IN 2023. PERINATAL HIV PREVENTION (INFANT): CHILDREN'S PROVIDED CARE COORDINATION AND SURVEILLANCE FOR 25 HIV EXPOSED INFANTS IN 2023 AND EMERGENCY CONSULTATION AND ASSISTANCE ON PERINATAL HIV PREVENTION TO 8 DIFFERENT HEALTH CARE SYSTEMS ACROSS THE STATE. MEDICAL CASE MANAGEMENT WAS ALSO PROVIDED FOR 85 FAMILIES, CHILDREN AND YOUTH LIVING WITH HIV AND HEALTH EDUCATION/RISK REDUCTION COUNSELING TO 12 PATIENTS/FAMILIES IN 2023. IN ADDITION, CHILDREN'S MINNESOTA HAS ALSO PROVIDED PERINATAL HIV CAPACITY BUILDING SUPPORT FOR 8 HEALTHCARE SITES ACROSS THE STATE, AND CREATED AND DISTRIBUTED AN EDUCATIONAL E-LEARNING ABOUT PERINATAL HIV PREVENTION TO EXTERNAL AND INTERNAL HEALTH CARE PROVIDERS.
PART VI, LINE 7, REPORTS FILED WITH STATES	MN

Schedule H (Form 990) 2023

Additional Data

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

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

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

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

Attach to Form 990.
lBullet

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

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
CHILDREN'S HEALTH CARE

Employer identification number
41-1754276

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) CHILDRENS MINNESOTA FOUNDATION 5901 LINCOLN DR EDINA,MN55436	41-1814223	501(C)(3)	5,250	N/A	N/A	GALA SPONSORSHIP AND MEMORIAL
(2) MINNEAPOLIS FOUNDATION 800 IDS CENTER MINNEAPOLIS,MN55402	41-6029402	501(C)(3)	12,500	N/A	N/A	BTC GOLF & WINTER WONDERLAND
(3) RONALD MCDONALD HOUSE-UPPER MIDWEST 818 FULTON ST SE MINNEAPOLIS,MN55414	41-1313107	501(C)(3)	13,750	N/A	N/A	BREW LOVE & RMH GALA
(4) WOMENS HEALTH LEADERSHIP TRUST 191 CLARKSBILLE ROAD PRINCETON JUNCTION,NJ08550	41-1402148	501(C)(6)	11,250	N/A	N/A	FORUM SPONSORSHIP
(5) CHILDRENS SURGERY INTERNATIONAL 99 5TH AVE NW SUITE 100 NEW BRIGHTON,MN55112	41-2013739	501(C)(3)	7,500	N/A	N/A	CSI GALA
(6) GREATER MSP 400 ROBERT STREET NORTH SUITE 1600 ST PAUL,MN55101	27-4026636	501(C)(3)	10,000	N/A	N/A	BUSINESS BRIDGE SPONSORSHIP
(7) NATIVE AMERICAN COMMUNITY CLINIC 1213 E FRANKLIN AVE MINNEAPOLIS,MN55404	03-0445789	501(C)(3)	10,000	N/A	N/A	FIRST GIFT AND 5K SPONSORSHIP
(8) PHYLLIS WHEATLEY COMMUNITY CENTER 1301 10TH AVE N MINNEAPOLIS,MN55411	41-0706132	501(C)(3)	21,168	N/A	N/A	MENTAL HEALTH COMM COLLABORATION
(9) RAE MACKENZIE GROUP INC 333 WASHINGTON AVE N SUITE 300 MINNEAPOLIS,MN55401	41-1888541	501(C)(3)	20,000	N/A	N/A	PEOPLE OF COLOR CAREER FAIR

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) 2023

Page 2

Part III

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

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

(1) CHARITY CARE ASSISTANCE TO INDIVIDUALS	1076	4,769,507	CHARGES	CHARITY CARE TO INDV
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

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

Schedule I (Form 990) 2023

Additional Data

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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
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

CHILDREN'S HEALTH CARE

Employer identification number

41-1754276

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

If any of the boxes 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 .....

