2022-05-16T10:46:16-05:00 2021-06-30 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2020-07-01 310833936 CHILDREN'S HOSPITAL MEDICAL CENTER CHIL 5138031106 3333 BURNET AVENUE CINCINNATI OH 452293039 CAROLYN KARAGEORGES VP, CHIEF ACCOUNTING OFFICER 5138031106 2022-05-16 1 CAROLYN KARAGEORGES 999009999 SHAWNA M JANSONS P01222873 3174648600 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z STEPHEN DAVIS 3333 BURNET AVENUE CINCINNATI OH 452293039 4013811966 0 X WWW.CINCINNATICHILDRENS.ORG X 1883 OH PROVISION OF PEDIATRIC HEALTHCARE TO PATIENTS. 30 25 18712 400 45841219 14025156 366081052 414723376 2056160274 2217297519 47238904 40822922 162877501 131750898 2632357731 2804594715 6864249 6789659 0 0 1522687252 1598073958 35750 33000 6819411 948215939 922006865 2477803190 2526903482 154554541 277691233 6805886488 8563028123 1533470488 1697498245 5272416000 6865529878 X CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER WILL BE THE LEADER IN IMPROVING CHILD HEALTH. CINCINNATI CHILDREN'S WILL PROVIDE CHILD HEALTH AND TRANSFORM DELIVERY OF CARE THROUGH FULLY INTEGRATED, GLOBALLY RECOGNIZED RESEARCH, EDUCATION, AND INNOVATION. FOR PATIENTS AND OUR COMMUNITY, THE NATION AND THE WORLD, THE CARE WE PROVIDE WILL ACHIEVE THE BEST MEDICAL AND QUALITY OF LIFE OUTCOMES, PATIENT AND FAMILY EXPERIENCES, AND VALUE, TODAY AND IN THE FUTURE. 0 0 2011150229 6789659 2265327316 CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER ("CINCINNATI CHILDREN'S"), LOCATED IN CINCINNATI, OHIO, IS A PRIVATE, NOT-FOR-PROFIT IRC SEC. 501(C)(3) CORPORATION THAT OWNS AND OPERATES A COMPREHENSIVE, ACADEMIC MEDICAL CENTER THAT INCLUDES ONE OF THE NATION'S LARGEST PEDIATRIC TERTIARY CARE FACILITIES WITH RESEARCH OPERATIONS AND EXTENSIVE PEDIATRIC TEACHING PROGRAMS. SEE SCHEDULE O FOR A COMPLETE OVERVIEW OF CINCINNATI CHILDREN'S COMMUNITY BENEFITS AND PROGRAM SERVICE ACCOMPLISHMENTS. 2011150229 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 1 1 1 1 1 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 1 0 0 1 1602 0 1 18712 1 1 1 1 BD 0 0 0 1 1 0 0 0 0 1 0 X 30 25 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X CAROLYN KARAGEORGES 5136361611 3333 BURNET AVENUE CINCINNATI OH 452293039 X MICHAEL FISHER PRESIDENT & CEO 49.00 1.00 X X 2119784 0 64515 DANIEL VON ALLMEN MD SURGEON-IN-CHIEF 50.00 0.00 X 1827140 0 55347 TINA CHENG CHAIR, PEDIATRICS (EFFECTIVE 10/20) 50.00 0.00 X 120536 0 13384 JANE PORTMAN TRUSTEE, CHAIR (THRU 9/20) 4.00 1.00 X X 0 0 0 MARK JAHNKE TRUSTEE, CHAIR (EFF 10/20) 4.00 1.00 X X 0 0 0 ALICIA BOND-LEWIS TRUSTEE 1.00 0.00 X 0 0 0 ANDREW QUINN TRUSTEE (EFFECTIVE 10/20) 1.00 0.00 X 0 0 0 BETH GUTTMAN TRUSTEE 4.00 1.00 X 0 0 0 CAROL ARMSTRONG TRUSTEE (THROUGH 1/21) 1.00 0.00 X 0 0 0 CHIQUITA WHITE TRUSTEE 1.00 0.00 X 0 0 0 CHRISTINE BROWNER TRUSTEE 1.00 0.00 X 0 0 0 CRAIG YOUNG TRUSTEE 1.00 1.00 X 0 0 0 DAVID CASSADY TRUSTEE 4.00 1.00 X 0 0 0 DAVID OSBORN TRUSTEE 1.00 1.00 X 0 0 0 FELICIA WILLIAMS TRUSTEE 2.00 1.00 X 0 0 0 GARY HUFFMAN TRUSTEE 1.00 1.00 X 0 0 0 HILLARY WEIDNER TRUSTEE 1.00 0.00 X 0 0 0 JIM VANCE TRUSTEE 4.00 1.00 X 0 0 0 JOHN STEINMAN TRUSTEE 1.00 1.00 X 0 0 0 JOYCE J KEESHIN TRUSTEE 1.00 1.00 X 0 0 0 KAY GEIGER TRUSTEE 1.00 0.00 X 0 0 0 LIZA SMITHERMAN TRUSTEE 4.00 1.00 X 0 0 0 LYNWOOD BATTLE TRUSTEE 1.00 1.00 X 0 0 0 MARK BIEGGER TRUSTEE 4.00 1.00 X 0 0 0 MICHAEL HIRSCHFELD ESQ TRUSTEE 1.00 1.00 X 0 0 0 NANCY KRIEGER EDDY PHD TRUSTEE 4.00 1.00 X 0 0 0 ROBERT D H ANNING TRUSTEE (THROUGH 10/20) 1.00 1.00 X 0 0 0 SHARRY ADDISON TRUSTEE 1.00 1.00 X 0 0 0 SUSAN SHELTON TRUSTEE 1.00 1.00 X 0 0 0 TIMOTHY SCHROEDER TRUSTEE (EFFECTIVE 10/20) 1.00 0.00 X 0 0 0 TOM FINN TRUSTEE 1.00 1.00 X 0 0 0 VADA HILL TRUSTEE (EFFECTIVE 10/20) 1.00 0.00 X 0 0 0 MARK MUMFORD SVP & CFO, TREASURER (THROUGH 08/20) 49.00 1.00 X 1485152 0 161099 STEVE DAVIS MD COO 49.00 1.00 X 1132109 0 187766 BETH STAUTBERG SECRETARY, SR. VP & COUNSEL 50.00 0.00 X 869240 0 126913 JANA BAZZOLI INT. CFO & TREAS. (9/20 - 01/21) 49.00 1.00 X 495064 0 87220 PAUL JENNY CFO & TREASURER (EFF 1/21) 50.00 0.00 X 0 0 0 BRIAN COLEY RADIOLOGIST-IN-CHIEF 50.00 0.00 X 1018630 0 159539 JOHN MCAULIFFE MD ANESTHESIOLOGIST-IN-CHIEF 50.00 0.00 X 859890 0 30132 NERISSA MORRIS SVP AND CHRO 50.00 0.00 X 630485 0 105161 BARBARA TOFANI SVP-PATIENT SERVICES 50.00 0.00 X 602550 0 47004 JAMES TWEDDELL MD INSTIT DIR, CARDIOTHOR SURG 50.00 0.00 X 2999392 0 63076 ANDREW REDINGTON MD INSTIT DIR, CARDIOLOGY 50.00 0.00 X 2032662 0 55282 DAVID MORALES MD DIV. DIR, CARDIOLOGY 50.00 0.00 X 1741529 0 64865 ERIC J WALL MD FACULTY PROFESSOR 50.00 0.00 X 1066706 0 54616 CHARLES MYER III FACULTY PROFESSOR 50.00 0.00 X 1071152 0 29124 20072021 0 1305043 2329 1 1 1 MESSER CONSTRUCTION CO 5158 FISHWICK DR CINCINNATI OH 45216 CONSTRUCTION SERVICES 115231040 TRIVERSITY CONSTRUCTION COMPANY LLC 5158 FISHWICK DRIVE CINCINNATI OH 45216 CONSTRUCTION SERVICES 23195710 CROTHALL HEALTHCARE 1500 LIBERTY RIDGE DR CINCIINNATI OH 45216 HOUSEKEEPING SERVICES 21324286 ZGF ARCHITECTS LLC 1223 SW WASHINGTON STREET PORTLAND OR 97205 CONSTRUCTION SERVICES 6229770 BAREFOOT LLC 700 W PETE ROSE WAY 73 CINCINNATI OH 45203 ADVERTISING/MARKETING SERVICES 4644279 186 628698 109354000 252492302 52248376 2132416 414723376 NET INPATIENT REVENUE 621990 1035064234 989199711 45864523 NET OUTPATIENT REVENUE 621990 719281925 719281925 PHYSICIAN SERVICES 621990 359115386 359115386 CAPITATION REVENUE 621990 103835974 103835974 2217297519 34635486 -34885 34670371 1749984 1749984 4158147 7322998 -3164851 -3164851 11581 -3176432 1208023000 1201835564 6187436 6187436 6187436 30401 628698 58689 -28288 -28288 INDUSTRY GRANTS 611710 27827734 27827734 GME FUNDING 611710 11188135 11188135 FEDERAL CONTRACTS 611710 9013928 9013928 85164256 85164256 133194053 2804594715 2219462793 45841219 124567327 3077854 3077854 108589 108589 3603216 3603216 12198660 771465 11427195 297221 250860 46361 1240461175 1051447738 184854852 4158585 76079794 58657521 17422273 188558838 137452619 50330195 776024 80478270 68337810 11873351 267109 2171110 2171110 772959 772959 455215 455215 33000 33000 2191379 2191379 5721567 