2024-11-15T10:51:47-06:00 2023-12-31 135565207 KPMG LLP 350 NORTH 5TH ST STE 600 MINNEAPOLIS MN 55401 990 2023-01-01 411754276 CHILDREN'S HEALTH CARE CHIL 6128136000 2525 CHICAGO AVENUE SOUTH MINNEAPOLIS MN 554041844 BRENDA MCCORMICK SVP & CFO 6128136000 2024-11-14 1 0 HOLLY K MOEN P01800653 6123055000 2024-11-07 2023 2024-10-15 13:58:12Z CHILDREN'S HOSPITALS & CLINICS OF MN BRENDA MCCORMICK 2525 CHICAGO AVENUE SOUTH MINNEAPOLIS MN 554041844 2432470735 0 X WWW.CHILDRENSMN.ORG X 1995 MN CHILDREN'S HOSPITALS AND CLINICS OF MN CHAMPIONS THE SPECIAL NEEDS OF CHILDREN. 13 13 6590 332 4254102 2567114 43917099 34777014 993122491 1053511267 18753193 49987335 1523345 185404 1057316128 1138461020 4501967 4992456 0 0 577642721 628422052 0 0 0 437537544 490727038 1019682232 1124141546 37633896 14319474 1731037973 1849417742 504683787 533668660 1226354186 1315749082 X WE CHAMPION THE HEALTH NEEDS OF CHILDREN AND FAMILIES. WE ARE COMMITTED TO IMPROVING CHILDREN'S HEALTH BY PROVIDING THE HIGHEST-QUALITY, FAMILY CENTERED CARE, ADVANCED THROUGH RESEARCH AND EDUCATION. 0 0 956564758 4992456 1038334932 HOSPITAL PROGRAM SERVICES: FAMILIES LOOK TO CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA FOR THE FINEST IN PEDIATRIC CARE. WITH TWO PEDIATRIC HOSPITAL FACILITIES AND 462 STAFFED BEDS, WE CHAMPION THE SPECIAL HEALTH NEEDS OF CHILDREN AND THEIR FAMILIES AND ARE COMMITTED TO PROVIDING HIGH-QUALITY, FAMILY CENTERED PEDIATRIC SERVICES. THE LEAPFROG GROUP'S ANNUAL LIST OF TOP HOSPITALS NAMED CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA'S MINNEAPOLIS AND ST. PAUL HOSPITALS AS TWO OF THE TOP TEN PEDIATRIC HOSPITALS IN THE COUNTRY FOR QUALITY AND EFFICIENCY.SEE SCHEDULE O. 8891270 0 2003576 EDUCATION: MANY EFFORTS TO IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN AND YOUTH REQUIRE LONG-TERM INVESTMENT IN THEIR FUTURE. CHILDREN'S PROVIDES EDUCATION AND TRAINING PROGRAMS FOR PROVIDERS, HEALTH CARE STUDENTS, AND OTHER HEALTH PROFESSIONALS IN THE FOLLOWING AREAS: 1) COMMUNITY MEDICAL EDUCATION FOR COMMUNITY PHYSICIANS: DURING THE 2023 CALENDAR YEAR, CHILDREN'S PROVIDED TRAINING TO 471 AFFILIATED RESIDENTS AND FELLOWS, AND HOSTED 398 MEDICAL STUDENT & 966 RESIDENT AND FELLOW ROTATIONS AT CHILDREN'S MINNEAPOLIS, CHILDREN'S ST PAUL, OR BOTH LOCATIONS.SEE SCHEDULE O. 11814668 0 5906135 RESEARCH: CHILDREN'S HAS 353 OPEN RESEARCH STUDIES, OF WHICH 155 ARE ACTIVELY RECRUITING CLINICAL TRIALS. IN 2023 CHILDREN'S RECEIVED ABOUT $5.9 MILLION FROM INDUSTRY CONTRACTS AND FEDERAL STATE AND FOUNDATION SPONSORS. TYPES OF STUDIES AND TRIALS CONDUCTED AT CHILDREN'S ARE INVESTIGATOR-INITIATED STUDIES, EXTERNAL MULTI-CENTER TRIALS, OBSERVATIONAL STUDIES, REGISTRIES, AND SUPPORTIVE SERVICES SUCH AS CASE MANAGEMENT. CHILDREN'S HAD ONGOING RESEARCH IN GENETICS, CYSTIC FIBROSIS, DIABETES, INFECTIOUS DISEASE, CARDIOVASCULAR AND CRITICAL CARE, PAIN AND PALLIATIVE CARE, CANCER AND BLOOD DISORDERS, NEONATOLOGY, ENT AND REHAB. SEE SCHEDULE O. 977270696 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 302 0 1 6590 1 1 1 1 CJ EI 0 0 0 0 0 0 0 0 1 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 MN X BRENDA MCCORMICK SVP & CFO 6128136000 2525 CHICAGO AVENUE SOUTH MINNEAPOLIS MN 55404 A KADE GOEPFERD CHIEF OF ED & FORMER BOARD MEMBER (THRU 3/23) 50.00 0.00 X 476194 0 17613 ANDREW PUGH SVP CHIEF LEGAL OFFICER 48.00 2.00 X X 605205 0 44256 ANNA RICHO BOARD MEMBER 1.00 0.00 X 0 0 0 ARCHELLE GEORGIOU BOARD MEMBER, CHAIR 1.00 3.00 X X 0 0 0 BRENDA MCCORMICK SVP AND CFO 47.00 3.00 X X 916032 0 44336 BROOKE MOORE BOARD MEMBER 1.00 0.00 X 0 0 0 CAROLYN SMALLWOOD BOARD MEMBER (THRU 3/23) 1.00 0.00 X 0 0 0 CHRIS HEDBERG BOARD MEMBER 1.00 1.00 X 0 0 0 DAMU MCCOY BOARD MEMBER 1.00 0.00 X 0 0 0 DENEEN VOJTA BOARD MEMBER (THRU (3/23) 1.00 0.00 X 0 0 0 GARFIELD BOWEN BOARD MEMBER 1.00 0.00 X 0 0 0 GARY BLACKFORD BOARD MEMBER, VICE CHAIR (THRU 3/23) 1.00 3.00 X X 0 0 0 JEAN KANE BOARD MEMBER 1.00 0.00 X 0 0 0 JEFF VON GILLERN BOARD MEMBER/TREASURER 1.00 2.00 X 0 0 0 JILL SCHURTZ BOARD MEMBER (THRU (3/23) 1.00 0.00 X 0 0 0 JIM LESLIE BOARD MEMBER 1.00 0.00 X 0 0 0 JJ KUHN BOARD MEMBER, CHAIR ELECT 1.00 2.00 X 0 0 0 LINDA HALL BOARD MEMBER 1.00 0.00 X 0 0 0 MARC GORELICK MD PRESIDENT & CEO 47.00 3.00 X X 1732513 0 356578 MATT BILUNAS BOARD MEMBER, TREASURER (THRU 8/23) 1.00 2.00 X X 0 0 0 SHELLY CARTHEN WATSON BOARD MEMBER 1.00 0.00 X 0 0 0 THOMAS GOODMANSON BOARD MEMBER 1.00 0.00 X 0 0 0 WILLIAM MIZE MD RADIOLOGY, BOARD MEMBER 47.00 3.00 X 763064 40161 31184 CAROLINE NJAU SVP PATIENT CARE SVCS & CN 50.00 0.00 X 561145 0 31638 DAVID LUNDAL SVP CIO 50.00 0.00 X 596875 0 44239 EMILY CHAPMAN MD SVP MEDICAL AFFAIRS & CMO 50.00 0.00 X 863236 0 30941 JAMES BURROUGHS SVP GOVT & COMM RELATIONS/CEIO 50.00 0.00 X 393037 0 27183 JENNIFER OLSON MARKET SVP & COO (THRU 9/23) 48.00 2.00 X 1174878 0 860360 JENNY SODERHOLM FOUNDATION PRESIDENT 18.00 32.00 X 231689 430279 31213 ANDREW BERNDT VP CLINICAL SERVICES 50.00 0.00 X 236932 0 39964 ANUPAM KHARBANDA MD CLINICAL VP, CHIEF OF CRITICAL CARE 50.00 0.00 X 502601 0 23567 JAMES LESTE VP OPERATIONS 50.00 0.00 X 432747 0 48300 LAURIN CATHEY SVP & CHRO 50.00 0.00 X 566203 0 37762 MONICA SCHILLER VP AMBULATORY SERVICES 40.00 10.00 X 305256 76314 39040 PAMELA GIGI CHAWLA MD VP CHIEF OF GENERAL PEDIAT 40.00 10.00 X 409679 102420 45281 SUSAN SENCER VP CHIEF SPECIALTY PEDIATR 50.00 0.00 X 517670 0 64188 SUSAN SLOCUM CHIEF INVESTMENT OFFICER 50.00 0.00 X 310041 0 22520 TIMOTHY LANDER CLINICAL VP, CHIEF OF SURGERY 47.00 3.00 X 514786 27094 31184 ANDREA LAMPLAND MD MEDICAL DIRECTOR NEONATOLO 50.00 0.00 X 756132 0 49181 KYLE HALVORSON MD STAFF PHYSICIAN 50.00 0.00 X 1136116 0 15420 MEYSAM KEBRIAEI MD STAFF PHYSICIAN 50.00 0.00 X 1197285 0 47349 SACHIN PATEL STAFF PHYSICIAN 50.00 0.00 X 751404 0 47483 SHILPA HEDGE STAFF PHYSICIAN 50.00 0.00 X 698106 0 23733 KRISTIN PETERSON FORMER VP ACUTE CARE/CLINICAL OPS 50.00 0.00 X 133817 0 21941 16782643 676268 2076454 1187 1 1 0 MEDICAL STAFFING SOLUTIONS INC PO BOX 101 RICE LAKE WI 54868 NURSE STAFFING 17765715 CHILDREN'S HEART CLINIC PA 2530 CHICAGO AVE S SUITE 500 MINNEAPOLIS MN 55404 PHYSICIAN SERVICES 17468272 CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 64141 HARDWARE/SOFTWARE 8430953 SODEXO INC 9801 WASHINGTON BLVD GAITHERSBURG MD 20878 FOOD SERVICES 4124773 PEDIATRIC SURGICAL ASSOC LTD 2530 CHICAGO AVE SUITE 550 MINNEAPOLIS MN 55404 PHYSICIAN SERVICES 4062200 294 16801726 17975288 827375 34777014 PATIENT SERVICE REV. 621400 777097657 777043102 54555 MEDICARE/MEDICAID PAY. 621400 159261546 159261546 LAB REVENUE 621500 109727528 109688296 39232 PHARMACY REVENUE 621400 3703764 3703764 PARKING 812930 3469073 1455439 2013634 251699 251699 1053511267 45866203 2704876 43161327 1387264 1692216 -304952 -304952 -304952 1295917557 521074 1292234083 83416 3683474 437658 4121132 4121132 MARKETPLACE 459900 434741 434741 VENDING MACHINES 722514 31407 31407 CAFETERIA 722514 18120 18120 6088 6088 490356 1138461020 1046244643 4254102 53185261 222949 222949 4769507 4769507 11767394 851624 10915770 484487285 426723218 57764067 33551555 30544328 3007227 65579865 58088048 7491817 33035953 29082073 3953880 3224826 2779780 445046 525757 54072 471685 750918 260000 490918 230561 230561 8122388 8122388 108754790 95122901 13631889 3003501 74632 2928869 11724297 10676491 1047806 26454088 26454088 16982281 15010000 1972281 1420398 1086447 333951 2339181 2182315 156866 11400996 11112116 288880 47195894 37159013 10036881 5623787 5623787 MEDICAL SUPPLIES 120416901 120416901 TEMP LABOR 41052007 39985671 1066336 MNCARE TAX 15256432 15256432 MEDICAID SURCHARGE 12030524 12030524 54217511 50035479 4182032 1124141546 977270696 146870850 0 21298683 58106682 6947826 177455 1399366 2148678 198180923 205809526 11894884 11623839 20795909 22007201 900484880 605017215 280378128 295467665 436956020 518145255 567100056 536032484 30046013 40107634 156040165 159791323 1731037973 1849417742 130563942 168976899 1562475 864670 79455771 77115614 217310060 217084001 75791539 69627476 504683787 533668660 X 1142547682 1227151487 83806504 88597595 1226354186 1315749082 1731037973 1849417742 X 14319474 71121477 3953945 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 183231 0 1 47330 230561 0 PART II-B, LINE 1: CHILDREN'S RETAINS A LOBBYIST TO ASSIST DIRECTLY WITH LOBBYING EFFORTS AT THE STATE AND LOCAL LEVELS. CHILDREN'S PUBLIC POLICY DIRECTOR IS ALSO RESPONSIBLE FOR LOBBYING ACTIVITIES ON THE CITY, STATE, AND FEDERAL LEVEL. THOSE RESPONSIBILITIES INCLUDE COORDINATING AND PROVIDING TESTIMONY AT HEARINGS, MAINTAINING RELATIONSHIPS, EDUCATING ELECTING OFFICIAL AND STAFF, AND WORKING WITH OUR REGULATORY AGENCIES. WITH RESPECT TO FEDERAL LOBBYING EFFORTS, CHILDREN'S SENIOR DIRECTOR OF CHILD HEALTH POLICY, PUBLIC POLICY DIRECTOR, AND CEO WILL OCCASIONALLY TRAVEL TO WASHINGTON TO MEET WITH FEDERAL LAWMAKERS. THIS IS GENERALLY DONE IN A COLLABORATION WITH INDUSTRY ORGANIZATIONS, SUCH AS NACHRI, WHO INDIRECTLY PROVIDE FEDERAL LOBBYING SUPPORT ON BEHALF OF CHILDREN'S. CHILDREN'S IS A MEMBER OF THE CHILDREN'S HOSPITAL ASSOCIATION (CHA). $31,958 OF MEMBERSHIP DUES PAID TO CHA RELATE TO LOBBYING ACTIVITIES. CHILDREN'S IS A MEMBER OF THE MINNESOTA HOSPITAL ASSOCIATION (MHA). $8,292 OF MEMBERSHIP DUES PAID TO MHA RELATE TO LOBBYING ACTIVITIES. CHILDREN'S IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA). $7,080 OF MEMBERSHIP DUES PAID TO AHA RELATE TO LOBBYING ACTIVITIES. 0 0 176306661 485371 21139096 7205714 190725414 203877914 905579 -21107044 7369788 176306661 181082325 2426002 27004317 6634730 203877914 171993171 186678 14916660 6014184 181082325 155118943 2564577 20519755 6210104 171993171 0.66530 0.20150 0.13320 1 1 1 25390195 25390195 475234298 294180509 181053789 22567575 10810671 11756904 371870174 294603397 77266777 5422638 5422638 0 295467665 INVESTMENTS CARRIED AT NAV 536032484 F 536032484 EXECUTIVE BENEFIT PLANS 9731777 PHYSICIAN RELOCATION LOANS REC 168567 PHARMACEUTICAL SERVICE DEPOSIT 4187745 FACILITY DEPOSIT 123255 UNITED SHARED SERVICE ARRNGMT 5555834 INVESTMENT IN MOTHER/BABY 18053401 OTHER 6000620 BENEFICIAL INT IN NA OF FDTN 95593515 ROU-BASE ASSET 20376609 159791323 EXECUTIVE BENEFITS LIABILITY 4341531 MN CARE TAX PAYABLE 4568944 POST-RETIREMENT BENEFITS 2652596 WORKERS COMP LIABILITY 1912999 INTERCOMPANY PAYABLE 22555840 LONG TERM DEFERRED REVENUE 4320147 LEASE LIABILITY 29170866 OTHER 104553 69627476 X PART V, LINE 4: EFFECTIVE NOVEMBER 1, 2016, THE CHILDREN'S BOARD OF DIRECTORS DESIGNATED $100 MILLION OF UNRESTRICTED INVESTMENTS FOR ENDOWMENT TO SUPPORT PROGRAMS AT CHILDREN'S HEALTH CARE. THE MAJORITY OF PERMANENT ENDOWMENT FUNDS ARE HELD BY CHILDREN'S HEALTH CARE FOUNDATION, A RELATED ORGANIZATION. THE INTENDED USE OF THE FUNDS IS TO SUPPORT THE PROGRAMS AT CHILDREN'S HEALTH CARE. THERE ARE ALSO TWO ENDOWMENT FUNDS THAT ARE HELD AND ADMINISTERED BY US BANK, AN UNRELATED ORGANIZATION, WHICH ARE ALSO USED TO SUPPORT THE PROGRAMS AT CHILDREN'S HEALTH CARE. REFER TO PART III, LINE 4 FOR A DESCRIPTION OF THE PROGRAMS OF CHILDREN'S HEALTH CARE. PART X, LINE 2: THE IRS HAS DETERMINED THAT CHILDREN'S AND ITS SUBSIDIARIES ARE EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE IRC. CHILDREN'S BELIEVES THAT IT CONTINUES TO MEET THE REQUIREMENTS OF THE