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        <PersonNm>DARRYL A ROBBINS DO</PersonNm>
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        <PersonNm>CRAIG KENT MD</PersonNm>
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        <PersonNm>STEVE ALLEN MD</PersonNm>
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        <PersonNm>LINDA STOVEROCK RN</PersonNm>
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        <PersonNm>CHRISTOPHER TIMAN MD</PersonNm>
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        <PersonNm>CHAD A JESTER</PersonNm>
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        <PersonNm>EDWARD SHEPHERD MD</PersonNm>
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        <PersonNm>CYNTHIA RASMUSSEN</PersonNm>
        <TitleTxt>DIRECTOR - NCH FOUNDATION</TitleTxt>
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        <PersonNm>ALBERT COVELLI</PersonNm>
        <TitleTxt>DIRECTOR - NCH FOUNDATION</TitleTxt>
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        <PersonNm>RICHARD GERMAIN</PersonNm>
        <TitleTxt>DIRECTOR - NCH FOUNDATION</TitleTxt>
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        <PersonNm>WILLIAM EASDALE</PersonNm>
        <TitleTxt>DIRECTOR - NCH FOUNDATION</TitleTxt>
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        <PersonNm>PAMELA FARBER</PersonNm>
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        <PersonNm>TIMOTHY JOHNSON</PersonNm>
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        <PersonNm>JONATHAN RAMSDEN</PersonNm>
        <TitleTxt>DIRECTOR - NCH FOUNDATION</TitleTxt>
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        <PersonNm>BRYAN STEWART</PersonNm>
        <TitleTxt>DIRECTOR - NCH FOUNDATION</TitleTxt>
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        <PersonNm>MICHAEL RAYDEN</PersonNm>
        <TitleTxt>DIRECTOR - NCH FOUNDATION</TitleTxt>
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        <PersonNm>MICHAEL FITZPATRICK</PersonNm>
        <TitleTxt>DIRECTOR - NCH FOUNDATION</TitleTxt>
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        <PersonNm>MELISA MILLER</PersonNm>
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        <PersonNm>DANIELLE SKESTOS</PersonNm>
        <TitleTxt>DIR - NCH FDN (AS OF 8/2018)</TitleTxt>
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        <PersonNm>STEVE ALLEN MD</PersonNm>
        <TitleTxt>DIRECTOR - NCH FOUNDATION</TitleTxt>
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        <PersonNm>SHAREN JESTER TURNEY</PersonNm>
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        <PersonNm>GEORGE BARRETT</PersonNm>
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        <PersonNm>KENT JOHNSON PHD</PersonNm>
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        <PersonNm>BEN MAIDEN PHD</PersonNm>
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        <PersonNm>DWIGHT SMITH</PersonNm>
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        <PersonNm>THOMAS WALKER</PersonNm>
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        <PersonNm>PETER MOHLER PHD</PersonNm>
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        <PersonNm>LOU VON THAER</PersonNm>
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        <PersonNm>STEVE ALLEN MD</PersonNm>
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        <PersonNm>ABIGAIL S WEXNER</PersonNm>
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        <PersonNm>DALLAS BALDWIN</PersonNm>
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        <PersonNm>CARRIE BIRCH</PersonNm>
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        <PersonNm>JANET E JACKSON</PersonNm>
        <TitleTxt>DIRECTOR - CCFA (TO 3/2018)</TitleTxt>
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        <PersonNm>KATHERINE WOLFE LLOYD</PersonNm>
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        <PersonNm>KEVIN O'CONNOR</PersonNm>
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        <PersonNm>AUDREY G TUCKERMAN</PersonNm>
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        <PersonNm>KAREN DAYS</PersonNm>
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        <PersonNm>RICHARD MILLER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BISHOP CALLON HOLLOWAY</PersonNm>
        <TitleTxt>DIRECTOR - CCFA</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KIMBERLEY JACOBS</PersonNm>
        <TitleTxt>DIRECTOR - CCFA (TO 11/2018)</TitleTxt>
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        <PersonNm>CHAD A JESTER</PersonNm>
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        <TitleTxt>DIRECTOR - CCFA</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JUDGE DANA PREISSE</PersonNm>
        <TitleTxt>DIRECTOR - CCFA</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>OLIVIA THOMAS MD</PersonNm>
        <TitleTxt>DIRECTOR - CCFA</TitleTxt>
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        <TitleTxt>DIRECTOR - CCFA</TitleTxt>
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        <PersonNm>STEPHEN TESTA</PersonNm>
        <TitleTxt>PRES - NCH FOUNDATION</TitleTxt>
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        <PersonNm>TIMOTHY C ROBINSON</PersonNm>
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        <PersonNm>TIMOTHY C ROBINSON</PersonNm>
        <TitleTxt>TREASURER - CCFA</TitleTxt>
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        <PersonNm>TIMOTHY C ROBINSON</PersonNm>
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        <PersonNm>LINDA STOVEROCK RN</PersonNm>
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        <PersonNm>WANDA STACKPOLE</PersonNm>
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        <PersonNm>JOHN A BARNARD MD</PersonNm>
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        <PersonNm>LEE ANN WALLACE</PersonNm>
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        <PersonNm>KEVIN KLINGELE MD</PersonNm>
