2019-11-14T10:17:07-06:00 2018-12-31 ERNST & YOUNG US LLP 221 E 4TH STREET SUITE 2900 CINCINNATI OH 45202 990 2018-01-01 311429047 Children's Hospital and Physician's Healthcare Network % CHRISTINA MCMANUS CHIL 6147225958 700 Childrens Drive Columbus OH 43205 Luke Brown NCH Interim CFO 6147225958 2019-11-07 true JULIE L SPARKS P01268401 5136121400 108.206.163.59 31499120193185000002 2019-11-14 P 770194AAF055F9EA87E64CA02E08FE540289067F 770194AAF055F9EA87E64CA02E08FE540289067F 2018 2020-03-31 21:24:44Z Partners for Kids Sean Gleeson MD 700 Childrens Drive Columbus OH 43205 931097962 false X www.partnersforkids.org X 1994 OH Improving the health of children through high values, innovative care and community partnerships. 17 7 0 0 0 0 0 0 840061303 930610066 229696 487896 0 0 840290999 931097962 27471 19170 0 0 7763415 9733746 0 0 0 786944362 901862985 794735248 911615901 45555751 19482061 174377866 250922709 128957348 186020130 45420518 64902579 X Improving the health of children through high value, innovative care and community partnerships. false false 897818895 930594438 Member Health Care Services (SEE SCHEDULE O) 5264413 2628 Care Navigation (SEE SCHEDULE O) 3469826 19170 13000 Quality Improvement, Community Health and Research (SEE SCHEDULE O) 906553134 true false false false false false false false false false false false false false true true false true false false false false false false false false false true false true false false false false false false false false false false false false false true false false false true X 3 0 true 0 false false false false false false false false false false false false X 17 7 false false false false true true false true true false false false true true true false false false false false OH X CHRISTINA MCMANUS 6143553119 700 Childrens Drive Columbus OH 43205 X William Long MD CHAIRMAN / DIRECTOR 3.0 47.0 X X 0 97085 1058 Timothy Robinson TREASURER / DIRECTOR 3.0 47.0 X X 0 1567765 166322 Steve Allen MD DIRECTOR 3.0 47.0 X 0 2782488 530142 Richard Brilli MD DIRECTOR 3.0 43.0 X 0 711824 165422 Richard Miller DIRECTOR 3.0 47.0 X 0 1542606 166762 Alex Kemper MD DIRECTOR 3.0 0.0 X 0 0 0 John Barnard MD DIRECTOR 3.0 38.0 X 0 530200 53874 Lawrence Moss MD DIRECTOR (TO 8/6/2018) 3.0 47.0 X 0 824234 49849 Allan Beebe MD DIRECTOR (AS OF 8/6/2018) 3.0 47.0 X 0 875681 50065 Joshua Watson MD DIRECTOR 3.0 0.0 X 0 0 0 Garey Noritz MD DIRECTOR 3.0 0.0 X 0 0 0 Meredith Merz Lind MD DIRECTOR 3.0 47.0 X 0 512197 63274 Katherine Deans MD DIRECTOR 3.0 47.0 X 0 581722 38821 Renee Taylor MD DIRECTOR 3.0 0.0 X 0 0 0 Olivia Thomas MD DIRECTOR 3.0 0.0 X 0 0 0 H Scott Tyson MD DIRECTOR 3.0 0.0 X 0 0 0 Joshua Uffman MD DIRECTOR 3.0 47.0 X 0 420137 68162 Lisa Brooks DIR / PATIENT REPRESENTATIVE 3.0 0.0 X 0 0 0 Sean Gleeson MD PRESIDENT 50.0 0.0 X 457785 0 51655 Stephen Cardamone DO MEDICAL DIRECTOR 50.0 0.0 X 320082 0 23022 Rhonda Comer SECRETARY 3.0 47.0 X 0 707276 60626 Sara Evans ASSISTANT SECRETARY 3.0 47.0 X 0 190094 44350 Pamela Edson VICE PRESIDENT 50.0 0.0 X 242279 0 42833 Catherine Kuhn Clinical Pharm. - Managed CARE 50.0 0.0 X 125669 0 29412 Mary Siefke Corporate Finance Manager 50.0 0.0 X 115095 0 29053 Bradford Stamm Business Manager 50.0 0.0 X 112200 0 7363 Stephen Gysan IS Database Administrator 50.0 0.0 X 108550 0 31546 1481660 11343309 1673611 7 false true false PEDIATRIC ACADEMIC ASSOCIATION INC 555 SOUTH 18TH STREET COLUMBUS OH 43205 CAPITATION PAYMENTS 16702408 PARTNERRE 450 SANSOME STREET SAN FRANCISCO CA 94111 REINSURANCE PAYMENTS 4529053 TRUVEN PO BOX 71716 CHICAGO IL 60694 Data Management 423600 CHILDREN'S SURGICAL ASSOCIATES CORP 700 CHILDRENS DRIVE COLUMBUS OH 43205 CAPITATION PAYMENTS 321448 Pediatric Associates Inc 1021 Country Club Road COLUMBUS OH 43213 CAPITATION PAYMENTS 285604 15 0 0 0 Capitation Premiums 900099 930594438 930594438 0 0 Credentialing Fees 900099 13000 13000 0 0 All other program service revenue 900099 2628 2628 0 0 