2015-10-30T11:21:16-05:00 2014-12-31 KPMG LLP 4200 Wells Fargo Ctr 90 S 7th Minneapolis MN 55402 990 2014-01-01 411754276 Children's Health Care % REBECCA ANN WOITALEWICZ CHIL 6128136000 2525 Chicago Avenue South Minneapolis MN 554041844 REBECCA ANN WOITALEWICZ INTERIM CFO 6128136113 2015-09-23 true Ann LAMOUREUX P00691316 6123055000 2014 2016-03-07 17:11:31Z Children's Hospitals & Clinics of MN REBECCA ANN WOITALEWICZ CFO 2525 CHICAGO AVENUE SOUTH MINNEAPOLIS MN 554041844 1051950838 false X www.childrensmn.org X 1995 MN Children's Hospitals and Clinics of MN Champions the special needs of children. 24 21 5102 1714 -1253217 -1369042 33959313 30041265 638126835 710470365 27770432 24676121 2528574 2833427 702385154 768021178 549669 695815 0 0 380037228 408382792 0 0 0 267611754 301792309 648198651 710870916 54186503 57150262 1063789712 1127600949 406887812 423655332 656901900 703945617 X Children's Hospitals and Clinics of Minnesota champions the special health needs of children and their families. We are committed to improving children's health by providing family centered pediatric services. We advance these efforts through research and education. false false 595609633 695815 709379055 Hospital program services: Families look to Children's Hospitals and Clinics of Minnesota for the finest in pediatric care. With two pediatric hospital facilities and 385 staffed beds, we champion the special health needs of children and their families and are committed to providing high-quality, family centered pediatric services. The Leapfrog Group's annual list of top hospitals named Children's Hospitals and Clinics of Minnesota's Minneapolis and St. Paul hospitals as two of the top ten pediatric hospitals in the country for quality and efficiency. See Schedule O. 4661039 1087931 Education: Many efforts to improve the health and well-being of children and youth require long-term investment in their future. Children's provides education and training programs for providers, health care students, and other health professionals in the following areas: 1) Community medical education for community physicians: During the 2014 calendar year, Children's provided training to 389 affiliated residents and fellows, and hosted 308 medical student rotations at Children's Minneapolis, Children's St Paul, or both locations. See Schedule O. 3244369 3379 Research: Children's has 543 open research studies, of which 220 are actively recruiting clinical trials. In 2014 Children's received more than $27 million from industry contracts and federal state and foundation sponsors. Types of studies and trials conducted at Children's are investigator-initiated studies, external multi-center trials, observational studies, registries, and supportive services such as case management. Children's had ongoing research in emergency/trauma, cystic fibrosis, diabetes and endocrinology, cardiovascular and critical care, pain and palliative care, integrative medicine, genetics, Cancer and blood disorders, and Neonatology ENT and Rehab. See Schedule O. 603515041 true true false true false false false false false true true false false true true true false true false false true false false false false false true true true false true true false false false false false false false false false true true false false false false true true true false false true 427 0 true 5102 true true true true CJ false false false false false false false false X 24 21 false false false false false false false true true false false true true true true true true true true true false MN X REBECCA ANN WOITALEWICZ 6128136113 2525 Chicago Avenue South Minneapolis MN 55404 X Alan Goldbloom CEO thru 12/31/14 50.0 0.0 X X 2011718 0 39142 Robert Segal Medical Director 50.0 0.0 X 292707 0 76490 Russ Becker Chair 1.0 2.0 X X 0 0 0 Hayes Batson Vice Chair 1.0 2.0 X X 0 0 0 Jonathan Wood Treasurer 1.0 2.0 X X 0 0 0 Judge Pamela Alexander Board Member 1.0 0.0 X 0 0 0 Martin L Bassett Board Member 1.0 0.0 X 0 0 0 Michael Ciresi Board Member 1.0 2.0 X 0 0 0 Matt Furman Board Member 1.0 0.0 X 0 0 0 Greg Goven Board Member 1.0 2.0 X 0 0 0 Sharon Jaeger MD Board Member 1.0 0.0 X 0 0 0 Mary Jeffries Board Member 1.0 0.0 X 0 0 0 Cynthia Lesher Board Member 1.0 0.0 X 0 0 0 Matt Majka Board Member 1.0 2.0 X 0 0 0 Paul Marvin Board Member 1.0 0.0 X 0 0 0 Gaye Adams Massey Board Member 1.0 1.0 X 0 0 0 John McNamara MD Board Member 1.0 0.0 X 0 0 0 Richard Migliori MD Board Member 1.0 0.0 X 0 0 0 John Mulligan Board Member 1.0 0.0 X 0 0 0 Richard T Murphy Jr Board Member 1.0 0.0 X 0 0 0 Sandy Sackett MD Board Member 1.0 0.0 X 0 0 0 Bruce Shay Board Member 1.0 0.0 X 0 0 0 Lenny Snellman MD Board Member 1.0 0.0 X 0 0 0 Tom Tefft Board Member 1.0 0.0 X 0 0 0 Robert Bonar JR CEO, start 12/15/14 50.0 0.0 X 64887 0 0 David Overman President & COO 50.0 0.0 X 790064 0 124552 Alec Mahmood VP, Finance and CFO 50.0 0.0 X 765757 0 99738 Phil Kibort VP Medical Affairs and CMO 50.0 0.0 X 794860 0 125527 Maria Christu Gen Counsel, VP, Advoc & Hlth 50.0 0.0 X 475074 0 82195 Theresa Pesch President, Foundation 25.0 25.0 X 247959 247959 74992 Roxanne Fernandes Chief Nursing Officer 50.0 0.0 X 444099 0 75020 Jeffrey Young Chief Information Officer 50.0 0.0 X 418779 0 57226 Carol Wilcox Senior Hospital Administrator 50.0 0.0 X 246609 0 41946 Bjorn Gunnerud VP, Marketing & Communications 50.0 0.0 X 275331 0 61872 Samantha Hanson CHRO, start 05/12/14 50.0 0.0 X 178164 0 40729 Jennifer Close Chief Ambulatory Officer 50.0 0.0 X 156630 0 12370 Carol Koenecke-Grant Chief Strategy Officer 50.0 0.0 X 332268 0 25363 David Brumbaugh CHRO, Thru 04/30/14 50.0 0.0 X 577018 0 148835 Jamie Wiggins Sr Dir Clin Svc Critical Care 50.0 0.0 X 206226 0 23783 Jennifer Olson Exec Dir Mother-Baby Srvc Line 50.0 0.0 X 245632 0 32347 Gloria Drake Sr Dir Clinical Svc Periop 50.0 0.0 X 214218 36696 45457 Alice Chernich Sr Dir Clinical Svc Neonatal 50.0 0.0 X 186537 0 24686 Becky Bedore Sr Dir Clin Svcs - Pediatrics 50.0 0.0 X 179762 0 42168 Joseph Petronio Surgical Dir, Peds Neurosurg 50.0 0.0 X 905588 0 73663 Meysam Kebriaei Staff Physician 50.0 0.0 X 785494 0 80528 William Mize Medical Director 50.0 0.0 X 549226 0 74790 James Engels Staff Physician 50.0 0.0 X 591328 0 77609 Frank Rimell Staff Physician 50.0 0.0 X 506586 0 63646 Jerry Massmann Former VP of Finance and CFO 0.0 0.0 X 552776 0 48586 12995297 284655 1673260 746 true true false Huron Consulting Services LLC 3005 Momentum PL Chicago IL 60689 Revenue Consulting 8258972 Cerner Corporation PO Box 412702 Kansas City MO 64141 Hardware/Software 7239560 Sodexo Inc Affiliates 4880 Paysphere Circle Chicago IL 60674 Nutrition & Envi Svr 4651128 Cross Country Staffing PO Box 404674 Atlanta GA 30384 Temporary Labor 4463932 Children's Respiratory Critical C 2530 Chicago Ave S Ste 400 Minneapolis MN 55404 Physician Services 4416704 117 17731595 12309670 2646378 30041265 Patient Service Revenue 621400 454753665 454753665 Medicare/Medicaid payment 621400 195843822 195843822 Pharmacy Revenue 621400 1140985 1140985 Parking 812930 3308475 49259 3259216 Lab Revenue 621500 54932878 54755031 177847 490540 490540 710470365 14567344 -1480323 16047667 0 0 1288664 981798 306866 0 306866 306866 291970263 1086376 282911177 36685 9059086 1049691 10108777 10108777 0 0 0 Cafeteria 722514 2159634 2159634 Marketplace 453220 321015 321015 Vending machines 722514 26040 26040 19872 19872 2526561 768021178 705843058 -1253217 33390072 X 695815 695815 0 0 0 12995297 6420661 6574636 0 309234609 273811813 35422796 22050050 20555616 1494434 42635956 36769354 5866602 21466880 19065411 2401469 2248569 1711326 537243 259829 9917 249912 123587 123587 152491 152491 0 2698863 2698863 85163504 66842096 18321408 3666416 281279 3385137 10366217 7185872 