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TIMOTHY C ROBINSON DIRECTOR / CEO - NCH 47.0 3.0 X X 1555278 0 62095 RICHARD MILLER COO - NCH 47.0 3.0 X 1449146 0 69536 ELIZABETH HINGSBERGEN MD RADIOLOGIST - CRI 50.0 0.0 X 1268193 0 80418 JOHN A BARNARD MD PRESIDENT - RINCH 38.0 3.0 X 1093696 0 106507 RICHARD KIRSCHNER MD PLASTIC SURGEON - CSA 50.0 0.0 X 1128014 0 65731 JEFFREY LEONARD MD NEUROSURGEON - CSA 50.0 0.0 X 977973 0 65586 OLUYINKA OLUTOYE MD DIRECTOR - CSA 47.0 3.0 X 965259 0 66438 RHONDA COMER SECRETARY/SVP/LEGAL SVCS - NCH 47.0 3.0 X 785898 0 214774 KEVIN KLINGELE MD ORTHOPEDIC SURGEON - CSA 50.0 0.0 X 926440 0 65731 RICHARD BRILLI MD CMO - NCH (TO 6/20) 46.0 3.0 X 836751 0 123021 STEPHEN TESTA PRES - NCH FOUNDATION 50.0 0.0 X 840824 0 110731 PATRICIA MCCLIMON SR VP / PLAN & DEV'T - NCH 50.0 0.0 X 777303 0 166036 LUKE BROWN TREASURER / SR VP / CFO - NCH 47.0 3.0 X 671740 0 112796 JOSEPH TOBIAS MD SECRETARY / DIRECTOR - CAA 50.0 0.0 X X 704473 0 65731 RAJESH KRISHNAMURTHY MD DIRECTOR - CRI 50.0 0.0 X 681553 0 68481 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SERVICES - NCH 50.0 0.0 X 225027 0 48373 ANDREW LENOBEL ASST SECRETARY - CSA 50.0 0.0 X 198290 0 46379 STEVEN SMITH MD MEDICAL DIR - NCH HOMECARE 50.0 0.0 X 201887 0 32537 KRISTEN MAIORINO ASST SEC - PPAC (AS OF 12/20) 50.0 0.0 X 144473 0 8777 ROB SNYDER MD DIRECTOR - NCH (AS OF 1/20) 20.0 0.0 X 126250 0 2368 ALEX FISCHER CHAIR / DIRECTOR - NCH 3.0 0.0 X X 0 0 0 GEORGE BARRETT DIRECTOR - NCH 3.0 0.0 X 0 0 0 JOSEPH A CHLAPATY DIRECTOR - NCH 3.0 0.0 X 0 0 0 C ROBERT KIDDER DIRECTOR - NCH 3.0 0.0 X 0 0 0 HONORABLE ALGENON MARBLEY DIRECTOR - NCH 3.0 0.0 X 0 0 0 LIBBY GERMAIN DIRECTOR - NCH 3.0 0.0 X 0 0 0 CHRIS OLSEN DIRECTOR - NCH 3.0 0.0 X 0 0 0 JORDAN MILLER JR DIRECTOR - NCH 3.0 0.0 X 0 0 0 BRUCE THORN DIRECTOR - NCH 3.0 0.0 X 0 0 0 LOU VON THAER DIRECTOR - NCH 3.0 0.0 X 0 0 0 ABIGAIL S WEXNER DIRECTOR - NCH 3.0 0.0 X 0 0 0 DWIGHT SMITH DIRECTOR - NCH 3.0 0.0 X 0 0 0 BRUCE SOLL DIRECTOR - NCH 3.0 0.0 X 0 0 0 ANN I WOLFE DIRECTOR - NCH 3.0 0.0 X 0 0 0 DAN SULLIVAN DIRECTOR - NCH 3.0 0.0 X 0 0 0 KIRT WALKER DIRECTOR - NCH 3.0 0.0 X 0 0 0 DARRYL A ROBBINS DO DIRECTOR - NCH (TO 8/20) 3.0 0.0 X 0 0 0 RICHARD MILLER DIRECTOR - NCH HOMECARE 47.0 3.0 X 0 0 0 LUKE BROWN TREAS/DIRECTOR - NCH HOMECARE 47.0 3.0 X X 0 0 0 LINDA STOVEROCK RN SEC/DIRECTOR - NCH HOMECARE 50.0 0.0 X X 0 0 0 CHRISTOPHER TIMAN MD MEDICAL DIR - NCH HOMECARE 3.0 0.0 X 0 0 0 RICHARD MILLER PRESIDENT / DIRECTOR - CRI 47.0 3.0 X X 0 0 0 LUKE BROWN TREAS/DIR - CRI (AS OF 12/20) 47.0 3.0 X X 0 0 0 RUSTIN MORSE MD DIRECTOR - CRI (AS OF 12/20) 47.0 3.0 X 0 0 0 TIMOTHY C ROBINSON Director -CRI (as of 12/20) 47.0 3.0 X 0 0 0 RICHARD MILLER PRESIDENT / DIRECTOR - PPAC 47.0 3.0 X X 0 0 0 LUKE BROWN TREAS/DIR - PPAC (AS OF 12/20) 47.0 3.0 X X 0 0 0 TIMOTHY C ROBINSON DIRECTOR - PPAC (as of 12/20) 47.0 3.0 X 0 0 0 RICHARD BRILLI MD DIRECTOR - PPAC (TO 12/20) 46.0 3.0 X 0 0 0 RUSTIN MORSE MD DIRECTOR - PPAC (AS OF 12/20) 47.0 3.0 X 0 0 0 RICHARD MILLER PRESIDENT / DIRECTOR - CSA 47.0 3.0 X X 0 0 0 LUKE BROWN TREASURER / DIRECTOR - CSA 47.0 3.0 X X 0 0 0 TIMOTHY C ROBINSON DIRECTOR - CSA 47.0 3.0 X 0 0 0 RUSTIN MORSE MD DIRECTOR - CSA (AS OF 12/20) 47.0 3.0 X 0 0 0 RICHARD BRILLI MD DIRECTOR - CSA (TO 12/20) 46.0 3.0 X 0 0 0 RICHARD MILLER DIRECTOR - CSA (TO 12/20) 47.0 3.0 X X 0 0 0 LUKE BROWN TREAS/DIR - CAA (AS OF 12/20) 47.0 3.0 X X 0 0 0 TIMOTHY C ROBINSON DIRECTOR - CAA 47.0 3.0 X 0 0 0 RUSTIN MORSE MD DIRECTOR - CAA (AS OF 12/20) 47.0 3.0 X 0 0 0 ANN I WOLFE CHAIR / DIR - NCH FOUNDATION 3.0 0.0 X X 0 0 0 THOMAS N BRIGDON DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 CHERYL W LUCKS DIRECTOR - NCH FDN (TO 11/20) 3.0 0.0 X 0 0 0 CECILY ALEXANDER DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 CHAD A JESTER DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 EDWARD SHEPHERD MD DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 ALBERT COVELLI DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 RICHARD GERMAIN DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 WILLIAM EASDALE DIRECTOR - NCH FDN (TO 12/20) 3.0 0.0 X 0 0 0 PAMELA FARBER DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 TIMOTHY JOHNSON DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 JONATHAN RAMSDEN DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 BRYAN STEWART DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 MICHAEL FITZPATRICK DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 MELISA MILLER DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 DANIELLE SKESTOS DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 CINDY MONROE DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 JAMIE REED DIR - NCH FDN (AS OF 2/20) 3.0 0.0 X 0 0 0 TIMOTHY C ROBINSON DIRECTOR - NCH FDN 47.0 3.0 X 0 0 0 LOU VON THAER CHAIR / DIRECTOR - RINCH 3.0 0.0 X X 0 0 0 GEORGE BARRETT DIRECTOR - RINCH 3.0 0.0 X 0 0 0 KENT JOHNSON PHD DIRECTOR - RINCH 3.0 0.0 X 0 0 0 BEN MAIDEN PHD DIRECTOR - RINCH 3.0 0.0 X 0 0 0 DWIGHT SMITH DIRECTOR - RINCH 3.0 0.0 X 0 0 0 THOMAS WALKER DIRECTOR - RINCH 3.0 0.0 X 0 0 0 PETER MOHLER PHD DIRECTOR - RINCH 3.0 0.0 X 0 0 0 CHRIS OLSEN DIRECTOR - RINCH 3.0 0.0 X 0 0 0 TIMOTHY C ROBINSON DIRECTOR - RINCH 47.0 3.0 X 0 0 0 ABIGAIL S WEXNER CHAIR / DIRECTOR - CCFA 3.0 0.0 X X 0 0 0 KAYDIAN COMER DIRECTOR - CCFA (AS OF 8/20) 3.0 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE A, PART IV EXPLANATION REASON FOR PUBLIC CHARITY STATUS FOR GROUP RETURN SUBORDINATES NATIONWIDE CHILDREN'S HOSPITAL (NCH) EIN 31-4379441 PUBLIC CHARITY STATUS: 509(A)(1) & 170(B)(1)(A)(III) NATIONWIDE CHILDREN'S HOSPITAL HOMECARE (NCH HOMECARE) EIN 31-1296332 PUBLIC CHARITY STATUS: 509(A)(2) 2020 PUBLIC SUPPORT PERCENTAGE: 100% 2019 PUBLIC SUPPORT PERCENTAGE: 100% 2020 INVESTMENT INCOME PERCENTAGE: 0% 2019 INVESTMENT INCOME PERCENTAGE: 0% CHILDREN'S RADIOLOGICAL INSTITUTE (CRI) EIN 31-1439570 PUBLIC CHARITY STATUS: 509(A)(2) 2020 PUBLIC SUPPORT PERCENTAGE: 99.37% 2019 PUBLIC SUPPORT PERCENTAGE: 99.41% 2020 INVESTMENT INCOME PERCENTAGE: 0.63% 2019 INVESTMENT INCOME PERCENTAGE: 0.59% PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS (PPAC) EIN 31-1595013 PUBLIC CHARITY STATUS: 509(A)(2) 2020 PUBLIC SUPPORT PERCENTAGE: 99.65% 2019 PUBLIC SUPPORT PERCENTAGE: 99.73% 2020 INVESTMENT INCOME PERCENTAGE: 0.35% 2019 INVESTMENT INCOME PERCENTAGE: 0.27% CHILDREN'S SURGICAL ASSOCIATES (CSA) EIN 31-1654000 PUBLIC CHARITY STATUS: 509(A)(2) 2020 PUBLIC SUPPORT PERCENTAGE: 100.00% 2019 PUBLIC SUPPORT PERCENTAGE: 100.00% 2020 INVESTMENT INCOME PERCENTAGE: 0.00% 2019 INVESTMENT INCOME PERCENTAGE: 0.00% Children's Anesthesia Associates (CAA) EIN 31-0650338 Public Charity status: 509(a)(2) 2020 PUBLIC SUPPORT PERCENTAGE: 100.00% 2019 PUBLIC SUPPORT PERCENTAGE: 100.00% 2020 INVESTMENT INCOME PERCENTAGE: 0.00% 2019 INVESTMENT INCOME PERCENTAGE: 0.00% NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION (NCHF) EIN 31-1036370 PUBLIC CHARITY STATUS: 509(A)(1) & 170(B)(1)(A)(VI) 2020 PUBLIC SUPPORT PERCENTAGE: 58.70% 2019 PUBLIC SUPPORT PERCENTAGE: 57.80% RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL (RINCH) EIN 31-6056230 PUBLIC CHARITY STATUS: 509(A)(1) & 170(B)(1)(A)(VI) 2020 PUBLIC SUPPORT PERCENTAGE: 78.20% 2019 PUBLIC SUPPORT PERCENTAGE: 73.20% CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSP (CCFA) EIN 02-0627166 PUBLIC CHARITY STATUS: 509(A)(1) & 170(B)(1)(A)(VI) 2020 PUBLIC SUPPORT PERCENTAGE: 86.30% 2019 PUBLIC SUPPORT PERCENTAGE: 86.70% RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false 0 true 5150 false 0 true 198051 true 686450 false 0 false 0 889651 false SCHEDULE C, PART II-B, LINE 1 Nationwide Children's Hospital (NCH) is a section 501(c)(3) organization with a mission based on the belief that no child should be refused necessary care and attention for lack of ability to pay. Nationwide Children's is committed to providing the highest quality patient care, advocacy for children and families, pediatric research, education of patients, families and future providers, and outstanding service to accommodate the needs of patients and families. In fulfillment of this mission, NCH advocates at the local, state and federal levels on behalf of children and the providers who care for them. Professional staff in the Government Relations Department direct and perform these activities and coordinate the work of other Hospital staff that support advocacy efforts on an intermittent basis. In addition, the hospital has sent correspondence to and met directly with local, state, and federal officials. Further, NCH pays membership dues to professional organizations which, among their many responsibilities, perform certain lobbying activities on behalf of their member organizations. Based on information supplied by these professional associations, NCH has determined the total of NCH's dues applicable to their lobbying activities is $198,051. During 2020, two hospital staff members were registered as lobbyists at the federal level and two were registered at the state level. These staff members met with elected and appointed officials regarding child health, reimbursement, and grants/funding. NCH also utilized the services of one outside consultant at the local/state level in 2020. This consultant prepared written materials and met with elected and appointed officials. Overall, NCH's total direct and indirect lobbying expenditures based on resources or time were minimal and not substantial based on revenues. 207575104 17303071 20840075 6627566 239090684 179315772 7297567 25929041 4967276 207575104 180559816 11551122 -7597607 5197559 179315772 160913523 6908367 18358133 5620207 180559816 146550272 9011343 9515476 4163568 160913523 0.21250 0.78750 0.00000 false false 0 59699707 59699707 1656641994 483676997 1172964997 22277629 9379544 12898085 389548611 230404414 159144197 98551468 0 98551468 1503258454 0 MARKET VALUE OF INTEREST RATE SWAP 46758080 ACCRUED RETIREMENT BENEFITS 26344571 OTHER DONOR RELATED LIABILITIES 1915269 ACCRUED PROFESSIONAL LIABILITY 25188102 BOND ISSUANCE COSTS 32974273 PAYABLE TO THIRD PARTY PAYORS 706233 HCAP ACCRUAL 57394005 LEASE LIABILITY 21753064 DUE TO AFFILIATE 4644626 DEFERRED COMPENSATION 1118619 TAXABLE BOND LIABILITY 241075000 OTHER LIABILITIES 995966 460867808 X SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS Available endowment funds are used to support the NCH mission of providing the highest quality patient care, advocacy for children and families, pediatric research, and education of patients, families and future healthcare providers SCHEDULE D, PART X, LINE 2 FIN 48(ASC740) Footnote NATIONWIDE CHILDREN'S RECORDS ACCRUALS FOR UNCERTAIN TAX POSITIONS UNDER ASC 740, INCOME TAXES. NATIONWIDE CHILDREN'S HAD NO SIGNIFICANT UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2020 AND 2019. Central America and the Caribbean Program Services Self Insurance 1170691 East Asia and the Pacific Program services Healthcare Services 14428 East Asia and the Pacific Program services Research Collaboration 156526 South Asia Program services Research Collaboration 82883 Europe (Including Iceland and Greenland) Program services Healthcare Services 133568 Europe (Including Iceland and Greenland) Program services Research Collaboration 26278 Middle East and North Africa Program services Healthcare Services 34725 South America Program services Research Collaboration 7560 North America Program services Healthcare Services 123732 North America 1 Program services Salary 15833 North America Program services Research Collaboration 55900 Central America and the Caribbean Investments Self Insurance 130000 1 1 1952124 1952124 true false true false true false LEGENDS LUNCH 1228294 1222574 5720 0 0 0 0 0 7012 MARATHON 407531 407531 0 0 0 0 0 47908 5 572380 480651 91729 0 800 18800 29747 2350 68119 2208205 2110756 97449 0 800 18800 29747 2350 123039 174736 -77287 50940 8536 6435 0 0 true 1.00000 50940 8536 6435 0 0 14971 35969 OH true false true false 0.00000 1.00000 KEVIN WELCH 700 CHILDRENS DRIVE COLUMBUS OH 43205 false NA false true true X true X true X true true false false 28215230 2419022 25796208 0.01300 789874572 596800498 193074074 0.09700 1799967 1799967 0 0.00000 819889769 601019487 218870282 0.11000 12319753 5626229 6693524 0.00340 41887050 3286607 38600443 0.01940 61867880 60148564 1719316 0.00090 58813279 0 58813279 0.02950 34102679 0 34102679 0.01710 208990641 69061400 139929241 0.07030 1028880410 670080887 358799523 0.18030 32982 32982 0.00000 918204 154797 763407 0.00040 313960 313960 0.00020 492178 125000 367178 0.00020 261712 261712 0.00010 21500 21500 2040536 279797 1760739 0.00090 true 24419729 4484642 5960052 -1475410 X true true NONE 1 1 NATIONWIDE CHILDREN'S HOSPITAL 700 CHILDRENS DRIVE MAIN CAMPUS COLUMBUS OH 43205 www.nationwidechildrens.org X X X X X X NEONATAL INTENSIVE CARE UNIT NATIONWIDE CHILDREN'S (MAIN CAMPUS) 1 false false true X X X X X X X X X 19 true true true true X SEE PART VI, LINE 2 X true 19 true SEE SECTION C false true X 200. 