930610066 487896 487896 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 931097962 930610066 0 487896 19170 19170 0 0 0 0 0 0 1137656 314108 823548 0 0 0 0 0 6610890 5533176 1077714 0 0 0 0 0 1985200 1569202 415998 0 0 0 0 0 0 0 0 0 151042 0 151042 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2938675 1247231 1691444 0 0 0 0 0 131394 100114 31280 0 13852 0 13852 0 0 0 0 0 444085 338364 105721 0 93704 61404 32300 0 0 0 0 0 4565 0 4565 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Claims Expense 892765384 892765384 0 0 Reinsurance Premiums 4604981 4604981 0 0 Letter of Credit Fees 181219 0 181219 0 Membership & Assoc Fees 32311 0 32311 0 501773 501773 911615901 906553134 5062767 0 0 104654296 140962752 22011864 21886059 0 0 39931134 79116041 0 0 0 0 0 0 0 0 452202 392185 0 0 0 0 0 0 0 0 0 0 0 0 7328370 8565672 174377866 250922709 24983706 24822326 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103973642 161197804 128957348 186020130 X 45420518 64902579 0 0 0 0 45420518 64902579 174377866 250922709 19482061 0 0 0 0 X false true X true false X X 1 Nationwide Children's Hospital 314379441 3 true 318914955 0 1 318914955 0 true false false false false false false false false false false false false false false true false 0 Due to Affiliate 1222181 Claims Payabale 159975623 161197804 X SCHEDULE D, PART X, LINE 2 - FIN48(ASC740) FOOTNOTE PFK is included in the audited financial statements of Nationwide Children's Hospital (NCH). NCH's FIN 48 (ASC 740) footnote reads as follows: 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, 2018 and 2017. true Research Institute at NCH 700 Childrens Drive Columbus OH 43205 316056230 501(c)(3) 18170 To fund Research Grants 1 0 Schedule I, Part I, Line 2 Procedures for Monitoring Grants Documentation of the specific expenses these funds are covering is sumbitted to PFK. false true false false false false false false false Timothy Robinson TREASURER / DIRECTOR 0 689235 0 860030 0 18500 0 137125 0 29197 0 1734087 0 100000 Steve Allen MD DIRECTOR 0 1087736 0 1694752 0 0 0 503792 0 26350 0 3312630 0 300000 Richard Brilli MD DIRECTOR 0 439026 0 272798 0 0 0 137125 0 28297 0 877246 0 0 Richard Miller DIRECTOR 0 689180 0 834926 0 18500 0 137125 0 29637 0 1709368 0 100000 John Barnard MD DIRECTOR 0 297440 0 232760 0 0 0 33000 0 20874 0 584074 0 0 Lawrence Moss MD DIRECTOR (TO 8/6/2018) 0 468734 0 337000 0 18500 0 25205 0 24644 0 874083 0 0 Allan Beebe MD DIRECTOR (AS OF 8/6/2018) 0 588595 0 268586 0 18500 0 25205 0 24860 0 925746 0 0 Meredith Merz Lind MD DIRECTOR 0 393675 0 100022 0 18500 0 37125 0 26149 0 575471 0 0 Katherine Deans MD DIRECTOR 0 485672 0 77550 0 18500 0 37125 0 1696 0 620543 0 0 Joshua Uffman MD DIRECTOR 0 342012 0 59625 0 18500 0 37125 0 31037 0 488299 0 0 Sean Gleeson MD PRESIDENT 365347 0 73938 0 18500 0 25205 0 26450 0 509440 0 0 0 Stephen Cardamone DO MEDICAL DIRECTOR 271801 0 48281 0 0 0 20989 0 2033 0 343104 0 0 0 Rhonda Comer SECRETARY 0 519848 0 187428 0 0 0 37125 0 23501 0 767902 0 0 Sara Evans ASSISTANT SECRETARY 0 173934 0 16160 0 0 0 16939 0 27411 0 234444 0 0 Pamela Edson VICE PRESIDENT 209287 0 32992 0 0 0 20179 0 22654 0 285112 0 0 0 Catherine Kuhn Clinical Pharm. - Managed CARE 125669 0 0 0 0 0 7342 0 22070 0 155081 0 0 0 SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN 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. FORM 990, PART III, LINE 4A Member Health Care Services Partners For Kids (PFK) acts as an accountable care organization and is committed to providing and improving medical care for children enrolled in managed Medicaid and living in the South Central and South East regions of Ohio. It has full-risk capitation agreements with the 5 Medicaid managed care plans and is financially responsible for the medical, dental, vision and pharmacy claims expenses for approximately 320,000 children. PFK works closely with hospitals, physician practices and Medicaid managed care plans to