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        <OperateBenefitNonSuprtOrgInd>false</OperateBenefitNonSuprtOrgInd>
      </Form990SchAType1SuprtOrgGrp>
      <Form990SchAType3SprtOrgAllGrp>
        <TimelyProvidedDocumentsInd>false</TimelyProvidedDocumentsInd>
        <OfficersCloseRelationshipInd>false</OfficersCloseRelationshipInd>
        <SupportedOrgVoiceInvestmentInd>false</SupportedOrgVoiceInvestmentInd>
      </Form990SchAType3SprtOrgAllGrp>
      <AdjustedNetIncomeGrp>
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          <PriorYearAmt>0</PriorYearAmt>
        </NetSTCapitalGainAdjNetIncmGrp>
        <RecoveriesPYDistributionsGrp>
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        <OtherGrossIncomeGrp>
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        <AdjustedGrossIncomeGrp>
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        <DepreciationDepletionGrp>
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        <ProductionIncomeGrp>
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        <FMVOtherNonExemptUseAssetGrp>
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        </FMVOtherNonExemptUseAssetGrp>
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        <DiscountClaimedAmt>0</DiscountClaimedAmt>
        <AcquisitionIndebtednessGrp>
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        </AcquisitionIndebtednessGrp>
        <AdjustedFMVLessIndebtednessGrp>
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        </AdjustedFMVLessIndebtednessGrp>
        <CashDeemedCharitableGrp>
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        </CashDeemedCharitableGrp>
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        <CYPct85AdjustedNetIncomeAmt>0</CYPct85AdjustedNetIncomeAmt>
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        <CYGreaterAdjustedMinimumAmt>0</CYGreaterAdjustedMinimumAmt>
        <CYIncomeTaxImposedPYAmt>0</CYIncomeTaxImposedPYAmt>
        <CYDistributableAsAdjustedAmt>0</CYDistributableAsAdjustedAmt>
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        <CYOtherDistributionsAmt>0</CYOtherDistributionsAmt>
        <CYTotalAnnualDistributionsAmt>0</CYTotalAnnualDistributionsAmt>
        <CYDistriAttentiveSuprtOrgAmt>0</CYDistriAttentiveSuprtOrgAmt>
        <CYDistributableAsAdjustedAmt>0</CYDistributableAsAdjustedAmt>
        <CYDistributionYrRt>0</CYDistributionYrRt>
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      <DistributionAllocationsGrp>
        <CYDistributableAsAdjustedAmt>0</CYDistributableAsAdjustedAmt>
        <UnderdistributionsAmt>0</UnderdistributionsAmt>
        <ExcessDistributionCyovYr5Amt>0</ExcessDistributionCyovYr5Amt>
        <ExcessDistributionCyovYr4Amt>0</ExcessDistributionCyovYr4Amt>
        <ExcessDistributionCyovYr3Amt>0</ExcessDistributionCyovYr3Amt>
        <ExcessDistributionCyovYr2Amt>0</ExcessDistributionCyovYr2Amt>
        <ExcessDistributionCyovYr1Amt>0</ExcessDistributionCyovYr1Amt>
        <TotalExcessDistributionCyovAmt>0</TotalExcessDistributionCyovAmt>
        <CyovAppliedUnderdistriPYAmt>0</CyovAppliedUnderdistriPYAmt>
        <CyovAppliedUnderdistrCPYAmt>0</CyovAppliedUnderdistrCPYAmt>
        <CarryoverPYNotAppliedAmt>0</CarryoverPYNotAppliedAmt>
        <ExcessDistributionCyovAmt>0</ExcessDistributionCyovAmt>
        <CYTotalAnnualDistributionsAmt>0</CYTotalAnnualDistributionsAmt>
        <CYDistribAppUnderdistriPYAmt>0</CYDistribAppUnderdistriPYAmt>
        <ExcessDistributionAmt>0</ExcessDistributionAmt>
        <RemainingUnderdistriPYAmt>0</RemainingUnderdistriPYAmt>
        <RemainingUnderdistriCYAmt>0</RemainingUnderdistriCYAmt>
        <ExcessDistriCyovToNextYrAmt>0</ExcessDistriCyovToNextYrAmt>
        <ExcessFromYear5Amt>0</ExcessFromYear5Amt>
        <ExcessFromYear4Amt>0</ExcessFromYear4Amt>
        <ExcessFromYear3Amt>0</ExcessFromYear3Amt>
        <ExcessFromYear2Amt>0</ExcessFromYear2Amt>
        <ExcessFromYear1Amt>0</ExcessFromYear1Amt>
      </DistributionAllocationsGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART IV EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>REASON FOR PUBLIC CHARITY STATUS FOR GROUP RETURN SUBORDINATES NATIONWIDE CHILDREN'S HOSPITAL (NCH) EIN 31-4379441 PUBLIC CHARITY STATUS: 509(a)(1) &amp; 170(b)(1)(A)(iii) NATIONWIDE CHILDREN'S HOSPITAL HOMECARE (NCH HOMECARE) EIN 31-1296332 PUBLIC CHARITY STATUS: 509(a)(2) 2018 PUBLIC SUPPORT PERCENTAGE: 100% 2017 PUBLIC SUPPORT PERCENTAGE: 100% 2018 INVESTMENT INCOME PERCENTAGE: 0% 2017 INVESTMENT INCOME PERCENTAGE: 0% CHILDREN'S RADIOLOGICAL INSTITUTE (CRI) EIN 31-1439570 PUBLIC CHARITY STATUS: 509(a)(2) 2018 PUBLIC SUPPORT PERCENTAGE: 99.44% 2017 PUBLIC SUPPORT PERCENTAGE: 99.46% 2018 INVESTMENT INCOME PERCENTAGE: 0.56% 2017 INVESTMENT INCOME PERCENTAGE: 0.54% PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS (PPAC) EIN 31-1595013 PUBLIC CHARITY STATUS: 509(a)(2) 2018 PUBLIC SUPPORT PERCENTAGE: 99.77% 2017 PUBLIC SUPPORT PERCENTAGE: 99.79% 2018 INVESTMENT INCOME PERCENTAGE: 0.23% 2017 INVESTMENT INCOME PERCENTAGE: 0.21% CHILDREN'S SURGICAL ASSOCIATES (CSA) EIN 31-1654000 PUBLIC CHARITY STATUS: 509(a)(2) 2018 PUBLIC SUPPORT PERCENTAGE: 100.00% 2017 PUBLIC SUPPORT PERCENTAGE: 99.99% 2018 INVESTMENT INCOME PERCENTAGE: 0.00% 2017 INVESTMENT INCOME PERCENTAGE: 0.01% NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION (NCHF) EIN 31-1036370 PUBLIC CHARITY STATUS: 509(a)(1) &amp; 170(b)(1)(A)(vi) 2018 PUBLIC SUPPORT PERCENTAGE: 57.50% 2017 PUBLIC SUPPORT PERCENTAGE: 55.60% RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL (RINCH) EIN 31-6056230 PUBLIC CHARITY STATUS: 509(a)(1) &amp; 170(b)(1)(A)(vi) 2018 PUBLIC SUPPORT PERCENTAGE: 64.50% 2017 PUBLIC SUPPORT PERCENTAGE: 64.50% CENTER FOR CHILD &amp; FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSP (CCFA) EIN 02-0627166 PUBLIC CHARITY STATUS: 509(a)(1) &amp; 170(b)(1)(A)(vi) 2018 PUBLIC SUPPORT PERCENTAGE: 86.50% 2017 PUBLIC SUPPORT PERCENTAGE: 87.10%</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbyingGrp />
      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>true</MailingsMembersInd>
