TY 2024 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) Jena Hausmann...................................................................... Chief Executive Officer	40.0 ................. 7.0	X	X	3,848,363	437,831
(2) Annita Menogan...................................................................... Board Director	1.0 ................. 0.0	X		0	0
(3) Anthony Spikes...................................................................... Board Director	1.0 ................. 0.0	X		0	0
(4) Barth Whitham...................................................................... Board Director	1.0 ................. 0.0	X		0	0
(5) Betsy Searle...................................................................... Board Director	1.0 ................. 7.0	X		0	0
(6) Brian Smith...................................................................... Board Director	1.0 ................. 0.0	X		0	0
(7) Bruce Wagner...................................................................... Board Director	1.0 ................. 3.0	X		0	0
(8) Chris Nyquist MD...................................................................... Board Director	1.0 ................. 0.0	X		0	0
(9) David Honeyfield...................................................................... Board Director/Chair	1.0 ................. 7.0	X		0	0
(10) David Hoover...................................................................... Board Director	1.0 ................. 7.0	X		0	0
(11) Donald Elliman...................................................................... Board Director	1.0 ................. 4.0	X		0	0
(12) Jim Johnson...................................................................... Board Director	1.0 ................. 3.0	X		0	0
(13) John Jack Wold...................................................................... Board Director/Chair (THRU 04/24)	1.0 ................. 7.0	X		0	0
(14) John Reilly MD...................................................................... Board Director	1.0 ................. 0.0	X		0	0
(15) John Sampson MD...................................................................... Board Director (AS OF 05/24)	1.0 ................. 0.0	X		0	0
(16) Laura Barton...................................................................... Board Director	1.0 ................. 3.0	X		0	0
(17) Lee Engelbreth MD...................................................................... Board Director (AS OF 05/24)	1.0 ................. 0.0	X		0	0

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Leroy Williams........................................................................ Board Director	1.0 .......................0.0	X				0	0
(19) Mary Beth Loesch........................................................................ Board Director	1.0 .......................0.0	X				0	0
(20) Megan Fearnow........................................................................ Board Director	1.0 .......................0.0	X				0	0
(21) Mike Asher........................................................................ Board Director	1.0 .......................3.0	X				0	0
(22) Phyllis Wise PhD........................................................................ Board Director	1.0 .......................0.0	X				0	0
(23) Rick Stoddard........................................................................ Board Director	1.0 .......................3.0	X				0	0
(24) Rob Joyce........................................................................ Board Director	1.0 .......................0.0	X				0	0
(25) Scott Morrison........................................................................ Board Director	1.0 .......................4.0	X				0	0
(26) Shen Nagel MD........................................................................ Board Director	1.0 .......................0.0	X				0	0
(27) Stephanie Donner........................................................................ Board Director (AS OF 05/24)	1.0 .......................0.0	X				0	0
(28) Steven Goldstein........................................................................ Board Director	1.0 .......................1.0	X				0	0
(29) Sunit Gill MD........................................................................ Board Director	1.0 .......................0.0	X				0	0
(30) Thayer Tutt........................................................................ Board Director	1.0 .......................0.0	X				0	0
(31) Victoria Quintana........................................................................ Board Director/Chair Elect	1.0 .......................0.0	X				0	0
(32) Yvonne Camacho........................................................................ Board Director	1.0 .......................3.0	X				0	0
(33) Jeffrey Harrington........................................................................ SVP and CFO, Corporate Treasurer	40.0 .......................7.0		X			1,157,436	222,270
(34) Michelle Lucero........................................................................ Chief Legal Officer, Secretary	40.0 .......................4.0		X			789,307	185,844
(35) Amy Feaster........................................................................ SVP Chief Digital info Officer	40.0 .......................0.0			X		730,863	168,557
(36) Duane McFadden........................................................................ SVP Chief HR Officer (AS OF 07/24)	40.0 .......................0.0			X		345,784	65,560
(37) Elizabeth Rodriguez........................................................................ SVP Chief HR Officer (THRU 08/24)	40.0 .......................0.0			X		304,620	106,348
(38) Gregory Raymond........................................................................ SVP Colorado Springs President	40.0 .......................0.0			X		663,107	169,635
(39) Jennifer Roth........................................................................ SVP Chief Nursing Executive (AS OF 08/24)	40.0 .......................0.0			X		404,071	125,177
(40) Jerrod Milton........................................................................ SVP Chief Clinical Officer (THRU 07/24)	40.0 .......................0.0			X		827,156	77,559
(41) Patricia Givens........................................................................ SVP Chief Nursing Executive (THRU 08/24)	40.0 .......................0.0			X		540,766	102,294
(42) Raphe Schwartz........................................................................ SVP and Chief Strategy Officer	40.0 .......................0.0			X		806,446	187,384
(43) Suzanne Jaeger........................................................................ SVP Experience and Access	40.0 .......................0.0			X		643,656	167,304
(44) Christopher Martin........................................................................ VP Ambulatory Services	40.0 .......................0.0				X	406,683	92,592
(45) Jenae Neiman........................................................................ VP Research Operations	40.0 .......................0.0				X	395,230	141,992
(46) Kathleen Seerup........................................................................ SVP Chief Nursing Ops Officer	40.0 .......................0.0				X	445,357	130,664
(47) Linda Michael........................................................................ VP Compliance Business Ethics	40.0 .......................0.0				X	393,439	106,817
(48) Megan Zatz........................................................................ VP Deputy General Counsel	40.0 .......................0.0				X	392,695	128,771

(A) Name and business address	(B) Description of services	(C) Compensation
UNIVERSITY OF COLORADO MEDICINE 13199 EAST MONTVIEW BLVD AURORA,CO80045	PHYSICIAN SERVICES	173,282,329
UNIVERSITY OF COLORADO DENVER 13123 EAST 16TH AVE BOD B-219 AURORA,CO80045	EDUCATION SERVICES	31,585,781
CROTHALL HEALTHCARE INC 13028 COLLECTION CENTER DRIVE CHICAGO,IL60693	ENVIRONMENTAL SVCS	18,049,973
PALAMERICAN SERCURITY INC 11300 4TH STREET N STE 150 ST PETERSBURG,FL33716	SECURITY SERVICES	11,682,710
METRO AVIATION INC PO BOX 7008 Shreveport,LA71137	TRANSPORTATION SERVICES	5,415,498
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 141

- 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.
right arrow

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

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

Children's Hospital Colorado

Employer identification number

84-0166760

Part I

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

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

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

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

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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. 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—2023. 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—2024. 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—2023. 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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. 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—2023. 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) 2024

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) 2024

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) 2024

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) 2024

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 2024 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-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, 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 2024. 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 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

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) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

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

Name of the organization

Children's Hospital Colorado

Employer identification number

84-0166760

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

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

Special Rules

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

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

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

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization Children's Hospital Colorado

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

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

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- 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

2024

Open to Public
Inspection

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

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

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

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

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

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

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

Name of the organization

Children's Hospital Colorado

Employer identification number

84-0166760

Part I-A

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

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

Political campaign activity expenditures. See instructions .................................................................... 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) 2024

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.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................	58,369	0
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................	653,503	0
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................	711,872	0
d	Other exempt purpose expenditures ...............................................................................	1,672,763,045	0
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................	1,673,474,917	0
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000	0
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

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

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2021	(b) 2022	(c) 2023	(d) 2024	(e) Total

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

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

c	Total lobbying expenditures	613,412	725,899	642,457	711,872	2,693,640

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

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

f	Grassroots lobbying expenditures	79,581	85,345	66,787	58,369	290,082

Schedule C (Form 990) 2024

Page 3

Part II-B

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

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

(a)

Yes

(b)

Amount

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

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

Return Reference	Explanation

Schedule C (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- 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

Open to Public Inspection

Name of the organization

Children's Hospital Colorado

Employer identification number

84-0166760

Part I

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

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

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 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) (Rev. 1-2025)

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 ....	57,523,912	50,045,757	59,159,677	53,372,712	48,474,391
b	Contributions ...
c	Net investment earnings, gains, and losses	6,725,361	8,017,812	-8,767,246	6,486,957	5,882,427
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	541,798	428,823	236,367	582,885	883,405
f	Administrative expenses ....	127,080	110,834	110,307	117,107	100,701
g	End of year balance ......	63,580,395	57,523,912	50,045,757	59,159,677	53,372,712

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

Board designated or quasi-endowment right arrow

0 %

Permanent endowment right arrow

100 %

Term endowment right arrow

0 %

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

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

Yes

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

3a(i)

Yes

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

3a(ii)

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

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

Part VI

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

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

1a	Land .....	70,914,054		70,914,054
b	Buildings ....	1,327,457,379	453,119,174	874,338,205
c	Leasehold improvements	61,772,165	19,811,575	41,960,590
d	Equipment ....	650,582,731	433,992,367	216,590,364
e	Other .....	84,715,065	30,401,104	54,313,961
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,258,117,174

Schedule D (Form 990) (Rev. 1-2025)

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

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

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

(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)OPERATING LEASES				60,596,951
(2)TAMMEN TRUST				63,580,395
(3)MISC. RECEIVABLES				39,781,276
(4)INTERCOMPANY OTHER AFFILIATES				14,210,188
(5)OTHER NON CURRENT ASSETS				15,102,158
(6)FINANCIAL SWAP-ASSET				13,546,396
(7)457 ASSETS				10,124,989
(8)MISC. NOTE RECEIVABLES				2,595,170
(9)SELF INSURANCE TRUST LT REC.				4,154,515
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				223,692,038

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
Federal Income Taxes
LEASE LIABILITY LT-OPERATING	73,206,389
CURRENT PORTION LT DEBT	18,272,619
SELF INSURANCE TRUST LIABILITY	17,694,128
VALUE OF INTEREST RATE SWAP	6,652,580
457 LIABILITIES	10,124,989



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	125,950,705
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) (Rev. 1-2025)

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	0
e	Add lines 2a through 2d .....................			2e	0
3	Subtract line 2e from line 1..................			3	0
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	0
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	0

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	0
e	Add lines 2a through 2d....................			2e	0
3	Subtract line 2e from line 1...................			3	0
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	0
c	Add lines 4a and 4b.....................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	0

Part XIII

Supplemental Information

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

Return Reference	Explanation
Schedule D, Part V, Line 4 Intended uses of endowment funds	THE HOSPITAL IS THE INCOME BENEFICIARY OF THE H.H. TAMMEN TRUST, A PERPETUAL TRUST UNDER WHICH THE HOSPITAL HAS THE IRREVOCABLE RIGHT TO RECEIVE THE INCOME EARNED ON THE TRUST ASSETS IN PERPETUITY. FUNDS ARE USED TO SUPPORT HOSPITAL ACTIVITIES.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- 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

2024

Open to Public Inspection

Name of the organization

Children's Hospital Colorado

Employer identification number

84-0166760

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other 25000 %

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"? . . . . . . . . . . . . .

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

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

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

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

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

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		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			3,674,632	688,529	2,986,103	0.152 %
b	Medicaid (from Worksheet 3, column a) . . . . .			862,833,621	528,693,720	334,139,901	16.978 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .					0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	866,508,253	529,382,249	337,126,004	17.130 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).			26,700,203	3,731,708	22,968,495	1.167 %
f	Health professions education (from Worksheet 5) . . .			45,808,421	10,521,542	35,286,879	1.793 %
g	Subsidized health services (from Worksheet 6) . . . .			76,439,460	64,400,353	12,039,107	0.612 %
h	Research (from Worksheet 7) .			49,539,816	16,960,392	32,579,424	1.655 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .			570,003		570,003	0.029 %
j	Total. Other Benefits . .	0	0	199,057,903	95,613,995	103,443,908	5.256 %
k	Total. Add lines 7d and 7j .	0	0	1,065,566,156	624,996,244	440,569,912	22.386 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

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					0	0 %
2	Economic development			11,704		11,704	0.001 %
3	Community support					0	0 %
4	Environmental improvements			278,987	16,303	262,684	0.013 %
5	Leadership development and training for community members					0	0 %
6	Coalition building			34,821	11,159	23,662	0.001 %
7	Community health improvement advocacy					0	0 %
8	Workforce development			1,682,407	432,409	1,249,998	0.064 %
9	Other					0	0 %
10	Total	0	0	2,007,919	459,871	1,548,048	0.079 %

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. ......

19,298,164

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

3,570,176

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).....

4,034,382

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

4,441,660

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

-407,278

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) 2024

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?4Name, 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)							Facility reporting group
1	CHILDREN'S HOSPITAL COLORADO (CHCO) - ANSCHUTZ MEDICAL CAMPUS 13123 EAST 16TH AVENUE AURORA,CO80045 WWW.CHILDRENSCOLORADO.ORG 010417	X	X	X	X	X	A
2	CHCO - SOUTH CAMPUS 1811 PLAZA DRIVE HIGHLANDS RANCH,CO80129 WWW.CHILDRENSCOLORADO.ORG 01F105	X	X	X	X	X	A
3	CHCO - COLORADO SPRINGS 4090 BRIARGATE PKWY COLORADO SPRINGS,CO80920 WWW.CHILDRENSCOLORADO.ORG 01b436	X	X	X	X	X
4	CHCO - NORTH CAMPUS 469 STATE HIGHWAY 7 BROOMFIELD,CO80023 WWW.CHILDRENSCOLORADO.ORG 017MU3	X	X	X	X	X	A

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	A
Name of hospital facility or letter of facility reporting group

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

Yes

Community Health Needs Assessment

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

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 24

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

Yes

6 a

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

Yes

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

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

Yes

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

Hospital facility’s website (list url): https://www.childrenscolorado.org/community/community-health/community-health-needs-assessment/

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 25

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

Yes

If "Yes" (list url): https://www.childrenscolorado.org/community/community-health/community-health-needs-assessment/

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) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	A
Name of hospital facility or letter of facility reporting group

Yes

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

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

Yes

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

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.0%
and FPG family income limit for eligibility for discounted care of 400.0%

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):

HTTPS://WWW.CHILDRENSCOLORADO.ORG/YOUR-VISIT/PAY-FOR-CARE/FINANCIAL-ASSISTANCEPROGRAMS/

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

HTTPS://WWW.CHILDRENSCOLORADO.ORG/YOUR-VISIT/PAY-FOR-CARE/FINANCIAL-ASSISTANCEPROGRAMS/

A plain language summary of the FAP was widely available on a website (list url):
HTTPS://WWW.CHILDRENSCOLORADO.ORG/YOUR-VISIT/PAY-FOR-CARE/FINANCIAL-ASSISTANCEPROGRAMS/

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) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	A
Name of hospital facility or letter of facility reporting group

Yes

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

Yes

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

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

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

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

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

	A
Name of hospital facility or letter of facility reporting group

Yes

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

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

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

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

The hospital facility used a prospective Medicare or Medicaid method

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

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

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)

	CHCO - COLORADO SPRINGS
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?........................

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 24

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): https://www.childrenscolorado.org/community/community-health/community-health-needs-assessment/

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 25

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

Yes

If "Yes" (list url): https://www.childrenscolorado.org/community/community-health/community-health-needs-assessment/

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

10b

12a

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

12a

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

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	CHCO - COLORADO SPRINGS
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 250.0%
and FPG family income limit for eligibility for discounted care of 400.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

Other (describe in Section C)

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

Yes

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

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

https://www.childrenscolorado.org/your-visit/pay-for-care/financial-assistance-programs/

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

https://www.childrenscolorado.org/your-visit/pay-for-care/financial-assistance-programs/

A plain language summary of the FAP was widely available on a website (list url):
https://www.childrenscolorado.org/your-visit/pay-for-care/financial-assistance-programs/

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

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

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

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

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

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	CHCO - COLORADO SPRINGS
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

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

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

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

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

	CHCO - COLORADO SPRINGS
Name of hospital facility or letter of facility reporting group