IRC TO SUSTAIN ITS TAX-EXEMPT STATUS. IN ACCORDANCE WITH ASC SUBTOPIC 740-10, INCOME TAXES OVERALL, CHILDREN S RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. MANAGEMENT DETERMINED THERE WERE NO MATERIAL INCOME TAX POSITIONS FOR THE YEARS ENDED DECEMBER 31, 2023 OR 2022. CHILDREN'S IS NOT SUBJECT TO AN INCOME TAX EXAMINATION FOR YEARS BEFORE 2020. EUROPE (INCLUDING ICELAND AND GREENLAND) INVESTMENTS N/A 12528950 CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS N/A 81661834 CENTRAL AMERICA AND THE CARIBBEAN PROGRAM SERVICES SELF INSURANCE 287571 CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS N/A 20940819 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A 0 0 0 0 0 0 115419174 0 115419174 1 0 1 1 1 0 1 1 X 1 X 275.000000000000 1 X 1 1 1 0 1 1 2087013 40000 2047013 0.00180 515184020 336665345 178518675 0.15880 517271033 336705345 180565688 0.16060 18111691 3764680 14347011 0.01280 8891270 3071601 5819669 0.00520 75024019 55980886 19043133 0.01690 10049581 5906134 4143447 0.00370 5000 5000 0.00000 112081561 68723301 43358260 0.03860 629352594 405428646 223923948 0.19920 1000 1000 0.00000 10000 10000 0.00000 22300 22300 0.00000 12500 12500 0.00000 23490 23490 0.00000 72838 72838 0.00010 142128 142128 0.00010 1 8500691 2125173 16527 97079 -80552 X 1 1 1 1 CHILDREN'S HEALTH CARE 2525 CHICAGO AVENUE SOUTH MINNEAPOLIS MN 55404 HTTP://WWW.CHILDRENSMN.ORG/ 356144 X X X X X X CHILDREN'S HEALTH CARE 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X HTTP://WWW.CHILDRENSMN.ORG/CHNA X 1 23 1 HTTP://WWW.CHILDRENSMN.ORG/CHNA 0 1 X 275.000000000000 350.000000000000 X X X 1 1 X X X X 1 X REFER TO SECTION C X REFER TO SECTION C X REFER TO SECTION C X X X X 1 X 0 X X X X 1 X 0 0 CHILDREN'S HEALTH CARE PART V, SECTION B, LINE 5: OVER THE COURSE OF 2022, CHILDREN'S MINNESOTA CONNECTED WITH STAKEHOLDERS BOTH WITHIN THE ORGANIZATION AND IN THE SURROUNDING COMMUNITY TO LEARN ABOUT THEIR PERSPECTIVES ON CHILDREN'S HEALTH AND WELL-BEING BY CONDUCTING FOCUS GROUPS WITH YOUTH AND PARENTS/CAREGIVERS, UTILIZING DISCUSSION BOARDS TO ENGAGE WITH PEOPLE AT COMMUNITY EVENTS, CONDUCTING INTERVIEWS WITH REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS, DISCUSSION GROUPS WITH CHILDREN'S MINNESOTA EMPLOYEES AND INTERVIEWS WITH CHILDREN'S MINNESOTA CLINICIANS. THE 2022 CHNA WAS LED AND INFORMED BY THE COMMUNITY VIA A CHNA COMMUNITY ADVISORY COMMITTEE. THE PROCESS, SIMILAR TO 2019, INCLUDED GATHERING INPUT FROM THE COMMUNITY AND CHILDREN'S MINNESOTA STAFF AND REVIEWING EXISTING SECONDARY DATA TO IDENTIFY CRITICAL NEEDS, WHILE PLACING A SPECIFIC EMPHASIS ON THE IMPACT OF THE COVID-19 PANDEMIC AND OTHER LOCAL AND GLOBAL EVENTS. GIVEN THAT MOST OF THE 2019 PRIORITIES FOCUSED ON BROAD SOCIAL ISSUES THAT IMPACT HEALTH, IT WOULD BE UNREALISTIC TO ANTICIPATE SIGNIFICANT, MEASURABLE IMPROVEMENTS TO BE ACHIEVED IN THREE YEARS. TO THAT END, THE 2022 ASSESSMENT WAS DESIGNED TO BUILD UPON KEY LEARNINGS FROM 2019 AND CONTINUED EFFORTS ADDRESS CONCERNS THROUGH INVESTMENTS IN SERVICES AND COMMUNITY RELATIONSHIPS.A MORE DETAILED DESCRIPTION OF THE CHILDREN'S MINNESOTA COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND A COPY OF THE FULL 2022 CHNA REPORT IS AVAILABLE AT WWW.CHILDRENSMN.ORG/CHNACHILDREN'S MINNESOTA ACTIVELY PARTICIPATES IN SEVERAL COMMUNITY HEALTH COALITIONS AND MAINTAINS PARTNERSHIPS WITH MANY OF THE STAKEHOLDERS AND COMMUNITY ORGANIZATIONS THAT PARTICIPATED IN THE 2022 CHNA. CHILDREN'S HEALTH CARE PART V, SECTION B, LINE 11: BASED ON COMMUNITY INPUT AND EXISTING DATA EXAMINED BY CHILDREN'S MINNESOTA STAFF AND THE CHNA COMMUNITY ADVISORY COMMITTEE, THE FOLLOWING HEALTH PRIORITIES WERE DETERMINED IN THE 2023 ASSESSMENT: STRUCTURAL RACISM, HEALTH DISPARITIES, ECONOMIC OPPORTUNITY AND INCOME, MENTAL HEALTH, ACCESS TO RESOURCES AND COMMUNITY SAFETY.CHILDREN'S MINNESOTA CONTINUES TO PROVIDE THE FOLLOWING SERVICES TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN ITS CHNA, INCLUDING: ACCESS TO RESOURCES AND CARE:COMMUNITY CONNECT: COMMUNITY CONNECT IS A COMPREHENSIVE FAMILY SUPPORT MODEL THAT ADDRESSES THE BROADER SOCIAL CONDITIONS THAT IMPACT CHILDHOOD HEALTH THROUGH SCREENING, CUSTOMIZED RESOURCE NAVIGATION, AND CASE MANAGEMENT. EMBEDDED IN THE MINNEAPOLIS, ST. PAUL, WEST ST. PAUL AND BROOKLYN PARK PRIMARY CARE CLINICS AND STAFFED BY A TEAM OF MULTI-LINGUAL, MULTI-CULTURAL RESOURCE NAVIGATORS, THE PROGRAM HELPS CONNECT FAMILIES TO ESSENTIAL COMMUNITY SERVICES AND RESOURCES, INCLUDING FOOD, TRANSPORTATION, LEGAL ASSISTANCE, HOUSING SUPPORT, EARLY CHILDHOOD EDUCATION PROGRAMS, EMPLOYMENT SEARCH ASSISTANCE AND MUCH MORE. THE AVERAGE POSITIVE SCREEN RATE FOR 2023 WAS 31%, AS COMPARED TO 34% IN 2022. THIS RATE WAS IMPACTED BY AN OVERALL DECREASE IN THE NUMBER OF CHILDREN WHO RECEIVED WELL CHILD CHECKS IN 2023 AS WELL AS A SURGE IN CASES OF FLU, RSV AND OTHER RESPIRATORY DISEASES WHICH RESULTED IN A NEED TO FOCUS RESOURCES TO RESPOND TO THE SURGE. A TOTAL OF 1,187 FAMILIES MET WITH A COMMUNITY CONNECT RESOURCE NAVIGATOR FROM JANUARY 2023-DECEMBER 2023. HEALTHCARE LEGAL PARTNERSHIP: CHILDREN'S MINNESOTA LAUNCHED THE HEALTHCARE LEGAL PARTNERSHIP (HLP) IN OCTOBER 2017. THE PROGRAM SUPPORTS TWO ATTORNEYS BASED ON THE CHILDREN'S MINNESOTA ST. PAUL AND MINNEAPOLIS HOSPITAL CAMPUSES. THESE DEDICATED LAWYERS COLLABORATE WITH HEALTH CARE TEAMS TO IDENTIFY, PREVENT, AND REMEDY HEALTH-HARMING FACTORS THAT ARE ROOTED IN LEGAL PROBLEMS. DURING 2023, THE HEALTHCARE LEGAL PARTNERSHIP PROVIDED SERVICES IN 397 CASES ACROSS MULTIPLE LEGAL ISSUES INCLUDING: HOUSING, BENEFITS, FAMILY LAW, AND IMMIGRATION.FOOD SECURITY: IN 2023, THE CHILDREN'S MINNESOTA FOOD SUPPORT PROGRAM PROVIDED 370 INDIVIDUAL MEALS. IN PARTNERSHIP WITH SECOND HARVEST HEARTLAND, A COMMUNITY-BASED NONPROFIT WHOSE MISSION INCLUDES EXPANDING ACCESS TO HEALTHY FOOD, 467 "FOODRX BOXES" (TAKE-HOME GROCERIES) WERE DISTRIBUTED TO PATIENT FAMILIES. FOODRX BOX TYPES INCLUDE TRADITIONAL, LATINX AND SOMALI/VEGETARIAN TO MEET PATIENT FAMILIES' CULTURAL NEEDS. FAMILY RESOURCE CENTER: IN 2023, THE TOTAL NUMBER OF VISITS TO CHILDREN'S FAMILY RESOURCE CENTERS IN ST. PAUL AND MINNEAPOLIS WAS 2,829. FAMILY RESOURCE CENTER STAFF PROVIDED HANDS-ON HELP AND SUPPORT IN THESE FAMILY ENCOUNTERS INCLUDING PERSONAL CARE ITEMS, BUSINESS SERVICES (FAX, COPIER, PRINTER), CONSUMER HEALTH RESEARCH/REFERENCE REQUESTS, NOTARY TRANSACTIONS, TECHNOLOGY SUPPORT, ETC. FINANCIAL COUNSELING: IN 2023 THE CHILDREN'S MINNESOTA FINANCIAL COUNSELING TEAM ASSISTED 1,190 PATIENTS WITH APPOINTMENTS FOR ASSISTANCE AND PROCESSED FINANCIAL ASSISTANCE APPLICATIONS FOR 1,854 PATIENTS. INTERPRETER SERVICES: OVERALL, THE TOTAL NUMBER OF INTERPRETING ENCOUNTERS FOR 2023 WAS 120,516 IN A TOTAL OF 68 LANGUAGES. THE TOP THREE LANGUAGES INTERPRETED AT CHILDREN'S ARE: SPANISH, SOMALI AND KAREN. SIBLING PLAY AREA: DUE TO COVID-19, THE SIBLING PLAY AREA WAS CLOSED IN JANUARY AND FEBRUARY 2023. THE SIBLING PLAY AREA REOPENED ON MARCH 14TH 2023. THERE WERE A TOTAL OF 1,075 VISITS IN THE YEAR. SCHOOL RE-ENTRY PROGRAM: WHEN A CHILD RETURNS TO SCHOOL AFTER A SIGNIFICANT DIAGNOSIS OR PROLONGED PERIOD OF TIME DUE TO MEDICAL CARE, THE SCHOOL RE-ENTRY PROGRAM HELPS THE CHILD, FAMILY, AND SCHOOL STAFF FEEL CONFIDENT DURING THAT TRANSITION. IN 2023, CHILDREN'S MINNESOTA'S CHILD LIFE TEAM PROVIDED 18 SCHOOL VISITS. THE TEAM DOES BOTH VIRTUAL AND IN-PERSON VISITS TO ACCOMMODATE THE INDIVIDUAL NEEDS OF EACH CHILD AND CLASSROOM. REACH OUT AND READ: CHILDREN'S MINNESOTA HAS BEEN A LONG-TIME PARTICIPANT IN REACH OUT AND READ, A PROGRAM THAT TRAINS DOCTORS AND NURSES TO GIVE BOOKS TO CHILDREN AND GIVE DEVELOPMENTAL GUIDANCE TO PARENTS AND CAREGIVERS AT THEIR CHILDREN'S ROUTINE WELL-CHILD VISITS. IN 2023, 21,295 BOOKS WERE DISTRIBUTED AT WELL-CHILD VISITS. STRUCTURAL RACISM & HEALTH DISPARITIES EQUITY AND INCLUSION: THE CHILDREN'S MINNESOTA CAMPUS IS LOCATED IN THE HEART OF ONE OF THE LARGEST AND MOST VIBRANT URBAN COMMUNITIES IN THE COUNTRY. RECOGNIZING THE CRITICAL ROLE CULTURE AND TRADITIONS PLAY IN A CHILD'S HEALTH AND WELL-BEING, CHILDREN'S MINNESOTA CONTINUES TO PARTNER WITH COMMUNITY ORGANIZATIONS TO HELP PROVIDE A MORE CULTURALLY RESPONSIVE AND RESPECTFUL APPROACH TO HEALTH CARE. SPECIFIC EQUITY PROGRAMS AND PARTNERSHIPS INCLUDE: HEALTH EQUITY INDEX: IN 2023, CHILDREN'S MINNESOTA CONTINUED TO UTILIZE A PATIENT FOCUSED EQUITY INDEX THAT HIGHLIGHTS DISPARITIES IN CLINICAL OUTCOMES. STRATEGIES CONTINUE TO BE DEVELOPED TO ADDRESS DISPARITIES IN SEVERAL CORE PEDIATRIC QUALITY METRICS OF THE IDENTIFIED DISPARITIES (ASTHMA WELL-CONTROLLED, COMBO 10 VACCINES, AND A PATIENT-EXPERIENCE MEASURE OF WHETHER THE FAMILY FELT LISTENED TO DURING THEIR CARE) AND PERFORMANCE OUTCOMES ARE TIED TO MANAGEMENT AND EXECUTIVE INCENTIVE PLANS. IN 2023 PROCESS CHANGES WERE TESTED IN POPULATIONS WITH THE WORST OUTCOMES AND IMPLEMENTED TO IMPROVE OUTCOMES FOR ALL PATIENTS. QUALITY-EQUITY ALIGNMENT: IN PARTNERSHIP WITH THE VALUE & CLINICAL EXCELLENCE DEPT, THE EQUITY TEAM CONTINUES TO AFFIRM EQUITY AND INCLUSION AS A CORE ELEMENT OF CHILDREN'S VALUE PROGRAM INCLUDING RE-SHAPING THE ORGANIZATION'S PERSPECTIVE ON HOW AND WHERE TO FOCUS QUALITY IMPROVEMENT EFFORTS. SPECIFIC EFFORTS INCLUDE THE IMPLEMENTATION AND ADVANCEMENT OF RESPECT AND DIGNITY SAFETY LEARNING REPORTS AND TOOLS FOR CONDUCTING ROOT CAUSE ANALYSES THROUGH AN EQUITY LENS. RESPECT & DIGNITY SAFETY LEARNING REPORTS: UTILIZING AN EXISTING REPORTING PLATFORM CHILDREN'S MINNESOTA IS ABLE TO COLLECT, ANALYZE, AND TRACK EVENTS THAT RESULT IN EMOTIONAL HARM. THESE INCLUDE BUT ARE NOT LIMITED TO MICRO-AGGRESSIONS AGAINST PATIENTS AND STAFF, EVENTS RELATED TO IMPLICIT BIAS, AND OPPORTUNITIES TO IMPROVE HEALTH EQUITY. THE REPORTS ARE REVIEWED BY PATIENT EXPERIENCE COACHES AND HEALTH EQUITY COACHES IN COLLABORATION WITH A PATIENT SAFETY TEAM TO INITIATE REAL-TIME ROOT CAUSE ANALYSIS AND REMEDIATION. REAL DATA: CHILDREN'S MINNESOTA ACKNOWLEDGES THAT ACCURATE DEMOGRAPHIC DATA IS FOUNDATIONAL TO UNDERSTANDING WHERE HEALTH DISPARITIES EXIST AND QUANTIFYING POTENTIAL IMPROVEMENT IMPACT. A MULTI-DISCIPLINARY TEAM IS WORKING TO LEVERAGE TECHNOLOGY AND ESTABLISH ORGANIZATION-WIDE PROCESSES TO ACCURATELY AND RELIABLY CAPTURE RACE, ETHNICITY, AND LANGUAGE DATA FOR EVERY PATIENT AND GUARDIAN. TALKING PEDIATRICS PODCAST EQUITY ACTIONS: THE CHILDREN'S MINNESOTA TALKING PEDIATRICS PODCAST INCLUDES A SPECIFIC EQUITY ACTIONS SERIES HOSTED BY THE CHILDREN'S MINNESOTA CHIEF EQUITY AND INCLUSION OFFICER AND HEALTH EQUITY MANAGER. THE SERIES INCLUDES REGULAR INTERVIEWS WITH LEADERS FROM ACROSS THE COUNTRY TO DISCUSS ISSUES RELATED TO HEALTH EQUITY, WORKPLACE DIVERSITY AND CREATING INCLUSIVE ENVIRONMENTS. LISTENING SESSIONS: THE EQUITY AND INCLUSION (E&I) TEAM IS WORKING CROSS-FUNCTIONALLY WITH HUMAN RESOURCES AND ORGANIZATIONAL LEARNING AND DEVELOPMENT TO CONDUCT LISTENING SESSIONS ACROSS CHILDREN'S MINNESOTA. THESE SESSIONS ARE DESIGNED TO GAIN A DEEPER UNDERSTANDING OF THE MEANINGFULNESS OF THE EMPLOYEE WORK EXPERIENCE IN CLINICAL AND NON-CLINICAL AREAS. THIS INFORMATION WILL BE UTILIZED TO IMPROVE RETENTION RATES FOR DIVERSE EMPLOYEES AND TO CONTINUE TO ADVANCE AN EQUITABLE, DIVERSE AND INCLUSIVE ORGANIZATION. CLINICAL DEPARTMENT WORK: THE E&I TEAM IS WORKING IN