      <MailingsMembersAmt>4652</MailingsMembersAmt>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>true</GrantsOtherOrganizationsInd>
      <GrantsOtherOrganizationsAmt>180355</GrantsOtherOrganizationsAmt>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>597555</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>782562</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF LOBBYING ACTIVITY Nationwide Childrens 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 NCHs dues applicable to their lobbying activities is $180,355. During 2018, one hospital staff member was registered as a lobbyist 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 2018. This consultant prepared written materials and met with elected and appointed officials. Overall, NCHs total direct and indirect lobbying expenditures based on resources or time were minimal and not substantial based on revenues.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>180559816</BeginningYearBalanceAmt>
        <ContributionsAmt>11551122</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-7597607</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>5197559</OtherExpendituresAmt>
        <EndYearBalanceAmt>179315772</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>160913523</BeginningYearBalanceAmt>
        <ContributionsAmt>6908367</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>18358133</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>5620207</OtherExpendituresAmt>
        <EndYearBalanceAmt>180559816</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
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        <ContributionsAmt>9011343</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>9515476</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>4163568</OtherExpendituresAmt>
        <EndYearBalanceAmt>160913523</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>147768473</BeginningYearBalanceAmt>
        <ContributionsAmt>3486666</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-1260160</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>3444407</OtherExpendituresAmt>
        <EndYearBalanceAmt>146550572</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>141883193</BeginningYearBalanceAmt>
        <ContributionsAmt>4501073</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>5128674</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>3744467</OtherExpendituresAmt>
        <EndYearBalanceAmt>147768473</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.24010</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.75990</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.00000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>57094251</OtherCostOrOtherBasisAmt>
        <BookValueAmt>57094251</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1318168982</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>385318755</DepreciationAmt>
        <BookValueAmt>932850227</BookValueAmt>
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      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>16912490</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6135009</DepreciationAmt>
        <BookValueAmt>10777481</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>353338739</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>210981629</DepreciationAmt>
        <BookValueAmt>142357110</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>189213694</OtherCostOrOtherBasisAmt>
        <BookValueAmt>189213694</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1332292763</TotalBookValueLandBuildingsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>MARKET VALUE OF INTEREST RATE</Desc>
        <Amt>22951280</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED RETIREMENT BENEFITS</Desc>
        <Amt>29887110</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER DONOR RELATED LIABILITIE</Desc>
        <Amt>1752706</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PROFESSIONAL LIABILITY</Desc>
        <Amt>30586968</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>BOND ISSUANCE COSTS</Desc>
        <Amt>17554388</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>PAYABLE TO THIRD PARTY PAYORS</Desc>
        <Amt>1636608</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>HCAP ACCRUAL</Desc>
        <Amt>57394005</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMPENSATION</Desc>
        <Amt>1587862</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATE</Desc>
        <Amt>3102579</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>166453506</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>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, 2018 AND 2017.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="IRS990ScheduleF">
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Self Insurance</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>960994</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>HEALTHCARE SERVICES</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>5778</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Research Collaboration</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>284081</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>RESEARCH COLLABORATION</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>32173</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>HEALTHCARE SERVICES</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>90268</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>RESEARCH COLLABORATION</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>27201</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>INTL BUSINESS DEVELPMT</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>13211</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>North America</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>HEALTHCARE SERVICES</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>105676</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>North America</RegionTxt>