Yes

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

Yes

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2023

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, 1099-MISC compensation, and/or 1099-NEC			(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)
1MARC GORELICK MD PRESIDENT & CEO	(i) (ii)	1,277,144 ------------- 0	435,965 ------------- 0	19,404 ------------- 0	332,398 ------------- 0	24,180 ------------- 0	2,089,091 ------------- 0	0 ------------- 0
2JENNIFER OLSON MARKET SVP & COO (THRU 9/23)	(i) (ii)	326,753 ------------- 0	200,000 ------------- 0	648,125 ------------- 0	842,586 ------------- 0	17,774 ------------- 0	2,035,238 ------------- 0	257,514 ------------- 0
3MEYSAM KEBRIAEI MD STAFF PHYSICIAN	(i) (ii)	937,456 ------------- 0	205,001 ------------- 0	54,828 ------------- 0	19,800 ------------- 0	27,549 ------------- 0	1,244,634 ------------- 0	40,638 ------------- 0
4KYLE HALVORSON MD STAFF PHYSICIAN	(i) (ii)	894,641 ------------- 0	199,167 ------------- 0	42,308 ------------- 0	8,885 ------------- 0	6,535 ------------- 0	1,151,536 ------------- 0	39,368 ------------- 0
5BRENDA MCCORMICK SVP AND CFO	(i) (ii)	671,566 ------------- 0	163,219 ------------- 0	81,247 ------------- 0	16,376 ------------- 0	27,960 ------------- 0	960,368 ------------- 0	70,901 ------------- 0
6EMILY CHAPMAN MD SVP MEDICAL AFFAIRS & CMO	(i) (ii)	635,532 ------------- 0	150,332 ------------- 0	77,372 ------------- 0	19,800 ------------- 0	11,141 ------------- 0	894,177 ------------- 0	68,590 ------------- 0
7WILLIAM MIZE MD RADIOLOGY, BOARD MEMBER	(i) (ii)	582,517 ------------- 40,161	132,191 ------------- 0	48,356 ------------- 0	19,800 ------------- 0	11,384 ------------- 0	794,248 ------------- 40,161	34,594 ------------- 0
8ANDREA LAMPLAND MD MEDICAL DIRECTOR NEONATOLO	(i) (ii)	645,311 ------------- 0	80,000 ------------- 0	30,821 ------------- 0	19,800 ------------- 0	29,381 ------------- 0	805,313 ------------- 0	27,939 ------------- 0
9SACHIN PATEL STAFF PHYSICIAN	(i) (ii)	625,146 ------------- 0	102,841 ------------- 0	23,417 ------------- 0	19,800 ------------- 0	27,683 ------------- 0	798,887 ------------- 0	20,814 ------------- 0
10SHILPA HEDGE STAFF PHYSICIAN	(i) (ii)	587,039 ------------- 0	83,841 ------------- 0	27,226 ------------- 0	19,800 ------------- 0	3,933 ------------- 0	721,839 ------------- 0	22,854 ------------- 0
11JENNY SODERHOLM FOUNDATION PRESIDENT	(i) (ii)	231,689 ------------- 263,097	0 ------------- 117,237	0 ------------- 49,945	0 ------------- 19,800	0 ------------- 11,413	231,689 ------------- 461,492	0 ------------- 43,155
12ANDREW PUGH SVP CHIEF LEGAL OFFICER	(i) (ii)	476,222 ------------- 0	118,449 ------------- 0	10,534 ------------- 0	19,800 ------------- 0	24,456 ------------- 0	649,461 ------------- 0	0 ------------- 0
13DAVID LUNDAL SVP CIO	(i) (ii)	456,299 ------------- 0	115,900 ------------- 0	24,676 ------------- 0	19,800 ------------- 0	24,439 ------------- 0	641,114 ------------- 0	17,968 ------------- 0
14LAURIN CATHEY SVP & CHRO	(i) (ii)	433,519 ------------- 0	106,949 ------------- 0	25,735 ------------- 0	19,800 ------------- 0	17,962 ------------- 0	603,965 ------------- 0	18,502 ------------- 0
15CAROLINE NJAU SVP PATIENT CARE SVCS & CN	(i) (ii)	430,766 ------------- 0	101,800 ------------- 0	28,579 ------------- 0	17,728 ------------- 0	13,910 ------------- 0	592,783 ------------- 0	27,215 ------------- 0
16SUSAN SENCER VP CHIEF SPECIALTY PEDIATR	(i) (ii)	388,069 ------------- 0	80,921 ------------- 0	48,680 ------------- 0	42,089 ------------- 0	22,099 ------------- 0	581,858 ------------- 0	38,228 ------------- 0
17TIMOTHY LANDER CLINICAL VP, CHIEF OF SURGERY	(i) (ii)	401,315 ------------- 27,094	86,200 ------------- 0	27,271 ------------- 0	19,800 ------------- 0	11,384 ------------- 0	545,970 ------------- 27,094	21,311 ------------- 0
18PAMELA GIGI CHAWLA MD VP CHIEF OF GENERAL PEDIAT	(i) (ii)	297,047 ------------- 102,420	83,880 ------------- 0	28,752 ------------- 0	25,218 ------------- 0	20,063 ------------- 0	454,960 ------------- 102,420	25,769 ------------- 0
19ANUPAM KHARBANDA MD CLINICAL VP, CHIEF OF CRITICAL CARE	(i) (ii)	401,057 ------------- 0	80,898 ------------- 0	20,646 ------------- 0	19,800 ------------- 0	3,767 ------------- 0	526,168 ------------- 0	17,662 ------------- 0
20A KADE GOEPFERD CHIEF OF ED & FORMER BOARD MEMBER (T	(i) (ii)	393,959 ------------- 0	57,258 ------------- 0	24,977 ------------- 0	13,651 ------------- 0	3,962 ------------- 0	493,807 ------------- 0	23,141 ------------- 0
21JAMES LESTE VP OPERATIONS	(i) (ii)	330,450 ------------- 0	88,200 ------------- 0	14,097 ------------- 0	19,321 ------------- 0	28,979 ------------- 0	481,047 ------------- 0	12,286 ------------- 0
22MONICA SCHILLER VP AMBULATORY SERVICES	(i) (ii)	226,089 ------------- 76,314	62,726 ------------- 0	16,441 ------------- 0	18,058 ------------- 0	20,982 ------------- 0	344,296 ------------- 76,314	14,039 ------------- 0
23JAMES BURROUGHS SVP GOVT & COMM RELATIONS/CEIO	(i) (ii)	310,290 ------------- 0	77,300 ------------- 0	5,447 ------------- 0	16,532 ------------- 0	10,651 ------------- 0	420,220 ------------- 0	0 ------------- 0
24SUSAN SLOCUM CHIEF INVESTMENT OFFICER	(i) (ii)	266,047 ------------- 0	43,293 ------------- 0	701 ------------- 0	13,799 ------------- 0	8,721 ------------- 0	332,561 ------------- 0	0 ------------- 0
25ANDREW BERNDT VP CLINICAL SERVICES	(i) (ii)	202,885 ------------- 0	33,831 ------------- 0	216 ------------- 0	13,229 ------------- 0	26,735 ------------- 0	276,896 ------------- 0	0 ------------- 0
26KRISTIN PETERSON FORMER VP ACUTE CARE/CLINICAL OPS	(i) (ii)	103,611 ------------- 0	30,089 ------------- 0	117 ------------- 0	8,280 ------------- 0	13,661 ------------- 0	155,758 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2023

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
PART I, LINE 1A	MARC GORELICK WAS REIMBURSED FOR HIS MEMBERSHIP FEES FOR THE MINNEAPOLIS CLUB, WHICH IS USED SOLELY FOR BUSINESS PURPOSES.
PART I, LINE 4A	JENNIFER OLSON MARKET: $212,260.
PART I, LINE 4B	CERTAIN EMPLOYEES OF CHILDREN'S HEALTH CARE, PARENT OF CHILDREN'S CLINIC NETWORK, ARE PROVIDED THE OPPORTUNITY TO PARTICIPATE IN THE 457(F) DEFERRAL PLAN (THE DEFERRAL PLAN). THE DEFERRAL PLAN REQUIRES THAT THE EMPLOYEE IS A PHYSICIAN OR EXECUTIVE AND IS A .5 FTE OR MORE IN ORDER TO BE ELIGIBLE TO PARTICIPATE IN THE DEFERRAL PLAN. PAYMENTS FROM THE DEFERRAL PLAN OCCUR AT VESTING AND ARE BASED ON PERCENTAGE OF SALARY. THE FOLLOWING AMOUNTS REPRESENT THE AMOUNT PAID UNDER THE DEFERRAL PLAN IN 2023: JENNIFER OLSON MARKET - $257,514 BRENDA MCCORMICK - $70,901 EMILY CHAPMAN - $68,590 CAROLINE NJAU - $27,215 ANUPAM KHARBANDA - $17,662 LAURIN CATHEY - $18,502 PAMELA GIGI CHAWLA - $25,769 JAMES LESTE - $12,286 MONICA SCHILLER - $14,039 SUSAN SENCER - $38,228 DAVID LUNDAL - $17,968 JENNY SODERHOLM - $43,155 WILLIAM MIZE - $34,594 TIMOTHY LANDER - $21,311 KYLE HALVORSON - $39,368 MEYSAM KEBRIAEI - $40,638 ANDREA LAMPLAND - $27,939 SACHIN PATEL - $20,814 SHIPLA HEDGE - $22,854 ANGELA GOEPFERD - $23,141