ensure comprehensive and quality medical care is available to the Medicaid population within its service area. FORM 990, PART III, LINE 4B Care Navigation Partners For Kids Care Navigation provides both episodic and complex case management based on patient needs, intensity of service required, and level of care. The goals of Care Navigation program are: a. Assist patients in achieving optimum health outcomes, functional capability, and quality of life through improved management of their disease or condition. b. Identifying, accessing and maximizing available benefits and resources. c. Assist patients in achieving goals by improving their ability to self-manage their disease or condition. d. Coordinating services among providers involved by creating collaboration between patients, family, providers, and community organizations to develop goals. e. Facilitating timely receipt of appropriate services in the most appropriate setting. Partners For Kids Care Navigation conducts semi-annual program evaluations which measure: a. Reduction in utilization - Testing of select patients demonstrates a significant reduction in inpatient admissions, bed days, and ED visits. B. Outreach Engagement Rates by Population Type - 2018 patient outreach resulted in 50% enrollment C. Satisfaction Survey Results - Composite Score Mean on Patient Survey regarding integrated care is 62.5 for 2018 FORM 990, PART III, LINE 4C Quality Improvement, Community Health and Research: Quality Improvement Coaching Partners For Kids Quality Improvement Coaching program concentrates on key issues affecting childrens health, and is tailored to participating community primary care practices in a 34-county region. Practices are supported on-site by a PFK Quality Improvement specialist who coaches practice teams through projects, shares ideas for change and tests changes. The improvement process at the practice is then supported by participation in a diverse network where learning best practices and challenges is shared. Improvement is measured using objective definitions and statistical tools to support decision making. In 2018, the Partners For Kids Quality Improvement (QI) Coaching program: a. Engaged 33 community practices with at least one active QI project during the year, with 82,486 Partners For Kids patients receiving care at those sites - Of these engaged practices, over half of them (18) participated in more than one active project in 2018 - Six of these practices participated in 3 or more different projects B. Facilitated 55 active QI projects with community providers, including: - 6 asthma projects - 6 depression projects - 7 emergency department reduction projects - 15 fluoride varnish projects - 7 reproductive health projects - 13 well visit projects C. Showed improvement in over 90% of active QI projects - 5 of 6 asthma projects showed improvement - 6 of 6 depression projects showed improvement - 6 of 7 emergency department reduction projects - 15 of 15 fluoride varnish projects - 6 of 7 reproductive health projects - 13 of 13 well visit projects The Partners For Kids Office of the Medical Director also has hosted a Project ECHO learning collaborative to increase the capability of primary care providers to manage patients with behavioral health concerns. An initial cohort of seven practices completed the first round of training, and an additional seven practices will complete a second round of training by the end of calendar year 2019. A particular focus of utilization management within the Partners For Kids Office of the Medical Director is to increase the amount of preferred, higher-value stimulant medications prescribed to manage children with attention deficit hyperactivity disorder (ADHD). The Partners For Kids Office of the Medical Director has developed specific prescribing guidelines for ADHD, and is supporting community providers with webinar educational sessions and in-person consultation with