Yes

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

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

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 3E	A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP A. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED IN FACILITY REPORTING GROUP A: (1) CHILDREN'S HOSPITAL COLORADO (CHILDREN'S COLORADO) - ANSCHUTZ (2) CHILDREN'S COLORADO - SOUTH CAMPUS (4) CHILDREN'S COLORADO - NORTH CAMPUS IN 2024, CHILDREN'S HOSPITAL COLORADO CONDUCTED ITS MOST RECENT TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). A JOINT ASSESSMENT WAS CONDUCTED FOR THE THREE LICENSED HOSPITAL FACILITIES IN THE DENVER METROPOLITAN AREA, WHICH INCLUDE CHILDREN'S COLORADO - ANSCHUTZ MEDICAL CAMPUS (AURORA), CHILDREN'S COLORADO - SOUTH CAMPUS (HIGHLANDS RANCH), AND CHILDREN'S COLORADO - NORTH CAMPUS (BROOMFIELD). THE CHNA FOR CHILDREN'S COLORADO - NORTH CAMPUS WAS COMPLETED AHEAD OF THE THREE-YEAR SCHEDULE IN ORDER TO BRING THE DENVER METROPOLITAN AREA HOSPITALS TOGETHER, AS APPROPRIATE FOR THEIR SERVICE AREA AND POPULATION. THE CHNA WAS APPROVED BY THE CHILDREN'S HOSPITAL COLORADO BOARD OF DIRECTORS ON DECEMBER 19, 2024. THE RELATED COMMUNITY HEALTH IMPLEMENTATION STRATEGIES WERE DEVELOPED IN THE MONTHS FOLLOWING APPROVAL AND WILL ONLY BE ADDRESSED AT A HIGH LEVEL IN THIS REPORT. IN THE CHNA REPORT, CHILDREN'S HOSPITAL COLORADO INCLUDED A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA PROCESS. SEVERAL AREAS OF NEED EMERGED AS CRITICAL ISSUES FOR CHILDREN'S HEALTH. THE PRIORITIES HAVE BEEN DIVIDED INTO TWO PRIMARY CATEGORIES: HEALTH PRIORITIES, INCLUDING MENTAL HEALTH (A CONTINUED PRIORITY), MOTHER AND INFANT HEALTH, AND INJURY - AND SOCIAL DRIVERS OF HEALTH, INCLUDING ACCESS TO CARE, NUTRITION SECURITY, AND HOUSING. CHILDREN'S HOSPITAL COLORADO WILL ADDRESS THESE COMMUNITY-DRIVEN PRIORITIES THROUGH A COMMITMENT OF RESOURCES WITH SPECIFIC PROGRAMS AND SERVICES AS OUTLINED IN THE 2025 IMPLEMENTATION PLANS. The 2024 CHNA IS AVAILABLE AT HTTPS://WWW.CHILDRENSCOLORADO.ORG/COMMUNITY/COMMUNITY-HEALTH/COMMUNITYHEALTH-NEEDS-ASSESSMENT/.
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 5 APPLIES TO ALL FACILITIES INCLUDED IN GROUP A. IN 2024, CHILDREN'S HOSPITAL COLORADO CONDUCTED ITS MOST RECENT TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). A JOINT ASSESSMENT WAS CONDUCTED FOR THE THREE LICENSED HOSPITAL FACILITIES IN THE DENVER METROPOLITAN AREA, WHICH INCLUDED CHILDREN'S COLORADO - ANSCHUTZ MEDICAL CAMPUS, CHILDREN'S COLORADO - SOUTH CAMPUS, AND CHILDREN'S COLORADO -NORTH CAMPUS. Our data collection approach included both qualitative and quantitative, primary and secondary data sources. For our primary data sources, we gathered community input through surveys and community meetings. Children's Colorado complied with IRS 1.501(r)-3(b)(3) by intentionally including medically underserved, low-income, and minority populations in our data collection. We oversampled lower-income households in our caregiver survey, offered surveys in English and Spanish, and provided Spanish interpretation at community meetings. The survey, open to the public in April 2024, received 1,067 responses representing all six counties proportionally. Data were collected on race, ethnicity, household income, and perceived community health and social needs. To prioritize these needs, nine community meetings were held from May-August 2024 with 112 participants representing public health, schools, nonprofits, healthcare, and residents. We also held 33 key informant interviews with community-based organization leaders and met with attendees at 9 community meetings; additionally, more than 40 data sources were utilized. Guided by a data equity lens, we worked to identify and reduce potential biases in data collection, analysis, and communication to better reflect the experiences of underserved populations. Between April and August 2024, we gathered broad community input from caregivers, community members, partners and collaborators, key informants, and colleagues. Including Children's Colorado - North Campus in the 2024 Denver Metropolitan Area CHNA was appropriate given the population and connectedness between metro area people, services, and facilities. For this reason, the 2024 CHNA included a larger, six-county region (Arapahoe, Adams, Denver, Douglas, Jefferson, and Broomfield Counties). Community meetings were held in partnership with groups and organizations with special knowledge and expertise in community health, including the African American Family Advisory Council, Children's Colorado Youth Council on Mental Health, the Colorado Alliance for School Health, the Healthy JeffCo (Jefferson County) Alliance, the School Health Nursing Team at Children's Hospital Colorado, and the University of Colorado Anschutz Medical Campus Resident Leadership Council. Public health partners from several local public health agencies, including the Adams County Health Department, Arapahoe County Public Health, Broomfield Public Health and Environment, the Colorado Department of Public Health and Environment (state health department), the Douglas County Health Department, and Jefferson County Public Health participated in the process as key informants, along with partners from 25 additional organizations in our service area.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 6a APPLIES TO ALL FACILITIES INCLUDED IN GROUP A. Facility reporting group A, the 2024 CHNA for facilities (1), (2), and (4) were conducted together as they share the same definition of community and serve the larger Denver metropolitan area.
Schedule H, Part V, Section B, Line 7 Facility A, 1	Facility A, 1 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 7D APPLIES TO ALL FACILITIES INCLUDED IN GROUP A. THE CHNA IS POSTED ON THE HOSPITAL'S EXTERNALLY FACING WEBSITE AND IS ALSO MADE AVAILABLE UPON REQUEST EITHER DIGITALLY OR HARDCOPY. AS PART OF THE CHNA COMMUNICATION PLAN, RESULTS OF THE CHNA AND THE SUBSEQUENT IMPLEMENTATION PLAN ARE SHARED AT VARIOUS PARTNER MEETINGS AND COMMUNITY FORUMS WITH THE GOAL OF IDENTIFYING OPPORTUNITIES TO ENGAGE IN COLLABORATIVE EFFORTS TO ADDRESS AREAS OF NEED. A DEDICATED COMMUNITY BENEFIT EMAIL ALSO PROVIDES AN OPPORTUNITY FOR INPUT AND QUESTIONS. IN 2019, THE STATE OF COLORADO ENACTED HB19-1320: HOSPITAL COMMUNITY BENEFIT ACCOUNTABILITY. A PIVOTAL REQUIREMENT OF THE LEGISLATION IS AN ANNUAL COMMUNITY BENEFIT PUBLIC MEETING. THE PURPOSE OF THE PUBLIC MEETING IS TO INFORM THE COMMUNITY OF THE HOSPITAL'S COMMUNITY BENEFIT EXPENDITURES, PROVIDE AN OPPORTUNITY FOR THE COMMUNITY TO LEARN ABOUT THE MOST RECENT CHNA AND THE STRATEGIES THAT ADDRESS THE IDENTIFIED PRIORITY NEEDS. THE HOSPITAL ALSO ASKS THE COMMUNITY TO ADVISE ON HEALTH AND SOCIAL SERVICE NEEDS THAT ARE OF CONCERN FOR THE COMMUNITY.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11 APPLIES TO ALL FACILITIES INCLUDED IN GROUP A. IN THE 2024 CHNA, SEVERAL AREAS OF NEED EMERGED AS CRITICAL ISSUES FOR CHILDREN'S HEALTH. THE PRIORITIES HAVE BEEN DIVIDED INTO TWO PRIMARY CATEGORIES: HEALTH PRIORITIES, INCLUDING MENTAL HEALTH (A CONTINUED PRIORITY), MOTHER AND INFANT HEALTH, AND INJURY - AND SOCIAL DRIVERS OF HEALTH, INCLUDING ACCESS TO CARE, NUTRITION SECURITY, AND HOUSING. MENTAL HEALTH Suicide remains the leading cause of death among Colorado Children. Unmet mental health needs continue to be prioritized by all community key informants. Aside from clinical services, Children's Colorado's community-based work on this health priority will include educating and supporting primary care providers to manage low-acuity mental health needs within their practice; educating caregivers, school personnel and the general public on youth mental health; leading coalitions to influence systems-level improvements and supports; developing new programs to address mental health needs in early childhood; promoting youth voices and engagement to inform, advise and shape priorities and our system of care; and advocating for policy solutions that improve access to high quality mental and behavioral healthcare for children and youth. Anticipated impact: 1. Increased awareness of mental health conditions and access to resources, trainings and treatments 2. More coordinated and integrated systems of child and youth mental health in Colorado 3. Improved access to and expertise in mental health services and support in primary care, schools and community 4. Strengthened cross-collaboration in the community to improve mental health for children and youth MOTHER AND INFANT HEALTH Mother and infant health remains a pressing issue in our Denver metro community. When looking at infant mortality by race and ethnicity, the mortality rate for babies who are non-Hispanic Black/African American is more than three times higher than that of babies who are non-Hispanic white. Children's Colorado's work on this priority area will include efforts to provide education to patient-facing team members on disparities in healthcare, provide behavioral health services and support to pregnant and postpartum parents, provide safe infant sleep education and resources, collaborate with partners on other solutions and supporting policy and advocacy efforts. Anticipated impact: 1. A healthier community and welcoming healthcare environment 2. Strengthened support to improve access to behavioral and healthcare resources for prenatal and postpartum parents 3. Strengthened cross-collaboration in the community to improve health outcomes for mothers and children INJURY Injury remains a leading cause of morbidity and mortality for children. Both motor vehicle and firearm injuries are in the top five leading causes of death for children under 18 years in Colorado.1 Children's Colorado's work on the health priority of injury will include efforts to address both motor vehicle injury and interpersonal violence. For motor vehicle crashes, Children's Colorado will provide education and resources to caregivers on proper car seat use, support policy and advocacy efforts, expand community access to trained child passenger safety specialists and collaborate with partners on other solutions. For interpersonal violence, Children's Colorado will expand our current efforts to screen and counsel youth and caregivers on safe firearm storage, expand services for youth who are at risk for perpetuating and/or being victimized by violence, improve services to counsel on lethal means safety for youth at elevated risk for suicide, and support policy and advocacy efforts. Anticipated impact: 1. Improved healthcare outcomes by increasing access to injury prevention education and resources 2. Increased awareness of safe firearm storage practices and access to resources 3. Strengthened cross-collaboration in the community to improve health outcomes for children ACCESS TO CARE Children need access to health insurance and the ability to effectively use those benefits based on factors like the availability of healthcare providers, geographic location of services and cost. Colorado is one of only eight states where the Medicaid/CHIP enrollment has remained lower than pre-pandemic levels. Children's Colorado's work on this priority area will include screening for health insurance needs, referrals to primary and specialty care, increasing capacity and reach of school-based care, advocacy for increased medical insurance coverage and working with community-based practices and organizations to support increased healthcare insurance coverage and access to care for children. Anticipated impact: 1. Improved healthcare and health outcomes by reducing barriers to social support and increasing access to health insurance 2. Strengthened cross-collaboration in the community to improve health outcomes for children NUTRITION SECURITY Food and nutrition security are essential for preventing and treating disease. In Colorado, child food insecurity rates have increased from 10.5% in 2021 to 14.2% in 2022. Access to healthy and affordable food is consistently prioritized by our community as a top need. Children's Colorado's work on this priority will include screening for nutrition needs, conducting nutrition education, providing nutritious food to families in need, capacity building with community partners and advocacy efforts to increase nutrition security in the community. Anticipated impact: 1. Improved healthcare and health outcomes by reducing barriers to social support and increasing access to nutritious food 2. Strengthened cross-collaboration in the community to improve health outcomes for children HOUSING The lack of available and affordable housing across Colorado continues to strain families. Colorado ranks as the eighth least affordable state when comparing median income to median home prices. Children's Colorado's work on this priority will include providing support to keep families in their current housing situation, collaborating with partners to increase access to affordable housing and supporting policy and advocacy efforts. Anticipated impact: 1. Improved healthcare and health outcomes by reducing barriers to social support and increasing access to housing resources 2. Strengthened cross-collaboration in the community to improve health outcomes for children Children's Colorado recognizes that the public health needs of the community are extensive, and some community-identified needs (including access to affordable, high-quality childcare and access to additional benefits) are not explicitly addressed through our priorities and goals. Children's Colorado knows that our ability to address those needs is limited, leading to our need to prioritize the needs listed above. The identified strategies will be the focus of our community efforts for the next several years. However, we will continue to listen to the community and identify new opportunities to address emerging community concerns. Many of the specific issues that the community raised through the needs assessment will continue to be addressed through the Division of Community Health and Advocacy and other departments at Children's Colorado. Children's Colorado also recognizes that needs are identified and addressed, in part, through our colleagues across our service area. Our public health and governmental partners, hospital system partners, community-based organizational partners, and many others work together to address the many needs faced by our communities.
Schedule H, Part V, Section B, Line 3E	IN 2024, CHILDREN'S HOSPITAL COLORADO (CHILDREN'S COLORADO) CONDUCTED ITS MOST RECENT TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR CHILDREN'S COLORADO - COLORADO SPRINGS. THE CHNA WAS APPROVED BY THE CHILDREN'S HOSPITAL COLORADO BOARD OF DIRECTORS ON DECEMBER 19, 2024. THE RELATED COMMUNITY HEALTH IMPLEMENTATION STRATEGIES WERE DEVELOPED IN THE MONTHS FOLLOWING APPROVAL AND WILL ONLY BE ADDRESSED AT A HIGH LEVEL IN THIS REPORT. IN THE CHNA REPORT, CHILDREN'S HOSPITAL COLORADO INCLUDED A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA PROCESS. SEVERAL AREAS OF NEED EMERGED AS CRITICAL ISSUES FOR CHILDREN'S HEALTH. THE PRIORITIES HAVE BEEN DIVIDED INTO TWO PRIMARY CATEGORIES: HEALTH PRIORITIES, INCLUDING MENTAL HEALTH (A CONTINUED PRIORITY), INJURY, AND PREVENTIVE CARE - AND SOCIAL DRIVERS OF HEALTH, INCLUDING ACCESS TO CARE, NUTRITION SECURITY, AND HOUSING. CHILDREN'S HOSPITAL COLORADO WILL ADDRESS THESE COMMUNITY-DRIVEN PRIORITIES THROUGH A COMMITMENT OF RESOURCES WITH SPECIFIC PROGRAMS AND SERVICES AS OUTLINED IN THE 2025 IMPLEMENTATION PLANS. THE 2024 CHNA IS AVAILABLE AT HTTPS://WWW.CHILDRENSCOLORADO.ORG/COMMUNITY/COMMUNITY-HEALTH/COMMUNITYHEALTH-NEEDS-ASSESSMENT/.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - CHCO - COLORADO SPRINGS. IN 2024, CHILDREN'S HOSPITAL COLORADO CONDUCTED ITS MOST RECENT TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR CHILDREN'S COLORADO - COLORADO SPRINGS. Our data collection approach included both qualitative and quantitative, primary, and secondary data sources. For our primary data sources, we gathered community input through surveys and community meetings. Children's Colorado has ensured that our data collection approach followed the IRS requirements of 1.501(r)-3(b)3 to exclude medically underserved, low-income, or minority populations who live in the geographic areas from which it draws its patients" by oversampling lower income populations in our caregiver survey, providing surveys in both English and Spanish and providing interpretation services in Spanish when we had community members who did not speak English in attendance at our community meetings. Between April and August 2024, we gathered broad community input from caregivers, community members, partners and collaborators, key informants, and colleagues. Through our primary data collection approaches, which included surveys, interviews, and community meetings, we were able to gain the input of 678 respondents to our caregiver survey, 18 key informant interviews with community-based organization leaders, and attendees at 7 community meetings. Additionally, more than 30 data sources were utilized. We also sought expertise from partners with special knowledge and expertise in public health, including the El Paso County Public Health Healthy Community Collaborative (HCC), who is a community stakeholder group formed in 2011 to address the health and social needs of El Paso County residents. The HCC consists of over 60 representatives from schools, hospitals and health systems, non-profit organizations, city and county government agencies, public health, medical providers, and interested citizens. The community meetings were held in partnership with groups and organizations with special knowledge and expertise in community health, including HCC, Building Resiliency for Health Kids, Children's Colorado Youth Council on Mental Health, the Colorado Alliance for School Health (CASH), and Safe Kids Colorado. Public health partners from El Paso County Public Health and the Colorado Department of Public Health and Environment (state health department) participated in the process as key informants, along with partners from 16 additional organizations in our service area.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - CHCO - Colorado Springs. THE CHNA IS POSTED ON THE HOSPITAL'S EXTERNAL FACING WEBSITE AND IS MADE AVAILABLE UPON REQUEST EITHER DIGITALLY OR WRITTEN FORMAT. AS PART OF THE CHNA COMMUNICATION PLAN, RESULTS OF THE CHNA AND THE SUBSEQUENT IMPLEMENTATION PLAN ARE SHARED AT VARIOUS STAKEHOLDER MEETINGS AND COMMUNITY FORUMS WITH THE GOAL OF IDENTIFYING OPPORTUNITIES TO ENGAGE IN COLLABORATIVE EFFORTS TO ADDRESS AREAS OF NEED. A DEDICATED COMMUNITY BENEFIT EMAIL ALSO PROVIDES AN OPPORTUNITY FOR INPUT AND QUESTIONS. IN 2019, THE STATE OF COLORADO ENACTED HB19-1320, HOSPITAL COMMUNITY BENEFIT ACCOUNTABILITY. A PIVOTAL REQUIREMENT OF THE LEGISLATION IS AN ANNUAL COMMUNITY BENEFIT PUBLIC MEETING. THE PURPOSE OF THE PUBLIC MEETING IS TO INFORM THE COMMUNITY OF THE HOSPITAL'S COMMUNITY BENEFIT EXPENDITURES, PROVIDE AN OPPORTUNITY FOR THE COMMUNITY TO LEARN ABOUT THE MOST RECENT CHNA AND THE STRATEGIES THAT ADDRESS THE IDENTIFIED PRIORITY NEEDS. THE COMMUNITY IS ALSO PROVIDED WITH THE OPPORTUNITY TO ADVISE ON HEALTH AND SOCIAL SERVICE NEEDS THAT CONTINUE TO BE OF CONCERN FOR THE COMMUNITY.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - CHCO - Colorado Springs. IN THE 2024 CHNA, SEVERAL AREAS OF NEED EMERGED AS CRITICAL ISSUES FOR CHILDREN'S HEALTH. THE PRIORITIES HAVE BEEN DIVIDED INTO TWO PRIMARY CATEGORIES: HEALTH PRIORITIES, INCLUDING MENTAL HEALTH (A CONTINUED PRIORITY), INJURY, AND PREVENTIVE CARE - AND SOCIAL DRIVERS OF HEALTH, INCLUDING ACCESS TO CARE, NUTRITION SECURITY, AND HOUSING. CHILDREN'S HOSPITAL COLORADO WILL ADDRESS THESE COMMUNITY-DRIVEN PRIORITIES THROUGH A COMMITMENT OF RESOURCES WITH SPECIFIC PROGRAMS AND SERVICES AS OUTLINED IN THE 2025 IMPLEMENTATION PLANS. MENTAL HEALTH Suicide remains the leading cause of death among Colorado children.1 Unmet mental health needs continue to be prioritized by all community key informants. Aside from clinical services, Children's Colorado's community-based work on this health priority will include educating and supporting primary care providers to manage low-acuity mental health needs within their practice; educating caregivers, school personnel and the general public on youth mental health; leading coalitions to influence systems-level improvements and supports; developing new programs to address mental health needs in early childhood; promoting youth voices and engagement to inform, advise, and shape priorities and our system of care; and advocating for policy solutions that improve access to high quality mental and behavioral healthcare for children and youth. Anticipated impact: 1. Increased awareness of mental health conditions and access to resources, trainings and treatments 2. A more coordinated and integrated system of child and youth mental health in Colorado 3. Improved access to and expertise in mental health services and support in primary care, schools and community 4. Strengthened cross-collaboration in the community to improve mental health for children and youth INJURY Injury remains a leading cause of morbidity and mortality for children.1 Both motor vehicle and child maltreatment injuries are in the top five leading causes of death for children under 18 years in Colorado.1 Children's Colorado's work on the health priority of injury will include efforts to address both motor vehicle injury and child abuse. For motor vehicle crashes, Children's Colorado will provide education and resources to caregivers on proper car seat use, support policy and advocacy efforts, expand community access to trained child passenger safety specialists and work with partners on collaborative solutions. To address child abuse, Children's Colorado will develop and deliver education on mandatory reporting, screen patients for child abuse in the emergency department of our Colorado Springs Hospital and collaborate with community-based organizations. Anticipated impact: 1. Improved health outcomes by increasing access to injury prevention education and resources 2. Increased awareness and education about mandatory reporting 3. Strengthened cross-collaboration in the community to improve health outcomes for children PREVENTIVE CARE Preventive care is a challenge for many Coloradans and primarily denotes the difficulty families experience when finding a primary care provider for their children, particularly a provider who accepts public health insurance (Medicaid, Tri-Care, etc.). Among Coloradans who participated in the 2023 Colorado Health Access Survey, nearly one in five respondents (19.8%) reported that they did not fill a prescription, get doctor care or get specialty care when they needed to due to cost.2 This priority also speaks to the need for increased access to primary prevention programs intended to prevent disease and improve health outcomes broadly. Children's Colorado's work on this priority will include supporting community-based providers with their emerging needs and partnering with community-based organizations and coalitions that work to promote health and wellness for children and youth. Anticipated impact: 1. Increased engagement and collaboration with primary care providers 2. Strengthened cross-collaboration in the community to improve health outcomes for children and youth ACCESS TO CARE Children need access to health insurance and the ability to effectively use those benefits based on factors like the availability of healthcare providers, geographic location of services and cost. Colorado is one of only eight states where the Medicaid/CHIP enrollment has remained lower than pre-pandemic levels.3 Children's Colorado's work on this priority area will include screening for health insurance needs, referrals to primary and specialty care, increasing capacity and reach of school-based care, advocacy for increased medical insurance coverage and working with community-based practices and organizations to support increased health care insurance coverage and access to care for children. Anticipated impact: 1. Improved healthcare and health outcomes by reducing barriers to social support and increasing access to health insurance 2. Strengthened cross-collaboration in the community to improve health outcomes for children NUTRITION SECURITY Food and nutrition security is essential for preventing and treating disease. In Colorado, child food insecurity rates have increased from 10.5% in 2021 to 14.2% in 2022.4 Access to healthy and affordable food is consistently prioritized by our community as a top need. Children's Colorado's work on this priority will include screening for nutrition needs, conducting nutrition education, providing nutritious food to families in need, capacity building with community partners and advocacy efforts to increase nutrition security in the community. Anticipated impact: 1. Improved healthcare and health outcomes by reducing barriers to social support and increasing access to nutritious food 2. Strengthened cross-collaboration in the community to improve health outcomes for children HOUSING The lack of available and affordable housing across Colorado continues to strain families. Colorado ranks as the eighth least affordable state when comparing median income to median home prices. Children's Colorado's work on this priority will include providing support to keep families in their current housing situation, collaborating with partners to increase access to affordable housing and supporting policy and advocacy efforts. Anticipated impact: 1. Improved healthcare and health outcomes by reducing barriers to social support and increasing access to housing resources 2. Strengthened cross-collaboration in the community to improve health outcomes for children Children's Colorado recognizes that the public health needs of the community are extensive, and some community-identified needs (including bullying, issues with weight, and violence) are not explicitly addressed through our priorities and goals. Children's Colorado knows that our ability to address those needs is limited, leading to our need to prioritize the needs listed above. The identified strategies will be the focus of our community efforts for the next several years. However, we will continue to listen to the community and identify new opportunities to address emerging community concerns. Many of the specific issues that the community raised through the needs assessment will continue to be addressed through the Division of Community Health and Advocacy and other departments at Children's Colorado. Children's Colorado also recognizes that needs are identified and addressed, in part, through our colleagues across our service area. Our public health and governmental partners, hospital system partners, community-based organizational partners, and many others work together to address the many needs faced by our communities.