PARTNERSHIP WITH SEVERAL CLINICAL DEPARTMENTS WITHIN CHILDREN'S MINNESOTA TO REINFORCE EQUITY AND INCLUSION. THIS IS BEING SPEARHEADED BY THE CLINICAL DIRECTOR OF EQUITY AND INCLUSION. THESE ARE LONG-TERM PROJECTS AIMED TO CREATE SUSTAINABILITY IN THE EQUITY AND INCLUSION EFFORTS. URBAN PRIMARY CARE RESEARCH: CHILDREN'S MINNESOTA IS PARTNERING WITH PATIENT EXPERIENCE AND CHILDREN'S RESEARCH INSTITUTE ON A QUALITATIVE RESEARCH PROJECT TO UNDERSTAND CHALLENGES AND OPPORTUNITIES IN DELIVERING EQUITABLE PRIMARY CARE BY CENTERING PATIENT CAREGIVER PERSPECTIVE. THE ORGANIZATION IS INTERESTED IN UNDERSTANDING AND SYSTEMATICALLY DESCRIBING THE EXPERIENCES AND NEEDS OF DIVERSE PATIENT COMMUNITIES TO BETTER DESIGN EFFECTIVE AND EQUITABLE PRIMARY CARE SERVICE DELIVERY, WITH THE BROADER GOAL OF ADDRESSING AND ELIMINATING DISPARITIES. CHILDREN'S HEALTH CARE PART V, SECTION B, LINE 15E: CHILDREN'S HOSPITALS AND CLINICS HAS A WRITTEN FINANCIAL ASSISTANCE POLICY. THE POLICY OUTLINES THE GUIDELINES, SCOPE OF SERVICES COVERED, AVAILABILITY OF INFORMATION, HOW TO APPLY, THE PATIENT/GUARANTOR'S RESPONSIBILITY FOR PROVIDING INFORMATION AND THE HOSPITALS RESPONSIBILITY FOR REVIEW AND COMMUNICATION OF DETERMINATION. THE POLICY IS BASED ON THE FEDERAL POVERTY GUIDELINES, UPDATED ANNUALLY WITH A DIFFERENTIATION FOR THOSE FAMILIES WITH INSURANCE AND THOSE WITHOUT AND INCLUDES AN EXCEPTION PROCESS. AMOUNTS GENERALLY BILLED IS DEFINED AND CHILDREN'S HAS CHOSEN THE LOOK BACK METHOD INCLUSIVE OF ALL CLAIMS. FORM 990, SCHEDULE H, PART V, LINE 11 CONTINUED: IDI: THE INTERCULTURAL DEVELOPMENT INVENTORY IS BEING ADMINISTERED BY THE E&I TEAM TO VARIOUS AREAS OF CHILDREN'S MINNESOTA. THIS ASSESSMENT HELPS TO GAUGE WHERE A GROUP OF PEOPLE AS WELL AS INDIVIDUALS ARE IN NAVIGATING CULTURAL DIFFERENCES. THIS IDI IS ALSO BEING ADMINISTERED EXTERNALLY THROUGH THE CHILDREN'S HEALTH NETWORK TO INDIVIDUAL CLINICS AROUND THE TWIN CITIES. INCLUSIVE LEADERSHIP: LEADERS AT VARIOUS LEVELS ARE PARTICIPATING IN ONGOING INCLUSIVE LEADERSHIP SESSIONS THAT ARE BEING FACILITATED BY SANKOFA LEADERSHIP NETWORK. THE E&I TEAM IS PROVIDING INTERNAL SUPPORT AND SUPPLEMENTAL ACTIVITIES FOR THE LEADERS AS THEY WIDEN THEIR TOOLBOX TO BE MORE INCLUSIVE LEADERS FOR CHILDREN'S MINNESOTA. THESE SESSIONS STARTED LATE IN 2023 AND WILL PROGRESS THROUGH THE END OF 2024. A NEW 2025 COHORT WILL BE DETERMINED THIS FALL/WINTER. EMPLOYEE RESOURCE GROUPS (ERGS): E&I STAFF CONTINUE TO WORK VERY CLOSELY WITH THE ERG'S. THIS IS TO SUPPORT CULTURAL PROGRAMMING, EXTERNAL PARTNERSHIPS, EDUCATIONAL OPPORTUNITIES, RECRUITMENT AND RETENTION AND COMMUNITY OUTREACH. THESE ARE THE ERGS: O ASIAN ERG O BLACK EMPLOYEE EMPOWERMENT NETWORK (BEEN) O DISABILITY ADVOCACY ERG O MILITARY AND VETERANS ERG O MUSLIM ERG O NURSES OF COLOR (NOC) ERG O PEOPLE RESPECTING INDIVIDUAL DIFFERENCES EQUALLY (PRIDE) ERG O VOCES ERG ECONOMIC OPPORTUNITY AND INCOME EQUITY AND INCLUSION SUMMER INTERNSHIP: IN PARTNERSHIP WITH TALENT ACQUISITION, THE E&I IS IMPLEMENTING THIS INTERNSHIP PROGRAM TO PROVIDE PRACTICAL WORK OPPORTUNITIES WITHIN CHILDREN'S MINNESOTA IN A CLINICAL AND NON-CLINICAL SETTING FOR HIGH SCHOOL AND COLLEGE STUDENTS. DURING THEIR TIME, INTERNS WILL ALSO ENGAGE IN LEADERSHIP DEVELOPMENT SESSIONS THAT EXPLORE DIVERSITY, EQUITY AND INCLUSION, CAREER GROWTH, PUBLIC SPEAKING AND PRACTICAL WORK SKILL BUILDING. O EXTERNAL PARTNERS INCLUDE: ST. PAUL RIGHT TRACK MINNEAPOLIS STEP UP ACHIEVE TWIN CITIES WALLIN PARTNERS DOUGHERTY FAMILY COLLEGE UPTURNSHIPSSUPPLIER DIVERSITY: THE E&I TEAM IS DEVELOPING A SUSTAINABLE FRAMEWORK FOR SUPPLIER DIVERSITY. THIS WILL ENABLE CHILDREN'S MINNESOTA TO ENGAGE WITH DIVERSE-OWNED, COMMUNITY BUSINESS WITH MORE INTENTIONALITY. IT IS THE GOAL OF THIS WORK TO INCREASE SPENDING WITH THE BUSINESSES IN ORDER TO PROVIDE MORE ACCESS TO BUSINESS OPPORTUNITIES AND PARTNERSHIPS TO THE COMMUNITIES WE SERVE. ALSO, WITHIN SUPPLIER DIVERSITY, THE E&I TEAM IS WORKING WITH THE MUSLIM EMPLOYEE RESOURCE GROUP TO HELP ROLLOUT A MODESTY GOWN WITH A SMALL MUSLIM-OWNED BUSINESS CALLED HENNA & HIJABS. THESE GOWNS WILL PROVIDE MORE COVERAGE FOR ALL PATIENTS AND HAVE THE ABILITY TO CONNECT AN OPTIONAL HIJAB. THE ANTICIPATED ROLL OUT OF THESE GOWNS WILL BE SEPTEMBER 2024.MENTAL HEALTH:IN ADDITION TO THE EXPANSION OF ACUTE MENTAL HEALTH SERVICES TO INCLUDE 2 PARTIAL HOSPITALIZATION PROGRAMS (2022 AND 2024) AND A NEW INPATIENT MENTAL HEALTH UNIT (2023) CHILDREN'S MINNESOTA ALSO CONTINUES TO IMPLEMENT THE FOLLOWING PROGRAMS:MIDWEST CHILDREN'S RESOURCE CENTER (MCRC): MCRC IS A HOSPITAL-BASED PROGRAM THAT PROVIDES CLINICAL EVALUATIONS AND SERVICES TO CHILDREN WHO HAVE BEEN ABUSED OR NEGLECTED. MCRC BRINGS SUBSPECIALTY MEDICAL CONSULTATION, SKILLED CASE MANAGEMENT AND EXPERT PSYCHOLOGICAL SERVICES TO COMMUNITIES THROUGHOUT THE REGION AND PROMOTES AND DELIVERS EXPERT SERVICE IN CHILD ABUSE RESPONSE. IN 2023, MCRC PERFORMED OVER 1200 MEDICAL EVALUATIONS FOR SUSPECTED ABUSE VICTIMS. ACHIEVING OPTIMAL OUTCOMES FOR MALTREATED CHILDREN REQUIRES CLOSE COLLABORATION WITH COMMUNITY PARTNERS IN LAW ENFORCEMENT, CHILD PROTECTION, ADVOCACY, MEDICINE, AND MENTAL HEALTH. SERVICES INCLUDE: MEDICAL EVALUATIONS AND HEALTH ASSESSMENTS FOR CHILD SEXUAL AND PHYSICAL ABUSE; PSYCHOLOGICAL ASSESSMENTS; PROFESSIONAL CONSULTATIONS; AND PREVENTION PROGRAMS RELATED TO TEEN PARENTING. MCRC ALSO ADMINISTERS THE NATIONALLY RECOGNIZED RUNAWAY INTERVENTION PROGRAM (RIP). RIP PROVIDES STRENGTH BASED MEDICAL CARE AND THERAPY TO RUN-AWAY AND EXPLOITED YOUTH. CARE IS PROVIDED BY EXPERIENCED TRAUMA-FOCUSED THERAPISTS AND ADVANCED PRACTICE NURSES THROUGH A COMMUNITY-BASED DELIVERY MODEL OVER THE COURSE OF A YEAR. RIP HAS BEEN DEMONSTRATED TO DRAMATICALLY IMPROVE HEALTH OUTCOMES FOR THESE YOUTH. IN 2023 RIP PROVIDED INTENSIVE SERVICES TO 99 YOUTH. THE MCRC ALSO FUNCTIONS AS ONE OF THE FOUR REGIONAL CHILDREN'S ADVOCACY CENTERS ACROSS THE NATION, PROVIDING TRAINING AND TECHNICAL ASSISTANCE TO CHILD ABUSE PROFESSIONALS ACROSS THE MIDWEST AND NATION. IN 2022 MRCAC PROVIDED TRAINING OR TECHNICAL ASSISTANCE TO 1,125 ORGANIZATIONS ACROSS THE COUNTRY. HEALTHY STEPS: HEALTHYSTEPS IS A NATIONAL PROGRAM SUPPORTED BY ZERO TO THREE AS AN EVIDENCE-BASED MODEL OF INTEGRATED BEHAVIORAL HEALTH IN PRIMARY CARE FOR VERY YOUNG PATIENTS (BIRTH TO THREE YEARS OLD). THE PROGRAM SUPPORTS THE RELATIONSHIP BETWEEN CAREGIVERS AND THEIR BABIES TO PROMOTE NURTURING PARENTING AND HEALTHY DEVELOPMENT. AN INFANT AND EARLY CHILDHOOD MENTAL HEALTH SPECIALIST, KNOWN AS A HEALTHYSTEPS SPECIALIST, CONNECTS WITH FAMILIES DURING WELL-CHILD VISITS AS PART OF THE PRIMARY CARE TEAM. THE HEALTHY STEPS SPECIALIST BRINGS FOCUS TO THE IMPORTANT SKILLS NEEDED FOR FAMILIES TO FOSTER HEALTHY CHILD DEVELOPMENT AND LIFE-LONG WELL-BEING. HEALTHYSTEPS IS CURRENTLY OFFERED IN THE MINNEAPOLIS PRIMARY CARE CLINIC. IN AUGUST OF 2023 A FULL-TIME HEALTHYSTEPS SPECIALIST AND A PART-TIME PROGRAM COORDINATOR WERE ADDED TO THE INTEGRATIVE BEHAVIORAL TEAM. COMMUNITY SAFETYGUN BUYBACK EVENT: IN 2023 CHILDREN'S MINNESOTA PARTNERED WITH COMMUNITY VIOLENCE PREVENTION ORGANIZATIONS AND HEALTH CARE INSTITUTIONS TO HOST A GUN BUYBACK EVENT WHERE MORE THAN 100 GUNS WERE COLLECTED. THIS EVENT SPURRED THE DEVELOPMENT OF A NEW PARTNERSHIP WITH NEXT STEP, A HOSPITAL VIOLENCE INTERVENTION PROGRAM. TRAUMA AND INJURY PREVENTION: THE CHILDREN'S MINNESOTA TRAUMA AND INJURY PREVENTION DEPARTMENT WORKS IN THE COMMUNITY TO PROVIDE INFORMATION AND EDUCATIONAL RESOURCES TO SUPPORT CAREGIVERS IN THEIR EFFORTS TO KEEP THEIR CHILDREN SAFE IN THEIR HOMES AND OTHER ENVIRONMENTS. ACTIVITIES INCLUDE BUT ARE NOT LIMITED TO: CAR SEAT SAFETY CHECKS, BIKE SAFETY EDUCATION AND HELMET GIVE AWAYS AND THE DEVELOPMENT OF AN ANIMATED VIDEO SERIES THAT SEEKS TO ENGAGE ALL CULTURAL COMMUNITIES WITH INFORMATION ABOUT INJURY PREVENTION IN THE HOME AS WELL AS PARENTAL WELLNESS.ADVOCACY AND ENGAGEMENT:PUBLIC HEALTH AND POLICY COALITIONS: IN ORDER TO ADDRESS THE POLICIES, SYSTEMS AND ENVIRONMENTS THAT IMPACT CHILD HEALTH, CHILDREN'S ACTIVELY PARTICIPATED IN SEVERAL BROAD-BASED COALITIONS AND COLLABORATIVES, INCLUDING: THE MENTAL HEALTH LEGISLATIVE NETWORK, THE THIS IS MEDICAID COALITION, THE PRENATAL TO THREE COALITION, THE MINNESOTA COALITION FOR TARGETED FAMILY HOME VISITING, MINNESOTANS FOR A SMOKE FREE GENERATION, THE HUNGER FREE SCHOOLS COALITION, THE MINNESOTA BUSINESS COALITION FOR RACIAL EQUITY, THE GROUNDBREAK COALITION AND LITTLE MOMENTS COUNT. THESE GROUPS ADDRESS A VARIETY OF HEALTH ISSUES IN THE COMMUNITY, INCLUDING MENTAL HEALTH, IMPROVED BIRTH OUTCOMES, ACCESS TO HEALTHY FOOD, EARLY CHILDHOOD DEVELOPMENT, ACCESS TO HEALTH CARE, MENTAL HEALTH, RACIAL EQUITY, ECONOMIC EQUITY, HOUSING AND COMMUNITY HEALTH OVERALL. ADDITIONALLY, CHILDREN'S MINNESOTA PARTICIPATES IN THE MINNESOTA HOSPITAL ASSOCIATION AND THE NATIONAL CHILDREN'S HOSPITAL ASSOCIATION BOTH OF WHOM ARE FOCUSED ON IMPROVING THE HEALTH CARE DELIVERY SYSTEM AND ENHANCING BOTH QUALITY AND ACCESS TO CARE. PATIENT AND FAMILY ENGAGEMENTFAMILIES AS PARTNERS (FAP)THE CHILDREN'S MINNESOTA FAMILIES AS PARTNERS PROGRAM PROMOTES, COORDINATES AND SUPPORTS PATIENT FAMILY ENGAGEMENT THROUGHOUT THE ORGANIZATION. THE PATHWAYS TO GET INVOLVED INCLUDE THE FAMILY-TO- FAMILY PROGRAM, FAMILY ADVISORY COUNCIL, FAMILY ADVOCATES, FAMILY ADVISORS, FAMILIES AS FACULTY AND THE FAMILY SPEAKER'S BUREAU. IN 2023, THE FAMILIES AS PARTNERS (FAP) PROGRAM HAD A TOTAL OF 75 ACTIVE PATIENT FAMILY VOLUNTEERS THAT CONTRIBUTED A COMBINED TOTAL OF 3,180 VOLUNTEER HOURS. YOUTH ADVISORY COUNCIL THE YOUTH ADVISORY COUNCIL CONSISTS OF PATIENTS AND SIBLINGS AGED 10-18 YEARS OF AGE THAT PROVIDE INSIGHT TO IMPROVE THE CHILDREN'S MINNESOTA CARE EXPERIENCE FOR CHILDREN AND TEENS. THIRTY-NINE YOUTH PARTICIPATED IN THE YOUTH ADVISORY COUNCIL IN 2023 AND THE MEMBERS VOLUNTEERED A COMBINED TOTAL OF 300 HOURS OF SERVICE. FORM 990, SCHEDULE H, PART V, LINE 16A: HTTPS://WWW.CHILDRENSMN.ORG/YOUR-VISIT/AFTER-YOUR-VISIT/BILLING-AND-FINANCIAL-MATTERS/BILLING-POLICIES/FORM 990, SCHEDULE H, PART V, LINE 16B:HTTPS://WWW.CHILDRENSMN.ORG/YOUR-VISIT/AFTER-YOUR-VISIT/BILLING-AND-FINANCIAL-MATTERS/FINANCIAL-COUNSELING-AND-ASSISTANCE/FORM 990, SCHEDULE H, PART V, LINE 16C:HTTPS://WWW.CHILDRENSMN.ORG/YOUR-VISIT/AFTER-YOUR-VISIT/BILLING-AND-FINANCIAL-MATTERS/FINANCIAL-COUNSELING-AND-ASSISTANCE/FORM 990, SCHEDULE H, PART V, LINE 16J:CHILDREN'S HOSPITALS AND CLINICS HAS A WRITTEN FINANCIAL ASSISTANCE POLICY AND A PLAIN LANGUAGE SUMMARY OF OUR POLICY. OUR POLICY IS POSTED ON OUR WEBSITE AS WELL AS AVAILABLE AT ALL REGISTRATION AREAS THROUGHOUT THE HOSPITAL AND OUR CLINICS. A COPY OF THE PLAIN LANGUAGE SUMMARY OF OUR POLICY IS PROVIDED TO ANY PATIENT WITHOUT INSURANCE AT EACH VISIT AND ANNUALLY TO ALL PATIENTS. THE POLICY AND PLAIN LANGUAGE SUMMARY IS CURRENTLY AVAILABLE IN ENGLISH, SPANISH, SOMALI, HMONG, RUSSIAN, VIETNAMESE, ARABIC AND KAREN. WE ALSO HAVE POSTERS IDENTIFYING KEY POINTS OF OUR POLICY DISPLAYED IN ALL REGISTRATION AREAS. IN ADDITION, WE HAVE A FINANCIAL ASSISTANCE CALCULATOR ON OUR WEBSITE WHERE FAMILIES ARE ABLE TO KEY IN THEIR INCOME AND FAMILY SIZE TO ASSESS WHETHER THEY MAY MEET OUR POLICY GUIDELINES. 