        <EmployeeCnt>1</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>SALARY</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>42868</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>North America</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>RESEARCH COLLABORATION</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>219661</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>North America</RegionTxt>
        <TypeOfActivitiesConductedTxt>Fundraising</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>TELEMARKETING</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>34800</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <TypeOfActivitiesConductedTxt>Investments</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>SELF INSURANCE</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>130000</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalEmployeesCnt>1</SubtotalEmployeesCnt>
      <TotalEmployeeCnt>1</TotalEmployeeCnt>
      <SubtotalSpentAmt>1946711</SubtotalSpentAmt>
      <TotalSpentAmt>1946711</TotalSpentAmt>
      <TransferToForeignCorpInd>true</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>true</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>true</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
    </IRS990ScheduleF>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <FundraisingEventInformationGrp>
        <Event1Nm>LEGENDS LUNCH</Event1Nm>
        <GrossReceiptsEvent1Amt>1147752</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>1087502</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>60250</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>13670</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>31908</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>2200</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>45993</OtherDirectExpensesEvent1Amt>
        <Event2Nm>MARATHON</Event2Nm>
        <GrossReceiptsEvent2Amt>909369</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>909369</CharitableContriEvent2Amt>
        <FoodAndBeverageEvent2Amt>3841</FoodAndBeverageEvent2Amt>
        <OtherDirectExpensesEvent2Amt>161747</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>7</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>1118534</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>832469</CharitableContriOtherEventsAmt>
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        <CharitableContributionsTotAmt>2829340</CharitableContributionsTotAmt>
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        <OthDirectExpnssTotalEventsAmt>399339</OthDirectExpnssTotalEventsAmt>
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        <NetIncomeSummaryAmt>-362620</NetIncomeSummaryAmt>
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        <VolunteerLaborOtherGamingInd>true</VolunteerLaborOtherGamingInd>
        <VolunteerLaborOtherGamingPct>1.00000</VolunteerLaborOtherGamingPct>
        <GrossRevenueTotalGamingAmt>43959</GrossRevenueTotalGamingAmt>
        <CashPrizesTotalGamingAmt>8003</CashPrizesTotalGamingAmt>
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        <DirectExpenseSummaryGamingAmt>20991</DirectExpenseSummaryGamingAmt>
        <NetGamingIncomeSummaryAmt>22968</NetGamingIncomeSummaryAmt>
      </GamingInformationGrp>
      <StatesWhereGamingConductedCd>OH</StatesWhereGamingConductedCd>
      <LicensedInd>true</LicensedInd>
      <LicenseSuspendedEtcInd>false</LicenseSuspendedEtcInd>
      <GamingWithNonmembersInd>true</GamingWithNonmembersInd>
      <MemberOfOtherEntityInd>false</MemberOfOtherEntityInd>
      <GamingOtherFacilityPct>1.00000</GamingOtherFacilityPct>
      <IndividualWithBooksNm>Kevin Welch</IndividualWithBooksNm>
      <PersonsWithBooksUSAddress>
        <AddressLine1Txt>700 Childrens Drive</AddressLine1Txt>
        <CityNm>Columbus</CityNm>
        <StateAbbreviationCd>OH</StateAbbreviationCd>
        <ZIPCd>43205</ZIPCd>
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      <CntrctWith3rdPrtyForGameRevInd>false</CntrctWith3rdPrtyForGameRevInd>
      <GamingManagerPersonNm>NA</GamingManagerPersonNm>
      <CharitableDistributionRqrInd>false</CharitableDistributionRqrInd>
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      <WrittenPolicyInd>true</WrittenPolicyInd>
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      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
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      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
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        <TotalExpensePct>0.01000</TotalExpensePct>
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      <UnreimbursedMedicaidGrp>
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      <CommunityHealthServicesGrp>
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        <DirectOffsettingRevenueAmt>3710076</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>4277382</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00250</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
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        <NetCommunityBenefitExpnsAmt>33945742</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01980</TotalExpensePct>
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        <NetCommunityBenefitExpnsAmt>11820911</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00690</TotalExpensePct>
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        <NetCommunityBenefitExpnsAmt>39660194</NetCommunityBenefitExpnsAmt>
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        <NetCommunityBenefitExpnsAmt>11856284</NetCommunityBenefitExpnsAmt>
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      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>146280182</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>44719669</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>101560513</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.05920</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>825105771</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>630965274</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>194140497</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.11320</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <PhysicalImprvAndHousingGrp>