Schedule H (Form 990) 2024

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?10
Name and address		Type of Facility (describe)
1	CHILDREN'S HOSPITAL CO OP SPECIALTY CARE 4125 BRIARGATE PKWY COLORADO SPRINGS,CO80920	SPECIALTY CARE, ONCOLOGY CLINICS, URGENT CARE
2	CHILDREN'S CO HEALTH PAVILION 860 NORTH POTOMAC CIRCLE AURORA,CO80011	OT/PT, SPEECH & AUDIOLOGY, MULTI-SPECIALTY CLINICS,DENTAL CLINCIS, SPECIALTY PHARMACY
3	CHILDREN'S HOSPITAL CO - THERAPY CARE 9139 SOUTH RIDGELINE BLVD 100 HIGHLANDS RANCH,CO80129	REHABILITATION & THERAPY SERVICES
4	CHILDREN'S HOSPITAL CO - THERAPY CARE 8401 ARISTA PLACE BROOMFIELD,CO80021	OT/PT, SPEECH & AUDIOLOGY SERVICES
5	KIDSTREET 860 N POTOMAC CIR AURORA,CO80011	REHABILITATION & THERAPY SERVICES
6	CHILDREN'S HOSPITAL CO - UPTOWN 1830 FRANKLIN ST DENVER,CO80218	EMERGENCY CARE, UC, OP SPCLTY, DIAGNOSTIC, OBSERVATION LICENSEDC CMTY CLINIC 18M127
7	CHILDREN'S HOSPITAL CO - ORTHOPEDIC CARE 9094 E MINERAL AVE SUITE 110 CENTENNIAL,CO80112	ORTHOPEDIC CARE, RADIOLOGY SERVICES, SPORTS MEDICINE
8	CHILDREN'S HOSPITAL CO - UC & OP CARE 3455 LUTHERAN PKWY WHEATRIDGE,CO80033	URGENT CARE, SPECIALIST CARE SPORTS MEDICINE
9	CHILDREN'S HOSPITAL CO - THERAPY CARE 2375 TELSTAR DR SUITE 160 COLORADO SPRINGS,CO80920	OT/PT, SPEECH THERAPY, THERAPY SERVICES
10	Children's Hospital CO - Outpatient and Urgent Care (SE Aurora) 23770 E Smoky Hill Rd Aurora,CO800163089	Urgent Care, OT/PT, Sports Medicine

Schedule H (Form 990) 2024

Page 10

Part VI

Supplemental Information

Provide the following information.