400. X X true true X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA ARE PRESENTED AS A PRIORITIZED DESCRIPTION. PART V, SECTION B, LINE 5 - INPUT FROM COMMUNITY REPRESENTATIVES COMMUNITY INPUT FOR THIS REPORT WAS PROVIDED THROUGH A SERIES OF FACILITATED SESSIONS THAT TOOK PLACE THROUGHOUT 2018 TO IDENTIFY AND PRIORITIZE THE HEALTH NEEDS FOR FRANKLIN COUNTY. THESE MEETINGS WERE HELD WITH COMMUNITY REPRESENTATIVES ON THE FRANKLIN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE, LED BY THE CENTRAL OHIO HOSPITAL COUNCIL. CONSISTENT WITH FEDERAL REQUIREMENTS FOR CONDUCTING HEALTH NEEDS ASSESSMENTS, ENTITIES WHICH REPRESENT SPECIFIC POPULATIONS WITHIN THE COMMUNITY WERE INCLUDED AS MEMBERS OF THE STEERING COMMITTEE. AMONG THOSE WHO PARTICIPATED AS MEMBERS OF THE STEERING COMMITTEE WERE: - LYNN DOBB - CENTRAL OHIO AREA AGENCY ON AGING (REPRESENTING THE SENIOR COMMUNITY) - JODI KELLER - CENTRAL OHIO TRAUMA SYSTEM - KATHY COWEN & MELISSA SEVER - COLUMBUS PUBLIC HEALTH (SPECIAL KNOWLEDGE OF AND EXPERTISE IN PUBLIC HEALTH) - THERESA SEAGRAVES - FRANKLIN COUNTY PUBLIC HEALTH (SPECIAL KNOWLEDGE OF AND EXPERTISE IN PUBLIC HEALTH) - DAVID ELLSWORTH - OHIO DEPARTMENT OF HEALTH, DISABILITY AND HEALTH PROGRAM (REPRESENTING THE DISABLED COMMUNITY) - JOHN TOLBERT - PRIMARYONE HEALTH (REPRESENTING LOW-INCOME, MEDICALLY UNDERSERVED AND HOMELESS POPULATIONS) - LISA COURTICE - UNITED WAY OF CENTRAL OHIO (REPRESENTING LOW-INCOME, MEDICALLY UNDERSERVED, AND MINORITY POPULATIONS) - JOANNE PEARSOL & ANDY WAPNER - THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH, CENTER FOR PUBLIC HEALTH PRACTICE FURTHER, NATIONWIDE CHILDREN'S HOSPITAL POSTED ITS NEEDS ASSESSMENT TO ITS WEBSITE AND ALLOWED FOR COMMUNITY MEMBERS TO PROVIDE FEEDBACK ON THE DOCUMENT. NO COMMENTS HAVE BEEN RECEIVED TO DATE. PART V, SECTION B, LINE 6A - CHNA HOSPITAL FACILITIES THE CHNA WAS CONDUCTED AS A COLLABORATION LED BY THE CENTRAL OHIO HOSPITAL COUNCIL, INCLUDING NATIONWIDE CHILDREN'S HOSPITAL, OHIOHEALTH, MOUNT CARMEL HEALTH SYSTEM, AND THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER. PART V, SECTION B, LINE 6B - CHNA NON-HOSPITAL FACILITIES THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH CENTRAL OHIO AREA AGENCY ON AGING, CENTRAL OHIO TRAUMA SYSTEM, CENTRAL OHIO TRAUMA SYSTEM, COLUMBUS PUBLIC HEALTH, FRANKLIN COUNTY PUBLIC HEALTH, OHIO DEPARTMENT OF HEALTH, DISABILITY AND HEALTH PROGRAM, PRIMARYONE HEALTH, UNITED WAY OF CENTRAL OHIO, AND THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH. PART V, SECTION B, LINE 10A - IMPLEMENTATION STRATEGY THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS POSTED ON THIS WEBSITE: https://www.nationwidechildrens.org/about-us/advocacy-and-government-relat ions/community-relations/community-health-needs-assessment PART V, SECTION B, LINE 11 - ADDRESSING NEEDS IDENTIFIED IN THE CHNA PRIMARY TARGETS FOR NATIONWIDE CHILDREN'S EFFORTS FALL INTO THE CATEGORIES IDENTIFIED BY THE FRANKLIN COUNTY HEALTHMAP 2019. GENERAL STRATEGIES FOR ADDRESSING THESE NEEDS ARE AS FOLLOWS: - Access to Care: Nationwide Children's will expand its presence in the communities it serves, work to advance patient-centered medical home models, and improve coordination of care to ensure community members have access to high-quality primary, dental, specialized, urgent and emergency care in appropriate settings. - Chronic Conditions: Nationwide Children's will continue to reduce asthma and diabetes incidence and complications by optimizing treatment given through primary care visits, school-based programs and, when necessary, through hospitalizations. - Income and Poverty: Nationwide Children's and partners will continue efforts to lift families and children out of poverty by providing affordable housing, job training and antipoverty programs, and to perform research needed to understand and effectively address food insecurity. - Maternal and Infant Health: By participating in the endeavors of Ohio Better Birth Outcomes and providing care for infants in need through the Ohio Fetal Medicine Collaborative, Nationwide Children's will aim to increase the availability of birth control, prenatal care and immunizations to reduce prematurity and to prevent infant morbidity and mortality. - Mental Health and Addiction: Nationwide Children's will maintain and expand inpatient, outpatient and community-based efforts to innovatively prevent, treat and minimize the impact of behavioral health problems in its target population by providing care in the most appropriate setting. For additional details, please see the implementation strategy posted on this website: https://www.nationwidechildrens.org/about-us/advocacy-and-government-relat ions/community-relations/community-health-needs-assessment. PART V, SECTION B, LINE 13B Ohio residents with family income greater than 200% of the FPL but less than 450% of the FPL whose bills from Nationwide Children's exceeds 20% of the family yearly household income will be considered medically indigent for purposes of this policy. Medically indigent families will be eligible for a higher discount in the Patient Responsibility in an amount such that the family's Patient Responsibility for all Nationwide Children's bills equals a percentage (%) of the family's yearly household income as stated below: - Income at 200% or less of the Federal Poverty Level (FPL) will be written off at 100% of the Patient Responsibility. - Income between 201% and 250% of the FPL will be written off to a balance equal to 5% of the family's yearly household income. - Income between 251% and 300% of the FPL will be written off to a balance equal to 7% of the family's yearly household income. - Income between 301% and 450% of the FPL will be written off to a balance equal to 10% of the family's yearly household income. PART V, SECTION B, LINE13H IN ADDITION TO USING THE FPG IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, NATIONWIDE CHILDREN'S HOSPITAL (NCH) USES THE FOLLOWING GUIDELINES WITHOUT REQUIRING AN APPLICATION FOR FINANCIAL ASSISTANCE: - MEDICAID RECIPIENTS WHO RECEIVE MEDICALLY NECESSARY CARE NOT COVERED BY MEDICAID WILL HAVE 100% OF THE PATIENT'S RESPONSIBILITY FOR SUCH MEDICALLY NECESSARY CARE AUTOMATICALLY WRITTEN OFF. - FAMILIES WHO PROVIDE A COMPLETED IRS FORM 4029 TO NCH'S PATIENTS ACCOUNTS DEPARTMENT WILL BE ELIGIBLE FOR A 40% DISCOUNT OF THE PATIENT'S RESPONSIBILITY. - FAMILIES WITH THE ADDRESS OF A "HOMELESS SHELTER" WILL BE ELIGIBLE FOR A 100% DISCOUNT OF THE PATIENT'S RESPONSIBILITY. PART V, SECTION B, LINES 16A, B & C THE FAP APPLICATION FORM IS WIDELY AVAILABLE ON THIS WEBSITE: HTTPS://WWW.NATIONWIDECHILDRENS.ORG/YOUR-VISIT/BILLING-AND-INSURANCE/FINAN CIAL-ASSISTANCE 22 HOMECARE AND HOSPICE 255 EAST MAIN STREET COLUMBUS OH 43215 HOMECARE ONTARIO CLOSE TO HOME 2003 W 4TH STREET ONTARIO OH 44906 CLINICAL THERAPIES CHILDREN'S COMMUNITY PRACTICES LLC 1264 Hospital Road Chillicothe OH 45610 Physician Practice SPRINGFIELD LABORATORY SERVICE CENTER 1644 NORTH LIMESTONE STREET SPRINGFIELD OH 45503 LAB CHILDREN'S COMMUNITY PRACTICES LLC 540 S TRIMBLE ROAD MANSFIELD OH 44906 Physician Practice CHILDREN'S COMMUNITY PRACTICES LLC 110 West Smiley Avenue Shelby OH 44875 Physician Practice CHILLICOTHE CLOSE TO HOME CENTER 4439 STATE ROUTE 159 CHILLICOTHE OH 45601 CARDIOLOGY CLINIC & HEM/ONC CLINIC NEWARK CLOSE TO HOME CENTER 75 SOUTH TERRACE AVENUE NEWARK OH 43055 MEDICAL OFFICES, CHILDLAB, CARDIOLOGY MANSFIELD CLOSE TO HOME CENTER 536 S TRIMBLE ROAD MANSFIELD OH 44906 MEDICAL OFFICES, CHILDLAB, CARDIOLOGY ZANESVILLE OUTPATIENT SPECIALTY CLINICS 716 ADAIR AVENUE ZANESVILLE OH 43701 CARDIOLOGY CLINIC MARIETTA OUTPATIENT CARDIOLOGY SERVICES 416 FRONT STREET MARIETTA OH 45750 CARDIOLOGY CLINIC MARION CLOSE TO HOME CENTER 1069 DELAWARE AVENUE MARION OH 43302 LAB & CARDIOLOGY CHILDREN'S COMMUNITY PRACTICES LLC 2225 KEITH PARKWAY FINDLAY OH 45840 Physician Practice NELSONVILLE OUTPATIENT CARDIOLOGY SVCS 11 JOHN LLOYD EVANS MEMORIAL DRIVE NELSONVILLE OH 45764 CARDIOLOGY CLINIC PORTSMOUTH OUTPATIENT SPECIALTY CLINICS 8930 OHIO RIVER ROAD WHEELERSBURGH OH 45694 HEM/ONC, UROLOGY DAYTON OUTPATIENT CARDIOLOGY SERVICES 1 CHILDRENS PLAZA DAYTON OH 45404 CARDIOLOGY CLINIC PORTSMOUTH CARDIOLOGY SERVICES 1711 27th Street Braulin Bldg Sui Portsmouth OH 45662 CARDIOLOGY CLINIC FINDLAY OUTPATIENT CARDIOLOGY SERVICES 1818 CHAPEL DRIVE SUITE D FINDLAY OH 45840 CARDIOLOGY CLINIC ZANESVILLE LABORATORY SERVICE CENTER 1166 MILITARY ROAD SUITE 2B ZANESVILLE OH 43701 LAB LIMA LABORATORY SERVICE CENTER 830 WEST HIGH STREET SUITE 375 LIMA OH 45801 LAB ADULT CONGENITAL CARDIOLOGY SERVICES 955 BETHESDA DRIVE 1ST FLOOR ZANESVILLE OH 43701 CARDIOLOGY CLINIC FINDLAY NEUROLOGY CLINIC 3949 NORTH MAIN STREET FINDLAY OH 45840 NEUROLOGY CLINIC SCHEDULE H, PART I, LINE 3C PART I, LINE 3C - CRITERIA USED FOR DETERMINING ELIGIBILITY IN ADDITION TO USING THE FPG IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, NATIONWIDE CHILDREN'S HOSPITAL (NCH) USES THE FOLLOWING GUIDELINES WITHOUT REQUIRING AN APPLICATION FOR FINANCIAL ASSISTANCE: *MEDICAID RECIPIENTS WHO RECEIVE MEDICALLY NECESSARY CARE NOT COVERED BY MEDICAID WILL HAVE 100% OF THE PATIENT'S RESPONSIBILITY FOR SUCH MEDICALLY NECESSARY CARE AUTOMATICALLY WRITTEN OFF. *FAMILIES WHO PROVIDE A COMPLETED IRS FORM 4029 TO NCH'S PATIENTS ACCOUNTS DEPARTMENT WILL BE ELIGIBLE FOR A 40% DISCOUNT OF THE PATIENT'S RESPONSIBILITY. *FAMILIES WITH THE ADDRESS OF A "HOMELESS SHELTER" WILL BE ELIGIBLE FOR A 100% DISCOUNT OF THE PATIENT'S RESPONSIBILITY. PART I, LINE 6A - COMMUNITY BENEFIT REPORT WHILE NATIONWIDE CHILDREN'S HOSPITAL (NCH) DOES NOT PREPARE A COMMUNITY BENEFIT REPORT, INFORMATION ON NCH'S COMMUNITY INVOLVEMENT CAN BE FOUND ON ITS WEBSITE AT: WWW.NATIONWIDECHILDRENS.ORG/COMMUNITY-RELATIONS. PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES NATIONWIDE CHILDREN'S HOSPITAL HAS NOT INCLUDED ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. PART I, LINE 7 - COSTING METHODOLOGY THE COST TO CHARGE RATIO USED IN LINE 7 WAS DERIVED FROM WORKSHEET 2. SCHEDULE H, PART II, LINE 10 Community Building Activities NATIONWIDE CHILDREN'S HOSPITAL (NCH) IMPACTS THE COMMUNITY IN MANY WAYS. IN 2008, THE CITY OF COLUMBUS, NATIONWIDE CHILDREN'S HOSPITAL, COMMUNITY DEVELOPMENT FOR ALL PEOPLE, COLUMBUS PUBLIC HEALTH, COLUMBUS CITY SCHOOLS AND A NUMBER OF OTHER LOCAL PARTNERS CAME TOGETHER TO FORM HEALTHY NEIGHBORHOODS, HEALTHY FAMILIES (HNHF) AIMING TO DEVELOP REVITALIZATION PROGRAMS THAT WERE RESPONSIVE TO THE NEEDS AND DESIRES OF THE COMMUNITY. THE GOAL OF HNHF IS TO CREATE THRIVING SUSTAINABLE NEIGHBORHOODS THAT NURTURE CHILDREN AND FAMILIES IN THE SOUTHSIDE OF COLUMBUS SURROUNDING NCH. PROGRAMS OFFERED INCLUDE AFFORDABLE HOUSING, HEALTH AND WELLNESS, EDUCATION, WORKFORCE AND ECONOMIC DEVELOPMENT, AND SAFE AND ACCESSIBLE NEIGHBORHOODS. TO ADDRESS THE AFFORDABLE HOUSING COMPONENT, NCH PARTNERED WITH COMMUNITY DEVELOPMENT FOR ALL PEOPLE AND INVESTED SEVERAL MILLION DOLLARS IN SEED MONEY TO ALLOW THE PURCHASE OF DILAPIDATED HOUSING STOCK FOR RENOVATION AND SALE, AS WELL PROVIDING GRANTS TO EXISTING HOMEOWNERS FOR REPAIR. IN THE PAST 13 YEARS, HNHF IMPACTED MORE THAN 400 HOMES. NCH ALSO IMPACTS THE COMMUNITY WITH THE FOLLOWING PROGRAMS: - PROGRAM PROJECT MENTOR, IN WHICH MEMBERS OF NCH FACULTY AND STAFF ATTEND WEEKLY MENTORING SESSIONS WITH STUDENTS IN VARIOUS COLUMBUS CITY SCHOOLS TO ASSIST THE STUDENTS WITH STUDYING WITH THE GOAL OF THE PROGRAM BEING TO INCREASE GRADUATION RATES. - REACH OUT AND READ PROGRAM, A PEDIATRIC PROGRAM DEDICATED TO INCREASING FAMILY LITERACY ACTIVITIES IN THE HOME PRIOR TO A CHILD'S ENTRANCE INTO THE SCHOOL SYSTEM. SPECIAL FOCUS IS GIVEN TO CHILDREN GROWING UP IN POVERTY. - LIVINGSTON PARK MAINTENANCE, A CITY OWNED PARK THAT NCH ASSISTS IN MAINTAINING. THE NCH ENGINEERING DEPARTMENT PROVIDES SNOW/ICE REMOVAL, LAWN CARE AND WASTE REMOVAL SERVICES FOR THE UPKEEP OF THE PARK. - NUTRITION SERVICES INITIATIVE - AN INTERNAL PROGRAM TO REPLACE OUR FOOD PACKAGING MATERIALS WITH THOSE THAT ARE THAT ARE MORE ENVIRONMENTALLY FRIENDLY. ALSO INSTALLED RECYCLING CONTAINERS THROUGHOUT THE CAMPUS TO ENCOURAGE RECYCLING. - VARIOUS WORKFORCE DEVELOPMENT PROGRAMS: 1) JOB SHADOWING PROGRAM - A PARTNERSHIP WITH NEIGHBORHOOD HIGH SCHOOLS TO PROVIDE CAREER DEVELOPMENT TRAINING TO SELECTED JUNIORS AND SENIORS INTERESTED IN PURSUING CAREERS IN ALLIED HEALTHCARE; AND 2) MECHANISMS OF HUMAN HEALTH AND DISEASE - AN IN-DEPTH PROGRAM DESIGNED TO CHALLENGE THE SERIOUS SCIENCE STUDENT. STUDENTS INVESTIGATE CANCER AND OTHER DISEASE TOPICS WITH LECTURES FROM RESEARCH PROFESSIONALS. THE PROGRAM ALSO PROVIDES OPPORTUNITIES FOR SHADOWING AND CAREER EXPLORATION. - SPARK PROGRAM, AN EVIDENCE BASED PROGRAM PREPARING CHILDREN FOR KINDERGARTEN BY HAVING A SPARK PARENT PROGRAM PARTNER COME IN YOUR HOME ONCE A MONTH AND WORK WITH PARENT AND CHILD TO DEVELOP SKILLS THAT WILL ENHANCE PREPAREDNESS FOR KINDERGARTEN. THIS NCH PROGRAM TAKES PLACE IN THE FOLLOWING ZIP CODES: 43205, 43206 AND 43207. - COMMUNITY DEVELOPMENT FOR ALL PEOPLE HEALTHY EATING AND LIVING INITIATIVE, A CONTRIBUTION TO COMMUNITY DEVELOPMENT FOR ALL PEOPLE TO SET UP PROGRAMS TO POSITIVELY IMPACT INFANT MORTALITY AND KINDERGARTEN READINESS FOR CHILDREN AND EMPLOYMENT FOR ADULT RESIDING IN ZIP CODES: 43205, 43206 AND 43207. PROGRAMS