2849050 2732762 139755 56375690 48995993 7311337 68360 34303548 17904856 16384226 14466 25409776 21747977 3606596 55203 884857 763022 114757 7078 23249369 23249369 137960805 110371843 27173048 415914 7443282 6477966 965316 PURCHASED SERVICES 200510296 104167177 95768693 574426 MEDICAL SUPPLIES 154954126 154954126 DRUGS 148384404 148384404 HOSPITAL FRANCHISE FEE 47773317 47773317 73445165 22597611 50538063 309491 2526903482 2011150229 508933842 6819411 274854110 274127616 551990848 645880757 30021267 32780583 17180235 41261405 2790947656 1388653236 1310804811 1402294420 885513671 1161362790 142868255 191555534 3592653291 4813765018 6805886488 8563028123 358609000 426088030 455739000 432416000 503180000 695946000 215942488 143048215 1533470488 1697498245 X 1655768000 2101438251 3616648000 4764091627 5272416000 6865529878 6805886488 8563028123 X 277691233 47111708 1268310937 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 1 170169 1 285046 0 0 455215 0 PART II-B, LINE 1: WHILE CINCINNATI CHILDREN'S DOES NOT SPEND A SUBSTANTIAL AMOUNT OF RESOURCES OR TIME PARTICIPATING IN LOBBYING ACTIVITIES, CINCINNATI CHILDREN'S PAYS MEMBERSHIP DUES TO PROFESSIONAL ORGANIZATIONS WHO, AMONG THEIR MANY RESPONSIBILITIES, PERFORM CERTAIN LOBBYING ACTIVITIES ON BEHALF OF THEIR MEMBER ORGANIZATIONS. CINCINNATI CHILDREN'S HAS WRITTEN THESE ORGANIZATIONS TO DETERMINE THE PORTION OF THEIR OPERATING BUDGETS WHICH ARE DEDICATED TO SUCH LOBBYING ACTIVITIES. USING THEIR RESPONSES, CINCINNATI CHILDREN'S HAS DETERMINED THE PORTION OF CINCINNATI CHILDREN'S MEMBERSHIP DUES WHICH ARE APPLICABLE TO THEIR LOBBYING ACTIVITIES. BELOW IS A COMPLETE LISTING OF THESE PROFESSIONAL ORGANIZATIONS: 1. AMERICAN HOSPITAL ASSOCIATION - $17,457 2. NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (GME CAMPAIGN) - $58,100 3. CINCINNATI BUSINESS COMMITTEE - $3,375 4. CINCINNATI REGIONAL BUSINESS COMMITTEE - $2,250 5. CINCINNATI USA REGIONAL CHAMBER - $3,500 6. NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS - $30,286 7. OHIO CHILDREN'S HOSPITAL ASSOCIATION - $35,680 8. OHIO HOSPITAL ASSOCIATION - $7,181 9. OHIO BUSINESS ROUNDTABLE - $4,840 10. NATIONAL ASSOCIATION FOR PROTON THERAPY - $7,500 CINCINNATI CHILDREN'S ALSO MAINTAINS A GOVERNMENT RELATIONS OFFICE WHICH IS FOCUSED ON IMPROVING AND EXPANDING INTERACTIONS WITH LOCAL, STATE, AND FEDERAL GOVERNMENT APPOINTED AND ELECTED OFFICIALS ON BEHALF OF CHILD HEALTH, REIMBURSEMENT, AND GRANT/FUNDING ISSUES. DURING FISCAL YEAR 2021, CINCINNATI CHILDREN'S GOVERNMENT RELATIONS OFFICE INCURRED $285,046 IN EXPENSES RELATED TO VARIOUS LOBBYING ACTIVITIES. THE CINCINNATI CHILDREN'S GOVERNMENT MANAGEMENT OFFICE PROVIDES SUPPORT FOR SPECIFIC LEGISLATION AS PART OF THESE LOBBYING ACTIVITIES. CINCINNATI CHILDREN'S GOVERNMENT RELATIONS OFFICE SUPPORTED CITIZENS FOR A STRONG FUTURE IN THE AMOUNT OF $15,000. CERTAIN MEMBERS OF CINCINNATI CHILDREN'S BOARD OF TRUSTEES, SENIOR MANAGEMENT, AND FACULTY MEET WITH AND EDUCATE LOCAL, STATE, AND FEDERAL GOVERNMENT APPOINTED AND ELECTED OFFICIALS ON BEHALF OF CHILD HEALTH, REIMBURSEMENT, AND GRANT/FUNDING ISSUES. LOBBYING EXPENSES INCURRED BY THESE INDIVIDUALS MAY BE REIMBURSED BY CINCINNATI CHILDREN'S CONSISTENT WITH ITS TRAVEL AND BUSINESS EXPENSE REIMBURSEMENT GUIDELINES. FURTHERMORE, THE VALUE OF THEIR TIME SPENT PERFORMING LOBBYING ACTIVITIES IS NOT QUANTIFIABLE. IN ADDITION, CINCINNATI CHILDREN'S DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING PUBLISHING OR DISTRIBUTING OF STATEMENTS), ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. 3616648000 342975000 1120619000 202492000 113658373 4764091627 3598639000 312366000 -1888000 186594000 105875000 3616648000 3000835000 287091000 589558000 180895000 97950000 3598639000 2591037000 286256000 389827000 180959000 85326000 3000835000 1516482000 255914000 1070099000 171766000 79692000 2591037000 0.00000 0.49200 0.50800 0 1 1 42158352 42158352 1608136576 888768072 719368504 692472423 480872932 211599491 448180305 19012232 429168073 1402294420 INTEREST IN ASSETS OF SUPPORTING ORGANIZATIONS 4545670080 PENSION BENEFIT ASSET 171708739 ASSETS LIMITED TO USE - FUNDS IN TRUST 31249981 OPERATING LEASE RIGHT OF USE ASSETS 16484868 OTHER LONG-TERM ASSETS 48651350 4813765018 FINANCE LEASE OBLIGATIONS 51646586 DEFERRED SOCIAL SECURITY TAXES 22827532 SELF-INSURANCE RESERVES 22183978 OPERATING LEASE OBLIGATIONS 14241710 OTHER LONG-TERM LIABILITIES 32148409 143048215 X 3176799852 47111708 325558442 372670150 2804129702 465013 465013 2804594715 2824866707 327821002 327821002 2497045705 29857777 29857777 2526903482 PART V, LINE 4: CINCINNATI CHILDREN'S ENDOWMENT FUNDS ARE UTILIZED TO SUPPORT THE OPERATIONS OF VARIOUS DEPARTMENTS AT CINCINNATI CHILDREN'S IN FURTHERANCE OF CINCINNATI CHILDREN'S PRIMARY TAX-EXEMPT PURPOSES OF PATIENT CARE, EDUCATION, AND RESEARCH. SEE FORM 990, PART III AND SCHEDULE O FOR ADDITIONAL INFORMATION. PART X, LINE 2: CINCINNATI CHILDREN'S ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION TOPIC (ASC) 740 "INCOME TAXES". IT IS CINCINNATI CHILDREN'S POLICY TO CLASSIFY THE EXPENSE RELATED TO INTEREST AND PENALTIES, IF ANY, TO BE PAID ON UNDERPAYMENTS OF INCOME TAXES WITHIN OTHER EXPENSES. THERE WERE NO MATERIAL PENALTIES OR INTEREST RECOGNIZED IN FISCAL YEARS 2021 AND 2020. FISCAL YEARS 2018 THROUGH 2021 ARE SUBJECT TO EXAMINATION BY BOTH THE FEDERAL AND STATE TAX JURISDICTIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: ELIMINATE INTERCOMPANY OPERATING/RESTRICTED REVENUE 316,150,000. CHSN NET REVENUE ELIMINATION 9,408,442. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASS BELOW THE LINE PER FINANCIAL STATEMENTS TO REVENUE PER 990 7,788,011. RECLASS RENT EXPENSE TO OFFSET RENTAL INCOME -7,322,998. PART XII, LINE 2D - OTHER ADJUSTMENTS: ELIMINATE INTERCOMPANY OPERATING/RESTRICTED EXPENSE 316,150,000. CHSN EXPENSE ELIMINATION 11,671,002. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS BELOW THE LINE PER FINANCIAL STATEMENTS TO EXPENSES PER 990 37,180,775. RECLASS RENT EXPENSE TO OFFSET RENTAL INCOME -7,322,998. 