Schedule J (Form 990) 2023

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

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
CHILDREN'S HEALTH CARE

Employer identification number
41-1754276

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	2020A - SEE PART VI	41-6005375		10-23-2020	84,560,000	REFUNDING OF HEALTHCARE REVENUE BONDS 2007A		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	4,585,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	84,560,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............
11 Other spent proceeds .............	84,560,000
12 Other unspent proceeds .............
13 Year of substantial completion .............	2009
	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 2020, a current refunding issue)? ........	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X
16 Has the final allocation of proceeds been made? ..........	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X

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

Cat. No. 50193E

Schedule K (Form 990) 2023

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
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X
c Are there any research agreements that may result in private business use of bond-financed property? .............		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 ....
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
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
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? .............
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

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
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X
b Exception to rebate? ........	X
c No rebate due? .........		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

Schedule K (Form 990) 2023

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
b Name of provider ..........	PIPER SANDLER
c Term of hedge .........	1980.0000000000 %
d Was the hedge superintegrated? ......		X
e Was the hedge terminated? ........		X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X
b Name of provider ..........
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
7 Has the organization established written procedures to monitor the requirements of section 148? ...	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

Part Ⅵ

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

Return Reference	Explanation
PART I, COL. (A):	PART I: THE REPORT PERIODS SELECTED FOR SERIES 2020A BONDS RECORDED ON SCHEDULE K ARE NOT THE SAME AS THE FISCAL YEAR END FOR THE REST OF THE FORM 990. SCHEDULE K USES THE BOND YEAR ENDING OF AUGUST 15, 2023. SCHEDULE K, PART I, LINE 1 COLUMN A HEALTH CARE FACILITIES REVENUE BONDS 2020A - ISSUER OF THE BOND IS CITY OF MINNEPOLIS, MN (41-6005375) AND HOUSING AND REDEVELOPMENT AUTHORITY OF THE CITY OF ST. PAUL, MN (41-6005521).
PART I, COL. (F):	THE PURPOSE OF THESE BONDS IS A REFUNDING OF HEALTH CARE REVENUE BONDS 2007A ISSUED NOVEMBER 15TH, 2007.
PART-II LINE-13	YEAR OF SUBSTANTIAL COMPLETION REFERS TO THE COMPLETION DATE FROM THE REFUNDED SERIES 2007A PROJECT.

Schedule K (Form 990) 2023

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SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

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

Attach to Form 990.
Right pointing arrow large image

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

CHILDREN'S HEALTH CARE

Employer identification number

41-1754276

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..	X		51,683	COST/SELLING PRICE
5 Clothing and household goods .......	X		683,959	COST/SELLING PRICE
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...	X	59	39,228	COST/SELLING PRICE
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( ENTERTAINMENT )	X	15	52,505	COST/SELLING PRICE
26 Other ( )
27 Other ( )
28 Other ( )

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

Yes

30a

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

30a

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

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

Yes

32a

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

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

32a

If "Yes," describe in Part II.

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

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2023)

Page 2

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

Return Reference	Explanation

Schedule M (Form 990) (2023)

Additional Data

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SCHEDULE O
(Form 990)