WERE ESTABLISHED TO MEET THE FOLLOWING GOALS: RECRUIT AND ASSIST THE ENROLLMENT OF CHILDREN INTO NCH'S SPARK LITERACY PROGRAM; PROVIDE VARIOUS HEALTH EDUCATION CLASSES AND MATERIALS, INCLUDING COOKING CLASSES WITH A COORDINATION OF VARIOUS HEALTHY LIVING EXERCISE AND MOVEMENT GROUPS; RECRUIT UNEMPLOYED AND UNDER-EMPLOYED ADULTS FOR EMPLOYMENT TRAINING INTERVENTIONS; AND RECRUIT AND ASSIST WITH THE DEVELOPMENT OF A NEIGHBORHOOD LEADERSHIP ACADEMY FOR RESIDENTS OF THE TARGET ZIP CODES. - PARSONS AVENUE REDEVELOPMENT PROGRAM, A CONTRIBUTION TO THE PARSONS AVENUE REDEVELOPMENT CORPORATION TO SUPPORT THE REDEVELOPMENT OF PARSONS AVENUE BY FACILITATING A SUSTAINABLE CENTER OF COMMERCIAL ACTIVITY THAT CREATES A SENSE OF PLACE SERVING ALL SOUTH SIDE NEIGHBORHOODS. - MEDICAL LEGAL PARTNERSHIP (MLP), IS AN INITIATIVE TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH BY PARTNERING THE HEALTHCARE PROVIDERS WITH LAWYERS TO HELP ACHIEVE BETTER HEALTH OUTCOMES FOR THE CHILDREN NCH SERVES. TO ACCOMPLISH THIS, NCH HAS ENTERED INTO A CONTRACT WITH THE LEGAL AID SOCIETY OF COLUMBUS TO PROVIDE FREE AND CONFIDENTIAL LEGAL SERVICES TO ELIGIBLE LOW-INCOME PATIENTS TO IMPROVE THEIR HEALTH AND WELL-BEING. - CITY YEAR OF COLUMBUS, A CONTRIBUTION TO SUPPORT ACADEMIC, ATTENDANCE, AND BEHAVIOR INTERVENTION PROGRAMMING AT LIVINGSTON AVENUE ELEMENTARY SCHOOL. - EQUITY NOW COALITION, A CONTRIBUTION TO SUPPORT GRASSROOTS, NOT-PROFIT EFFORT TO ADDRESS RACE EQUITY ISSUES IN COLUMBUS. - LOCAL MATTERS, A CONTRIBUTION TO SUPPORT FOOD EDUCATION, FOOD ACCESS AND FOOD ADVOCACY IN CENTRAL OHIO. SCHEDULE H, PART III, LINE 2 Bad Debt Expense IN 2011, NATIONWIDE CHILDREN'S HOSPITAL BEGAN REPORTING BAD DEBT EXPENSE IN TOTAL. PRIOR TO 2011, BAD DEBT EXPENSE WAS REPORTED AT COST. PART III, LINE 3 - BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER FAP FOR SELF-PAY PATIENTS, NATIONWIDE CHILDREN'S HOSPITAL MAKES ALL REASONABLE EFFORTS TO QUALIFY FINANCIAL ASSISTANCE ELIGIBLE PATIENTS FOR CHARITY. PRIOR TO AN ACCOUNT BEING WRITTEN OFF TO BAD DEBT, ACCOUNT REVIEWS TAKE PLACE TO ENSURE THE PATIENT DID NOT QUALIFY FOR FINANCIAL ASSISTANCE. THUS WE FEEL THAT NCH'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS LIKELY $0. PART III, LINE 4 - AFS FOOTNOTE THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGES 20 OF THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 Medicare Shortfall IT IS OUR POSITION THAT THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE THESE ARE COSTS THE HOSPITAL IS INCURRING TO TREAT THESE PATIENTS, AND THE REIMBURSEMENT IS NOT FULLY COVERING THESE COSTS. IN ADDITION, AS OUR MISSION IS TO CARE FOR EVERY CHILD FOR EVERY REASON REGARDLESS OF ABILITY TO PAY, MANY HEALTHCARE PROVIDERS WOULD CHOOSE NOT TO ACCEPT MEDICARE PATIENTS BECAUSE OF THIS UNREIMBURSED COST. BECAUSE NATIONWIDE CHILDREN'S DOES, WE ARE TRULY PROVIDING A BENEFIT TO THE COMMUNITY. THE MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6. SCHEDULE H, PART III, LINE 9B Written Debt Collection Policy NATIONWIDE CHILDREN'S HOSPITAL'S COLLECTION POLICY DOES CONTAIN PROVISIONS FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. THERE ARE NUMEROUS WAYS FOR PATIENTS AND FAMILIES TO GET INFORMATION ON AVAILABLE ASSISTANCE, BOTH CHARITY, AND OTHER GOVERNMENTAL POLICIES. (SEE DESCRIPTION PART VI, LINE 3.) NCH THEN PROVIDES A GRACE PERIOD, TO ALLOW FOR TIME FOR ASSISTANCE NEEDS TO BE IDENTIFIED, BEFORE FINALIZING THE BILL. IN ADDITION, SELF-PAY STATEMENTS ALSO INCLUDE INFORMATION TO HELP THE PATIENT/FAMILY UNDERSTAND FINANCIAL ASSISTANCE THAT IS AVAILABLE. SCHEDULE H, PART VI, LINE 2 - NEEDS ASSESSMENT NATIONWIDE CHILDREN'S HOSPITAL (NCH), ALONG WITH OTHER CENTRAL OHIO HOSPITALS AND COMMUNITY PARTNERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, PARTICIPATED IN THE FRANKLIN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE, WHICH WAS A COLLABORATIVE EFFORT COORDINATED BY CENTRAL OHIO HOSPITAL COUNCIL TO IDENTIFY THE COMMUNITY HEALTH NEEDS AND PRIORITIES OF FRANKLIN COUNTY. THE STEERING COMMITTEE PUBLISHED THE FRANKLIN COUNTY HEALTHMAP 2019, WHICH RECOGNIZED THREE HEALTH AREAS AS BEING A LOCAL, PRIORITY HEALTH NEED FOR THE COMMUNITY. NCH'S COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE ADDED TWO ADDITIONAL PRIORITIES TO ADDRESS NEEDS PARTICULARLY RELEVANT TO PEDIATRIC HEALTH CARE BASED ON PRIORITIES DETAILED IN THE FRANKLIN COUNTY HEALTHMAP 2019. NCH ADOPTED THE FRANKLIN COUNTY HEALTHMAP 2019 AS ITS COMMUNITY HEALTH NEEDS ASSESSMENT. THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH INCLUDES THE 2019 FRANKLIN COUNTY HEALTHMAP REPORT, CAN BE FOUND ON THE HOSPITAL'S WEBSITE: HTTPS://WWW.NATIONWIDECHILDRENS.ORG/ABOUT-US/ADVOCACY-AND-GOVERNMENT-RELAT IONS/COMMUNITY-RELATIONS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. IN ORDER TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY, THE STEERING COMMITTEE CONSIDERED POTENTIAL HEALTH INDICATORS FOR INCLUSION IN THEIR REPORT BY OBTAINING A FULL UNDERSTANDING OF THE HEALTH ISSUES IDENTIFIED AND THEN VOTE ON THE DISCRETE HEALTH ISSUES THAT THEY THOUGHT WERE SIGNIFICANT HEALTH NEEDS FOR FRANKLIN COUNTY RESIDENTS. THE FOLLOWING CRITERIA WAS CONSIDERED WHEN VOTING ON THE SIGNIFICANT HEALTH NEEDS AND PRIORITIZING THE SIGNIFICANT HEALTH NEEDS: - SERIOUSNESS: DEGREE TO WHICH THE HEALTH ISSUE LEADS TO DEATH, DISABILITY, AND IMPAIRS ONE'S QUALITY OF LIFE. - SEVERITY OF THE CONSEQUENCES OF INACTION: RISKS ASSOCIATED WITH EXACERBATION OF HEALTH ISSUE IF NOT ADDRESSED AT THE EARLIEST OPPORTUNITY. - SIZE: NUMBER OF PERSONS AFFECTED. - EQUITY: DEGREE TO WHICH DIFFERENT GROUPS IN THE COUNTY ARE AFFECTED BY THE HEALTH ISSUE. - FEASIBILITY: ABILITY OF AN ORGANIZATION OR INDIVIDUALS TO REASONABLY COMBAT THE HEALTH ISSUE GIVEN AVAILABLE RESOURCES, INCLUDING THE AMOUNT OF CONTROL, KNOWLEDGE, AND INFLUENCE THE ORGANIZATION(S) HAVE ON THE ISSUE. - CHANGE: DEGREE TO WHICH THE HEALTH ISSUE HAS BECOME MORE OR LESS PREVALENT OVER TIME, OR HOW IT COMPARES TO STATE/NATIONAL INDICATORS. FROM THESE EXERCISES, THE STEERING COMMITTEE WAS ABLE TO COMPLETE ITS CHARGE TO IDENTIFY AND PRIORITIZE THE SIGNIFICANT HEALTH NEEDS OF FRANKLIN COUNTY. NCH'S FIVE PRIORITIZED HEALTH NEEDS OF FRANKLIN COUNTY AS IDENTIFIED BY NCH'S COLLABORATIVE EFFORT AS A MEMBER OF THE FRANKLIN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE INCLUDE: 1) ACCESS TO CARE, 2) CHRONIC CONDITIONS, 3) INCOME AND POVERTY, 4) MATERNAL AND INFANT HEALTH, AND 5) MENTAL HEALTH AND ADDICTION. SCHEDULE H, PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSIST. NATIONWIDE CHILDREN'S HOSPITAL INFORMS AND EDUCATES PATIENTS, AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE, ABOUT THEIR ELIGIBILITY FOR ASSISTANCE IN A VARIETY OF WAYS. SIGNAGE REGARDING SUCH ELIGIBILITY IS VISIBLY LOCATED THROUGHOUT THE HOSPITAL, INCLUDING MAJOR POINTS OF PATIENT ENTRY SUCH AS ADMISSIONS AREAS, CLINIC REGISTRATION DESKS, THE EMERGENCY DEPARTMENT AND URGENT CARE. ADDITIONALLY, FINANCIAL COUNSELORS VISIT PATIENTS WITHOUT INSURANCE DURING THEIR STAY. LETTERS AND FINANCIAL ASSISTANCE APPLICATIONS ARE MAILED TO PATIENTS. BILLING STATEMENTS CONTAIN PRINTED INFORMATION REGARDING VARIOUS TYPES OF ASSISTANCE THAT IS AVAILABLE, AUTOMATED TELEPHONE CALLS OFFERING FINANCIAL ASSISTANCE ARE ALSO MADE, AND THE APPLICATION IS MADE AVAILABLE ON OUR WEBSITE: https://www.nationwidechildrens.org/your-visit/billing-and-insurance/finan cial-assistance. SCHEDULE H, PART VI, LINE 4 - COMMUNITY INFORMATION NATIONWIDE CHILDREN'S HOSPITAL IS LOCATED IN COLUMBUS, OHIO, WHICH IS GEOGRAPHICALLY CENTRAL IN THE STATE OF OHIO. WHILE THE MAJORITY OF PATIENTS SERVED RESIDE IN FRANKLIN COUNTY, NCH PROVIDES CARE TO PATIENTS REPRESENTING EACH OF OHIO'S 88 COUNTIES, IN ADDITION TO 49 STATES AND 54 FOREIGN COUNTRIES. THE MEDIAN HOUSEHOLD INCOME IN FRANKLIN COUNTY IS $61,305 AND 13.5% OF FAMILIES ARE BELOW THE POVERTY LEVEL. APPROXIMATELY 6.6% OF THE POPULATION OF OHIO IS UNINSURED. SCHEDULE H, PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH BEYOND THE COMMUNITY HEALTH NEEDS ASSESSMENT AND RELATED IMPLEMENTATION STRATEGY, NATIONWIDE CHILDREN'S HOSPITAL PROMOTES COMMUNITY HEALTH IN MANY WAYS. THE MAJORITY OF THE BOARDS OF NATIONWIDE CHILDREN'S HOSPITAL, THE RESEARCH INSTITUTE, NCH FOUNDATION AND THE CENTER FOR FAMILY SAFETY AND HEALING ARE COMPRISED OF INDEPENDENT COMMUNITY LEADERS, MOST OF WHICH RESIDE IN OUR CENTRAL OHIO SERVICE AREA. NATIONWIDE CHILDREN'S ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. THE EDUCATION INSTITUTE DEPARTMENT OF NCH PROVIDES A WIDE ARRAY OF COMMUNITY EDUCATION CLASSES SUCH AS: BABYSITTING, CPR, PARENTING, CONFERENCES FOR FAMILIES CARING FOR A PATIENT WITH A SPECIFIC DISEASE OR DISORDER, AUTISM AND BEHAVIOR MANAGEMENT AND MORE. THESE CLASSES ARE GEARED TOWARD LAY-PUBLIC AND INCLUDE LECTURES, PRESENTATIONS, AND OTHER GROUP PROGRAMS AND ACTIVITIES APART FROM CLINICAL OR DIAGNOSTIC SERVICES. THIS SAME DEPARTMENT MAINTAINS THE 'FAMILY HEALTH INFORMATION CENTER', A CONSUMER LIBRARY WHICH CAN BE USED BY PATIENT FAMILIES TO EXPLORE NEWLY DIAGNOSED MEDICAL ISSUES. 'CHILDCARE HEALTH CONSULTANTS' IS A PROGRAM THAT OFFERS TRAINING AND PROFESSIONAL DEVELOPMENT TO EARLY CHILDHOOD PROFESSIONALS VIA ON-SITE CONSULTING, LIVE EDUCATIONAL CLASSES, AND EDUCATIONAL TOOLS. NCH HAS MULTIPLE PROGRAMS SURROUNDING THE TOPIC OF NUTRITION AND CHILDHOOD OBESITY. ONE DEPARTMENT, 'THE CENTER FOR HEALTHY WEIGHT AND NUTRITION' OFFERS A COMPREHENSIVE APPROACH TO WEIGHT MANAGEMENT. ITS OBESITY PREVENTION PROGRAM PROVIDES SIMPLE TOOLS TO EDUCATE PARENTS ABOUT GOOD NUTRITION AND PHYSICAL ACTIVITY FOR THEIR CHILDREN. 'COMMUNITY HEALTH' IS AN ARM OF THE HEALTHY NEIGHBORHOODS, HEALTHY FAMILIES PROGRAM WHICH AIMS TO IMPROVE OUR COMMUNITY RESIDENTS' ACCESS TO HEALTH CARE COVERAGE, PRIMARY CARE, AND FRUITS AND VEGETABLES. NATIONWIDE CHILDREN'S ALSO SPONSORS AND HOSPITAL STAFF VOLUNTEER, AT NUMEROUS FESTIVALS AND HEALTH FAIRS TO PROVIDE HEALTH SCREENINGS AND HAND OUT LITERATURE AND PROMOTIONAL GIVEAWAYS TO EDUCATE AND DISCUSS MANY OF THE SERVICES WE PROVIDE. NATIONWIDE CHILDREN'S APPLIES SURPLUS FUNDS TO FURTHER ITS EXEMPT PURPOSE IN PROMOTING THE HEALTH OF THE COMMUNITY BY REINVESTING IN THE FACILITIES AND OPERATIONS OF PATIENT CARE, MEDICAL EDUCATION AND PEDIATRIC RESEARCH. SCHEDULE H, PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM ROLES NATIONWIDE CHILDREN'S HOSPITAL, INC. EXCLUSIVELY CONTROLS THE ACTIVITIES OF ITS SUBSIDIARIES IN CENTRAL OHIO INCLUDING: 1) NATIONWIDE CHILDREN'S HOSPITAL (NCH) IS A 549 INPATIENT BED NOT-FOR-PROFIT TERTIARY CARE HOSPITAL PROVIDING, INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. IN ADDITION, THE HOSPITAL LEASES 130 NEONATAL INTENSIVE AND SPECIAL CARE NURSERY BEDS LOCATED WITHIN SIX OTHER AREA HOST HOSPITALS. SUBSIDIARIES OF THE HOSPITAL INCLUDE THE FOLLOWING ENTITIES: A) CHILDREN'S RADIOLOGICAL INSTITUTE (CRI) IS A NOT-FOR-PROFIT PROFESSIONAL PRACTICE PLAN OWNED BY THE HOSPITAL, WHICH PROVIDES RADIOLOGICAL SERVICES AT THE HOSPITAL. B) NCH HOMECARE (HOMECARE SERVICES) IS A NOT-FOR-PROFIT HOME HEALTH COMPANY OWNED BY THE HOSPITAL AND PROVIDES INTERMITTENT AND PRIVATE-DUTY NURSING, SKILLED THERAPY, INFUSION THERAPY, DURABLE MEDICAL EQUIPMENT, HOSPICE, AND PALLIATIVE CARE SERVICES. C) PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS (PPAC) IS A NOT-FOR-PROFIT PROFESSIONAL PRACTICE PLAN OWNED BY THE HOSPITAL, WHICH PROVIDES PATHOLOGICAL SERVICES AT THE HOSPITAL. D) CHILDREN'S SURGICAL ASSOCIATES (CSA) IS A NOT-FOR-PROFIT PROFESSIONAL PRACTICE PLAN OWNED BY THE HOSPITAL, WHICH PROVIDES SURGICAL SERVICES AT THE HOSPITAL. E) PEDIATRIC ACADEMIC ASSOCIATES (PAA), A FACULTY PRACTICE PLAN OF THE OHIO STATE UNIVERSITY, IS A NOT-FOR-PROFIT PRACTICE OF WHICH THE HOSPITAL HOLDS 51% OF THE BENEFICIAL INTEREST OF THE PAA SHARE THAT IS HELD IN TRUST. THE PAA IS A GROUP OF APPROXIMATELY 500 MEDICAL, PEDIATRIC SUB-SPECIALISTS, WHICH PROVIDES SUCH SERVICES AT THE HOSPITAL. F) CHILDREN'S ANESTHESIA ASSOCIATES, INC. (CAA) IS A NOT-FOR-PROFIT PROFESSIONAL PRACTICE PLAN IN WHICH THE HOSPITAL OWN 100% OF EFFECTIVE AS OF AUGUST 1, 2004. CAA PROVIDES ANESTHESIOLOGY SERVICES AT THE HOSPITAL. 2) NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION (FOUNDATION) IS A NOT-FOR-PROFIT CHARITABLE FOUNDATION. 3) THE RESEARCH INSTITUTE AT NCH (RESEARCH INSTITUTE) IS A NOT-FOR-PROFIT PEDIATRIC MEDICAL RESEARCH INSTITUTE. 