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

Form and Line Reference	Explanation
Schedule H, Part I, Line 6a COMMUNITY BENEFIT REPORT	CHILDREN'S COLORADO PUBLISHES AN ANNUAL COMMUNITY BENEFIT REPORT. THE 2024 REPORT WILL BE PUBLISHED AFTER THE FINALIZATION OF THE 2024 SCHEDULE H 990 REPORTING. ALL COMMUNITY BENEFIT-RELATED REPORTS CAN BE FOUND ON CHILDREN'S COLORADO'S WEBSITE AT REPORT CAN BE FOUND AT HTTPS://WWW.CHILDRENSCOLORADO.ORG/COMMUNITY/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
Schedule H, Part I, Line 7 COMMUNITY BENEFITS	IN 2024, CHILDREN'S HOSPITAL COLORADO PROVIDED $440,569,912 IN BENEFIT TO THE COMMUNITY. MEDICAID AT CHILDREN'S HOSPITAL COLORADO ACCOUNTED FOR $334,139,901 OF NET COMMUNITY BENEFIT EXPENSE WITH $2,986,103 IN FINANCIAL ASSISTANCE AND $0 IN MEANS TESTED PROGRAMS. OTHER BENEFITS ACCOUNTED FOR $103,443,908 IN NET COMMUNITY BENEFIT EXPENSE. OF THAT $22,968,495 IN COMMUNITY HEALTH IMPROVEMENT, $35,286,879 IN HEALTH PROFESSION EDUCATION, $12,039,107 IN SUBSIDIZED HEALTH SERVICES, $32,579,424 IN RESEARCH AND $570,003 IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT. INCLUDED IN THE SUBSIDIZED HEALTH SERVICES ARE THOSE WHICH CHILDREN'S HOSPITAL COLORADO PROVIDES TO ITS PATIENT POPULATION AT A LOSS. THE NUMBER REFLECTED IN SUBSIDIZED HEALTH SERVICES EXCLUDES BAD DEBT, MEDICAID AND OTHER MEANS TESTED PROGRAMS SHORTFALLS AND FINANCIAL ASSISTANCE. CHILDREN'S HOSPITAL COLORADO IS COMMITTED TO SERVING ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.
Schedule H, Part VI, Line 7 State filing of community benefit report	IN 2019, COLORADO LAWMAKERS PASSED HB19-1320, HOSPITAL COMMUNITY BENEFIT ACCOUNTABILITY, REQUIRING NONPROFIT HOSPITALS TO SUBMIT AN ANNUAL COMMUNITY BENEFIT REPORT.
Schedule H, Part II, Line 10 COMMUNITY BUILDING ACTIVITIES	IN 2024, CHILDREN'S HOSPITAL COLORADO PROVIDED $1,548,048 IN COMMUNITY BUILDING ACTIVITIES. THESE ACTIVITIES ARE DESIGNED TO PROMOTE THE HEALTH OF THE BROADER COMMUNITY. WE CONTINUE TO BUILD ON OUR LONG AND STRONG RECORD OF COLLABORATION WITH COMMUNITY GROUPS, BUSINESSES, ACADEMIC INSTITUTIONS AND GOVERNMENTAL AND NON-GOVERNMENTAL ORGANIZATIONS, WITH THE GOAL OF IMPROVING HEALTH OUTCOMES AND REDUCING HEALTH DISPARITIES FOR CHILDREN AND THEIR FAMILIES.
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH (CONTINUED)	WORKFORCE DEVELOPMENT: THE MEDICAL CAREER COLLABORATIVE (MC2) program propels high school students towards careers in healthcare through hands-on experiences and professional development opportunities. Applicants are selected in the spring of their sophomore year in high school by a committee with great emphasis placed on selecting a diverse group of students from a range of backgrounds and high schools in the Denver Metropolitan Area. Providing opportunities to underrepresented populations in the health professions has become identified as paramount to the nation's need to eliminate inequities in the quality and availability of healthcare for underserved populations. In the 2023-2024 academic year, MC2 served 130 high school students (68 juniors and 62 seniors) from 49 high schools. Nearly all (94% of the) graduates plan to attend a two- or four-year college and 91% of graduates declared a health or pre-health major. Ninety-seven percent of MC2 participants are students of color: 42% Hispanic/Latino, 23% Black/African American, 15% Asian/Pacific Islander, 14% multi-racial, 3% Middle Eastern, 3% White/Caucasian, and 0% American Indian/Alaskan Native. WORKFORCE DEVELOPMENT: PROJECT SEARCH is a school-to-work transition program for young adult students with significant disabilities. The program provides employment and educational opportunities which span a full academic year. Students complete four-day work weeks for 15 weeks, rotating worksites throughout the hospital. The goal of Project Search is that the participants leave the program employment-ready and subsequently gain successful employment at the host site's business or elsewhere in the community. In 2024, we supported 40 students and graduates. MEDICAL FACULTY PROFILE. Our open medical staff arrangement allows community practitioners to hold privileges at our hospitals, and more than half of our approximately 2,903 medical staff of providers and advanced practice nurses are community based. Among the thousands of referring providers throughout our seven-state region, these community staff members are frontline partners not only in establishing a seamless continuum of care for our young patients, but in providing training opportunities in primary care for the medical students and residents who will become tomorrow's pediatric professionals. Through our affiliation with family medicine residency programs in Colorado and Wyoming, we are able to provide pediatric rotation at our hospitals, offering significant benefit to a region with a large rural population and a shortage of rural care providers. These affiliations also ensure that a primary care perspective is central to our strategies for providing the region's children with the broadest spectrum of care. RESEARCH. 2024 marked another year of impressive growth and accomplishments for child health research teams with more than 1,200 active research studies. BOARD OF DIRECTORS. At the time of filing this form 990, Children's Hospital Colorado's Board of Directors is made up of twenty-four volunteers and the associated executive leaders from the hospital and affiliated institutions. Board service is a commitment to help further the hospital's mission of improving the health of children through the provision of high quality, coordinated programs of patient care, education, research, and advocacy. KIDS ARE OUR BOTTOM-LINE. As a non-profit organization, surplus funds are invested back into providing healthcare services and resources to the community, including but not limited to new patient care locations and equipment, expanded programs and services, community health promotion, research, and training of physicians, nurses, and other allied health professionals. 2024 ACTIVITIES IN RESPONSE TO 2021 AND 2022 CHNA'S Children's Colorado took a holistic approach to addressing (child) mental health, access to care, and nutrition security - our primary priority needs identified in our 2021 and 2022 CHNA's. Activities below occurred during 2024 in response to 2021 and 2022 CHNAs and as written in Community Health Implementation Strategy reports. MENTAL HEALTH The first priority area is Mental Health. Our approach focused on four areas: 1. Providing direct services and support to prevent or address mental health conditions, 2. Advocating for improved systems of care for mental health, 3. Reducing stressors that may impact mental health, and 4. Engaging community to inform and shape our priorities. These strategies occur at various levels: individual child or youth, caregiver, healthcare provider, school, community, or at the system and policy level. Together, these areas work together to address mental health needs among children and youth. Many of our goals and activities are intended to serve communities within and beyond the primary service area of the specific facility location; for example, much of our community work is conducted at the systems-level or statewide. Unless a specific geography is noted in the activities and outcomes below (i.e., Colorado Springs) the activities were carried out in a way that was inclusive of all our facility communities and/or statewide. GOAL 1: Improve mental health awareness and reduce the risk of suicide. ACTIVITY: In Colorado Springs, provide 1:1 coaching for youth with an assigned health coach to assist the students in identifying areas to build resilience, utilize motivational and strength-based techniques, and provide support where needed. Additionally, offer and provide peer coaching to give students the ability to strengthen their own resilience with their peers. Lead, engage, and participate in community collaboratives that aim to decrease youth suicide, decrease utilization of crisis services, and promote preventative services. OUTCOME: In 2024, the Behavioral Health Clinicians provided 3,742 services (individual therapy services and group therapy services) across 20 schools in Colorado Springs. ACTIVITY: Provide training and implementation support to meet mental health needs of students (e.g., dialectical behavior therapy (DBT), suicide intervention and postvention protocols). OUTCOMES: In 2024, we continued partnering with a subject matter expert to update the DBT series with three different audiences - elementary, middle, and high school. We created short videos to support the learning experience; over 16,500 people accessed these videos in 2024. In 2024, we trained almost 400 school professionals through our DBT series. DBT Skills attendees represented 14 school districts, six of which were in rural counties and two of which were in frontier counties. ACTIVITY: Provide training and implementation support to help clinics implement youth suicide prevention care pathways using evidence-based approaches (i.e., Ask Suicide-Screening Questions (ASQ) Suicide Screening, Brief Suicide Safety Assessment, and PracticeWISE MAP). OUTCOME: We offered Zero Suicide training to 232 medical professionals working in community primary care clinics (1,088 contact hours). We also provide more than 20 hours of content in partnership with ECHO Colorado (the Extension for Community Health Outcomes). Fifty-six individuals attended the 6-part ECHO series, "Pediatric Suicide Prevention: A Practical Care Pathway for Primary Care," which was presented several times over the last six months. Over half (64%) served Medicaid-covered patients and one in five (21%) were from rural or frontier counties. Fifty individuals attended the new, three-part ECHO series, "Navigating Complexities in Youth Experiencing Suicidality," which was presented for the first time in fall 2024. Nearly two-thirds (62%) of these folks served Medicaid-covered patients and 43% were from rural or frontier counties. ACTIVITY: Provide suicide prevention training and education with community members (e.g., Question Persuade Refer (QPR), Applied Suicide Intervention Skills Training, Youth Mental Health First Aid). OUTCOME: Pathway to Suicide Prevention YouTube videos were added to the Children's Colorado Partners for Children's Mental Health (PCMH) website. These videos outline steps of the pathway to suicide prevention program. In total, the site received 1,285 views in this reporting period. Our team hosted and attended over 50 meetings with local schools, government entities, and community mental health centers. In addition, we actively participated through attendance, facilitation, and/or financial support to three monthly school meetings that addressed mental health, including suicide prevention, in schools. Additionally, in the Colorado Springs area, activities during 2024 included a strong focus on targeted activities in the local community. Our team hosted and attended over 50 meetings with local schools, government entities, and community mental health centers. In addition, we actively participated - through attendance, facilitation, and/or financial support - in three monthly school meetings addressing mental
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH (CONTINUED)	health, including suicide prevention, in schools. Additionally, in the Colorado Springs area, activities during 2024 included a strong focus on targeted activities in the local community. Our team hosted and attended over 50 meetings with local schools, government entities, and community mental health centers. In addition, we actively participated - through attendance, facilitation, and/or financial support - in three monthly school meetings addressing mental health, including suicide prevention, in schools. Partners included Colorado Schools Community of Practice, Colorado Alliance for School Health, and the School Climate Coalition. Approaches to mental health and suicide prevention in the school setting have been rapidly evolving with the rise of identified mental health issues and youth suicide risk. We actively engaged in conversations with schools and other school-serving organizations to identify needs and gaps to target with our future training. We extended this research to interviews with eight other children's hospitals on their best practices in the school settings, in addition to digging into best practices from national school agencies, The Substance Abuse and Mental Health Services Administration (SAMHSA), the National Alliance on Mental Illness (NAMI), and the review of 85 plus research articles related to suicide prevention and mental health in the school setting. From this work, we created a collection of evidence-based information to inform our future work in Schools. ACTIVITY: Expand Existing suicide ideation and depression screening to other clinical settings for patients aged 12 years and older. OUTCOME: In August 2023, universal suicide and depression screening was implemented within all the inpatient units of the Children's Colorado system; in 2024, we screened 9,119 in-patient and emergency department patients for suicide and depression in Colorado Springs for all overall screening rate of 80%. ACTIVITY: Host educational presentations by physicians, nurses, and other healthcare experts for community organizations and schools. OUTCOME: In 2024, we provided information on how to access mental health services as well as mental health education information at three community-based events, in two media stories, and on our mental health educational webpages - which reached 270 views. We also collaborated with school nurses on a Mental Health Action Plan for Anxiety that they began piloting in schools. The plan is available on our website for any school nurse to use in our state and beyond. Activities during 2024 included a strong focus on targeted activities in local communities. (https://www.childrenscolorado.org/globalassets/community/school-nurse/mental-health/anxiety-action-plan-for-schools.pdf) GOAL 2: Improve systems of care and access to mental health services. ACTIVITY: Strengthen the youth mental health system by: (1) Fighting for kids to get their fair share in the annual state budget, and (2) Strengthening the accountability and connectedness of the mental health system for kids with the new Behavioral Health Administration and the next phase of Colorado. OUTCOME: At the state level in 2024, Children's Hospital Colorado coordinated testimony on pending legislation from 30 experts at committee hearings, and actively monitored 173 bills. We activated our grassroots network on multiple child health policy topics which resulted in over 350 messages to state and federal lawmakers on youth mental health. We trained more than 200 people about how to advocate for children's health including youth mental health priorities. ACTIVITY: Support policies that address the social determinants of health, including supporting funding and policy decisions that prioritize housing, economic security, and food security to reduce risk factors for poor health outcomes, and promote the health and well-being of kids and families. OUTCOME: We partnered with clinicians, families, and advocates to pursue innovative policy solutions that will make a difference and positively impact the lives of children. Now that many of these policy priorities are passed and signed into law, we will continue to advocate for robust action on implementation. Priority policies in 2024 included defending access to care, elevating children's mental health solutions, and improving the conditions where children live, learn, and play. ACTIVITY: Advocate for healthcare financing models that provide better care for individuals with mental health conditions, including the integration of physical and mental health. OUTCOME: We work to expand the number of underinsured and uninsured children who can be served by Children's Hospital Colorado and other pediatric providers in Colorado and improve access to care and reduce disparities between private and public coverage. Serving as a bridge between patients, advocacy, providers, and the State, we engage deeply with behavioral health reform, as well as Medicaid, indigent care programs, and the Children's Health Insurance Program, among others. GOAL 3: Promote protective factors and reduce risk factors for mental health conditions. ACTIVITY: Address social needs of identified patients by using the social needs screener and increasing health navigation referrals. (Note: This activity is similar and related to activities in Access to Care: Goal 2.) OUTCOME: Our health navigation teams play a critical role addressing needs such as housing, food, benefits, and transportation, etc. Universal social needs screening has been standard practice in our primary care settings since 2016 and was launched for inpatient units in August 2023. In 2024, in the Denver Metro Area, we completed 21,402 in-patient social needs screenings with 2,609 (10%) patients screening positive for social needs. In 2024, Health Navigators in Colorado Springs provided education, community resource support, and/or community resource referrals to 3,597 unique patients over 7,149 encounters. ACTIVITY: Resource Connect and its partner organizations will increase families' access to health-related social supports. OUTCOME: Resource Connect is a physical suite of offices in the Children's Colorado Health Pavilion (located in Aurora, Colorado, 1.5 miles from our main hospital campus) where we host community-based organizations who help us respond to the social needs of our patient families and provide wraparound care and support. In 2024, our partners included: the Arapahoe County Public Health's Supplemental Nutrition Program for Women, Infants, and Children (WIC); Energy Outreach Colorado; Spectrum Advocacy; the Adams County Workforce and Business Center; A Precious Child; and several internal partner programs: Colorado Medical-Legal Partnership; Healthy Roots Food Clinic; and Injury Prevention (car seats and infant cribs education and distribution). The services provided in Resource Connect promote improved access to the resources that all families, including families with resource and access limitations, need to improve their health and well-being. In 2024, Children's Colorado providers and other team members referred 2,021 families to Resource Connect; of those referrals, 676 were for the Healthy Roots Food Clinic, 310 were for legal services, 126 for WIC, 241 for housing navigation, and 137 for energy assistance. ACTIVITY: The Injury Prevention team will promote safe sleep through the distribution of portable infant cribs and, in collaboration with the Community Health Navigation team, show families how to use them as a safe sleep option. OUTCOME: In 2024, we provided 85 portable infant cribs to families in need, along with safe sleep education and assistance. ACTIVITY: The Injury Prevention team will provide child car seats and education on proper car seat installation. OUTCOME: In 2024, Injury Prevention Denver Metro Area provided education to over 5,770 community members through over 70 community events and classes. The program provided 570 reduced-cost car seats and booster seats as well as training provided by certified Child Passenger Safety Technicians (CPST) from Children's Hospital Colorado in partnership with local community partners (trained 27 external partners in 2024) including law enforcement, healthcare, fire rescue, human services staff, and more. In 2024, our Colorado Springs Injury Prevention program provided education to over 250 caregivers on proper child restraint use, checked over 200 car seats and boosters and corrected over an 80% misuse rate, while also providing 205 reduced- or no-cost car seats and booster seats to families in need. We also held 13 child passenger safety (CPS) check events throughout the year across the community. Directly or through interpreters, we provided CPS education in English, Spanish, Dari, Swahili, Pashto, and French. We conducted five in-person CPS presentations for expecting military families, reaching over 50 military parents and caregivers.
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH (CONTINUED)	We also trained 34 new Child Passenger Safety Technicians (CPST) through our CPST Certification Courses. ACTIVITY: Provide education and resources in Colorado Springs related to traumatic injury. OUTCOME: Wheeled activity injury remains a top-five cause of traumatic injury treated at the Colorado Springs hospital. We offer free helmets, in partnership with a local business, to our in-patient population through our Emergency Department and include educational handouts. We provide and fit free helmets at community outreach events and provided approximately 300 helmets in 2024. We also partnered with Deerfield Hills Community Center, Turman Elementary School, UCHealth, and non-profit Kids on Bikes to coordinate a Bike to School event, offering free helmets to participating kids, during which over 45 students and 20 adults participated. Additionally, in 2024, we reached our greater Colorado Springs and El Paso County community through over 40 outreach and educational events and opportunities, reaching over 1,900 adults and children to promote awareness of child safety including pedestrian safety, motor vehicle safety, firearm safety, fire and burn prevention, helmet safety, infant safe sleep, poison prevention, fall prevention, and other home safety topics. ACTIVITY: Increase injury prevention partnerships in and outreach to rural and frontier communities. OUTCOME: In 2024, we continued to strengthen our outreach to more rural communities within El Paso and Teller Counties. We successfully partnered with the town of Calhan, CO, in eastern El Paso County, providing and fitting free helmets at their Summer Fest and reaching over 40 children and adults. We also partnered with Calhan High School's Family, Career, and Community Leaders of America (FCCLA) students to support their Safety Day, providing over 200 helmets to elementary and middle school students, fitting them appropriately, and bringing the students together while educating them on the importance of helmet use. We also offered child passenger safety checks to caregivers during the Safety Day event and connected with 15 caregivers at a Back-to-School event to talk about booster seat safety, providing two free booster seats to families whose children did not have a safe seat belt fit. Additionally, we held a child passenger safety check in Cripple Creek, CO in Teller County, the first CPS event held in that county in many years to our knowledge. We also attended the Fremont County American Medical Response (AMR) Safety Jam, providing free firearm locks, activity books, and other resources to families. ACTIVITY: Improve perinatal health outcomes and decrease infant and maternal mortality and morbidity for African American and Black mothers through the Kindred Mamas mentorship model, which addresses social isolation, connects them to health and community resources, and provides anxiety and depression support. OUTCOME: In 2024, we supported 6 new mentees. ACTIVITY: Provide cultural responsiveness training for healthcare providers in partnership with community-based advocates and organizations through the Center for Advancing Professional Excellence (CAPE) simulation education training. OUTCOME: In 2024, we trained 68 providers (MD, PhD, PA, APN, MSW, and medical residents) and 63 community advocates (BS, BA, RN, MSN, MS, MPH) systemwide. ACTIVITY: Engage team members in the Experience Difference programming which practices and models inclusive behaviors to reduce health disparities among our patient population and fosters an organization that intentionally values inclusion of all team members. OUTCOME: In 2024, we launched the eighth and ninth cohorts of the Captains of Inclusion program, training a total of 42 new Captains. Each Captain completes a capstone project to expand efforts and reduce disparities in our patient population and greater community. ACTIVITY: Foster an inclusive workplace culture that reflects and responds to the communities we serve. OUTCOME: Our Human Resources department is advancing efforts to cultivate a culture of inclusion across all levels of leadership. This work is ongoing and centers on creating an environment where all individuals-regardless of background-feel valued, supported, and empowered to contribute. Through a variety of programs, we are committed to building a leadership team that champions inclusion, promotes belonging, and helps ensure high-quality care for every patient. ACTIVITY: The Team Member Resource Groups (TMRG) will support hospital-wide inclusion, belonging, and high-quality care initiatives; serve as a source of educational and professional development opportunities; and create forums for cultural celebrations, community events, and the exchange of ideas. OUTCOME: In 2024, the TMRG's consulted on hospital policies, conducted 82 educational events throughout the system, and participated in six educational events in the community. ACTIVITY: AsthmaCOMP (Colorado Comprehensive School-Centered Asthma Program) works with students, families, and school staff to improve school-based asthma care and pediatric asthma outcomes. Health navigators assess caregivers' mental health using the Patient Health Questionnaire-4 (PHQ-4) and work to connect caregivers to community mental health services as necessary. (Note: this activity relates to Access to Care: Goal 3.) OUTCOME: In 2024, this team served 197 students from 40 participating schools and completed 298 visits with students. Of these students served, 87% were insured by Medicaid or another public health insurance program. ACTIVITY: Just Keep Breathing (JKB) provides home visits to patients with high-risk asthma, improving outcomes through asthma education, environmental assessments and remediation, care coordination, and patient navigation. Health navigators assess caregivers' mental health using the Patient Health Questionnaire-4 (PHQ-4) and work to connect caregivers to community mental health services, as necessary. (Note: this activity relates to Access to Care: Goal 3.) OUTCOME: In 2024, 305 eligible patients were approached, 101 patients were active in the program, and the team completed 143 home visits either virtually or in person. ACTIVITY: Disparities Elimination through Coordinated Interventions to Prevent and Control Health and Lung Disease Risk (DECIPHeR) is expanding school-based asthma care into communities across Colorado with a focus on local adaptation led by cross-sector Community Advisory Boards. OUTCOME: In 2024, we facilitated 7 community advisory board meetings. ACTIVITY: An inpatient asthma navigator will serve asthma patients and families transitioning from the inpatient setting to home, ensuring they are connected to follow up care and providing resources for identified psychosocial needs. OUTCOME: In 2024, our inpatient asthma navigator served 101 patients. ACTIVITY: The School Health team will develop an action plan that will implement systematic training, professional development for nurses, education to students and families, and support for school nurses and childcare health consultants around behavioral health as well as information on how to access additional resources for students with 504, individualized education programs, individual family service plan, or care plans. OUTCOME: In 2024, we provided information on how to access mental health services as well as mental health education information at three community-based events, in two media stories, and on our mental health educational webpages - which reached 270 views. We also collaborated with school nurses on a Mental Health Action Plan for Anxiety that they began piloting in schools. The plan is available on our website for any school nurse to use in our state and beyond. Activities during 2024 included a strong focus on targeted activities in local communities. Additionally, in 2024, Children's Colorado's team of 29 School Nurse Consultants (SNCs served over 55 different school organizations (including public, private, charter, and childcares) touching 62,000 children's lives in the Denver Metropolitan Area. The School Health team also maintained the online resource hub for any school in Colorado to access and download student care plan templates for 16 different health conditions: https://www.childrenscolorado.org/community/community-health/school-health/school-nurse-resources/ ACTIVITY: PMHI is partnering with schools to train school personnel how to lead Unstuck and On Target, community-based curriculums for students that focus on cognitive behavioral techniques to promote executive functioning and students' success; these skills include including making goals and plans, balancing others' needs, and regulating emotions. This program will expand to the schools who receive training to lead the curriculum in their schools and classrooms. (Note: this activity is similar and relates to an activity in Access to Care: Goal 3.)
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH (CONTINUED)	OUTCOME: In 2024, 48,746 people received resources from Unstuck and On Target, and there were 29,619 visitors on the Unstuck and On Target websites. Additionally, 1,146 participants enrolled in Unstuck and On Target online training. Children's Colorado continued to maintain an external webpage to share care plan templates and other school health resources. ACTIVITY: The School-Based Dental Clinic team will provide dental hygiene services in schools to prevent caries and increase access to dental services. OUTCOME: In 2024, our oral health outreach program provided preventive oral health services to children in various school settings outside of a traditional dental clinic. Through collaborative efforts with Aurora Public Schools, 1,000 students received oral health education and screening services. The school-based dental clinics completed 700 encounters and provided preventive hygiene services to over 500 students, of which more than 75% were uninsured. The school-based dental program also provides dental services to students enrolled at KidStreet, a multidisciplinary early intervention program for medically complex young children who are dependent on medical technology. GOAL 4: Promote community voices and engagement to inform, advise, and shape mental health priorities and systems of care. ACTIVITY: Children's Colorado's Government Affairs, Medicaid Strategy, and Partners for Children's Mental Health (PCMH) teams will lead and participate in community coalitions and continue to cultivate a statewide network of child health advocates, encouraging Coloradans to voice their views on the importance of child and youth mental health in public policy. The PCMH Youth Council, led by youth from across Colorado, will shape how PCMH plans, develops, and executes initiatives. OUTCOME: In 2024, 341 Child Health Champions received child advocacy training. The PMHI Youth Action Board (YAB) was incorporated into the YCMH in 2024. PCMH's youth engagement work was revamped to create the Youth Council on Mental Health (YCMH). The new structure was built for youth, by youth. Over 45 Colorado youth applied to participate in the YCMH. The council holds 25 Colorado youth and two boards: Community Action Team and the Program Innovation Team. These boards meet monthly to discuss mental health initiatives in schools and youth-led resource development (social media guide for teens). ACTIVITY: Engage and collaborate with community-focused public organizations to offer guidance, support, and/or feedback on shared strategies and goals aimed at mental health and/or contributing factors. OUTCOME: We participate with and/or lead more than 30 community-focused organizations/coalitions. Some key efforts and partnerships include leading the Colorado Alliance for School Health and Safe Kids Colorado, and participating in the Colorado Blueprint to End Hunger, Metro Denver Partnership for Health, the Aurora Health Alliance, Future of Charitable Food, Resident Leadership Council, Child Fatality Review Boards (Adams, Arapahoe and Douglas), Colorado Department of Education, Aurora Public Schools District, Colorado Association of School Nurses, Colorado Department of Public Health and Environment, Colorado Perinatal Care Quality Collaborative (CPCQC), Families Forward Resource Center, Food Bank of the Rockies, Hunger Free Colorado, and more. ACTIVITY: Provide a defined avenue for families, youth, and community through Family Advisory Councils (FAC) and the Resource Connect Governance Council to advocate, engage, and educate Children's Hospital Colorado to improve the system of care and health outcomes for children and families receiving care. OUTCOME: In 2024, there were 14 Family Advisory Councils: Denver Metro Regional, Southern Colorado Regional, African American, Center for Cancer & Blood Disorders, Developmental Pediatrics, Hispanic, Mental Health, LGBTQ+, Special Care Clinic, Surgical, TRUE, Youth Advisory Council (YAC), Youth Advisory Council Southern Colorado, and the Youth Council on Mental Health (YCMH). These Councils each meet 11-12 times per year, virtually and in person. Consisting of patient-families, youth and students who serve along with team members and hospital leadership, the groups offer direct input on a variety of hospital initiatives, policies and procedures, comfort care practices and system design. Together, the family advisory councils enhance the quality and safety of healthcare, and ensure care is delivered in a sensitive, compassionate, and family-inclusive way. ACCESS TO CARE The second priority area is Access to care. Our approach will focus on three areas: 1. Partnering with practices, payers, and lawmakers to identify opportunities to improve access to healthcare services for children and families, 2. Promoting access to services and support that can reduce stress and address social and economic needs that affect healthcare seeking, and 3. Partnering with others in the community to promote services, expertise and access to evidence-based care across settings. These strategies occur at different levels across the system: individual child or youth, caregiver, healthcare provider, school, community, or at the system and policy level. Together, these areas will comprehensively work to address access to care for children and youth. GOAL 1: Improve systems of care and access to healthcare services ACTIVITY: Children's Colorado Government Affairs and Medicaid Strategy teams will promote access to care, including mental healthcare and health-related social needs, by supporting funding, legislation, regulations, and other policies that improve access to high-quality care. (Note that this activity is similar and relates to Mental Health: Goal 2.) OUTCOME: At the state level in 2024, Children's Hospital Colorado coordinated testimony from 30 experts on pending legislation at committee hearings and actively monitored 173 bills. We activated our grassroots network on multiple child health policy topics, generating hundreds of messages to state and federal lawmakers on youth mental health. We trained more than 200 people how to advocate for children's health including youth mental health priorities. GOAL 2: Promote navigation support to increase access to social services and supports that affect access to care. ACTIVITY: Expand social needs screenings to inpatient settings. (Note: This activity is similar and relates to activities in Mental Health: Goal 3.) OUTCOME: In 2024, the inpatient social needs screening rate in Children's Colorado Denver Metropolitan Area was 93% (21,402 screens out of 22,944 inpatient admissions). Of those admissions, 10% screened positive for at least one domain: 5% for food, 4% positive for utilities, 4% positive for housing, 3% positive for transportation, and 2% for interpersonal violence/safety. Specific to North Campus, the screening rate was 94%, screening 2,980 of the 3,172 admissions. ACTIVITY: Behavioral Health Navigators, as part of the Building Resiliency for Healthy Kids program (in several Colorado Springs school districts) will support school health coaches, provide 1:1 behavioral health services, when additional care is needed for students, and connect families to community resources when appropriate. OUTCOME: In Colorado Springs schools, behavioral health providers (licensed clinicians) delivered 3,742 therapeutic services (individual therapy and group therapy services) across 20 schools in Colorado Springs. ACTIVITY: Address social barriers to care by providing support, education, and referrals at our North Campus. OUTCOME: In 2024, our Health Navigators provided 532 encounters and served 387 patients at our North Campus in 2024. Throughout the rest of the Denver Metropolitan Area, Health Navigators provided 28,240 encounters and served 15,166 unique patients in 2024. GOAL 3: Promote community partnerships in support of access to care. ACTIVITY: Provide community-based asthma programs to strengthen the circle of support for patients with asthma to improve health outcomes. These programs plan to expand geographically and potentially add direct mental health support. OUTCOME: In the Denver Metropolitan Area in 2024, 283 patients were seen by community health navigators, 197 patients participated in AsthmaCOMP, and 86 patients received a home visit through Just Keep Breathing. ACTIVITY: In partnership with local schools, increase access to both behavioral health resources and clinical services in school settings. (Note: this activity is similar and relates to an activity in Mental Health: Goal 3.)
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH (CONTINUED)	OUTCOME: In 2024, we supported 63 students with an Individual Health Plan for behavioral health needs. Children's Colorado continued to maintain an external webpage to share care plan templates and other school health resources. Additionally, 48,746 people received resources from Unstuck and On Target, there were 29,619 visitors on the Unstuck and On Target websites, and 1,146 participants enrolled in Unstuck and On Target online training. ACTIVITY: Build partnerships to help promote access to care for Medicaid members OUTCOME: In 2024, we continued to build relationships with community partners. The collective effort focused on creating a pediatric alternative payment methodology, mitigating the impact of Medicaid disenrollment on children and families (caused by the unwind of the public health emergency coverage). and advocating for child health priorities in the Accountable Care Collaborative (ACC) 3.0 contracts. All eight of our child health priorities were advanced in these final contracts. We also saw modest improvement in our Region 6 Regional Accountable Entity (RAE) catchment area: 3.6% well-child KPI improvement in latest data for overall well-child rate. NUTRITION SECURITY The third priority is Nutrition security. Our approach will focus on three areas: 1. Promoting Food as Medicine by increasing access to healthy foods, health education, and behavior change, 2. Promoting food assistance and education programs in schools, primary care, and communities, and 3. Partnering with local and statewide organizations to align goals for greater impact. These strategies occur at various levels: individual child or youth, caregiver, healthcare provider, school, community, or at the system and policy level. GOAL 1: Strengthen supports for families experiencing food insecurity. ACTIVITY: Screen families in various settings for food insecurity and public benefit eligibility and enrollment, and refer families that screen positive for resource and enrollment assistance. OUTCOME: In 2024, nearly all (95%) families were screened for social needs at our North Campus; 2.2% of completed screens were positive for food insecurity (39 out of 1,750 screens). Three-fourths (78%) of patients who screened positive for food insecurity and wanted help received help. Neary all (96%) of patients in the remaining Denver Metropolitan Area and 93% of patients in Colorado Springs who screened positive for food insecurity and wanted help received it. ACTIVITY: The Food as Medicine (FAM) team, who lead the Health Roots Food Clinic (HRFC), will increase families' access to healthy food and provide education to families about health eating, food preparation, and behavior change to encourage children to eat more fruits and vegetables and fewer unhealthy foods. OUTCOME: In 2024, the Healthy Roots Food Clinic received 676 referrals from primary care clinics in our Health Pavilion and served 3,574 people (1,757 children and 1,817 adults). Most of these referrals came from social needs screening within our Health Pavilion's primary care clinics which provides comprehensive, team-based, family-centered primary care in a medical home model to more than 12,000 visits annually to children aged 0-18, regardless of their ability to pay. Additionally, in 2024, our Healthy Roots Garden produced over 580 pounds of fresh produce that was distributed in our food clinic. GOAL 2: Raise awareness of the health impacts of food insecurity. ACTIVITY: Partner with schools and community-based organizations to identify opportunities to promote access to high-quality nutritious food and education. OUTCOME: The Food as Medicine (FAM) Team formalized its partnership, through a Memorandum of Understanding, with Adams 12 Five Star Education Foundation which supports the Adams 12 School District in populated northwest Adams County. Through the partnership, Children's Colorado distributed program funds to support implementation and expansion of the Nutritious Food and Education Initiative. The FAM team provided targeted recommendations for Five Star food sites to ensure alignment with FAM principles; this included identifying and addressing the presence of "sometimes" food items, and reallocating those items, creating communication protocols related to nutrition acceptability for food suppliers, and supporting actionable planning and process improvement related to food procurement, stocking, and distribution. In addition, the FAM team provided regular technical assistance and support of the Five Star team and shares insights into Children's Colorado's operational processes. GOAL 3: Promote community partnerships in support of food security. ACTIVITY: Align with statewide efforts to promote food security across community settings, including Blueprint to End Hunger and Hunger Free Colorado. OUTCOME: To share the burden of aligning with the statewide efforts, the FAM Team worked to reinstate the Children's Colorado system-wide Nutrition Security Work group to help streamline efforts. The team continues to support and align with the efforts and philosophy of the Blueprint to End Hunger and Hunger Free Colorado to address the specific needs of the North Campus. They also continue to work with our key partner, Food Bank of the Rockies, to extend services to the north region. ACTIVITY: Continue and expand partnerships in schools and with community-based organizations to promote access to high-quality nutritious food. OUTCOME: Children's Hospital Colorado is guiding Adams 12 Five Star Foundation in becoming a site for The Emergency Food Assistance Program (TEFAP), strengthening its ability to procure and distribute charitable, nutrient-dense foods to the community.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE ORGANIZATION RECOGNIZES NET PATIENT SERVICE REVENUE IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) 606, REVENUE FROM CONTRACTS WITH CUSTOMERS. THE ADOPTION OF ASC 606 RESULTED IN CHANGES TO THE PRESENTATION FOR NET PATIENT SERVICES REVENUE RELATED TO UNINSURED OR UNDERINSURED PATIENTS. UNDER ASC 606, THE ESTIMATED UNCOLLECTABLE AMOUNTS DUE FROM THESE PATIENTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE, RATHER THAN AS A PROVISION FOR BAD DEBTS, AND ARE BASED PRIMARILY ON HISTORICAL COLLECTION EXPERIENCE. OTHER THAN THESE CHANGES IN PRESENTATION, THE ADOPTION OF ASC 606 DID NOT HAVE A MATERIAL IMPACT ON THE OVERALL FINANCIAL STATEMENTS OF THE ORGANIZATION. EXPANDED DISCLOSURES REQUIRED BY ASC 606 ARE INCLUDED WITHIN NOTE 4, NET PATIENT SERVICES REVENUE.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	CHILDREN'S HOSPITAL INACTIVATES AR BALANCES BETWEEN 150-175 DAYS AFTER THE FIRST BILLING CYCLE. ACCOUNTS ARE REFERRED TO COLLECTION AGENCIES FOR RECOVERY. THE HOSPITAL DOES NOT REPORT ANY BAD DEBT AMOUNT IN COMMUNITY BENEFIT.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE ORGANIZATION RECOGNIZES NET PATIENT SERVICE REVENUE IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) 606, REVENUE FROM CONTRACTS WITH CUSTOMERS. THE ADOPTION OF ASC 606 RESULTED IN CHANGES TO THE PRESENTATION FOR NET PATIENT SER VICES REVENUE RELATED TO UNINSURED OR UNDERINSURED PATIENTS. UNDER ASC 606, THE ESTIMATED UNCOLLECTABLE AMOUNTS DUE FROM THESE PATIENTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE, RATHER THAN AS A PROVISION FOR BAD DEBTS, AND ARE BASED PRIMARILY ON HISTORICAL COLLECTION EXPERIENCE. OTHER THAN THESE CHANGES IN PRESENTATION, THE ADOPTION OF ASC 606 DID NOT HAVE A MATERIAL IMPACT ON THE OVERALL FINANCIAL STATEMENTS OF THE ORGANIZATION. EXPANDED DISCLOSURES REQUIRED BY ASC 606 ARE INCLUDED WITHIN NOTE 4, NET PATIENT SERVICES REVENUE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE SHORTFALL REPORTED IN LINE 7 REPRESENTS MEDICARE SHORTFALLS FOR HIGH NEED PEDIATRIC PATIENTS SERVED BY CHILDREN'S HOSPITAL COLORADO. IF CHILDREN'S HOSPITAL COLORADO DID NOT SUBSIDIZE THE HIGHLY SPECIALIZED CARE, ACCESS FOR THIS POPULATION WOULD BE LIMITED, THUS WE VIEW THIS CARE AS COMMUNITY BENEFIT. THE HOSPITAL UTILIZED COST TO CHARGE RATIO METHODOLOGY TO ARRIVE AT THIS NUMBER. THE AMOUNT INCLUDES ALL COSTS LESS ALL PAYMENTS RECEIVED.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	YES, THE ORGANIZATION DOES HAVE A WRITTEN DEBT COLLECTION POLICY. PRIOR TO DEBT REFERRALS, ACCOUNTS ARE REVIEWED FOR ALL THIRD-PARTY PAYER ELIGIBILITY PRIOR TO QUALIFYING FOR ANY CHARITY CARE OR FINANCIAL ASSISTANCE. ONCE THE PATIENT'S RESPONSIBILITY IS VALIDATED, THE HOSPITAL PROVIDES SLIDING SCALE DISCOUNTS BASED ON INCOME AND/OR EXPENSES. PARENTS WHOSE CHILDREN DO NOT QUALIFY FOR MEDICAID CAN ALSO APPLY FOR THIS DISCOUNT PLAN. THE HOSPITAL HAS A DEDICATED FINANCIAL COUNSELING/SERVICES DEPARTMENT WHO WORK CLOSELY WITH PARENTS TO ESTABLISH PAYMENT PLANS.
Schedule H, Part V, Section B, Line 16a FAP website	A - CHILDREN'S HOSPITAL COLORADO (CHCO) - ANSCHUTZ MEDICAL CAMPUS: Line 16a URL: HTTPS://WWW.CHILDRENSCOLORADO.ORG/YOUR-VISIT/PAY-FOR-CARE/FINANCIAL-ASSISTANCEPROGRAMS/; - CHCO - COLORADO SPRINGS: Line 16a URL: https://www.childrenscolorado.org/your-visit/pay-for-care/financial-assistance-programs/;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - CHILDREN'S HOSPITAL COLORADO (CHCO) - ANSCHUTZ MEDICAL CAMPUS: Line 16b URL: HTTPS://WWW.CHILDRENSCOLORADO.ORG/YOUR-VISIT/PAY-FOR-CARE/FINANCIAL-ASSISTANCEPROGRAMS/; - CHCO - COLORADO SPRINGS: Line 16b URL: https://www.childrenscolorado.org/your-visit/pay-for-care/financial-assistance-programs/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - CHILDREN'S HOSPITAL COLORADO (CHCO) - ANSCHUTZ MEDICAL CAMPUS: Line 16c URL: HTTPS://WWW.CHILDRENSCOLORADO.ORG/YOUR-VISIT/PAY-FOR-CARE/FINANCIAL-ASSISTANCEPROGRAMS/; - CHCO - COLORADO SPRINGS: Line 16c URL: https://www.childrenscolorado.org/your-visit/pay-for-care/financial-assistance-programs/;
Schedule H, Part VI, Line 2 Needs assessment	IN ADDITION TO THE CHNA, CHILDREN'S HOSPITAL COLORADO REGULARLY ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY WE SERVE. ACROSS THE HOSPITAL, NUMEROUS INTERNAL AND EXTERNAL DATA SOURCES ARE REGULARLY MONITORED AND UTILIZED TO IDENTIFY TRENDS AND OPPORTUNITIES TO IMPACT CHILD HEALTH. ADDITIONALLY, HOSPITAL STAFF DEDICATES SIGNIFICANT TIME TO SERVING ON COMMUNITY BOARDS AND OTHER COMMUNITY GROUPS THAT ASSESS HEALTH NEEDS OF THE COMMUNITY AND PROACTIVELY PARTICIPATES IN THE HEALTH IMPROVEMENT EFFORTS LED BY THESE PARTNERS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	CHILDREN'S HOSPITAL COLORADO HAS A PROCESS FOR INFORMING AND EDUCATING FAMILIES ABOUT HOW THEY MAY BE BILLED FOR PATIENT CARE AND THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. CHILDREN'S HOSPITAL COLORADO'S FULL TIME PATIENT FINANCIAL COUNSELORS ARE DEDICATED TO WORKING WITH FAMILIES TO PROVIDE GUIDANCE REGARDING AVAILABLE FINANCIAL ASSISTANCE WHICH ENSURES THAT ITS PATIENT POPULATION RECEIVES THE CRITICAL CARE IT NEEDS. ADDITIONALLY, CHILDREN'S HOSPITAL COLORADO PROVIDES PATIENT ASSISTANCE TO HELP IDENTIFY COMMUNITY-BASED RESOURCES, FACILITATE SERVICES AND PROVIDE APPROPRIATE REFERRAL ASSISTANCE TO HELP WITH CONTINUITY OF CARE. INPATIENT PROCESS: THIS PROCESS APPLIES TO PATIENTS WHO ARE BEING ADMITTED FOR OBSERVATION, SURGERY OR OTHER INPATIENT SERVICES. IF THE PATIENT IS PRE-SCHEDULED, CHILDREN'S HOSPITAL COLORADO PATIENT ACCESS WORKS TO CONTACT THE FAMILY PRIOR TO ADMISSION TO ARRANGE FOR A FINANCIAL SCREENING APPOINTMENT. REGARDLESS OF WHETHER AN APPOINTMENT IS SET PRIOR TO ADMISSION, THE PATIENT FINANCIAL COUNSELING TEAM WORKS WITH THE FAMILY TO DETERMINE THEIR SELF-PAY STATUS (EITHER NON-COMMERCIAL OR GOVERNMENT INSURANCE) AND SUBSEQUENTLY WORKS WITH THEM TO SCREEN FOR FINANCIAL ASSISTANCE OPTIONS. OUTPATIENT PROCESS: WHEN A PATIENT SCHEDULES A NON-EMERGENT OR URGENT OUTPATIENT CLINIC VISIT, THEY WILL IDENTIFY THEMSELVES AS SELF-PAY IF THEY DO NOT HAVE EITHER COMMERCIAL OR GOVERNMENT INSURANCE. AT THIS POINT, THEY ARE GIVEN TWO OPTIONS: (1) PAY A $200 DEPOSIT AT THE TIME OF APPOINTMENT AND BE BILLED ANY REMAINING BALANCE OR (2) SCHEDULE TIME WITH PATIENT FINANCIAL COUNSELING FOR ASSISTANCE. IF THE PATIENT WAS SEEN IN THE EMERGENCY DEPARTMENT OR URGENT CARE WITHOUT THE PRE-SCREEN, THEY STILL CAN APPLY FOR FINANCIAL ASSISTANCE WITH THE PATIENT FINANCIAL COUNSELING OFFICE. ALL SELF-PAY FAMILIES ARE AUTOMATICALLY GIVEN A 35 PERCENT DISCOUNT. CHILDREN'S HOSPITAL COLORADO HAS A FORMAL POLICY REGARDING ELIGIBILITY CRITERIA FOR CHARITY CARE. THE DECISION TO PROVIDE CHARITY CARE WILL BE, IN ALL CASES, BASED ON A REVIEW OF THE INCOME, ASSETS AND LIABILITIES OF THE FAMILY AT THE TIME OF ADMISSION TO THE HOSPITAL OR CLINIC. THE LEVELS OF CHARITY CARE AND FINANCIAL ASSISTANCE PROVIDED BY CHILDREN'S HOSPITAL COLORADO WILL BE DETERMINED BASED ON FEDERAL POVERTY GUIDELINES WHICH MAY BE ADJUSTED UP TO 200 PERCENT AND REVISED FROM TIME TO TIME. FAMILIES WITH ADJUSTED GROSS INCOME BETWEEN 200 PERCENT AND 400 PERCENT OF FEDERAL POVERTY GUIDELINES MAY ALSO BE CONSIDERED FOR CHARITY CARE WITH A CAP FOR OUT-OF-POCKET RESPONSIBILITY. DETERMINATION OF ELIGIBILITY WILL BE EFFECTIVE FOR SIX MONTHS AND APPLY TO ALL PATIENTS REGARDLESS OF IMMIGRATION STATUS. CHILDREN'S COLORADO WORKS TO PROVIDE NECESSARY HOSPITAL-RELATED SERVICES CONSISTENT WITH ITS MISSION, ITS STATUS AS A NONPROFIT HOSPITAL AND ITS STEWARDSHIP RESPONSIBILITY TO ITS DONORS. CHILDREN'S HOSPITAL COLORADO'S FINANCIAL ASSISTANCE PUBLIC POLICY AND PLAIN LANGUAGE SUMMARY ARE available at www.childrenscolorado.org/your-visit/insurance-financial-resources/financial-assistance-programs/.
Schedule H, Part VI, Line 4 Community information	Children's Hospital Colorado serves infants, toddlers, adolescents, teens, and young adults, primarily from newborns through age 21. Children's Hospital Colorado also treats individuals over the age of 21 with special needs or congenital disorders that require continued care. Children, newborn to age 2, represent the largest proportion of the population served by Children's Colorado. In the state of Colorado, there are over 860,000 children and adolescents through age 21; 55% of them reside within the seven-county metropolitan area and 69% reside within Denver's seven-county metropolitan area with the addition of El Paso County (Colorado Springs) (Colorado State Demography Office, 2023). Children's Hospital Colorado is the largest provider of healthcare services for low-income children in Colorado, with 43.8% of patients in 2024 covered by Medicaid, 43.3% commercial insurance, 3.5% TRICARE, 3.7% CHP+, and 2.8% all other (including Medicare, cash-pay, uninsured, indigent care, etc.). Demographically, children served have diverse cultural and ethnic backgrounds. In 2024, Children's Hospital Colorado translated medical care and education instructions into 22 languages (including American Sign Language) to deliver culturally sensitive, high-quality pediatric healthcare. Most of our patients speak English, followed by significant numbers of families who speak Spanish, then Arabic, Dari, Amharic, Somali, American Sign Language, Vietnamese, Russian, French, Pashto, and Nepali. Additionally, Children's Hospital Colorado works to deliver our mission not only in the Denver metropolitan area and the state of Colorado, but also throughout the surrounding seven-state region. The region is geographically diverse and comprised of seven states in the western High Plains and Rocky Mountains. Children's Hospital Colorado is the only free-standing Children's Hospital in the region. In response to the unique characteristics of the region, in 2024 Children's Hospital Colorado delivered high-quality care through 1,175 clinic sessions across 14 specialties outside its primary service area. Children's Colorado also expanded access to care with 131,896 telehealth visits to patients in their homes or in a clinic setting close to home. An important strategy to meet its mission, Children's Colorado is dedicated to designing innovative approaches to providing medical education opportunities with the goal of strengthening the workforce to meet the needs not only of our main service areas but also of our rural and frontier communities, presently an underserved population in the U.S.
Schedule H, Part VI, Line 5 Promotion of community health	To address the depth and breadth of community health, Children's Colorado continues to build on our long and strong record of collaborating with community-based organizations, school districts and academic institutions, and governmental and non-governmental organizations, with the goal of improving health outcomes and reducing health disparities for children and their families. Additionally, significant resources were allocated in 2024 to support efforts to engage community members advocating for access to healthcare as well as providing educational sessions for both policymakers and advocates on child health issues of importance. DISEASE AND CONDITION SPECIFIC COMMUNITY HEALTH EDUCATION. Children's Colorado plays a key role in creating content on various health topics accessible to the general public. The Children's Colorado digital content team developed and/or promoted health education for parents and the community-at-large via www.childrenscolorado.org and on our social media channels throughout 2024. Just Ask Children's is a collection of free programs and tools that improve access to healthcare services and educate parents on the fundamentals of keeping children safe and well. These services are offered through a variety of methods, including a free monthly email newsletter delivered to 22,803 subscribers, web content, social media, and paid media offering parenting tips and advice on key health topics. Examples of 2024 topics included: Internet safety, fitness and nutrition, safe sleep, neurodivergence, mental health resources, body positivity, loneliness, head injuries, germs, and respiratory illnesses. In 2024, there were more than 2.7 million people reached through this medium. THE AFTER-HOURS TELEPHONE CARE PROGRAM was developed in 1988 based on a pediatrician-identified need to provide healthcare information and care advice outside of regular business hours as well as providing a way to support physicians in maintaining a better work-life balance. Families in the community receive significant benefits from this program through access to timely, helpful advice concerning their child's illness or injury. CHILDREN'S COLORADO PARENTSMART HOTLINE provides parents and caregivers 24/7 access to experienced pediatric nurses who provide telephone triage and in-depth information on what may be ailing their child. In 2024, we answered 117,557 calls to our telephone hotlines. FAMILY AID reduces barriers to healthcare utilization by addressing the social determinants of health. Examples of areas of support are food/groceries, gas cards, bus passes, hotel, etc. TRANSPORATION ASSISTANCE is provided to families following a financial needs assessment that determines ineligibility for transportation assistance through any other program, like Medicaid-funded transportation or insurance reimbursement. The transportation provided is to accommodate access to care, barriers to discharge and the safety of the child. In 2024, we provided support for 1,833 rides. THE BUG WATCH 2.0 publication, led by the Department of Epidemiology, provides vital information to community providers to visualize and assess what organisms are prevalent in the community and to facilitate better, faster clinical decisions when treating patients. Staff update data within the Bug Watch 2.0 dashboard weekly during the respiratory season (usually October-April) and every two weeks during the non-respiratory months. In 2024, there were 859 community providers who received the weekly or biweekly distribution. MOTHER's MILK BANK. We are a milk donation and outreach center in collaboration with the Mothers' Milk Bank, a program of Rocky Mountain Children's Health Foundation. The donation and outreach center collects donated human milk as a community service and provides human milk to babies whose own mothers cannot supply the milk to meet their baby's needs. In 2024, there were 54 donations serving 39 mother-infant pairs. BURN CAMP is a specialty medical rehabilitative camp program for burn survivors 8-18 years-old and their families. Supported by a licensed medical and psychosocial staff, campers reprocess the traumatic pathways caused by a burn injury in an outdoor setting. The program addresses social skill development, body image, challenging negative or limiting beliefs, appropriate risk-taking, and overcoming challenges in a supportive community. Campers are encouraged to translate these experiences into life-long formative skills and build bridges to future successes. In 2024, we served 193 campers across three camp programs: Winter Burn Camp, Family Burn Camp, and Summer Burn Camp. The Children's Hospital Colorado Burn Camps Program is an American Camp Association accredited suite of programs structured to meet the rehabilitative and psychosocial needs of children who have sustained a burn injury. Our Burn Camps Program is made available free of charge to any child who sustains a burn injury. Summer Burn Camp is offered to all children who received their care at Children's Colorado or at one of four referring burn units. HEALTH PROFESSIONS EDUCATION. Annually, approximately 14,000 pediatric residents are trained in Children's Hospitals Graduate Medical Education (CHGME) across the United States, accounting for 50% of the total number of pediatric residents trained. In 2024, Children's Hospital Colorado was home to more than 350 pediatric medical residents and fellows, and 17 pediatric dental residents. Federal CHGME funding falls far below our institutional financial support and we backfill the needs at triple the amount currently funded by the federal government. From 2016-2024, 64% of our pediatric medical residents continued practicing in Colorado after program completion. Upon completion of training, many of these providers care for children throughout the broader Rocky Mountain region as well, where there are no other pediatric training programs. In 2024, we provided clinical experiences and internships for 866 nursing students (programs that lead to a registered nurse license). We also provided clinical experiences and internships for 112 advanced practice providers, including graduate nursing students, physician assistant and anesthesia students. In 2024, we hosted 51 Certified Nursing Assistant students for clinical rotations. In addition to training physicians and nurses, we provided internships and preceptorships for the following health professions in the Denver Metropolitan Area: Pharmacy Technicians (14 students), Surgical Technicians (8 students), Radiology Technicians (51 students), Diagnostic Imaging Technicians (4 students), Cardia and US Sonographer Technician (4 students), Respiratory Therapists (48 students), Physical Therapy (31 students), Child Life Specialists (11 students), Clinical Nutrition (2 students, Audiology, Human Factors Engineering (1 student, Social Work (4 students), and others. Some of the health colleges and universities we partnered with in 2024 include: Pickens Technical College, Pima Medical Institute, Pueblo Community College, Concorde Career College, Regis University, University of Colorado, Metropolitan State College of Denver, American Public University, Erikson, Mills College, Rocky Mountain University, Washington University, University of Utah, Creighton University, Edgewood and College of Charleston, and St. Louis University. In the Colorado Springs area, we provide internships and clinical experiences for Colorado Springs students in the following health professions: Pharmacy Technicians (14 students), Clinical Nutrition (2 students), and Medical Assistants (4 students). Some health colleges and universities we partnered with in 2024 to serve the Colorado Springs area include Pikes Peak Community College and the University of Northern Colorado. We provided clinical experiences and internships for 426 nursing students in Colorado Springs (programs that lead to a registered nurse license) in 2024. EMERGENCY MEDICAL SERVICES COMMUNITY EDUCATION. As a Level One Trauma Center, we emphasize education and outreach. The Children's Colorado Emergency Medical Services (EMS) Outreach Education team provides education to first responders, hospital providers, and other medical facilities across a seven-state region. Many of these first responders live and work in rural communities. The team uses evidence-based research and guidelines from the hospital, often changing the way EMS teams respond to situations to achieve better pediatric outcomes. In 2024, the team conducted 53 educational events covering all four quadrants of the state and reached 4,127 EMS providers. CLINICAL OUTREACH & EDUCATION FOR COMMUNITY-BASED HEALTHCARE PROVIDERS. In 2024, we reached 7,965 learners who participated in 329 education events (conferences, lectures, educational series).
Schedule H, Part VI, Line 7 State filing of community benefit report	CO