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

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

CHILDREN'S HEALTH CARE

Employer identification number

41-1754276

Return Reference	Explanation
FORM 990, PART III, LINE 4A:	PROGRAM SERVICE ACCOMPLISHMENTS: U.S. NEWS & WORLD REPORT HAS NAMED CHILDREN'S AS ONE OF THE TOP 50 PEDIATRIC FACILITIES ACROSS THE US. OUR MAYO CLINIC & CHILDREN'S COLLABORATIVE RANKED 40TH IN CARDIOLOGY AND HEART SURGERY PROGRAM. OUR NEPHROLOGY PROGRAM, IN PARTNERSHIP WITH MASONIC CHILDREN'S HOSPITAL, RANKED 48TH. AND OUR PULMONOLOGY PROGRAM RANKED 48TH. IN 2021, MPLS.STPAUL MAGAZINE RECOGINIZED 168 OF CHILDREN'S MINNESOTA PHYISICANS AS TOP DOCTORS. THE 25TH EDITION OF THE LIST INCLUDES 816 LOCAL PHYSICIANS FROM ACROSS THE TWIN CITIES IN 46 SPECIALTIES. ARE MINNESOTA'S LARGEST PROVIDER OF CARE TO CHILDREN WITH COMPLEX SURGICAL CONDITIONS, HEART DISEASE, CANCER, DIABETES, AND EXTREME PRE-MATURITY. IN 2023, CHILDREN'S CARED FOR 14,510 INPATIENT ADMISSIONS REPRESENTING 105,938 PATIENT DAYS, PERFORMED 19,339 SURGICAL CASES, TREATED 85,200 EMERGENCY ROOM VISITS AND CARED FOR 389,372 OUTPATIENT CLINIC VISITS, MANY OF WHICH PROVIDED TO INNER CITY MINNEAPOLIS AND ST. PAUL RESIDENTS. CHILDREN'S CONTINUES TO SERVE A DIVERSE POPULATION WITH 120,522 FAMILY ENCOUNTERS FOR LANGUAGE INTERPRETATION IN 72 DIFFERENT LANGUAGES. CHILDREN'S CONSIDERS CERTAIN MAJOR PROGRAMS AS DESTINATION PROGRAMS, WHICH ARE SOUGHT OUT DUE TO THEIR HIGH QUALITY OUTCOMES. THESE PROGRAMS MEET RIGOROUS CRITERIA FOR EXCELLENCE, INCLUDING OUTSTANDING USE OF EVIDENCE-BASED PRACTICES, CLINICAL RESEARCH, AND ADVANCED TECHNOLOGIES. - CARDIOVASCULAR - CHILDREN'S PEDIATRIC CARDIOVASCULAR PROGRAM IS ONE OF THE LARGEST IN THE REGION WITH SOME OF THE MOST IMPRESSIVE OUTCOMES IN THE U.S. TEAM MEMBERS CARE FOR THOUSANDS OF THE REGION'S SICKEST CHILDREN WITH HEART CONDITIONS, INCLUDING FETUSES, NEWBORNS, INFANTS, CHILDREN, ADOLESCENTS, AND ADULT, LONG-TERM PATIENTS WITH PEDIATRIC CARDIOVASCULAR CONDITIONS. - NEONATAL INTENSIVE CARE & SPECIAL CARE NURSERY - CHILDREN'S SPECIALIZES IN CARING FOR MULTIPLES, BABIES WITH CONGENITAL ANOMALIES, VERY PREMATURE AND VERY LOW BIRTH WEIGHT BABIES, AND INFANTS BORN WITH OTHER COMPLEX DIAGNOSES. WE OFFER EXCEPTIONAL TERTIARY AND QUATERNARY CARE FOR BABIES, WITH SURVIVAL OUTCOMES AMONG THE BEST IN THE WORLD. CHILDREN'S NEONATAL PROGRAM IS ONE OF THE NATION'S LARGEST PROGRAMS WITH 196 STAFFED BEDS AND MORE THAN 42,500 PATIENT DAYS. OUR NEONATAL TEAM INCLUDES HIGHLY-TRAINED AND EXPERIENCED PROFESSIONALS FROM A FULL SPECTRUM OF MEDICAL SPECIALTIES. WE HAVE OUR MOTHER BABY CENTER AT ABBOTT & CHILDREN'S MINNEAPOLIS AND IN 2015 WE OPENED OUR SECOND AND THIRD MOTHER BABY CENTERS AT MERCY HOSPITAL IN COON RAPIDS AND UNITED HOSPITAL AND CHILDREN'S - ST. PAUL. - HEMATOLOGY/ONCOLOGY - THE HEMATOLOGY/ONCOLOGY PROGRAM AT CHILDREN'S IS THE LARGEST IN THE UPPER MIDWEST WITH TREATMENT OUTCOMES THAT CONSISTENTLY RANK CHILDREN'S AS ONE OF THE TOP TEN PROGRAMS IN THE U.S. IN OUR NATIONALLY UNIQUE MODEL, YOUR CHILD'S OR TEEN'S CARE IS SPEARHEADED AND COORDINATED BY A BOARD-CERTIFIED HEMATOLOGIST/ONCOLOGIST, WHO LEADS A HIGHLY EXPERIENCED TEAM OF MULTIDISCIPLINARY PROFESSIONALS. - CYSTIC FIBROSIS - THE CYSTIC FIBROSIS (CF) CENTER AT CHILDREN'S OF MINNESOTA DIAGNOSES AND TREATS CHILDREN IN ALL STAGES OF CF. OUR DEDICATION TO FAMILY-CENTERED CARE AND EDUCATION HELPS CHILDREN AND THEIR FAMILIES LEARN TO LIVE WITH CF. CARE AT CHILDREN'S FOR PATIENTS WITH CF RANKS AMONG THE TOP 10 PROGRAMS NATIONALLY IN KEY OUTCOMES MEASURED BY THE NATIONAL CYSTIC FIBROSIS REGISTRY. CHILDREN'S PROVIDES A CONTINUUM OF CARE THROUGH COORDINATED INPATIENT AND OUTPATIENT SERVICES, FROM DIAGNOSIS THROUGH LONG-TERM FOLLOW-UP. THE CYSTIC FIBROSIS CENTER OF CHILDREN'S PROVIDES STATE-OF-THE ART COMPREHENSIVE CARE FOR CHILDREN WITH CF. - DIABETES/ENDOCRINOLOGY - THE MCNEELY PEDIATRIC DIABETES CENTER IS THE ONLY DIABETES CENTER IN THE REGION TO SPECIALIZE IN WORKING SOLELY WITH CHILDREN AND TEENS. THE STAFF PROVIDES EXPERT HEALTH CARE TO HELP MAINTAIN A CHILD'S TARGETED BLOOD SUGAR RANGES. MOST CHILDREN SEEN IN THE DIABETES CENTER HAVE TYPE 1 DIABETES. A SMALL BUT GROWING NUMBER HAVE TYPE 2. IN ADDITION TO DIABETES, THE CLINIC PROVIDES DIAGNOSTIC SERVICES AND TREATMENT FOR CHILDREN WITH DISORDERS OF GROWTH, ADVANCED OR DELAYED SEXUAL DEVELOPMENT, PITUITARY DISORDERS, THYROID ABNORMALITIES, DISORDERS OF CALCIUM BALANCE, ADRENAL DISORDERS, AND HYPOGLYCEMIA. THE MCNEELY PEDIATRIC DIABETES CENTER HAS RECEIVED RECOGNITION FOR ITS DIABETES EDUCATION PROGRAM FROM THE AMERICAN