4) THE CENTER FOR CHILD AND FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL (CCFA) IS A NOT-FOR-PROFIT ORGANIZATION WHICH PROVIDES ADVOCACY, EDUCATION, COUNSELING AND OTHER PROGRAMMATIC SERVICES TO CHILDREN AND FAMILIES SUFFERING FROM CHILD ABUSE AND NEGLECT. SCHEDULE H, PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT N/A true RESEARCH INSTITUTE AT NCH 700 CHILDRENS DRIVE COLUMBUS OH 43205 316056230 501(c)(3) 58813279 TO SUPPORT VARIOUS RESEARCH INITIATIVES RESEARCH INSTITUTE AT NCH 700 CHILDRENS DRIVE COLUMBUS OH 43205 316056230 501(c)(3) 11563582 TO SUPPORT VARIOUS RESEARCH INITIATIVES RESEARCH INSTITUTE AT NCH 700 CHILDRENS DRIVE COLUMBUS OH 43205 316056230 501(c)(3) 218199 TO FUND RESEARCH START-UP GRANTS RESEARCH INSTITUTE AT NCH 700 CHILDRENS DRIVE COLUMBUS OH 43205 316056230 501(c)(3) 53000 TO FUND RESEARCH START-UP GRANTS NATIONWIDE CHILDREN'S HOSPITAL 700 CHILDRENS DRIVE COLUMBUS OH 43205 314379441 501(c)(3) 14046598 TO AID IN PROVIDING INDIGENT CARE, TO SUPPORT & IMPROVE PATIENT CARE THROUGH PROGRAMS SUCH AS VOLUNTEER SERVICES, HEMATOLOGY / ONCOLOGY, OBESITY PREVENTION, & COMMUNITY EDUCATION. NATIONWIDE CHILDREN'S HOSPITAL HOMECARE 700 CHILDRENS DRIVE COLUMBUS OH 43205 311296332 501(c)(3) 207560 TO SUPPORT HOSPICE AND PALLIATIVE CARE PROGRAMS CENTER FOR CHILD & FAMILY ADVOCACY AT NCH 700 CHILDRENS DRIVE COLUMBUS OH 43205 020627166 501(c)(3) 2164322 TO SUPPORT CHILD ADVOCACY PROGRAMS CHILDREN'S SURGICAL ASSOCIATES 700 CHILDRENS DRIVE COLUMBUS OH 43205 311654000 501(c)(3) 356424 TO SUPPORT SURGICAL RESEARCH INITIATIVES CHILDREN'S RADIOLOGICAL INSTITUTE INC 700 CHILDRENS DRIVE COLUMBUS OH 43205 311439570 501(c)(3) 232188 TO SUPPORT RADIOLOGY RESEARCH INITIATIVES NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION 700 CHILDRENS DRIVE COLUMBUS OH 43205 311036370 501(c)(3) 1500000 TO PROVIDE CATASTROPHIC RELIEF FUNDING NCH CHILD ASSESSMENT CENTER 700 CHILDRENS DRIVE COLUMBUS OH 43205 314379441 501(c)(3) 937086 TO SUPPORT CHILD ASSESSMENT PROGRAMS NCH BEHAVIORAL HEALTH PROGRAMS 700 CHILDRENS DRIVE COLUMBUS OH 43205 314379441 501(c)(3) 133993 TO SUPPORT AUTISM AND BEHAVIORAL HEALTH PROGRAMS CENTER FOR CHILD & FAMILY ADVOCACY AT NCH 700 CHILDRENS DRIVE COLUMBUS OH 43205 020627166 501(c)(3) 344406 TO SUPPORT ADMINISTRATIVE OVERSIGHT OF THE CENTER FOR CHILD & FAMILY ADVOCACY NATIONWIDE CHILDREN'S HOSPITAL INC 700 CHILDRENS DRIVE COLUMBUS OH 43205 311036372 501(c)(3) 25000 TO SUPPORT VARIOUS COMMUNITY BENEFIT PROGRAMS PEDIATRIC ACADEMIC ASSOCIATION 555 SOUTH 18TH STREET COLUMBUS OH 43205 311024403 501(c)(3) 807113 TO PROVIDE FUNDING FOR ENDOWED CHAIRS PARTNERS FOR KIDS 700 CHILDRENS DRIVE COLUMBUS OH 43205 311429047 501(c)(3) 18088 TO PROVIDE FUNDING TO IMIPROVE THE HEALTH OF CHILDREN PEDIATRIC ACADEMIC ASSOCIATION 555 SOUTH 18TH STREET COLUMBUS OH 43205 311024403 501(c)(3) 19359554 TO SUPPORT PAA OPERATIONS FAMOHIO INC 2425 ROSCOE COURT DUBLIN OH 43016 311353807 501(c)(3) 7500 TO SUPPORT BLEEDING DISORDER FAMILIES CENTRAL OHIO CHAPTER OF NHF 4400 N HIGH ST STE 216 COLUMBUS OH 43214 135641857 501(c)(3) 59500 SUPPORT EDUCATION AND OUTREACH PROGRAMS AMERICAN HEART ASSOCIATION PO BOX 4002907 DES MOINES IA 50340 135613797 501(c)(3) 20000 TO SUPPORT HEART GALA & WALK CHARITABLE PHARMACY OF CENTRAL OHIO INC 200 E LIVINGSTON AVENUE COLUMBUS OH 43215 270147099 501(c)(3) 22000 TO SUPPORT GENERAL OPERATIONS HNHF REALTY COLLABORATION 575 CHARRING CROSS DR WESTERVILLE OH 43081 202773085 501(c)(3) 174000 SUPPORT HNHF OPERATIONS COMMUNITY DEVELOPMENT FOR ALL PEOPLE PO BOX 06063 COLUMBUS OH 43206 510476886 501(c)(3) 394315 NEIGHBORHOOD PARTNERSHIP SUPPORT MARCH OF DIMES 975 EASTWIND DR WESTERVILLE OH 43081 131846366 501(c)(3) 17500 TO SUPPORT PROGRAMS FOR HEALTHIER BABIES CITY YEAR COLUMBUS 35 N 4th St COLUMBUS OH 43215 222882549 501(c)(3) 10000 RED JACKET BALL SUPPORT UNITED WAY OF CENTRAL OHIO 360 S 3RD STREET COLUMBUS OH 43215 314393712 501(c)(3) 10000 COVID-19 RESPONSE FUND PARSONS AVENUE REDEVELOPMENT CORPORATION PO BOX 06063 COLUMBUS OH 43206 463644554 501(c)(3) 26500 Support the redevelopment of Parsons Avenue PELOTONIA 315 W NATIONWIDE BLVD COLUMBUS OH 43215 311145986 501(c)(3) 50000 CONTRIBUTION PLEDGED TO RIDERS TO END CANCER CYSTIC FIBROSIS FOUNDATION 740 Lakeview Plz Blvd WORTHINGTON OH 43085 310680391 501(c)(3) 8500 SIPS & GIGGLES & NOSH EVENT SUPPORT SPONSOR RONALD MCDONALD HOUSE 711 EAST LIVINGSTON AVE COLUMBUS OH 43205 310890152 501(c)(3) 13005650 SPECIAL EVENTS SPONSORSHIPS CENTRAL OHIO HOSPITAL COUNCIL 155 E BROAD ST FL 23 COLUMBUS OH 43215 262795133 501(c)(3) 150000 OHIO BETTER BIRTH OUTCOMES SUPPORT THE COLUMBUS FOUNDATION 1234 EAST BROAD ST COLUMBUS OH 43205 316044264 501(c)(3) 50000 OHIO OPIOD EDUCATION ALLIANCE NEW ALBANY COMMUNITY FOUNDATION 220 MARKET ST NEW ALBANY OH 43054 311409264 501(c)(3) 20000 SPEAKER SPONSOR FACES OF RESILIENCE 660 ACKERMAN Road COLUMBUS OH 43218 311145986 501(c)(3) 10000 MENTAL HEALTH & ADDICTION SUPPORT FORWARD COLUMBUS PAC 545 E TOWN STREET COLUMBUS OH 43215 842645684 501(c)(4) 10000 COLUMBUS ISSUE 2 MIRACLE LEAGUE NETWORK OF NEW ALBANY 7860 BEVELHYMER ROAD NEW ALBANY OH 43054 822294172 501(c)(3) 10000 PROGRAM SUPPORT MID OHIO FOOD BANK PO BOX 182883 COLUMBUS OH 43218 310865343 501(c)(3) 50000 ROOTED IN YOU: THE CAMPAIGN TO REIMAGINE ENDING HUNGER GERMAN VILLAGE SOCIETY 588 SOUTH THIRD STREET COLUMBUS OH 43215 202376226 501(c)(3) 5850 CELEBRATE GERMAN VILLAGE STRADERS GARDEN CENTER 5350 RIVERSIDE DRIVE COLUMBUS OH 43220 310852512 N/A 5350 GIFT GARDENS HEALTHY LINDEN HOMES LLC 255 EAST MAIN STREET COLUMBUS OH 43215 853421316 501(c)(3) 750000 OPERATION SUPPORT FUTURE READY COLUMBUS 1907 LEONARD AVE COLUMBUS OH 43219 453819208 501(c)(3) 1000000 JOB GROWTH INCENTIVE ACTION FOR CHILDREN 78 JEFFERSON AVENUE COLUMBUS OH 43215 310820393 501(C)(3) 7110 SPELLING BEE & COLUMBUS CARE KID KIT SUPPORT COLUMBUS METROPOLITAN CLUB 1041 DUBLIN ROAD 103 COLUMBUS OH 43215 310889324 501(c)(3) 15000 OPTIMAL HEALTH SERIES SUPPORT COSI 333 WEST BROAD STREET COLUMBUS OH 43215 314383802 501(c)(3) 20000 SCIENCE LEARNING SUPPORT UNITED NEGRO COLLEGE FUND 3000 E MAIN ST COLUMBUS OH 43209 131624241 501(c)(3) 5750 WALK FOR EDUCATION & MAYOR'S LEADERSHIP SUPPORT 35 2 ASSISTANCE TO PATIENT FAMILIES (PAID BY NCH) 56542 1721397 Schedule I, Part I, Line 2 Procedures for Monitoring the Use of Grants For the majority of grants issued, documentation of the specific expenses that these funds would be covering is submitted to the NCH entity providing the funds. A significant portion of the grant provided are used to support program services and research, conducted within the NCH, Inc. affiliated group. Schedule I, Part III Assistance to Patient Families NCH's social work department has a 'Compassion Fund'. This is help the hospital provides to families who have a child in the hospital, and are undergoing a strong need for meals, gas money, bus fare, special formula, and similar hardships. This also includes occasional support for families with more extraordinary needs, such as utility bill assistance, or assistance with temporary housing where a patient will be discharged to, or to provide costly medication. X true true X X X X false true false false false true false false false MEREDITH MERZ LIND MD DIRECTOR - NCH 391611 0 92842 0 19500 0 38475 0 27473 0 569901 0 0 0 TIMOTHY C ROBINSON DIRECTOR / CEO - NCH 295152 0 240626 0 1019500 0 38475 0 23620 0 1617373 0 0 0 JANET BERRY CHAIR / DIR - NCH HOMECARE 336888 0 101926 0 0 0 25890 0 22980 0 487684 0 0 0 STEVEN SMITH MD MEDICAL DIR - NCH HOMECARE 193456 0 8431 0 0 0 10898 0 21639 0 234424 0 0 0 RAJESH KRISHNAMURTHY MD DIRECTOR - CRI 568883 0 93170 0 19500 0 38475 0 30006 0 750034 0 0 0 SHAMLAL MANGRAY MD DIRECTOR - PPAC (AS OF 12/20) 363915 0 60750 0 5400 0 38250 0 29956 0 498271 0 0 0 OLUYINKA OLUTOYE MD DIRECTOR - CSA 836991 0 128268 0 0 0 38475 0 27963 0 1031697 0 0 0 JOSEPH TOBIAS MD SECRETARY / DIRECTOR - CAA 559973 0 125000 0 19500 0 38475 0 27256 0 770204 0 0 0 STEPHEN TESTA PRES - NCH FOUNDATION 455000 0 249214 0 136610 0 83475 0 27256 0 951555 0 120000 0 LYNN ROSENTHAL PRES / DIRECTOR - CCFA 309059 0 35926 0 3475 0 38475 0 12108 0 399043 0 0 0 LUKE BROWN TREASURER / SR VP / CFO - NCH 434805 0 236935 0 0 0 88475 0 24321 0 784536 0 0 0 RICHARD MILLER COO - NCH 1026077 0 403569 0 19500 0 38475 0 31061 0 1518682 0 0 0 LINDA STOVEROCK RN SR VP / CNO - NCH (TO 3/20) 156680 0 196118 0 205632 0 0 0 18120 0 576550 0 0 0 WANDA STACKPOLE VP/EXEC DIRECTOR - NCH HOMECR 210420 0 64141 0 0 0 24873 0 11857 0 311291 0 0 0 JOHN A BARNARD MD PRESIDENT - RINCH 336681 0 757015 0 0 0 84200 0 22307 0 1200203 0 0 0 RHONDA COMER SECRETARY/SVP/LEGAL SVCS - NCH 574921 0 210977 0 0 0 188475 0 26299 0 1000672 0 0 0 SARA EVANS ASST SECRETARY - FOUNDATION 237714 0 75597 0 0 0 25890 0 28931 0 368132 0 0 0 LAURA HILLOCK ASST SECRETARY - RINCH 252727 0 75944 0 0 0 21567 0 1190 0 351428 0 0 0 ANDREW LENOBEL ASST SECRETARY - CSA 156493 0 41797 0 0 0 14707 0 31672 0 244669 0 0 0 KRISTEN MAIORINO ASST SEC - PPAC (AS OF 12/20) 122168 0 22305 0 0 0 8200 0 577 0 153250 0 0 0 PATRICIA MCCLIMON SR VP / PLAN & DEV'T - NCH 554328 0 203975 0 19000 0 138475 0 27561 0 943339 0 0 0 RICHARD BRILLI MD CMO - NCH (TO 6/20) 343038 0 336474 0 157239 0 100890 0 22131 0 959772 0 86111 0 RUSTIN MORSE MD CMO - NCH (AS OF 8/20) 261669 0 125000 0 0 0 0 0 28261 0 414930 0 0 0 DENISE ZABAWSKI VP / CIO - NCH 460543 0 171043 0 0 0 25890 0 19049 0 676525 0 0 0 LORINA WISE VP / HR - NCH 414173 0 199175 0 19500 0 38475 0 12586 0 683909 0 0 0 DENNIS MINZLER VICE PRESIDENT - NCH 306007 0 93344 0 0 0 25890 0 17803 0 443044 0 0 0 AMY ROSCOE VICE PRESIDENT - RINCH 270282 0 79526 0 0 0 25890 0 1231 0 376929 0 0 0 LEE ANN WALLACE SR VP & CNO - NCH 373530 0 41760 0 0 0 38475 0 21449 0 475214 0 0 0 MARISSA LAROUERE VP CLINICAL SERVICES - NCH 178760 0 46267 0 0 0 20412 0 27961 0 273400 0 0 0 MARK GALANTOWICZ MD CHIEF OF CT SURGERY - CSA 1356085 0 589034 0 19500 0 38475 0 28111 0 2031205 0 0 0 ELIZABETH HINGSBERGEN MD RADIOLOGIST - CRI 293102 0 202550 0 772541 0 55890 0 24528 0 1348611 0 0 0 KEVIN KLINGELE MD ORTHOPEDIC SURGEON - CSA 514921 0 411519 0 0 0 38475 0 27256 0 992171 0 0 0 RICHARD KIRSCHNER MD PLASTIC SURGEON - CSA 814931 0 293583 0 19500 0 38475 0 27256 0 1193745 0 0 0 JEFFREY LEONARD MD NEUROSURGEON - CSA 824104 0 134369 0 19500 0 38475 0 27111 0 1043559 0 0 0 STEVE ALLEN MD FORMER DIRECTOR / CEO 1373583 0 225500 0 0 0 0 0 31503 0 1630586 0 0 0 KAREN DAYS FORMER PRES / DIRECTOR - CCFA 295529 0 65094 0 0 0 25890 0 13768 0 400281 0 0 0 SCHEDULE J, PART I, LINE 1A - EXPLANATION FOR HEALTH OR SOCIAL CLUB DUES NATIONWIDE CHILDREN'S HOSPITAL PROVIDED HEALTH OR SOCIAL CLUB DUES FOR KAREN DAYS, TIMOTHY ROBINSON AND STEVE ALLEN, M.D. THESE WERE TREATED AS TAXABLE COMPENSATION TO THE EMPLOYEE. NATIONWIDE CHILDREN'S HOSPITAL ALSO PROVIDED HEALTH OR SOCIAL CLUB DUES FOR STEVE ALLEN, M.D.; KAREN DAYS; TIMOTHY ROBINSON AND STEPHEN TESTA. THESE WERE DETERMINED TO BE BUSINESS EXPENSES AND WERE NOT TREATED AS COMPENSATION TO THE EMPLOYEE. SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: ELIZABETH Hingsbergen, M.D., RICHARD BRILLI, M.D., LINDA STOVEROCK, RN, STEPHEN TESTA, PATRICIA MCCLIMON, LUKE BROWN, RHONDA COMER, AND JOHN BARNARD, M.D. PAYOUT OF SRP AMOUNT THAT HAD BEEN PREVIOUSLY FUNDED, OCCURRED FOR THE FOLLOWING EMPLOYEES: ELIZABETH HINGSBERGEN, M.D. $753,041 RICHARD BRILLI, M.D. $157,239 ($86,111 PREVIOUSLY REPORTED ON A 990) LINDA STOVEROCK, RN $186,132 STEPHEN TESTA $136,610 ($120,000 PREVIOUSLY REPORTED ON A 990) CONTRIBUTIONS WERE MADE ON BEHALF OF THE FOLLOWING EMPLOYEES: ELIZABETH HINGSBERGEN, M.D. $30,000 RICHARD BRILLI, M.D. $75,000 RHONDA COMER $150,000 JOHN BARNARD, M.D. $50,000 LUKE BROWN $50,000 STEPHEN TESTA $45,000 PATRICIA MCCLIMON $100,000 EFFECTIVE FOR PLAN YEAR 2010, NATIONWIDE CHILDREN'S HOSPITAL CHOSE TO ELIMINATE FUTURE CONTRIBUTIONS TO THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. CURRENT BALANCES OF THIS PLAN ARE MAINTAINED IN THE ACCOUNTS. FOR CHILDREN'S RADIOLOGICAL INSTITUTE, INC., CONTRIBUTIONS ARE STILL BEING MAINTAINED, BUT THERE WAS A PLAN DESIGN CHANGE ALLOWING ANNUAL CONTRIBUTIONS TO BE VESTED AFTER 5 YEARS. STILL BEING MAINTAINED, BUT THERE WAS A PLAN DESIGN CHANGE ALLOWING ANNUAL CONTRIBUTIONS TO BE VESTED AFTER 5 YEARS. SCHEDULE J, PART I, LINE 6A - COMPENSATION CONTINGENT ON NET EARNINGS A PORTION OF NATIONWIDE CHILDREN'S HOSPITAL'S MANAGEMENT'S COMPENSATION CONTAINS A VARIABLE PIECE THAT IS BASED ON THE HOSPITAL'S INCENTIVE PROGRAM. THIS VARIABLE COMPENSATION IS BASED IN PART ON THE FINANCIAL PERFORMANCE OF THE ORGANIZATION, RELATIVE TO BUDGETED FINANCIAL PERFORMANCE. THE INCENTIVE PROGRAM ALSO INCLUDES PERFORMANCE MEASURES RELATED TO QUALITY OF CARE AND PATIENT SATISFACTION. A COUNTY OF FRANKLIN OHIO 316400067 353187EL7 2019-10-30 75326125 2019A BONDS (SCHED K, PART VI) false false false B COUNTY OF FRANKLIN OHIO 316400067 353187ED5 2017-11-16 147565600 2017 A&B BONDS (SCHED K, PART VI) false false false C COUNTY OF FRANKLIN OHIO 316400067 000000000 2016-04-28 47670000 2016 A&B BONDS (SCHED K, PART VI) false false false D COUNTY OF FRANKLIN OHIO 316400067 353187DN4 2016-11-15 143485390 2016C BONDS (SCHED K, PART VI) false false false A 0 0 75326606 0 0 0 324063 0 0 75002544 0 0 2019 false false true true B 1080000 0 147898824 0 0 0 1350446 0 0 100380929 46167448 0 2018 true false false true C 17775000 0 47670000 0 0 0 0 0 0 0 47670000 0 2016 true false true true D 5765000 0 143737373 0 31902 0 1430009 0 0 0 0 142275462 2016 false true true true A false false false false 0.00000 0.00000 0.00000 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false true false false false false 0 false false false 0 false true B false true false false true true SCHEDULE K PART V false false false 0 false true C false true false false true true SCHEDULE K PART V false false false 0 false true D false true false false false false 0 false false false 0 false true A true B true C true D true