0 CENTRAL AMERICA AND THE CARIBBEAN 0 1 PROGRAM SERVICES OFFSHORE CAPTIVE MANAGEMENT 977911 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 9127 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 479563 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 163025 NORTH AMERICA 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 1380789 CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 14578 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 476648 SOUTH ASIA 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 20090 SUB-SAHARAN AFRICA 0 3 PROGRAM SERVICES PATIENT SERVICES 81485 0 1 0 3 0 4 3521731 81485 3603216 CENTRAL AMERICA AND THE CARIBBEAN EDUCATION, TRAINING, RESEARCH 14578 ELECTRONIC FUND/WIRE TRANSFER 0 EUROPE (INCLUDING ICELAND & GREENLAND) EDUCATION, TRAINING, RESEARCH 437323 ELECTRONIC FUND/WIRE TRANSFER 0 MIDDLE EAST AND NORTH AFRICA EDUCATION, TRAINING, RESEARCH 160154 ELECTRONIC FUND/WIRE TRANSFER 0 SOUTH ASIA EDUCATION, TRAINING, RESEARCH 19890 ELECTRONIC FUND/WIRE TRANSFER 0 SUB-SAHARAN AFRICA EDUCATION, TRAINING, RESEARCH 476648 ELECTRONIC FUND/WIRE TRANSFER 0 EAST ASIA AND THE PACIFIC EDUCATION, TRAINING, RESEARCH 6937 ELECTRONIC FUND/WIRE TRANSFER 0 NORTH AMERICA EDUCATION, TRAINING, RESEARCH 1342219 ELECTRONIC FUND/WIRE TRANSFER 0 10 35 EDUCATION, TEACHING, RESEARCH NORTH AMERICA 1 10115 ELECTRONIC FUND/WIRE TRANSFER 0 EDUCATION, TEACHING, RESEARCH EUROPE (INCLUDING ICELAND & GREENLAND) 1 10000 ELECTRONIC FUND/WIRE TRANSFER 0 1 0 1 0 0 1 PART I, LINE 2: CINCINNATI CHILDREN'S MONITORS THE USE OF GRANT FUNDS WITHIN AND OUTSIDE OF THE UNITED STATES IN ACCORDANCE WITH 45 CFR PART 74 APPENDIX E. CINCINNATI CHILDREN'S FOLLOWS FEDERAL GUIDELINES FOR DETERMINING COSTS APPLICABLE TO GRANTS, CONTRACTS, AND OTHER ARRANGEMENTS AND GENERALLY APPLIES THE SAME COST PRINCIPLES TO NON-FEDERAL CONTRACTS AS WELL. ALL COSTS ASSOCIATED WITH SPONSORED PROJECTS MUST COMPLY WITH CINCINNATI CHILDREN'S POLICIES AS WELL AS BOTH GOVERNMENT AND/OR SPONSOR RULES AND REGULATIONS. PART III ACCOUNTING METHOD: X X X X X X X 1 SCHULTZ & WILLIAMS 1617 JFK BOULEVARD SUITE 1700 PHILADELPHIA PA 19103 DIRECT MAIL PROGRAM CONSULTING AND REVIEW 0 0 33000 -33000 33000 -33000 AK AL AR CA CO CT FL GA HI IL KS KY MA MD ME MI MN MO MS NC ND NH NJ NM NV NY OH OK OR PA RI SC TN UT VA WA WI WV CINCINNATI WALKS FOR KIDS 394245 370455 23790 0 0 6006 138 0 19643 KALEIDOSCOPE 182500 182500 0 0 0 0 0 6650 2 82354 75743 6611 3450 0 13101 8801 0 900 659099 628698 30401 3450 19107 8939 27193 58689 -28288 PART I, LINE 2B, COLUMN (V): SCHULTZ & WILLIAMS ALSO RECEIVED PAYMENTS TOTALING $335,826 FOR PREPARATION, PRINTING, AND POSTAGE OF MAILINGS AND MAILING LIST. THESE PAYMENTS ARE DISTINGUISHED BY SEPARATE INVOICES. 1 1 X 1 X 1 X 201.000000000000 1 1 1 0 1 1 10496970 4230000 6266970 0.00250 832987411 638463077 194524334 0.07700 843484381 642693077 200791304 0.07950 11444158 439379 11004779 0.00440 86636556 17667501 68969055 0.02730 26672189 17141374 9530815 0.00380 409602971 278264368 131338603 0.05200 3779266 3779266 0.00150 538135140 313512622 224622518 0.08900 1381619521 956205699 425413822 0.16850 21987 21987 0.00000 500 500 0.00000 22487 22487 0.00000 0 8048015 2725058 7929750 16095509 -8165759 X 1 1 4 1 CCHMC - MAIN CAMPUS 3333 BURNET AVENUE CINCINNATI OH 45229 WWW.CINCINNATICHILDRENS.ORG 1186 X X X X X X A 2 CCHMC - LIBERTY CAMPUS 7777 YANKEE ROAD LIBERTY TOWNSHIP OH 45044 WWW,CINCINNATICHILDRENS.ORG 1492 X X X X X A 3 CCHMC - COLLEGE HILL CAMPUS 5642 HAMILTON AVENUE CINCINNATI OH 45224 WWW.CINCINNATICHILDRENS.ORG 1446 X X X MENTAL HEALTH FACILITY A 4 CCHMC - LINDNER CENTER OF HOPE CAMPUS 4075 OLD WESTERN ROW ROAD MASON OH 45040 WWW.CINCINNATICHILDRENS.ORG 1500 X X X MENTAL HEALTH FACILITY A FACILITY REPORTING GROUP A 0 0 1 X X X X X X X X X 18 1 1 0 1 X SEE PART V, SECTION C X 1 18 1 HTTP://WWW.CINCINNATICHILDRENS.ORG/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/ 0 1 X 200.000000000000 201.000000000000 X X X X X 1 1 X X X X 1 X HTTP://WWW.CINCINNATICHILDRENS.ORG/PATIENTS/RESOURCES/FINANCIAL-ASSISTANCE/ X HTTP://WWW.CINCINNATICHILDRENS.ORG/PATIENTS/RESOURCES/FINANCIAL-ASSISTANCE/ X HTTP://WWW.CINCINNATICHILDRENS.ORG/PATIENTS/RESOURCES/FINANCIAL-ASSISTANCE/ X X X X X X X 1 X 0 X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: CCHMC - MAIN CAMPUS, - FACILITY 2: CCHMC - LIBERTY CAMPUS, - FACILITY 3: CCHMC - COLLEGE HILL CAMPUS, - FACILITY 4: CCHMC - LINDNER CENTER OF HOPE CAMPUS PART V, SECTION B, LINE 5: CINCINNATI CHILDREN'S RECEIVED INPUT FROM A BROAD RANGE OF INDIVIDUALS THAT ARE REPRESENTATIVE OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS WHEN COMPLETING ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. CINCINNATI CHILDREN'S COMMUNITY HEALTH NEEDS ASSESSMENT WAS DESIGNED AND COMPLETED BY A TEAM INCLUDING REPRESENTATIVES FROM KEY INTERNAL DEPARTMENTS, PUBLIC HEALTH, AND THE COMMUNITY. CINCINNATI CHILDREN'S COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT BY COMPLETING SURVEYS, INTERVIEWING KEY INFORMANTS, CONDUCTING FOCUS GROUPS, AND REVIEWING SECONDARY DATA ACROSS CINCINNATI CHILDREN'S EIGHT-COUNTY PRIMARY SERVICE AREA.IN ORDER TO UNDERSTAND THE CHILD HEALTH NEEDS OF CINCINNATI CHILDREN'S COMMUNITY, COMMUNITY MEMBERS AND KEY CHILD HEALTH ORGANIZATIONS WERE ASKED TO PARTICIPATE IN OUR COMMUNITY SURVEY, KEY INFORMANT INTERVIEWS AND COMMUNITY FOCUS GROUPS. THROUGH EACH DATA COLLECTION METHOD, COMMUNITY INPUT WAS SOLICITED THROUGH COMMUNITY MEMBERS OR REPRESENTATIVES OF ORGANIZATIONS, INCLUDING ORGANIZATIONS SERVING VULNERABLE POPULATIONS. PLEASE REFER TO THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR MORE DETAILED DISCUSSION ON THE QUESTIONS AND PEOPLE/ORGANIZATIONS INVOLVED. PART V, SECTION B, LINE 6A: FACILITY REPORTING GROUP ACCHMC - MAIN CAMPUSCCHMC - LIBERTY CAMPUSCCHMC - COLLEGE HILL CAMPUSCCHMC - LINDNER CENTER OF HOPE CAMPUSFACILITY REPORTING GROUP APART V, SECTION B, LINE 7A, HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.CINCINNATICHILDRENS.ORG/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/ PART V, SECTION B, LINE 11: CINCINNATI CHILDREN'S WORKED BOTH INTERNALLY AND WITH EXTERNAL