FURP.ORG / PUBLIC DATA EXPLORER

CHILDRENS HEALTH CARE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HEALTH CARE (EIN 41-1754276)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-02
IRS object ID
201213079349301046
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-02T15:31:39-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line150 SOUTH SIXTH STREETAddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN411754276EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Children's Health CareBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHILNameControl
Phone6128136000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12525 Chicago Avenue SouthAddressLine1
CityMinneapolisCity
StateMNState
ZIP Code554041844ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJERRY MASSMANNName
TitleCFOTitle
Phone6128136000Phone
Date Signed2012-10-30DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKristina RasmussenName
PTINP00143920PTIN
Phone6123974000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Children's Hospitals and Clinics of MinnesotaBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonJerry MassmannNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12525 Chicago Avenue SouthAddressLine1
CityMinneapolisCity
StateMNState
ZIP Code554041844ZIPCode
FieldValueIRS element (for citing)
Gross Receipts618141222GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.childrensmn.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionChildren's Hospitals and Clinics of Minnesota champions the special needs of children.ActivityOrMissionDescription
Nbr Voting Members Governing Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees4581TotalNbrEmployees
Total Nbr Volunteers1226TotalNbrVolunteers
Total Gross UBI82495TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year34049233ContributionsGrantsPriorYear
Contributions Grants Current Year32929702ContributionsGrantsCurrentYear
Program Service Revenue Prior Year533758861ProgramServiceRevenuePriorYear
Program Service Revenue CY555819124ProgramServiceRevenueCY
Investment Income Prior Year32667649InvestmentIncomePriorYear
Investment Income Current Year25409612InvestmentIncomeCurrentYear
Other Revenue Prior Year2322913OtherRevenuePriorYear
Other Revenue Current Year2647188OtherRevenueCurrentYear
Total Revenue Prior Year602798656TotalRevenuePriorYear
Total Revenue Current Year616805626TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year345688GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY634284GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year332518318SalariesEtcPriorYear
Salaries Etc Current Year340044362SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year226806362OtherExpensePriorYear
Other Expenses Current Year240176829OtherExpensesCurrentYear
Total Expenses Prior Year559670368TotalExpensesPriorYear
Total Expenses Current Year580855475TotalExpensesCurrentYear
Revenues Less Expenses Prior Year43128288RevenuesLessExpensesPriorYear
Revenues Less Expenses CY35950151RevenuesLessExpensesCY
Total Assets BOY916808405TotalAssetsBOY
Total Assets EOY931983450TotalAssetsEOY
Total Liabilities BOY416355035TotalLiabilitiesBOY
Total Liabilities EOY426913792TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY500453370NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY505069658NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionChildren'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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense487203777Expense
Grants368003Grants
Revenue552312369Revenue
DescriptionHospital program services: Families look to Children's Hospitals and Clinics of Minnesota ("Children's") for the finest in pediatric care. With two pediatric hospital facilities and 347 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 Minneapolis and St. Paul hospitals as two of the top ten pediatric hospitals in the country for quality and efficiency. This is the third year in a row Children's has been recognized by the Leapfrog Group. See Schedule O.Children's was the only pediatric hospital in the five-state-region to receive a 2011 Leapfrog award.For the sixth year in a row, Children's has been named one of the top pediatric hospitals in the nation according to the 2012-2013 U.S. News Media Group's Best Children's Hospitals rankings. This year Children's ranked in two categories - cardiology and heart surgery and neonatology. The U.S. News rankings give Children's high marks for patient volumes, safety, and overall outcomes in each of the clinical areas. Children's also received high marks for nurse-to-patient staffing levels that continue to be among the nation's highest.We are Minnesota's largest provider of care to children with complex surgical conditions, heart disease, cancer, diabetes, and extreme pre-maturity. In 2011, Children's cared for 12,218 inpatient admissions representing 79,736 patient days, performed 20,435 surgical cases, treated 88,674 emergency room visits and cared for 148,973 outpatient clinic visits, many of which provided to inner city Minneapolis and St. Paul residents. Children's continues to serve a diverse population with 60,985 family encounters for language interpretation utilizing 46 different languages interpreted.Children's designates certain major programs as a "Cornerstone program". These programs meet rigorous criteria for excellence, including outstanding use of evidence-based practices, clinical research, and advanced technologies. These Cornerstone programs include:- Cardiovascular : Children's pediatric cardiovascular program is one of the largest in the region with some of the most impressive outcomes in the U.S. Team members care for thousands of the region's sickest children with heart conditions, including fetuses, newborns, infants, children, adolescents, and adult, long-term patients with pediatric cardiovascular conditions. - Neonatal Intensive Care : Children's specializes in caring for multiples, babies with congenital anomalies, very premature and very low birth weight babies, and infants born with other complex diagnoses. We offer exceptional tertiary and quaternary care for babies, with survival outcomes among the best in the world. Children's neonatal program is one of the nation's largest programs with 138 staffed beds and more than 35,000 patient days. Our neonatal team includes highly-trained and experienced professionals from a full spectrum of medical specialties. - Hematology/Oncology : The hematology/oncology program at Children's is the largest in the upper Midwest with treatment outcomes that consistently rank Children's as one of the top ten programs in the U.S. In our nationally unique model, your child's or teen's care is spearheaded and coordinated by a board-certified hematologist/oncologist, who leads a highly experienced team of multidisciplinary professionals.- Cystic Fibrosis : The Cystic Fibrosis (CF) Center at Children's diagnoses and treats children in all stages of CF. Our dedication to family-centered care and education helps children and their families learn to live with CF. Care at Children's for patients with CF ranks among the top 10 programs nationally in key outcomes measured by the National Cystic Fibrosis Registry. Children's provides a continuum of care through coordinated inpatient and outpatient services, from diagnosis through long-term follow-up. The Cystic Fibrosis Center of Children's provides state-of-the art comprehensive care for children with CF.- Diabetes/Endocrinology : The McNeely Pediatric Diabetes Center is the only diabetes center in the region to specialize in working solely with children and teens. The staff provide expert health care to help maintain a child's targeted blood sugar ranges. Most children seen in the diabetes center have Type 1 diabetes. A small but growing number have Type 2. In addition to diabetes, the clinic provides diagnostic services and treatment for children with disorders of growth, advanced or delayed sexual development, pituitary disorders, thyroid abnormalities, disorders of calcium balance, adrenal disorders, and hypoglycemia. The McNeely Pediatric Diabetes Center has received recognition for its diabetes education program from the American Diabetes Association, by meeting the association's high educational standards.