6 1 - CHILDREN'S CLINICS - WOODWINDS 628 BIELENBERG DR STE 200 WOODBURY MN 55125 SPECIALTY AND REHABILITATION CLINIC 2 - CHILDREN'S - MAPLE GROVE 7767 ELM CREEK BLVD SUITE 300 MAPLE GROVE MN 55369 SPECIALTY AND REHABILITATION CLINIC 3 - CHILDREN'S REHAB CLINIC 5950 CLEARWATER DRIVE SUITE 500 510 MINNETONKA MN 55343 REHABILIATION CLINIC 4 - CHILDREN'S - ROSEVILLE 1835 W COUNTY RD C ROSEVILLE MN 55113 SPECIALTY AND REHABILITATION CLINIC 5 - CHILDREN'S REHAB LAKEVILLE 18432 KENDRICK AVE LAKEVILLE MN 55044 REHABILIATION CLINIC 6 - CHILDRENS'S SPECIALTY CLINIC 6060 CLEARWATER DRIVE STE 100 MINNETONKA MN 55343 SPECIALTY CLINIC PART I, LINE 3C: FEDERAL POVERTY GUIDELINES ARE THE PRIMARY MEASUREMENT USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, POLICY EXCEPTIONS MAY BE GRANTED FOR FAMILIES WHO HAVE MEDICAL DEBT EXCEEDING 10 PERCENT OF THEIR INCOME OR HAVE OTHER SPECIFIC DOCUMENTED NEEDS WHERE THEY ARE NOT ABLE TO PAY ALL OR A PORTION OF THEIR BALANCE. PART I, LINE 6A: CHILDREN'S INCLUDES INFORMATION ON COMMUNITY BENEFIT EXPENDITURES IN THE ORGANIZATION'S ANNUAL REPORT. THE 2023 ANNUAL REPORT IS AVAILABLE ONLINE AT HTTPS://WWW.CHILDRENSMN.ORG/ABOUT-US/ANNUAL-REPORT/. PART I, LINE 7: THE ECMO PROGRAM AT CHILDREN'S MINNESOTA IS THE LARGEST PROVIDER OF NEONATAL AND PEDIATRIC ECMO IN THE STATE AND HAS RECEIVED THE EXTRACORPOREAL LIFE SUPPORT ORGANIZATION AWARD FOR EXCELLENCE IN LIFE SUPPORT SINCE 2008: $1,798,889THE INFANT APNEA PROGRAM INCLUDES PEDIATRIC SPECIALISTS WHO UNDERSTAND THE SCIENCE BEHIND A BABY'S BREATHING PROCESS. OUR TEAM OF PULMONARY, NEONATOLOGY AND NURSE EXPERTS PROVIDES COMPREHENSIVE EVALUATIONS, FAMILY EDUCATION, ONGOING MANAGEMENT AND SUPPORT TO FAMILIES OF INFANTS DIAGNOSED WITH APNEA OR GASTROESOPHAGEAL REFLUX (GER), A REGURGITATION OF FOOD THAT CAN INTERFERE WITH BREATHING: $808,202THE EATING DISORDERS CLINIC USES LEADING EVIDENCE-BASED TREATMENTS TO PATIENTS OF ALL AGES AND WITH ALL TYPES OF EATING DISORDERS. THE CENTER FOR THE TREATMENT OF EATING DISORDERS IS THE ONLY HOSPITAL-BASED PROGRAM IN THE TWIN CITIES TO OFFER IMMEDIATE ACCESS FOR MEDICAL STABILIZATION:$512,684OUR GENDER HEALTH PROGRAM IS AN EXCLUSIVELY PEDIATRIC, MULTIDISCIPLINARY GENDER HEALTH PROGRAM, AND INCLUDES PEDIATRIC GENDER HEALTH, ENDOCRINOLOGY AND GYNECOLOGY PHYSICIANS. THE GENDER HEALTH PROGRAM PROVIDES COMPASSIONATE AND COMPREHENSIVE CARE FOR TRANSGENDER AND GENDER-DIVERSE YOUTH. WE'RE DEDICATED TO SERVING AS AN ESSENTIAL MEDICAL PARTNER AND RESOURCE FOR TRANSGENDER YOUTH AND FAMILIES ALONG THEIR JOURNEY: $104,927THE DEVELOPMENT PEDIATRIC CLINIC ADDRESSES CONCERNS ABOUT YOUR CHILD'S DEVELOPMENTAL, BEHAVIORAL, SOCIAL OR LEARNING CHALLENGES. THE PROGRAM APPROACHES BEHAVIORAL AND DEVELOPMENTAL CONDITIONS, SUCH AS AUTISM AND DOWN SYNDROME, FROM ALL ANGLES: $1,204,388HOME HEALTH CARE ALLOWS KIDS TO RECEIVE THESE SERVICES NOT AT A HOSPITAL BEDSIDE, BUT AT HOME WITH THEIR FAMILIES. EDUCATION IS ALSO A BIG PART OF A HOME CARE NURSES' ROLE AND THEY ARE ALWAYS AVAILABLE TO ANSWER ANY QUESTIONS OR PROVIDE ASSISTANCE: $1,248,042THE PERFUSION TEAM CARES FOR THE ESSENTIAL BODILY FUNCTIONS OF THE PATIENT DURING SURGERY. WHILE THE HEART-LUNG MACHINE PUMPS FRESH OXYGENATED BLOOD INTO THE BODY, THE PERFUSIONIST MONITORS THE PATIENT'S BLOOD FLOW, SUPPORTS OPTIMAL SURGICAL CONDITIONS, COMMUNICATES WITH BOTH THE SURGEON AND ANESTHESIOLOGIST, MAINTAINS THE PATIENT'S BODY TEMPERATURE AND EXTENDS SUPPORT OF THE PATIENT'S CIRCULATION AFTER SURGERY: $178,711ST PAUL PRIMARY CARE CLINIC PROVIDES A WIDE VARIETY OF PRIMARY CARE SERVICES THAT KIDS NEED DURING A TYPICAL CHILDHOOD. AND, IF SOMETHING IS OUT OF THE ORDINARY, THEY CONNECT YOU TO THE REST OF THE SERVICES THROUGHOUT THE CHILDREN'S MINNESOTA SYSTEM: $190,020THE GENETICS CLINIC HELPS FAMILIES UNDERSTAND GENETIC CONDITIONS, LIKE CHROMOSOMAL DISORDERS AND SINGLE-GENE DISORDERS. WITH ONE OF THE LARGEST GENETICS PROGRAMS IN THE REGION, WE SEE MORE THAN 2,000 CHILDREN AND TEENS EVERY YEAR AND WE ARE THE ONLY GENETICS CLINIC IN MINNESOTA THATFOCUSES ENTIRELY ON CARING FOR KIDS WITH GENETIC CONDITIONS: $1,198,967OUR PHARMACOGENOMICS TEAM EVALUATES PATIENTS WHO DO NOT RESPOND OR MAY HAVE ADVERSE SIDE EFFECTS TO MEDICATIONS. THEY IDENTIFY GENETIC CHANGES THAT IMPACT HOW CHILDREN RESPOND TO MEDICATION IN ORDER TO USE THEM MORE SAFELY AND EFFECTIVELY AND PERFORM SAFE CLINICAL TRIAL TO SEE HOW MUCH BETTER NEW TREATMENTS CAN BE: $356,899THE NEUROLOGY CLINIC PROVIDES EXPERT DIAGNOSIS AND TREATMENT FOR KIDS' BRAIN AND NERVOUS SYSTEM CONDITIONS LIKE BRAIN TUMORS, EPILEPSY, HEAD TRAUMA, CEREBRAL PALSY AND OTHERS: $1,942,858CHILDREN'S CONCUSSION CLINIC PROVIDES COMPREHENSIVE MEDICAL EVALUATION AND TREATMENT FOR CHILDREN AND YOUNG ADULTS WHO HAVE CONCUSSIONS CAUSED BY SPORTS, ACCIDENTS OR FALLS. THE PEDIATRIC CONCUSSION CLINIC IS PART OF CHILDREN'S NEUROSCIENCE PROGRAM THAT INCLUDES HEALTH SPECIALISTS IN NEUROSURGERY, NEUROLOGY, NEUROPSYCHOLOGY, REHABILITATION AND OTHER DEPARTMENTS THAT CARE FOR BRAIN AND SPINE ISSUE: $39,914THE NEUROSURGERY CLINIC USES CUTTING EDGE SURGICAL TECHNIQUES AND TECHNOLOGY TO TREAT TUMORS, EPILEPSY AND OTHER BRAIN AND NERVOUS SYSTEM CONDITIONS. WE PERFORM HUNDREDS OF SURGERIES EACH YEAR ON BABIES, KIDS AND TEENS. THAT MAKES US ONE THE MOST EXPERIENCED PEDIATRIC NEUROSURGERYCENTERS ANYWHERE: $1,564,020THE RHEUMATOLOGY CLINIC USES ADVANCED TOOLS TO DIAGNOSE THESE COMPLEX CONDITIONS, ALLEVIATE PAIN AND RESTORE FUNCTION IN KIDS AND TEENS: $58,338PSYCHIATRIC SERVICES PROVIDES ASSESSMENT AND CONSULTATION TO CHILDREN. THEY CAN ALSO PRESCRIBE AND MANAGE MEDICATIONS USED TO TREAT EMOTIONAL AND BEHAVIORAL PROBLEMS: $751,379PSYCHOLOGICAL SERVICES MEETS WITH CHILDREN FOR OUTPATIENT THERAPY, PSYCHOLOGICAL AND NEUROPSYCHOLOGICAL ASSESSMENTS, AND CONSULTATION TO OUTPATIENT AND INPATIENT MEDICAL SERVICE: $1,985,904OUR INFECTIOUS DISEASE PROGRAM HAS EXPERTISE WITH BACTERIAL, VIRAL, FUNGAL AND PARASITIC INFECTIONS AND EVALUATES CHILDREN WITH RECURRENT FEVERS FOR POSSIBLE PERIODIC FEVER SYMPTOMS. WE ARE ALSO KNOWN FOR OUR MINNESOTA PERINATAL AND PEDIATRIC HIV PROGRAM: $1,212,887IN OUR IMMUNOLOGY PROGRAM, EVERY DOCTOR HAS HAD DEDICATED TRAINING IN BOTH PEDIATRIC INFECTIOUS DISEASES AND PEDIATRIC IMMUNOLOGY. WE COORDINATE CARE WITH OTHER DEPARTMENTS WITHIN THE HOSPITAL SO THAT PATIENTS CAN SEE EVERYONE THEY NEED, ALL AT THE SAME TIME AND IN THE SAME PLACE. WE COLLABORATE WITH CLINICAL IMMUNOLOGISTS NATIONALLY TO PROVIDE THE MOST ADVANCED DIAGNOSTIC TESTS AND TREATMENTS AVAILABLE, AND WE STAY UP TO DATE BY ATTENDING THE ANNUAL CLINICAL IMMUNOLOGY SOCIETY MEETING: $471,132CHILDREN'S MINNESOTA IS THE LARGEST PEDIATRIC CANCER AND BLOOD DISORDERS PROGRAM IN THE UPPER MIDWEST. WE CARE FOR MORE THAN 58 PERCENT OF CHILDREN DIAGNOSED WITH CANCER OR BLOOD DISORDERS IN MINNESOTA, AND 74 PERCENT OF THOSE DIAGNOSED IN THE TWIN CITIES METRO. EACH YEAR, MORE THAN 1,000 CHILDREN ARE ADMITTED AS INPATIENTS TO THE JIM AND COLLEEN RYAN PEDIATRIC CANCER AND BLOOD DISORDERS CENTER AT CHILDREN'S MINNESOTA MINNEAPOLIS HOSPITAL: $517,954THE DIABETES AND ENDOCRINE CLINIC DIAGNOSES AND TREATS ALL KINDS OF ENDOCRINE DISORDERS IN CHILDREN AND TEENS, INCLUDING GROWTH DISORDERS, ABNORMALLY EARLY OR DELAYED PUBERTY AND DISEASES OF THE THYROID, PITUITARY AND ADRENAL GLANDS: $671,857THE SEDATION AND PROCEDURAL SERVICES (SPS) UNIT PROVIDES A BROAD RANGE OF SCHEDULED AND UNSCHEDULED SERVICES INCLUDING, NON-SURGICAL PROCEDURES, DIAGNOSTIC TESTING, MINIMAL, MODERATE, AND DEEP SEDATION, NURSE-ONLY VISITS, AND VASCULAR ACCESS SERVICES FOR THE HOSPITAL SITES. THE SPSUNITS ADMIT SCHEDULED AND UNSCHEDULED MEDICAL AND SURGICAL OBSERVATION STATUS PATIENTS AND CARE FOR INPATIENT OVERFLOW VOLUME IN TIMES OF HIGH CENSUS: $2,225,161 PART II, COMMUNITY BUILDING ACTIVITIES: CAREER READINESS:ACHIEVE STEP-UP: STEP-UP IS MINNEAPOLIS' LARGEST TRAINING PROGRAM WHICH PROVIDES JOB OPPORTUNITIES TO YOUTH. SINCE 2006 CHILDREN'S MINNESOTA HAS HIRED STEP-UP SUMMER INTERNS. THE STUDENTS WORK IN A VARIETY OF AREAS TO GAIN KNOWLEDGE IN PATIENT CARE AND NON-PATIENT CARE DEPARTMENTS. MANY OF THE CHILDREN'S STEP-UP STUDENTS ATTENDED OR WILL BE ATTENDING HIGHER EDUCATION INSTITUTIONS. STUDENTS MAY RETURN TO THEIR POSITIONS DURING BREAKS IN A CASUAL CAPACITY WHILE ATTENDING SCHOOL OR VOLUNTEERING. THE PROGRAM AT CHILDREN'S FOCUSES ON IMMERSING AND INTEGRATING STUDENTS IN THE HOSPITAL WORK ENVIRONMENT TO ASSIST WITH BUILDING SKILLS AND COMPETITIVE EMPLOYMENT IN HEALTHCARE. IN THE SUMMER OF 2023, CHILDREN'S MINNESOTA HOSTED 5 COLLEGE LEVEL INTERNS AND 3 HIGH SCHOOL LEVEL INTERNS. UNIVERSITY OF SAINT THOMAS-DOUGHERTY FAMILY COLLEGE: THE DOUGHERTY FAMILY COLLEGE PROVIDES COLLEGE AGE STUDENTS WITH A CAREER DEVELOPMENT OPPORTUNITY THROUGH THEIR CORPORATE INTERNSHIP PROGRAM. THIS PROGRAM ALLOWS STUDENTS TO HAVE THE OPPORTUNITY TO DEVELOP REAL-WORLD, PROFESSIONAL EXPERIENCE IN PAID INTERNSHIPS AT LEADING ORGANIZATIONS THROUGHOUT THE TWIN CITIES WHERE THEY'LL START USING THEIR EDUCATION TO BUILD A CAREER THAT MAKES A DIFFERENCE. IN THE SUMMER OF 2023, CHILDREN'S MINNESOTA HOSTED 4 COLLEGE LEVEL INTERNS. CRISTO REY JESUIT HIGH SCHOOL: CHILDREN'S IS ONE OF THE PIONEER ORGANIZATIONS IN THE TWIN CITIES THAT IS INVOLVED IN THE CRISTO REY SCHOOL INITIATIVE. THIS PROGRAM PROVIDES COLLEGE PREPARATORY SCHOOLING TO INNER CITY MINORITY STUDENTS AS WELL AS TARGETED WORK-STUDY OPPORTUNITIES. CHILDREN'S MINNESOTA HAS PROVIDED WORK-STUDY AND MENTOR OPPORTUNITIES TO STUDENTS SINCE 2007. THE GOAL OF THIS INITIATIVE IS TO PROVIDE REAL-LIFE WORK EXPERIENCES THAT WILL BROADEN THE MINORITY TALENT POOL WHILE ALLOWING STUDENTS TO EARN A PORTION OF THE COST OF THEIR EDUCATION. IN THE 2023-2024 ACADEMIC YEAR, CHILDREN'S MINNESOTA HOSTED 2 STUDENT INTERNS. PROJECT SEARCH: CHILDREN'S MINNESOTA PARTNERED WITH THE MINNEAPOLIS PUBLIC SCHOOLS TRANSITIONS PLUS PROGRAM TO LAUNCH PROJECT SEARCH IN 2011. CHILDREN'S MINNESOTA WAS ONE OF THE FIRST HEALTHCARE ORGANIZATIONS TO LAUNCH PROJECT SEARCH IN THE 5-STATE AREA. PROJECT SEARCH IS A UNIQUE BUSINESS-LED TRANSITION PROGRAM FOR STUDENTS WITH DISABILITIES TO WORK, EXPLORE CAREERS AND DEVELOP TRANSFERABLE JOB SKILLS, WITH THE GOAL OF WORKING IN A COMPETITIVE ENVIRONMENT. DESIGNED AS AN UNPAID INTERNSHIP PROGRAM, PROJECT SEARCH PLACES STUDENTS IN REAL SITUATIONS WHERE THEY LEARN ALL ASPECTS OF GAINING AND MAINTAINING A JOB. THIS PROCESS OF IMMERSION FACILITATES THE TEACHING AND LEARNING OF NEW WORK SKILLS ON-SITE. INDIVIDUALIZED JOB DEVELOPMENT AND PLACEMENT OCCURS BASED ON THE STUDENT'S EXPERIENCES, STRENGTHS, AND SKILLS. A SERIES OF JOB ROTATIONS ALLOW STUDENTS TO FIND POSITIONS THAT BEST SUIT THEIR PREFERENCES. STUDENTS RECEIVE SUPPORT WITH ACCOMMODATION, ADAPTATIONS, AND ON-THE-JOB COACHING VIA MINNEAPOLIS SCHOOL EMPLOYEES. IN 2023-2024 ACADEMIC YEAR, CHILDREN'S MINNESOTA HOSTED 6 INTERNS FROM PROJECT SEARCH AND HIRED 1 PREVIOUS INTERN INTO A STERILE PROCESSING TECH ROLE. PROJECT FOR PRIDE IN LIVING (PPL): PPL HELPS LOW-INCOME PEOPLE ACHIEVE SELF-SUFFICIENCY THROUGH HOUSING, EMPLOYMENT TRAINING, SUPPORT SERVICES AND EDUCATION. CHILDREN'S MINNESOTA PARTNERS WITH AND PROVIDES FINANCIAL SUPPORT TO PPL IN THEIR TRAIN TO WORK INITIATIVE, WHICH HAS TRAINED HUNDREDS OF PEOPLE TO MEET ENTRY-LEVEL STAFFING NEEDS OF CHILDREN'S MINNESOTA AND OTHER MAJOR AREA HEALTHCARE PARTNERS. TRAIN TO WORK OFFERS