COMMUNITY PARTNERS IN ESTABLISHING PLANS TO ADDRESS THE PEDIATRIC COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA. THE IMPLEMENTATION STRATEGY HAS BEEN APPROVED BY CINCINNATI CHILDREN'S BOARD OF TRUSTEES AND MAY BE VIEWED BY NAVIGATING TO THE FOLLOWING WEB ADDRESS: HTTP://WWW.CINCINNATICHILDRENS.ORG/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENTTHE EIGHT PRIORITIES ADDRESSED IN THE 2019 IMPLEMENTATION STRATEGIES AS WELL AS ACTIONS TAKEN DURING THE TAX YEAR TO ADDRESS THE IDENTIFIED NEED ARE LISTED BELOW. CINCINNATI CHILDREN'S DID NOT IDENTIFY ANY NEEDS THAT ARE NOT BEING ADDRESSED.CHILDHOOD MENTAL HEALTH 1. EXPANDED INTEGRATED BEHAVIORAL MEDICINE AND CLINICAL PSYCHOLOGY SERVICES 2. SCREENED PATIENTS FOR DEPRESSION AT PRIMARY CARE CLINICS 3. INTEGRATED AND ENHANCED MENTAL HEALTH SERVICES AND INTERVENTIONS IN SCHOOL-BASED HEALTH CLINICS, BY OPTIMIZING EMERGENCY ROOM AND OUTPATIENT ACCESS, AND THROUGH TELEMEDICINE SERVICES 4. PILOTED BEHAVIOR INTERVENTION AND EVIDENCE-BASED PROGRAMS IN PARTNERSHIP WITH LOCAL ELEMENTARY SCHOOLS AND PRESCHOOLS CHILDHOOD OBESITY 1. IMPLEMENTED NUTRITION AND OBESITY PREVENTION PROGRAMS 2. ADDRESSED FOOD INSECURITY THROUGH A PARTNERSHIP WITH THE REGIONAL FOODBANK THAT PROVIDES FREE FORMULA AND STOCKS A FOOD PANTRY IN TWO CLINICS 3. DEVELOPED PARTNERSHIPS TO IMPROVE PHYSICAL ACTIVITYBARRIERS TO CARE 1. PROVIDED COMPREHENSIVE PRIMARY CARE SERVICES THROUGH CINCINNATI CHILDREN'S PRIMARY CARE CLINICS AND SCHOOL-BASED HEALTH CENTERS INCLUDING ACCESS TO LEGAL AID, FOOD PANTRIES, PRESCHOOL ENROLLMENT AND COMMUNITY HEALTH WORKERS 2. SUPPORTED A BROAD QUALITY IMPROVEMENT INITIATIVE IN CINCINNATI HEALTH DEPARTMENT'S PEDIATRIC CLINICS 3. PARTNERED WITH COMMUNITY ORGANIZATIONS TO CONNECT CHILDREN AND FAMILIES TO PRIMARY CARE SERVICES 4. COLLABORATE WITH CINCINNATI CHILDREN'S PHYSICIAN NETWORK AND COMMUNITY PARTNERS TO CONNECT AND COORDINATE CARE CHILDHOOD ASTHMA 1. REDUCED DISPARITIES IN ASTHMA OUTCOMES BETWEEN LOCAL NEIGHBORHOODS THROUGH HOSPITAL- AND COMMUNITY-BASED CLINICS 2. PARTNERED WITH SCHOOL DISTRICTS TO IMPROVE ASTHMA CONTROL AMONG CHILDREN IN PARTNERSHIP WITH SCHOOL NURSES AND SCHOOL-BASED HEALTH CENTERS 3. TESTED AND SCALED OTHER ASTHMA INTERVENTIONS, SUCH AS TELEMEDICINE AND HOME DELIVERY OF MEDICATIONS 4. BROADENED AWARENESS AND INTERVENTIONS BEYOND ASTHMA TO THE MANY HEALTH CONDITIONS WITH DISPARITIES IN MORBIDITY AND ADMISSIONSCHILD SAFETY AND UNINTENTIONAL INJURY 1. IMPLEMENTED SAFETY OUTREACH IN HIGH-RISK NEIGHBORHOODS 2. PROVIDED CAR SEAT EDUCATION AND INSTALLATION SUPPORT 3. TRAINED COMMUNITY ORGANIZATIONS TO PROMOTE SAFETY AND UNINTENTIONAL INJURY PROGRAMS AND RESOURCES 4. PROVIDED TRAINING AND SUPPORT FOR COMMUNITY ORGANIZATIONS AROUND TRAUMA-INFORMED CAREINFANT MORTALITY 1. SUPPORTED LEARNING COLLABORATIVES AIMED AT REDUCING INFANT MORTALITY 2. PARTNERED WITH COMMUNITY ORGANIZATIONS TO ADDRESS INFANT MORTALITY 3. SPREAD PRETERM BIRTH REDUCTION SUCCESS TO ADDITIONAL TARGETED NEIGHBORHOODS 4. DEVELOPED STRATEGIES TO INCORPORATE AN EQUITY-BASED FOCUS ON INFANT MORTALITY REDUCTIONEARLY LITERACY AND SCHOOL READINESS 1. SUPPORTED THE PUBLIC-SCHOOL DISTRICT TO IMPROVE EARLY LITERACY AND THIRD GRADE READING BY OFFERING QUALITY IMPROVEMENT AND DATA ANALYTIC SUPPORT 2. LED A CITY-WIDE EFFORT TO DISTRIBUTE BOOKS THROUGH PEDIATRIC CLINICS VIA 2 NATIONAL PROGRAMS: REACH OUT AND READ AND IMAGINATION LIBRARY 3. PILOTED A COMMUNITY-BASED NETWORK OF PARENTS AND CAREGIVERS TO PROMOTE EARLY LITERACYDENTAL 1. PARTNERED WITH COMMUNITY ORGANIZATIONS AND SCHOOL DISTRICTS TO ADDRESS CHILD DENTAL NEEDS PART V, SECTION B, LINE 16J: IN ADDITION TO CINCINNATI CHILDREN'S FINANCIAL ASSISTANCE POLICY BEING AVAILABLE ON ITS WEBSITE, AVAILABLE UPON REQUEST, INCLUDED WITH BILLING STATEMENTS, AND PROMINENTLY DISPLAYED IN EMERGENCY ROOMS AND ADMISSIONS OFFICES, A PLAIN LANGUAGE SUMMARY OF CINCINNATI CHILDREN'S FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON ITS WEBSITE, HTTP://WWW.CINCINNATICHILDRENS.ORG/PATIENTS/RESOURCES/FINANCIAL-ASSISTANCE/ 14 1 - CCHMC ANDERSON 7495 STATE ROAD SUITE 355 CINCINNATI OH 45255 NEIGHBORHOOD FACILITY 2 - CCHMC EASTGATE 796 CINCINNATI-BATAVIA PIKE CINCINNATI OH 45245 NEIGHBORHOOD FACILITY 3 - CCHMC FAIRFIELD 3050 MACK ROAD CINCINNATI OH 45014 NEIGHBORHOOD FACILITY 4 - CCHMC GREEN TOWNSHIP 5899 HARRISON AVENUE CINCINNATI OH 45248 NEIGHBORHOOD FACILITY 5 - CCHMC KENWOOD 7714-A MONTGOMERY ROAD CINCINNATI OH 45236 NEIGHBORHOOD FACILITY 6 - CCHMC MASON 9560 CHILDRENS DRIVE MASON OH 45040 NEIGHBORHOOD FACILITY 7 - CHILDREN'S OUTPATIENT NKY 2765 CHAPEL PLACE CRESTVIEW HILLS KY 41017 NEIGHBORHOOD FACILITY 8 - CCHMC OAK 2800 WINSLOW AVENUE CINCINNATI OH 45206 NEIGHBORHOOD FACILITY 9 - CCHMC HOPPLE STREET 2750 BEEKMAN AVENUE CINCINNATI OH 45225 NEIGHBORHOOD FACILITY 12 - CCHMC BARDSTOWN 201 S FIFTH STREET SUITE 10 BARDSTOWN KY 40004 SPECIALTY OUTREACH CLINIC 13 - CCHMC DANVILLE 303 S FOURTH STREET SUITE 201 DANVILLE KY 40422 SPECIALTY OUTREACH CLINIC 14 - CCHMC ELIZABETHTOWN 1003 N DIXIE HIGHWAY ELIZABETHTOWN KY 42701 SPECIALTY OUTREACH CLINIC 15 - CCHMC LOUISVILLE 731 E BROADWAY LOUISVILLE KY 40202 SPECIALTY OUTREACH CLINIC 16 - CCHMC SHELBYVILLE 720 HOSPITAL DRIVE SHELBYBILLE KY 40065 SPECIALTY OUTREACH CLINIC PART I, LINE 7: CINCINNATI CHILDREN'S UTILIZES THE COST TO CHARGE RATIOS FROM THE MOST RECENTLY FILED COST REPORTS TO CALCULATE THE AMOUNTS REPORTED ON SCHEDULE H, PART I, LINE 7. PART II, COMMUNITY BUILDING ACTIVITIES: CINCINNATI CHILDREN'S VISION IS TO BE THE LEADER IN IMPROVING CHILD HEALTH AND INCLUDES SUPPORTING A VARIETY OF COMMUNITY ACTIVITIES THAT BENEFIT CHILDREN'S PHYSICAL, EMOTIONAL, AND SOCIAL HEALTH. TO SUPPORT CHILDREN'S HEALTH AND THE SOCIAL HEALTH ISSUES CHILDREN ARE FACING, CINCINNATI CHILDREN'S INVESTS IN COMMUNITY PROGRAMS THAT BENEFIT ECONOMIC DEVELOPMENT AND PHYSICAL IMPROVEMENTS WITHIN ITS PRIMARY SERVICE AREA. AS ONE OF THE LARGEST EMPLOYERS IN THE REGION, CINCINNATI CHILDREN'S SUPPORTS EFFORTS TO PROMOTE A COMPETENT HEALTHCARE WORKFORCE AND INITIATIVES THAT DRIVE INNOVATION AND SUSTAINABILITY OF THE NEIGHBORHOODS