        <TotalCommunityBenefitExpnsAmt>993868</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>174000</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>819868</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00050</TotalExpensePct>
      </PhysicalImprvAndHousingGrp>
      <CommunitySupportGrp>
        <TotalCommunityBenefitExpnsAmt>1166193</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>331788</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>834405</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00050</TotalExpensePct>
      </CommunitySupportGrp>
      <EnvironmentalImprovementsGrp>
        <TotalCommunityBenefitExpnsAmt>409227</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>409227</NetCommunityBenefitExpnsAmt>
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      </EnvironmentalImprovementsGrp>
      <HealthImprovementAdvocacyGrp>
        <TotalCommunityBenefitExpnsAmt>266499</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>266499</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00020</TotalExpensePct>
      </HealthImprovementAdvocacyGrp>
      <WorkforceDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>349229</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>349229</NetCommunityBenefitExpnsAmt>
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      </WorkforceDevelopmentGrp>
      <TotalCommuntityBuildingActyGrp>
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        <DirectOffsettingRevenueAmt>505788</DirectOffsettingRevenueAmt>
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      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>44856709</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>5448085</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>8538564</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-3090479</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>NONE</BusinessNameLine1Txt>
        </EntityName>
      </ManagementCoAndJntVenturesGrp>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>NATIONWIDE CHILDREN'S HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>700 CHILDRENS DRIVE MAIN CAMPUS</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43205</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.nationwidechildrens.org</WebsiteAddressTxt>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <ChildrensHospitalInd>X</ChildrensHospitalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <ResearchFacilityInd>X</ResearchFacilityInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <OtherDesc>NEONATAL INTENSIVE CARE UNIT</OtherDesc>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>NATIONWIDE CHILDREN'S (MAIN CAMPUS)</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>16</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART VI, LINE 2</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>16</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE SECTION C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE SECTION C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE SECTION C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>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 THREE FACILITATED SESSIONS TO IDENTIFY AND PRIORITIZE THE HEALTH NEEDS FOR FRANKLIN COUNTY. THESE MEETINGS TOOK PLACE ON MAY 7, 2015; JUNE 3, 2015; AND JULY 29, 2015 AND 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 DODD CENTRAL OHIO AREA AGENCY ON AGING (REPRESENTING THE SENIOR COMMUNITY); JODI KELLER -CENTRAL OHIO TRAUMA SYSTEM; PARMINDER BAJWA PRIMARYONE HEALTH (REPRESENTING LOW-INCOME, MEDICALLY UNDERSERVED AND MINORITY POPULATIONS); KATHY COWEN - COLUMBUS PUBLIC HEALTH (SPECIAL KNOWLEDGE OF AND EXPERTISE IN PUBLIC HEALTH); MICHELLE GROUX - COLUMBUS PUBLIC HEALTH (SPECIAL KNOWLEDGE OF AND EXPERTISE IN PUBLIC HEALTH); RICHARD HICKS - COLUMBUS PUBLIC HEALTH (SPECIAL KNOWLEDGE OF AND EXPERTISE IN PUBLIC HEALTH); JIMMIE DAVIS - FRANKLIN COUNTY PUBLIC HEALTH (SPECIAL KNOWLEDGE OF AND EXPERTISE IN PUBLIC HEALTH); KYLE IDAHOSA - FRANKLIN COUNTY PUBLIC HEALTH (SPECIAL KNOWLEDGE OF AND EXPERTISE IN PUBLIC HEALTH); LORI SUMMERS HEALTHCARE FOR THE HOMELESS (REPRESENTING THE HOMELESS COMMUNITY); TRACY BROWN OHIO DEPARTMENT OF AGING (REPRESENTING THE SENIOR COMMUNITY); DAVID ELLSWORTH OHIO DEPARTMENT OF HEALTH, OHIO DISABILITY AND HEALTH PROGRAM (REPRESENTING THE DISABLED COMMUNITY); AND JOANNE PEARSOL - CENTER FOR PUBLIC HEALTH PRACTICE, THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH. FURTHER, NATIONWIDE CHILDRENS HOSPITAL POSTED ITS NEEDS ASSESSMENT TO ITS WEBSITE AND ALLOWED FOR COMMUNITY MEMBERS TO PROVIDE FEEDBACK ON THE DOCUMENT VIA AN ELECTRONIC FORM. NO COMMENTS HAVE BEEN RECEIVED TO DATE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 6A CHNA HOSPITAL FACILITIES</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 6B CHNA NON-HOSPITAL FACILITIES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH CENTRAL OHIO AREA AGENCY ON AGING, CENTRAL OHIO TRAUMA SYSTEM, COLUMBUS PUBLIC HEALTH, FRANKLIN COUNTY PUBLIC HEALTH, HEALTHCARE FOR THE HOMELESS, OHIO DEPARTMENT OF AGING, 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</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 11 ADDRESSING NEEDS IDENTIFIED IN THE CHNA</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIMARY TARGETS FOR NATIONWIDE CHILDRENS EFFORTS FALL INTO THE CATEGORIES IDENTIFIED BY THE FRANKLIN COUNTY HEALTHMAP 2016. GENERAL STRATEGIES FOR ADDRESSING THESE NEEDS ARE AS FOLLOWS: * Obesity: Nationwide Childrens will continue striving to reduce the incidence of obesity and its complications by increasing patient treatment contact and community educational outreach. Additionally, Nationwide Childrens will offer specialty sessions for specific obese populations and develop evidence-based interventions to reduce disparities in the care of the high-risk, vulnerable populations. * Infant Mortality: By participating in the endeavors of Ohio Better Birth Outcomes and providing care for infants in need through the Ohio Fetal Medicine Collaborative, Nationwide Childrens will aim to increase the availability of birth control, prenatal care and immunizations to reduce prematurity and to prevent infant morbidity and mortality. * Access to Care: Nationwide Childrens 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. * Behavioral Health: Nationwide Childrens 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. * Chronic Conditions: Nationwide Childrens 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. * Infectious Diseases: Nationwide Childrens will continue to raise standards for hand hygiene, infection prevention, community and staff vaccination efforts, antibiotic stewardship and research to prevent, manage and treat infectious diseases. In addition, the hospital will expand testing and education associated with sexually transmitted infections. 