TRAINING IN HEALTHCARE-SPECIFIC DETAILS, SUCH AS MEDICAL TERMINOLOGY AND ELECTRONIC HEALTH RECORDS, AS WELL AS A JOB SHADOWING INTERNSHIP THAT HAS BEEN AN ESSENTIAL COMPONENT OF THE PROGRAM'S SUCCESS. THE INTERNSHIP GIVES PARTICIPANTS HANDS-ON EXPERIENCE IN HEALTHCARE AND GIVES EMPLOYERS AN OPPORTUNITY TO OBSERVE POTENTIAL EMPLOYEES. IN 2023, CHILDREN'S MINNESOTA PARTNERED ON THEIR NURSING ASSISTANT AND PHARMACY TECH PROGRAMS WITH ACTIVITIES SUCH AS PRESENTATIONS, AND MOCK INTERVIEWS, AND WAS ABLE TO HIRE 3 PARTICIPANTS INTO NURSING ASSISTANT ROLES, 1 INTO AN ENVIRONMENTAL SERVICES ROLE, AND 1 INTO A UNIT OPERATIONS COORDINATOR ROLE. URBAN SCHOLARS: THE URBAN SCHOLARS PROGRAM INTENTIONALLY CONNECTS STUDENTS AND ORGANIZATIONS IN PURSUIT OF AN EQUITABLE WORKFORCE. URBAN SCHOLARS IS A PAID, FULL TIME, 10-WEEK SUMMER INTERNSHIP PROGRAM. SCHOLARS SPEND 32 HOURS IN THEIR WORK PLACEMENT, AND 8 HOURS IN THE URBAN SCHOLARS LEADERSHIP INSTITUTE EVERY WEEK. IN THE SUMMER OF 2023, CHILDREN'S MINNESOTA HOSTED 2 URBAN SCHOLARS INTERNS. RIGHTTRACK: RIGHT TRACK BRINGS TOGETHER THE CITY OF SAINT PAUL, THE SAINT PAUL PUBLIC SCHOOLS, LOCAL BUSINESSES, AND COMMUNITY-BASED ORGANIZATIONS TO PROVIDE EMPLOYMENT OPPORTUNITIES AND PROFESSIONAL SKILLS TRAINING FOR HIGH SCHOOL YOUTH. IN THE SUMMER OF 2023, CHILDREN'S MINNESOTA HOSTED 2 RIGHT TRACK HIGH SCHOOL INTERNS.WALLIN EDUCATION PARTNERS: WALLIN EDUCATION PARTNERS WORKS WITH STUDENTS TO PROVIDE FINANCIAL AID, ADVISING, AND ACCESS TO COMMUNITY AND CAREER OPPORTUNITIES. IN THE SUMMER OF 2023 CHILDREN'S MINNESOTA HOSTED 2 COLLEGE LEVEL INTERNS.INTERNATIONAL INSTITUTE OF MINNESOTA: IIOFMN HELPS NEW AMERICANS ACHIEVE SELF-SUFFICIENCY AND FULL MEMBERSHIP IN AMERICAN LIFE. CHILDREN'S MINNESOTA CONSULTS WITH THE INTERNATIONAL INSTITUTE OF MINNESOTA ON HIGH NEEDS AREAS, HOSTS INFORMATION SESSIONS, MOCK INTERVIEWS AND PROVIDES EMPLOYMENT ASSISTANCE AND SITE VISITS FOR NURSING ASSISTANT, HOUSEKEEPING, DIETARY, AND RN STUDENTS. IN 2023, CHILDREN'S MINNESOTA HIRED 1 STUDENT INTO AN ENVIRONMENTAL SERVICES AIDE POSITION. SUMMIT ACADEMY: IN SEPTEMBER 2022 CHILDREN'S MINNESOTA BEGAN WORKING WITH THE SUMMIT ACADEMY OIC PROGRAM WHICH OFFERS TRAINING FOR IN-DEMAND CAREERS, INCLUDING HEALTHCARE. CHILDREN'S MINNESOTA PARTICIPATES IN INFORMATION SESSIONS, MOCK INTERVIEWS AND CAREER FAIRS WHILE ALSO PROVIDING EMPLOYMENT ASSISTANCE. IN 2023 CHILDREN'S MINNESOTA HIRED 8 STUDENTS FROM THE SUMMIT OIC MEDICAL ADMINISTRATIVE ASSISTANT CLASS INTO ADMINISTRATIVE ROLES. CHILDREN'S MINNESOTA ALSO HOSTED A STUDENT AS AN INFORMATION TECHNOLOGY SERVICES INTERN. CAPI: CAPI CONNECTS IMMIGRANTS, REFUGEES, AND US-BORN PERSONS OF COLOR WITH RESOURCES THEY NEED TO THRIVE. CHILDREN'S MINNESOTA WORKS WITH CAPI ON THEIR NURSING ASSISTANT TRAINING BY OFFERING INFO SESSIONS, MOCK INTERVIEWS, AND JOB ASSISTANCE FOR REFERRALS. IN 2023, CHILDREN'S MINNESOTA ABLE TO HIRE ONE OF THEIR REFERRALS INTO A FAMILY RESOURCE REP POSITION.CLUES: CLUES ADVANCES SOCIAL AND ECONOMIC EQUITY AND WELLBEING FOR LATINOS. CHILDREN'S MINNESOTA WORKS WITH CLUES NURSING ASSISTANT, HEALTHCARE TECH, AND PHLEBOTOMY TRAINING BY GOING TO THEIR EVENTS, MOCK INTERVIEWING, INFO SESSIONS, AND OFFERING JOB ASSISTANCE. IN 2023, WE WERE ABLE TO HIRE 2 STUDENTS FROM CLUES INTO CLINICAL SUPPORT ASSOCIATE ROLES.HIRED: HIRED SUPPORTS PARTICIPANTS WITH RESOURCES AND CONNECTING THEM TO THE RIGHT TRAINING TO BUILD SUSTAINABLE CAREERS. CHILDREN'S MINNESOTA PARTNERS WITH THEM ON THEIR MEDICAL CALL CENTER AND OFFICEADMIN TRAINING BY DOING INFORMATION SESSIONS AND EMPLOYMENT ASSISTANCE. IN 2023, CHILDREN'S MINNESOTA HIRED 1 PARTICIPANT INTO A CLINIC ASSISTANT ROLE.HMONG AMERICA PARTNERSHIP: HAP EMPOWERS THE COMMUNITY WITH CULTURALLY SENSITIVE SOCIAL SERVICES, PROMOTING THE RICH HERITAGE OF THEIR ETHNIC COMMUNITIES, AND OFFERING HOUSING AND ECONOMIC DEVELOPMENT OPPORTUNITIES. CHILDREN'S MINNESOTA PARTNERS WITH THEM ON THEIR NURSING ASSISTANT TRAINING PROGRAM AND THEIR JOB FAIRS.TWIN CITIES R!SE: TCR TRANSFORMS THE LIVES OF THOSE IMPACTED BY RACIAL OR SOCIO-ECONOMIC BARRIERS THROUGH PERSONAL EMPOWERMENT, CAREER TRAINING, AND MEANINGFUL EMPLOYMENT. CHILDREN'S MINNESOTA PARTNERS WITH THEM ON INFORMATION SESSIONS, MOCK INTERVIEWING, AND JOB FAIRS.JOB CORPS: JOB CORPS PROVIDES FREE CAREER TRAINING AND EDUCATION FOR 16 THROUGH 24-YEAR-OLDS TO BEGIN A CAREER OR ADVANCE HIGHER EDUCATION. CHILDREN'S MINNESOTA PARTNERS WITH THEM ON THEIR JOB FAIRS AND GENERAL EMPLOYMENT ASSISTANCE. PART III, LINE 2: BAD DEBT IS DEFINED AS THE UNPAID OBLIGATION FOR CARE PROVIDED TO PATIENTS WHO HAVE BEEN DETERMINED TO BE ABLE TO PAY, BUT HAVE NOT DEMONSTRATED A WILLINGNESS TO PAY. THE AMOUNTS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY ARE DETERMINED BY A PATIENT'S WILLINGNESS TO PAY WITH A DOCUMENTED INABILITY TO PAY PER MEASURES ESTABLISHED BY OUR POLICY. BAD DEBT IS ESTIMATED BY APPLYING THE RATIO OF PATIENT CARE COST TO CHARGES, AS CALCULATED ON FORM 990, SCHEDULE H, WORKSHEET 2, TO THE ACTUAL PATIENT CHARGES. PART III, LINE 3: THE ORGANIZATION ESTIMATES THAT TWENTY-FIVE PERCENT OF BAD DEBT EXPENSES ARE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY (BUT WERE EITHER UNWILLING OR UNABLE TO PROVIDE SUFFICIENT INFORMATION TO MAKE A DETERMINATION OF THEIR ELIGIBILITY WHILE IN OUR CARE). THE ESTIMATE OF TWENTY-FIVE PERCENT IS BASED ON A REVIEW OF ACCOUNTS CLASSIFIED AS BAD DEBT AND MANAGEMENT JUDGMENT. PART III, LINE 4: GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. CHILDREN'S ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. CHILDREN'S ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCES AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. CONSISTENT WITH CHILDREN'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, CHILDREN'S HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES (E.G., CO-PAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS CHILDREN'S EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS. PATIENTS WHO MEET CHILDREN'S CRITERIA FOR CHARITY CARE ARE PROVIDED CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SUCH AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE ARE NOT REPORTED AS REVENUE. PART III, LINE 8: UNREIMBURSED MA: ACTUAL MEDICAID REIMBURSEMENT RATE FOR FY 2023 LESS ACTUAL PAYMENTS RECEIVED, MN CARE PROVIDER TAX, MA SURCHARGE AND COSTS DERIVED VIA A COST ACCOUNTING METHODOLOGY THAT ALLOCATES OVERHEAD TO OPERATING DEPARTMENTS. FOR 2023, THE REMAINING COVID RELIEF GRANTS NOT COUNTED IN OTHER CATEGORIES WERE APPLIED AS DIRECT OFFSETTING REVENUE.COMMUNITY HEALTH IMPROVEMENT SERVICES: A COST ACCOUNTING METHODOLOGY THAT ALLOCATES OVERHEAD TO OPERATING DEPARTMENTS AND REMOVES DIRECT COMMUNITY BENEFITS COSTS ACCOUNTED FOR IN OTHER PORTION OF THE SCHEDULE TO ENSURE WE DO NOT DOUBLE COUNT LESS DIRECT OFFSETTING REVENUE. THIS METHODOLOGY ADDRESSES ALL PATIENT SEGMENTS AND IS A DIFFERENT METHODOLOGY THAN USED IN WORKSHEET 2.COMMUNITY BENEFIT OPERATIONS: ACTUAL AND ESTIMATED COSTS INCURRED FOR SUPPORTING CHNA AND COMMUNITY BENEFITS OPERATIONS INCLUDING EXTERNAL COSTS, INTERNAL DEPARTMENT TIME AND A PERCENTAGE OF FOUNDATION SUPPORT COSTS BASED ON ACTUAL COMMUNITY BENEFIT REVENUE ACTIVITIES.HEALTH PROFESSIONS EDUCATION: A COST ACCOUNTING METHODOLOGY THAT ALLOCATES OVERHEAD TO OPERATING DEPARTMENTS AND REMOVES DIRECT COMMUNITY BENEFITS COSTS ACCOUNTED FOR IN OTHER PORTION OF THE SCHEDULE TO ENSURE WE DO NOT DOUBLE COUNT LESS DIRECT OFFSETTING REVENUE. THIS METHODOLOGY ADDRESSES ALL PATIENT SEGMENTS AND IS A DIFFERENT METHODOLOGY THAN USED IN WORKSHEET 2.SUBSIDIZED HEALTH SERVICES: A COST ACCOUNTING METHODOLOGY THAT ALLOCATES OVERHEAD TO OPERATING DEPARTMENTS AND REMOVES DIRECT COMMUNITY BENEFITS COSTS ACCOUNTED FOR IN OTHER PORTION OF THE SCHEDULE TO ENSURE WE DO NOT DOUBLE COUNT LESS DIRECT OFFSETTING REVENUE. THIS METHODOLOGY ADDRESSES ALL PATIENT SEGMENTS AND IS A DIFFERENT METHODOLOGY THAN USED IN WORKSHEET 2. FOR 2023, THE REMAINING COVID RELIEF GRANTS NOT COUNTED IN OTHER CATEGORIES WERE APPLIED AS DIRECT OFFSETTING REVENUE.RESEARCH: A COST ACCOUNTING METHODOLOGY IS THAT ALLOCATES OVERHEAD TO OPERATING DEPARTMENTS AND REMOVES DIRECT COMMUNITY BENEFITS COSTS ACCOUNTED FOR IN OTHER PORTION OF THE SCHEDULE TO ENSURE WE DO NOT DOUBLE COUNT LESS DIRECT OFFSETTING REVENUE. THIS METHODOLOGY ADDRESSES ALL PATIENT SEGMENTS AND IS A DIFFERENT METHODOLOGY THAN USED IN WORKSHEET 2.THE ORGANIZATION PRIMARILY SERVES PEDIATRIC PATIENTS AND DOES NOT GENERATE SIGNIFICANT MEDICARE REVENUES. THE ORGANIZATION FILES A MEDICARE COST REPORT ANNUALLY. FORM 990, SCHEDULE H, WORKSHEET 3 - UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS WAS USED TO CALCULATE THE COSTS ASSOCIATED WITH MEDICARE CHARGES REPORTED IN PART III, LINE 6. THE ORGANIZATION DOES NOT REPORT ANY AMOUNTS FROM PART III, LINE 7 AS COMMUNITY BENEFIT. PART III, LINE 9B: WHEN COLLECTING MEDICAL DEBT, CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA TREATS ITS PATIENT FAMILIES WITH HONOR, DIGNITY, AND RESPECT; DEMONSTRATES COMPASSION; AND ARE GOOD STEWARDS OF HEALTH CARE RESOURCES. THERE IS A ZERO TOLERANCE FOR ABUSIVE, HARASSING, OPPRESSIVE, FALSE, DECEPTIVE, OR MISLEADING LANGUAGE OR COLLECTIONS CONDUCT BY CHILDREN'S EMPLOYEES AND CONTRACTORS WHO COLLECT MEDICAL DEBT FROM PATIENT FAMILIES. THIS POLICY APPLIES BROADLY TO ALL PATIENT FAMILIES WE SERVE.COMPONENTS OF CHILDREN'S COLLECTION POLICY INCLUDE: DURING THE PRE-REGISTRATION, REGISTRATION, OR ADMISSION PROCESS, CHILDREN'S ATTEMPTS TO IDENTIFY AND INFORM PATIENT FAMILIES WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE OR DISCOUNTED CARE THROUGH THE UNINSURED DISCOUNT OR FINANCIAL ASSISTANCE POLICY. IN ADDITION, ALL FAMILIES ARE PROVIDED WITH A PLAIN LANGUAGE SUMMARY OF OUR FINANCIAL ASSISTANCE POLICY AT REGISTRATION. INFORMATION ON OUR FINANCIAL ASSISTANCE POLICY IS POSTED IN EACH CLINIC AND REGISTRATION AREA, OUR WELCOME CENTER AND ON OUR WEBSITE.ALL CHILDREN'S EMPLOYEES AND CONTRACTED STAFF WHO HAVE DIRECT CONTACT WITH PATIENTS ARE EDUCATED ON AN ANNUAL BASIS OF CHILDREN'S FINANCIAL ASSISTANCE POLICIES. THE EDUCATION INFORMS STAFF OF PROGRAMS AVAILABLE AND HOW A PATIENT FAMILY MAY OBTAIN MORE INFORMATION AND SUBMIT AN APPLICATION FOR FINANCIAL ASSISTANCE.A COPY OF THE FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY IS INCLUDED ON THE BACK OF EACH HOSPITAL PATIENT STATEMENT EXPLAINING THE PROCESS AND PHONE NUMBERS TO CONTACT FOR QUESTIONS FOR OBTAINING FINANCIAL ASSISTANCE FOR ALL PATIENT FAMILIES THE LOCATION ON CHILDREN'S WEB SITE WHERE THE POLICIES AND APPLICATIONS RESIDE IS ALSO REFERENCED. .. IF A PATIENT FAMILY INDICATES THE NEED FOR FINANCIAL ASSISTANCE DURING THE REGISTRATION PROCESS OR THROUGHOUT THE COLLECTION PROCESS, FINANCIAL ASSISTANCE INFORMATION IS PROVIDED TO THE FAMILY BY STAFF. ALL PATIENTS WHO ARE REGISTERED AS SELF PAY ARE OFFERED THE FINANCIAL ASSISTANCE INFORMATION AT THE TIME OF REGISTRATION.ALL CORRESPONDENCE SEEKING COLLECTION OF MEDICAL DEBTS CONTAIN A REFERENCE TO THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THE FINAL NOTICE PRIOR TO BAD DEBT PLACEMENT INCLUDE THE REQUIRED LANGUAGE RELATED TO EXTRAORDINARY COLLECTION EFFORTS.MINNESOTA HOSPITAL PROVIDERS HAVE JOINTLY DEVELOPED CONSISTENT COLLECTION GUIDELINES SET OUT