DIABETES ASSOCIATION, BY MEETING THE ASSOCIATION'S HIGH EDUCATIONAL STANDARDS. - CHILDREN'S PROVIDES OTHER HIGH QUALITY PROGRAMS SUCH AS SURGERY. CHILDREN'S SURGERY TEAMS DELIVER NEXT-GENERATION CARE IN AN AWARD-WINNING ENVIRONMENT THAT IS EXCLUSIVELY DEDICATED TO PEDIATRICS. HEALTH PROFESSIONALS OF MANY DISCIPLINES WORK TOGETHER TO PROVIDE CHILDREN WITH THE BEST POSSIBLE SURGERY EXPERIENCE. CHILDREN'S BODIES ARE DIFFERENT THAN ADULTS. FOR EXAMPLE, THEY OFTEN REQUIRE SPECIALLY-SIZED SURGICAL EQUIPMENT. THEY REACT DIFFERENTLY TO ANESTHESIA AND TO PAIN. THEIR BODIES RESPOND DIFFERENTLY TO ILLNESS AND TREATMENT, IN PART BECAUSE THEY ARE STILL GROWING. THAT'S WHY CHILDREN BENEFIT FROM OUR HIGHLY ACCOMPLISHED, PEDIATRIC-SPECIFIC SURGERY TEAMS. AT CHILDREN'S, ALMOST 17,000 SURGERIES ARE PERFORMED EACH YEAR ON FETUSES, NEWBORNS, CHILDREN, ADOLESCENTS, AND YOUNG ADULTS FROM THROUGHOUT THE UPPER MIDWEST. SURGICAL TREATMENT RESULTS RANK CHILDREN'S AMONG THE TOP HOSPITALS IN THE U.S. IN PEDIATRIC SURGICAL CARE. CHILDREN'S HAS SOME OF THE LOWEST RATES IN THE U.S. OF POST-SURGERY COMPLICATIONS AND SOME OF THE HIGHEST RATES OF PATIENT AND FAMILY SATISFACTION. ADDITIONAL DESTINATION PROGRAMS INCLUDE NEUROSCIENCES, ENT AND FACIAL PLASTIC SURGERY, AND TRAUMA CARE. WITH CHILDREN'S VERIFIED AS A LEVEL I CHILDREN'S SURGERY CENTER BY THE AMERICAN COLLEGE OF SURGEONS (ACS) CHILDREN'S SURGERY VERIFICATION QUALITY IMPROVEMENT PROGRAM, CHILDREN'S IS AT THE HIGHEST LEVEL OF DISTINCTION FOR HEALTH SYSTEMS THAT PERFORM COMPLEX SURGICAL PROCEDURES IN NEWBORNS, CHILDREN AND TEENS. AS A CHARITABLE ORGANIZATION, CHILDREN'S HOSPITALS & CLINICS OF MINNESOTA ALSO PROVIDES A BROAD SPECTRUM OF BENEFITS TO THE COMMUNITIES WE SERVE. THESE SERVICES AND DONATIONS ACCOUNT FOR A MEASURABLE PORTION OF THE HOSPITALS' COSTS AND HELP TO PROMOTE HEALTHY LIFESTYLES, COMMUNITY DEVELOPMENT, HEALTH EDUCATION, AND AFFORDABLE ACCESS TO CARE. PLEASE SEE IRS FORM 990, SCHEDULE H FOR A SUMMARY OF THESE COMMUNITY BENEFITS.
FORM 990, PART III, LINE 4B:	PROGRAM SERVICE ACCOMPLISHMENTS: THE ROTATIONS WERE PERFORMED IN CHILDREN'S EMERGENCY DEPARTMENT, INPATIENT MEDICAL/SURGICAL, PICU AND NEONATAL INPATIENT CARE UNITS, SURGERY AND ANESTHESIA, ENT SURGERY, UROLOGY, AND SUBSPECIALTY CLINICS. IN ADDITION, CHILDREN'S OFFERED 71 CONTINUING MEDICAL EDUCATION COURSES, AND PRODUCED 216 PEER REVIEWED PUBLICATIONS. CULTIVATING MEDICAL LEADERS ENSURES THAT WE CONTINUE OUR MISSION - CHAMPIONING THE SPECIAL HEALTH NEEDS OF CHILDREN AND THEIR FAMILIES. 2) EDUCATION AND TRAINING OF HEALTH CARE AND OTHER PROVIDERS OF SERVICES TO CHILDREN: I) THE MIDWEST REGIONAL CHILDREN'S ADVOCACY CENTER AT CHILDREN'S IS A LEADER IN IMPROVING THE CARE OF ABUSED AND NEGLECTED CHILDREN WHOSE GOAL IS TO IMPROVE SERVICES FOR ABUSED CHILDREN IN LOCAL COMMUNITIES THROUGHOUT THE REGION. THE CENTER OFFERS INFORMATION, CONSULTATION, TECHNICAL ASSISTANCE, AND TRAINING TO PHYSICIANS, NURSES, AND NON-MEDICAL MEMBERS OF COMMUNITY CHILD ABUSE TEAMS, INCLUDING LAW ENFORCEMENT PERSONNEL, ATTORNEYS AND CHILD PROTECTION WORKERS. II) RECOGNIZED, AS THE NATION'S LEADER IN PALLIATIVE CARE EDUCATION, CHILDREN'S INSTITUTE FOR PALLIATIVE CARE (CIPC) DEVELOPED A MODEL FOR A REGIONAL TRAINING AND CONSULTATION CENTER. CIPC DEVELOPS AND LEADS TRAINING SEMINARS USING RECOGNIZED CURRICULUM FOR PEDIATRIC PALLIATIVE CARE, PROVIDES HOSPITAL-BASED CONSULTATION TO CHILDREN WHO ARE IN NEED OF HOSPICE OR PALLIATIVE CARE WHILE THEY ARE HOSPITALIZED, OFFERS A REGIONAL 24/7 TELEPHONE CONSULTATION PROGRAM PROVIDING EDUCATION, SUPPORT, AND GUIDANCE TO FAMILIES AND PROFESSIONAL PROVIDERS, AND SERVES AS A RESOURCE CENTER FOR PEDIATRIC PALLIATIVE CARE. III) THE EMERGENCY MEDICAL SERVICES FOR CHILDREN (EMSC) RESOURCE CENTER HOUSED AT CHILDREN'S CREATES AWARENESS REGARDING THE SPECIAL NEEDS OF CHILDREN IN EMERGENCY MEDICAL SITUATIONS. EMSC EDUCATIONAL PROGRAMS ARE DESIGNED TO TRAIN PRE-HOSPITAL PERSONNEL, FIRST RESPONDERS, PHYSICIANS, NURSES, AND SCHOOL NURSES IN THE UNIQUE NEEDS OF INFANTS AND CHILDREN IN EMERGENCY SITUATIONS. THE EMSC RESOURCE CENTER ALSO PROVIDES TECHNICAL ASSISTANCE, PARTICIPATES IN STATEWIDE PEDIATRIC EMERGENCY/DISASTER PREPAREDNESS PLANNING, DEVELOPS AND DISSEMINATES PEDIATRIC EMERGENCY ARE GUIDELINES, AND CONDUCTS MORTALITY REVIEWS AND RESEARCH. EDUCATION AND EMPLOYMENT - BECAUSE DISPARITIES IN CHILD HEALTH ARE SO CLOSELY ASSOCIATED WITH LOW EDUCATIONAL ATTAINMENT AND POOR JOB SKILLS, CHILDREN'S IS ENGAGED IN SEVERAL KEY COMMUNITY PARTNERSHIPS TO IMPROVE EDUCATIONAL SUCCESS AND EARNING POTENTIAL AMONG YOUTH AND ADULTS. EXAMPLES INCLUDE THE ROOSEVELT HIGH SCHOOL AND CRISTO REY JESUIT HIGH SCHOOL HEALTH CAREERS PROGRAM THAT PROVIDES STUDENTS INTERESTED IN HEALTH CARE CAREERS THE OPPORTUNITY TO RECEIVE HEALTH CARE SPECIFIC EDUCATION AND OBTAIN INTERNSHIPS WITH HEALTH CARE ORGANIZATIONS, THE ACHIEVE MINNEAPOLIS/STEP-UP SUMMER JOBS PROGRAM THAT PLACES YOUTH IN SUPERVISED SUMMER INTERNSHIPS AT PARTICIPATING COMPANIES AND ORGANIZATIONS, AND A PARTNERSHIP WITH PROJECT FOR PRIDE IN LIVING THAT RECOGNIZES THAT A HEALTHY, SUSTAINABLE COMMUNITY REQUIRES RESIDENTS WITH WELL-PAYING JOBS.