- In addition to the Cornerstone programs, Children's provides other high quality programs such as Surgery. Children's surgery teams deliver next-generation care in an award-winning environment that is exclusively dedicated to pediatrics. Health professionals of many disciplines work together to provide children with the best possible surgery experience. Children's bodies are different than adult's. For example, they often require specially-sized surgical equipment. They react differently to anesthesia and to pain. Their bodies respond differently to illness and treatment, in part because they are still growing. That's why children benefit from our highly accomplished, pediatric-specific surgery teams. At Children's, over 20,000 surgeries are performed each year on fetuses, newborns, children, adolescents, and young adults from throughout the Upper Midwest. Surgical treatment results rank Children's among the top hospitals in the U.S. in pediatric surgical care. Children's has some of the lowest rates in the U.S. of post-surgery complications and some of the highest rates of patient and family satisfaction. As a charitable organization, Children's also provides a broad spectrum of benefits to the communities we serve. These services and donations account for a measureable portion of the hospital's costs and help to promote healthy lifestyles, community development, health education, and affordable access to care. Please see IRS Form 990, Schedule H for a summary of these community benefits.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3717873Expense
Grants0Grants
Revenue2139532Revenue
DescriptionResearch: In 2011 Children's conducted 403 research projects, 204 of which were clinical trials to examine the effectiveness of diagnostic, therapeutic, and preventive services. In addition 70 peer-reviewed manuscripts were published. Children's was awarded more than $12 million in funding from government, industry, foundation, and academic sub-awards for its research initiatives. We continue to participate in multiple prestigious national collaborations and clinical trials. We are also generating landmark investigator-initiated research, aimed at novel ways to deliver life-saving treatments, manage pain and symptoms and develop new methods for preventing or treating childhood diseases. Every day, Children's researchers express their commitment to building better outcomes for our children. These outcomes will have both immediate and lasting impact for children receiving state of the science care at our specialty centers. Children with cardiac disease, cancer, genetic and blood disorders, diabetes, cystic fibrosis, and other life-impacting conditions all have benefited from research at Children's. The vision and strategic innovation of our research leaders have brought us to impressive milestones in the past year. We continue to take steps toward advancing our research and committed to thriving into the future with our children and families.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense4893532Expense
Grants0Grants
Revenue1367223Revenue
DescriptionEducation: 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 2011 calendar year, Children's provided training to 380 individual residents and 35 individual fellows who performed one or more rotations at Children's Minneapolis, Children's St Paul, or both locations. Full time equivalent (FTE) numbers were 43.2 FTEs for the residents and 7.1 FTEs for the fellows. The rotations were performed in Children's Emergency Department, inpatient medical/surgical, PICU and neonatal inpatient care units, surgery and anesthesia, ENT surgery, urology, and subspecialty clinics.The residents and fellows came from 38 different medical educational programs. 27 of those programs were from the University of Minnesota, 3 from Mayo Clinic, 2 from Regions Hospital, 1 from United Hospital, 1 from HCMC, 1 from Rapid City Regional Hospital, 1 from UW Eau Claire, 1 from Jackson Memorial Hospital in Miami, and 1 from St John Hospital in Detroit. Additionally, 195 medical students rotated to Children's Minneapolis, Children's St Paul, or both locations.2)Education and training of health care and other providers of services to children:i)The Midwest Regional Children's Advocacy Center at Children's is a leader in improving the care of abused and neglected children whose goal is to improve services for abused children in local communities throughout the region. The Center offers information, consultation, technical assistance, and training to physicians, nurses, and non-medical members of community child abuse teams, including law enforcement personnel, attorneys and child protection workers.ii)Recognized, as the nation's leader in palliative care education, Children's Institute for Palliative Care (CIPC) developed a model for a regional training and consultation center. CIPC develops and leads training seminars using recognized curriculum for pediatric palliative care, provides hospital-based consultation to children who are in need of hospice or palliative care while they are hospitalized, offers a regional 24/7 telephone consultation program providing education, support, and guidance to families and professional providers, and serves as a resource center for pediatric palliative care. iii)The Minnesota Sudden Infant Death Syndrome (SID) Center is a statewide program that provides information, counseling, and support to anyone experiencing a sudden and unexpected infant death from any cause. The SID Center is the state's resource for information on Sudden Infant Death Syndrome (SIDS) and SIDS risk reduction. The Center conducts training and educational programs for health care providers, child-care workers, and other professional and community groups. The Center also tracks and reports infant mortality trends in Minnesota and participates in local, state, and national initiatives to reduce the risk of sudden, unexpected infant death. The Minnesota SID Center collaborates with the Minnesota Department of Health, county public health nurses, and medical examiners in every county throughout Minnesota.iv)The Emergency Medical Services for Children (EMSC) Resource Center housed at Children's creates awareness regarding the special needs of children in emergency medical situations. EMSC educational programs are designed to train pre-hospital personnel, first responders, physicians, nurses, and school nurses in the unique needs of infants and children in emergency situations. The EMSC Resource Center also provides technical assistance, participates in statewide pediatric emergency/disaster preparedness planning, develops and disseminates pediatric emergency are guidelines, and conducts mortality reviews and research.3)Education and employment - Because disparities in child health are so closely associated with low educational attainment and poor job skills, Children's is engaged in several key community partnerships to improve educational success and earning potential among youth and adults. Examples include the Roosevelt High School Health Careers Program that provides students interested in health care careers the opportunity to receive health care specific education and obtain internships with health care organizations, the Achieve Minneapolis/Step-up Summer Jobs Program that places youth in supervised summer internships at participating companies and organizations, and a partnership with Project for Pride in Living that recognizes that a healthy, sustainable community requires residents with well-paying jobs.Description