3180345 13976505 13976505 0 14861814 13415694 1446120 1879492 1438219 441273 0 1753543 1505847 247696 10946035 10946035 0 37897106 28952461 8944645 1007156 1007156 Medical Supplies 64843744 64843744 MNCare Tax 13468742 13468742 MEDICAID SURCHARGE 8193151 8193151 Temp Labor 8598673 7318552 1280121 19686872 16377417 3309455 710870916 603515041 107355875 0 15325284 9899400 62750150 55175471 1019851 873936 91793660 101878011 0 0 0 0 0 0 5423138 5090778 9720092 9878321 711029830 329503371 381042166 381526459 299974580 438790374 78760800 12995259 18566602 18917030 0 0 99413389 92575910 1063789712 1127600949 85196461 102143795 0 0 4116259 7975725 264011181 266615784 0 0 0 0 303675 270618 0 0 53260236 46649410 406887812 423655332 X 588331725 630425954 0 0 68570175 73519663 656901900 703945617 1063789712 1127600949 X 57150262 3980990 -14087535 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 128153 false true 24338 152491 false Form Sch C Part II-B Line 1a Children's retains a lobbyist to assist directly with lobbying efforts at the state level. Children's Public Policy Director is also responsible for lobbying activities on the city, state, and federal level. Those responsibilities include providing testimony at the State Capitol, maintaining relationships, educating legislators and staff, and working with our regulatory agencies. With respect to federal lobbying efforts, Children's Senior Director of Child Health Policy, Public Policy Director, and CEO will occasionally travel to Washington to meet with federal lawmakers. This is generally done in collaboration with industry organizations, such as NACHRI, who indirectly provide federal lobbying support on behalf of Children's. Children's is a member of the Children's Hospital Association (CHA). $24,338 of membership dues paid to CHA relate to lobbying activities. 39959574 1216110 1904157 1750502 41329339 33578504 1416216 5959789 994935 39959574 30285804 421789 3955151 1084240 33578504 30881650 883411 -267697 1211560 30285804 28645602 371730 2991850 1127532 30881650 0.27000 0.73000 true true true 14850201 14850201 449461252 147600383 301860869 2373018 1795987 577031 238922721 174992522 63930199 5422638 5114479 308159 381526459 EXECUTIVE BENEFIT PLANS 7833883 UNAMORTIZED BOND INSURANCE 4553798 EDUCATION LOANS RECEIVABLE 135874 PHARMACEUTICAL SERVICE DEPOSIT 1818454 PHYSICIAN RELOCATION LOANS REC 164792 FACILITY DEPOSIT 134000 UNITED SHARED SERVICE ARRNGMT 1820000 OTHER 2559195 BENEFICIAL INT IN NA OF FDTN 73555914 92575910 0 MN CARE TAX PAYABLE 2908455 SELF-INSURANCE RESERVE 921240 RSVP RETIREMENT PLAN 7088263 EXECUTIVE BENEFITS LIABILITY 5267668 POST-RETIREMENT BENEFITS 3251843 WORKERS COMP LIABILITY 2047485 ACCRUAL VERP 527476 INTERCOMPANY RECEIVABLE 23313509 OTHER 1323471 46649410 X Part V, line 4: The majority of endowment funds are held by Children's Health Care Foundation, a related organization. The intended use of the funds is to support the programs at Children's Health Care. There are also two endowment funds that are held and administered by US Bank, an unrelated organization, which are also used to support the programs at Children's Health Care. Refer to Part III, Line 4 for a description of the programs of Children's Health Care. Part X, Line 2 The Internal Revenue Service (IRS) has determined that Children's and its subsidiaries are exempt organizations as described in Section 501(C)(3) of the IRC. Children's believes that it continues to meet the requirements of the IRC to sustain its tax-exempt status. There are no federal income tax expenses, penalties, or interest recognized in the consolidated statements of operations and no unrecognized tax benefits for the years ended December 31, 2014 and 2013. Central America and the Caribbean Program Services Self Insurance 124148 Central America and the Caribbean Investments N/A 9593106 9717254 9717254 true false true false false false true true X true X true X true true false true true 973709 973709 0.00140 288652185 212679254 75972931 0.10690 289625894 212679254 76946640 0.10830 12539305 2540641 9998664 0.01410 6816583 2208042 4608541 0.00650 41001972 26593777 14408195 0.02030 3580899 2057630 1523269 0.00210 336365 336365 0.00040 64275124 33400090 30875034 0.04340 353901018 246079344 107821674 0.15170 5600 5600 12000 12000 21800 21800 64500 64500 0.00010 103900 103900 0.00010 true 6107234 1526809 210530 346682 -136152 X true true 1 1 Children's Health Care 2525 Chicago Avenue South Minneapolis MN 55404 http://www.childrensmn.org/ 356144 X X X X X X Children's Health Care 1 true false true X X X X X X X X X 13 true false false true X http://www.childrensmn.org/community X true 13 true http://www.childrensmn.org/community false false true X 150. 350. X X X X X true true X X X X true X true X false X X X X true X false false Part V Line 5 In conducting the 2013 CHNA regarding health needs in the community served by Children's, interviews were conducted with 63 key informants. The 63 stakeholders were comprised of public health experts; individuals from health or other departments and agencies; leaders or representatives of medically underserved, low-income, and minority populations; and other community members. A full list of all stakeholders interviewed is available in the full CHNA report at childrensmn.org/community. Children's actively participates in several community health coalitions and maintains ongoing contact with many of these representatives. Part V, Line 11 In 2014, Children's continued to provide the following services to address the significant needs identified in its CHNA, including: Access to care: - Interpreter Services: Overall, the total number of interpreting encounters for 2014 was 80,633 in a total of 61 languages. The top three languages interpreted at Children's are: Spanish, Somali and Hmong. - Food Pantry: In 2014, the Family Resource Center provided 6,916 meals, which served 664 children and 2,694 adults. - Family Resource Center: In 2014, the Family Resource Center served nearly 3,000 patients who applied for Minnesota health care programs. The Sibling Play Area was used by 5,195 kids in Minneapolis and 1,748 in Saint Paul. - Pediatric Tuberculosis Clinic: Staff at Children's provide services below cost to the St. Paul/Ramsey County public health department for pediatric patients. The clinic saw over 100 patients in 2014. - Children's Immunization Project: Kohl's Cares and Children's Flu Prevention Project administered 7,814 flu vaccinations at school vaccination clinics through funding and support from Kohl's. The program also provided immunizations for 3,280 children under 18 and 1,130 adults without insurance. - Health equity: Children's is committed to addressing health inequity in our community, and we're beginning close to home. The Phillips neighborhood is home to our Minneapolis campus and a beautifully diverse community. Native American families in this neighborhood and around the state face some of the most notable health disparities. In 2014, we launched a comprehensive initiative to listen to, learn about and take action on the barriers to health facing Native American families, both inside and outside our walls. Through ongoing relationship building and an intentional focus on empowering the community to design solutions, we are working with community partners and our own teams to confront health disparities head on and create solutions that support all families in raising healthier children. - Portico Healthnet: To help expand access to coverage, Children's continued providing financial support to Portico Healthnet, a non-profit organization that assists uninsured Minnesotans in accessing affordable health coverage and care. Maternal and child health: - Minnesota