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</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 13B</FormAndLineReferenceDesc>
        <ExplanationTxt>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 400% of the FPL will be written off to a balance equal to 10% of the family's yearly household income. PART V, SECTION B, LINE 13H IN ADDITION TO USING THE FPG IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, NATIONWIDE CHILDRENS 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 PATIENTS RESPONSIBILITY FOR SUCH MEDICALLY NECESSARY CARE AUTOMATICALLY WRITTEN OFF. * FAMILIES WHO PROVIDE A COMPLETED IRS FORM 4029 TO NCHS PATIENTS ACCOUNTS DEPARTMENT WILL BE ELIGIBLE FOR A 40% DISCOUNT OF THE PATIENTS RESPONSIBILITY. * FAMILIES WITH THE ADDRESS OF A HOMELESS SHELTER WILL BE ELIGIBLE FOR A 100% DISCOUNT OF THE PATIENTS RESPONSIBILITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINES 16A, B &amp; C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FAP APPLICATION FORM IS WIDELY AVAILABLE ON THIS WEBSITE: HTTPS://WWW.NATIONWIDECHILDRENS.ORG/YOUR-VISIT/BILLING-AND-INSURANCE/FINAN CIAL-ASSISTANCE</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>23</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HOMECARE AND HOSPICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>255 EAST MAIN STREET</AddressLine1Txt>
            <CityNm>COLUMBUS</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43215</ZIPCd>
          </USAddress>
          <FacilityTxt>HOMECARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHILDREN'S COMMUNITY PRACTICES LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1264 Hospital Road</AddressLine1Txt>
            <CityNm>Chillicothe</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45610</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Practice</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SPRINGFIELD LABORATORY SERVICE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1644 NORTH LIMESTONE STREET</AddressLine1Txt>
            <CityNm>SPRINGFIELD</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45503</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHILDREN'S COMMUNITY PRACTICES LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>540 S TRIMBLE ROAD</AddressLine1Txt>
            <CityNm>MANSFIELD</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44906</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Practice</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHILDREN'S COMMUNITY PRACTICES LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>110 West Smiley Avenue</AddressLine1Txt>
            <CityNm>Shelby</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44875</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Practice</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ZANESVILLE OUTPATIENT SPECIALTY CLINICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>716 ADAIR AVENUE</AddressLine1Txt>
            <CityNm>ZANESVILLE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43701</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOLOGY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MANSFIELD CLOSE TO HOME CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>536 S TRIMBLE ROAD</AddressLine1Txt>
            <CityNm>MANSFIELD</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44906</ZIPCd>
          </USAddress>
          <FacilityTxt>MEDICAL OFFICES CHILDLAB CARDIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MARIETTA OUTPATIENT CARDIOLOGY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>416 FRONT STREET</AddressLine1Txt>
            <CityNm>MARIETTA</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45750</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOLOGY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MARION CLOSE TO HOME CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1069 DELAWARE AVENUE</AddressLine1Txt>
            <CityNm>MARION</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43302</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB &amp; CARDIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHILLICOTHE CLOSE TO HOME CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4439 STATE ROUTE 159</AddressLine1Txt>
            <CityNm>CHILLICOTHE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45601</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOLOGY CLINIC HEM/ONC CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ATHENS OUTPATIENT CARDIOLOGY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>75 HOSPITAL DR CASTROP CTR STE 33</AddressLine1Txt>
            <CityNm>ATHENS</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45701</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOLOGY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PORTSMOUTH CARDIOLOGY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1711 27th Street Braulin Bldg Ste</AddressLine1Txt>
            <CityNm>Portsmouth</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOLOGY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PORTSMOUTH OUTPATIENT SPECIALTY CLINICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8930 OHIO RIVER ROAD</AddressLine1Txt>
            <CityNm>WHEELERSBURGH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45694</ZIPCd>