IN FORMAL AGREEMENTS WITH THE MINNESOTA ATTORNEY GENERAL'S OFFICE. THIS AGREEMENT IS CONSISTENT WITH CHILDREN'S COLLECTION POLICY. THE AUDIT COMMITTEE OF OUR BOARD OF DIRECTORS ANNUALLY REVIEWS THIS POLICY AND ALL POLICIES CONCERNING COLLECTION OF MEDICAL DEBT, UNINSURED DISCOUNT, AND CHARITY CARE. THE AUDIT COMMITTEE ALSO REVIEWS THE RESULTS OF AN ANNUAL AUDIT RELATED TO THESE AREAS IN ACCORDANCE WITH THE MINNESOTA ATTORNEY GENERAL'S AGREEMENT. PART VI, LINE 2: IN 2023, CHILDREN'S MINNESOTA COMPLETED ITS FOURTH COMMUNITY HEALTH NEEDS ASSESSMENT, AS REQUIRED UNDER THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 ("PPACA"). THE CHNA AND ACCOMPANYING IMPLEMENTATION STRATEGY WERE APPROVED BY THE EXECUTIVE COMMITTEE OF THE CHILDREN'S MINNESOTA BOARD OF DIRECTORS. THE COMPLETE DOCUMENTS ARE AVAILABLE TO THE PUBLIC AT COMMUNITY HEALTH NEEDS ASSESSMENT | CHILDREN'S MINNESOTA (CHILDRENSMN.ORG)IN CONDUCTING THE ASSESSMENT, CHILDREN'S MINNESOTA CONSIDERED THE FOLLOWING TOPICS AND DATA: DEMOGRAPHICS; ECONOMIC ISSUES THAT AFFECT CHILDREN; COMMUNITY ISSUES; HEALTH STATUS INDICATORS; HEALTH ACCESS INDICATORS; HEALTH DISPARITIES INDICATORS AND AVAILABILITY OF HEALTHCARE FACILITIES AND RESOURCES.IN ADDITION TO THE CHNA PROCESS, CHILDREN'S MINNESOTA ALSO REGULARLY ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IN THE FOLLOWING WAYS:A. BOARD OF DIRECTORS: THE ORGANIZATION'S GOVERNING BODY, COMPRISED PRIMARILY OF COMMUNITY MEMBERS WHO RESIDE LOCALLY, PROVIDES GOVERNANCE OVERSIGHT AND INPUT ON THE HEALTH CARE SERVICES CHILDREN'S MINNESOTA PROVIDES TO THE LOCAL COMMUNITY.B. CHILDREN'S MINNESOTA EMPLOYED PHYSICIANS, INDEPENDENT PHYSICIANS WHO PROVIDE CARE AT CHILDREN'S, AND NUMEROUS CLINICAL CARE PROVIDERS ASSESS COMMUNITY NEEDS DAILY THROUGH THE PEDIATRIC CARE PROVIDED THROUGHOUT THE COMMUNITY.C. COMMUNITY PARTNERSHIPS/RELATIONSHIPS: THE CHILDREN'S MINNESOTA COLLECTIVE FOR COMMUNITY HEALTH, EQUITY AND INCLUSION DEPARTMENT, HEALTH EQUITY TEAM AND OTHERS CONTINUE TO DEVELOP A CORE STRATEGY BASED ON ACTIVE AND SUBSTANTIVE ENGAGEMENT OF THE COMMUNITY, IN ITS VARYING FORMS. THIS INCLUDES COLLABORATION WITH COMMUNITY-BASED ORGANIZATIONS AND LEADERS, ALIGNED NON-PROFITS, SERVICE DELIVERY AGENCIES AND ASSOCIATIONS. CHILDREN'S MINNESOTA ALSO ENGAGES IN LOCAL AND STATE GOVERNMENT-DRIVEN INITIATIVES AROUND CHILD HEALTH ISSUES. THROUGH THESE PARTNERSHIPS CHILDREN'S MINNESOTA GAINS INSIGHT AND SUPPORTS PROGRESS ON A NUMBER OF KEY ISSUES IMPACTING CHILDREN, INCLUDING: MENTAL HEALTH, ACCESS TO HEALTH CARE, HEALTH AND RACIAL EQUITY, COMMUNITY SAFETY AND OTHER SOCIAL CONDITIONS THAT IMPACT HEALTH. D. THE FAMILIES AS PARTNERS (FAP) PROGRAM: THE CHILDREN'S MINNESOTA FAP PROGRAM PROMOTES, COORDINATES, AND SUPPORTS PATIENT FAMILY ENGAGEMENT THROUGHOUT THE ORGANIZATION. THE PATHWAYS TO GET INVOLVED INCLUDE THE -FAMILY-TO- FAMILY PROGRAM, FAMILY ADVISORY COUNCIL, FAMILY ADVOCATES, FAMILY ADVISORS, FAMILIES AS FACULTY AND FAMILY SPEAKER'S BUREAU. -FAMILY-TO-FAMILY PROGRAM CHILDREN'S MINNESOTA PATIENT FAMILIES THAT MENTOR AND SUPPORT OTHER HOSPITALIZED PATIENTS AND FAMILIES-FAMILY ADVISORY COUNCIL (FAC) A DIVERSE GROUP OF FAMILIES WHO COLLABORATE WITH STAFF TO ENHANCE THE PATIENT AND FAMILY EXPERIENCE-FAMILY ADVOCATES PATIENT FAMILIES WHO ADVOCATE FOR PEDIATRIC HEALTH POLICIES-FAMILY ADVISORS REPRESENT THE FAMILY PERSPECTIVE ON COMMITTEES, EXPERIENCE TEAMS, FACILITY DESIGN TEAMS AND FOCUS GROUPS -FAMILIES AS FACULTY PARTICIPATE IN SESSIONS THAT PROVIDE PATIENT AND FAMILY CENTERED CARE EDUCATION FOR PHYSICIANS, NURSES AND STAFF-FAMILY SPEAKER'S BUREAU SHARE INFORMATION ABOUT THEIR INDIVIDUAL EXPERIENCE AT SPECIAL EVENTS AND MEETINGSE. YOUTH ADVISORY COUNCIL (YAC) -- THIS IS A DEDICATED GROUP OF PATIENTS; AGES 10 TO 18, WHO HELP HOSPITAL STAFF, LEADERS, CLINICIANS AND PARENTS UNDERSTAND WHAT IS IMPORTANT TO CHILDREN, TEENS AND SIBLINGS DURING HOSPITAL STAYS, CLINIC VISITS AND EMERGENCY CARE. THE YAC BRINGS A VALUABLE PERSPECTIVE AND VOICE TO CHILDREN'S MINNESOTA BY PARTICIPATING IN ACTIVITIES THAT PROMOTE DISCUSSION AND THOUGHT ABOUT HEALTH CARE SERVICES FOR PEDIATRIC AND YOUNG ADULT PATIENTS. THE COUNCIL ALSO BRINGS GREAT PERSPECTIVE TO LET OTHER CHILDREN KNOW HOW TO MAKE THEIR STAY AT CHILDREN'S MINNESOTA A MORE COMFORTABLE AND POSITIVE EXPERIENCE. F. OTHER METHODS INCLUDE AND ARE NOT LIMITED TO PARTNERSHIPS AND PROJECTS WITH THIRD PARTY-PAYERS AND OTHER COMMUNITY PHYSICIANS AND HOSPITALS, MONITORING AND REPORTING OF INFECTIOUS DISEASE DATA, DISASTER READINESS EFFORTS, RESEARCH AND EDUCATION, SUPPORT GROUPS, AND OTHERS. PART VI, LINE 3: COMPONENTS OF CHILDREN'S COLLECTION POLICY INCLUDE:DURING THE PRE-REGISTRATION, REGISTRATION, OR ADMISSION PROCESS, CHILDREN'S WILL ATTEMPT TO IDENTIFY AND INFORM PATIENT FAMILIES WHO MAY BE ELIGIBLE FOR CHARITY CARE OR DISCOUNTED CARE THROUGH THE UNINSURED DISCOUNT OR CHARITY CARE POLICY.ALL CHILDREN'S EMPLOYEES AND CONTRACTED STAFF WHO HAVE DIRECT CONTACT WITH PATIENTS WILL BE EDUCATED ON AN ANNUAL BASIS OF CHILDREN'S FINANCIAL ASSISTANCE POLICIES. THE EDUCATION WILL INFORM STAFF OF PROGRAMS AVAILABLE AND HOW A PATIENT FAMILY MAY OBTAIN MORE INFORMATION AND SUBMITAN APPLICATION FOR FINANCIAL ASSISTANCE.A FINANCIAL ASSISTANCE APPLICATION WILL BE SENT WITH THE INITIAL LETTER EXPLAINING THE PROCESS FOR OBTAINING FINANCIAL ASSISTANCE TO ALL SELF-PAY PATIENT FAMILIES. IF A PATIENT FAMILY INDICATES THE NEED FOR FINANCIAL ASSISTANCE DURING THE REGISTRATION PROCESS, FINANCIAL ASSISTANCE INFORMATION IS PROVIDED TO THE FAMILY BY THE REGISTRATION STAFF.ALL CORRESPONDENCE SEEKING COLLECTION OF MEDICAL DEBTS WILL CONTAIN A REFERENCE TO THE AVAILABILITY OF FINANCIAL ASSISTANCE.MINNESOTA HOSPITAL PROVIDERS HAVE JOINTLY DEVELOPED CONSISTENT COLLECTION GUIDELINES SET OUT IN FORMAL AGREEMENTS WITH THE MINNESOTA ATTORNEY GENERAL'S OFFICE. THIS AGREEMENT IS CONSISTENT WITH CHILDREN'S COLLECTION POLICY. THE BOARD OF DIRECTORS (AUDIT COMMITTEE) PERFORMS AN ANNUAL REVIEW OF THIS POLICY AND ALL POLICIES CONCERNING COLLECTION OF MEDICAL DEBT, UNINSURED DISCOUNT, AND CHARITY CARE. THE AUDIT COMMITTEE SHALL ALSO REVIEW THE RESULTS OF AN ANNUAL AUDIT RELATED TO THESE AREAS IN ACCORDANCE WITH THE MINNESOTA ATTORNEY GENERAL'S AGREEMENT. PART VI, LINE 4: CHILDREN'S MINNESOTA SERVES THE FIVE-STATE AREA OF THE UPPER MIDWEST (MINNESOTA, NORTH DAKOTA, SOUTH DAKOTA, IOWA, AND WISCONSIN). IN 2023, CHILDREN'S MINNESOTA SERVED PATIENTS FROM 100 PERCENT OF MINNESOTA COUNTIES AND 59 PERCENT OF THE TOTAL COUNTIES IN THE FIVE-STATE AREA. IN SUPPORT OF A HIGHLY DIVERSE PATIENT POPULATION, CHILDREN'S MINNESOTA PROVIDED INTERPRETER SERVICES FOR 68 LANGUAGES WITH THE MOST FREQUENT LANGUAGES BEING SPANISH, SOMALI, AND KAREN. CHILDREN'S MINNESOTA ALSO SERVES A DISPROPORTIONATE SHARE OF ECONOMICALLY DISADVANTAGED PATIENTS WITH APPROXIMATELY 47 PERCENT OF THE CHILDREN'S MINNESOTA PATIENT POPULATION BEING ELIGIBLE FOR MEDICAID IN 2023. THE MINNEAPOLIS CAMPUS IS LOCATED WITHIN THE PHILLIPS-POWDERHORN NEIGHBORHOOD, HOME TO ONE OF THE MOST RACIALLY AND ETHNICALLY DIVERSE COMMUNITIES IN MINNESOTA. PART VI, LINE 5: AS A TAX-EXEMPT ORGANIZATION, CHILDREN'S MINNESOTA MAINTAINS AN OPEN MEDICAL STAFF AND IS GOVERNED BY A VOLUNTEER, COMMUNITY BOARD. CHILDREN'S MINNESOTA PROVIDES A BROAD SPECTRUM OF BENEFITS TO THE COMMUNITIES IT SERVES THAT WOULD OTHERWISE BE UNAVAILABLE OR INSUFFICIENT TO MEET PATIENT DEMAND. CHILDREN'S MINNESOTA DOES THIS FOR THE EXPRESS PURPOSE OF IMPROVING THE HEALTH STATUS OF CHILDREN IN THE COMMUNITY. THESE SERVICES AND DONATIONS ACCOUNT FOR A MEASURABLE PORTION OF THE HOSPITAL'S COSTS AND HELP TO PROMOTE HEALTHY LIFESTYLES, COMMUNITY DEVELOPMENT, HEALTH EDUCATION AND AFFORDABLE ACCESS TO CARE. EXAMPLE PROGRAMS INCLUDE:THE COLLECTIVE FOR COMMUNITY HEALTH AT CHILDREN'S MINNESOTA PROMOTES THE HEALTH OF THE COMMUNITY THROUGH PROGRAMS AND SERVICES THAT ADDRESS PATIENTS' SOCIAL NEEDS AS WELL AS ACTIVE AND INTENTIONAL ADVOCACY AND ENGAGEMENT WITH THE COMMUNITY TO BUILD PARTNERSHIPS THAT CAN SUPPORT THE HEALTH AND WELL-BEING OF CHILDREN IN THE COMMUNITIES CHILDREN'S MINNESOTA SERVES.THE MINNESOTA EMERGENCY MEDICAL SERVICES FOR CHILDREN (EMSC) PROGRAM WAS ESTABLISHED IN 1996 TO REDUCE CHILD AND YOUTH MORTALITY AND MORBIDITY RESULTING FROM SEVERE ILLNESS OR TRAUMA. IT IS THE ONLY PROGRAM IN THE UNITED STATES THAT IS FOCUSED ON PEDIATRIC EMERGENCY CARE AND IS HOUSED AT CHILDREN'S MINNESOTA. EMSC WORKS TO ENSURE ALL CHILDREN AND ADOLESCENTS, NO MATTER WHERE THEY LIVE OR TRAVEL, RECEIVE THE BEST CARE POSSIBLE IN AN EMERGENCY SITUATION. IN 2023, EMSC PROVIDED OVER 20 HOURS OF PEDIATRIC CONTINUING EDUCATION TO ROUGHLY 3,900 PRE-HOSPITAL AND HOSPITAL-BASED PROVIDERS. ADDITIONALLY, EMSC HAS DISTRIBUTED OVER 4,300 PEDIATRIC RESOURCES (PEDIATRIC PROCEDURES FOR EMERGENCY CARE, PEDIATRIC VITAL SIGN CARDS, COMMUNICATION CARDS, AND COLORING/ACTIVITY BOOKS) TO THE COMMUNITY THIS PAST YEAR. CLINIC IN THE CLASSROOM IS A WEBINAR SERIES HOSTED AS A COLLABORATIVE EFFORT BETWEEN THE CHILDREN'S MINNESOTA COLLECTIVE FOR COMMUNITY HEALTH AND MEDICAL EDUCATION TEAMS. THE SERIES WAS LAUNCHED IN 2023 AND RETURNED IN THE FALL OF 2023 AND SUPPORTS SCHOOL NURSES ACROSS THE STATE WITH EDUCATIONAL CONTENT THAT IS ELIGIBLE FOR CONTINUING EDUCATION CREDITS. IN 2023 1,450 SCHOOL HEALTH STAFF ATTENDED A WEBINAR LIVE OR VIEWED THE RECORDING LATER FOR CREDIT. CONTENT WAS FOCUSED ON MENTAL HEALTH, DIABETES, ASTHMA AND HEALTH EQUITY.THE SIMULATION CENTER IS A MOTOR COACH OUTFITTED WITH SIMULATION EQUIPMENT AND STAFFED WITH CHILDREN'S MINNESOTA TRAINERS THAT TRAVELS THROUGHOUT THE MIDWEST TO TRAIN STAFF FROM HOSPITALS IN THE BEST PRACTICES WHEN RESPONDING TO PEDIATRIC OR NEONATAL MEDICAL EMERGENCIES. CHILDRENS MN SIMULATION PROGRAM CONSISTS OF SIM CENTERS IN MINNEAPOLIS, ST. PAUL, AND EDINA, A SIMULATION BUS, AND THE ABILITY TO DEPLOY EDUCATION IN-SITU. CHILDREN'S MINNESOTA'S SIMULATION TEAM HOSTS SIMULATION AND EDUCATION OPPORTUNITIES FOR INTERNAL STAFF, PATIENT FAMILIES AND CAREGIVERS, AND THE BROADER COMMUNITY. COMMUNITY OUTREACH - AT SIMULATION CENTERS OR OUT IN THE COMMUNITY, THE SIMULATION TEAM HOSTS EVENTS WITH DIVERSE STUDENTS OF ALL AGES, FROM ELEMENTARY SCHOOL THROUGH COLLEGE, DEMONSTRATING WHAT SIMULATION IS AND PROVIDING THE ABILITY TO EXPLORE HEALTHCARE CAREERS. THE SIMULATION TEAM ALSO PROVIDES MENTORSHIP AND SHADOWING OPPORTUNITIES FOR THOSE WHO ARE INTERESTED IN OR ARE NEW TO THE SIMULATION FIELD TO HELP TRAIN THEM IN PEDIATRIC SIMULATION BEST PRACTICES. COMMUNITY EDUCATION - THE SIMULATION BUS TRAVELS AROUND THE BROADER COMMUNITY TO TRAIN EXTERNAL HOSPITAL AND CLINIC STAFF ON BEST PRACTICES IN RESPONDING TO PEDIATRIC OR NEONATAL MEDICAL EMERGENCIES.FOR THOSE CARING FOR CHILDREN WITH COMPLEX CARDIAC CONDITIONS, FEEDING TUBES, OR TRACHEOSTOMY/VENTILATORS, CAREGIVER SIMULATIONS GIVE PATIENT FAMILIES AND CAREGIVERS THE OPPORTUNITY TO PRACTICE COMPLEX MEDICAL CARE SKILLS IN A SAFE ENVIRONMENT WITH THE GOAL OF INCREASED SELF-CONFIDENCE, DECREASED ANXIETY, AND IMPROVED PERFORMANCE OF THE CARES THEY WILL BE PROVIDING AT HOME. IN PARTNERSHIP WITH THE TELEHEALTH DEPT, THE SIMULATION TEAM HOSTS SIMULATION DAYS FOR SITES WHO UTILIZE VIRTUAL CARE CARTS. THESE CARTS CONNECT HOSPITALS WHO MAY NOT HAVE THE STAFF OR EXPERTISE IN NEONATAL