Sudden Infant Death (SID) Center: The Minnesota SID Center served 92 families in 2014 through 11 trainings. The SID Center conducted 182 public health nurse visits and sent out 24,000 mailings. - Children's WIC clinic: The WIC clinic located on the Children's Minneapolis campus continued to provide service to women and their children in 2014. The clinic provides nutrition education, access to nutritious foods, and breastfeeding education and support. The program also promotes healthy weight for both mother and child by offering individualized nutrition assessments, monitoring appropriate weight gain and growth, counseling families on how to help children eat a healthy diet, encouraging families to be physically active, and providing referrals to community nutrition and physical activity resources. - Perinatal HIV Prevention: Children's served over 100 clients in the Perinatal HIV Prevention program, including providing care coordination to 27 HIV-positive pregnant women. Children's provided case management for 27 HIV-positive patients in addition to surveillance for 34 HIV-exposed infants. Mental health: - The Midwest Children's Resource Center at Children's is a hospital-based program that provides clinical evaluations and services to children who have been abused or neglected. - Mental Health Landscape Assessment: To inform potential future collaborations to better serve children confronting mental health challenges, Children's conducted an extensive assessment of the pediatric mental health landscape in Minnesota. The assessment included a comprehensive inventory of providers and a compilation of consistently and commonly identified needs in the pediatric mental health system. Morbidity and mortality (focus on obesity and asthma): - Healthy Kids Partnership: Children's continued its collaboration with HealthPartners and a variety of community-based organizations and health clinics to address childhood obesity at the community level. Through three neighborhood or city specific initiatives, the partnership is testing diverse approaches toward creating healthier environments for children in our communities. - HealthTeacher: Children's financially sponsors the HealthTeacher program for school districts in Hennepin and Ramsey counties. HealthTeacher, Inc. provides web-based health education curriculum and related resources focused on health improvement and physical activity. These tools provide schools and teachers important resources to help children lead healthy lives. - Public health and policy coalitions: In order to address the policies, systems and environments that impact child health, Children's actively participated in several broad based coalitions, including: the Minnesota Prematurity Task Force, Minnesota Healthy Kids coalition, MinneMinds, Generation Next, the Saint Paul Promise Neighborhood health committee, the Mental Health Legislative Network, and the Community Health Improvement Partnership collaborations in Hennepin and Ramsey counties. These coalitions address a variety of health issues in our community, including improved birth outcomes, childhood weight status, early childhood development, access to health care, social connectedness, and community health overall. Social and economic factors: - School re-entry program: When a child is forced to miss school for a prolonged period of time due to an illness, the school re-entry program helps him or her prepare for a return to the classroom. Children's conducted 64 school visits which served 2,827 children. - Child Life Services: The Families as Partners program worked with 292 families donating over 4,625 hours of service in 2014. There were 16 individuals who served on the Family Advisory Council and 18 youth who served on the Youth Advisory Council. Part V, Line 13b We charge everybody the same, however, the discount applied to FAP eligible individuals is based on the financial assistance policy so a discount charge between 50% and 100%, based on income guidelines, or 44% discount for the uninsured, based on our largest commercial payer. Part V, Line 15e Children's Hospitals and Clinics has a financial assistance policy which is a sliding fee scale based on the federal poverty guidelines, updated annually. Our policy outlines the eligibility guidelines which include income, evidence of insurance and household size. Children's is currently working on updating our Financial Assistance Policy to be compliant with the new IRS 501R regulations effective January 1, 2016. Part V, Line 16i Children's hospital and clinics has a financial assistance policy. We are currently developing the ability to post our policy and plain language summary on our website and make it available throughout the organization. We currently have a summary document of our policy, what income information is needed, how to apply including phone numbers and mailing addresses for applications. This summary document is available to families in English, Spanish, Hmong and Somali and is posted on our website. In addition, we have a financial assistance calculator where families are able to key in their income and family size to assess whether they may meet our policy guidelines. The summary document is provided to all families who present with no insurance or limited insurance or who express a concern at registration regarding financial need. Children's is currently working on updating our Financial Assistance Policy and creating a plain language summary document as prescribed in the final regulation. Part V, Line 22d Children's is in the process of determine the average amount billed based on the final IRS regulations. During the 2014 tax year, Children's provided uninsured families who applied and had income less than $125,000 a discount equal to that of our largest commercial payer. That discount for the hospital is 44%, freestanding ambulatory surgical center/diagnostic treatment facilty was 51% and the affiliated free standing clinics was 25%. 8 Children's Clinics - Woodwinds 1825 Woodwinds Drive Suite 400 Woodbury MN 55125 Specialty and Rehabilitation Clinic Children's - Maple Grove 7767 Elm Creek Blvd Suite 300 Maple Grove MN 55369 Specialty and Rehabilitation Clinic Children's Rehab Clinic 5950 Clearwater Drive Suite 500 Minnetonka MN 55343 ENT and Rehabiliation Clinic Children's - Roseville 1835 W County Rd C Roseville MN 55113 Specialty and Rehabilitation Clinic Children's - Minnetonka 6060 Clearwater Drive Suite 204 Minnetonka MN 55343 Specialty Clinic - Diabetes and Endocrinology Children's Sleep Center 310 North Smith Ave Suite 480 St Paul MN 55404 Specialty Clinic- Sleep Disorders Center for the Treatment of Eating Dsrdr 910 E 26th Street Suite 410 Minneapolis MN 55404 Specialty Clinic - Eating Disorders Children's Specialty Clinic 360 Sherman Street St Paul MN 55102 Specialty Clinic - Psychological Services Part I, Line 3c FPG is the primary measurement used to determine eligibility for charity care. However, policy exceptions may be granted for families who have medical debt exceeding 10 percent of their income or have other specific documented needs where they are not able to pay all or a portion of their balance. Medicaid eligibility may also be used to determine eligibility. Part I, Line 6a Children's includes information on community benefit expenditures in the organization's annual report. The report is available online at http://www.childrensmn.org/giving/gifts-in-action. Community benefit numbers as well as community health needs assessment information are also available on the community health section of the website: http://www.childrensmn.org/community. Part I, Line 7g Subsidized health services benefits include the following programs: ECMO (extracorporeal