IT SERVES. THESE INITIATIVES AND EFFORTS ARE FOCUSED ON IMPROVING CHILD HEALTH AND OUR GOAL OF CHANGING THE OUTCOME TOGETHER WITH PATIENTS, FAMILIES AND COMMUNITIES. MORE INFORMATION ABOUT CINCINNATI CHILDREN'S MISSION, VISION AND VALUES CAN BE FOUND AT:HTTPS://WWW.CINCINNATICHILDRENS.ORG/ABOUT PART III, LINE 2: THE BAD DEBT REPORTED ON LINE 2 IS AT COST, AS CALCULATED FROM THE COST ACCOUNTING SYSTEM. IT REPRESENTS AMOUNTS CHARGED TO BAD DEBT AT COST RELATED TO AMOUNTS UNCOLLECTIBLE FROM PATIENTS AND FAMILIES. PART III, LINE 3: CINCINNATI CHILDREN'S UTILIZES ECONOMISTS FROM THE UNIVERSITY OF CINCINNATI TO DETERMINE THE ESTIMATED PERCENTAGE OF THE BAD DEBT EXPENSE REPORTED ON LINE 2 ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. THIS AMOUNT IS NOT INCLUDED IN OUR COMMUNITY BENEFIT CALCULATION. PART III, LINE 4: THE COST OF BAD DEBT IS CALCULATED USING COST TO CHARGE RATIOS CALCULATED FROM THE MOST RECENTLY FILED COST REPORT. PART III, LINE 8: CINCINNATI CHILDREN'S UTILIZES ITS COST ACCOUNTING SYSTEM TO CALCULATE THE COST OF PROVIDING CARE TO MEDICARE PATIENTS. PART III, LINE 9B: CINCINNATI CHILDREN'S HAS A POLICY THAT ONCE IT HAS BEEN DETERMINED THAT A FAMILY QUALIFIES FOR 100% ASSISTANCE, ALL COLLECTIONS ACTIVITIES ON THAT PATIENT CEASE. CINCINNATI CHILDREN'S STAFF WORK WITH THE FAMILY ON OBTAINING FINANCIAL ASSISTANCE. PART VI, LINE 2: IN ORDER TO UNDERSTAND THE CHILD HEALTH NEEDS OF THE CINCINNATI CHILDREN'S COMMUNITY, COMMUNITY MEMBERS AND KEY CHILD HEALTH ORGANIZATIONS WERE ASKED TO PARTICIPATE IN OUR COMMUNITY SURVEY, KEY INFORMANT INTERVIEWS AND COMMUNITY FOCUS GROUPS. THROUGH EACH DATA COLLECTION METHOD, COMMUNITY INPUT WAS SOLICITED THROUGH COMMUNITY MEMBERS OR REPRESENTATIVES OF ORGANIZATIONS, INCLUDING ORGANIZATIONS SERVING VULNERABLE POPULATIONS. CHILD HEALTH PRIORITIES INCLUDED CHILD MENTAL HEALTH, CHILDHOOD OBESITY, CHILD SAFETY AND UNINTENTIONAL INJURY, CHILDHOOD ASTHMA, EARLY LITERACY AND SCHOOL READINESS, AND INFANT MORTALITY.IN FISCAL YEAR 2021, CINCINNATI CHILDREN'S LAUNCHED IT'S NEW STRATEGIC PLAN ENTITLED "PURSUING OUR POTENTIAL TOGETHER" ("POPT"). THIS PLAN IS FOCUSED ON FOUR PILLARS, ONE OF WHICH IS COMMUNITY. WITH AN ASPIRATION OF 2033, THE CHILDREN IN CINCINNATI CHILDREN'S COMMUNITY WILL BE THE HEALTHIEST KIDS IN THE NATION. CINCINNATI CHILDREN'S LONG-TERM PLAN CONTAINS ANNUAL PRIORITIES FOR EACH OF THE IDENTIFIED PILLARS. WHILE THE STRATEGIC PLAN PROVIDES A FRAMEWORK FOR CINCINNATI CHILDREN'S ONGOING STRATEGIC EMPHASIS, IT DOES NOT DEFINE THE TOTALITY OF OUR EFFORTS. CINCINNATI CHILDREN'S STRIVES TO DELIVER DEMONSTRABLY SUPERIOR OUTCOMES AND EXPERIENCE AT THE LOWEST POSSIBLE COST, AND TO DISCOVER AND APPLY BETTER WAYS TO IMPROVE THE HEALTH OF MORE CHILDREN IN THE COMMUNITY AND AROUND THE WORLD. RECOGNIZING THAT WE ARE STRONGER WORKING TOGETHER AND COORDINATING EFFORTS TO ADDRESS SYSTEMIC COMMUNITY HEALTH NEEDS, CINCINNATI CHILDREN'S PARTNERS WITH MANY ORGANIZATIONS INCLUDING FEDERALLY QUALIFIED HEALTH CLINICS, SCHOOL BASED HEALTH CLINICS, COUNTY AND CITY PROGRAMS, OFFICES AND DEPARTMENTS, THE HEALTH FOUNDATION OF GREATER CINCINNATI, THE GREATER CINCINNATI UNITED WAY, EVERY CHILD SUCCEEDS, AND WITH THE POLICE, PROSECUTORS AND COUNTY CASE WORKERS CO. LOCATED IN CINCINNATI CHILDREN'S MAYERSON CENTER FOR SAFE AND HEALTHY CHILDREN. PART VI, LINE 3: CINCINNATI CHILDREN'S PATIENT BILLING STATEMENTS, WEBSITE, AND FINANCIAL BROCHURES CONTAIN INFORMATION ABOUT ITS CHARITY AND FINANCIAL ASSISTANCE PROGRAMS WITH DIRECTIONS ON HOW TO CONTACT CINCINNATI CHILDREN'S TO INITIATE AN APPLICATION OR ASK QUESTIONS ABOUT THE PROCESS. IN ADDITION, CINCINNATI CHILDREN'S BROCHURES ARE AVAILABLE AT EACH REGISTRATION SITE. CINCINNATI CHILDREN'S CUSTOMER SERVICE REPRESENTATIVES ARE TRAINED TO WORK WITH THE FAMILIES ON ANSWERING ASSISTANCE RELATED QUESTIONS AS WELL. CINCINNATI CHILDREN'S ALSO HAS A FINANCIAL COUNSELING DEPARTMENT AND A FINANCIAL ADVOCATE PROGRAM THAT REACH OUT TO UNDERSERVED FAMILIES AND TRY TO HELP WITH THEIR SPECIFIC NEEDS. CINCINNATI CHILDREN'S GOAL IS TO PROVIDE FINANCIAL ASSISTANCE AS EFFICIENTLY AND AS COMPLIANT AS POSSIBLE WHILE STILL KEEPING CUSTOMER SERVICE AS OUR NUMBER ONE PRIORITY. PART VI, LINE 4: CINCINNATI CHILDREN'S SERVES PATIENTS FROM ALL 50 STATES AND OVER 100 COUNTRIES BUT ITS PRIMARY SERVICE AREA IS AN EIGHT COUNTY REGION ACROSS THE GREATER CINCINNATI GEOGRAPHIC AREA. THE EIGHT COUNTIES INCLUDE BUTLER, CLERMONT, HAMILTON, AND WARREN COUNTIES IN OHIO; BOONE, CAMPBELL, AND KENTON COUNTIES IN KENTUCKY; AND DEARBORN COUNTY IN INDIANA. CINCINNATI CHILDREN'S OPERATES 14 HEALTHCARE FACILITIES WITHIN THE PRIMARY SERVICE AREA. FOR A FULL DESCRIPTION OF THE DEMOGRAPHICS OF THE CINCINNATI CHILDREN'S COMMUNITY, PLEASE REFER TO THE COMMUNITY HEALTH NEEDS ASSESSMENT FOUND BY NAVIGATING TO THE FOLLOWING WEB ADDRESS: HTTP://WWW.CINCINNATICHILDRENS.ORG/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENTPART VI, LINE 5 - AN IMPORTANT PILLAR OF OUR STRATEGIC PLAN 2020 RELATES TO COMMUNITY HEALTH. CINCINNATI CHILDREN'S GOAL IS TO MAKE THE CHILDREN OF GREATER CINCINNATI THE HEALTHIEST CHILDREN IN THE NATION. THE COMMUNITY HEALTH PILLAR ALSO ALIGNS TO OUR CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT. PLEASE REFER TO THAT DOCUMENT ON CINCINNATI CHILDREN'S WEB SITE FOR FURTHER INFORMATION. HTTP://WWW.CINCINNATICHILDRENS.ORG/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT IN FISCAL YEAR 2021, CINCINNATI CHILDREN'S LAUNCHED IT'S NEW STRATEGIC PLAN ENTITLED "PURSUING OUR POTENTIAL TOGETHER" ("POPT"). THIS PLAN IS FOCUSED ON FOUR PILLARS, ONE OF WHICH IS COMMUNITY. WITH AN ASPIRATION OF 2033, THE CHILDREN IN CINCINNATI CHILDREN'S COMMUNITY WILL BE THE HEALTHIEST KIDS IN THE NATION. CINCINNATI CHILDREN'S LONG-TERM PLAN CONTAINS ANNUAL PRIORITIES FOR EACH OF THE IDENTIFIED PILLARS.PART VI, LINE 6 - CINCINNATI CHILDREN'S IS NOT PART OF AN AFFILIATED HEALTH SYSTEM.PART VI, LINE 7 - CINCINNATI CHILDREN'S IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT IN ANY STATE. HOWEVER, CINCINNATI CHILDREN'S PREPARES A COMMUNITY BENEFIT REPORT THAT CAN BE FOUND ON OUR WEBSITE AT THE FOLLOWING LINK: HTTPS://WWW.CINCINNATICHILDRENS.ORG/ABOUT/COMMUNITY/COMMUNITY-BENEFIT COMMUNITY BENEFIT REPORT: IN ORDER TO UNDERSTAND THE CHILD HEALTH NEEDS OF CINCINNATI CHILDREN'S COMMUNITY, COMMUNITY MEMBERS AND KEY CHILD HEALTH ORGANIZATIONS WERE ASKED TO PARTICIPATE IN OUR COMMUNITY SURVEY, KEY INFORMANT INTERVIEWS AND COMMUNITY FOCUS GROUPS. THROUGH EACH DATA COLLECTION METHOD, COMMUNITY INPUT WAS SOLICITED THROUGH COMMUNITY MEMBERS OR REPRESENTATIVES OF ORGANIZATIONS, INCLUDING ORGANIZATIONS SERVING VULNERABLE POPULATIONS. PLEASE REFER TO THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR MORE DETAILED DISCUSSION ON THE QUESTIONS AND PEOPLE/ORGANIZATIONS INVOLVED. 