Schedule H (Form 990) 2024

Additional Data

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Software Version:	2024v5.1

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Schedule I
(Form 990)
(Rev. January 2025)

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 instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
Children's Hospital Colorado

Employer identification number
84-0166760

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

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

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

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) BILLINGS CLINIC FOUNDATION 2917 10th Ave N Billings,MT59101	81-0407289	501(c)(3)	6,000	General Program Support
(2) BUFFALO SPORTS PROPERTIES LLC PO Box 843038 Kansas City,MO641843038	90-0776492	501(c)(3)	137,500	General Program Support
(3) CHEYENNE FRONTIER DAYS INC PO Box 2477 Cheyenne,WY82003	83-0297781	501(c)(3)	18,300	General Program Support
(4) CHEYENNE MNTN ZLGCL SOC 4250 Chn Mntn Zoo Rd CO Springs,CO80906	84-0407039	501(c)(3)	94,300	General Program Support
(5) CHILDRENS MSM OF DNVR INC 2121 Childrens Msm Dr Denver,CO80211	84-0658142	501(c)(3)	35,000	General Program Support
(6) CO COLLEGE 14 Est Cache La Pdr St CO Springs,CO80903	84-0402510	501(c)(3)	22,500	General Program Support
(7) CO SPRINGS SPORTS CORP 1631 Mesa Ave Suite E CO Springs,CO80906	84-0811908	501(c)(3)	7,500	General Program Support
(8) CO SPRGS YOUTH SPRTS 2212 Executive Circle CO Springs,CO80906	84-1350101	501(c)(3)	10,500	General Program Support
(9) DENVER BOTANIC GARDENS 909 York Street Denver,CO80206	84-0440359	501(c)(3)	7,500	General Program Support
(10) DENVER ZOOLOGICAL FOUNDATION 2300 Steele St Denver,CO80205	84-0502539	501(c)(3)	42,500	General Program Support
(11) FOOTHILLS PARK & RECREATION DISTRICT 6612 South Ward Street Littleton,CO80127	84-6013730	501(c)(3)	10,000	General Program Support
(12) GLD CRWN FNDTN INC 1743 Wze St Ste 300 Denver,CO80202	74-2422126	501(c)(3)	45,000	General Program Support
(13) PIKES PEAK LIBRARY DISTRICT FOUNDATION 1175 Chapel Hills Drive Colorado Springs,CO80920	11-3690724	501(c)(3)	13,500	General Program Support
(14) PIKES PEAK OR BUST RODEO 104 S Cascade Ave 200B Colorado Springs,CO80903	84-1589318	501(c)(3)	7,500	General Program Support
(15) PRIDE SOCCER CLUB 5955 Lehmen Dr Ste 100 Colorado Springs,CO80918	84-1271042	501(c)(3)	10,000	General Program Support
(16) REAL COLORADO 8200 South Akron St Ste 122 Centennial,CO80112	74-2392779	501(c)(3)	10,000	General Program Support
(17) ROCKY MOUNTAIN BUTTERFLY CONSORTIUM 6252 West 104th Avenue Westminster,CO80020	84-1155029	501(c)(3)	7,500	General Program Support
(18) ROCKY MOUNTAIN VIBES 4385 Tutt Blvd Colorado Springs,CO80922	87-4234058	501(c)(3)	6,000	General Program Support
(19) RONALD MCDONALD HOUSE CHARITIES 4223 Royal Pine Drive Colorado Springs,CO80920	84-1013843	501(c)(3)	14,000	General Program Support
(20) RONALD MCDONALD HOUSE OF CHARITIES 1300 East 21st Avenue Denver,CO80205	84-0728926	501(c)(3)	160,000	General Program Support
(21) ROUGHRIDER SPORTS CLUB LLC 1 Superior Dr Superior,CO80027	26-3040721	501(c)(3)	7,500	General Program Support
(22) SWITCHBACKS FC 234 N Tejon St Colorado Springs,CO80903	46-4110067	501(c)(3)	41,200	General Program Support
(23) TEALL PROPERTIES GROUP LLC PO Box 31384 Charlotte,NC28231	83-2060347	501(c)(3)	40,000	General Program Support
(24) YMCA OF METROPOLITAN DENVER 2625 S Colorado Blvd Denver,CO80222	84-0402696	501(c)(3)	15,000	General Program Support
(25) YMCA OF NORTHERN COLORADO & BOULDER VALL 2800 Dagny Way Lafayette,CO80026	84-0459944	501(c)(3)	12,000	General Program Support
(26) YMCA OF THE PIKES PEAK REGION 316 North Tejon St Colorado Springs,CO80903	84-0404266	501(c)(3)	8,000	General Program Support
(27) YOUNG AMERICANS CENTER FOR FINANCIAL 3550 E First Ave Denver,CO80206	84-1564926	501(c)(3)	12,500	General Program Support

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

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

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

Cat. No. 50055P

Schedule I (Form 990) Rev. 1-2025

Page 2

Part III

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

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

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

Return Reference	Explanation
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds	CHILDREN'S HOSPITAL COLORADO RELIES ON THE GOVERNANCE PRACTICES OF THE RECIPIENT EXEMPT ORGANIZATIONS TO MONITOR THE USE OF FUNDS AS INTENDED.