membrane oxygenation) is a lifesaving treatment for the most critically ill babies, children and teens. ECMO takes over temporarily with a mechanical blood pump and artificial lung when a child's heart or lung is not functioning. The ECMO program at Children's Hospitals and Clinics of Minnesota is the largest and oldest in the state: $1,555,155. The Infant Apnea Program includes pediatric specialists who understand the science behind a baby's breathing process. Our team of pulmonary, neonatology and nurse experts provides comprehensive evaluations, family education, ongoing management and support to families of infants diagnosed with apnea or gastroesophageal reflux (GER), a regurgitation of food that can interfere with breathing: $323,363 The Hospitalist Program is a team on the general medical/surgical units 24/7 that are among the first faces a child sees. The hospitalists confer with the referring doctor and the patient's pediatrician to gather information and plan for first-rate care: $1,783,837. The Eating Disorders Clinic uses leading evidence-based treatments to patients of all ages and with all types of eating disorders. The Center for the Treatment of Eating Disorders is the only hospital-based program in the Twin Cities to offer immediate access for medical stabilization: $381,824. The Cleft and Craniofacial Clinic is one of the premier programs in the region dedicated exclusively to diagnosing and treating cleft and craniofacial disorders in babies, children, adolescents and young adults. They treat a wide range of conditions, from cleft lips to abnormal head shapes, using state-of-the-art technologies for 21st century care: $1,226,357. The Development Pediatric Clinic addresses concerns about your child's developmental, behavioral, social or learning challenges. The program approaches behavioral and developmental conditions, such as autism and Down syndrome, from all angles: $250,779. The Gynecology Clinic provides evaluations and breakthrough treatments for a wide range of, both common and rare, gynecological conditions that could impact patients from birth through young adulthood. We are recognized as the only pediatric gynecology center in Minnesota: $6,127. Psychological Services meets with children for outpatient therapy, psychological and neuropsychological assessments, and consultation to outpatient and inpatient medical service: $1,320,317. Home Health Care allows kids to receive these services not at a hospital bedside, but at home with their families. Education is also a big part of a home care nurses' role and they are always available to answer any questions or provide assistance: $1,675,300. Midwest Children's Resources Center (MCRC) offers medical evaluations and case management in alleged child abuse cases, serious neglect and witness to violence. Every year, more than 1,100 children ages 0 to 18 visit us. MCRC receives referrals from law enforcement, emergency departments, primary physicians, child protection services, parents, self referrals and a variety of community agencies: $778,452. The Genetics Clinic helps families understand genetic conditions, like chromosomal disorders and single-gene disorders. With one of the largest genetics programs in the region, we see more than 2,000 children and teens every year and we are the only genetics clinic in Minnesota that focuses entirely on caring for kids with genetic conditions: $528,451. The Neurology Clinic provides expert diagnosis and treatment for kids' brain and nervous system conditions like brain tumors, epilepsy, head trauma, cerebral palsy and others: $581,788. The Neurosurgery Clinic uses cutting edge surgical techniques and technology to treat tumors, epilepsy and other brain and nervous system conditions. We perform hundreds of surgeries each year on babies, kids and teens. That makes us one the most experienced pediatric neurosurgery centers anywhere: $760,881. The Rheumatology Clinic uses advanced tools to diagnose these complex conditions, alleviate pain and restore function in kids and teens: $201,474. Psychiatric Services provides assessment and consultation to children. They can also prescribe and manage medications used to treat emotional and behavioral problems: $606,584. The Infectious Disease department diagnoses and treats acute and chronic infectious diseases, in both hospitalized patients and outpatients. Additionally, we're known across the state for our Minnesota Perinatal and Pediatric HIV Program, which provides clinical care and support services to families affected by HIV: $369,501. The Sedation and Procedural Services (SPS) unit provides a broad range of scheduled and unscheduled services including, non-surgical procedures, diagnostic testing, minimal, moderate, and deep sedation, nurse-only visits, and vascular access services for the hospital sites. The SPS units admit scheduled and unscheduled medical and surgical observation status patients and care for inpatient overflow volume in times of high census: $2,058,005. Part II, Community Building Activities Children's provided the following community building activities in 2014: - Career Readiness: Children's provides financial support to the Hire4Ed Work-Study Program, which provides students with real-world work experience and pays more than half of the students cost of education. Children's also hosts some students in the program for work experience. In 2014, Children's hosted nearly 20 students, providing summer internships for high school students from area high schools. - Project for Pride in Living: PPL helps low-income people achieve self-sufficiency through housing, employment training, support services and education. Children's partners with and provides financial support to PPL in their Train to Work initiative, which has trained hundreds of people to meet entry-level staffing needs of Children's and other major area healthcare partners. Train to Work offers training in healthcare-specific details, such as medical terminology and electronic health records, as well as a job shadowing internship that has been an essential component of the program's success. The internship gives participants hands-on experience in healthcare and gives employers an opportunity to observe potential employees. - Coalition Building: Children's provides support to the Phillips Partnership, a coalition of public and private partners located in the Phillips neighborhood of Minneapolis, focused on safety, housing, jobs and infrastructure. - Community Support: Children's supports the Midtown Safety Center in the Phillips neighborhood where the Minneapolis hospital campus is located. The Midtown Safety Center acts as a hub for connecting police and community in important ways. - Community Support: Children's provided a number of donations to community based organizations in 2014 to support their work in supporting community health through their mission. The work of these organizations varied, both in scope and specific focus, but broadly worked to address the many social conditions that impact health. Part III, Line 2 Bad debt is defined as the unpaid obligation for care provided to patients who have been determined to be able to pay, but have not demonstrated a willingness to pay. The amounts attributable to patients eligible under the organizations charity care policy are determined by a patient's willingness to pay with a documented inability to pay per measures established by our policy. Bad Debt is estimated by applying the ratio of patient care cost to charges, as calculated on Form 990, Schedule H, Worksheet 2, to the actual patient charges. Part III, Line 3 The organization estimates that twenty-five percent of bad debt expenses are attributable to patients who likely