FieldValueIRS element (for citing)
Total Program Service Expense495815182TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096403NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees4581NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Jerry Massmann CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6128136113TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12525 Chicago Avenue SAddressLine1
CityMinneapolisCity
StateMNState
ZIP Code55404ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (41 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Alan Goldbloom
President & CEO50.00XX8735040524472
Raymond L Barton
Chair1.00XX000
Russell Becker
Board Member1.00X000
Michael V Ciresi
Board Member1.00X000
Molly Culligan
Board Member1.00X000
Michael B Fiterman
Board Member1.00X000
Greg Goven
Board Member1.00X000
Sharon Jaeger
Board Member1.00X000
Bill Jeatran
Board Member1.00X000
Mary L Jeffries
Board Member1.00X000
Andrea Kmetz-Sheehy
Board Member1.00X000
Cynthia L Lesher
Board Member1.00X000
Chad M Lindbloom
Board Member1.00X000
Matt Majka
Board Member1.00X000
Gaye Adams Massey
Board Member1.00X000
Richard J Migliori MD
Board Member1.00X000
David Miller
Board Member1.00X000
Michael J Ott
Board Member1.00X000
Timothy J Pabst
Board Member1.00X000
Ryan D Robinson
Treasurer1.00XX000
Patrick G Ryan
Vice Chair1.00XX000
Susan Sencer
Board Member50.00X312584054125
Robert Segal
Board Member50.00X275323048923
Sandra Sackett MD
Board Member1.00X000
James D Sidman MD
Board Member1.00X000
Maria Christu
General Counsel50.00X300892043012
Phil Kibort
CMO, VP Medical Affairs50.00X554527050858
Jerry Massmann
CFO, VP Finance50.00X567380049379
David Brumbaugh
VP Human Resources50.00X278243042775
Theresa Pesch
VP Dev & Exec Dir Fndtn25.00X18122418122334584
David Overman
Chief Operating Officer50.00X471696037762
Roxanne Fernandes
Chief Nursing Officer50.00X308099012171
Gloria Drake
Sr Dir Clinical Svc Peri50.001608562866340573X
Pamala VanHazinga
Sr Dir Clinical Critical50.00147685034020X
Becky Bedore
Sr Dir Clinical Svc Peds50.00141571026931X
Joseph Petronio
Surg Dir Peds Neurosurg50.00667259024993X
Ted Cox
Staff Physician50.00466865028508X
Karen Blumberg
Medical Director50.00532933028037X
Richard Patterson
Staff Physician50.00472636039533X
James Engels
Staff Physician50.00532929039533X
Virginia Malone
Chief Nursing Officer0.0015889601213X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7405102TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs209886TotalReportableCompFrmRltdOrgs
Total Other Compensation1161402TotalOtherCompensation
Number Individuals GT100 K469NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Cerner Corp
PO Box 412702Kansas CityMO64141Hardware & Software Maintenance6443007
Children's Heart Clinic PA
2530 Chicago Ave S Suite 500MinneapolisMN55404Physician Services4229396
Dell Marketing LLP
7489 Collections Center DriveChicagoIL60693Patient Billing4016593
Children's Respiratory & Critical Care S
2530 Chicago Ave S Suite 400MinneapolisMN55404Physician Services3742479
Children's Heart Perfusion LLC
4104 Havenhill CircleSt PaulMN55123Physician Services1451970
FieldValueIRS element (for citing)
Number Of Contractors GT100 K75NumberOfContractorsGT100K
Related Organizations22568223RelatedOrganizations
Government Grants10361479GovernmentGrants
Noncash Contributions1392872NoncashContributions
Total Contributions32929702TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Patient Service Revenu621400393271837393271837
Medicare/Medicaid paym621400159114679159114679
Parking8129302119864-25367$2,145,231
Pharmacy Revenue621400635791$635,791
Lab Revenue621500150530107862$42,668

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column526423TotalRevenueColumn
Related Or Exempt Function Income526423RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue555819124TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column15114474TotalRevenueColumn
Exclusion$15,114,474ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1434561Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real700538Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real734023Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column734023TotalRevenueColumn
Exclusion$734,023ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities10930196Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other635058Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities10930196Securities
Other-635058Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column10295138TotalRevenueColumn
Exclusion$10,295,138ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Cafeteria7222101657540$1,657,540
Marketplace453220209174$209,174
Vending Machines72221020293$20,293

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column26158TotalRevenueColumn
Exclusion$26,158ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1913165TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column616805626TotalRevenueColumn
Related Or Exempt Function Income552912939RelatedOrExemptFunctionIncome
Unrelated Business Revenue82495UnrelatedBusinessRevenue
Exclusion$30,880,490ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total634284Total
Program Services634284ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5845447Total
Program Services1454749ProgramServices
Management And General4390698ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total258843566Total
Program Services231875776ProgramServices
Management And General26967790ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total23193930Total
Program Services20434304ProgramServices
Management And General2759626ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total34309862Total
Program Services26358068ProgramServices
Management And General7951794ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total17851557Total
Program Services15750478ProgramServices
Management And General2101079ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total7125929Total
Program Services6819755ProgramServices
Management And General306174ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1137089Total
Program Services46164ProgramServices
Management And General1090925ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total345757Total
Management And General345757ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total138086Total
Management And General138086ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1514375Total
Program Services1514375ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total57328267Total
Program Services50239078ProgramServices
Management And General7089189ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3064795Total
Program Services291652ProgramServices
Management And General2773143ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6485388Total
Program Services4741745ProgramServices
Management And General1743643ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total12278814Total
Management And General12278814ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total13714549Total
Program Services12658636ProgramServices
Management And General1055913ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1391576Total
Program Services1059770ProgramServices
Management And General331806ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1494923Total
Program Services1279054ProgramServices
Management And General215869ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total10489099Total
Program Services10489099ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total34967634Total
Program Services25314866ProgramServices
Management And General9652768ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2798988Total
Program Services2798988ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Medical Supplies5162446251624462
MNCare Tax1016593810165938
Bad Debt83560178356017
Medicaid Surcharge73240657324065

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8431078Total