Schedule I (Form 990) Rev. 1-2025

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule J
(Form 990)
(Rev. January 2025)

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

Open to Public Inspection

Name of the organization

Children's Hospital Colorado

Employer identification number

84-0166760

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

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

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

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

Yes

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

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

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

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

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)
1Jena Hausmann Chief Executive Officer	(i) (ii)	1,461,308 ------------- 0	367,250 ------------- 0	2,019,805 ------------- 0	406,512 ------------- 0	31,319 ------------- 0	4,286,194 ------------- 0	2,016,217 ------------- 0
2Jeffrey Harrington SVP and CFO, Corporate Treasurer	(i) (ii)	798,174 ------------- 0	224,249 ------------- 0	135,013 ------------- 0	204,340 ------------- 0	17,930 ------------- 0	1,379,706 ------------- 0	122,886 ------------- 0
3Michelle Lucero Chief Legal Officer, Secretary	(i) (ii)	535,599 ------------- 0	143,456 ------------- 0	110,252 ------------- 0	165,703 ------------- 0	20,141 ------------- 0	975,151 ------------- 0	97,715 ------------- 0
4Amy Feaster SVP Chief Digital info Officer	(i) (ii)	493,066 ------------- 0	137,850 ------------- 0	99,947 ------------- 0	160,560 ------------- 0	7,997 ------------- 0	899,420 ------------- 0	88,613 ------------- 0
5Suzanne Jaeger SVP Experience and Access	(i) (ii)	446,582 ------------- 0	110,119 ------------- 0	86,955 ------------- 0	145,395 ------------- 0	21,909 ------------- 0	810,960 ------------- 0	77,382 ------------- 0
6Gregory Raymond SVP Colorado Springs President	(i) (ii)	480,010 ------------- 0	120,202 ------------- 0	62,895 ------------- 0	141,756 ------------- 0	27,879 ------------- 0	832,742 ------------- 0	59,282 ------------- 0
7Jennifer Roth SVP Chief Nursing Executive (AS OF 08/24)	(i) (ii)	338,304 ------------- 0	60,542 ------------- 0	5,225 ------------- 0	97,298 ------------- 0	27,879 ------------- 0	529,248 ------------- 0	4,047 ------------- 0
8Raphe Schwartz SVP and Chief Strategy Officer	(i) (ii)	543,655 ------------- 0	165,316 ------------- 0	97,475 ------------- 0	159,505 ------------- 0	27,879 ------------- 0	993,830 ------------- 0	93,051 ------------- 0
9Duane McFadden SVP Chief HR Officer (AS OF 07/24)	(i) (ii)	221,642 ------------- 0	0 ------------- 0	124,142 ------------- 0	57,354 ------------- 0	8,206 ------------- 0	411,344 ------------- 0	120,433 ------------- 0
10Jerrod Milton SVP Chief Clinical Officer (THRU 07/24)	(i) (ii)	355,785 ------------- 0	92,695 ------------- 0	378,676 ------------- 0	64,522 ------------- 0	13,037 ------------- 0	904,715 ------------- 0	375,593 ------------- 0
11Patricia Givens SVP Chief Nursing Executive (THRU 08/24)	(i) (ii)	339,864 ------------- 0	127,342 ------------- 0	73,560 ------------- 0	102,277 ------------- 0	17 ------------- 0	643,060 ------------- 0	59,141 ------------- 0
12Elizabeth Rodriguez SVP Chief HR Officer (THRU 08/24)	(i) (ii)	162,437 ------------- 0	117,143 ------------- 0	25,040 ------------- 0	89,938 ------------- 0	16,410 ------------- 0	410,968 ------------- 0	19,443 ------------- 0
13Christopher Martin VP Ambulatory Services	(i) (ii)	294,781 ------------- 0	66,822 ------------- 0	45,080 ------------- 0	92,569 ------------- 0	23 ------------- 0	499,275 ------------- 0	42,773 ------------- 0
14Kathleen Seerup SVP Chief Nursing Ops Officer	(i) (ii)	298,504 ------------- 0	85,333 ------------- 0	61,520 ------------- 0	108,755 ------------- 0	21,909 ------------- 0	576,021 ------------- 0	54,645 ------------- 0
15Megan Zatz VP Deputy General Counsel	(i) (ii)	315,588 ------------- 0	75,398 ------------- 0	1,709 ------------- 0	100,892 ------------- 0	27,879 ------------- 0	521,466 ------------- 0	50 ------------- 0
16Linda Michael VP Compliance Business Ethics	(i) (ii)	290,187 ------------- 0	57,982 ------------- 0	45,270 ------------- 0	89,252 ------------- 0	17,565 ------------- 0	500,256 ------------- 0	41,229 ------------- 0
17Jenae Neiman VP Research Operations	(i) (ii)	325,245 ------------- 0	68,282 ------------- 0	1,703 ------------- 0	114,113 ------------- 0	27,879 ------------- 0	537,222 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

Page 3

Part III

Supplemental Information

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

Return Reference	Explanation
Schedule J, Part I, Line 4a Severance or change-of-control payment	THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAY DURING 2024: Jerrod Milton $153,704
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS FROM A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: SUZANNE JAEGER $77,382 AMY FEASTER $88,613 GREGORY RAYMOND $59,282 JEFFREY HARRINGTON $122,886 JENA HAUSMANN $2,016,217 PATRICIA GIVENS $59,141 MICHELLE LUCERO $97,715 ELIZABETH RODRIGUEZ $19,443 JERROD MILTON $375,593 RAPHAEL SCHWARTZ $93,051 KATHLEEN SEERUP $54,645 CHRISTOPHER MARTIN $42,773 JENNIFER ROTH $4,047 MEGAN ZATZ $50 LINDA MICHAEL $41,229 DUANE MCFADDEN $120,433
Schedule J, Part I, Line 7 Non-fixed payments	CERTAIN INDIVIDUALS ARE ELIGIBLE TO PARTICIPATE IN THE INCENTIVE PLAN FOR CHILDREN'S COLORADO, THE COMPONENTS OF WHICH INCLUDE ACHIEVEMENT OF ORGANIZATIONAL PERFORMANCE GOALS AND INDIVIDUAL PERFORMANCE GOALS. BECAUSE THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS RESERVES THE RIGHT TO CHANGE, AMEND OR TERMINATE THIS PLAN AT ANY TIME, FOR ANY REASON, AT ITS SOLE DISCRETION AND BECAUSE OF CERTAIN OTHER CONDITIONS OF THE PLAN, LINE 7 REGARDING "NON-FIXED PAYMENTS" IS ANSWERED YES. NOTE THAT PRIOR TO THE PAYMENT OF ANY AMOUNTS TO AN INDIVIDUAL WHO IS CONSIDERED A DISQUALIFIED PERSON, THE COMPENSATION COMMITTEE SHALL CERTIFY IN WRITING THE EXTENT TO WHICH THE PERFORMANCE FACTORS ESTABLISHED BY THE COMPENSATION COMMITTEE HAVE BEEN SATISFIED AND SHALL APPROVE THE PAYMENT OF SUCH BONUSES TO SUCH INDIVIDUALS. SEE PART VI, LINES 15A AND 15B FOR ADDITIONAL INFORMATION ON EXECUTIVE COMPENSATION.

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

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

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
Children's Hospital Colorado

Employer identification number
84-0166760

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648A7J8	05-24-2016	200,724,807	SERIES 2016A & 2016C - SEE PART VI		X		X		X
B	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648A8D0	05-24-2016	70,300,000	SERIES 2016B - SEE PART VI		X		X		X
C	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	000000000	03-27-2019	20,000,000	SERIES 2019A - SEE PART VI		X		X		X
D	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648FMY7	11-04-2019	235,360,000	SERIES 2019BCD - SEE PART VI		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648FPT5	07-01-2020	105,685,000	SERIES 2020A-B - SEE PART VI		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	000000000	07-29-2021	20,000,000	SERIES 2021A - SEE PART VI		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	000000000	03-29-2022	20,000,000	SERIES 2022A - SEE PART VI		X		X		X
	Colorado Health Facilities Authority	84-0752932	000000000	12-01-2023	72,815,000	Series 2023A - see part VI		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	000000000	10-31-2024	8,239,869	Series 2024A - see part VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	54,370,000		0		15,714,444		0
2 Amount of bonds legally defeased ..............	0
3 Total proceeds of issue ..................	200,724,807		70,300,000		20,000,000		235,360,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,519,986		300,000		58,500		408,677
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	80,000,000		70,000,000		19,941,500
11 Other spent proceeds .............	119,204,821						234,951,323
12 Other unspent proceeds .............
13 Year of substantial completion .............	2019		2019		2019		2019
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X		X		X	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........	X			X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

Part Ⅲ

Private Business Use

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

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X	X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X		X			X	X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X	X			X	X

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........	0 %		0 %		0 %		0 %
d Was the hedge superintegrated? ......		X		X		X		X
e Was the hedge terminated? ........		X		X		X		X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........	0 %		0 %		0 %		0 %
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........		X		X		X		X
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

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

Part Ⅵ

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

Return Reference	Explanation
Schedule K, Part I, Column (f) Description of purpose	BOND A - HOSPITAL REVENUE BONDS SERIES 2016A & 2016C THE PURPOSE OF THIS BOND ISSUE WAS TO FINANCE LONG-TERM PROJECTS AND TO REFUND SERIES 2004C AND 2004D BONDS. BOND B - HOSPITAL REVENUE BONDS SERIES 2016B THE PURPOSE OF THIS BOND ISSUE WAS TO FINANCE LONG-TERM PROJECTS. BOND C - HOSPITAL REVENUE BONDS SERIES 2019A THE PURPOSE OF THIS BOND ISSUE WAS TO PURCHASE EQUIPMENT. BOND D - HOSPITAL REVENUE BONDS SERIES 2019BCD THE PURPOSE OF THIS BOND ISSUE WAS TO REFUND SERIES 2013B, 2013C1 AND 2013C2. BOND E - HOSPITAL REVENUE BONDS SERIES 2020A-B THE PURPOSE OF THIS BOND ISSUE IS TO REFUND SERIES 2008A & 2010A BONDS. BOND F - HOSPITAL REVENUE BONDS SERIES 2021A THE PURPOSE OF THIS BOND ISSUE IS TO FINANCE CAPITAL EQUIPMENT. BOND G - HOSPITAL REVENUE BONDS SERIES 2022A THE PURPOSE OF THIS BOND ISSUE IS TO FINANCE CAPTIAL EQUIPMENT. BOND H - HOSPITAL REVENUE BONDS SERIES 2023A THE PURPOSE OF THIS BOND ISSUE IS TO REFUND SERIES 2013A. Bond I - Health Facilities Revenue Note Series 2024A The purpose of this bond issue is to finance capital equipment.
Schedule K, Part IV, Line 2c Date of rebate computation	Bond A (SERIES 2016A & 2016C): November 9, 2021 Bond B (SERIES 2016B): November 17, 2021
Schedule K, Part IV, Line 2c COLUMN D	Issuer name: COLORADO HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 12/01/2023

Schedule K (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

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

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
Children's Hospital Colorado

Employer identification number
84-0166760

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648A7J8	05-24-2016	200,724,807	SERIES 2016A & 2016C - SEE PART VI		X		X		X
B	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648A8D0	05-24-2016	70,300,000	SERIES 2016B - SEE PART VI		X		X		X
C	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	000000000	03-27-2019	20,000,000	SERIES 2019A - SEE PART VI		X		X		X
D	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648FMY7	11-04-2019	235,360,000	SERIES 2019BCD - SEE PART VI		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648FPT5	07-01-2020	105,685,000	SERIES 2020A-B - SEE PART VI		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	000000000	07-29-2021	20,000,000	SERIES 2021A - SEE PART VI		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	000000000	03-29-2022	20,000,000	SERIES 2022A - SEE PART VI		X		X		X
	Colorado Health Facilities Authority	84-0752932	000000000	12-01-2023	72,815,000	Series 2023A - see part VI		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	000000000	10-31-2024	8,239,869	Series 2024A - see part VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	54,370,000		0		15,714,444		0
2 Amount of bonds legally defeased ..............	0
3 Total proceeds of issue ..................	200,724,807		70,300,000		20,000,000		235,360,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,519,986		300,000		58,500		408,677
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	80,000,000		70,000,000		19,941,500
11 Other spent proceeds .............	119,204,821						234,951,323
12 Other unspent proceeds .............
13 Year of substantial completion .............	2019		2019		2019		2019
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X		X		X	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........	X			X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

Part Ⅲ

Private Business Use

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

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X	X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X		X			X	X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X	X			X	X

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........	0 %		0 %		0 %		0 %
d Was the hedge superintegrated? ......		X		X		X		X
e Was the hedge terminated? ........		X		X		X		X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........	0 %		0 %		0 %		0 %
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........		X		X		X		X
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

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

Part Ⅵ

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

Return Reference	Explanation
Schedule K, Part I, Column (f) Description of purpose	BOND A - HOSPITAL REVENUE BONDS SERIES 2016A & 2016C THE PURPOSE OF THIS BOND ISSUE WAS TO FINANCE LONG-TERM PROJECTS AND TO REFUND SERIES 2004C AND 2004D BONDS. BOND B - HOSPITAL REVENUE BONDS SERIES 2016B THE PURPOSE OF THIS BOND ISSUE WAS TO FINANCE LONG-TERM PROJECTS. BOND C - HOSPITAL REVENUE BONDS SERIES 2019A THE PURPOSE OF THIS BOND ISSUE WAS TO PURCHASE EQUIPMENT. BOND D - HOSPITAL REVENUE BONDS SERIES 2019BCD THE PURPOSE OF THIS BOND ISSUE WAS TO REFUND SERIES 2013B, 2013C1 AND 2013C2. BOND E - HOSPITAL REVENUE BONDS SERIES 2020A-B THE PURPOSE OF THIS BOND ISSUE IS TO REFUND SERIES 2008A & 2010A BONDS. BOND F - HOSPITAL REVENUE BONDS SERIES 2021A THE PURPOSE OF THIS BOND ISSUE IS TO FINANCE CAPITAL EQUIPMENT. BOND G - HOSPITAL REVENUE BONDS SERIES 2022A THE PURPOSE OF THIS BOND ISSUE IS TO FINANCE CAPTIAL EQUIPMENT. BOND H - HOSPITAL REVENUE BONDS SERIES 2023A THE PURPOSE OF THIS BOND ISSUE IS TO REFUND SERIES 2013A. Bond I - Health Facilities Revenue Note Series 2024A The purpose of this bond issue is to finance capital equipment.
Schedule K, Part IV, Line 2c Date of rebate computation	Bond A (SERIES 2016A & 2016C): November 9, 2021 Bond B (SERIES 2016B): November 17, 2021
Schedule K, Part IV, Line 2c COLUMN D	Issuer name: COLORADO HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 12/01/2023

Schedule K (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

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

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
Children's Hospital Colorado

Employer identification number
84-0166760

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648A7J8	05-24-2016	200,724,807	SERIES 2016A & 2016C - SEE PART VI		X		X		X
B	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648A8D0	05-24-2016	70,300,000	SERIES 2016B - SEE PART VI		X		X		X
C	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	000000000	03-27-2019	20,000,000	SERIES 2019A - SEE PART VI		X		X		X
D	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648FMY7	11-04-2019	235,360,000	SERIES 2019BCD - SEE PART VI		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648FPT5	07-01-2020	105,685,000	SERIES 2020A-B - SEE PART VI		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	000000000	07-29-2021	20,000,000	SERIES 2021A - SEE PART VI		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	000000000	03-29-2022	20,000,000	SERIES 2022A - SEE PART VI		X		X		X
	Colorado Health Facilities Authority	84-0752932	000000000	12-01-2023	72,815,000	Series 2023A - see part VI		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	000000000	10-31-2024	8,239,869	Series 2024A - see part VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	54,370,000		0		15,714,444		0
2 Amount of bonds legally defeased ..............	0
3 Total proceeds of issue ..................	200,724,807		70,300,000		20,000,000		235,360,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,519,986		300,000		58,500		408,677
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	80,000,000		70,000,000		19,941,500
11 Other spent proceeds .............	119,204,821						234,951,323
12 Other unspent proceeds .............
13 Year of substantial completion .............	2019		2019		2019		2019
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X		X		X	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........	X			X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

Part Ⅲ

Private Business Use

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

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X	X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X		X			X	X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X	X			X	X

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........	0 %		0 %		0 %		0 %
d Was the hedge superintegrated? ......		X		X		X		X
e Was the hedge terminated? ........		X		X		X		X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........	0 %		0 %		0 %		0 %
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........		X		X		X		X
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

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

Part Ⅵ

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

Return Reference	Explanation
Schedule K, Part I, Column (f) Description of purpose	BOND A - HOSPITAL REVENUE BONDS SERIES 2016A & 2016C THE PURPOSE OF THIS BOND ISSUE WAS TO FINANCE LONG-TERM PROJECTS AND TO REFUND SERIES 2004C AND 2004D BONDS. BOND B - HOSPITAL REVENUE BONDS SERIES 2016B THE PURPOSE OF THIS BOND ISSUE WAS TO FINANCE LONG-TERM PROJECTS. BOND C - HOSPITAL REVENUE BONDS SERIES 2019A THE PURPOSE OF THIS BOND ISSUE WAS TO PURCHASE EQUIPMENT. BOND D - HOSPITAL REVENUE BONDS SERIES 2019BCD THE PURPOSE OF THIS BOND ISSUE WAS TO REFUND SERIES 2013B, 2013C1 AND 2013C2. BOND E - HOSPITAL REVENUE BONDS SERIES 2020A-B THE PURPOSE OF THIS BOND ISSUE IS TO REFUND SERIES 2008A & 2010A BONDS. BOND F - HOSPITAL REVENUE BONDS SERIES 2021A THE PURPOSE OF THIS BOND ISSUE IS TO FINANCE CAPITAL EQUIPMENT. BOND G - HOSPITAL REVENUE BONDS SERIES 2022A THE PURPOSE OF THIS BOND ISSUE IS TO FINANCE CAPTIAL EQUIPMENT. BOND H - HOSPITAL REVENUE BONDS SERIES 2023A THE PURPOSE OF THIS BOND ISSUE IS TO REFUND SERIES 2013A. Bond I - Health Facilities Revenue Note Series 2024A The purpose of this bond issue is to finance capital equipment.
Schedule K, Part IV, Line 2c Date of rebate computation	Bond A (SERIES 2016A & 2016C): November 9, 2021 Bond B (SERIES 2016B): November 17, 2021
Schedule K, Part IV, Line 2c COLUMN D	Issuer name: COLORADO HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 12/01/2023