AND INFANT EMERGENCIES, WITH CHILDREN'S MINNESOTA EXPERTS. THESE SIMULATIONS HELP PREPARE THEIR TEAM IN BEST PRACTICES IN UTILIZING THE CARTS DURING AN EMERGENCY. THE SIMULATION TEAM ALSO PROVIDES CONTINUING EDUCATION WITH THESE PARTNER SITES TO REFRESH TEAMWORK SKILLS POST IMPLEMENTATION.THE EMERGENCY RESPONSE TRAINING CENTER, A DEPARTMENT WITHIN THE SIMULATION TEAM, HOSTS BLS, ACLS, PEARS, PALS COURSES THAT ARE OPEN TO THE PUBLIC. LEARNERS CAN TRAIN ALONGSIDE CHILDREN'S MINNESOTA EMPLOYEES ON BEST PRACTICES IN RESPONDING TO PEDIATRIC EMERGENCIES. NEONATAL TRANSPORT SIMULATIONS ALLOW THE NEONATAL TRANSPORT TEAM TO TRAIN IN SIMULATION ALONGSIDE THE FIRST RESPONDERS THAT THEY WORK WITH DURING TRANSPORT CALLS, PREPARING THEM TO QUICKLY AND EFFECTIVELY WORK WITH CHILDREN'S MINNESOTA TEAM IN EMERGENT SITUATIONS. THE CHILDREN'S MINNESOTA MOBILE CLINIC IS A MOTOR COACH OUTFITTED WITH THE APPROPRIATE MEDICAL EQUIPMENT AND STAFF TO PROVIDE HEALTH SCREENINGS, VACCINATIONS AND OTHER SERVICES AT COMMUNITY EVENTS, SCHOOLS AND OTHER LOCATIONS.PERINATAL HIV PREVENTION PROGRAM: OPTIMAL PRENATAL CARE FOR WOMEN WITH HIV IS ESSENTIAL IN PREVENTING TRANSMISSION OF THE DISEASE TO INFANTS. THE CHILDREN'S MINNESOTA INFECTION PREVENTION DEPARTMENT WORKS WITH HIV POSITIVE PREGNANT WOMEN TO HELP THEM GET THIS CARE BY BUILDING RELATIONSHIPS WITH MEDICAL PROVIDERS THROUGHOUT THE STATE TO REFER EXPECTING MOTHERS INTO THE PROGRAM.PERINATAL HIV PREVENTION (ADULT): CHILDREN'S PROVIDED PERINATAL CARE COORDINATION TO 50 HIV POSITIVE PREGNANT PEOPLE IN 2023. PERINATAL HIV PREVENTION (INFANT): CHILDREN'S PROVIDED CARE COORDINATION AND SURVEILLANCE FOR 25 HIV EXPOSED INFANTS IN 2023 AND EMERGENCY CONSULTATION AND ASSISTANCE ON PERINATAL HIV PREVENTION TO 8 DIFFERENT HEALTH CARE SYSTEMS ACROSS THE STATE. MEDICAL CASE MANAGEMENT WAS ALSO PROVIDED FOR 85 FAMILIES, CHILDREN AND YOUTH LIVING WITH HIV AND HEALTH EDUCATION/RISK REDUCTION COUNSELING TO 12 PATIENTS/FAMILIES IN 2023. IN ADDITION, CHILDREN'S MINNESOTA HAS ALSO PROVIDED PERINATAL HIV CAPACITY BUILDING SUPPORT FOR 8 HEALTHCARE SITES ACROSS THE STATE, AND CREATED AND DISTRIBUTED AN EDUCATIONAL E-LEARNING ABOUT PERINATAL HIV PREVENTION TO EXTERNAL AND INTERNAL HEALTH CARE PROVIDERS. PART VI, LINE 7, REPORTS FILED WITH STATES MN 1 CHILDRENS MINNESOTA FOUNDATION 5901 LINCOLN DR EDINA MN 55436 411814223 501(C)(3) 5250 0 N/A N/A GALA SPONSORSHIP AND MEMORIAL MINNEAPOLIS FOUNDATION 800 IDS CENTER MINNEAPOLIS MN 55402 416029402 501(C)(3) 12500 0 N/A N/A BTC GOLF & WINTER WONDERLAND RONALD MCDONALD HOUSE-UPPER MIDWEST 818 FULTON ST SE MINNEAPOLIS MN 55414 411313107 501(C)(3) 13750 0 N/A N/A BREW LOVE & RMH GALA WOMENS HEALTH LEADERSHIP TRUST 191 CLARKSBILLE ROAD PRINCETON JUNCTION NJ 08550 411402148 501(C)(6) 11250 0 N/A N/A FORUM SPONSORSHIP CHILDRENS SURGERY INTERNATIONAL 99 5TH AVE NW SUITE 100 NEW BRIGHTON MN 55112 412013739 501(C)(3) 7500 0 N/A N/A CSI GALA GREATER MSP 400 ROBERT STREET NORTH SUITE 1600 ST PAUL MN 55101 274026636 501(C)(3) 10000 0 N/A N/A BUSINESS BRIDGE SPONSORSHIP NATIVE AMERICAN COMMUNITY CLINIC 1213 E FRANKLIN AVE MINNEAPOLIS MN 55404 030445789 501(C)(3) 10000 0 N/A N/A FIRST GIFT AND 5K SPONSORSHIP PHYLLIS WHEATLEY COMMUNITY CENTER 1301 10TH AVE N MINNEAPOLIS MN 55411 410706132 501(C)(3) 21168 0 N/A N/A MENTAL HEALTH COMM COLLABORATION RAE MACKENZIE GROUP INC 333 WASHINGTON AVE N SUITE 300 MINNEAPOLIS MN 55401 411888541 501(C)(3) 20000 0 N/A N/A PEOPLE OF COLOR CAREER FAIR 8 1 CHARITY CARE ASSISTANCE TO INDIVIDUALS 1076 4769507 CHARGES CHARITY CARE TO INDV PART I, LINE 2: FROM TIME TO TIME, CHILDREN'S GRANTS MONIES TO OTHER ORGANIZATIONS CONDUCTING PROGRAMS AND/OR RESEARCH THAT WILL BENEFIT THE CHILDREN THAT CHILDREN'S SERVES. CHILDREN'S ALSO OCCASIONALLY PROVIDES MONETARY SUPPORT TO ORGANIZATIONS THAT PROMOTE CAREERS IN THE HEALTH CARE FIELD AND COMMUNITY ORGANIZATIONS THAT SUPPORT THE ECONOMIC DEVELOPMENT OF THE AREA SURROUNDING THE CHILDREN'S MINNEAPOLIS CAMPUS. CHILDREN'S RECEIVES PERIODIC UPDATES REGARDING THE USE OF THE FUNDS. X 1 0 X X X X X 1 1 0 0 0 0 0 0 0 MARC GORELICK MD PRESIDENT & CEO 1277144 0 435965 0 19404 0 332398 0 24180 0 2089091 0 0 0 JENNIFER OLSON MARKET SVP & COO (THRU 9/23) 326753 0 200000 0 648125 0 842586 0 17774 0 2035238 0 257514 0 MEYSAM KEBRIAEI MD STAFF PHYSICIAN 937456 0 205001 0 54828 0 19800 0 27549 0 1244634 0 40638 0 KYLE HALVORSON MD STAFF PHYSICIAN 894641 0 199167 0 42308 0 8885 0 6535 0 1151536 0 39368 0 BRENDA MCCORMICK SVP AND CFO 671566 0 163219 0 81247 0 16376 0 27960 0 960368 0 70901 0 EMILY CHAPMAN MD SVP MEDICAL AFFAIRS & CMO 635532 0 150332 0 77372 0 19800 0 11141 0 894177 0 68590 0 WILLIAM MIZE MD RADIOLOGY, BOARD MEMBER 582517 40161 132191 0 48356 0 19800 0 11384 0 794248 40161 34594 0 ANDREA LAMPLAND MD MEDICAL DIRECTOR NEONATOLO 645311 0 80000 0 30821 0 19800 0 29381 0 805313 0 27939 0 SACHIN PATEL STAFF PHYSICIAN 625146 0 102841 0 23417 0 19800 0 27683 0 798887 0 20814 0 SHILPA HEDGE STAFF PHYSICIAN 587039 0 83841 0 27226 0 19800 0 3933 0 721839 0 22854 0 JENNY SODERHOLM FOUNDATION PRESIDENT 231689 263097 0 117237 0 49945 0 19800 0 11413 231689 461492 0 43155 ANDREW PUGH SVP CHIEF LEGAL OFFICER 476222 0 118449 0 10534 0 19800 0 24456 0 649461 0 0 0 DAVID LUNDAL SVP CIO 456299 0 115900 0 24676 0 19800 0 24439 0 641114 0 17968 0 LAURIN CATHEY SVP & CHRO 433519 0 106949 0 25735 0 19800 0 17962 0 603965 0 18502 0 CAROLINE NJAU SVP PATIENT CARE SVCS & CN 430766 0 101800 0 28579 0 17728 0 13910 0 592783 0 27215 0 SUSAN SENCER VP CHIEF SPECIALTY PEDIATR 388069 0 80921 0 48680 0 42089 0 22099 0 581858 0 38228 0 TIMOTHY LANDER CLINICAL VP, CHIEF OF SURGERY 401315 27094 86200 0 27271 0 19800 0 11384 0 545970 27094 21311 0 PAMELA GIGI CHAWLA MD VP CHIEF OF GENERAL PEDIAT 297047 102420 83880 0 28752 0 25218 0 20063 0 454960 102420 25769 0 ANUPAM KHARBANDA MD CLINICAL VP, CHIEF OF CRITICAL CARE 401057 0 80898 0 20646 0 19800 0 3767 0 526168 0 17662 0 A KADE GOEPFERD CHIEF OF ED & FORMER BOARD MEMBER (T 393959 0 57258 0 24977 0 13651 0 3962 0 493807 0 23141 0 JAMES LESTE VP OPERATIONS 330450 0 88200 0 14097 0 19321 0 28979 0 481047 0 12286 0 MONICA SCHILLER VP AMBULATORY SERVICES 226089 76314 62726 0 16441 0 18058 0 20982 0 344296 76314 14039 0 JAMES BURROUGHS SVP GOVT & COMM RELATIONS/CEIO 310290 0 77300 0 5447 0 16532 0 10651 0 420220 0 0 0 SUSAN SLOCUM CHIEF INVESTMENT OFFICER 266047 0 43293 0 701 0 13799 0 8721 0 332561 0 0 0 ANDREW BERNDT VP CLINICAL SERVICES 202885 0 33831 0 216 0 13229 0 26735 0 276896 0 0 0 KRISTIN PETERSON FORMER VP ACUTE CARE/CLINICAL OPS 103611 0 30089 0 117 0 8280 0 13661 0 155758 0 0 0 PART I, LINE 1A MARC GORELICK WAS REIMBURSED FOR HIS MEMBERSHIP FEES FOR THE MINNEAPOLIS CLUB, WHICH IS USED SOLELY FOR BUSINESS PURPOSES. PART I, LINE 4A JENNIFER OLSON MARKET: $212,260. PART I, LINE 4B CERTAIN EMPLOYEES OF CHILDREN'S HEALTH CARE, PARENT OF CHILDREN'S CLINIC NETWORK, ARE PROVIDED THE OPPORTUNITY TO PARTICIPATE IN THE 457(F) DEFERRAL PLAN (THE DEFERRAL PLAN). THE DEFERRAL PLAN REQUIRES THAT THE EMPLOYEE IS A PHYSICIAN OR EXECUTIVE AND IS A .5 FTE OR MORE IN ORDER TO BE ELIGIBLE TO PARTICIPATE IN THE DEFERRAL PLAN. PAYMENTS FROM THE DEFERRAL PLAN OCCUR AT VESTING AND ARE BASED ON PERCENTAGE OF SALARY. THE FOLLOWING AMOUNTS REPRESENT THE AMOUNT PAID UNDER THE DEFERRAL PLAN IN 2023: JENNIFER OLSON MARKET - $257,514 BRENDA MCCORMICK - $70,901 EMILY CHAPMAN - $68,590 CAROLINE NJAU - $27,215 ANUPAM KHARBANDA - $17,662 LAURIN CATHEY - $18,502 PAMELA GIGI CHAWLA - $25,769 JAMES LESTE - $12,286 MONICA SCHILLER - $14,039 SUSAN SENCER - $38,228 DAVID LUNDAL - $17,968 JENNY SODERHOLM - $43,155 WILLIAM MIZE - $34,594 TIMOTHY LANDER - $21,311 KYLE HALVORSON - $39,368 MEYSAM KEBRIAEI - $40,638 ANDREA LAMPLAND - $27,939 SACHIN PATEL - $20,814 SHIPLA HEDGE - $22,854 ANGELA GOEPFERD - $23,141 A 2020A - SEE PART VI 416005375 2020-10-23 84560000 REFUNDING OF HEALTHCARE REVENUE BONDS 2007A 0 0 0 A 4585000 84560000 84560000 2009 1 0 1 1 A 0 0 1 1 0 0 0 1 A 0 0 1 0 1 1 PIPER SANDLER 19.800000000000 0 0 0 0 1 A 1 PART I, COL. (A): PART I: THE REPORT PERIODS SELECTED FOR SERIES 2020A BONDS RECORDED ON SCHEDULE K ARE NOT THE SAME AS THE FISCAL YEAR END FOR THE REST OF THE FORM 990. SCHEDULE K USES THE BOND YEAR ENDING OF AUGUST 15, 2023. SCHEDULE K, PART I, LINE 1 COLUMN A HEALTH CARE FACILITIES REVENUE BONDS 2020A - ISSUER OF THE BOND IS CITY OF MINNEPOLIS, MN (41-6005375) AND HOUSING AND REDEVELOPMENT AUTHORITY OF THE CITY OF ST. PAUL, MN (41-6005521). PART I, COL. (F): THE PURPOSE OF THESE BONDS IS A REFUNDING OF HEALTH CARE REVENUE BONDS 2007A ISSUED NOVEMBER 15TH, 2007. PART-II LINE-13 YEAR OF SUBSTANTIAL COMPLETION REFERS TO THE COMPLETION DATE FROM THE REFUNDED SERIES 2007A PROJECT. X 51683 COST/SELLING PRICE X 683959 COST/SELLING PRICE X 59 39228 COST/SELLING PRICE X ENTERTAINMENT 15 52505 COST/SELLING PRICE 0 0 1 0 FORM 990, PART III, LINE 4A: PROGRAM SERVICE ACCOMPLISHMENTS: U.S. NEWS & WORLD REPORT HAS NAMED CHILDREN'S AS ONE OF THE TOP 50 PEDIATRIC FACILITIES ACROSS THE US. OUR MAYO CLINIC & CHILDREN'S COLLABORATIVE RANKED 40TH IN CARDIOLOGY AND HEART SURGERY PROGRAM. OUR NEPHROLOGY PROGRAM, IN PARTNERSHIP WITH MASONIC CHILDREN'S HOSPITAL, RANKED 48TH. AND OUR PULMONOLOGY PROGRAM RANKED 48TH. IN 2021, MPLS.STPAUL MAGAZINE RECOGINIZED 168 OF CHILDREN'S MINNESOTA PHYISICANS AS TOP DOCTORS. THE 25TH EDITION OF THE LIST INCLUDES 816 LOCAL PHYSICIANS FROM ACROSS THE TWIN CITIES IN 46 SPECIALTIES. ARE MINNESOTA'S LARGEST PROVIDER OF CARE TO CHILDREN WITH COMPLEX SURGICAL CONDITIONS, HEART DISEASE, CANCER, DIABETES, AND EXTREME PRE-MATURITY. IN 2023, CHILDREN'S CARED FOR 14,510 INPATIENT ADMISSIONS REPRESENTING 105,938 PATIENT DAYS, PERFORMED 19,339 SURGICAL CASES, TREATED 85,200 EMERGENCY ROOM VISITS AND CARED FOR 389,372 OUTPATIENT CLINIC VISITS, MANY OF WHICH PROVIDED TO INNER CITY MINNEAPOLIS AND ST. PAUL RESIDENTS. CHILDREN'S CONTINUES TO SERVE A DIVERSE POPULATION WITH 120,522 FAMILY ENCOUNTERS FOR LANGUAGE INTERPRETATION IN 72 DIFFERENT LANGUAGES. CHILDREN'S CONSIDERS CERTAIN MAJOR PROGRAMS AS DESTINATION PROGRAMS, WHICH ARE SOUGHT OUT DUE TO THEIR HIGH QUALITY OUTCOMES. THESE PROGRAMS MEET RIGOROUS CRITERIA FOR EXCELLENCE, INCLUDING OUTSTANDING USE OF EVIDENCE-BASED PRACTICES, CLINICAL RESEARCH, AND ADVANCED TECHNOLOGIES. - CARDIOVASCULAR - CHILDREN'S PEDIATRIC CARDIOVASCULAR PROGRAM IS ONE OF THE LARGEST IN THE REGION WITH SOME OF THE MOST IMPRESSIVE OUTCOMES IN THE U.S. TEAM MEMBERS CARE FOR THOUSANDS OF THE REGION'S SICKEST CHILDREN WITH HEART CONDITIONS, INCLUDING FETUSES, NEWBORNS, INFANTS, CHILDREN, ADOLESCENTS, AND ADULT, LONG-TERM PATIENTS WITH PEDIATRIC CARDIOVASCULAR CONDITIONS. - NEONATAL INTENSIVE CARE & SPECIAL CARE NURSERY - CHILDREN'S SPECIALIZES IN CARING FOR MULTIPLES, BABIES WITH CONGENITAL ANOMALIES, VERY PREMATURE AND VERY LOW BIRTH WEIGHT BABIES, AND INFANTS BORN WITH OTHER COMPLEX DIAGNOSES. WE OFFER EXCEPTIONAL TERTIARY AND QUATERNARY CARE FOR BABIES, WITH SURVIVAL OUTCOMES AMONG THE BEST IN THE WORLD. CHILDREN'S NEONATAL PROGRAM IS ONE OF THE NATION'S LARGEST PROGRAMS WITH 196 STAFFED BEDS AND MORE THAN 42,500 PATIENT DAYS. OUR NEONATAL TEAM INCLUDES HIGHLY-TRAINED AND EXPERIENCED PROFESSIONALS FROM A FULL SPECTRUM OF MEDICAL