FORM 990, PART III, LINE 4C:	PROGRAM SERVICE ACCOMPLISHMENTS: WE CONTINUE TO PARTICIPATE IN MULTIPLE PRESTIGIOUS NATIONAL COLLABORATIONS AND CLINICAL TRIALS. WE ARE ALSO GENERATING LANDMARK INVESTIGATOR-INITIATED RESEARCH, AIMED AT NOVEL WAYS TO DELIVER LIFE-SAVING TREATMENTS, MANAGE PAIN AND SYMPTOMS AND DEVELOP NEW METHODS FOR PREVENTING OR TREATING CHILDHOOD DISEASES. EVERY DAY, CHILDREN'S RESEARCHERS EXPRESS THEIR COMMITMENT TO BUILDING BETTER OUTCOMES FOR OUR CHILDREN. THESE OUTCOMES WILL HAVE BOTH IMMEDIATE AND LASTING IMPACT FOR CHILDREN RECEIVING STATE OF THE SCIENCE CARE AT OUR SPECIALTY CENTERS. CHILDREN WITH CARDIAC DISEASE, CANCER, GENETIC AND BLOOD DISORDERS, DIABETES, CYSTIC FIBROSIS, AND OTHER LIFE-IMPACTING CONDITIONS ALL HAVE BENEFITED FROM RESEARCH AT CHILDREN'S. THE VISION AND STRATEGIC INNOVATION OF OUR RESEARCH LEADERS HAVE BROUGHT US TO IMPRESSIVE MILESTONES IN THE PAST YEAR. WE CONTINUE TO TAKE STEPS TOWARD ADVANCING OUR RESEARCH AND COMMITTED TO THRIVING INTO THE FUTURE WITH OUR CHILDREN AND FAMILIES.
FORM 990, PART VI, SECTION B, LINE 11B	CHILDREN'S SENIOR MANAGEMENT REVIEWS THE DRAFT FORM 990 WITH THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY PRIOR TO FILING OF THE FORM. THIS REVIEW INCLUDES AN OVERVIEW OF THE FORM AND DISCUSSION RELATED TO KEY SECTIONS. COPIES OF THE FINAL FORM 990 ARE MADE AVAILABLE TO MEMBERS OF THE COMMITTEE AND ALL DIRECTORS PRIOR TO THE FORM BEING FILED. THE AUDIT AND COMPLIANCE COMMITTEE HAS BEEN DELEGATED THE AUTHORITY TO OVERSEE THE COMPLETION AND FILING OF THE FORM 990 BY THE FULL BOARD, AND THE COMMITTEE REPORTS THE RESULTS OF ITS REVIEW AND APPROVAL TO THE FULL BOARD AT A REGULARLY SCHEDULED BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12C	MANAGEMENT OF CHILDREN'S ENSURE THAT CONFLICT OF INTEREST DISCLOSURE FORMS ARE COMPLETED BY ALL MEMBERS OF THE GOVERNING BODY AND BOARD COMMITTEES AT LEAST ANNUALLY. FORMS ARE COMPLETED AT THE BEGINNING OF THE YEAR, AND DIRECTORS AND COMMITTEE MEMBERS ARE INSTRUCTED TO PROVIDE ADDITIONAL DISCLOSURES IF NECESSARY DURING THE COURSE OF THE YEAR. THE GOVERNANCE COMMITTEE OF THE GOVERNING BODY, ALONG WITH SENIOR MANAGEMENT (CEO AND GENERAL COUNSEL) REVIEW ALL DISCLOSURES PROVIDED BY GOVERNING BOARD MEMBERS. THE RESULTS OF THIS REVIEW AND ANY CONCERNS, LIMITATIONS, ETC., ARE REPORTED BY THE GOVERNANCE COMMITTEE TO THE FULL BOARD. IF CONFLICTS ARE IDENTIFIED, THE GOVERNANCE COMMITTEE AND MANAGEMENT WORK TO ENSURE THAT DIRECTORS DO NOT PARTICIPATE IN DISCUSSION OR VOTING ON THE AFFECTED MATTER.
FORM 990, PART VI, SECTION B, LINE 15	CHILDREN'S FOLLOWS THE REQUIREMENTS SET FORTH IN THE IRS REBUTTABLE PRESUMPTION OF REASONABLENESS IN DETERMINING COMPENSATION FOR THE CEO AND OTHER OFFICERS AND EXECUTIVE LEADERS OF CHILDREN'S. THIS FUNCTION IS PERFORMED BY THE COMPENSATION COMMITTEE OF THE GOVERNING BOARD, WHICH IS COMPOSED OF ONLY INDEPENDENT DIRECTORS. THE PROCESS INCLUDES REVIEW OF COMPARABILITY DATA, RETENTION OF AN OUTSIDE COMPENSATION CONSULTANT AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION THROUGH DETAILED MINUTES OF THE COMPENSATION COMMITTEE AND FULL BOARD MEETINGS WHERE EXECUTIVE COMPENSATION IS CONSIDERED.
FORM 990, PART VI, SECTION C, LINE 19	CHILDREN'S MAKES FINANCIAL STATEMENT INFORMATION PUBLIC THROUGH A SUMMARY OF FINANCIAL PERFORMANCE IN ITS ANNUAL REPORT. IN ADDITION, FINANCIAL STATEMENTS ARE PROVIDED PUBLICLY THROUGH DIGITAL ASSURANCE CERTIFICATION, A DISSEMINATION AGENT, WHO THEREFORE MAKE THIS INFORMATION PUBLICLY AVAILABLE. CHILDREN'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC.
FORM 990, PART VI, LINE 16A:	CURRENTLY CHILDREN'S DOES NOT HAVE ANY JOINT VENTURES WITH A TAXABLE ENTITY THAT ARE MISSION RELATED OR JOINT VENTURES THAT ARE NOT MISSION RELATED. WITHIN THE CONTEXT OF THEIR INVESTMENT PORTFOLIO, THE ORGANIZATION HAS INVESTED IN A NUMBER OF LIMITED PARTNERSHIP OPPORTUNITIES.
FORM 990, PART XI, LINE 9:	RSVP RETIREMENT PLAN-RELATED CHANGES -788,575. CHANGE IN VALUE OF INTEREST RATE SWAP VALUATION 347,270. CHANGE IN PERPETUAL TRUSTS AND OTHER 4,395,250.

