Children'S Hospital Colorado

“Children's hospital colorado's executive committee consists of the board chair, chair elect, chief executive officer, secretary, board treasurer, corporate treasurer, immediate past chair, the chair of the children's hospital colorado foundation, the chancellor (or designee) and up to two (2) additional seats to be filled by the board chair. The executive committee has all the powers of the board of directors, except as limited by law, during the period between the meetings of the board of directors, subject to any prior limitation imposed by the board.”

“Children's hospital colorado health system is the sole member of children's hospital colorado.”

“The written consent of children's hospital colorado health system is required to approve the board of directors of children's hospital colorado.”

“Children's hospital colorado health system as the sole member has certain approval powers as described in the amended and restated bylaws dated september 22, 2011 and amended most recently in february 2017.”

“Children's hospital colorado's finance department works closely with human resources, corporate compliance, legal, community health and public relations to gather all the data required to complete the form 990. The vice president finance & accounting conducts a review with the cfo prior to the draft being distributed to the compliance and business ethics committee of the board and the board of directors for its review. Necessary changes are made thourout the review process. The form is signed by the cfo and a final copy is provided to the board of directors prior to submission to the irs via a secured website.”

“Board members are required to disclose, on an annual basis, potential conflicts of interest pursuant to the written policies of children's hospital colorado (chco) and children's hospital colorado foundation (chcf). All employees and board members must promptly provide a written description of material facts of an actual, apparent or potential conflict of interest to corporate compliance and/or general counsel on the appropriate disclosure form. Such disclosure will be made promptly any time an actual, apparent or potential conflict of interest arises and before the consummation of the contract, transaction or arrangement that is the subject of the potential conflict of interest. Policies and procedures for disclosing conflicts of interest are to be followed according to the individual's function, in compliance with state and federal regulations. Completed disclosure forms are subject to audit review by legal, the corporate compliance program, and the compliance and business ethics committee of the board of directors. Failure to comply with conflict of interest policies may lead to disciplinary action up to and including termination of employment or working relationship with the children's hospital colorado. Once the compliance and business ethics (cabe) committee has determined that an actual conflict of interest exists with respect to an agreement/contract then: 1. The (cabe) committee will exercise due diligence to determine whether children's hospital could obtain a more advantageous agreement/contract with reasonable efforts under the circumstances and, if appropriate, will appoint a disinterested person or committee to investigate alternatives to the proposed contract, transaction or arrangement. 2. In considering whether to enter the proposed agreement/contract, the cabe committee may approve such contract, transaction or arrangement only if the disinterested person or committee determine by a majority vote that: - the proposed contract, transaction or arrangement is in children's colorado's best interests and for colorado children's own benefit; and - the proposed transaction is fair and reasonable to children's hospital colorado (chco), considering, among other relevant factors, whether chco could obtain a more advantageous contract, transaction or arrangement with reasonable efforts under the circumstances.”

“Children's hospital colorado has an executive compensation committee of the board of directors that reviews and approves any proposed increases related to any officers and key employees of the company. The ceo's compensation is reviewed and approved by the executive compensation committee along with the executive committee of the board of directors each year. Once a change in compensation is approved, formal documents are completed and minutes of the meeting are prepared, reviewed and approved. Executive compensation programs for children's hospital colorado (chco) are designed to attract and retain top executive talent. Program objectives include: - maintain executive pay ranges that reflect market and internal alignment - establish pay for individual executives based on skills, experience and/or performance history - provide annual pay increase to reward individual performance and maintain market competitiveness - utilize incentive pay to reward the executive's ability to align divisional performance to organizational performance - promote the health and wellness of executives and their families, while providing family friendly program options consistent with chco mission - maintain overall program affordability and sustainability for the organization the executive compensation package consists of base pay, incentive pay, and benefits (medical, dental, vision, life, disability, retirement, and voluntary benefit programs). Chco defines market competitiveness based on comparisons with a peer group consisting of national pediatric and regional health systems that are similar in size and complexity. In determining market competitiveness, chco partners with an external executive compensation consultant to gather and assess market data from independent compensation and benefit surveys that reflect functionally comparable positions in the peer group. As needed, the external executive compensation consultant will provide recommendations to help resolve difficulties in recruiting and retaining executives or ensure critical business or strategic issues are addressed. 2024 custom peer group - texas children's hospital (houston, tx) - the children's hospital of philadelphia (philadelphia, pa) - nationwide children's hospital (columbus, oh) - boston children's hospital (boston, ma) - cook children's health care system (fort worth, tx) - cincinnati children's hospital medical center (cincinnati, oh) - children's healthcare of atlanta (atlanta, ga) - lucile packard children's hosptial stanford (palo alto, ca) - seattle children's (seattle, wa) - children's health system of texas (dallas, tx) - the nemours foundation (jacksonville, fl) - children's mercy kansas city (kansas city, mo) - children's wisconsin (milwaukee, wi) - children's national health system (washington, dc) - rady children's hospital - san diego (san diego, ca) - driscoll health system (corpus christi, tx) - children's hospital los angeles (los angeles, ca) - phoenix children's hospital (phoenix, az) - valley children's healthcare (fresno, ca) - choc children's (orange, ca) - ann & robert h. Lurie children's hospital of chicago (chicago, il) - children's hospitals and clinical of minnesota (minneapolis, mn) - nicklaus children's health system (miami, fl) - arkansas children's hospital (little rock, ar) - children's of alabama (birmingham, al) - children's of nebraska (omaha, ne) - uchealth (aurora, co) - centura health (centennial, co) - st. Luke's health system (boise, id) the compensation review process was last completed in 2024.”