SCHEDULE K, PART I, COLUMN [F] DESCRIPTION OF PURPOSE OF BONDS PART I, LINE A reports THE 2019 SERIES A HOSPITAL IMPROVEMENT REVENUE BONDS. THESE BONDS WERE ISSUED FOR THE PURPOSE OF FINANCING A PORTION OF THE COST OF ACQUIRING, CONSTRUCTING, EQUIPPING, INSTALLING AND IMPROVING CERTAIN HOSPITAL FACILITIES. PART I, LINE B reports THE 2017 SERIES A&B HOSPITAL REVENUE REFUNDING AND IMPROVEMENT BONDS. THESE BONDS WERE ISSUED FOR THE PURPOSE OF FINANCING A PORTION OF THE COST OF ACQUIRING, CONSTRUCTING, EQUIPPING, INSTALLING AND IMPROVING CERTAIN HOSPITAL FACILITIES, AND FOR THE CURRENT REFUNDING OF A PORTION OF THE 2008D BONDS. PART I, LINE C reports THE 2016 SERIES A&B HOSPITAL REVENUE REFUNDING BONDS. THESE BONDS WERE ISSUED FOR THE PURPOSE OF CURRENT REFUNDING THE 2008C AND 2008F BONDS. PART I, LINE D reports THE 2016 SERIES C HOSPITAL REVENUE REFUNDING BONDS. THESE BONDS WERE ISSUED FOR THE PURPOSE OF ADVANCE REFUNDING THE 2008A AND 2009 BONDS. PART I, LINE A (2) REPORTS THE 2015 SERIES A&B HOSPITAL IMPROVEMENT REVENUE BONDS. THE PURPOSE OF THESE BONDS IS TO FINANCE A PORTION OF THE COST OF ACQUIRING, CONSTRUCTING, EQUIPPING, INSTALLING AND IMPROVING CERTAIN HOSPITAL FACILITIES. PART I, LINE B (2) REPORTS THE 2014 SERIES A BONDS. THE 2014A BONDS WERE HOSPITAL REVENUE REFUNDING BONDS OF THE 2005C SERIAL BONDS. PART I, LINE C (2) REPORTS THE 2014 SERIES B BONDS. THE 2014B BONDS WERE HOSPITAL REVENUE REFUNDING BONDS OF THE 2005C TERM BONDS. PART I, LINE D (2) REPORTS THE 2013 BONDS, SERIES A & B. THE 2013A BONDS WERE ISSUED FOR THE PURPOSE OF CURRENT REFUNDING OF THE REMAINING PRINCIPAL AMOUNT OF THE 2008E BONDS. THE 2013B BONDS WERE ISSUED FOR THE PURPOSE OF CURRENT REFUNDING OF THE REMAINING PRINCIPAL AMOUNT OF THE 2008G BONDS. PART I, LINE A (3) REPORTS THE 2012 HOSPITAL IMPROVEMENT REVENUE BOND, SERIES A. ITS PURPOSE IS TO FINANCE A PORTION OF THE COST OF ACQUIRING, CONSTRUCTING, EQUIPPING, INSTALLING AND IMPROVING CERTAIN HOSPITAL FACILITIES. PART I, LINE B (3) REPORTS THE 2008 BONDS, SERIES B, C, D & E. THE PURPOSE OF THE 2008B VARIABLE RATE DEMAND HOSPITAL IMPROVEMENT REVENUE BONDS IS TO FINANCE A PORTION OF THE COSTS OF ACQUIRING, CONSTRUCTING, AND EQUIPMENT THE NEW PATIENT TOWER AND POWER PLANT. THE PURPOSE OF THE 2008C VARIABLE RATE DEMAND HOSPITAL REVENUE REFUNDING BONDS IS THE CURRENT REFUNDING OF ALL OF THE ISSUER'S OUTSTANDING VARIABLE RATE DEMAND HOSPITAL REVENUE REFUNDING BONDS, SERIES 2002. THE PURPOSE OF THE 2008D VARIABLE RATE DEMAND HOSPITAL REVENUE REFUNDING BONDS IS THE CURRENT REFUNDING OF ALL OF THE ISSUER'S OUTSTANDING VARIABLE RATE DEMAND HOSPITAL REVENUE REFUNDING BONDS, SERIES 2003. THE PURPOSE OF THE 2008E VARIABLE RATE DEMAND HOSPITAL REVENUE REFUNDING BONDS IS THE CURRENT REFUNDING OF ALL OF THE ISSUER'S OUTSTANDING HOSPITAL REFUNDING & IMPROVEMENT REVENUE BONDS, SERIES 2006. SCHEDULE K, PART II, LINE 3 TOTAL PROCEEDS OF ISSUE Any difference between the issue price reported on Part I, Column (e) and the total proceeds of the bond issue reported on Part II, Line 3 is due to investment earnings. SCHEDULE K, PART II, LINE 5, COLUMN D CAPITALIZED INTEREST FROM PROCEEDS THE COLUMN D AMOUNT REPRESENTS BOND PROCEEDS IN THE AMOUNT OF $31,902 THAT WERE USED TO PAY INTEREST ON THE BOND. SCHED K, PART II, LINE 11 COLUMNS A(2)& A(3) - OTHER SPENT PROCEEDS THIS AMOUNT REPRESENTS AN INTEREST RATE HEDGE TERMINATION PAYMENT OF $4,500,000 (COLUMN A2) AND $823,513 (COLUMN A3). SCHED K, PART II, LINE 11 - OTHER SPENT PROCEEDS THE AMOUNT REPORTED REPRESENTS REFUNDINGS OF THE FOLLOWING OUTSTANDING REVENUE BONDS: 2002, 2003, 2005C, 2008C, 2008D, 2008E, 2008F, 2008G AND 2009 BONDS. SCHED K, PART IV, LINE 3, COLUMNS B, C, B(2), C(2), D(2) & B(3) - HEDGE THE PROVIDERS AND TERMS OF INTEREST RATE HEDGES ARE AS FOLLOWS: COLUMN B: 2017 BONDS - PROVIDER IS JP MORGAN CHASE AND TERMINATION DATE IS NOVEMBER 1, 2033. COLUMN C: 2016 A BONDS - PROVIDER IS BANK OF AMERICA AND TERMINATION DATE IS NOVEMBER 1, 2025. 2016 B BONDS - PROVIDER IS JP MORGAN CHASE AND TERMINATION DATE IS MAY 1, 2031. COLUMN B(2): 2014 BONDS - PROVIDER IS PNC BANK AND TERMINATION DATE IS MAY 1, 2025. COLUMN C(2): 2014B BONDS - PROVIDER IS DEUTSCHE BANK AG, NEW YORK BRANCH AND TERMINATION DATE IS MAY 1, 2035. COLUMN D(2): 2013A BONDS - PROVIDER IS GOLDMAN SACHS GROUP, INC. AND TERMINATION DATE IS NOVEMBER 1, 2025. 2013B BONDS - PROVIDER IS BANK OF AMERICA AND TERMINATION DATE IS MAY 1, 2029. COLUMN B(3): 2008B BONDS - PROVIDER IS MORGAN STANLEY AND TERMINATION DATE IS NOVEMBER 1, 2040. SCHEDULE K, PART IV, LINE 6 - TEMPORARY AVAILABLE PERIOD SPEND DOWN REQUIREMENTS HAVE BEEN MET WHERE APPLICABLE ON ALL OUTSTANDING BONDS. A COUNTY OF FRANKLIN OHIO 316400067 353187BT3 2015-05-19 97434250 2015 A&B BONDS (SCHED K, PART VI) false false false B COUNTY OF FRANKLIN OHIO 316400067 000000000 2014-06-04 17225000 2014A BONDS (SCHED K, PART VI) false false false C COUNTY OF FRANKLIN OHIO 316400067 000000000 2014-11-20 45580000 2014B BONDS (SCHED K, PART VI) false false false D COUNTY OF FRANKLIN OHIO 316400067 000000000 2013-06-04 66985000 2013 A&B BONDS (SCHED K, PART VI) false false false A 0 0 101702675 0 0 0 1299700 0 0 95902975 4500000 0 2019 false false true true B 9935000 0 17225000 0 0 0 50001 0 0 0 17174999 0 2015 false true true true C 0 0 45580000 0 0 0 50001 0 0 0 45529999 0 2015 false true true true D 23205000 0 66985000 0 0 0 0 0 0 0 66985000 0 2013 true false true true A false false false false 0 false false false true B false false true true true true 0.01100 0.00000 0.01100 false false false true C false false true true true true 0.01100 0.00000 0.01100 false false false true D false false false false 0 false false false true A false false true false true false 0 false false false 0 false true B false false true false true true SCHEDULE K PART V false false false 0 false true C false false true false false true SCHEDULE K PART V false false false 0 false true D false false true false true true SCHEDULE K PART V false false false 0 false true A true B true C true D true A COUNTY OF FRANKLIN OHIO 316400067 353187AR8 2012-05-15 83291333 2012A BONDS (SCHED K, PART VI) false false false B COUNTY OF FRANLIN OHIO 316400067 3531865S4 2008-05-07 176675000 2008B-E BONDS (SCHED K, PART VI) false false false A 14155000 0 88860416 0 0 0 976231 0 0 87060672 823513 0 2012 false false true true B 134030000 0 195350778 0 0 0 865761 84500 0 63456878 130943639 0 2012 true false true true A false false false false 0 false false false true B false false false false 0 false false false true A false false true false false false 0 false 0 false true B false false true false true true SCHEDULE K PART V false false false 0 false true A true B true Timothy c Robinson Director/CEO - NCH FUND Life insurance X 1500000 1500000 false true true 1500000 ANGELA MARBLEY SEE SCHEDULE L, PART V 74201 Wages: Proj Coord, NCH-IS Dept false JUNG SUN MILLER SEE SCHEDULE L, PART V 67674 Wages: Proj Mgr, NCH-IS Dept false SCHEDULE L, PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS NAME OF INTERESTED PERSON: ANGELA MARBLEY RELATIONSHIP: FAMILY MEMBER OF HONORABLE ALGENON MARBLEY (DIRECTOR - NCH) AMOUNT: $74,201 DESCRIPTION: WAGES (Project Coordinator, NCH - IS Dept) SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: JUNG SUN MILLER RELATIONSHIP: FAMILY MEMBER OF RICHARD MILLER (COO-NCH) AMOUNT: $67,674 DESCRIPTION: WAGES (Project Manager, NCH - IS Dept) SHARING OF ORGANIZATION'S REVENUES: NO X 17 712706 COST/SELLING PRICE false false false SCHEDULE M, PART I, LINE 31 - GIFT ACCEPTANCE POLICY WHILE NATIONWIDE CHILDREN'S HOSPITAL (NCH) AND NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION (NCHF) DO NOT HAVE A WRITTEN POLICY, ALL NON-STANDARD CONTRIBUTIONS ARE REVIEWED AND DISCUSSED WITH NCHF LEADERSHIP AND NCH ADMINISTRATION. FORM 990, PART I, LINE 6 - TOTAL NUMBER OF VOLUNTEERS: 721 VOLUNTEERS PLAY A MAJOR ROLE IN CARRYING OUT OUR MISSION. THE NUMBER REPORTED ON LINE 6 RELATES TO [A] VOLUNTEERS WITH SERVICE HOURS AT OUR MAIN CAMPUS, WHICH IS SPECIFICALLY TRACKED, PLUS [B] VOLUNTEERS AT OUR FACILITIES LOCATED THROUGHOUT THE COMMUNITY, THESE ARE ESTIMATED BASED ON KNOWN NUMBER OF HOURS AT ALL LOCATIONS. OUR VOLUNTEERS ARE A MIXTURE OF BOTH FULL AND PART TIME. IN 2020, NATIONWIDE CHILDREN'S HOSPITAL RECEIVED 12,577 HOURS OF VOLUNTEER TIME. THIS CONSISTED OF AN ARRAY OF SERVICES INCLUDING HELP IN MANY PATIENT CARE AREAS, OUR INFORMATION DESK, THE RESEARCH INSTITUTE, AND VARIOUS FAMILY SUPPORT AREAS. NOT INCLUDED IN THIS NUMBER ARE MANY VOLUNTEERS IN THE COMMUNITY WHO IN 2020 SPENT A TOTAL OF 12,461 HOURS CREATING ITEMS FOR OUR PATIENTS AND VISITING THE HOSPITAL TO PROVIDE ACTIVITIES FOR BOTH PATIENTS AND FAMILIES. NCH onsite volunteer service was stopped on March 13, 2020 due to the COVID-19 pandemic and did not resume the rest of 2020. As a result, the total number of volunteers decreased in 2020 from prior years. FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION NATIONWIDE CHILDREN'S HOSPITAL (NCH) BELIEVES THAT NO CHILD SHOULD BE REFUSED NECESSARY CARE AND ATTENTION FOR LACK OF ABILITY TO PAY. UPON THIS FUNDAMENTAL BELIEF, NCH IS COMMITTED TO PROVIDING THE HIGHEST QUALITY PATIENT CARE, ADVOCACY FOR CHILDREN AND FAMILIES, PEDIATRIC RESEARCH, EDUCATION OF PATIENTS, FAMILIES AND FUTURE PROVIDERS, AND OUTSTANDING SERVICE TO ACCOMMODATE THE NEEDS OF PATIENTS AND FAMILIES. FORM 990, PART III, LINE 4A - PROGRAM SERVICE ACTIVITY #1 Patient care Nationwide Children's Hospital is one of the country's largest freestanding pediatric health care systems, providing wellness, preventive, diagnostic, treatment and rehabilitative care for infants, children, adolescents and adult patients with congenital disease. Nationwide Children's main campus is located near downtown Columbus, Ohio, and houses a 549-bed inpatient facility, emergency department and outpatient clinics. Patient care services are also available in various locations throughout central Ohio via urgent care locations, outpatient clinics, primary care centers and mobile clinics. Nationwide Children's also brings expertise to other central Ohio hospitals by leasing and operating another 130 neonatal intensive and special care nursery beds. In 2020, Nationwide Children's had more than 1.3 million visits from 49 states and 43 countries. Nationwide Children's discharged approximately 13,889 patients during 2020 for a total of 141,504 inpatient days. Patient care was provided by 1,563 medical staff, and the total hospital staff grew to 13,207 employees. Nationwide Children's is nationally ranked in all 10 specialties by U.S. News and World Report and is on the honor roll list of "America's Best Children's Hospitals." Specialized services that draw patients nationally and internationally include: Cardiology and Cardiothoracic Surgery (The Heart Center); Hematology, Oncology & Blood and Marrow Transplant; Gastroenterology, Hepatology, and Nutrition; Neonatal Medicine; Pediatric Intensive Care; Burn/Trauma; Infectious Diseases; Neurosciences; Center for Colorectal and Pelvic Reconstruction; and Pediatric Rehabilitation. Other services include inpatient and outpatient surgical services including Urology, Neurosurgery, Plastic Surgery, Orthopedics, Otolaryngology, Dentistry; Pulmonary Medicine; Nephrology and Endocrinology; as well as General Medicine. At the cornerstone of Nationwide Children's mission is the commitment to provide high quality services to patients regardless of their ability to pay. In fact, Nationwide Children's provides more than $260 million in charity care and community benefit services annually. In 2020, Nationwide Children's accomplished this principal by providing approximately $25.6 million in Charity Care assistance and $188 million of unreimbursed Medicaid for a total of over $213.8 million in uncompensated care. Approximately 52% of Nationwide Children's patient population is covered by Medicaid. Additionally, Nationwide Children's subsidized losses on its Behavioral Health and Homecare Programs in 2020. Outpatient Behavioral Health services are provided in Close-to-Home centers, and as community-based mental health services provided in schools, child welfare, juvenile court, community centers and patient homes. Nationwide Children's provides Behavioral Health services among 10 crisis stabilization beds in an attempt to avoid an inpatient admission. Inpatient Behavioral Health services are provided in a 56-bed inpatient psychiatric unit. In 2020, Nationwide Children's continued the construction of the Big Lots Behavioral Health Pavilion dedicated exclusively to child and adolescent mental health. The building, which opened March 10, 2020, features inpatient services, intensive outpatient services and research all under one roof. The Pavilion will ramp up to 48 inpatient beds and has a 16-bed Youth Crisis Stabilization Unit, a Psychiatric Crisis Department with a 10-bed Extended Observation Suite, teaching and conference space. Nationwide Children's Hospital Homecare is the only pediatric hospital-based home health agency in central Ohio providing home health care to patients, birth through age 21. Contracted with all major payors, including