Program Services4583859ProgramServices
Management And General3847219ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total580855475Total
Program Services495815182ProgramServices
Management And General85040293ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5521505BOY
EOY10778117EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY12719564BOY
EOY66371874EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1311922BOY
EOY1770298EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY63818408BOY
EOY68185487EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY215411BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4378644BOY
EOY4402071EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3489161BOY
EOY3552999EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis623946667LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec251323322LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY368897078BOY
EOY372623345EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY291468734BOY
EOY234284179EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY47929926BOY
EOY56424914EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY18138521BOY
EOY18615187EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY98919531BOY
EOY94974979EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY916808405BOY
EOY931983450EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY81273100BOY
EOY77959661EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1296309BOY
EOY5370488EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY284510281BOY
EOY298890538EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY397672BOY
EOY368426EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY48877673BOY
EOY44324679EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY416355035BOY
EOY426913792EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY432934479BOY
EOY437473783EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY40704791BOY
EOY40477466EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY26814100BOY
EOY27118409EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY500453370BOY
EOY505069658EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY916808405BOY
EOY931983450EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses35950151ReconcilationRevenueExpenses
Reconcilation Other Changes-31333863ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$130,622DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$7,464OtherActivitiesAmount
Total Lobbying Expenditures IIB138086TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationChildren's retains a lobbyist to assist directly with lobbying efforts at the state level. Children's Director of Child Health Policy also occasionally will meet with state legislators, provide testimony on child health issues, or otherwise provide information to state lawmakers and their staffs. With respect to federal lobbying efforts, Children's Director of Child Health Policy 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 National Association of Children's Hospitals (NACH). $7,464 of membership dues paid to NACH relate to lobbying activities.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance30881650BeginningOfYearBalance
Contributions883411Contributions
Investment Earnings Or Losses-267697InvestmentEarningsOrLosses
Grants Or Scholarships1211560GrantsOrScholarships
End Of Year Balance30285804EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance28645602BeginningOfYearBalance
Contributions371730Contributions
Investment Earnings Or Losses2991850InvestmentEarningsOrLosses
Grants Or Scholarships1127532GrantsOrScholarships
End Of Year Balance30881650EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance23511131BeginningOfYearBalance
Contributions1160044Contributions
Investment Earnings Or Losses4333957InvestmentEarningsOrLosses
Grants Or Scholarships359530GrantsOrScholarships
End Of Year Balance28645602EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance35160520BeginningOfYearBalance
Contributions819502Contributions
Investment Earnings Or Losses-10484516InvestmentEarningsOrLosses
Grants Or Scholarships1984375GrantsOrScholarships
End Of Year Balance23511131EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.10000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.79000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.11000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis10968672OtherCostOrOtherBasis
Book Value10968672BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis399282436OtherCostOrOtherBasis
Depreciation101011739Depreciation
Book Value298270697BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1923396OtherCostOrOtherBasis
Depreciation1331413Depreciation
Book Value591983BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis206349525OtherCostOrOtherBasis
Depreciation145201216Depreciation
Book Value61148309BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5422638OtherCostOrOtherBasis
Depreciation3778954Depreciation
Book Value1643684BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings372623345TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionBrandywineDescription
Book Value56424914BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities56424914TotalOfBookValueSecurities

Other Assets OtherAssets (11 entries)

DescriptionDescriptionBook ValueBookValue
Assets of executive benefit plans10161922
Unamortized bond insurance and deferred finance costs5325769
Investment in land for possible expansion3240298
Intercompany receivable2012508
Nursing education loans receivable176135
Pharmaceutical services deposit1390272
Physician relocation loans receivable312789
Facility deposit134000
United shared service arrangement3929988
Beneficial interest in net asets of Foundation67681158
Investment in laundry cooperative610140
FieldValueIRS element (for citing)
Total Book Value Other Assets94974979TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescriptionAmountAmount
MN Care tax payable$2,207,176
Self-insurance reserve$915,831
RSVP retirement plan$22,949,901
Executive benefits liability$7,665,367
Post retirement benefits$4,215,737
Workers comp liability$1,810,644
Self-insurance equipment reserve$205,070
Accrual VERP$1,054,953
Long term deferred revenue$3,300,000
FieldValueIRS element (for citing)
Total Of Amounts44324679TotalOfAmounts
Total Revenue616805626TotalRevenue
Total Expenses580855475TotalExpenses
Excess Or Deficit For Year35950151ExcessOrDeficitForYear
Net Unrealized GL On Investments-12139124NetUnrealizedGLOnInvestments
Other-$19,194,739OtherAmount
Total Adjustments-31333863TotalAdjustments
Excess Or Deficit Per FS4616288ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt579243663TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-12139124NetUnrealizedGainsInvestments
Other Revenues-26758435OtherRevenues
Revenue Not Rptd F990-38897559RevenueNotRptdF990
Revenue Subtotal618141222RevenueSubtotal
Other Revenues Not Included-1335596OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-1335596RevenueNotRptdOnFinStmt
Total Revenue Per Form990616805626TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt572975050TotExpensesEtcAuditedFinclStmt
Other Expenses Included1335596OtherExpensesIncluded
Expenses Not Rptd F9901335596ExpensesNotRptdF990
Expenses Subtotal571639454ExpensesSubtotal
Other Expenses Not Included9216021OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt9216021ExpensesNotRptdOnFinStmt
Total Expenses Per Form990580855475TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds: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.
Description of Uncertain Tax Positions Under FIN 48:Part X: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, 2011 and 2010.
Part XI, Line 8 - Other Adjustments:Change in beneficial interest in net assets of Foundation -1,652,325. Change in value of interest rate swap valuation -19,721,918. Unrealized Swap earnings 2,179,504. Total to Schedule D, Part XI, Line 8: -19,194,739.