“See form 990, part vi, line 15a narrative above.”

“These documents are made available upon reasonable request.”

“All other program service revenue - Total Revenue: 95259436, Related or Exempt Function Revenue: 92109338, Unrelated Business Revenue: 3150098, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”

“From teenagers to great grandparents, from homemakers to professional athletes, children's hospital colorado volunteers encompass all walks of life and all income levels, each volunteer with something unique to offer. Our diverse group of volunteers has one thing in common, however, the desire to help sick children and their families. Children's hospital colorado is fortunate to have thousands of dedicated volunteers who work regularly, from several hours a year to several hours a week, to provide better care for the children of children's hospital colorado. The association of volunteers the volunteers at children's hospital colorado are all part of a group called children's hospital colorado association of volunteers (aov). The aov coordinates placements for volunteers and ensures that complete orientation and training is provided to all volunteers. Our volunteer's skills and interests are all so appreciated and we try to place everyone in a role that suits them and our needs. The examples below are just some of the ways that our volunteers contribute: - volunteers are active across the system of care including at the anschutz medical campus, the south campus, the north campus, colorado springs hospital campus . - volunteers spend time with our patients by holding, comforting, playing with them and making them laugh. - volunteers bring specially screened dogs to provide animal-assisted therapy for the prescription pet program. - specially trained volunteers serve as ambassadors with the welcome program. Volunteers greet newly admitted patient families upon their arrival and introduce them to the hospital's many amenities. The goal is to provide a warm and welcoming environment and to answer any non-medical questions. - the wine event is the association of volunteers' signature event. The special evening features a silent and live auction of fine wines and experiences with all proceeds benefiting the hospital and its programs. - many groups of volunteers do not spend time directly with our patients, but perform more administrative duties, which can be just as important to the day-to-day operations of children's hospital colorado. - teenagers between 13 and 18 years of age participate in the junior volunteer program. They support the hospital by working in several departments as well as supporting fundraising activities. - volunteers also assist in staffing children's hospital colorado gift shop and la cache. - chapter volunteers in the community are very active in fundraising events throughout the year that help to fund special equipment, facilities and programs for the patients of children's hospital colorado.”