pharmacists with relevant expertise. School-Based Health Centers and Mobile Units The School-Based Health Program is a partnership with central Ohio schools that is designed to reach patients with the greatest need. The program is co-funded by Nationwide Childrens Hospital and Partners For Kids and managed by Nationwide Childrens Hospital. The 13 school-based health centers (SBHC) and 2 mobile units provide unique access to primary care for those not otherwise accessing care. Providers in these clinics and mobile units integrate care with services provided in schools, community sites and also reconnect patients to a medical home. A primary goal of the school-based health centers and mobile units is to reduce health inequities for an at-risk population of students. Secondarily, the aims include: reducing preventable school absences, increasing the number of children receiving preventative care, improving outcomes for students with chronic medical conditions and reducing physiological and environmental factors that impede academic attainment. Important measures of this program include: a. In 2018, the Ohio Department of Health designated all 13 SBHCs as enrolled Vaccines For Children sites and 2,575 doses of vaccines were given throughout the calendar year. b. Clinic staff completed 4,723 visits of which 1,615 were well-child visits. c. Clinic staff provided 1,764 referrals, with the most common being Behavioral Health and Ophthalmology referrals. d. In 2018, the Mobile Units served 76 unique sites. The sites were a combination of schools and community locations. e. Mobile Unit clinic stat completed 1,941 visits of which 947 were well-child visits. School-Based Asthma Therapy (SBAT) Program The School-Based Asthma Therapy (SBAT) Program works as a liaison between the school and the asthma care provider to design a plan for students with high-risk asthma to receive his/her asthma prevention medication right at school. One of the primary goals of the program is to maintain the students asthma care with their asthma care provider, while helping improve compliance of the students asthma care with their controller medications. Working with community partners, such as the school nurse to help children get their medicine makes this possible. The program is co-funded by Nationwide Childrens Hospital and Partners For Kids. A. By the end of the 2018-19 school year, there were 739 unique students were enrolled by the end of 2018-19 school year from 265 participating schools across 26 districts. b. When comparing patient outcomes 1 year pre- and 1 year post-SBAT enrollment, the following results were achieved: - A 52% reduction in ED rates - A 73% reduction in IP rates - A 78% reduction in PICU rates Research Partners For Kids data is used to support research. We believe that research enables PFK to: a. uphold our responsibility to improve the quality and efficiency of care for children; b. support measures population health; c. enable clinicians to develop, evaluate and lead improvement interventions Research productivity is measured by the use of PFK in articles published in peer-reviewed journals and used in scholarly poster presentations. In 2018, four abstracts were presented at various conferences and one journal article was published. FORM 990, PART V, LINE 2 NUMBER OF EMPLOYEES PARTNERS FOR KIDS (PFK) EMPLOYEES WERE LEASED THROUGH NATIONWIDE CHILDRENS HOSPITAL, A RELATED ORGANIZATION. THERE WERE NO W-2S FILED BY PFK. FORM 990, PART VI, LINES 1 AND 2 INDEPENDENT VOTING MEMBER PERCENTAGE NATIONWIDE CHILDRENS HOSPITAL (NCH), AN OHIO NONPROFIT CORPORATION EXEMPT FROM TAXATION UNDER SECTION 501(C)(3), APPOINTS A MAJORITY OF THE DIRECTORS TO PARTNERS FOR KIDS (PFK) BOARD. PFK IS A SUBSIDIARY OF NCH, ONE OF THE NATIONS PREMIER PEDIATRIC HEALTH CARE AND RESEARCH ORGANIZATIONS. NCHS BOARD MEMBERS BROADLY REPRESENT THE INTERESTS OF THE COMMUNITY AND A MAJORITY OF THE BOARD MEMBERS ARE INDEPENDENT OF