would qualify for financial assistance under the organization's charity care policy (but were either unwilling or unable to provide sufficient information to make a determination of their eligibility while in our care). The estimate of twenty-five percent is based on a review of accounts classified as bad debt and management judgement. Part III, Line 4 Footnote from 2014 audited financials: Patient Accounts Receivable - Patient accounts receivable represent amounts due from federal and state agencies, managed healthcare plans, commercial insurance companies, employers, and patients. Children's grants credit to patients, most of whom are insured under third-party payer agreements, without collateral or any other security to support amounts due. Children's determines an allowance for doubtful accounts by considering a number of factors, including, but not limited to, the length of time accounts receivable are past due, previous loss history, the existence of a third-party payer, reimbursement trends, and other collection indicators. Accounts are written off when all reasonable internal and external collection efforts have been performed and payments subsequently received on such receivables are credited to the allowance. At December 31, 2014 and 2013, the allowance for uncollectible accounts was $8,232 and $6,156, respectively. The increase in the allowance for 2014 reflected an increase in overall volumes compared to 2013, and consequently an increase in self-pay accounts receivable. Bad debt write-offs totaled approximately $10,920 and $10,627 for the years ended December 31, 2014 and 2013, respectively. Children's recognizes that revenues and receivables from third-party payers, including governmental agencies, are significant to its operations, but does not believe there are significant credit risks associated with these organizations. In 2014, the top four third-party payers accounted for 32%, 26%, 15%, and 11% of net patient service revenue. In 2013, the top four third-party payers accounted for 35%, 26%, 13%, and 12% of net patient service revenue. 35%, 26%, 13%, and 12% of net patient service revenue.. 35%, 26%, 13%, and 12% of net patient service revenue. Part III, Line 8 The organization primarily serves pediatric patients and does not generate significant Medicare revenues. The organization files a Medicare cost report annually. Form 990, Schedule H, Worksheet 3 - Unreimbursed Medicaid and Other Means-Tested Government Programs was usedto calculate the costs associated with Medicare charges reported in Part III, Line 6. The organization does not report any amounts from Part III, Line 7 as community benefit. Part III, Line 9b When collecting medical debt, Children's Hospitals and Clinics of Minnesota treats its patient families with honor, dignity, and courtesy; demonstrates compassion; and are good stewards of health care resources. There is a zero tolerance for abusive, harassing, oppressive, false, deceptive, or misleading language or collections conduct by Children's employees and contractors who collect medical debt from patient families. This policy applies broadly to all patient families we serve. Components of Children's collection policy include: During the pre-registration, registration, or admission process, Children's attempts to identify and inform patient families who may be eligible for charity care or discounted care through the uninsured discount or charity care policy. All Children's employees and contracted staff who have direct contact with patients are educated on an annual basis of Children's financial assistance policies. The education informs staff of programs available and how a patient family may obtain more information and submit an application for financial assistance. A financial assistance application is sent with the initial hospital patient statement explaining the process for obtaining financial assistance to all self pay patient families. Reference to financial assistance is included on all subsequent statements. If a patient family indicates the need for financial assistance during the registration process or throughout the collection process, financial assistance information is provided to the family by staff. All patients who are registered as self pay are offered the financial assistance information at the time of registration. All correspondence seeking collection of medical debts contain a reference to the availability of financial assistance. Minnesota hospital providers have jointly developed consistent collection guidelines set out in formal agreements with the Minnesota Attorney General's Office. This agreement is consistent with Children's collection policy. The Audit Committee of our Board of Directors annually reviews this policy and all policies concerning collection of medical debt, uninsured discount, and charity care. The Audit Committee also reviews the results of an annual audit related to these areas in accordance with the Minnesota Attorney General's Agreement. Part VI, Line 2 In 2013, Children's completed its first community health needs assessment, as required under the Patient Protection and Affordable Care Act of 2010 ("PPACA"). The CHNA and accompanying implementation strategy were approved by the Children's Board of Directors at its October 2013 board meeting. The complete documents are available to the public at http://www.childrensmn.org/community. In conducting the assessment, Children's considered the following topics and data: demographics; economic issues that affect children; community issues; health status indicators; health access indicators; health disparities indicators and availability of healthcare facilities and resources. In addition to the CHNA process, Children's also regularly assesses the health care needs of the community in the following ways: a. Board of Directors: the organization's governing body, comprised primarily of community members who reside locally, provides governance oversight and input on the health care services Children's provides to the local community. b. Children's employed physicians, independent physicians who provide care at Children's, and numerous clinical care providers assess community needs daily through the pediatric care provided throughout the community. c. Community partnerships/relationships: Children's Advocacy and Health Policy department has developed a core strategy based on active and substantive engagement of the community, in its varying forms. This includes collaboration with community-based organizations and leaders, aligned non-profits, service delivery agencies and associations. We also engage in local and state government-driven initiatives around child health issues. Through these partnerships Children's gains insight and supports progress on a number of key issues impacting children, including: early childhood development, childhood obesity, premature birth, tobacco control, equity and the social conditions that impact health. d. The Family Advisory Council: this diverse group of families whose children are present or past patients of Children's regularly provides input on the services provided at Children's. Council members represent a wide range of inpatient and outpatient experiences to help enhance the quality of child and family care experiences at Children's. Council responsibilities include: - Develop, implement and evaluate service and facility standards. - Communicate with management about the recommendations and concerns expressed by parents, family members, parent associations and others. - Advise on policy review, promote family-centered care and support program development. e. Youth Advisory Council: This is a dedicated group of patients; ages 10 to 18, who help