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

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: CHILDREN'S HOSPITALS AND CLINICS OF MN CHAMPIONS THE SPECIAL NEEDS OF CHILDREN.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	13
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	6,590
6	Total number of volunteers (estimate if necessary) .............	6	332
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	4,254,102
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	2,567,114

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	43,917,099	34,777,014
9	Program service revenue (Part VIII, line 2g) .........	993,122,491	1,053,511,267
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	18,753,193	49,987,335
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,523,345	185,404
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,057,316,128	1,138,461,020
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	4,501,967	4,992,456
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)	577,642,721	628,422,052
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)....	437,537,544	490,727,038
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,019,682,232	1,124,141,546
19	Revenue less expenses. Subtract line 18 from line 12.......	37,633,896	14,319,474
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,731,037,973	1,849,417,742
21	Total liabilities (Part X, line 26).............	504,683,787	533,668,660
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,226,354,186	1,315,749,082

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 956,564,758 including grants of $ 4,992,456 ) (Revenue $ 1,038,334,932 )
	HOSPITAL PROGRAM SERVICES: FAMILIES LOOK TO CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA FOR THE FINEST IN PEDIATRIC CARE. WITH TWO PEDIATRIC HOSPITAL FACILITIES AND 462 STAFFED BEDS, WE CHAMPION THE SPECIAL HEALTH NEEDS OF CHILDREN AND THEIR FAMILIES AND ARE COMMITTED TO PROVIDING HIGH-QUALITY, FAMILY CENTERED PEDIATRIC SERVICES. THE LEAPFROG GROUP'S ANNUAL LIST OF TOP HOSPITALS NAMED CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA'S MINNEAPOLIS AND ST. PAUL HOSPITALS AS TWO OF THE TOP TEN PEDIATRIC HOSPITALS IN THE COUNTRY FOR QUALITY AND EFFICIENCY.SEE SCHEDULE O.

4b	(Code: ) (Expenses $ 8,891,270 including grants of $ 0 ) (Revenue $ 2,003,576 )
	EDUCATION: MANY EFFORTS TO IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN AND YOUTH REQUIRE LONG-TERM INVESTMENT IN THEIR FUTURE. CHILDREN'S PROVIDES EDUCATION AND TRAINING PROGRAMS FOR PROVIDERS, HEALTH CARE STUDENTS, AND OTHER HEALTH PROFESSIONALS IN THE FOLLOWING AREAS: 1) COMMUNITY MEDICAL EDUCATION FOR COMMUNITY PHYSICIANS: DURING THE 2023 CALENDAR YEAR, CHILDREN'S PROVIDED TRAINING TO 471 AFFILIATED RESIDENTS AND FELLOWS, AND HOSTED 398 MEDICAL STUDENT & 966 RESIDENT AND FELLOW ROTATIONS AT CHILDREN'S MINNEAPOLIS, CHILDREN'S ST PAUL, OR BOTH LOCATIONS.SEE SCHEDULE O.

4c	(Code: ) (Expenses $ 11,814,668 including grants of $ 0 ) (Revenue $ 5,906,135 )
	RESEARCH: CHILDREN'S HAS 353 OPEN RESEARCH STUDIES, OF WHICH 155 ARE ACTIVELY RECRUITING CLINICAL TRIALS. IN 2023 CHILDREN'S RECEIVED ABOUT $5.9 MILLION FROM INDUSTRY CONTRACTS AND FEDERAL STATE AND FOUNDATION SPONSORS. TYPES OF STUDIES AND TRIALS CONDUCTED AT CHILDREN'S ARE INVESTIGATOR-INITIATED STUDIES, EXTERNAL MULTI-CENTER TRIALS, OBSERVATIONAL STUDIES, REGISTRIES, AND SUPPORTIVE SERVICES SUCH AS CASE MANAGEMENT. CHILDREN'S HAD ONGOING RESEARCH IN GENETICS, CYSTIC FIBROSIS, DIABETES, INFECTIOUS DISEASE, CARDIOVASCULAR AND CRITICAL CARE, PAIN AND PALLIATIVE CARE, CANCER AND BLOOD DISORDERS, NEONATOLOGY, ENT AND REHAB. SEE SCHEDULE O.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses977,270,696

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	16,782,643	676,268	2,076,454

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	16,801,726
e	Government grants (contributions)		1e	17,975,288

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

g	Noncash contributions included in lines 1a - 1f:$		1g	827,375

h Total. Add lines 1a-1f.......		34,777,014

		Business Code
2a	PATIENT SERVICE REV.	621400	777,097,657	777,043,102	54,555
b	MEDICARE/MEDICAID PAY.	621400	159,261,546	159,261,546
c	LAB REVENUE	621500	109,727,528	109,688,296	39,232
d	PHARMACY REVENUE	621400	3,703,764			3,703,764
e	PARKING	812930	3,469,073		1,455,439	2,013,634
f	All other program service revenue.		251,699	251,699
g	Total. Add lines 2a–2f .....		1,053,511,267

3 Investment income (including dividends, interest, and othersimilar amounts) ......			45,866,203		2,704,876	43,161,327
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	1,387,264
b	Less: rental expenses	6b	1,692,216
c	Rental income or (loss)	6c	-304,952
d	Net rental income or (loss).......			-304,952			-304,952
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	1,295,917,557	521,074
b	Less: cost or other basis and sales expenses	7b	1,292,234,083	83,416
c	Gain or (loss)	7c	3,683,474	437,658
d	Net gain or (loss).........			4,121,132			4,121,132
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	MARKETPLACE		459900	434,741			434,741
b	VENDING MACHINES		722514	31,407			31,407
c	CAFETERIA		722514	18,120			18,120
d	All other revenue ....			6,088			6,088
e	Total. Add lines 11a–11d ......			490,356
12	Total revenue. See instructions.....			1,138,461,020	1,046,244,643	4,254,102	53,185,261