Schedule K (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
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 instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

Children's Hospital Colorado

Employer identification number

84-0166760

Return Reference	Explanation
Form 990, Part I, Line 6 NUMBER OF VOLUNTEERS	FROM TEENAGERS TO GREAT GRANDPARENTS, FROM HOMEMAKERS TO PROFESSIONAL ATHLETES, CHILDREN'S HOSPITAL COLORADO VOLUNTEERS ENCOMPASS ALL WALKS OF LIFE AND ALL INCOME LEVELS, EACH VOLUNTEER WITH SOMETHING UNIQUE TO OFFER. OUR DIVERSE GROUP OF VOLUNTEERS HAS ONE THING IN COMMON, HOWEVER, THE DESIRE TO HELP SICK CHILDREN AND THEIR FAMILIES. CHILDREN'S HOSPITAL COLORADO IS FORTUNATE TO HAVE THOUSANDS OF DEDICATED VOLUNTEERS WHO WORK REGULARLY, FROM SEVERAL HOURS A YEAR TO SEVERAL HOURS A WEEK, TO PROVIDE BETTER CARE FOR THE CHILDREN OF CHILDREN'S HOSPITAL COLORADO. THE ASSOCIATION OF VOLUNTEERS THE VOLUNTEERS AT CHILDREN'S HOSPITAL COLORADO ARE ALL PART OF A GROUP CALLED CHILDREN'S HOSPITAL COLORADO ASSOCIATION OF VOLUNTEERS (AOV). THE AOV COORDINATES PLACEMENTS FOR VOLUNTEERS AND ENSURES THAT COMPLETE ORIENTATION AND TRAINING IS PROVIDED TO ALL VOLUNTEERS. OUR VOLUNTEER'S SKILLS AND INTERESTS ARE ALL SO APPRECIATED AND WE TRY TO PLACE EVERYONE IN A ROLE THAT SUITS THEM AND OUR NEEDS. THE EXAMPLES BELOW ARE JUST SOME OF THE WAYS THAT OUR VOLUNTEERS CONTRIBUTE: - VOLUNTEERS ARE ACTIVE ACROSS THE SYSTEM OF CARE INCLUDING AT THE ANSCHUTZ MEDICAL CAMPUS, THE SOUTH CAMPUS, THE NORTH CAMPUS, COLORADO SPRINGS HOSPITAL CAMPUS . - VOLUNTEERS SPEND TIME WITH OUR PATIENTS BY HOLDING, COMFORTING, PLAYING WITH THEM AND MAKING THEM LAUGH. - VOLUNTEERS BRING SPECIALLY SCREENED DOGS TO PROVIDE ANIMAL-ASSISTED THERAPY FOR THE PRESCRIPTION PET PROGRAM. - SPECIALLY TRAINED VOLUNTEERS SERVE AS AMBASSADORS WITH THE WELCOME PROGRAM. VOLUNTEERS GREET NEWLY ADMITTED PATIENT FAMILIES UPON THEIR ARRIVAL AND INTRODUCE THEM TO THE HOSPITAL'S MANY AMENITIES. THE GOAL IS TO PROVIDE A WARM AND WELCOMING ENVIRONMENT AND TO ANSWER ANY NON-MEDICAL QUESTIONS. - THE WINE EVENT IS THE ASSOCIATION OF VOLUNTEERS' SIGNATURE EVENT. THE SPECIAL EVENING FEATURES A SILENT AND LIVE AUCTION OF FINE WINES AND EXPERIENCES WITH ALL PROCEEDS BENEFITING THE HOSPITAL AND ITS PROGRAMS. - MANY GROUPS OF VOLUNTEERS DO NOT SPEND TIME DIRECTLY WITH OUR PATIENTS, BUT PERFORM MORE ADMINISTRATIVE DUTIES, WHICH CAN BE JUST AS IMPORTANT TO THE DAY-TO-DAY OPERATIONS OF CHILDREN'S HOSPITAL COLORADO. - TEENAGERS BETWEEN 13 AND 18 YEARS OF AGE PARTICIPATE IN THE JUNIOR VOLUNTEER PROGRAM. THEY SUPPORT THE HOSPITAL BY WORKING IN SEVERAL DEPARTMENTS AS WELL AS SUPPORTING FUNDRAISING ACTIVITIES. - VOLUNTEERS ALSO ASSIST IN STAFFING CHILDREN'S HOSPITAL COLORADO GIFT SHOP AND LA CACHE. - CHAPTER VOLUNTEERS IN THE COMMUNITY ARE VERY ACTIVE IN FUNDRAISING EVENTS THROUGHOUT THE YEAR THAT HELP TO FUND SPECIAL EQUIPMENT, FACILITIES AND PROGRAMS FOR THE PATIENTS OF CHILDREN'S HOSPITAL COLORADO.
Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS - CONTINUATION (3)	HEART INSTITUTE COMMUNITY REPORT The Heart Institute at Children's Hospital Colorado (CHCO) has been a national leader in the diagnosis, treatment, and lifelong care of infants, children, and young adults with congenital and acquired heart disease. As one of the most comprehensive pediatric cardiovascular centers in the country, the Heart Institute delivers care across the full continuum-from fetal diagnosis to transplant and adult congenital cardiology. With more than 22,000 outpatient visits and over 2,600 inpatient encounters in 2024, the Heart Institute is among the highest-volume pediatric heart centers in the region. Our multidisciplinary model brings together cardiologists, cardiothoracic surgeons, critical care physicians, anesthesiologists, nurse practitioners, nurses, sonographers, ECMO specialists, pharmacists, respiratory therapists, psychologists, and social workers to care for some of the most complex cardiovascular conditions seen in children today. Volumes and Outcomes That Matter High volumes support our ability to deliver excellent outcomes. In 2024, the Heart Institute achieved: * 798 open-heart surgeries * 1,273 cardiac catheterizations, including electrophysiology procedures * 32,049 echocardiograms * 2,617 inpatient encounters (up from 2,369 in 2023) * 22,462 outpatient visits (up from 21,620 in 2023) Outcomes consistently exceed national benchmarks: * STAT 4 STS surgical survival: 94% * STAT 5 STS surgical survival: 91% * 1-year heart transplant survival: 97.6% (national average: 92.8%) * 3-year heart transplant survival: 92.3% (national average: 87.0%) The Heart Institute cares for a wide range of conditions - including single ventricle physiology, neonatal heart failure, cardiomyopathies, arrhythmias, vascular anomalies, and complex congenital heart disease - with specialized expertise in surgical innovation, mechanical circulatory support, and interventional cardiology. Innovations in Infrastructure and Access In 2023, the Heart Institute opened a state-of-the-art Hybrid Catheterization Lab, which enabled a significant increase in procedural volume and supported more complex interventions. In early 2025, the Cardiac Progressive Care Unit (CPCU) expanded to 40 beds to enhance throughput from the CICU and operating rooms, while maintaining a family-centered care environment. A major area of focus in 2024 was access to outpatient care. Targeted improvements in clinic scheduling, workflow redesign, and provider optimization led to increased clinic and echocardiography volumes, reduced patient wait times, and improved visit efficiency. The introduction of a Patient Flow Navigator role enhanced coordination between inpatient and outpatient settings-especially for high-risk patients with complex needs. Critical Care and ECMO Program Growth The Heart Institute's ECMO program continued to grow in 2024. Focused efforts to stabilize the workforce led to a 16.8% reduction in ECMO specialist turnover, supporting safer and more reliable care. A new Surgical CICU model was implemented to improve postoperative coordination and quality. As a result, the CICU achieved a reduction in its central line-associated bloodstream infection (CLABSI) rate from 2.78 to 1.76 per 1,000-line days. Commitment to Quality, Safety, and Equity The Heart Institute is actively involved in national quality and research collaboratives including PC4, PAC3, and STS-CHSD, which promote transparency, benchmarking, and continuous improvement. In 2024, quality initiatives included: * Cardiac arrest prevention * Improved language access for families with limited English proficiency * Optimization of blood product transfusion practices * Equity-focused initiatives in the Cardiac Acute Care Unit * Fellow-led project to improve preoperative feeding * Discharge process standardization and education * Formation of a multidisciplinary Chylothorax and Thrombosis Work Group The Heart Institute participates in high-fidelity simulations, daily safety huddles, and post-event debriefs to promote a culture of high reliability. Data from these activities informs system-level improvements and supports real-time learning for front-line teams. Family-Centered, Team-Based Care Families are essential partners in care and are encouraged to participate in daily rounds and decision-making throughout the care journey. The Heart Institute also benefits from a Family Advisory Council to help shape programs and improve the patient experience. Our team collaborates across specialties including neonatology, genetics, pulmonology, surgery, and critical care to care for some of the most medically complex children in the region. The Heart Institute at Children's Hospital Colorado remains committed to delivering outstanding outcomes, advancing clinical and research innovation, and improving the lives of children with heart disease across Colorado and the region.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	CHILDREN'S HOSPITAL COLORADO'S EXECUTIVE COMMITTEE CONSISTS OF THE BOARD CHAIR, CHAIR ELECT, CHIEF EXECUTIVE OFFICER, SECRETARY, BOARD TREASURER, CORPORATE TREASURER, IMMEDIATE PAST CHAIR, THE CHAIR OF THE CHILDREN'S HOSPITAL COLORADO FOUNDATION, THE CHANCELLOR (OR DESIGNEE) AND UP TO TWO (2) ADDITIONAL SEATS TO BE FILLED BY THE BOARD CHAIR. THE EXECUTIVE COMMITTEE HAS ALL THE POWERS OF THE BOARD OF DIRECTORS, EXCEPT AS LIMITED BY LAW, DURING THE PERIOD BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD.
Form 990, Part VI, Line 6 Classes of members or stockholders	CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL COLORADO.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE WRITTEN CONSENT OF CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM IS REQUIRED TO APPROVE THE BOARD OF DIRECTORS OF CHILDREN'S HOSPITAL COLORADO.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM AS THE SOLE MEMBER HAS CERTAIN APPROVAL POWERS AS DESCRIBED IN THE AMENDED AND RESTATED BYLAWS DATED SEPTEMBER 22, 2011 AND AMENDED MOST RECENTLY IN FEBRUARY 2017.
Form 990, Part VI, Line 11b Review of form 990 by governing body	CHILDREN'S HOSPITAL COLORADO'S FINANCE DEPARTMENT WORKS CLOSELY WITH HUMAN RESOURCES, CORPORATE COMPLIANCE, LEGAL, COMMUNITY HEALTH AND PUBLIC RELATIONS TO GATHER ALL THE DATA REQUIRED TO COMPLETE THE FORM 990. THE VICE PRESIDENT FINANCE & ACCOUNTING CONDUCTS A REVIEW WITH THE CFO PRIOR TO THE DRAFT BEING DISTRIBUTED TO THE COMPLIANCE AND BUSINESS ETHICS COMMITTEE OF THE BOARD AND THE BOARD OF DIRECTORS FOR ITS REVIEW. NECESSARY CHANGES ARE MADE THOUROUT THE REVIEW PROCESS. THE FORM IS SIGNED BY THE CFO AND A FINAL COPY IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE IRS VIA A SECURED WEBSITE.
Form 990, Part VI, Line 12c Conflict of interest policy	BOARD MEMBERS ARE REQUIRED TO DISCLOSE, ON AN ANNUAL BASIS, POTENTIAL CONFLICTS OF INTEREST PURSUANT TO THE WRITTEN POLICIES OF CHILDREN'S HOSPITAL COLORADO (CHCO) AND CHILDREN'S HOSPITAL COLORADO FOUNDATION (CHCF). ALL EMPLOYEES AND BOARD MEMBERS MUST PROMPTLY PROVIDE A WRITTEN DESCRIPTION OF MATERIAL FACTS OF AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST TO CORPORATE COMPLIANCE AND/OR GENERAL COUNSEL ON THE APPROPRIATE DISCLOSURE FORM. SUCH DISCLOSURE WILL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF THE CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. POLICIES AND PROCEDURES FOR DISCLOSING CONFLICTS OF INTEREST ARE TO BE FOLLOWED ACCORDING TO THE INDIVIDUAL'S FUNCTION, IN COMPLIANCE WITH STATE AND FEDERAL REGULATIONS. COMPLETED DISCLOSURE FORMS ARE SUBJECT TO AUDIT REVIEW BY LEGAL, THE CORPORATE COMPLIANCE PROGRAM, AND THE COMPLIANCE AND BUSINESS ETHICS COMMITTEE OF THE BOARD OF DIRECTORS. FAILURE TO COMPLY WITH CONFLICT OF INTEREST POLICIES MAY LEAD TO DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT OR WORKING RELATIONSHIP WITH THE CHILDREN'S HOSPITAL COLORADO. ONCE THE COMPLIANCE AND BUSINESS ETHICS (CABE) COMMITTEE HAS DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS WITH RESPECT TO AN AGREEMENT/CONTRACT THEN: 1. THE (CABE) COMMITTEE WILL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER CHILDREN'S HOSPITAL COULD OBTAIN A MORE ADVANTAGEOUS AGREEMENT/CONTRACT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES AND, IF APPROPRIATE, WILL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT. 2. IN CONSIDERING WHETHER TO ENTER THE PROPOSED AGREEMENT/CONTRACT, THE CABE COMMITTEE MAY APPROVE SUCH CONTRACT, TRANSACTION OR ARRANGEMENT ONLY IF THE DISINTERESTED PERSON OR COMMITTEE DETERMINE BY A MAJORITY VOTE THAT: - THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT IS IN CHILDREN'S COLORADO'S BEST INTERESTS AND FOR COLORADO CHILDREN'S OWN BENEFIT; AND - THE PROPOSED TRANSACTION IS FAIR AND REASONABLE TO CHILDREN'S HOSPITAL COLORADO (CHCO), CONSIDERING, AMONG OTHER RELEVANT FACTORS, WHETHER CHCO COULD OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	CHILDREN'S HOSPITAL COLORADO HAS AN EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS THAT REVIEWS AND APPROVES ANY PROPOSED INCREASES RELATED TO ANY OFFICERS AND KEY EMPLOYEES OF THE COMPANY. THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE ALONG WITH THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS EACH YEAR. ONCE A CHANGE IN COMPENSATION IS APPROVED, FORMAL DOCUMENTS ARE COMPLETED AND MINUTES OF THE MEETING ARE PREPARED, REVIEWED AND APPROVED. EXECUTIVE COMPENSATION PROGRAMS FOR CHILDREN'S HOSPITAL COLORADO (CHCO) ARE DESIGNED TO ATTRACT AND RETAIN TOP EXECUTIVE TALENT. PROGRAM OBJECTIVES INCLUDE: - MAINTAIN EXECUTIVE PAY RANGES THAT REFLECT MARKET AND INTERNAL ALIGNMENT - ESTABLISH PAY FOR INDIVIDUAL EXECUTIVES BASED ON SKILLS, EXPERIENCE AND/OR PERFORMANCE HISTORY - PROVIDE ANNUAL PAY INCREASE TO REWARD INDIVIDUAL PERFORMANCE AND MAINTAIN MARKET COMPETITIVENESS - UTILIZE INCENTIVE PAY TO REWARD THE EXECUTIVE'S ABILITY TO ALIGN DIVISIONAL PERFORMANCE TO ORGANIZATIONAL PERFORMANCE - PROMOTE THE HEALTH AND WELLNESS OF EXECUTIVES AND THEIR FAMILIES, WHILE PROVIDING FAMILY FRIENDLY PROGRAM OPTIONS CONSISTENT WITH CHCO MISSION - MAINTAIN OVERALL PROGRAM AFFORDABILITY AND SUSTAINABILITY FOR THE ORGANIZATION THE EXECUTIVE COMPENSATION PACKAGE CONSISTS OF BASE PAY, INCENTIVE PAY, AND BENEFITS (MEDICAL, DENTAL, VISION, LIFE, DISABILITY, RETIREMENT, AND VOLUNTARY BENEFIT PROGRAMS). CHCO DEFINES MARKET COMPETITIVENESS BASED ON COMPARISONS WITH A PEER GROUP CONSISTING OF NATIONAL PEDIATRIC AND REGIONAL HEALTH SYSTEMS THAT ARE SIMILAR IN SIZE AND COMPLEXITY. IN DETERMINING MARKET COMPETITIVENESS, CHCO PARTNERS WITH AN EXTERNAL EXECUTIVE COMPENSATION CONSULTANT TO GATHER AND ASSESS MARKET DATA FROM INDEPENDENT COMPENSATION AND BENEFIT SURVEYS THAT REFLECT FUNCTIONALLY COMPARABLE POSITIONS IN THE PEER GROUP. AS NEEDED, THE EXTERNAL EXECUTIVE COMPENSATION CONSULTANT WILL PROVIDE RECOMMENDATIONS TO HELP RESOLVE DIFFICULTIES IN RECRUITING AND RETAINING EXECUTIVES OR ENSURE CRITICAL BUSINESS OR STRATEGIC ISSUES ARE ADDRESSED. 2024 CUSTOM PEER GROUP - TEXAS CHILDREN'S HOSPITAL (HOUSTON, TX) - THE CHILDREN'S HOSPITAL OF PHILADELPHIA (PHILADELPHIA, PA) - NATIONWIDE CHILDREN'S HOSPITAL (COLUMBUS, OH) - BOSTON CHILDREN'S HOSPITAL (BOSTON, MA) - COOK CHILDREN'S HEALTH CARE SYSTEM (FORT WORTH, TX) - CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER (CINCINNATI, OH) - CHILDREN'S HEALTHCARE OF ATLANTA (ATLANTA, GA) - LUCILE PACKARD CHILDREN'S HOSPTIAL STANFORD (PALO ALTO, CA) - SEATTLE CHILDREN'S (SEATTLE, WA) - CHILDREN'S HEALTH SYSTEM OF TEXAS (DALLAS, TX) - THE NEMOURS FOUNDATION (JACKSONVILLE, FL) - CHILDREN'S MERCY KANSAS CITY (KANSAS CITY, MO) - CHILDREN'S WISCONSIN (MILWAUKEE, WI) - CHILDREN'S NATIONAL HEALTH SYSTEM (WASHINGTON, DC) - RADY CHILDREN'S HOSPITAL - SAN DIEGO (SAN DIEGO, CA) - DRISCOLL HEALTH SYSTEM (CORPUS CHRISTI, TX) - CHILDREN'S HOSPITAL LOS ANGELES (LOS ANGELES, CA) - PHOENIX CHILDREN'S HOSPITAL (PHOENIX, AZ) - VALLEY CHILDREN'S HEALTHCARE (FRESNO, CA) - CHOC CHILDREN'S (ORANGE, CA) - ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO (CHICAGO, IL) - CHILDREN'S HOSPITALS AND CLINICAL OF MINNESOTA (MINNEAPOLIS, MN) - NICKLAUS CHILDREN'S HEALTH SYSTEM (MIAMI, FL) - ARKANSAS CHILDREN'S HOSPITAL (LITTLE ROCK, AR) - CHILDREN'S OF ALABAMA (BIRMINGHAM, AL) - CHILDREN'S OF NEBRASKA (OMAHA, NE) - UCHEALTH (AURORA, CO) - CENTURA HEALTH (CENTENNIAL, CO) - ST. LUKE'S HEALTH SYSTEM (BOISE, ID) THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN 2024.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	SEE FORM 990, PART VI, LINE 15A NARRATIVE ABOVE.
Form 990, Part VI, Line 19 Required documents available to the public	THESE DOCUMENTS ARE MADE AVAILABLE UPON REASONABLE REQUEST.
Form 990, Part VIII, Line 2f Other Program Service Revenue	All other program service revenue - Total Revenue: 95259436, Related or Exempt Function Revenue: 92109338, Unrelated Business Revenue: 3150098, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	PHYSICIAN SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 31092544, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 96948458, Program Service Expense: 82111694, Management and General Expenses: 14836764, Fundraising Expenses: ; CONSULTING FEES - Total Expense: 4812053, Program Service Expense: 4075628, Management and General Expenses: 736425, Fundraising Expenses: ; OTHER - Total Expense: 6678765, Program Service Expense: 5656663, Management and General Expenses: 1022102, Fundraising Expenses: ; FREIGHT & Delivery - Total Expense: 1733972, Program Service Expense: 1468609, Management and General Expenses: 265363, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	EQUITY TRANSFER FROM FOUNDATION - 44446355; CHANGE IN PERPETUAL TRUST - 6056483; OTHER CHANGES IN NET ASSETS - 4900045; Total - 55402883;
FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS - CONTINUATION (1)	CHILDREN'S HOSPITAL COLORADO (CHCO) works collaboratively with its affiliates as an academic medical center to fulfill a joint mission to provide excellent services and the best health outcomes for children, through teaching, research, clinical care and community support services. CHCO is committed TO INCLUSION AND BELONGING IN OUR WORKFORCE AND IN OUR COMMUNITY. WE STRIVE FOR EVERYONE TO FEEL VALUED. The following section describes CHCO's program service accomplishments for each of the three largest program services, as measured by expense. CENTER FOR CHILDREN'S SURGERY COMMUNITY BENEFIT REPORT Service Overview: The Center for Children's Surgery (CCS) at Children's Hospital Colorado is a nationally recognized leader in pediatric surgical care, treating everything from routine conditions to the most complex cases. The expert team of 335 surgeons, including both hospital-based and community providers, delivers care in 43 state-of-the-art operating rooms across seven locations, all specifically designed to support healing and comfort for children. In 2024, the CCS performed over 37,000 procedures, serving 31,000 unique patients from 45 states, with nearly 9% of procedures performed on patients from outside Colorado. The CCS program is driven by innovation, research, and cutting-edge technology. This year, CCS reached major milestones in robotic surgery, including the 100th Da Vinci robotic case and the 500th spine surgery using the Mazor X system. Across all locations, surgeons specialize in minimally invasive procedures that result in shorter recovery times, reduced complications, and improved outcomes-consistently placing us among the top pediatric surgical programs in the country. With more than 3 million minutes of surgical care delivered in 2024, CCS continues to be a destination for families seeking world-class surgical treatment for their children. Quality and Process Improvement Initiatives: The CCS is committed to quality and process improvement strategies as a core clinical strategy to advance the effectiveness, efficiency, safety, experience, and coordination of the care it provides to its patients. The Perioperative Performance Improvement and Patient Safety (PIPS) Committee is broadly representative, multidisciplinary and guides the range of activities and initiatives through which the CCS is pursuing its clinical, operational, value-driven, and financial improvement goals. The CCS had several active Quality & Process Improvement initiatives underway in 2024 including: * First Case on Time Starts (FCOTS): * Increased FCOTS at CHCO's Main OR from a 2023 average of 37% to a 2024 average of 49%. This improvement means 2 additional patients have their procedure start at or ahead of time daily. * Surgical Site Infections (SSIs) * Surgical Site Infection prevention efforts expanded beyond high-risk areas to a universal approach, leading to a decrease in the overall SSI rate from 0.31% in 2023 to 0.22% in 2024. Improvements include updated policies aligned with national standards, staff education, pre-op CHG wipe implementation, and enhanced OR traffic and hand hygiene practices. * Integration of Epic and Sterile Processing Microsystem (SPM): * This integration connects the systems used by nurses, scrub techs, and physicians with those used by the Sterile Processing team, improving tracking and documentation of sterile instruments. It also enables precise identification of the instruments and sets used during each specific surgery. * Intranasal Versed for IUD placement: * Gynecology introduced intranasal Versed for in-clinic IUD insertions, enhancing patient comfort and reducing the need for OR use. As of November, 189 procedures were completed safely in a more appropriate, lower-acuity setting. National/Global Presence: The CCS are national and global leaders in developing and operationalizing innovative procedures, often enabling new diagnostic, less invasive, and/or therapeutic options for patients and families. In 2024 the Center accomplished: * Plastic Surgery residents had the opportunity to gain global surgery experience during a two-week trip to Vietnam, led by Phuong Nguyen, MD, who was recently named the Department of Surgery's first Associate Vice Chair of Global Surgery. The team-comprised of residents, students, and faculty-partnered with Nuoy Reconstructive International, a nonprofit co-founded by Dr. Nguyen, to provide complex reconstructive procedures, including craniofacial, microsurgery, and hand surgery, at multiple hospitals across Vietnam. * Nicholas Cost, MD, Urology, was named chair of the Renal Tumor Committee of the Children's Oncology Group (COG). He is the first surgeon to hold the role. COG is a National Cancer Institute-supported clinical trials group and is the world's largest organization devoted exclusively to childhood and adolescent cancer research. * CCS faculty maintain medical licenses across a 7-state catchment region-including New Mexico, Montana, and Wyoming-to deliver care closer to home through telehealth and in-person regional outreach clinics. In 2024, over 2,500 out-of-state patients received care from CCS providers, with many continuing follow-up via telehealth. Regular outreach clinics on Colorado's Western Slope and in Montana extend sub-specialty surgical expertise to rural communities, reducing the need for long-distance travel to the Denver metro area. Research: Through basic, translational, and clinical research, the CCS is committed to advancing knowledge and clinical care to improve surgical outcomes for patients. In 2024 significant advancements include: * A multicenter study on bilateral Wilms tumor (BWT) revealed higher-than-expected rates of bilateral partial nephrectomy (BPNx) at high-volume institutions compared to previous national data, supporting the need for a follow-up study to improve nephron-sparing approaches. * In patients with neurogenic bladder, caregivers generally reported low levels of decisional regret following bladder reconstruction, though a subset-particularly caregivers of male children-reported higher regret, suggesting areas for improved counseling. * Among childhood cancer survivors treated for pelvic solid tumors, a study evaluated long-term lower urinary tract function, analyzing outcomes associated with external beam radiation therapy (EBRT) through patient-reported measures and urodynamic testing. * A quality improvement initiative targeting opioid prescribing in pediatric patients with chronic kidney disease (CKD) demonstrated safe implementation of NSAID alternatives and a dedicated opioid reduction protocol, with no increase in unplanned healthcare visits. * Allyson Alexander, MD, PhD (Neurosurgery) received a NIH K08 award for her project exploring mechanisms that lead to seizure-prone neurons in cortical malformations using human and mouse models. * Aubrey Armento, MD (Orthopedics) was awarded a K12 grant to study the effects of weight-bearing exercise on bone health in female adolescents with restrictive eating disorders.
FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS - CONTINUATION (2)	NEONATOLOGY COMMUNITY REPORT For more than 50 years, the Neonatal Intensive Care Unit (NICU) at Children's Hospital Colorado (CHCO) has been a nationally recognized leader in the treatment of critically ill infants. The leading-edge Level IV NICU (the highest distinction by the American Academy of Pediatrics), at Children's Hospital Colorado, provides 82 critical care beds specifically for this patient population. The NICU provides excellence in care for infants throughout Colorado and the mountain state region. Named one of the country's top centers by U.S. News & World Report, our Level IV Neonatal Intensive Care Unit offers the highest level of care to more than 1,400 newborns every year -one of the largest centers in the region. We care for any condition affecting a newborn, no matter how rare or critical that condition may be. Therapies include extra corporeal membrane oxygenation (ECMO), continuous renal replacement (CRRT), genetic testing, and neonatal surgery. Volumes matter. Children's Colorado's NICU is among the highest volume centers in the U.S. for high-complexity patients, meaning we see more and treat more neonates with complex congenital conditions and severe complications of prematurity than most other centers. The NICU cares for both premature and term infants with a variety of conditions, including hypoxic respiratory failure, infections, hematological, neurological, cardiovascular, and metabolic disorders. Infants with single major or multiple anomalies requiring diagnostic evaluation or surgical intervention are often treated in the NICU. Our survival rates rank among the best in the nation. Our high volumes not only allow for the development of highly specialized teams and standardized approaches to care, they also build our surgical and medical sub-specialists' experience and expertise. The Neonatology team has pioneered many critical developments in neonatal clinical care including surfactant replacement for premature infants, inhaled nitric oxide therapy for pulmonary hypotension, therapeutic hypothermia for perinatal brain injury, optimal nutrition for low-birth-weight infants and innovative care following fetal surgery. Collectively, the neonatologists and PhD research faculty published 80 articles in 2024. Throughout a visit, a baby and their family stay together in an environment we specifically designed to feel as much like home as possible. Families are integral to the care delivered. Key areas of focus include developmentally supportive care of the newborn, primary nursing and a family centered care approach. Parents are encouraged to participate in daily rounds and in all aspects of care. There is a Family Advisory Council to support current families and provide perspective on the patient experience. The clinical care team in the NICU is comprised of Neonatologists, Neonatal Nurse Practitioners, specialty trained nurses, respiratory therapists, pharmacists, physical, speech and occupational therapists, lactation specialists, neonatal nutrition, social work, chaplains, and case managers. Specialty consultants include neurology, pulmonology, genetics, gastroenterology, nutrition, metabolic, endocrinology, hematology, cardiology and cardiovascular surgery, general pediatric surgery, renal, ophthalmology, orthopedics and ear, nose and throat specialists. Children's Hospital Colorado neonatologists have diverse expertise caring for an array of complex conditions. The Section of Neonatology provides full clinical support for infants and their families at multiple hospitals in the Denver metropolitan area including Children's Hospital Colorado, University of Colorado Hospital and Denver Health Medical Center. The 35 board-certified neonatologists are nationally and internationally recognized leaders in neonatal care as well as clinical and scientific research. With advances in technology, the NICU team can provide teleconferencing for referring providers and/or parents who may not be present. They can also provide tele-NICU services to hospitals in rural areas to ensure those infants are properly treated in their home community and transferred only when appropriate. The NICU team continuously reviews quality and patient safety data focusing on excellence in patient outcomes. The NICU leadership team meets for Quality Rounds, promoting engagement of front-line staff and a multi-disciplinary approach to care. The NICU team promotes the safest environment possible with key communication in safety huddles each shift to review details of our safety and quality improvement work. Optimal communication with a large multidisciplinary team is one of our key strategies to promote the highest quality care possible. 2024 NICU Quality and Process Improvement Initiatives: * Family experience scores are consistently 86% or greater. Parents are invited to rounds with the NICU team daily. Our goal is to partner with parents in their child's plan of care. There is a strong foundation of Primary nursing as the model of care. * In 2024, the NICU achieved 94% hand hygiene compliance. The multi-disciplinary team partnered together to collectively focus on this rate to decrease infection rates. * A significant focus on the prevention of central line associated blood stream infections (CLABSI's). Our goal is to sustain a CLABSI rate of 1/1000-line days or less in 2024. The rate for 2024 was 0.82/1000 line days. There is frequent auditing of compliance to the CLABSI bundle regarding the care of the central lines and prevention measures. Line days totaled 6,075 in 2024, demonstrating the complex, high acuity NICU patient population that is cared for. * Ongoing key quality initiatives include focusing on a sustained decrease in unplanned extubations, patient identification events, pressure injuries, adverse medication events and peripheral intravenous catheter extravasations. * The Lactation program has sustained the goal of 82% or greater of NICU infants receiving breast milk while hospitalized and upon discharge. In addition, this team is working to increase first feeds at breast. Outcomes of this work is currently being tracked and reviewed. * Clinical outcomes of infants delivered in the Labor and Delivery Care Unit at CHCO and admitted to the NICU are followed closely. In 2024, the NICU team attended 302 deliveries of high risk infants, often requiring complex surgical or cardiac interventions. * Team debriefs are held after infant resuscitations to strengthen team dynamics and clinical practices. The NICU team also participates in high fidelity, multi-disciplinary code simulations. * A standardized, evidenced based approach to caring for extremely low birth weight infants (ELBW), within the NICU. This includes a specialized team of nurses and providers. Key clinical outcomes are tracked and reviewed. * Close follow up of infants treated with surgical interventions, hypothermic therapy for neonatal encephalopathy, unique ventilation strategies, Supporting Preemie Respiratory Outcomes (SPROUT) Transitional Team, extracorporeal membrane oxygenation (ECMO), inhaled nitric oxide (iNO), continuous renal replacement therapy (CRRT) and peritoneal dialysis.