SPECIALTIES. WE HAVE OUR MOTHER BABY CENTER AT ABBOTT & CHILDREN'S MINNEAPOLIS AND IN 2015 WE OPENED OUR SECOND AND THIRD MOTHER BABY CENTERS AT MERCY HOSPITAL IN COON RAPIDS AND UNITED HOSPITAL AND CHILDREN'S - ST. PAUL. - HEMATOLOGY/ONCOLOGY - THE HEMATOLOGY/ONCOLOGY PROGRAM AT CHILDREN'S IS THE LARGEST IN THE UPPER MIDWEST WITH TREATMENT OUTCOMES THAT CONSISTENTLY RANK CHILDREN'S AS ONE OF THE TOP TEN PROGRAMS IN THE U.S. IN OUR NATIONALLY UNIQUE MODEL, YOUR CHILD'S OR TEEN'S CARE IS SPEARHEADED AND COORDINATED BY A BOARD-CERTIFIED HEMATOLOGIST/ONCOLOGIST, WHO LEADS A HIGHLY EXPERIENCED TEAM OF MULTIDISCIPLINARY PROFESSIONALS. - CYSTIC FIBROSIS - THE CYSTIC FIBROSIS (CF) CENTER AT CHILDREN'S OF MINNESOTA DIAGNOSES AND TREATS CHILDREN IN ALL STAGES OF CF. OUR DEDICATION TO FAMILY-CENTERED CARE AND EDUCATION HELPS CHILDREN AND THEIR FAMILIES LEARN TO LIVE WITH CF. CARE AT CHILDREN'S FOR PATIENTS WITH CF RANKS AMONG THE TOP 10 PROGRAMS NATIONALLY IN KEY OUTCOMES MEASURED BY THE NATIONAL CYSTIC FIBROSIS REGISTRY. CHILDREN'S PROVIDES A CONTINUUM OF CARE THROUGH COORDINATED INPATIENT AND OUTPATIENT SERVICES, FROM DIAGNOSIS THROUGH LONG-TERM FOLLOW-UP. THE CYSTIC FIBROSIS CENTER OF CHILDREN'S PROVIDES STATE-OF-THE ART COMPREHENSIVE CARE FOR CHILDREN WITH CF. - DIABETES/ENDOCRINOLOGY - THE MCNEELY PEDIATRIC DIABETES CENTER IS THE ONLY DIABETES CENTER IN THE REGION TO SPECIALIZE IN WORKING SOLELY WITH CHILDREN AND TEENS. THE STAFF PROVIDES EXPERT HEALTH CARE TO HELP MAINTAIN A CHILD'S TARGETED BLOOD SUGAR RANGES. MOST CHILDREN SEEN IN THE DIABETES CENTER HAVE TYPE 1 DIABETES. A SMALL BUT GROWING NUMBER HAVE TYPE 2. IN ADDITION TO DIABETES, THE CLINIC PROVIDES DIAGNOSTIC SERVICES AND TREATMENT FOR CHILDREN WITH DISORDERS OF GROWTH, ADVANCED OR DELAYED SEXUAL DEVELOPMENT, PITUITARY DISORDERS, THYROID ABNORMALITIES, DISORDERS OF CALCIUM BALANCE, ADRENAL DISORDERS, AND HYPOGLYCEMIA. THE MCNEELY PEDIATRIC DIABETES CENTER HAS RECEIVED RECOGNITION FOR ITS DIABETES EDUCATION PROGRAM FROM THE AMERICAN DIABETES ASSOCIATION, BY MEETING THE ASSOCIATION'S HIGH EDUCATIONAL STANDARDS. - CHILDREN'S PROVIDES OTHER HIGH QUALITY PROGRAMS SUCH AS SURGERY. CHILDREN'S SURGERY TEAMS DELIVER NEXT-GENERATION CARE IN AN AWARD-WINNING ENVIRONMENT THAT IS EXCLUSIVELY DEDICATED TO PEDIATRICS. HEALTH PROFESSIONALS OF MANY DISCIPLINES WORK TOGETHER TO PROVIDE CHILDREN WITH THE BEST POSSIBLE SURGERY EXPERIENCE. CHILDREN'S BODIES ARE DIFFERENT THAN ADULTS. FOR EXAMPLE, THEY OFTEN REQUIRE SPECIALLY-SIZED SURGICAL EQUIPMENT. THEY REACT DIFFERENTLY TO ANESTHESIA AND TO PAIN. THEIR BODIES RESPOND DIFFERENTLY TO ILLNESS AND TREATMENT, IN PART BECAUSE THEY ARE STILL GROWING. THAT'S WHY CHILDREN BENEFIT FROM OUR HIGHLY ACCOMPLISHED, PEDIATRIC-SPECIFIC SURGERY TEAMS. AT CHILDREN'S, ALMOST 17,000 SURGERIES ARE PERFORMED EACH YEAR ON FETUSES, NEWBORNS, CHILDREN, ADOLESCENTS, AND YOUNG ADULTS FROM THROUGHOUT THE UPPER MIDWEST. SURGICAL TREATMENT RESULTS RANK CHILDREN'S AMONG THE TOP HOSPITALS IN THE U.S. IN PEDIATRIC SURGICAL CARE. CHILDREN'S HAS SOME OF THE LOWEST RATES IN THE U.S. OF POST-SURGERY COMPLICATIONS AND SOME OF THE HIGHEST RATES OF PATIENT AND FAMILY SATISFACTION. ADDITIONAL DESTINATION PROGRAMS INCLUDE NEUROSCIENCES, ENT AND FACIAL PLASTIC SURGERY, AND TRAUMA CARE. WITH CHILDREN'S VERIFIED AS A LEVEL I CHILDREN'S SURGERY CENTER BY THE AMERICAN COLLEGE OF SURGEONS (ACS) CHILDREN'S SURGERY VERIFICATION QUALITY IMPROVEMENT PROGRAM, CHILDREN'S IS AT THE HIGHEST LEVEL OF DISTINCTION FOR HEALTH SYSTEMS THAT PERFORM COMPLEX SURGICAL PROCEDURES IN NEWBORNS, CHILDREN AND TEENS. AS A CHARITABLE ORGANIZATION, CHILDREN'S HOSPITALS & CLINICS OF MINNESOTA ALSO PROVIDES A BROAD SPECTRUM OF BENEFITS TO THE COMMUNITIES WE SERVE. THESE SERVICES AND DONATIONS ACCOUNT FOR A MEASURABLE PORTION OF THE HOSPITALS' COSTS AND HELP TO PROMOTE HEALTHY LIFESTYLES, COMMUNITY DEVELOPMENT, HEALTH EDUCATION, AND AFFORDABLE ACCESS TO CARE. PLEASE SEE IRS FORM 990, SCHEDULE H FOR A SUMMARY OF THESE COMMUNITY BENEFITS. FORM 990, PART III, LINE 4B: PROGRAM SERVICE ACCOMPLISHMENTS: THE ROTATIONS WERE PERFORMED IN CHILDREN'S EMERGENCY DEPARTMENT, INPATIENT MEDICAL/SURGICAL, PICU AND NEONATAL INPATIENT CARE UNITS, SURGERY AND ANESTHESIA, ENT SURGERY, UROLOGY, AND SUBSPECIALTY CLINICS. IN ADDITION, CHILDREN'S OFFERED 71 CONTINUING MEDICAL EDUCATION COURSES, AND PRODUCED 216 PEER REVIEWED PUBLICATIONS. CULTIVATING MEDICAL LEADERS ENSURES THAT WE CONTINUE OUR MISSION - CHAMPIONING THE SPECIAL HEALTH NEEDS OF CHILDREN AND THEIR FAMILIES. 2) EDUCATION AND TRAINING OF HEALTH CARE AND OTHER PROVIDERS OF SERVICES TO CHILDREN: I) THE MIDWEST REGIONAL CHILDREN'S ADVOCACY CENTER AT CHILDREN'S IS A LEADER IN IMPROVING THE CARE OF ABUSED AND NEGLECTED CHILDREN WHOSE GOAL IS TO IMPROVE SERVICES FOR ABUSED CHILDREN IN LOCAL COMMUNITIES THROUGHOUT THE REGION. THE CENTER OFFERS INFORMATION, CONSULTATION, TECHNICAL ASSISTANCE, AND TRAINING TO PHYSICIANS, NURSES, AND NON-MEDICAL MEMBERS OF COMMUNITY CHILD ABUSE TEAMS, INCLUDING LAW ENFORCEMENT PERSONNEL, ATTORNEYS AND CHILD PROTECTION WORKERS. II) RECOGNIZED, AS THE NATION'S LEADER IN PALLIATIVE CARE EDUCATION, CHILDREN'S INSTITUTE FOR PALLIATIVE CARE (CIPC) DEVELOPED A MODEL FOR A REGIONAL TRAINING AND CONSULTATION CENTER. CIPC DEVELOPS AND LEADS TRAINING SEMINARS USING RECOGNIZED CURRICULUM FOR PEDIATRIC PALLIATIVE CARE, PROVIDES HOSPITAL-BASED CONSULTATION TO CHILDREN WHO ARE IN NEED OF HOSPICE OR PALLIATIVE CARE WHILE THEY ARE HOSPITALIZED, OFFERS A REGIONAL 24/7 TELEPHONE CONSULTATION PROGRAM PROVIDING EDUCATION, SUPPORT, AND GUIDANCE TO FAMILIES AND PROFESSIONAL PROVIDERS, AND SERVES AS A RESOURCE CENTER FOR PEDIATRIC PALLIATIVE CARE. III) THE EMERGENCY MEDICAL SERVICES FOR CHILDREN (EMSC) RESOURCE CENTER HOUSED AT CHILDREN'S CREATES AWARENESS REGARDING THE SPECIAL NEEDS OF CHILDREN IN EMERGENCY MEDICAL SITUATIONS. EMSC EDUCATIONAL PROGRAMS ARE DESIGNED TO TRAIN PRE-HOSPITAL PERSONNEL, FIRST RESPONDERS, PHYSICIANS, NURSES, AND SCHOOL NURSES IN THE UNIQUE NEEDS OF INFANTS AND CHILDREN IN EMERGENCY SITUATIONS. THE EMSC RESOURCE CENTER ALSO PROVIDES TECHNICAL ASSISTANCE, PARTICIPATES IN STATEWIDE PEDIATRIC EMERGENCY/DISASTER PREPAREDNESS PLANNING, DEVELOPS AND DISSEMINATES PEDIATRIC EMERGENCY ARE GUIDELINES, AND CONDUCTS MORTALITY REVIEWS AND RESEARCH. EDUCATION AND EMPLOYMENT - BECAUSE DISPARITIES IN CHILD HEALTH ARE SO CLOSELY ASSOCIATED WITH LOW EDUCATIONAL ATTAINMENT AND POOR JOB SKILLS, CHILDREN'S IS ENGAGED IN SEVERAL KEY COMMUNITY PARTNERSHIPS TO IMPROVE EDUCATIONAL SUCCESS AND EARNING POTENTIAL AMONG YOUTH AND ADULTS. EXAMPLES INCLUDE THE ROOSEVELT HIGH SCHOOL AND CRISTO REY JESUIT HIGH SCHOOL HEALTH CAREERS PROGRAM THAT PROVIDES STUDENTS INTERESTED IN HEALTH CARE CAREERS THE OPPORTUNITY TO RECEIVE HEALTH CARE SPECIFIC EDUCATION AND OBTAIN INTERNSHIPS WITH HEALTH CARE ORGANIZATIONS, THE ACHIEVE MINNEAPOLIS/STEP-UP SUMMER JOBS PROGRAM THAT PLACES YOUTH IN SUPERVISED SUMMER INTERNSHIPS AT PARTICIPATING COMPANIES AND ORGANIZATIONS, AND A PARTNERSHIP WITH PROJECT FOR PRIDE IN LIVING THAT RECOGNIZES THAT A HEALTHY, SUSTAINABLE COMMUNITY REQUIRES RESIDENTS WITH WELL-PAYING JOBS. FORM 990, PART III, LINE 4C: PROGRAM SERVICE ACCOMPLISHMENTS: WE CONTINUE TO PARTICIPATE IN MULTIPLE PRESTIGIOUS NATIONAL COLLABORATIONS AND CLINICAL TRIALS. WE ARE ALSO GENERATING LANDMARK INVESTIGATOR-INITIATED RESEARCH, AIMED AT NOVEL WAYS TO DELIVER LIFE-SAVING TREATMENTS, MANAGE PAIN AND SYMPTOMS AND DEVELOP NEW METHODS FOR PREVENTING OR TREATING CHILDHOOD DISEASES. EVERY DAY, CHILDREN'S RESEARCHERS EXPRESS THEIR COMMITMENT TO BUILDING BETTER OUTCOMES FOR OUR CHILDREN. THESE OUTCOMES WILL HAVE BOTH IMMEDIATE AND LASTING IMPACT FOR CHILDREN RECEIVING STATE OF THE SCIENCE CARE AT OUR SPECIALTY CENTERS. CHILDREN WITH CARDIAC DISEASE, CANCER, GENETIC AND BLOOD DISORDERS, DIABETES, CYSTIC FIBROSIS, AND OTHER LIFE-IMPACTING CONDITIONS ALL HAVE BENEFITED FROM RESEARCH AT CHILDREN'S. THE VISION AND STRATEGIC INNOVATION OF OUR RESEARCH LEADERS HAVE BROUGHT US TO IMPRESSIVE MILESTONES IN THE PAST YEAR. WE CONTINUE TO TAKE STEPS TOWARD ADVANCING OUR RESEARCH AND COMMITTED TO THRIVING INTO THE FUTURE WITH OUR CHILDREN AND FAMILIES. FORM 990, PART VI, SECTION B, LINE 11B CHILDREN'S SENIOR MANAGEMENT REVIEWS THE DRAFT FORM 990 WITH THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY PRIOR TO FILING OF THE FORM. THIS REVIEW INCLUDES AN OVERVIEW OF THE FORM AND DISCUSSION RELATED TO KEY SECTIONS. COPIES OF THE FINAL FORM 990 ARE MADE AVAILABLE TO MEMBERS OF THE COMMITTEE AND ALL DIRECTORS PRIOR TO THE FORM BEING FILED. THE AUDIT AND COMPLIANCE COMMITTEE HAS BEEN DELEGATED THE AUTHORITY TO OVERSEE THE COMPLETION AND FILING OF THE FORM 990 BY THE FULL BOARD, AND THE COMMITTEE REPORTS THE RESULTS OF ITS REVIEW AND APPROVAL TO THE FULL BOARD AT A REGULARLY SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C MANAGEMENT OF CHILDREN'S ENSURE THAT CONFLICT OF INTEREST DISCLOSURE FORMS ARE COMPLETED BY ALL MEMBERS OF THE GOVERNING BODY AND BOARD COMMITTEES AT LEAST ANNUALLY. FORMS ARE COMPLETED AT THE BEGINNING OF THE YEAR, AND DIRECTORS AND COMMITTEE MEMBERS ARE INSTRUCTED TO PROVIDE ADDITIONAL DISCLOSURES IF NECESSARY DURING THE COURSE OF THE YEAR. THE GOVERNANCE COMMITTEE OF THE GOVERNING BODY, ALONG WITH SENIOR MANAGEMENT (CEO AND GENERAL COUNSEL) REVIEW ALL DISCLOSURES PROVIDED BY GOVERNING BOARD MEMBERS. THE RESULTS OF THIS REVIEW AND ANY CONCERNS, LIMITATIONS, ETC., ARE REPORTED BY THE GOVERNANCE COMMITTEE TO THE FULL BOARD. IF CONFLICTS ARE IDENTIFIED, THE GOVERNANCE COMMITTEE AND MANAGEMENT WORK TO ENSURE THAT DIRECTORS DO NOT PARTICIPATE IN DISCUSSION OR VOTING ON THE AFFECTED MATTER. FORM 990, PART VI, SECTION B, LINE 15 CHILDREN'S FOLLOWS THE REQUIREMENTS SET FORTH IN THE IRS REBUTTABLE PRESUMPTION OF REASONABLENESS IN DETERMINING COMPENSATION FOR THE CEO AND OTHER OFFICERS AND EXECUTIVE LEADERS OF CHILDREN'S. THIS FUNCTION IS PERFORMED BY THE COMPENSATION COMMITTEE OF THE GOVERNING BOARD, WHICH IS COMPOSED OF ONLY INDEPENDENT DIRECTORS. THE PROCESS INCLUDES REVIEW OF COMPARABILITY DATA, RETENTION OF AN OUTSIDE COMPENSATION CONSULTANT AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION THROUGH DETAILED MINUTES OF THE COMPENSATION COMMITTEE AND FULL BOARD MEETINGS WHERE EXECUTIVE COMPENSATION IS CONSIDERED. FORM 990, PART VI, SECTION C, LINE 19 CHILDREN'S MAKES FINANCIAL STATEMENT INFORMATION PUBLIC THROUGH A SUMMARY OF FINANCIAL PERFORMANCE IN ITS ANNUAL REPORT. IN ADDITION, FINANCIAL STATEMENTS ARE PROVIDED PUBLICLY THROUGH DIGITAL ASSURANCE CERTIFICATION, A DISSEMINATION AGENT, WHO THEREFORE MAKE THIS INFORMATION PUBLICLY AVAILABLE. CHILDREN'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART VI, LINE 16A: CURRENTLY CHILDREN'S DOES NOT HAVE ANY JOINT VENTURES WITH A TAXABLE ENTITY THAT ARE MISSION RELATED OR JOINT VENTURES THAT ARE NOT MISSION RELATED. WITHIN THE CONTEXT OF THEIR INVESTMENT PORTFOLIO, THE ORGANIZATION HAS INVESTED IN A NUMBER OF LIMITED PARTNERSHIP OPPORTUNITIES. FORM 990, PART XI, LINE 9: RSVP RETIREMENT PLAN-RELATED CHANGES -788,575. CHANGE IN VALUE OF INTEREST RATE SWAP VALUATION 347,270. CHANGE IN PERPETUAL TRUSTS AND OTHER 4,395,250. 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