Medicaid managed care plans, the Homecare team provides pediatric patients with skilled pediatric nursing support at home, as well as answering many other clinical needs such as occupational therapy, physical therapy and speech therapy. Homecare has an onsite pharmacy for compounded sterile and specialty medications, home medical equipment and supplies. Social workers and a chaplain round out the support available for patients. There were 5,738 home nursing visits in 2020. The depth and breadth of services offered at Nationwide Children's spans the depth and breadth of child health. From looking for evidence-based ways to effectively address social determinants of health and health equity to providing daily care for patients with chronic or life-threatening conditions, the experts and specialists at Nationwide Children's are supported by a programmatic infrastructure that enables them to meet the needs of various patient populations. Two programs of note include the Ohio Better Birth Outcomes (OBBO) collaborative and the Central Ohio Poison Control Center. Nationwide Children's is a lead partner in the OBBO collaborative, which is a partnership of four hospital health systems in Franklin County, Ohio, as well as the Columbus Public Health Department and PrimaryOne Health. Through the partnership, OBBO is devoted to using evidence-based interventions to reduce infant mortality rates. The group's key initiatives include improving reproductive health, expanding access to prenatal care and enhancing clinical quality initiatives to reduce prematurity. The Central Ohio Poison Center at Nationwide Children's provides Ohio residents with state-of-the-art poison prevention, assessment and treatment. Services are available to the public, medical professionals, industry and human services agencies. The poison center handled more than 54,000 poison exposure calls in 2020. Experts in the center provide confidential, free emergency poisoning treatment advice 24/7. Patient safety is an organizational priority and cornerstone of Nationwide Children's Hospital's commitment to children. Our quality and safety efforts are organized into the nationally recognized Zero Hero program. Current initiatives include: 1. Leading national pediatric quality and safety efforts BY TRAINING THE NEXT GENERATION OF QUALITY IMPROVEMENT (QI) LEADERS through our QI fellowship and disseminating QI knowledge and science through the Pediatric Quality and Safety Journal, established at Nationwide Children's Hospital. 2. Expanding a focus on communication in interdisciplinary health teams. 3. Establishing the first health care focused "Safety II" program emphasizing what goes right and how to replicate it throughout the institution. 4. Developing a diagnostic error program to reduce missed or unidentified health issues. 5. Focusing our Quality, Safety and Service Strategic Plan on Simulation, Communication, Big Data Analytics, Antibiotic Stewardship and Clinical Pathways. FORM 990, PART III, LINE 4B - PROGRAM SERVICE ACTIVITY #2 Research The Abigail Wexner Research Institute (AWRI) at Nationwide Children's Hospital is one of the largest and top-ten most NIH-funded freestanding pediatric research facilities in the United States. It is housed in three buildings on the Nationwide Children's campus, occupying over 500,000 square feet of dedicated research space. A fourth research building, under construction and slated to open in 2023, will add approximately 285,000 square feet of space to seamlessly integrate clinical care and research. As a dynamic, collaborative, state-of-the-art environment for world-class child health research, AWRI brings together more than 1,308 research institute employees and 195 faculty with $50,000 or more in research funding support across campus. In 2020, 12 new research-focused faculty joined AWRI, including Maryam Fouladi, MD, a renowned brain tumor expert. With her arrival as co-executive director of the Neuro-Oncology Program, CONNECT, the international consortium for neuro-oncology clinical trials, is now based at Nationwide Children's. Jerry Mendell, MD, principal investigator in the Center for Gene Therapy and one of the lead scientists behind the first systemic gene therapy approved by the Food and Drug Administration (FDA), was also elected to the National Academy of Medicine. To signify the hospital and research institute's commitment to diversity, inclusion and health equity from the lab to the clinic and beyond, AWRI's Center for Innovation in Pediatric Practice was also rededicated in 2020. Now named the Center for Child Health Equity and Outcomes Research and led by Deena Chisolm, PhD, the center aims to reduce health disparities and achieve best outcomes for all children and families. Another AWRI center, the Center for Injury Research and Policy (CIRP), is one of only nine centers in the United States currently designated as an Injury Control Research Center (ICRC) by the Centers for Disease Control and Prevention. ICRCs are funded for five-year cycles through an externally reviewed, competitive process. CIRP is the only ICRC focusing on research and prevention of injuries to children and adolescents and has been continually funded by the CDC since 1999. In 2020, AWRI was one of four institutions that received a $1 million Innovation Fund from nonprofit foundation Additional Ventures to form a large-scale research collaboration centered on identifying new avenues to functionally cure patients with single ventricle heart defects (SVDs). Additionally, the Nationwide Foundation's 2020 gift of $10 million to the Nationwide Foundation Pediatric Innovation Fund at Nationwide Children's Hospital provides funding for Nationwide Children's proven Healthy Neighborhoods Healthy Families (HNHF) community health and economic improvement program concentrated on Columbus' Linden neighborhood. The 2020 gift also supported the creation and funding of the Nationwide Foundation Endowed Research Chair of Health Equity Research, awarded to Dr. Chisolm, and the Nationwide Foundation Chair of Innovation in Behavioral Health Research, awarded to Jeff Bridge, PhD, director of the Center for Suicide Prevention and Research at Nationwide Children's Hospital, recognizing his pioneering work in suicide prevention, the epidemiology of suicidal behavior in young people and improving the quality of care for suicidal youth and adolescents who have attempted suicide. The 2020 funding was also used to acquire additional equipment and technology to advance genomic research in the hospital's Steve and Cindy Rasmussen Institute for Genomic Medicine, which remains one of the few programs in pediatric personalized genomic medicine in the United States and focuses on genomics as the root cause of many childhood diseases. Facioscapulohumeral muscular dystrophy (FSHD), which affects up to 870,000 individuals world-wide, is a progressive, life-long disease with no treatments available to alter its course. It arises from genetic and epigenetic changes that result in expression of the DUX4 gene, which is normally "off" in healthy muscle. When expressed, DUX4 activates pathways associated with cell death, oxidative stress, impaired muscle differentiation and muscle atrophy. Scott Harper, PhD, principal investigator in the Center for Gene Therapy, and his lab team have been dedicated to understanding the role of DUX4 in FSHD and developing potential therapies that can target it. In 2020, they identified a way to silence DUX4 expression in human cells, including those derived from FSHD patient muscles, and published a proof-of-concept study in Molecular Therapy: Nucleic Acids. To translate this approach to clinical care, safety and efficacy studies in the Harper Lab's TIC-DUX4 mouse model are ongoing. In 2020, researchers also made several advancements in understanding biofilms and the components that stabilize them and transferred those basic science discoveries to a novel platform technology. Biofilms are "slimy" matrices of extracellular DNA (eDNA) that connect and protect colonies of bacteria from the immune system and antibiotics. These colonies adhere to each other or to surfaces in the body, such as the inner ear, respiratory tract, oral cavity, gastrointestinal tract or urinary tract, and serve as a reservoir to fuel chronic and recurrent infections. In fact, according to the Centers for Disease Control and Prevention (CDC), bacteria in biofilms are responsible for approximately 80% of human bacterial infections and can be up to 1,000 times more resistant to antibiotics than those that are "free-living." Steve Goodman, PhD, a principal investigator in the Center for Microbial Pathogenesis in the Abigail Wexner Research Institute at Nationwide Children's Hospital, and his colleagues, Lauren Bakaletz, PhD, the center's director, and Santiago Partida-Sanchez, PhD, also a principal investigator in the center, have identified several elements key to stabilizing biofilms' structures and developed novel therapies that can dismantle and remove them. In a report published in Proceedings of the National Academy of Sciences the investigators showed Holliday junction (HJ)-like structures form the vertices where strands of eDNA cross in the lattice structure of biofilms. DNABII, a key bacterial DNA-binding protein, fortifies these structures by binding to these HJs and locking them in place. In another 2020 paper, published in EBioMedicine, they demonstrated how DNABII-directed antibodies can rapidly disrupt existing biofilms and prevent new ones from forming. The platform technology described in the study has the potential to transform clinical management of a multitude of biofilm-mediated diseases that evade effective intervention. Through the support of the Office of Technology Commercialization, this biofilm-disrupting technology has been licensed to Clarametyx Biosciences, Inc., a preclinical stage biotechnology company developing targeted, immune-enabling biologic therapies to counter persistent infections associated with biofilms, to support the first-in-human clinical trial. Drs. Bakaletz and Goodman are co-inventors of the technology and co-chairs of the Clarametyx scientific advisory board. FORM 990, PART III, LINE 4B - CONTINUED Inflammation of the lower respiratory tract caused by respiratory syncytial virus (RSV) is the leading cause of hospitalizations for children younger than 2 years old around the world - yet RSV is so common that almost everyone becomes infected with it during their first three years of life and many more children are not hospitalized. Researchers at Nationwide Children's compared the immune profiles of infants with mild RSV disease to those with severe infections to understand why some infants became sicker than others - with the ultimate goal of designing vaccine candidates that stimulate the more protective response found in some patients. In 2015, a research team led by Octavio Ramilo, MD, chief of Infectious Diseases, Asuncion Mejias, MD, PhD, attending physician in Infectious Diseases, and Mark Peeples, PhD, all principal investigators in the Center for Vaccines and Immunity at Nationwide Children's, received a $6.75 million grant from the National Institute of Allergy and Infectious Diseases, part of the National Institutes of Health, to study these immune responses. The team has published more than 35 peer reviewed publications and greatly added to the knowledge about RSV and immune responses in infants. In a 2020 study published in Science Translational Medicine, the researchers used a systems analysis approach to integrate blood transcriptional profiling and immune cell phenotyping with measurement of viral loads and clinical data from children with RSV infection and found children with mild disease (managed as outpatients) actually had higher RSV loads measured in the upper respiratory tract than those who were hospitalized for their infections. Patients who had larger amounts of virus in nasal secretions during acute infections had a more robust mucosal immune response that was associated with better outcomes, rather than with more severe disease. These findings have led to clinical insights - among babies who were hospitalized, those that received systemic steroids, which reduce the activity of the immune system, had worse outcomes, indicating that for children with severe RSV infection, treatment with steroids should be avoided - and have now informed the design and evaluation of new RSV vaccine candidates and research into other infectious diseases, including COVID-19. The insights revealed by this research into the forms of a virus that induce a better immune response has informed COVID-19 vaccine development. Another 2020 study expanded on 2015 research to demonstrate that nonoperative management of uncomplicated appendicitis is a safe and effective option in a variety of healthcare systems. Appendicitis the most common cause for emergency abdominal surgery in childhood, affecting 80,000 children in the United States each year. Research published in JAMA by the Midwest Pediatric Surgery Consortium (led by Peter Minneci, MD, and Katherine