1 CINCINNATI REDS COMMUNITY FUND 100 NUXHALL WAY CINCINNATI OH 45202 311790195 501(C)(3) 665000 SPONSORSHIP AVONDALE COMPREHENSIVE DEVELOPMENT CORPORATION 3494 READING ROAD CINCINNATI OH 45229 452412695 501(C)(3) 452650 SPONSORSHIP THE HEALTH COLLABORATIVE 615 ELSMORE PLACE NO 500 CINCINNATI OH 45202 311449807 501(C)(3) 425864 SPONSORSHIP WESLEY EDUCATION CENTER FOR CHILDREN AND FAMILIES 525 HALE AVE CINCINNATI OH 45229 310597419 501(C)(3) 200000 SPONSORSHIP CHILDREN'S MIRACLE NETWORK 205 WEST 700 SOUTH SALT LAKE CITY UT 84101 870387205 501(C)(3) 170487 SPONSORSHIP GREATER CINCINNATI FOUNDATION 720 E PETE ROSE WAY SUITE 120 CINCINNATI OH 45202 310669700 501(C)(3) 113000 SPONSORSHIP UNIVERSITY OF CINCINNATI FOUNDATION PO BOX 19970 CINCINNATI OH 45219 310896555 501(C)(3) 97750 SPONSORSHIP AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 96063 SPONSORSHIP MATTHEW 25 MINISTRIES 11060 KENWOOD ROAD CINCINNATI OH 45242 311348100 501(C)(3) 0 70528 BOOK DONATED MEDICAL SUPPLIES SPONSORSHIP UNITED WAY OF GREATER CINCINNATI 2400 READING RD CINCINNATI OH 45202 310537502 501(C)(3) 52500 SPONSORSHIP URBAN LEAGUE OF GREATER SOUTHWESTERN OHIO INC 3458 READING ROAD CINCINNATI OH 45229 310565428 501(C)(3) 49770 SPONSORSHIP EASTER SEALS TRISTATE 2901 GILBERT AVE CINCINNATI OH 45206 310873433 501(C)(3) 30000 8150 FMV BOILER AND FIXTURES SPONSORSHIP RONALD MCDONALD HOUSE CHARITIES OF GREATER CINCINNATI 350 ERKENBRECHER AVE CINCINNATI OH 45229 310965333 501(C)(3) 30625 SPONSORSHIP MARCH OF DIMES INC 1550 CHRYSTAL DRIVE SUITE 1300 ARLINGTON VA 22202 131846366 501(C)(3) 30500 SPONSORSHIP ZOOLOGICAL SOCIETY OF CINCINNATI 3400 VINE STREET CINCINNATI OH 45220 310537171 501(C)(3) 30000 SPONSORSHIP THE CENTER FOR CLOSING THE HEALTH GAP IN GREATER CINCINNATI 3120 BURNET AVENUE SUITE 201 CINCINNATI OH 45229 200902286 501(C)(3) 30000 SPONSORSHIP THE DRAGONFLY FOUNDATION 506 OAK STREET CINCINNATI OH 45219 273183929 501(C)(3) 29250 SPONSORSHIP ARTSWAVE 20 EAST CENTRAL PKWAY 200 CINCINNATI OH 45202 310537138 501(C)(3) 27500 SPONSORSHIP THE CURE STARTS NOW 10280 CHESTER ROAD CINCINNATI OH 45215 260269131 501(C)(3) 26625 SPONSORSHIP 1N5 5030 OAKLAWN DRIVE CINCINNATI OH 45227 273346632 501(C)(3) 19000 SPONSORSHIP CINCINNATI RECREATION COMMISSION FOUNDATION 805 CENTRAL AVE SUITE 800 CINCINNATI OH 45202 311574475 501(C)(3) 17750 SPONSORSHIP LIFECENTER ORGAN DONOR NETWORK 615 ELSMORE PLACE NO 400 CINCINNATI OH 45202 311040508 501(C)(3) 16000 SPONSORSHIP THE CHILDREN'S HEART FOUNDATION 5 REVERE DRIVE NO 200 NORTHBROOK IL 60062 364077528 501(C)(3) 15000 SPONSORSHIP FREESTORE FOODBANK INC 1141 CENTRAL PARKWAY CINCINNATI OH 45202 237122205 501(C)(3) 15000 SPONSORSHIP LITTLE FOOTPRINTS LEARNING CENTER 3660 WASHINGTON AVE CINCINNATI OH 45229 822401241 501(C)(3) 15000 SPONSORSHIP OHIO VALLEY VOICES 6642 BRANCH HILL GUINEA PIKE LOVELAND OH 45140 311639795 501(C)(3) 13375 SPONSORSHIP THE COMMUNITY BUILDERS INC 185 DARTMOUTH STREET BOSTON MA 02116 042324773 501(C)(3) 11250 SPONSORSHIP THE ABERCRUMBIE GROUP 10301 GIVERNY BOULEVARD CINCINNATI OH 45241 300520187 10875 SPONSORSHIP CINCINNATI PUBLIC SCHOOLS 2651 BURNET AVENUE CINCINNATI OH 45219 316000758 GOVERNMENT ENTITY 10750 SPONSORSHIP LEARNING THROUGH ART INC 4721 READING ROAD SUITE 310 CINCINNATI OH 45237 311367751 501(C)(3) 10250 SPONSORSHIP CINCINNATI BOARD OF HEALTH 3101 BURNET AVE CINCINNATI OH 45229 316000064 GOVERNMENT ENTITY 10000 SPONSORSHIP CWFF CHILD DEVELOPMENT CENTER 434 FOREST AVE CINCINNATI OH 45229 310301096 501(C)(3) 10000 SPONSORSHIP JAZJORDAN INC 9910 COVENTRY CT MASON OH 45040 464687760 501(C)(3) 10000 SPONSORSHIP MAKE-A- WISH FOUNDATION OF OH KY & IN 2545 FARMERS DRIVE NO 300 COLUMBUS OH 43235 341471131 501(C)(3) 9750 SPONSORSHIP KELLY YOUTH SERVICES INC 800 COMPTON ROAD SUITE 11 CINCINNATI OH 45231 311609551 501(C)(3) 7800 SPONSORSHIP MORTAR 1329 VINE STREET CINCINNATI OH 45202 472431620 501(C)(3) 7500 SPONSORSHIP CINCINNATI USA REGIONAL CHAMBER 3 E 4TH STREET CINCINNATI OH 45202 310239310 501(C)(6) 6300 SPONSORSHIP KOSAIR CHARITIES COMMITTEE PO BOX 37370 LOUISVILLE KY 40233 610514703 501(C)(3) 6000 SPONSORSHIP SANTA MARIA COMMUNITY SERVICES INC 617 STEINER AVE CINCINNATI OH 45204 310537141 501(C)(3) 5400 SPONSORSHIP 36 3 HOUSING FOR DOMESTIC PATIENT FAMILIES 221 62634 FMV HOUSING ASSISTANCE TRANSPORTATION FOR DOMESTIC PATIENT FAMILIES 355 45955 FMV TRANSPORTATION ASSISTANCE PART I, LINE 2: CINCINNATI CHILDREN'S PROVIDES GRANTS AND ALLOCATIONS FOR GENERAL SPONSORSHIP SUPPORT AND COMMUNITY ASSISTANCE ACTIVITIES. SPONSORSHIP AND ASSISTANCE PROPOSALS ARE EVALUATED ON SPECIFIC CRITERIA, INCLUDING TANGIBLE, MEASURABLE BENEFITS, LONG-TERM VALUE, ABILITY TO REACH TARGETED AUDIENCES, POSITIVE EXPOSURE, AND LONG-TERM SUSTAINABLE RELATIONSHIPS. ADDITIONAL FOCUS FOR SPONSORSHIP GRANTS AND COMMUNITY ASSISTANCE ACTIVITIES IS PROVIDED TO ORGANIZATIONS THAT ADDRESS MEDICAL AND HEALTH ISSUES, YOUTH AND FAMILY ISSUES, AND COMMUNITY DEVELOPMENT. SPONSORSHIP AND COMMUNITY ASSISTANCE REQUESTS MUST INCLUDE A MISSION STATEMENT, A LISTING OF BOARD MEMBERS NOTING CINCINNATI CHILDREN'S EMPLOYEE INVOLVEMENT, THE SPECIFIC EVENT OR PROJECT REQUESTED FOR SPONSORSHIP, INCLUDING MEASURABLE GOALS AND DEMOGRAPHICS SERVED, EXPECTED BENEFITS AND OUTCOMES, AND A LISTING OF OTHER ORGANIZATIONS SUPPORTING THE PROJECT. ORGANIZATIONS THAT RECEIVE SUPPORT FROM CINCINNATI CHILDREN'S ARE NOTIFIED OF CINCINNATI