NCH. AS A SUBSIDIARY OF NCH, PFK IS ALSO UNDER THE CONTROL OF A COMMUNITY BOARD. BOTH ORGANIZATIONS HAVE FORMALLY ADOPTED AND ADHERE TO CONFLICTS OF INTEREST POLICIES. FORM 990, PART VI, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS PARTNERS FOR KIDS (PFK) HAS TWO CLASSES OF MEMBERS HOSPITAL AND PHYSICIAN MEMBERS. THE SOLE HOSPITAL MEMBER OF PFK IS NATIONWIDE CHILDRENS HOSPITAL. A PHYSICIAN MAY BECOME A MEMBER OF PFK (A) BEING ONE OF THE FOLLOWING FOUR TYPES OF PHYSICIANS: 1) A HOSPITAL-BASED SPECIALIST (WITH A PRINCIPAL PRACTICE IN ANESTHESIOLOGY, PATHOLOGY OR RADIOLOGY); 2) A MEDICAL SPECIALIST; 3) A PEDIATRIC PRIMARY CARE PHYSICIAN; OR 4) A SURGICAL SPECIALIST, (B) HAVING A MEDICAL STAFF APPOINTMENT AT NATIONWIDE CHILDRENS HOSPITAL, AND (C) EXECUTING A PARTICIPATING PROVIDER SERVICE AGREEMENT WITH PFK. FORM 990, PART VI, LINE 7A POWER TO ELECT OR APPOINT MEMBERS THE HOSPITAL MEMBER OF PFK (NATIONWIDE CHILDRENS HOSPITAL) APPOINTS 9 OF THE 17 MEMBERS OF PFKS BOARD OF DIRECTORS. THE PHYSICIAN MEMBERS APPOINT THE REMAINING EIGHT DIRECTORS. FORM 990 PART VI, LINE 11B PROCESS USED TO REVIEW 990 THIS FORM 990 WAS REVIEWED PRIOR TO FILING BY NATIONWIDE CHILDRENS HOSPITAL CHIEF EXECUTIVE OFFICER/PARTNERS FOR KIDS BOARD TREASURER; NATIONWIDE CHILDRENS HOSPITAL INTERIM CHIEF FINANCIAL OFFICER; AND NATIONWIDE CHILDRENS HOSPITAL SENIOR VICE PRESIDENT OF LEGAL SERVICES/PARTNERS FOR KIDS BOARD SECRETARY. FORM 990, PART VI, LINE 12C PROCESS TO MONITOR FOR CONFLICTS OF INTEREST THE CONFLICT OF INTEREST 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 13 WHISTLEBLOWER POLICY PARTNERS FOR KIDS (PFK) DOES NOT HAVE ITS OWN WHISTLEBLOWER POLICY. ALL INDIVIDUALS WHO WORK ON BEHALF OF PFK ARE NATIONWIDE CHILDRENS HOSPITAL (NCH) EMPLOYEES THAT ARE LEASED TO PFK. AS NCH EMPLOYEES, ALL PERSONNEL ARE SUBJECT TO NCHS EMPLOYMENT POLICIES AND STANDARD OF CONDUCT, WHICH CONTAINS WHISTLEBLOWER PROVISIONS. FORM 990 PART VI, LINE 14 DOCUMENT RETENTION AND DESTRUCTION POLICY PARTNERS FOR KIDS (PFK) CREDENTIALS PROVIDERS FOR PARTICIPATION IN VARIOUS INSURANCE PLANS. IT DOES HAVE A DOCUMENT RETENTION POLICY FOR CREDENTIALING DOCUMENTS, BUT FOR ALL OTHER DOCUMENTS IT FOLLOWS THE NATIONWIDE CHILDRENS HOSPITAL RETENTION AND DESTRUCTION POLICY. FORM 990 PART VI, LINE 19 AVAIL OF GOV DOCS, COI POLICY, & FIN STMTS NATIONWIDE CHILDREN'S HOSPITAL'S (NCH) FINANCIAL STATEMENTS, IN WHICH PARTNERS FOR KIDS (PFK) IS INCLUDED, ARE DISCLOSED ON THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBPAGE. THE PFK ARTICLES OF INCORPORATION ARE ON THE OHIO SECRETARY OF STATE'S WEBPAGE. CURRENTLY, PFK DOES NOT MAKE ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. Nationwide Children's Hospital 700 Childrens Drive Columbus OH 43205 314379441 Hospital OH 501(c)(3) 3 NA false Nationwide Children's Homecare 700 Childrens Drive Columbus OH 43205 311296332 Homecare OH 501(c)(3) 10 NCH false Children's Radiological Institute Inc 700 Childrens Drive Columbus OH 43205 311439570 Radiology OH 501(c)(3) 10 NCH false Pediatric Pathology Associates of Columb 700 Childrens Drive Columbus OH 43205 311595013 Pathology OH 501(c)(3) 10 NCH false Children's Surgical Associates Corp 700 Childrens Drive Columbus OH 43205 311654000 Surgical SVC OH 501(c)(3) 10 NCH false Nationwide Children's Hospital FDN 700 Childrens Drive Columbus OH 43205 311036370 Fundraising OH 501(c)(3) 7 NCH false Research Institute at NCH 700 Childrens Drive Columbus OH 43205 316056230 Research OH 501(c)(3) 7 NCH false Center for Child & Family Advocacy at NC 700 Childrens Drive Columbus OH 43205 020627166 Advocacy OH 501(c)(3) 7 NCH false Children's Anesthesia Associates Inc 700 Childrens Drive Columbus OH 43205 310650338 Anesthesia SVC OH NCH C Corp 0 0 false NCH Realty Inc 700 Childrens Drive Columbus OH 43205 821052739 Realty OH NCH C Corp 0 0 false false false false false false false false false false false true false true false false true false true false