Part XII, Line 2d - Other Adjustments:Amortization expense ($860,004) RSVP retirement plan-related charges $2,179,504 Change in unrealized interest rate swap valuation ($19,721,918) Bad debt allowance ($8,356,017)
Part XII, Line 4b - Other Adjustments:Loss on sale of assets ($635,058) Rental expense ($700,538)
Part XIII, Line 2d - Other Adjustments:Loss on sale of assets $635,058 Rental expense $700,538
Part XIII, Line 4b - Other Adjustments:Amortization expense $860,004 Bad debt allowance $8,356,017

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedSpecific Services ProvidedSpecificServicesProvidedTotal ExpendituresTotalExpenditures
Central America & the CaribbeanSelf Insurance for Medical ClaimsN/A89258
Central America & the CaribbeanInvestmentsN/A6875781
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent6965039SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent6965039TotalAmountSpent
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp1OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent350XPcent350
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense7871995TotalCommunityBenefitExpense
Net Community Benefit Expense7871995NetCommunityBenefitExpense
Percent Of Total Expense0.01380PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense224826281TotalCommunityBenefitExpense
Direct Offsetting Revenue167894382DirectOffsettingRevenue
Net Community Benefit Expense56931899NetCommunityBenefitExpense
Percent Of Total Expense0.09940PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense232698276TotalCommunityBenefitExpense
Direct Offsetting Revenue167894382DirectOffsettingRevenue
Net Community Benefit Expense64803894NetCommunityBenefitExpense
Percent Of Total Expense0.11320PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense8981321TotalCommunityBenefitExpense
Direct Offsetting Revenue188968DirectOffsettingRevenue
Net Community Benefit Expense8792353NetCommunityBenefitExpense
Percent Of Total Expense0.01540PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense6513807TotalCommunityBenefitExpense
Direct Offsetting Revenue1256813DirectOffsettingRevenue
Net Community Benefit Expense5256994NetCommunityBenefitExpense
Percent Of Total Expense0.00920PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense46024483TotalCommunityBenefitExpense
Direct Offsetting Revenue32452148DirectOffsettingRevenue
Net Community Benefit Expense13572335NetCommunityBenefitExpense
Percent Of Total Expense0.02370PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense4489948TotalCommunityBenefitExpense
Direct Offsetting Revenue900DirectOffsettingRevenue
Net Community Benefit Expense4489048NetCommunityBenefitExpense
Percent Of Total Expense0.00780PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense445751TotalCommunityBenefitExpense
Net Community Benefit Expense445751NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense66455310TotalCommunityBenefitExpense
Direct Offsetting Revenue33898829DirectOffsettingRevenue
Net Community Benefit Expense32556481NetCommunityBenefitExpense
Percent Of Total Expense0.05690PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense299153586TotalCommunityBenefitExpense
Direct Offsetting Revenue201793211DirectOffsettingRevenue
Net Community Benefit Expense97360375NetCommunityBenefitExpense
Percent Of Total Expense0.17010PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense55000TotalCommunityBuildingExpense
Net Community Building Expense55000NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense1620815TotalCommunityBuildingExpense
Direct Offsetting Revenue98713DirectOffsettingRevenue
Net Community Building Expense1522102NetCommunityBuildingExpense
Percent Of Total Expense0.00260PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense21800TotalCommunityBuildingExpense
Net Community Building Expense21800NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense45000TotalCommunityBuildingExpense
Net Community Building Expense45000NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense1742615TotalCommunityBuildingExpense
Direct Offsetting Revenue98713DirectOffsettingRevenue
Net Community Building Expense1643902NetCommunityBuildingExpense
Percent Of Total Expense0.00280PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$3,827,484BadDebtExpenseAmount
Amount Attributable To956871AmountAttributableTo
Amount Reimbursed By Medicare450193AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare619556CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-169363MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Children's Health CareBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12525 Chicago Avenue SouthAddressLine1
CityMinneapolisCity
StateMNState
ZIP Code55404ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Childrens HospitalXChildrensHospital
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Children's Health CareBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent150.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent350.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities7NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Children's Clinics - Woodwinds
1825 Woodwinds Drive Suite 400WoodburyMN55125Specialty and Rehabilitation Clinic
Children's - Maple Grove
7767 Elm Creek Blvd Suite 300Maple GroveMN55369Specialty and Rehabilitation Clinic
Rehabilitation Clinic
5950 Clearwater Drive Suite 500MinnetonkaMN55343Specialty and Rehabilitation Clinic
Children's - Roseville
1835 W County Rd CRosevilleMN55113Specialty and Rehabilitation Clinic
McNeeley Pediatric Diabetes Center
6060 Clearwater Drive Suite 204MinnetonkaMN55343Pediatric Clinic
Pediatric and Adolescent Care (PACE)
1547 Livingston AveWest St PaulMN55118Pediatric Clinic
Northeast Pediatric Clinic
4520 Centerville RoadVadnais HeightsMN55127Pediatric Clinic

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
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 either have income exceeding the guidelines established or who with the sliding scale discount continue to have insufficient means to pay.Part I line 6a: Children's Hospitals and Clinics of Minnesota prepares an annual community benefits report. The community benefits report is available to the public.
Part I, Line 7g: Subsidized health services benefits include the subsidized costs of two physician clinics. A clinic is located on both the Minneapolis and St. Paul campuses. These clinics serve the local communities that include a high percentage of minorities and low-income families. Net community benefit expenses related to these clinics were $1,138,000 for the twelve months of 2011.
Part I, L7 Col(f): Bad debt expense of $8,356,018 was subtracted for purposes of calculating the percentage in Schedule H, Part I, line 7, column (f).
Part I, line 7: A ratio of patient care cost to charges, as calculated using Form 990, Schedule H, Worksheet 2 - Ratio of Patient Care Cost to Charges, was used to calculate community benefit costs for Schedule H, Part I, Line 7, rows (a)(c). Community benefit costs for rows (b)(e)(f)(g)(h)(i)(j) were calculated using a full-absorption costing model that combines direct costing and the allocation of indirect costs through an activity-based costing methodology.
Part II: Community building activities:Children's provided the following community building activities in 2011:- STEP-UP and Health Careers at Roosevelt High School: the mission of this program is to provide educational opportunities to a diverse body of students from the local community who are interested in preparing for a career in health care.- Project for Pride in Living: this is a nonprofit agency working with lower-income individuals and families throughout the Twin Cities metro area to achieve greater self-sufficiency through housing, employment training, education, and support services.- Midwest Regional Outreach: The Midwest Children's Resource Center is a regional center providing specialty services for children who are possibly abused, their families, and the professionals who work with them. MCRC brings together a multi-disciplinary team of child abuse specialist who provide a broad range of services, including medical and psychological consultation. The center works as an advocate for the children who have been abused, seeking to significantly advance protection, treatment, and healing of these children.