“HEART INSTITUTE COMMUNITY REPORT The Heart Institute at Children's Hospital Colorado (CHCO) has been a national leader in the diagnosis, treatment, and lifelong care of infants, children, and young adults with congenital and acquired heart disease. As one of the most comprehensive pediatric cardiovascular centers in the country, the Heart Institute delivers care across the full continuum-from fetal diagnosis to transplant and adult congenital cardiology. With more than 22,000 outpatient visits and over 2,600 inpatient encounters in 2024, the Heart Institute is among the highest-volume pediatric heart centers in the region. Our multidisciplinary model brings together cardiologists, cardiothoracic surgeons, critical care physicians, anesthesiologists, nurse practitioners, nurses, sonographers, ECMO specialists, pharmacists, respiratory therapists, psychologists, and social workers to care for some of the most complex cardiovascular conditions seen in children today. Volumes and Outcomes That Matter High volumes support our ability to deliver excellent outcomes. In 2024, the Heart Institute achieved: * 798 open-heart surgeries * 1,273 cardiac catheterizations, including electrophysiology procedures * 32,049 echocardiograms * 2,617 inpatient encounters (up from 2,369 in 2023) * 22,462 outpatient visits (up from 21,620 in 2023) Outcomes consistently exceed national benchmarks: * STAT 4 STS surgical survival: 94% * STAT 5 STS surgical survival: 91% * 1-year heart transplant survival: 97.6% (national average: 92.8%) * 3-year heart transplant survival: 92.3% (national average: 87.0%) The Heart Institute cares for a wide range of conditions - including single ventricle physiology, neonatal heart failure, cardiomyopathies, arrhythmias, vascular anomalies, and complex congenital heart disease - with specialized expertise in surgical innovation, mechanical circulatory support, and interventional cardiology. Innovations in Infrastructure and Access In 2023, the Heart Institute opened a state-of-the-art Hybrid Catheterization Lab, which enabled a significant increase in procedural volume and supported more complex interventions. In early 2025, the Cardiac Progressive Care Unit (CPCU) expanded to 40 beds to enhance throughput from the CICU and operating rooms, while maintaining a family-centered care environment. A major area of focus in 2024 was access to outpatient care. Targeted improvements in clinic scheduling, workflow redesign, and provider optimization led to increased clinic and echocardiography volumes, reduced patient wait times, and improved visit efficiency. The introduction of a Patient Flow Navigator role enhanced coordination between inpatient and outpatient settings-especially for high-risk patients with complex needs. Critical Care and ECMO Program Growth The Heart Institute's ECMO program continued to grow in 2024. Focused efforts to stabilize the workforce led to a 16.8% reduction in ECMO specialist turnover, supporting safer and more reliable care. A new Surgical CICU model was implemented to improve postoperative coordination and quality. As a result, the CICU achieved a reduction in its central line-associated bloodstream infection (CLABSI) rate from 2.78 to 1.76 per 1,000-line days. Commitment to Quality, Safety, and Equity The Heart Institute is actively involved in national quality and research collaboratives including PC4, PAC3, and STS-CHSD, which promote transparency, benchmarking, and continuous improvement. In 2024, quality initiatives included: * Cardiac arrest prevention * Improved language access for families with limited English proficiency * Optimization of blood product transfusion practices * Equity-focused initiatives in the Cardiac Acute Care Unit * Fellow-led project to improve preoperative feeding * Discharge process standardization and education * Formation of a multidisciplinary Chylothorax and Thrombosis Work Group The Heart Institute participates in high-fidelity simulations, daily safety huddles”

“PHYSICIAN SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 31092544, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 96948458, Program Service Expense: 82111694, Management and General Expenses: 14836764, Fundraising Expenses: ; CONSULTING FEES - Total Expense: 4812053, Program Service Expense: 4075628, Management and General Expenses: 736425, Fundraising Expenses: ; OTHER - Total Expense: 6678765, Program Service Expense: 5656663, Management and General Expenses: 1022102, Fundraising Expenses: ; FREIGHT & Delivery - Total Expense: 1733972, Program Service Expense: 1468609, Management and General Expenses: 265363, Fundraising Expenses: ;”

“EQUITY TRANSFER FROM FOUNDATION - 44446355; CHANGE IN PERPETUAL TRUST - 6056483; OTHER CHANGES IN NET ASSETS - 4900045; Total - 55402883;”

“CHILDREN'S HOSPITAL COLORADO (CHCO) works collaboratively with its affiliates as an academic medical center to fulfill a joint mission to provide excellent services and the best health outcomes for children, through teaching, research, clinical care and community support services. CHCO is committed TO INCLUSION AND BELONGING IN OUR WORKFORCE AND IN OUR COMMUNITY. WE STRIVE FOR EVERYONE TO FEEL VALUED. The following section describes CHCO's program service accomplishments for each of the three largest program services, as measured by expense. CENTER FOR CHILDREN'S SURGERY COMMUNITY BENEFIT REPORT Service Overview: The Center for Children's Surgery (CCS) at Children's Hospital Colorado is a nationally recognized leader in pediatric surgical care, treating everything from routine conditions to the most complex cases. The expert team of 335 surgeons, including both hospital-based and community providers, delivers care in 43 state-of-the-art operating rooms across seven locations, all specifically designed to support healing and comfort for children. In 2024, the CCS performed over 37,000 procedures, serving 31,000 unique patients from 45 states, with nearly 9% of procedures performed on patients from outside Colorado. The CCS program is driven by innovation, research, and cutting-edge technology. This year, CCS reached major milestones in robotic surgery, including the 100th Da Vinci robotic case and the 500th spine surgery using the Mazor X system. Across all locations, surgeons specialize in minimally invasive procedures that result in shorter recovery times, reduced complications, and improved outcomes-consistently placing us among the top pediatric surgical programs in the country. With more than 3 million minutes of surgical care delivered in 2024, CCS continues to be a destination for families seeking world-class surgical treatment for their children. Quality and Process Improvement Initiatives: The CCS is committed to quality and process improvement strategies as a core clinical strategy to advance the effectiveness, efficiency, safety, experience, and coordination of the care it provides to its patients. The Perioperative Performance Improvement and Patient Safety (PIPS) Committee is broadly representative, multidisciplinary and guides the range of activities and initiatives through which the CCS is pursuing its clinical, operational, value-driven, and financial improvement goals. The CCS had several active Quality & Process Improvement initiatives underway in 2024 including: * First Case on Time Starts (FCOTS): * Increased FCOTS at CHCO's Main OR from a 2023 average of 37% to a 2024 average of 49%. This improvement means 2 additional patients have their procedure start at or ahead of time daily. * Surgical Site Infections (SSIs) * Surgical Site Infection prevention efforts expanded beyond high-risk areas to a universal approach, leading to a decrease in the overall SSI rate from 0.31% in 2023 to 0.22% in 2024. Improvements include updated policies aligned with national standards, staff education, pre-op CHG wipe implementation, and enhanced OR traffic and hand hygiene practices. * Integration of Epic and Sterile Processing Microsystem (SPM): * This integration connects the systems used by nurses, scrub techs, and physicians with those used by the Sterile Processing team, improving tracking and documentation of sterile instruments. It also enables precise identification of the instruments and sets used during each specific surgery. * Intranasal Versed for IUD placement: * Gynecology introduced intranasal Versed for in-clinic IUD insertions, enhancing patient comfort and reducing the need for OR use. As of November, 189 procedures were completed safely in a more appropriate, lower-acuity setting. National/Global Presence: The CCS are national and global leaders in developing and operationalizing innovative procedures, often enabling new diagnostic, less invasive, and/or therapeutic options for patients and families. In 2024”