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

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

Children's Hospital Colorado

Employer identification number

84-0166760

Part I

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

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) 5314 INSURANCE COMPANY LLC 677 ALA MOANA BLVD SUITE 316 HONOLULU,HI96813 84-3975618	CAPTIVE INS.	HI	4,783,655	39,115,081	CH-COLORADO

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)CHILDREN'S HOSPITAL COLORADO HLTH SYSTEM 13123 EAST 16TH AVE AURORA,CO80045 45-4182666	HEALTHCARE	CO	501(c)(3)	Type III-FI	NA		No
(2)The Children's Hospital Colorado Foundation 13123 EAST 16TH AVE AURORA,CO80045 84-0813462	FOUNDATION	CO	501(c)(3)	7	CHCHS		No

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

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

Page 2

Part III

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(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

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) PEDIATRIC CARE NETWORK CHCH LLC 13123 EAST 16TH AVE AURORA,CO80045 81-3554450	HEALTHCARE	CO	CH-COLORADO	C Corporation	4,024,149	3,914,565	100 %	Yes
(2) PERPETUAL TRUST	HOSPITAL SUPPORT	CO	CH-COLORADO					Yes

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

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

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

Yes

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

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

Yes

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

Yes

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

Yes

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

Yes

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

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

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

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

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

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

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

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

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

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

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) PEDIATRIC CARE NETWORK	C	323,579	ACCRUAL

Schedule R (Form 990) (Rev. 1-2025)

Page 4

Part VI

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

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

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(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

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

1	Briefly describe the organization’s mission or most significant activities: TO IMPROVE THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH-QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	31
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	30
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	11,403
6	Total number of volunteers (estimate if necessary) .............	6	3,348
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	6,490,770
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	10,835,364	10,335,738
9	Program service revenue (Part VIII, line 2g) .........	1,848,731,304	1,974,200,372
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	22,912,634	23,448,444
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,782,563	6,289,024
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,884,261,865	2,014,273,578
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	725,550	806,300
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)	1,021,647,273	1,037,645,160
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)....	873,552,686	929,583,868
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,895,925,509	1,968,035,328
19	Revenue less expenses. Subtract line 18 from line 12.......	-11,663,644	46,238,250
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,330,877,583	2,412,044,381
21	Total liabilities (Part X, line 26).............	1,042,953,407	1,021,847,072
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,287,924,176	1,390,197,309

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,673,474,918 including grants of $ 806,300 ) (Revenue $ 1,967,173,438 )
	ROUTINE INPATIENT SERVICES; ANCILLARY INPATIENT SERVICES SUCH AS LAB, RADIOLOGY, OPERATING ROOM, RECOVERY ROOM, CENTRAL SUPPLIES, ETC.; OUTPATIENT SERVICES SUCH AS EMERGENCY ROOM, MULTI-SPECIALTY AMBULATORY SERVICES INCLUDING ORTHO CLINIC, ONCOLOGY CLINIC, ETC. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.

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












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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,673,474,918

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	13,094,979	0	2,616,599

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	323,579
e	Government grants (contributions)		1e	10,012,159

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

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

h Total. Add lines 1a-1f.......		10,335,738

		Business Code
2a	NET PATIENT SERVICES REVENUE	622110	1,838,924,757	1,838,924,757
b	RESEARCH FUNDING	541900	27,972,646	27,972,646
c	LAB BILLING	561000	4,102,550	225,714	3,876,836
d	CAFETERIA	722210	5,910,764	5,910,764
e	PARKING LOT REVENUE	461790	2,030,219	2,030,219
f	All other program service revenue.		95,259,436	92,109,338	3,150,098	0
g	Total. Add lines 2a–2f .....		1,974,200,372

3 Investment income (including dividends, interest, and othersimilar amounts) ......			26,686,621			26,686,621
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	972,660
b	Less: rental expenses	6b
c	Rental income or (loss)	6c	972,660	0
d	Net rental income or (loss).......			972,660			972,660
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a
b	Less: cost or other basis and sales expenses	7b	3,238,177
c	Gain or (loss)	7c	-3,238,177	0
d	Net gain or (loss).........			-3,238,177			-3,238,177
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	GAIN/LOSS INTEREST RATE SWAPS		900099	5,852,528			5,852,528
b	PARTNERSHIP INCOME/LOSS		540000	-536,164		-536,164
c
d	All other revenue ....			0	0	0	0
e	Total. Add lines 11a–11d ......			5,316,364
12	Total revenue. See instructions.....			2,014,273,578	1,967,173,438	6,490,770	30,273,632

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	806,300	806,300
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
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 .......	0	0
5	Compensation of current officers, directors, trustees, and key employees ...........	13,077,334	11,076,009	2,001,325	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	814,981,168	690,258,363	124,722,805
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	36,396,833	30,826,747	5,570,086
9	Other employee benefits .......	115,330,830	97,680,870	17,649,960
10	Payroll taxes ...........	57,858,995	49,004,390	8,854,605
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	2,040,371		2,040,371
c	Accounting ...........	135,814		135,814
d	Lobbying ...........	711,872	711,872
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	168,057		168,057
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	313,342,492	265,389,294	47,953,198	0
12	Advertising and promotion ....	9,994,336	8,464,826	1,529,510
13	Office expenses .......	4,260,102	3,608,146	651,956
14	Information technology ......	37,199,821	31,506,848	5,692,973
15	Royalties ..
16	Occupancy ...........	35,119,065	29,744,526	5,374,539
17	Travel ............	3,234,409	2,739,423	494,986
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,242,203	1,052,099	190,104
20	Interest ...........	18,275,149	15,478,363	2,796,786
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	91,058,281	77,122,935	13,935,346
23	Insurance ...	13,319,789	11,281,360	2,038,429
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/PHARMACY SUPPLIES	290,699,154	246,211,238	44,487,916
b	HOSPITAL PROVIDER FEE	54,733,221	54,733,221
c	EQUIPMENT RENTAL & MAINTENANCE	23,579,616	19,971,047	3,608,569
d	UBIT TAXES	384,422		384,422
e	All other expenses	30,085,694	25,807,041	4,278,653	0
25	Total functional expenses. Add lines 1 through 24e	1,968,035,328	1,673,474,918	294,560,410	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 ........			131,942,734	1	108,297,594
2	Savings and temporary cash investments .........			0	2	0
3	Pledges and grants receivable, net ......			7,890,155	3	8,157,810
4	Accounts receivable, net .............			291,763,446	4	350,349,423
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	0
8	Inventories for sale or use ............			25,512,452	8	30,058,492
9	Prepaid expenses and deferred charges ......			21,400,461	9	22,991,701
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,195,441,394
b	Less: accumulated depreciation	10b	937,324,220	1,230,156,743	10c	1,258,117,174
11	Investments—publicly traded securities .			358,881,569	11	393,558,789
12	Investments—other securities. See Part IV, line 11 .....			12,489,403	12	16,821,360
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			250,840,620	15	223,692,038
16	Total assets. Add lines 1 through 15 (must equal line 33)...			2,330,877,583	16	2,412,044,381

17	Accounts payable and accrued expenses .....	214,371,840	17	208,088,899
18	Grants payable ...	12,943,932	18	12,887,923
19	Deferred revenue .........	7,381,004	19	3,217,000
20	Tax-exempt bond liabilities .........	635,193,312	20	623,263,807
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	37,607,072	24	48,438,738
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	135,456,247	25	125,950,705
26	Total liabilities. Add lines 17 through 25..	1,042,953,407	26	1,021,847,072

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	1,118,237,572	27	1,211,456,428
28	Net assets with donor restrictions ...........	169,686,604	28	178,740,881
	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 .....	0	29	0
30	Paid-in or capital surplus, or land, building or equipment fund ...	0	30	0
31	Retained earnings, endowment, accumulated income, or other funds	0	31	0
32	Total net assets or fund balances ...........	1,287,924,176	32	1,390,197,309
33	Total liabilities and net assets/fund balances ........	2,330,877,583	33	2,412,044,381