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	222,949	222,949
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	4,769,507	4,769,507
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	11,767,394	851,624	10,915,770
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	484,487,285	426,723,218	57,764,067
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	33,551,555	30,544,328	3,007,227
9	Other employee benefits .......	65,579,865	58,088,048	7,491,817
10	Payroll taxes ...........	33,035,953	29,082,073	3,953,880
11	Fees for services (non-employees):
a	Management ......	3,224,826	2,779,780	445,046
b	Legal .........	525,757	54,072	471,685
c	Accounting ...........	750,918	260,000	490,918
d	Lobbying ...........	230,561		230,561
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	8,122,388	8,122,388
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	108,754,790	95,122,901	13,631,889
12	Advertising and promotion ....	3,003,501	74,632	2,928,869
13	Office expenses .......	11,724,297	10,676,491	1,047,806
14	Information technology ......	26,454,088		26,454,088
15	Royalties ..
16	Occupancy ...........	16,982,281	15,010,000	1,972,281
17	Travel ............	1,420,398	1,086,447	333,951
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	2,339,181	2,182,315	156,866
20	Interest ...........	11,400,996	11,112,116	288,880
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	47,195,894	37,159,013	10,036,881
23	Insurance ...	5,623,787	5,623,787
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	120,416,901	120,416,901
b	TEMP LABOR	41,052,007	39,985,671	1,066,336
c	MNCARE TAX	15,256,432	15,256,432
d	MEDICAID SURCHARGE	12,030,524	12,030,524
e	All other expenses	54,217,511	50,035,479	4,182,032
25	Total functional expenses. Add lines 1 through 24e	1,124,141,546	977,270,696	146,870,850	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			21,298,683	1	58,106,682
2	Savings and temporary cash investments .........			6,947,826	2	177,455
3	Pledges and grants receivable, net ......			1,399,366	3	2,148,678
4	Accounts receivable, net .............			198,180,923	4	205,809,526
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 .......
					5
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) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			11,894,884	8	11,623,839
9	Prepaid expenses and deferred charges ......			20,795,909	9	22,007,201
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	900,484,880
b	Less: accumulated depreciation	10b	605,017,215	280,378,128	10c	295,467,665
11	Investments—publicly traded securities .			436,956,020	11	518,145,255
12	Investments—other securities. See Part IV, line 11 .....			567,100,056	12	536,032,484
13	Investments—program-related. See Part IV, line 11 ..			30,046,013	13	40,107,634
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			156,040,165	15	159,791,323
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,731,037,973	16	1,849,417,742

17	Accounts payable and accrued expenses .....	130,563,942	17	168,976,899
18	Grants payable ...		18
19	Deferred revenue .........	1,562,475	19	864,670
20	Tax-exempt bond liabilities .........	79,455,771	20	77,115,614
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
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 .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	217,310,060	23	217,084,001
24	Unsecured notes and loans payable to unrelated third parties ..		24
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	75,791,539	25	69,627,476
26	Total liabilities. Add lines 17 through 25..	504,683,787	26	533,668,660

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	1,142,547,682	27	1,227,151,487
28	Net assets with donor restrictions ...........	83,806,504	28	88,597,595
	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 ...........	1,226,354,186	32	1,315,749,082
33	Total liabilities and net assets/fund balances ........	1,731,037,973	33	1,849,417,742

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)CHILDREN'S HC SVCS INC DBA MINNETONKA 2525 CHICAGO AVE S MINNEAPOLIS,MN55404 41-1756478	HEALTHCARE	MN	501(C)(3)	LINE 3	N/A	Yes
(2)CHILDREN'S HEALTH CARE FOUNDATION 2525 CHICAGO AVE S MINNEAPOLIS,MN55404 41-1814223	HEALTHCARE	MN	501(C)(3)	LINE 7	N/A	Yes
(3)CHILDREN'S CLINIC NETWORK 2525 CHICAGO AVE S MINNEAPOLIS,MN55404 45-3765330	HEALTHCARE	MN	501(C)(3)	LINE 3	N/A	Yes
(4)MOTHER BABY FACILITY LLC 2525 CHICAGO AVE S MINNEAPOLIS,MN55404 45-4078371	HEALTHCARE	MN	501(C)(3)	LINE 12A	N/A	Yes

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(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
(1) MRP SMA III LP 520 NICOLLET MALL SUITE 700 MINNEAPOLIS,MN55402 92-0688935	INVESTMENTS	MN	CHC	EXCLUDED	3,573,455	48,996,852		No	843,848		No	98.360 %

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CHILDREN'S HEALTH CARE FOUNDATION	C	16,801,726	ACCRUAL
(2) CHILDREN'S HEALTH CARE FOUNDATION	L	5,661,275	ACCRUAL
(3) CHILDREN'S HEALTH CARE FOUNDATION	O	3,588,105	ACCRUAL
(4) CHILDREN'S HEALTH CARE FOUNDATION	R	11,623,341	ACCRUAL
(5) CHILDREN'S HEALTH CARE SERVICES INC	Q	6,929,327	ACCRUAL
(6) CHILDREN'S HEALTH CARE SERVICES INC	P	4,293,795	ACCRUAL
(7) CHILDREN'S CLINIC NETWORK	L	819,338	ACCRUAL
(8) CHILDREN'S CLINIC NETWORK	P	32,829,711	ACCRUAL
(9) CHILDREN'S CLINIC NETWORK	Q	35,220,755	ACCRUAL
(10) CHILDREN'S CLINIC NETWORK	R	123,710	ACCRUAL
(11) CHILDREN'S CLINIC NETWORK	O	307,733	ACCRUAL
(12) CHILDREN'S MN HOME MEDICAL EQUIPMENT	L	2,065	ACCRAUL
(13) CHILDREN'S HEALTH NETWORK	P	1,232,923	ACCRUAL
(14) CHILDREN'S HEALTH NETWORK	Q	10,085,161	ACCRUAL
(15) CHILDREN'S HEALTH NETWORK	L	739,609	ACCRUAL
(16) CHILDREN'S HEALTH NETWORK	M	3,496,492	ACCRUAL
(17) CHILDREN'S HEALTH NETWORK	L	1,619,602	ACCRUAL
(18) CHILDREN'S HEALTH NETWORK	R	8,926,009	ACCRUAL
(19) CHILDREN'S HEALTH NETWORK	S	22,322	ACCRUAL
(20) MRP SMA III LP	B	5,250,000	ACCRUAL
(21) MRP SMA III LP	C	2,353,411	ACCRUAL

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(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