Deans, MD, co-founders and directors of the Center for Surgical Outcomes Research at Nationwide Children's Hospital), however, found that the condition can be treated successfully with antibiotics alone. Of 1,068 patients from 10 health centers enrolled in the study, 67.1% of those who elected to initially manage their care through antibiotics alone experienced no harmful side effects and did not later require an appendectomy by their one-year follow-up. Patients in the nonoperative group experienced an average of 6.6 disability days (days of missed activities such as school, athletics and vacations), compared to the 10.9 days in the surgery group. Nonoperative management was also associated with fewer disability days for caregivers. Both the patients who elected to undergo surgery and those who chose nonoperative management with antibiotics alone reported similar health care satisfaction at 30 days and quality of life at 1 year. While appendectomies are well-tested and trusted procedures, offering a non-operative option to patients and their families allows clinical care teams to move away from a one-size-fits-all model of appendicitis care and offer treatment options based on a child or family's values and preferences. Researchers from the Center for Injury Research and Policy and the Sleep Disorders Center at Nationwide Children's Hospital have conducted a series of studies to identify smoke alarm signals that would more effectively awaken children and other members of the household in the event of a fire, when there is a narrow window of time for everyone to safely evacuate a burning building without injury. In 2020, the fifth study in this series, published in Pediatric Research, found that alarms with a male voice, female voice, or hybrid voice-tone alarms woke 85-89% of children and prompted 84-89% to "escape," compared with 56% woken and 55% escaped for the high-frequency tone alarm. The median time to escape for the male voice, female voice, and hybrid voice-tone alarms was 12-13 seconds, compared to more than a minute and a half - 96.5 seconds - for the high-frequency tone alarm. The study authors concluded that there were no significant differences in the effectiveness of the male voice, female voice or hybrid alarms when compared with each other, but they all significantly out-performed the high-frequency tone alarm. Children sleep longer and deeper and require louder sounds to awaken than adults, so a smoke alarm that reduces the amount of time it takes for them to wake up and escape could reduce residential fire-related injuries and deaths among children old enough to perform self-rescue. Overall, approximately 2,266 Institutional Review Board (IRB) approved protocols were in progress during 2020, ranging from small studies designed to collect information about a disease to those that investigate potential new treatments or procedures at the forefront of clinical innovation and discovery. More than 1,600 papers were published in 2020 by Nationwide Children's scientists in peer-reviewed medical and scientific journals. FORM 990, PART III, LINE 4C - PROGRAM SERVICE ACTIVITY #3 Education As an academic medical center, the Hospital's mission includes preparing the next generation of pediatric healthcare providers. In 2020, 600 Ohio State University ("OSU") faculty members trained 375 medical students, 150 dental students, 300 Hospital-sponsored medical, surgical and dental residents, and nearly 600 physician and dental trainees from other institutions. The Hospital has been the primary pediatric teaching site of the OSU College of Medicine for more than 50 years. In 2020, the Hospital sponsored 36 accredited medical/dental residency and fellowship programs, 31 accredited by the Accreditation Council for Graduate Medical Education; 5 accredited by other organizations. The Hospital has 34 additional fellowships for which no national accreditation currently exists. These programs train pediatric specialists to meet 21st century healthcare needs in such diverse pediatric programs as neuromuscular genetics, epilepsy surgery, bone marrow transplant, colorectal surgery, advanced heart failure and cardiac transplant, and quality and safety leadership. Given the accelerating national shortage of pediatric subspecialists, recruitment is an important outcome for the Hospital's education investment. In 2020, 7 physician specialties recruited 8 fellows to open junior faculty positions. 100% of graduating residents seeking pediatric fellowships successfully secured positions to continue their academic career. Education also helps fill national gaps in midlevel providers who are essential to safe, high quality, 24/7 team-based care. For over 30 years, the Hospital has educated neonatal nurse practitioners and advanced practice nurses. Increased demand has resulted in acute national shortages and, in 2018, led the Hospital to start two new programs: (1) a neonatal physician assistant program; and (2) a pediatric child psychiatry nurse residency, the first such program in the country. The Children's Hospitals Graduate Medical Education Payment Program ("CHGME") is a federal program that underwrites some of the expenses freestanding children's hospitals incur to train physician and dental residents in accredited programs. The Hospital received approximately $8 million in 2020, for a total of over $23 million in expenses underwritten over the past three years, from CHGME. In 2020, approximately 1,500 nursing students, 176 paramedic students, and over 520 other students from allied health disciplines such as pharmacy, speech and language pathology, occupational therapy, psychology, child life, and social work received their pediatric education at the Hospital. In addition to OSU, the Hospital has affiliations with over 400 other universities, hospitals, and institutions. The Hospital also offers mentoring, shadowing, young scientist, STEMM (science, technology, engineering, mathematics and medicine), and/or minority recruitment programs within 160 school districts. The Hospital offers professional education programs to improve and sustain delivery of high quality pediatric care to all children. In 2020, it awarded continuing medical education credits to approximately 25,500 physicians and 16,100 nurses/allied health professionals; offered 806 contact hours of continuing nursing education, awarding 16,236 nursing contact hours; and organized 44 local, regional, national and international conferences. In 2020, the Hospital taught 6,900 multidisciplinary participants in over 700 simulation sessions. The Hospital works closely with local healthcare providers, including 19 affiliate hospitals, to standardize pediatric care throughout Ohio. In 2020, the Hospital provided 85 outreach education sessions for 1,200 participants. Another 1,500 health care providers received Pediatric Advanced Life Support training from the Hospital. Since 2012, the Hospital's PREP (Personal Responsibility Education Program) trained staff in over 50 agencies to educate very high risk adolescents in juvenile justice and foster care. Patient, family, and community education are very important to health and wellbeing. In 2020, approximately 40,000 children and adults participated in Hospital-sponsored education, specialty camps, health fairs, and other education events. The Hospital distributed over 500,000 patient education teaching tools for children and families. The Family Health Information Center provided multimedia health education materials to more than 1,200 families. The Hospital is working to improve population health. One initiative, called "SPARK," is an evidence-based, no-cost kindergarten readiness program for families living near the Hospital. On a monthly basis, children receive a new book, lesson activities customized to their needs, and educational supplies, along with home or group-based which switched to a virtual model during COVID. Ninety-six percent of the children in the program demonstrate kindergarten readiness at program completion vs. 33% pre-program. The Hospital continues to educate every hospital and medical staff member on quality tools. The Hospital's Quality Improvement Essentials course is nationally recognized for training the next generation of quality improvement ("QI") leaders. Since 2010, the Hospital has trained nearly 500 healthcare professionals from the Hospital as well as Children's National Medical Center (Washington DC), Children's Hospital King's Daughter's (Norfolk), Children's Healthcare of Atlanta, University Hospitals Rainbow Babies & Children's Hospital (Cleveland) and Oschner Medical Center (New Orleans), and Driscoll Children's Hospital (Corpus Christi). The Hospital was the first children's hospital designated by the American Board of Medical Specialties as a Multi-specialty Portfolio Program Sponsor. Since 2012, over 800 physicians (and hundreds of other team members) have engaged in 245 different QI projects for credit at no charge to physicians. FORM 990, PART III, LINE 4D - OTHER PROGRAM SERVICE ACTIVITIES Child Advocacy: Nationwide Children's Hospital is committed to serving our community. Through advocacy and volunteering efforts across the organization, employees work in the community to improve health outcomes for all children, not just those who are patients here. Because of our commitment to health equity and best outcomes for every child, we are naturally inclined to advocate in diverse ways in support of children everywhere. Advocacy efforts to achieve this goal are multifaceted. From working with legislators to ensure health care coverage for children to working with community partners to advance community wellness, efforts include but are not limited to: Pediatric Health Care Legislation and Policies: Nationwide Children's actively promotes legislation and policies that support pediatric health care locally and nationally. Nationwide Children's, in conjunction with the Children's Hospital Association, advocates for protecting access to health care for children through Medicaid and the Children's Health Insurance Program (CHIP). Additionally, through the Child Health Patient Safety Organization, Nationwide Children's is working to improve hospital and national patient, family and employee safety efforts. Nationwide Children's also trains the next generation of child health advocates by offering a Government Relations "rotation" to the hospital's residents. Educational sessions and events, including the annual Resident Advocacy Day at the Ohio Statehouse, introduce future pediatricians to policy issues surrounding child health. In 2020, Nationwide Children's made special efforts to urge for increased federal funding for the Children's Hospital Graduate Medical Education Program, supporting the training of residents and fellows. Research Advocacy Efforts: While over-the-counter analgesic medications like ibuprofen and acetaminophen are widely considered safe and are easily accessible, a 2020 study from Nationwide Children's Hospital found a sharp increase in the number and rate of suicide-related calls to U.S. Poison Control Centers over a nearly two-decade period involving those medications. The increase was driven particularly by females, ages 6 to 19. The findings from the hospital's Center for Injury Research and Policy and Central Ohio Poison Center led experts to call for changes in packaging, so that large doses of over-the-counter analgesics would be less accessible. It also led to recommendations from suicide prevention experts that could help parents and pediatricians mitigate the risk for young people. Another crucial piece of research advocacy from Nationwide Children's led the Centers for Medicare and Medicaid to create a new official billing code for adult congenital heart disease (ACHD) in March of 2020. The code allows board-certified ACHD subspecialists to bill for the distinctive care they give. An analysis from The Heart Center at Nationwide Children's and other institutions helped show the importance of board-certified ACHD specialists and clinical care teams. The new code is expected to help the subspecialty grown and result in improved patient care. Child Safety: The work of The Center for Family Safety and Healing (TCFSH) is dedicated to reducing the occurrence of child abuse and all aspects of family violence, including child abuse and neglect, teen dating abuse, domestic violence and elder abuse. The center has a one-stop, coordinated response to family violence for individuals and families through its collaboration with key community agencies. TCFSH offers a continuum of research-based prevention, assessment, intervention and treatment programs for individuals who have experienced family violence. In 2020, TCFSH had 1,463 visits to the Child Assessment Center and 501 Nationwide Children's inpatient consults. The center's Training and Advocacy Department (TAD) provides educational and training opportunities regarding family violence to individuals and organizations in the community. The goal is to help community members recognize the warning signs of family violence, respond appropriately to someone who