Part III, Line 4: 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 organization's charity care policy are determined by a patient's willingness to pay with a documented inability to pay per measures established by our policy. Both amounts are 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. 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 if sufficient information had been available to make a determination of their eligibility. The estimate of twenty-five percent is based on historical trends and the experience of area supervisors. Footnote from 2011 audited financials:Patient Accounts Receivable - Patient accounts receivable represent amounts due from federal and state agencies, managed health care 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, its 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. Children's recognizes that revenues and receivables from government agencies are significant to its operations, but does not believe there are significant credit risks associated with these government agencies. In 2011, net revenue from the top four third-party payers accounted for 42%, 24%, 13%, and 9% of net patient service revenue. In 2010, net revenue from the top four third-party payers accounted for 42%, 25%, 14%, and 8% 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 used to calculate the costs associated with Medicare charges reported in Part III, Line 6. The organization does not report any amounts from Part III, Line 7 as community benefit.
Part III, Line 9b: When collecting medical debt, Children's Hospitals and Clinics of Minnesota treats its patient families with honor, dignity, and 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 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 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 V, Section B, Line 13g: The policy is available upon request, however, every self pay patient at registration is given a flyer of the key items on the policy and there is a reference to the policy in every self pay statement sent in accordance with the AG agreement.Children's Health Care
Part V, Section B, Line 19d: We charge everybody the same, however, the discount applied to FAP eligible individuals is based on the financial assistance policy so a discount on charge between 50% and 100% based on income guidelines or 44% discount for the uninsured based on our largest commercial payer.Children's Health Care
Part VI, Line 2: Needs Assessment: The health care needs of the community served by Children's Hospitals & Clinics of Minnesota is determined as follows: a.Board of Directors: the organization's governing body, comprised of community members who reside locally, provides governance that includes the health care services provided 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.The Family Advisory Council: a diverse group of families whose children are present or past patients of Children's provide input as to Children's services. 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 to management 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.d.Community partnerships: partnerships with groups such as the Minnesota Hospital Association Policy and Advocacy Committee and the Hennepin County Health Department Community Advisory Group helps the organization identify community needs. Children's also partners with Raise it for Health, a tobacco cessation coalition, as well as with the Minnesota Prematurity Coalition, a group devoted to increasing awareness of the unique health and development issues premature infants face through advocating for access to quality health care, and identification, consolidation and dissemination of resources for parents and families.e.Youth Advisory Council: is a dedicated group of patients, ages 10 to 18, who help hospital staff, leaders, doctors, and parents understand what is important to children, teens, and siblings during hospital stays, clinic visits, and emergency care. 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.Children's maintains an advocacy department that is responsible for identifying community health needs and leading efforts that advocate for pediatric health needs. Children's advocacy department maintains an advocacy database of over 400 members, all of whom can share advocacy input with the Children's Advocacy team. The advocacy department is also currently partnering with local public health departments and statewide health care providers to create a Hennepin County Community Health Improvement Plan. This plan will inform a portion of Children's upcoming Community Health Needs Assessment. The Assessment is in its drafting stages, and will be complete mid-2013. g.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: Patient Education of Eligibility for Assistance: Components of Children's collection policy include:During the pre-registration, registration, or admission process, Children's will attempt to identify and inform patient families who may be eligible for charity care or discounted care through the uninsured discount or charity care policy.All Children's employees and contracted staff who have direct contact with patients will be educated on an annual basis of Children's financial assistance policies. The education will inform staff of programs available and how a patient family may obtain more information and submit an application for financial assistance.A financial assistance application will be sent with the initial letter explaining the process for obtaining financial assistance to all self pay patient families. If a patient family indicates the need for financial assistance during the registration process, financial assistance information is provided to the family by the registration staff.All correspondence seeking collection of medical debts will contain a reference to the availability of financial assistance.Minnesota hospital providers have jointly developed consistent collection guidelines set out in formal agreements with the Minnesota Attorney General's Office. This agreement is consistent with Children's collection policy. The Board of Directors (Audit Committee) performs an annual review of this policy and all policies concerning collection of medical debt, uninsured discount, and charity care. The Audit Committee shall also review the results of an annual audit related to these areas in accordance with the Minnesota Attorney General's Agreement.
Part VI, Line 4: Community information (communities we serve):Children's Hospitals & Clinics of Minnesota serves the five state area of the upper Midwest (Minnesota, North Dakota, South Dakota, Iowa, and Wisconsin). Approximately seventy-five percent of inpatient admissions are from the seven county metropolitan areas of the Twin Cities. The remaining twenty-five percent of inpatient admissions are from outstate Minnesota and the surrounding states. These patients represented one-hundred percent of Minnesota counties and sixty-four percent of the total counties in the five state area. The age of patients reflects the pediatric health services provided with seventy-six percent of patients being under the age of ten and eighty-nine percent under the age of fifteen. Patient diversity at Children's, and specifically non-Caucasion patient volumes, more than double the population demographics of the seven county metropolitan area. As such, Children's provides interpreter services for forty-six languages with the most frequent languages being Spanish, Somali, and Hmong. Children's also serves a disproportionate share of economically disadvantaged patients with forty-two 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: Other Information:As a charitable organization, Children's provides a broad spectrum of benefits to the communities it serves that would otherwise be unavailable or insufficient to meet patient demand for the express purpose of improving the health status of children in the community. These include programs such as free clinics, health screenings, support counseling for patients and families, crisis intervention, disaster readiness and the cost of providing community health partnerships and educations. 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:- 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 provides funding for medical services to participants. Portico Healthnet, a nonprofit health and human services organization, 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. Since 1995, as reported by Portico Healthnet, 10,000 uninsured children and adults have enrolled in Portico's safety-net coverage program, and another 17,000 have been enrolled in public coverage programs with assistance from Portico Healthnet.- Women, Infants & Children (WIC) Program. WIC is a nutrition program provided by Children's that helps eligible pregnant women, new mothers, babies and young children eat well, learn about nutrition, and stay healthy. An important component of this funding is that it will provide health care to underserved populations in Minneapolis, particularly those in the Latino and Somali communities.- 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 Sudden Infant Death Center 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.