CHILDREN'S SUPPORT, INCLUDING THE STATED PURPOSE FOR THE GRANT AWARD. CINCINNATI CHILDREN'S ALSO REQUESTS YEAR-END ANNUAL REPORTS FROM SUPPORTED ORGANIZATIONS. X X X X X 1 1 0 0 0 0 0 0 0 JAMES TWEDDELL MD INSTIT DIR, CARDIOTHOR SURG 1882658 0 529681 0 587053 0 28500 0 34576 0 3062468 0 268172 0 MICHAEL FISHER PRESIDENT & CEO 984453 0 722808 0 412523 0 28500 0 36015 0 2184299 0 182601 0 ANDREW REDINGTON MD INSTIT DIR, CARDIOLOGY 836713 0 942606 0 253343 0 28500 0 26782 0 2087944 0 103114 0 DANIEL VON ALLMEN MD SURGEON-IN-CHIEF 1037444 0 377377 0 412319 0 28500 0 26847 0 1882487 0 178200 0 DAVID MORALES MD DIV. DIR, CARDIOLOGY 1716929 0 0 0 24600 0 28500 0 36365 0 1806394 0 0 0 MARK MUMFORD SVP & CFO, TREASURER (THROUGH 08/20) 428815 0 243722 0 812615 0 134442 0 26657 0 1646251 0 94229 0 STEVE DAVIS MD COO 734937 0 275926 0 121246 0 152141 0 35625 0 1319875 0 101750 0 BRIAN COLEY RADIOLOGIST-IN-CHIEF 649686 0 228138 0 140806 0 137281 0 22258 0 1178169 0 103529 0 ERIC J WALL MD FACULTY PROFESSOR 956755 0 84061 0 25890 0 28500 0 26116 0 1121322 0 0 0 CHARLES MYER III FACULTY PROFESSOR 921903 0 125939 0 23310 0 28500 0 624 0 1100276 0 0 0 BETH STAUTBERG SECRETARY, SR. VP & COUNSEL 549105 0 211421 0 108714 0 116296 0 10617 0 996153 0 78889 0 JOHN MCAULIFFE MD ANESTHESIOLOGIST-IN-CHIEF 476891 0 198935 0 184064 0 28500 0 1632 0 890022 0 0 0 NERISSA MORRIS SVP AND CHRO 449918 0 168240 0 12327 0 90857 0 14304 0 735646 0 0 0 BARBARA TOFANI SVP-PATIENT SERVICES 368512 0 138008 0 96030 0 28500 0 18504 0 649554 0 24386 0 JANA BAZZOLI INT. CFO & TREAS. (9/20 - 01/21) 341480 0 106757 0 46827 0 59394 0 27826 0 582284 0 0 0 PART I, LINES 4A-B UNDER A VOLUNTARY SEPARATION AGREEMENT ENTERED INTO BY THE EMPLOYEE AND THE ORGANIZATION, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS ARE CONFIDENTIAL. SEVERANCE PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSON IN PART VII: 1. MARK MUMFORD - $676,104 CERTAIN OFFICERS AND KEY EMPLOYEES HAVE ARRANGEMENTS WHICH PROVIDE FOR SUPPLEMENTAL RETIREMENT BENEFITS AS DESCRIBED IN IRC SEC. 457(F). DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THESE ARRANGEMENTS ARE NON-VESTED AND THERE IS NO GUARANTEE THAT THESE OFFICERS AND KEY EMPLOYEES WILL EVER RECEIVE THESE BENEFITS. THE FOLLOWING IS A LISTING OF OFFICERS AND KEY EMPLOYEES THAT RECEIVED A PAYMENT UNDER CINCINNATI CHILDREN'S IRC SEC. 457(F) PLAN DURING THE YEAR (THESE AMOUNTS ARE INCLUDED IN THE TOTALS FOR SCHEDULE J, PART II, COLUMN B(III) AND COLUMN (F): 1. BETH STAUTBERG - $78,889 2. MICHAEL FISHER - $182,601 3. MARK MUMFORD - $94,229 4. BRIAN COLEY - $103,529 5. ANDREW REDINGTON - $103,114 6. STEVE DAVIS - $101,750 7. DANIEL VON ALLMEN - $178,200 8. JAMES TWEDDELL - $268,172 9. BARBARA TOFANI - $24,386 10. NERISSA MORRIS - $6,897 11. JANA BAZZOLI - $22,316 FORM 990, PART VII, SECTION A, LINE 5 AND SCHEDULE J: JOHN MCAULIFFE, M.D. RECEIVED $68,500 OF OTHER REPORTABLE COMPENSATION FROM THE UNIVERSITY OF CINCINNATI FOR SERVICES PROVIDED TO THE DEPARTMENT OF ANESTHESIA. SCHEDULE J, EXPLANATION OF BENEFITS: THE EMPLOYEE BENEFIT PLAN CONTRIBUTION AMOUNTS LISTED ON SCHEDULE J, PART II MAY INCLUDE ONE OR MORE OF THE FOLLOWING BENEFITS: 1. ELECTIVE EMPLOYEE DEFERRALS UNDER IRC SEC. 403(B) 2. DISCRETIONARY EMPLOYER CONTRIBUTIONS UNDER IRC SEC. 403(B) 3. ELECTIVE EMPLOYEE DEFERRALS UNDER IRC SEC. 457(B) 4. ELECTIVE EMPLOYEE DEFERRALS UNDER IRC SEC. 457(F) IN ADDITION TO THE RETIREMENT PLAN CONTRIBUTIONS DISCLOSED ON FORM 990, PART VII AND SCHEDULE J, PART II, THE FOLLOWING NON-TAXABLE EMPLOYEE WELFARE BENEFITS WERE MADE AVAILABLE TO THE EMPLOYED, COMPENSATED OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990, PART VII AND SCHEDULE J, PART II: 1. HEALTH AND DENTAL INSURANCE BENEFITS 2. GROUP LIFE INSURANCE (PORTIONS OF WHICH ARE TAXED) 3. UNEMPLOYMENT BENEFITS 4. DISABILITY BENEFITS THE OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990, PART VII AND SCHEDULE J, PART II ARE ALSO ELIGIBLE FOR ANY OTHER AVAILABLE EMPLOYEE BENEFITS. CINCINNATI CHILDREN'S OFFICERS, TRUSTEES, AND KEY EMPLOYEES LISTED ON FORM 990, PART VII AND SCHEDULE J MAY INCUR VARIOUS TRAVEL AND ENTERTAINMENT EXPENSES IN THE CONDUCT OF THEIR OFFICIAL DUTIES AS REPRESENTATIVES OF THE ORGANIZATION. CINCINNATI CHILDREN'S HAS A WRITTEN TRAVEL AND ENTERTAINMENT EXPENSE REIMBURSEMENT POLICY THAT COMPLIES WITH PUBLISHED IRS GUIDANCE. ALL OFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO SUBSTANTIATE EACH TRAVEL AND ENTERTAINMENT EXPENSE TO THE EXTENT STATED IN THE TRAVEL AND ENTERTAINMENT EXPENSE REIMBURSEMENT POLICY. BEYOND THE OFFICERS AND KEY EMPLOYEES LISTED ON SCHEDULE J, PART II, CINCINNATI CHILDREN'S IS GOVERNED BY A BOARD OF TRUSTEES WHO ARE NEITHER COMPENSATED FOR THEIR SERVICES PROVIDED NOR DO THEY RECEIVE ANY FRINGE BENEFITS (OTHER THAN FREE PARKING) FROM CINCINNATI CHILDREN'S. PLEASE SEE FORM 990, PART VII FOR A LISTING OF THESE TRUSTEES. A HAMILTON COUNTY OHIO 316000063 000000000 2014-06-11 48205000 REISSUE 2011 BONDS (10/14/2011) 0 0 0 B HAMILTON COUNTY OHIO 316000063 407272N25 2014-01-08 134694252 REPAY 1998 AND 2004 BONDS (8/27/98 AND 6/30/04) 0 0 0 C BUTLER COUNTY OHIO 316000061 123550GY5 2016-11-18 63956074 REPAY 2006K BONDS (12/8/06) 0 0 0 D HAMILTON COUNTY OHIO 316000063 407272V75 2018-02-22 107160000 REPAY 2002 AND 2016 BONDS (1/30/02 AND 6/29/16) 0 0 0 A 39725000 48205000 48205000 2014 1 0 1 1 B 33605000 134694252 1635569 133058683 2014 1 1 1 1 C 63956074 698655 63257419 2016 1 0 1 1 D 14995000 107160000 107160000 2018 1 0 1 1 A 0 0 0 1 0 0.00000 0.00000 0 0 1 B 0 0 0 1 0 0.00000 0.02110 0.02110 0 0 1 C 0 0 0 1 0 0.00000 0.00140 0.00140 0 0 1 D 0 1 0 1 0 0.00000 0.00870 0.00870 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 D 0 0 1 0 1 0 0 0 1 A 1 B 1 C 1 D 1 FORM 990, SCHEDULE K, PART II, LINE 3 DIFFERENCES BETWEEN THE ISSUE PRICE (PART I, COLUMN (E)) AND PART II, LINE 3 ARE DUE TO INVESTMENT EARNINGS. FORM 990, SCHEDULE K, PART IV, LINE 6 THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD RESTRICTED REFUNDING ESCROW. A HAMILTON COUNTY OHIO 316000063 407272W25 2019-10-22 200006601 CRITICAL