          </USAddress>
          <FacilityTxt>HEM/ONC, UROLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WASHINGTON COURT HOUSE CHILDLAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>616 WILLARD STREET</AddressLine1Txt>
            <CityNm>WASHINGTON CH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43160</ZIPCd>
          </USAddress>
          <FacilityTxt>Lab</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CLEVELAND CHILDLAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1139 ROCKSIDE ROAD</AddressLine1Txt>
            <CityNm>PARMA</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44134</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NEWARK CLOSE TO HOME CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>75 SOUTH TERRACE AVENUE</AddressLine1Txt>
            <CityNm>NEWARK</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43055</ZIPCd>
          </USAddress>
          <FacilityTxt>MEDICAL OFFICES CHILDLAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>DAYTON OUTPATIENT CARDIOLOGY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1 CHILDRENS PLAZA</AddressLine1Txt>
            <CityNm>DAYTON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45404</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOLOGY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FINDLAY OUTPATIENT CARDIOLOGY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1900 SOUTH MAIN STREET 2ND FLOOR</AddressLine1Txt>
            <CityNm>FINDLAY</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45840</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOLOGY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FINDLAY NEUROLOGY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3949 NORTH MAIN STREET</AddressLine1Txt>
            <CityNm>FINDLAY</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45840</ZIPCd>
          </USAddress>
          <FacilityTxt>NEUROLOGY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ZANESVILLE LABORATORY SERVICE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1166 MILITARY ROAD SUITE 2B</AddressLine1Txt>
            <CityNm>ZANESVILLE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43701</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>LIMA LABORATORY SERVICE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>830 WEST HIGH STREET SUITE 375</AddressLine1Txt>
            <CityNm>LIMA</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45801</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WARREN CHILDLAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>321 NILES CORTLAND ROAD NE</AddressLine1Txt>
            <CityNm>WARREN</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44484</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CANTON CHILDLAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4579 Everhard Rd NW</AddressLine1Txt>
            <CityNm>CANTON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44718</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 3C</FormAndLineReferenceDesc>
        <ExplanationTxt>CRITERIA USED FOR DETERMINING ELIGIBILITY IN ADDITION TO USING THE FPG IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, NATIONWIDE CHILDRENS 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 PATIENTS RESPONSIBILITY FOR SUCH MEDICALLY NECESSARY CARE AUTOMATICALLY WRITTEN OFF. *FAMILIES WHO PROVIDE A COMPLETED IRS FORM 4029 TO NCHS PATIENTS ACCOUNTS DEPARTMENT WILL BE ELIGIBLE FOR A 40% DISCOUNT OF THE PATIENTS RESPONSIBILITY. *FAMILIES WITH THE ADDRESS OF A HOMELESS SHELTER WILL BE ELIGIBLE FOR A 100% DISCOUNT OF THE PATIENTS RESPONSIBILITY. SCHEDULE H, 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. SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES NATIONWIDE CHILDREN'S HOSPITAL HAS NOT INCLUDED ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY THE COST TO CHARGE RATIO USED IN LINE 7 WAS DERIVED FROM WORKSHEET 2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY BUILDING ACTIVITIES NATIONWIDE CHILDREN'S HOSPITAL (NCH) IMPACTS THE COMMUNITY IN MANY WAYS. IN 2008, THE CITY OF COLUMBUS, NATIONWIDE CHILDRENS 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 11 YEARS, HNHF IMPACTED 350 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. IN 2018, NCH HAD MORE THAN 200 MENTORS PARTICIPATE. - REACH OUT AND READ PROGRAM, A PEDIATRIC PROGRAM DEDICATED TO INCREASING FAMILY LITERACY ACTIVITIES IN THE HOME PRIOR TO A CHILDS 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 MORE ENVIRONMENTALLY FRIENDLY. ALSO INSTALLED RECYCLING CONTAINERS THROUGHOUT THE CAMPUS TO ENCOURAGE RECYCLING. - VARIOUS WORKFORCE DEVELOPMENT PROGRAMS: 1) SUMMER EDUCATION AND RESEARCH IN CLINICAL HEALTHCARE (S.E.A.R.C.H) PROGRAM - A PROGRAM THAT RECRUITS MINORITY STUDENTS FROM COLLEGES AND UNIVERSITIES TO INTERN IN THE AREAS OF CARDIOLOGY, AMBULATORY, AND RESEARCH FOR A SIX WEEK PROGRAM. 2) 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. 3) SUMMER SCIENTIST SERIES - A PROGRAM THAT EXPOSES HIGH SCHOOL AND UNDERGRADUATE STUDENTS TO THE SCIENTIFIC METHOD AND CAREERS IN MEDICAL RESEARCH. 4) 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. 5) BOYS AND GIRLS CLUB OF COLUMBUS SUPPORT OF A YEAR-ROUND TEEN EMPLOYMENT GROUP AT THIS NEIGHBORHOOD INSTITUTION. 6) CENTER FOR EMPLOYMENT OPPORTUNITIES (CEO) A PROGRAM THAT PUTS FORMERLY INCARCERATED PARTICIPANTS IN WORK CREWS FOR THE PURPOSE OF BEAUTIFICATION OF THE PARSONS AVENUE CORRIDOR WHILE RECEIVING JOB SKILLS AND LIFE READINESS PROGRAMING. 