may be experiencing family violence, and make a referral to provide support. In 2020, TAD served 58 organizations throughout the community and conducted 381 trainings. TCFSH also created a Direct Assistance Fund in April 2020 to help families at increased risk as a result of the COVID-19 pandemic. The fund addresses food insecurity, emergency housing, utilities and immediate safety needs. The fund served 428 families in its first nine months. Telehealth: When COVID-19 ignited stay-at-home orders, public and private insurers quickly relaxed the rules for covering telehealth visits. Nationwide Children's responded in kind by rapidly expanding their telehealth capacity and training. Nationwide Children's was a few months into a two-to-three-year plan to expand telehealth access across the institution. That plan was immediately fast tracked to bring providers in every outpatient service online for telehealth. Between mid-March and mid-June, more than 100,000 telehealth visits had been completed. In post-visit surveys, 96% of families said telehealth improves their access to care. They experienced a number of savings as a result of telehealth expansion, including fewer days taken off work and fewer hours spent traveling. Throughout the implementation process, continuing through the pandemic and beyond, researchers at Nationwide Children's are looking at how telehealth impacts care and access to care. Publications about telehealth from experts in many service lines show the broad impact and possible future uses for this important health care tool. Neighborhood Revitalization: Employees, faculty and staff at Nationwide Children's are all invested in the community surrounding the hospital's main campus. From volunteering to clean up local parks to spending time at the area's food bank or free store, employees are most engaged in the community through the Healthy Neighborhoods Healthy Families (HNHF) initiative. HNHF at Nationwide Children's collaborates with community partners to focus on five key areas: Education, Affordable Housing, Economic Development, Community Enrichment, and Health and Wellness. Education - One of the neighborhood challenges uncovered by the Health Care Needs Assessment, performed in collaboration with Franklin County, was access to preschool education for kindergarten readiness. The HNHF initiative at Nationwide Children's offers a kindergarten readiness program, called SPARK, where staff worked with caregivers and children to learn appropriate tools for working toward kindergarten readiness together. In 2020, 98% of children were kindergarten-ready based on pre-and post-test scores. Nationwide Children's educational focus led to more than 60 employees from across the hospital, including research, clinical and hospital employees, participating as mentors virtually through neighborhood schools and organizations in 2020. Mentors spend one hour weekly with their mentee in deliberate activities and discussion. In addition, 51 local high school students participated in the Upward Bound Math and Science program in 2020. All participants graduated from high school and 76% of those students went on to become first-generation college attendees. Housing Projects - Housing is a vital part of a healthy community. The vacancy rate experienced by the neighborhood surrounding the hospital was a concern for many residents. HNHF, working in tandem with community partners, has made an impact in this area. In 2020, 3 homes were completed for ownership through the Central Ohio Community Land Trust, 11 units were created for rental occupancy and 12 homeowners were provided with grants for exterior improvements. In addition, six homes were constructed as part of the newly formed Central Ohio Community Land Trust. Since 2008, more than 400 homes have been impacted through rehabilitations, home improvement grants and new builds. The hospital's continued financial commitment to HNHF has helped to support the construction of safe, decent, and affordable housing. Economic Development - More than 150 residents of the zip codes surrounding the hospital were employed by Nationwide Children's Hospital in 2020 as a result of workforce development and strategic recruitment efforts by the hospital. More than 1,000 Nationwide Children's Hospital residents retain employment from the HNHF zip codes. Nationwide Children's also started free IRS/VITA tax clinics for residents making under $65,000 to help them access tax credits and refunds. A total of 54 families were served, resulting in more than $77,000 in federal and state refunds. FORM 990, PART III, LINE 4D - CONTINUED Community Enrichment - Since 2015, more than 75 leaders have graduated from the South Side Neighborhood Leadership Academy, which supports residents in their continued growth as change agents in the community. A total of 11 leaders graduated in 2020. In addition, over 50 non-profits, businesses, and neighborhood organizations convened as the South Side Thrive Collaborative (SSTC). SSTC partners aim to improve economic mobility, housing stability and health for all. Health and Wellness - School-based Nationwide Children's health clinics and the Mobile Care Centers had nearly 5,300 patients in 2020, despite COVID-19 shutting down schools, while school-based behavioral health had more than 9,600 visits during 2020. In addition, approximately 45 caregivers (teen and adults) attended Positive Parenting Program (Triple P) workshops from the South Side and Linden neighborhoods. HNHF Expansion - Along with its transformational efforts in the communities surrounding the hospital, Nationwide Children's announced in 2020 a large expansion to another traditionally at-risk Columbus neighborhood, Linden. The HNHF expansion will leverage lessons learned on the South Side of Columbus to expand housing options, develop business and improve health in the Linden community. One house in Linden was a recipient of the home repair grant program in 2020 and the tax clinic opportunity was offered in the Linden neighborhood. FORM 990, PART VI, LINE 2 - DESCRIPTION OF RELATIONSHIPS A BUSINESS RELATIONSHIP EXISTS BETWEEN THE FOLLOWING DIRECTORS OF NATIONWIDE CHILDREN'S HOSPITAL: C. ROBERT KIDDER, JOSEPH A. CHLAPATY, AND ALEX FISCHER. A BUSINESS RELATIONSHIP EXISTS BETWEEN THE FOLLOWING DIRECTORS OF NATIONWIDE CHILDREN'S HOSPITAL: ALEX FISCHER, C. ROBERT KIDDER, AND TIMOTHY C. ROBINSON. A BUSINESS RELATIONSHIP EXISTS BETWEEN THE FOLLOWING DIRECTORS OF RINCH: THOMAS WALKER AND TIMOTHY C. ROBINSON. A BUSINESS RELATIONSHIP EXISTS BETWEEN THE FOLLOWING DIRECTORS/OFFICERS OF NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION: THOMAS N. BRIGDON, TIMOTHY C. ROBINSON, RHONDA COMER, LUKE BROWN, AND STEPHEN TESTA. FORM 990, PART VI, LINE 6 - DESCRIPTION OF CLASSES OF MEMBERS NATIONWIDE CHILDREN'S HOSPITAL, INC. (THE PARENT ORGANIZATION OF THE GROUP) IS THE SOLE MEMBER OF THE MAJORITY OF THE SUBORDINATE ORGANIZATIONS IN THE GROUP EXEMPTION. SOME OF THE SUBORDINATE ORGANIZATIONS ARE NON-PROFIT SUBSIDIARIES OF THE LARGEST SUBORDINATE ORGANIZATION, NATIONWIDE CHILDREN'S HOSPITAL. FORM 990, PART VI, LINE 7A - CLASSES OF PERSONS AND THEIR RIGHTS NATIONWIDE CHILDREN'S HOSPITAL, INC. IS THE PARENT CORPORATION WITH VOTING CONTROL OVER THE SUBORDINATE ORGANIZATIONS. FORM 990, PART VI, LINE 7B - DECISIONS REQUIRING APPROVAL BY MEMBERS NATIONWIDE CHILDREN'S HOSPITAL, INC. WILL OVERSEE THE OPERATIONS OF AND WILL PERFORM CERTAIN SERVICES FOR ITS SUBORDINATE ORGANIZATIONS. NCH INC. WILL COORDINATE EXPANSION OF THE GROUP PROGRAMS AND ASSETS AND WILL DETERMINE IF ADDITIONAL ENTITIES WILL BE NEEDED WITHIN THE GROUP. FORM 990, PART VI, LINE 11B - PROCESS USED TO REVIEW 990 THIS FORM 990 WAS REVIEWED PRIOR TO FILING BY NATIONWIDE CHILDREN'S HOSPITAL CHIEF EXECUTIVE OFFICER/BOARD DIRECTOR; CHIEF FINANCIAL OFFICER/BOARD TREASURER; SENIOR VICE PRESIDENT OF LEGAL SERVICES / BOARD SECRETARY; AND THE FINANCE COMMITTEE CHAIR. IN ADDITION, THIS RETURN WAS MADE AVAILABLE TO THE ENTIRE FINANCE COMMITTEE OF THE BOARD AND MADE AVAILABLE UPON REQUEST TO THE BOARD. FORM 990, PART VI, LINE 12C - PROCESS TO MONITOR FOR CONFLICTS OF INTEREST NCH POLICY REQUIRES THAT STAFF MEMBERS, MANAGEMENT AND BOARD MEMBERS REPORT CONFLICTS OF INTEREST OR COMMITMENT AT THE TIME THE CONFLICT ARISES. MANAGEMENT AND BOARD MEMBERS ARE ALSO REQUIRED TO COMPLETE DISCLOSURE FORMS ANNUALLY, REGARDLESS OF THE EXISTENCE OF CONFLICT. ALL DISCLOSURES ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER OR THE BOARD SECRETARY. IF A CONFLICT EXISTS, A CONFLICT MANAGEMENT PLAN MAY BE PUT IN PLACE TO MITIGATE THE CONFLICT. STAFF, MANAGEMENT AND BOARD MEMBERS ARE PROHIBITED FROM VOTING ON ANY MATTERS WITH RESPECT TO WHICH THE INDIVIDUAL HAS DISCLOSED A POTENTIAL CONFLICT OF INTEREST. FORM 990, PART VI, LINE 15A - PROCESS FOR DETERMINING COMPENSATION OF CEO IN THE FIRST QUARTER OF 2020, NCH HELD ITS ANNUAL MEETING FOR THE PURPOSE OF COMPENSATION REVIEW. FOR THE CEO, THERE IS A MEETING OF THE MANAGEMENT DEVELOPMENT/COMPENSATION COMMITTEE WHERE THE MEMBERS REVIEW MARKET DATA PROVIDED BY OUTSIDE CONSULTANTS AND DECIDE ON A RECOMMENDED SALARY ADJUSTMENT THAT INCLUDES CONSIDERATION OF THE CEO'S PERFORMANCE. THEN, THIS RECOMMENDATION IS BROUGHT TO THE FULL BOARD AND THE BOARD TAKES INTO ACCOUNT THIS RECOMMENDATION, THE CEO'S PERFORMANCE, AND APPROVALS ARE MADE. CONTEMPORANEOUS MINUTES ARE KEPT AT ALL BOARD MEETINGS AND COMMITTEE MEETING ACTIVITIES AND DECISIONS ARE ALSO DOCUMENTED. FORM 990, PART VI, LINE 15B - DETERMINING COMP OF OFFICERS & KEY EMPLOYEES IN THE FIRST QUARTER OF 2020, NCH HELD ITS ANNUAL MEETING FOR THE PURPOSE OF COMPENSATION REVIEW. FOR OFFICERS AND KEY EMPLOYEES OTHER THAN THE CEO, THERE IS A MEETING OF THE MANAGEMENT DEVELOPMENT/COMPENSATION COMMITTEE OF THE BOARD. AT THAT TIME, MARKET SURVEY DATA PROVIDED BY OUTSIDE CONSULTANTS AND/OR OUTSIDE SOURCES IS REVIEWED TO DETERMINE COMPENSATION OR COMPENSATION ADJUSTMENTS FOR THESE POSITIONS, THE CEO'S INPUT IS CONSIDERED AS IT RELATES TO INDIVIDUAL PERFORMANCE FOR THESE INDIVIDUALS, AND INCREMENTAL ADJUSTMENTS ARE RECOMMENDED, THE GROUP DELIBERATES, AND THE APPROVALS ARE MADE. CONTEMPORANEOUS MINUTES ARE KEPT AT ALL BOARD MEETINGS AND COMMITTEE MEETING ACTIVITIES AND DECISIONS ARE ALSO DOCUMENTED. FORM 990, PART VI, LINE 19 - AVAIL OF GOV DOCS, COI POLICY, & FIN STMTS NATIONWIDE CHILDREN'S HOSPITAL'S (NCH) FINANCIAL STATEMENTS ARE DISCLOSED ON THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBPAGE AND THE ARTICLES OF INCORPORATION ARE ON THE OHIO SECRETARY OF STATE'S WEBPAGE. CURRENTLY, NCH DOES NOT MAKE ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B)- AVERAGE HOURS PER WEEK FOR NATIONWIDE CHILDREN'S HOSPITAL EMPLOYEES THAT ARE MEMBERS OF VARIOUS BOARDS AND HOLD SEVERAL POSITIONS WITHIN THE ORGANIZATION, THE HOURS LISTED REPRESENT THE NUMBER OF HOURS THAT INDIVIDUAL DEVOTES TO ALL THE ENTITIES INCLUDED WITHIN THE NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN. THE GOVERNING BOARD OF NATIONWIDE CHILDREN'S HOSPITAL, INC. AND NATIONWIDE CHILDREN'S HOSPITAL IS A JOINT BOARD AND MEMBERS SERVE ON THESE BOARDS CONCURRENTLY. FORM 990, PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS Effect of Adoption of SFAS No. 158 (363,726) NET CHANGE IN INTEREST RATE SWAP AGREEMENTS (11,893,368) TECHNOLOGY INVESTMENTS 107,438 TRANSFER FROM PARTNERS FOR KIDS 56,803,257 SWAP TERMINATION PAYMENT 1,874,638 OTHER (8,723,615) ____________ TOTAL OTHER CHANGES IN NET ASSETS 37,804,624 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:90318152 FORM 990 PART IX LINE 11G DESCRIPTION:NICU LEASED SALARIES & MED SVC TOTAL FEES:49705148 FORM 990 PART IX LINE 11G DESCRIPTION:RESEARCH SUBCONTRACT EXPENSE TOTAL FEES:9340209 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTATION FEES TOTAL FEES:4901228 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:46513618 CHILDREN'S COMMUNITY PRACTICES LLC 700 CHILDRENS DRIVE COLUMBUS OH 43205 472998916 PHYSICIAN SVC OH 4693926 2044538 NCH NEAR EAST SIDE HOLDINGS LLC 700 CHILDRENS DRIVE COLUMBUS OH 43205 832817371 REAL ESTATE OH 26912 5773314 NCH PEDIATRIC ROTOR WING LLC 700 CHILDRENS DRIVE COLUMBUS OH 43205 462042425 AIR TRANSPORT OH 2460277 4985275 NCH CHILDREN'S PHYSICAL MED & REHAB PHYS LLC 700 CHILDRENS DRIVE COLUMBUS OH 43205 471425306 PHYSICIAN SVC OH 1359327 0 NCH CHILDREN'S PSYCHIATRISTS LLC 700 CHILDRENS DRIVE COLUMBUS OH 43205 462603371 PHYSICIAN SVC OH 5431157 50900 nch KINDER KEY 700 CHILDRENS DRIVE COLUMBUS OH 43205 237380687 FUNDRAISING OH 501(c)(3) 7 NCH true PLEASURE GUILD 700 CHILDRENS DRIVE COLUMBUS OH 43205 310935599 FUNDRAISING OH 501(c)(3) 10 NCH true TWIGS 700 CHILDRENS DRIVE COLUMBUS OH 43205 316015354 FUNDRAISING OH 501(c)(3) 10 NCH true CHILDREN'S HOSP & PHYS HLTHCRE NETWORK 700 CHILDRENS DRIVE COLUMBUS OH 43205 311429047 HLTHCRE NETWK OH 501(c)(3) 12a NCH true COLLIERS PROFESSIONAL LIABILITY CORP 23 LIME TREE BAY AVENUE GRAND CAYMAN CJ KY1-1102 980457066 INS CONTRACTING CJ NCH C Corp 0 2689382 1.00000 true NE CLOSE TO HOME CONDO ASSOCIATION 433 NORTH CLEVELAND AVENUE WESTERVILLE OH 43082 205540381 CONDO ASSOCIATION 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