hospital staff, leaders, clinicians and parents understand what is important to children, teens and siblings during hospital stays, clinic visits and emergency care. The YAC brings a valuable perspective and voice to Children's by participating in activities that promote discussion and thought about health care services for pediatric and young adult patients. The council also brings great perspective to let other children know how to make their stay at Children's a more comfortable and positive experience. f. Other methods include and are not limited to partnerships and projects with third party-payers and other community physicians and hospitals, monitoring and reporting of infectious disease data, disaster readiness efforts, research and education, support groups, and others. Part VI, Line 3 During the pre-registration, registration, or admission process, Children's will attempt to identify and inform patient families who may be eligible for charity care or discounted care through the uninsured discount or charity care policy. All Children's employees and contracted staff who have direct contact with patients will be educated on an annual basis of Children's financial assistance policies. The education will inform staff of programs available and how a patient family may obtain more information and submit an application for financial assistance. A financial assistance application will be sent with the initial letter explaining the process for obtaining financial assistance to all self pay patient families. If a patient family indicates the need for financial assistance during the registration process, financial assistance information is provided to the family by the registration staff. All correspondence seeking collection of medical debts will contain a reference to the availability of financial assistance. Minnesota hospital providers have jointly developed consistent collection guidelines set out in formal agreements with the Minnesota Attorney General's Office. This agreement is consistent with Children's collection policy. The Board of Directors (Audit Committee) performs an annual review of this policy and all policies concerning collection of medical debt, uninsured discount, and charity care. The Audit Committee shall also review the results of an annual audit related to these areas in accordance with the Minnesota Attorney General's Agreement. Part VI, Line 4 Children's Hospitals and Clinics of Minnesota serves the five state area of the upper Midwest (Minnesota, North Dakota, South Dakota, Iowa, and Wisconsin). In 2014, Children's served patients from 100 percent of Minnesota counties and 63 percent of the total counties in the five state area. The age of patients reflects the pediatric health services provided with approximately 70 percent of patients being under the age of ten and approximately 86 percent under the age of fifteen. In support of a highly diverse patient population, Children's provided interpreter services for 61 languages with the most frequent languages being Spanish, Somali, and Hmong. Children's also serves a disproportionate share of economically disadvantaged patients with 42 percent of net patient revenues from government programs. The Minneapolis campus is located within the Phillips-Powderhorn neighborhood (MUA), home to one of the most ethnically diverse communities in Minnesota. Part VI, Line 5 As a tax-exempt organization, Children's maintains an open medical staff and is governed by a volunteer, community board. Children's provides a broad spectrum of benefits to the communities it serves that would otherwise be unavailable or insufficient to meet patient demand. Children's does this for the express purpose of improving the health status of children in the community. These services and donations account for a measurable portion of the hospital's costs and help to promote healthy lifestyles, community development, health education and affordable access to care. Example programs include: - Portico Healthnet: Children's is one of the local hospitals and health plans in the Twin Cities that advises Portico Healthnet on issues related to program services and also provides funding for medical services to participants. Portico Healthnet is a nonprofit health and human services organization that serves the community by assisting children, parents and individuals who are uninsured with applications to health care programs and by offering a primary and preventive health care access program for people ineligible for public programs. - Women, Infants & Children (WIC) Program. Children's houses a Woman, Infants and Children (WIC) clinic to facilitate enrollment in the program, nutrition education, access to nutritious foods, as well as breastfeeding education and support. Additionally, the Children's WIC Program promotes healthy weight for both mother and child by offering individualized nutrition assessments, monitoring appropriate weight gain and growth, counseling families on how to help children eat a healthy diet, encouraging families to be physically active, and providing referrals to community nutrition and physical activity resources. - HealthTeacher: Children's financially sponsors the HealthTeacher program for school districts in Hennepin and Ramsey counties. HealthTeacher, Inc. provides web-based health education curriculum and related resources focused on health improvement and physical activity. These tools provide schools and teachers important resources to help children lead healthy lives. - The EMSC Resource Center provides technical assistance to agencies to improve pediatric emergency care. The EMSC works to reduce child morbidity and mortality due to trauma and critical illness and is the only statewide program that focuses on improving pediatric components of medical care. - The Minnesota Sudden Infant Death (SID) Center: Children's houses the Minnesota SID Center, which provides support to families and promotes awareness within both the medical and lay communities of SIDS and other causes of sudden infant death. The center works to identify causes of sudden, unexpected infant death throughout Minnesota; reaches out with information and support to families; educates professionals and the public; and participates in research. - The Simulation Center is a motor coach outfitted with simulation equipment and staffed with Children's trainers that travels throughout the Midwest to train staff from hospitals in the best practices when responding to pediatric or neonatal medical emergencies. - Healthy Kids Partnership: HealthPartners and Children's Hospital and Clinics of Minnesota are collaborating with community stakeholders to help promote childhood health and prevent obesity. Physician champions in three clinics are connecting with schools, community centers, local businesses and public health. By working in partnership, we hope to promote and sustain change in the places our kids live, learn and play. - Children's Immunization Project: To increase rates of vaccination among children, particularly in low-income and underserved areas, Children's provides outreach and education on vaccinations. The program's current focus is on influenza prevention, and activities include vaccination clinics and educational outreach. - Perinatal HIV Prevention Program: Optimal prenatal care for women with HIV is essential in preventing transmission of the disease to infants. Children's Infection Prevention department works with HIV positive pregnant women to help them get this care by building relationships with medical providers throughout the state to refer expecting mothers into the program. - The Advocacy and Health Policy Department at Children's promotes the health of the community