CARE BUILDING 0 0 0 A 200916834 6601 200910233 2021 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 A 1 MARGARET KETTLER FAMILY MEMBER TRUSTEE/OFFICER 131638 COMPENSATION & BENEFITS 0 DOUGLAS VON ALLMEN FAMILY MEMBER OF OFFICER 90750 COMPENSATION & BENEFITS 0 DENISE DAVIS FAMILY MEMBER OF OFFICER 39189 COMPENSATION & BENEFITS 0 CHERYL DUKES FAMILY MEMBER OF TRUSTEE 35644 COMPENSATION & BENEFITS 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 115231040 VENDOR 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 28539473 VENDOR 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 6229770 VENDOR 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 777568 VENDOR 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 665273 VENDOR 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 630486 VENDOR 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 590986 VENDOR 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 378117 VENDOR 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 314916 VENDOR 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 205286 VENDOR 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 201271 VENDOR 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 100858 VENDOR 0 SCHEDULE L, PART IV: THE ITEMS REPORTED ON SCHEDULE L, PART IV ARE ARMS-LENGTH TRANSACTIONS AND AT FAIR MARKET VALUE. X 66 2132416 COST OR SELLING PRICE 0 0 1 0 PART I, COLUMN (B): THE NUMBER REPORTED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART VI, SECTION A, LINE 6 ARTICLE I, SECTION 1.1. OF CINCINNATI CHILDREN'S CODE OF REGULATIONS PROVIDES THAT THE MEMBERSHIP OF CINCINNATI CHILDREN'S SHALL CONSIST OF THE PERSONS WHO ARE THE MEMBERS OF THE BOARD OF TRUSTEES OF THE CHILDREN'S HOSPITAL, CINCINNATI, OHIO (TCH). FORM 990, PART VI, SECTION A, LINE 7A ARTICLE I, SECTION 1.1. OF CINCINNATI CHILDREN'S CODE OF REGULATIONS PROVIDES THAT THE MEMBERSHIP OF CINCINNATI CHILDREN'S SHALL CONSIST OF THE PERSONS WHO ARE THE MEMBERS OF THE BOARD OF TRUSTEES OF TCH. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY SENIOR MANAGEMENT FROM CINCINNATI CHILDREN'S. EXTERNAL TAX CONSULTANTS REVIEW THE FORM 990 FOR COMPLETENESS AND ACCURACY. THE FORM 990 IS THEN PRESENTED TO THE AUDIT & COMPLIANCE COMMITTEE, WHICH IS A STANDING COMMITTEE OF THE CINCINNATI CHILDREN'S BOARD OF TRUSTEES, FOR REVIEW. FINALLY, THE FORM 990 IS MADE AVAILABLE TO ALL BOARD OF TRUSTEES MEMBERS IN ADVANCE OF FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL OF CINCINNATI CHILDREN'S OFFICERS, TRUSTEES, AND KEY EMPLOYEES RECEIVE AN ANNUAL QUESTIONNAIRE REQUESTING INFORMATION REGARDING FAMILY AND BUSINESS RELATIONSHIPS THAT COULD POTENTIALLY RESULT IN A CONFLICT OF INTEREST UNDER CINCINNATI CHILDREN'S WRITTEN CONFLICT OF INTEREST POLICY. ONCE THE QUESTIONNAIRES HAVE BEEN COMPLETED, THEY ARE REVIEWED BY CINCINNATI CHILDREN'S MANAGEMENT, AND IF A RELATIONSHIP EXISTS THAT MAY PRESENT A CONFLICT OF INTEREST, CINCINNATI CHILDREN'S FOLLOWS THE PROVISIONS SET FORTH IN ITS CONFLICT OF INTEREST POLICY TO DISCLOSE AND MANAGE THE CONFLICT AND DETERMINES THE APPROPRIATE REPORTING TO BOARD COMMITTEES AND, IF REQUIRED, FORM 990 DISCLOSURE. FORM 990, PART VI, SECTION B, LINE 15 CINCINNATI CHILDREN'S HAS A COMPENSATION COMMITTEE THAT ANNUALLY REVIEWS THE RECOMMENDATIONS OF MANAGEMENT REGARDING EMPLOYEE PERFORMANCE EVALUATION AND COMPENSATION ADJUSTMENTS FOR DISQUALIFIED PERSONS TO ENSURE THAT IT HAS COMPLIED WITH THE PROVISIONS OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER IRC SEC. 4958. FORM 990, PART VI, SECTION C, LINE 19 CINCINNATI CHILDREN'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MAINTAINED ON FILE BY SENIOR MANAGEMENT AND ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST EITHER IN-PERSON, BY TELEPHONE, OR BY WRITTEN REQUEST. FORM 990, PART VII, SECTION B: THE AMOUNTS REPORTED ON FORM 990, PART VII, SECTION B MAY INCLUDE PAYMENTS FOR SERVICES, PRODUCTS, EXPENSE REIMBURSEMENTS, AND OTHER TYPES OF PAYMENTS. ANY PAYMENT FOR NON-SERVICES IS NOT AVAILABLE FOR BREAKOUT SEPARATELY BASED ON THE INVOICES RECEIVED FROM THE CONTRACTORS. FORM 990, PART XI, LINE 9: MINIMUM PENSION ASSET ADJUSTMENT 149,032,460. GAIN IN NET ASSETS OF SUPPORTING ORGANIZATIONS, NET 1,120,619,000. ELIMINATION OF CHSN -1,340,523. TSHCH LLC 3333 BURNET AVENUE CINCINNATI OH 45229 LAND HOLDING CO. OH 0 8633913 CHILDREN'S HOSPITAL MEDICAL CENTER BURNET AVE LLC 3333 BURNET AVENUE CINCINNATI OH 45229 LAND HOLDING CO. OH 0 64710 CHILDREN'S HOSPITAL MEDICAL CENTER DTPM2 425 WALNUT ST 1800 CINCINNATI OH 45202 LAND HOLDING CO. OH 0 0 CHILDREN'S HOSPITAL MEDICAL CENTER BACE PROPERTIES LLC 425 WALNUT ST 1800 CINCINNATI OH 45202 LAND HOLDING CO. OH 489155 3265891 CHILDREN'S HOSPITAL MEDICAL CENTER AVONDALE RENTALS 8044 MONTGOMERY ROAD NO 552 CINCINNATI OH 45236 LAND HOLDING CO. OH 49139 328080 CHILDREN'S HOSPITAL MEDICAL CENTER CHMC COMMUNITY HEALTH SERVICES NETWORK 3333 BURNET AVENUE CINCINNATI OH 45229 311459815 PEDIATRIC MEDICAL SERVICES OH 501(C)(3) 509(A)(2) CHILDREN'S HOSPITAL MEDICAL CENTER 1 CHILDREN'S HOSPITAL MEDICAL CENTER UNINSURED LOSS FUND #2 3333 BURNET AVENUE CINCINNATI OH 45229 316197894 MALPRACTICE AND LIABILITY TRUST FUND OH 501(C)(3) 509(A)(3) TYPE III CHILDREN'S HOSPITAL MEDICAL CENTER 1 THE CHILDREN'S HOSPITAL 3333 BURNET AVENUE CINCINNATI OH 45229 310537130 SUPPORT CHMC OH 501(C)(3) 509(A)(3) TYPE II N/A 0 CONVALESCENT HOSPITAL FUND FOR CHILDREN 3333 BURNET AVENUE CINCINNATI OH 45229 310536649 SUPPORT CHMC OH 501(C)(3) 509(A)(3) TYPE III N/A 0 RIVER CITY INSURANCE LIMITED 3333 BURNET AVENUE CINCINNATI OH 45229 HEALTHCARE LIABILITY INSURANCE FOR CHMC OH CHILDREN'S HOSPITAL MEDICAL CENTER C 2372956 1370924 1.00000 1 0 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 1 THE CHILDREN'S HOSPITAL C 106831000 FAIR MARKET VALUE THE CHILDREN'S HOSPITAL R 37181000 FAIR MARKET VALUE THE CHILDREN'S HOSPITAL B 2000000 FAIR MARKET VALUE CONVALESCENT HOSPITAL FUND FOR CHILDREN C 6280000 FAIR MARKET VALUE CHMC COMMUNITY HEALTH SERVICES NETWORK R 21360993 FAIR MARKET VALUE CHMC COMMUNITY HEALTH SERVICES NETWORK S 9268668 FAIR MARKET VALUE