MNReports Filed With StatesPart VI, Line 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Abbott Northwestern Hospital Foundation
800 East 28th StreetMinneapolisMN554073799043643816501(c)(3)6000Table sponsorship - 2011 Medicine Ball
Children's Hospital Association
2525 Chicago Ave SMinneapolisMN55404410711605501(c)(3)10000Sponsorship - Storybook Ball fundraiser.
Children's Heartlink
5075 Arcadia AveMinneapolisMN554362306411307457501(c)(3)7500Sponsorship - Heartlink gala
March of Dimes
5233 Edina Industrial BlvdEdinaMN55439131846366501(c)(3)7500Sponsorship - 2011 Nurse of the year & 2011 Signature Chefs Auction
Medica Health Plans
401 Carlson ParkwayMinnetonkaMN55305411242261501(c)(4)10000Sponsorship - 2011 LaborCare Health Fair
National Association of Children's Hospitals
NACH PO Box 79334BaltimoreMD212790334510120256501(c)(6)26270Medicaid Advocacy Camp 2011
Portico Healthnet
2610 University Ave W Suite 550St PaulMN551142007411814659501(c)(3)100000Help families to get medical assistance coverage.
Project for Pride in Living
1035 E Franklin AveMinneapolisMN55406237232208501(c)(3)75000Support Project for Pride in Livings health careers job training program.
Ronald McDonald House
818 Fulton St SEMinneapolisMN55414411313107501(c)(3)12200Sponsorships - Golf benefit & Fam Glam benefit.
Roosevelt High School
4029 28th Ave SMinneapolisMN55406410851980501(c)(3)20000Support Roosevelt HS Health careers program.
Smith Partners
400 Second Ave S Suite 1200MinneapolisMN5540120366383121800Support Phillips Partnership.
HealthTeacher
209 10th Ave S Suite 350NashvilleTN37203266281Promotion of Health Education
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants8TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations4TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: From time to time, Children's grants monies to other organizations conducting programs and/or research that will benefit the children that Children's serves. Children's also occasionally provides monetary support to organizations that promote careers in the health care field and community organizations that support the economic development of the area surrounding the Children's Minneapolis campus. Children's receives periodic updates regarding the use of the funds.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required0SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Alan Goldbloom
73361000013989405082560162160139797601220340
Susan Sencer
2817760003080803358002054503667090187830
Robert Segal
2255950004972802880102012203242460289720
Maria Christu
2770060002388602211502089703439040201100
Phil Kibort
44079000011373702970002115806053850997550
Jerry Massmann
40223900016514103318001619906167590444590
David Brumbaugh
2484140002982902211502066003210180260400
Theresa Pesch
14575614575500354683546892169216807680761985161985151092410924
David Overman
4076990006399702156501619705094580619980
Roxanne Fernandes
173538000134561000121710320270000
Gloria Drake
159160283610016963022081237091362424281952923480000
Pamala VanHazinga
14768500000152990187210181705000
Becky Bedore
1415710000019108078230168502000
Joseph Petronio
61725900050000073500176430692252000
Ted Cox
42686500040000073500211580495373000
Karen Blumberg
471412000615210183750966205609700567470
Richard Patterson
4393950003324101837502115805121690332410
James Engels
4698780006305101837502115805724620372420
Virginia Malone
000015889600012130160109000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 1aAlan Goldbloom is reimbursed for his membership fees for the Minneapolis Club, which is used solely for business purposes.
Part I, Lines 4a-bCertain employees of Children's Health Care are provided the opportunity to participate in the Supplemental Executive Retirement Plan (the SERP). The SERP requires that the employee have an agreement in order to be eligible to participate in the SERP. Payments from the SERP occur at retirement and are based on years of service and percentage of salary. The following amount represents the amount deferred under the SERP in 2011. Alan Goldbloom $485,866 Certain employee of Children's Health Care 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 eligible 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 2011. Alan Goldbloom $122,034 Jerry Massmann $44,459 Phil Kibort $99,755 David Brumbaugh $26,040 Maria Christu $20,110 Theresa Pesch $21,848 David Overman $61,998 Karen Blumberg $56,747 Richard Patterson $33,241 James Engels $37,242 Susan Sencer $18,783 Robert Segal $18,319 Certain employee 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. The following represents the amount paid under the Deferral Plan in 2011. Robert Segal $10,653 Virginia Malone was paid a severance payment in the amount of $158,896 during 2011.
Part I, Line 7Certain executives and physicians are eligible for participation in the Executive Incentive Plan (EIP) or Physician Incentive Plan (PIP). The EIP and PIP provide eligible participants with the opportunity to receive an incentive payment based on attainment of established organization and individual goals.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
1995B 2004A - See Part VI
416005375603695FG72004-08-2477550000Hlth Care Equip&Bldg & Ref Bnd Issued 10/2/95000
2004B - See Part VI
416005375603695FH52005-05-2551550000Refunding of Taxable Bond Issued 8/24/04000
2007A - See Part VI
416005375603695FP72007-11-15103000000Facility Expansion and Upgrade000
1995B 2004A-1 2010A - See Part VI
416005375603695GQ42010-03-2597051274Facility Expns & Upgrd & Ref Bnd Issd 8/24/04000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount UnspentAmountUnspent
55650000775500001468100641239936500000002550000020041011
1487500051550000258515500001011
1800000106148383727862000158295110370343220090011
115000097071507637511206844595046820111001355

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0111110.000000.000001
0011110.000000.000001
0011110.000100.000101
0011110.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
Piper Jaffrey
01130.20000000000000001
Piper Jaffrey
01120.20000000000000001
Piper Jaffrey
01129.80000000000000001
(no name)
000001

Form990 Schedule K Part VI Form990ScheduleKPartVI (5 entries)

IdentifierIdentifierExplanationExplanation
Schedule K, Supplemental InformationThe 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, 2012. 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. 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 CompletionB. As this bond issue consists entirely of refunding bonds, it is Children's understanding that the concept of "year of substantial completion" does not apply to this issue. Schedule K, Part III, Column B: Part III is not required for these bonds, but information is entered anyway, due to software limitations.
Schedule K, Part III, Line 5:C. A small portion of Children's laboratory department is financed with bond proceeds. A portion of some laboratory services are provided to outside organizations, not for direct patient care, of which Children's is reporting as UBI.
Schedule K, Part I, Line 1 Column AHealth 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).