“NEONATOLOGY COMMUNITY REPORT For more than 50 years, the Neonatal Intensive Care Unit (NICU) at Children's Hospital Colorado (CHCO) has been a nationally recognized leader in the treatment of critically ill infants. The leading-edge Level IV NICU (the highest distinction by the American Academy of Pediatrics), at Children's Hospital Colorado, provides 82 critical care beds specifically for this patient population. The NICU provides excellence in care for infants throughout Colorado and the mountain state region. Named one of the country's top centers by U.S. News & World Report, our Level IV Neonatal Intensive Care Unit offers the highest level of care to more than 1,400 newborns every year -one of the largest centers in the region. We care for any condition affecting a newborn, no matter how rare or critical that condition may be. Therapies include extra corporeal membrane oxygenation (ECMO), continuous renal replacement (CRRT), genetic testing, and neonatal surgery. Volumes matter. Children's Colorado's NICU is among the highest volume centers in the U.S. for high-complexity patients, meaning we see more and treat more neonates with complex congenital conditions and severe complications of prematurity than most other centers. The NICU cares for both premature and term infants with a variety of conditions, including hypoxic respiratory failure, infections, hematological, neurological, cardiovascular, and metabolic disorders. Infants with single major or multiple anomalies requiring diagnostic evaluation or surgical intervention are often treated in the NICU. Our survival rates rank among the best in the nation. Our high volumes not only allow for the development of highly specialized teams and standardized approaches to care, they also build our surgical and medical sub-specialists' experience and expertise. The Neonatology team has pioneered many critical developments in neonatal clinical care including surfactant replacement for premature infants, inhaled nitric oxide therapy for pulmonary hypotension, therapeutic hypothermia for perinatal brain injury, optimal nutrition for low-birth-weight infants and innovative care following fetal surgery. Collectively, the neonatologists and PhD research faculty published 80 articles in 2024. Throughout a visit, a baby and their family stay together in an environment we specifically designed to feel as much like home as possible. Families are integral to the care delivered. Key areas of focus include developmentally supportive care of the newborn, primary nursing and a family centered care approach. Parents are encouraged to participate in daily rounds and in all aspects of care. There is a Family Advisory Council to support current families and provide perspective on the patient experience. The clinical care team in the NICU is comprised of Neonatologists, Neonatal Nurse Practitioners, specialty trained nurses, respiratory therapists, pharmacists, physical, speech and occupational therapists, lactation specialists, neonatal nutrition, social work, chaplains, and case managers. Specialty consultants include neurology, pulmonology, genetics, gastroenterology, nutrition, metabolic, endocrinology, hematology, cardiology and cardiovascular surgery, general pediatric surgery, renal, ophthalmology, orthopedics and ear, nose and throat specialists. Children's Hospital Colorado neonatologists have diverse expertise caring for an array of complex conditions. The Section of Neonatology provides full clinical support for infants and their families at multiple hospitals in the Denver metropolitan area including Children's Hospital Colorado, University of Colorado Hospital and Denver Health Medical Center. The 35 board-certified neonatologists are nationally and internationally recognized leaders in neonatal care as well as clinical and scientific research. With advances in technology, the NICU team can provide teleconferencing for referring providers and/or parents who may not be present. They can”