through active and intentional engagement with the community to build partnerships that can support the health and well being of children in Minnesota. Part VI, Line 7 State Filing of Community Benefit Report MN true Abbott Northwestern Hospital Foundation 800 East 28th Street Minneapolis MN 55407 043643816 501(c)(3) 10000 Critical Care Fund Cristo Rey Jesuit High School 2924 4th Ave S Minneapolis MN 55408 204548714 501(c)(3) 29500 Sponsorship - Hire for Ed Program Healthteacher Inc 209 10th Ave S Suite 350 Nashville TN 37203 218165 Classroom-based PE curriculum March of Dimes 5233 Edina Industrial Blvd Edina MN 55439 131846366 501(c)(3) 10000 Sponsorship - Nurse of the Year Phillips West Neighborhood Org 2400 Park Ave S Suite 152 Minneapolis MN 55404 900122796 501(c)(3) 5600 Sponsorship - Midtown Safety , NNO Portico Healthnet 2610 University Ave W Suite 550 St Paul MN 55114 411814659 501(c)(3) 90500 Assist families in obtaining insurance Project for Pride in Living 1035 E Franklin Ave Minneapolis MN 55406 237232208 501(c)(3) 25000 Health career job training Roosevelt High School 4029 28th Ave S Minneapolis MN 55406 411927097 501(c)(3) 10000 Health Career Program Smith Partners 400 2nd Ave S Suite 1200 Minneaplis MN 55401 203663831 21800 Phillips partnership & community development Arkansas Children's Hospital Foundation 1 Childrens Way Little Rock AR 72202 710568795 501(c)(3) 10000 Cardiovascular Program education Camp Odayin PO Box 2068 Stillwater MN 55082 412014358 501(c)(3) 6500 Event sponsorships Hope Community Inc 611 East Franklin Ave Minneapolis MN 55404 411292817 501(c)(3) 7500 Phillips Neighborhood revitalization MN Wild Foundation 317 Washington Street St Paul MN 55102 900518400 501(c)(3) 26250 'Wild about Children's' Event Ronald McDonald House - Upper Midwest 818 Fulton Street NE Minneapolis MN 55414 411313107 501(c)(3) 225000 Operational support and sponsorship 12 2 Part I, Line 2: From time to time, Children's grants monies to other organizations conducting programs and/or research that will benefit the children that Children's serves. Children's also occasionally provides monetary support to organizations that promote careers in the health care field and community organizations that support the economic development of the area surrounding the Children's Minneapolis campus. Children's receives periodic updates regarding the use of the funds. X true false X X X X X true true false false false false false false false David Overman President & COO 479099 0 171861 0 139104 0 105756 0 18796 0 914616 0 117466 0 Alec Mahmood VP, Finance and CFO 536435 0 69593 0 159729 0 77610 0 22128 0 865495 0 0 0 Phil Kibort VP Medical Affairs and CMO 470095 0 130469 0 194296 0 106731 0 18796 0 920387 0 152726 0 Maria Christu Gen Counsel, VP, Advoc & Hlth 336754 0 93347 0 44973 0 61086 0 21109 0 557269 0 38668 0 Theresa Pesch President, Foundation 158066 158066 56305 56305 33588 33588 28705 28705 8791 8791 285455 285455 35696 0 Roxanne Fernandes Chief Nursing Officer 310095 0 85235 0 48769 0 57584 0 17436 0 519119 0 43037 0 Jeffrey Young Chief Information Officer 301228 0 79925 0 37626 0 38007 0 19219 0 476005 0 30577 0 Carol Wilcox Senior Hospital Administrator 192711 0 51435 0 2463 0 39752 0 2194 0 288555 0 0 0 Bjorn Gunnerud VP, Marketing & Communications 206065 0 57429 0 11837 0 42273 0 19599 0 337203 0 0 0 Samantha Hanson CHRO, start 05/12/14 177047 0 0 1117 0 28138 0 12591 0 218893 0 0 0 Jennifer Close Chief Ambulatory Officer 131365 0 24039 0 1226 0 7460 0 4910 0 169000 0 0 0 Carol Koenecke-Grant Chief Strategy Officer 259060 0 70383 0 2825 0 15600 0 9763 0 357631 0 0 0 David Brumbaugh CHRO, Thru 04/30/14 77775 0 77571 0 421672 0 142870 0 5965 0 725853 0 78978 0 Alan Goldbloom CEO thru 12/31/14 839976 0 383194 0 788548 0 20346 0 18796 0 2050860 0 294662 0 Jerry Massmann Former VP of Finance and CFO 0 84166 0 468610 0 45703 0 2883 0 601362 0 0 0 Jamie Wiggins Sr Dir Clin Svc Critical Care 171878 0 33976 0 372 0 8950 0 14833 0 230009 0 0 0 Jennifer Olson Exec Dir Mother-Baby Srvc Line 206432 0 38584 0 616 0 18859 0 13488 0 277979 0 0 0 Gloria Drake Sr Dir Clinical Svc Periop 176292 36696 36091 0 1835 0 28562 0 16895 0 259675 36696 0 0 Alice Chernich Sr Dir Clinical Svc Neonatal 156019 0 30398 0 120 0 11410 0 13276 0 211223 0 0 0 Becky Bedore Sr Dir Clin Svcs - Pediatrics 148631 0 29347 0 1784 0 27451 0 14717 0 221930 0 0 0 Joseph Petronio Surgical Dir, Peds Neurosurg 760133 0 83027 0 62428 0 49613 0 24050 0 979251 0 37515 0 Meysam Kebriaei Staff Physician 784418 0 0 1076 0 56962 0 23566 0 866022 0 0 0 William Mize Medical Director 455640 0 57041 0 36545 0 50740 0 24050 0 624016 0 30912 0 James Engels Staff Physician 507790 0 10324 0 73214 0 56807 0 20802 0 668937 0 33709 0 Frank Rimell Staff Physician 503034 0 0 3552 0 39596 0 24050 0 570232 0 0 0 Robert Segal Medical Director 245288 0 24643 0 22776 0 54292 0 22198 0 369197 0 14126 0 Part I, Line 1a: Alan Goldbloom is reimbursed for his membership fees for the Minneapolis Club, which is used solely for business purposes. Part I, Line 4a: Jerry Massmann began receiving severance pay on 8/1/2013 for two years. He received $468,610 in 2014. Part I, Line 4b: Certain employees of Children's Health Care, parent of Children's Clinic Network, are provided the opportunity to participate in the Capital Accumulation Plan ("the Capital Plan"). The Capital Plan requires that the employee is a physician or executive and is a .5 FTE or more in order to be to participate in the Capital Plan. Payments from the Capital Plan occur at vesting and are based on percentage of salary. The following amounts represent the amount paid under the Capital Plan in 2014. Maria Christu - $38,668 Alan Goldbloom - $294,662 Phil Kibort - $152,726 David Brumbaugh - $78,978 Theresa Pesch - $35,696 David Overman - $117,466 Roxanne Fernandes - $43,037 Jeffrey Young - $30,577 Joseph Petronio - $37,515 William Mize - $30,912 James Engels - $33,709 Robert Segal - $14,126 Certain employees of Children's Health Care are provided the opportunity to participate in the Deferral Account Pay Plan (the Deferral Plan). The Deferral Plan requires that the employee is a physician or executive and is a .5 FTE or more in order to be eligible to participate in the Deferral Plan. Payments from the Deferral Plan occur at vesting and are based on percentage of salary. There were no amounts paid under the Deferral Plan in 2014. A 1995B2004A - See Part VI 416005375 603695FG7 2004-08-24 77550000 Healthcare equip & bldg & ref bond false false false B 2004B - See Part VI 416005375 603695FH5 2005-05-25 51550000 Refunding of taxable bond false false false C 2007A - See Part VI 416005375 603695FP7 2007-11-15 103000000 Facility expansion and upgrade false false false D 1995B2004A-12010A - See Part VI 416005375 603695GQ4 2010-03-25 97051274 Facility expns & upgrade & ref bon false false false A 58125000 0 77550000 119 0 0 810064 1239936 0 50000000 25500000 0 2004 true false true true B 19625000 0 51500000 192 0 0 0 0 0 0 51550000 0 true false true true C 7700000 0 106148383 1258 0 0 862000 1582951 0 103703432 0 0 2009 false false true true D 22895000 0 97071507 484 0 0 0 0 0 51120684 45950823 0 2011 true false true true A false false true true true true 0.00010 0.00010 false false false true B 0 C false false true true true true 0.00010 0.00010 false false false true D false false true true true true 0.00010 0.00010 false false false true A false false true false true true Piper Jaffray 29.2 false false false 0 false true B false false true false true true Piper Jaffray 19.2 false false false 0 false true C false false true false true true Piper Jaffray 26.8 false false false 0 false true D false false true false true false 0 false 0 