Schedule K, Part V:During calendar year 2012, Children's is adopting 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.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Pediatric ENT AssociationBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipJames Sidman, President of Pediatric ENT AssociationRelationship
Amount Of Transaction123445AmountOfTransaction
Description Of TransactionMedical Payment to Pediatric ENT Association for Medical Director services.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublications

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99010994NoncashContribsRptdF990
Method Of Determining RevenuesCost or selling priceMethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F990384524NoncashContribsRptdF990
Method Of Determining RevenuesCost or selling priceMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions10NumberOfContributions
Noncash Contribs Rptd F99073726NoncashContribsRptdF990
Method Of Determining RevenuesCost or selling priceMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (4 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XEntertainment33120362Cost or selling price
XGeek Squad1627150Cost or selling price
XBuilding Materials617578Cost or selling price
XOther:4158538Cost or selling price
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 4Children's bylaws were amended in 2011 for the following significant changes: 1. Election of directors beyond the six-year term limit. The bylaws currently provide for election of directors for an additional year or two beyond the six-year term limit in certain circumstances. Specifically, this is allowed in situations where the director is serving as chair or vice chair of the board during his or her sixth year and so needs to serve an additional term to complete the appointment as chair or vice chair, and also in situations where the board desires to elect an immediate past chair for an additional term. The amendment clarifies the language in the Hospital bylaws so that a director serving as chair or vice-chair of the Hospital are eligible to be elected for an additional term. 2. Removal of Conflict of Interest Policy. A number of years ago the conflict of interest policy was included as part of the Hospital by laws. Children's is not required by any regulatory agency to maintain the policy as part of the bylaws and has determined, based on consultation with outside counsel, that common practice today among tax-exempt healthcare entities is to maintain the policy as a stand along policy, not part of the bylaws. This allows, among other things, the ability to modify the policy without the requirement of a bylaw amendment. The resolutions delete the conflict of interest policy from the bylaws of the Hospital, and require the corporation to maintain the policy a separate organizational policy.
Form 990, Part VI, Section B, line 11Children's senior management reviews the draft Form 990 with the Audit and Compliance Committee of the governing body prior to filing of the Form. This review includes an overview of the Form and discussion related to key sections. Copies of the final Form 990 are made available to members of the Committee and all directors prior to the Form being filed. The Audit and Compliance Committee has been delegated the authority to oversee the completion and filing of the Form 990 by the full board, and the Committee reports the results of its review and approval to the full board at a regularly scheduled board meeting.
Form 990, Part VI, Section B, line 12cManagement 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 15Children's follows the requirements set forth in the IRS rebuttable presumption of reasonableness in determining compensation for the CEO and other officers and executive leaders of Children's. This function is performed by the Compensation Committee of the governing board, which is composed of only independent directors. The process includes review of comparability data, retention of an outside compensation consultant and contemporaneous substantiation of the deliberation and decision through detailed minutes of the Compensation Committee and full board meetings where executive compensation is considered.
Form 990, Part VI, Section C, line 19Children's makes financial statement information public through a summary of financial performance in its annual report. In addition, financial statements are provided to Children's bond trustee, 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 VII:The following individuals held positions at both Children's Health Care and Children's - Minnetonka. The hours listed on Part VII are the average hours per week these individuals devoted to Children's Health Care during the year. In addition, these individuals also devoted the following average hours per week to Children's - Minnetonka. Phil Kibort 1.5 hours Jerry Massmann 1.5 hours Gloria Drake 6.0 hours The following individuals held positions at both Children's Health Care and Children's Health Care Foundation. The hours listed on Part VII are the average hours per week these individuals devoted to Children's Health Care during the year. In addition, these individuals also devoted the following average hours per week to Children's Health Care Foundation. Alan Goldbloom 1.0 hour Maria Christu 1.0 hour Jerry Massmann 1.0 hour Theresa Pesch 25.0 hours Raymond Barton 1.0 hour Russell Becker 1.0 hour Michael Ciresi 1.0 hour Molly Culligan 1.0 hour Michael Fiterman 1.0 hour Greg Goven 1.0 hour Sharon Jaeger 1.0 hour Bill Jeatran 1.0 hour Mary Jeffries 1.0 hour Andrea Kmetz-Sheehy 1.0 hour Cynthia Lesher 1.0 hour Chad Lindbloom 1.0 hour Matt Majka 1.0 hour Gaye Adams Massey 1.0 hour Richard Migliori 1.0 hour David Miller 1.0 hour Michael Ott 1.0 hour Timothy Pabst 1.0 hour Ryan Robinson 1.0 hour Patrick Ryan 1.0 hour Sandra Sackett 1.0 hour James Sidman 1.0 hour Susan Sencer 1.0 hour Robert Segal 1.0 hour
Form 990, Part XI, line 5:Net unrealized losses on investments: -12,139,124. Change in beneficial interest in net assets of Foundation -1,652,325. Change in value of interest rate swap valuation -19,721,918. Unrealized Swap earnings 2,179,504. Total to Form 990, Part XI, Line 5: -31,333,863.Changes in Net Assets or Fund Balances:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Children's Health Insurance Network LTDBusinessNameLine1

Address Foreign AddressForeign

FieldValueIRS element (for citing)
Address Line1PO Box 30600AddressLine1
CityGrand Cayman, Catman IslandsCity
CountryCJCountry
Postal CodeKY1-1203PostalCode
FieldValueIRS element (for citing)
Primary ActivitiesInsurancePrimaryActivities
Legal Domicile Foreign CountryCJLegalDomicileForeignCountry
Total Income1059983TotalIncome
EOY Assets6875781EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Children's Health CareBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Children's Health Care Services Inc DBA Minnetonka
2525 Chicago Ave SMinneapolisMN55404411756478HealthcareMN501(c)(3)Line 3: 170(b)(1)(a)Children's Health Care1
Children's Health Care Foundation
2525 Chicago Ave SMinneapolisMN554021844411814223HealthcareMN501(c)(3)Line 7: 170(b)(1)(a)Children's Health Care1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Children's Health Care Foundation
C22568223Accrual
Children's Health Care Foundation
L5109050Accrual
Children's Health Care Foundation
O3876260Accrual
Children's Health Care Foundation
R19361491Accrual
Children's Health Care Services Inc dba Children's - Minnetonka
I36384Accrual
Children's Health Care Services Inc dba Children's - Minnetonka
L252638Accrual
Children's Health Care Services Inc dba Children's - Minnetonka
N283847Accrual
Children's Health Care Services Inc dba Children's - Minnetonka
O6513001Accrual
Children's Health Care Services Inc dba Children's - Minnetonka
P9007662Accrual