false true A true B true C true D true Bond Information Supplemental Information The report periods selected for all four bond issues recorded on Schedule K are not the same as the fiscal year end for the rest of the Form 990. Schedule K uses the bond year ending of August 15, 2015. Part I, Column (g) A. Though these bonds are not defeased, a portion of the bonds was currently refunded by a reissuance on 3/25/2010. Schedule K, Part I, Line 1 Column A Health Care Facilities Revenue Bonds 1995B/2004A - Issuer of the bond is City of Minneapolis, MN (41-6005375) and Housing and Redevelopment Authority of the City of St. Paul, MN (41-6005521). Schedule K, Part I, Line 2 Column A Health Care Facilities Revenue Bonds 2004B - Issuer of the bond is City of Minneapolis, MN (41-6005375) and Housing and Redevelopment Authority of the City of St. Paul, MN (41-6005521). Schedule K, Part I, Line 3 Column A Health Care Facilities Revenue Bonds 2007A - Issuer of the bond is City of Minneapolis, MN (41-6005375) and Housing and Redevelopment Authority of the City of St. Paul, MN (41-6005521). Schedule K, Part I, Line 4 Column A Health Care Facilities Revenue Bonds 1995B/2004A-1/2010A - Issuer of the bond is City of Minneapolis, MN (41-6005375) and Housing and Redevelopment Authority of the City of St. Paul, MN (41-6005521). Part II, Line 3 Differences between Part I, Column (e) and Part II, Line 3 are due to investment earnings. Schedule K, Part II, Line 13 Year of Substantial Completion B. As this bond issue consists entirely of refunding bonds, it is Children's understanding that the concept of "year of substantial completion" does not apply to this issue. Children's Respiratory Critical C John McNamara, MD 4416704 Board Member false Sch L, Part IV Business Transactions Involving Interested Persons: (a) Name of Interested Person: Children's Respiratory & Critical Care Specialists PA (d) Description of Transaction: Board member of Children's Respiratory & Critical Care Specialists PA X 3 2118 Cost/Selling Price X 140877 Cost/Selling Price X 485053 Cost/Selling Price X 84 173413 Cost/Selling Price X 1 6595 Cost/Selling Price X Other 25 1721632 Cost/Selling Price X Entertainment 62 56720 Cost/Selling Price X Electronics 14 59970 Cost/Selling Price false true false Form 990, Part VI, Section B, line 11: Children's senior management reviews the draft Form 990 with the Audit and Compliance Committee of the governing body prior to filing of the Form. This review includes an overview of the Form and discussion related to key sections. Copies of the final Form 990 are made available to all of the Committee and all directors prior to the Form being filed. The Audit and Compliance Committee has been delegated the authority to oversee the completion and filing of the Form 990 by the full board, and the Committee reports the results of its review and approval to the full board at a regularly scheduled board meeting. Form 990, Part VI, Section B, Line 12c: Management of Children's ensure that conflict of interest disclosure forms are completed by all members of the governing body and board committees at least annually. Forms are completed at the beginning of the year, and directors and committee members are instructed to provide additional disclosures if necessary during the course of the year. The Governance Committee of the governing body, along with senior management(CEO and General Counsel) review all disclosures provided by governing board members. The results of this review and any concerns, limitations, etc., are reported by the Governance Committee to the full board. If conflicts are identified, the Governance Committee and management work to ensure that directors do not participate in discussion or voting on the affected matter. Form 990, Part VI, Section B, Line 15: Children's follows the requirements set forth in the IRS rebuttable presumption of reasonableness in determining compensation for the CEO and other officers and executive leaders of Children's. This function is performed by the Compensation Committee of the governing board, which is composed of only independent directors. The process includes review of comparability data, retention of an outside compensation consultant and contemporaneous substantiation of the deliberation and decision through detailed minutes of the Compensation Committee and full board meetings where executive compensation is considered. Form 990, Part VI, Section B, Line 16 Currently Children's does not have any joint ventures with a taxable entity that are mission related or joint ventures that are not mission related. Within the context of their investment portfolio, the organization has invested in a number of limited partnership opportunities. Form 990, Part VI, Section C, Line 19: Children's makes financial statement information public through a summary of financial performance in its annual report. In addition, financial statements are provided publicly through Digital Assurance Certification, a dissemination agent, who therefore make this information publicly available. Children's governing documents and conflict of interest policy are not available to the public. Form 990, Part XI, line 9 Changes in Net Assets: RSVP Retirement plan-related changes -8,354,198 Change in value of interest rate swap valuation -10,626,264 Change in Beneficial Interest in Net Assets of Foundation 4,892,927 Total to Form 990, Part XI, Line 9 -14,087,535 FORM 990 PART IX LINE 11G DESCRIPTION:Medical Residents - Pediatrics TOTAL FEES:3184602 FORM 990 PART IX LINE 11G DESCRIPTION:Consulting Fees TOTAL FEES:14865192 FORM 990 PART IX LINE 11G DESCRIPTION:Data Processing TOTAL FEES:3591 FORM 990 PART IX LINE 11G DESCRIPTION:Security TOTAL FEES:732432 FORM 990 PART IX LINE 11G DESCRIPTION:Linen TOTAL FEES:1554576 FORM 990 PART IX LINE 11G DESCRIPTION:Purchased Services TOTAL FEES:58968273 FORM 990 PART IX LINE 11G DESCRIPTION:Stipends and Honorariums TOTAL FEES:193562 FORM 990 PART IX LINE 11G DESCRIPTION:Leased Equipment TOTAL FEES:1778780 FORM 990 PART IX LINE 11G DESCRIPTION:Maintenance/Service Contracts TOTAL FEES:2377612 FORM 990 PART IX LINE 11G DESCRIPTION:EQUIPMENT REPAIR & MAINTENANCE TOTAL FEES:1504884 Childrens HC SErvices Inc DBA-Minnetonka 2525 Chicago Ave S Minneapolis MN 55404 411756478 Healthcare MN 501(c)(3) Line 3 CHC true Children's Health Care Foundation 2525 Chicago Ave S Minneapolis MN 55404 411814223 Healthcare MN 501(c)(3) Line 7 CHC true Children's Clinic Network 2525 Chicago Ave S Minneapolis MN 55404 453765330 Healthcare MN 501(c)(3) Line 3 CHC true Mother Baby Facility LLC 2525 Chicago Ave S Minneapolis MN 55404 454078371 Healthcare MN 501(c)(3) Line 11A CHC true None Children's Health Insurance Network Ltd PO Box 30600 Grand Cayman CJ KY-1203 Insurance CJ CHC C Corp 81305 9593106 1.00000 true CHILDREN'S HEALTH NETWORK 910 EAST 26TH STREET SUITE 330 MINNEAPOLIS MN 55404 463226418 MEDICAL SERVICES MN CHC C CORP 0 0 true false false true false false false false false false false false true true false true true true true true Children's Health Care Foundation c 17731595 accrual Children's Health Care Foundation l 6470986 accrual Children's Health Care Foundation o 4566551 accrual Children's Health Care Foundation r 17620369 accrual Children's Health Care Services Inc l 290206 accrual Children's Health Care Services Inc o 339631 accrual Children's Health Care Services Inc q 9005286 accrual Children's Health Care Services Inc p 6495182 accrual Children's Clinic Network l 208458 accrual Children's Clinic Network o 1578189 accrual Children's Clinic Network p 48745181 accrual Children's Clinic Network q 45120680 accrual Children's Clinic Network r 1272688 accrual Children's Clinic Network s 417870 accrual