7) I KNOW I CAN SUPPORT THE SUMMER MELT PROGRAM WHICH FOCUSES ON COLLEGE AND CAREER READINESS FOR RECENT HIGH SCHOOL GRADUATES FOR TRANSITION TO POST GRADUATE STATUS. - 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 NCHS 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE NATIONWIDE CHILDRENS HOSPITAL REPORTS BAD DEBT EXPENSE IN TOTAL. SCHEDULE H, PART III, LINE 3 BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER FAP FOR SELF-PAY PATIENTS, NATIONWIDE CHILDRENS 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 NCHS BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY IS LIKELY $0. SCHEDULE H, 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 PAGE 19 OF THE AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2 - NEEDS ASSESSMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2016, WHICH RECOGNIZED SIX HEALTH AREAS AS BEING A LOCAL, PRIORITY HEALTH NEED FOR THE COMMUNITY. NCH ADOPTED THE FRANKLIN COUNTY HEALTHMAP 2016 AS ITS COMMUNITY HEALTH NEEDS ASSESSMENT AND THIS REPORT CAN BE FOUND ON THE HOSPITALS 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. THESE INDICATORS WERE NARROWED DOWN TO THE SIX HEALTH NEEDS BY: 1) COMPARING THE FRANKLIN COUNTY HEALTH INDICATORS AGAINST STATE AND SOMETIMES FEDERAL DATA, AND IDENTIFYING ANY INDICATORS THAT WORSENED SINCE THEY WERE COLLECTED FOR THE 2013 CHNA; AND THEN 2) THOSE INDICATORS FOUND TO BE WORSE THAN STATE AND FEDERAL DATA WERE GROUPED INTO RELATED CLUSTERS AND RANKED BY PRIORITY BASED ON INPUT FROM CLINICAL EXPERTS AND HOW THE INDICATORS RATED COMPARED TO A PREDETERMINED SET OF NINE CRITERIA. THE SIX PRIORITIZED HEALTH NEEDS OF FRANKLIN COUNTY AS IDENTIFIED BY NCHS COLLABORATIVE EFFORT AS A MEMBER OF THE FRANKLIN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE INCLUDE: 1) OBESITY, 2) INFANT MORTALITY, 3) ACCESS TO CARE, 4) BEHAVIORAL HEALTH, 5) CHRONIC CONDITIONS, AND 6) INFECTIOUS DISEASE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSIST.</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4 - COMMUNITY INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>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 50 STATES AND 45 FOREIGN COUNTRIES. THE MEDIAN HOUSEHOLD INCOME IN FRANKLIN COUNTY IS $56,319 AND 16% OF FAMILIES ARE BELOW THE POVERTY LEVEL. APPROXIMATELY 8.5% OF THE POPULATION OF OHIO IS UNINSURED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>BEYOND THE COMMUNITY HEALTH NEEDS ASSESSMENT AND RELATED IMPLEMENTATION STRATEGY, NATIONWIDE CHILDRENS HOSPITAL PROMOTES COMMUNITY HEALTH IN MANY WAYS. THE MAJORITY OF THE BOARDS OF NATIONWIDE CHILDRENS 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 CHILDRENS 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 CHILDRENS 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 CHILDRENS 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM ROLES</FormAndLineReferenceDesc>
        <ExplanationTxt>NATIONWIDE CHILDREN'S HOSPITAL, INC. EXCLUSIVELY CONTROLS THE ACTIVITIES OF ITS SUBSIDIARIES IN CENTRAL OHIO INCLUDING: 1) NATIONWIDE CHILDREN'S HOSPITAL (NCH) IS A 527 INPATIENT BED NOT-FOR-PROFIT TERTIARY CARE HOSPITAL PROVIDING, INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. IN ADDITION, THE HOSPITAL LEASES 146 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 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
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          <AddressLine1Txt>700 CHILDRENS DRIVE</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43205</ZIPCd>
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        <RecipientEIN>316056230</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>39660194</CashGrantAmt>
        <PurposeOfGrantTxt>TO SUPPORT VARIOUS RESEARCH INITIATIVES</PurposeOfGrantTxt>
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      <RecipientTable>
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          <AddressLine1Txt>700 CHILDRENS DRIVE</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43205</ZIPCd>
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        <RecipientEIN>316056230</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>18209778</CashGrantAmt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>RESEARCH INSTITUTE AT NCH</BusinessNameLine1Txt>
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          <AddressLine1Txt>700 CHILDRENS DRIVE</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43205</ZIPCd>
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        <RecipientEIN>316056230</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>114269</CashGrantAmt>
        <PurposeOfGrantTxt>TO FUND RESEARCH START-UP GRANTS</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RESEARCH INSTITUTE AT NCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>700 CHILDRENS DRIVE</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43205</ZIPCd>
        </USAddress>
        <RecipientEIN>316056230</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>46404</CashGrantAmt>
        <PurposeOfGrantTxt>TO FUND RESEARCH START-UP GRANTS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RESEARCH INSTITUTE AT NCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>700 CHILDRENS DRIVE</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43205</ZIPCd>
        </USAddress>
        <RecipientEIN>316056230</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>151701</CashGrantAmt>
        <PurposeOfGrantTxt>TO FUND RESEARCH START-UP GRANTS IMPROVE PATIENT CARE THROUGH PROGRAMS SUCH AS VOLUNTEER SERVICES, HEMATOLOGY / ONCOLOGY, OBESITY PREVENTION, &amp; COMMUNITY EDUCATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1Txt>NATIONWIDE CHILDREN'S HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>700 CHILDRENS DRIVE</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43205</ZIPCd>
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        <RecipientEIN>314379441</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>13843249</CashGrantAmt>
        <PurposeOfGrantTxt>TO AID IN PROVIDING INDIGENT CARE, TO SUPPORT &amp; IMPROVE PATIENT CARE THROUGH PROGRAMS SUCH AS VOLUNTEER SERVICES, HEMATOLOGY / ONCOLOGY, OBESITY PREVENTION, &amp; COMMUNITY EDUCATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIONWIDE CHILDREN'S HOSPITAL HOMECARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>700 CHILDRENS DRIVE</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43205</ZIPCd>
        </USAddress>
        <RecipientEIN>311296332</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>170000</CashGrantAmt>
        <PurposeOfGrantTxt>TO SUPPORT HOSPICE AND PALLIATIVE CARE PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CTR FOR CHILD &amp; FAMILY ADVOCACY AT NCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>700 CHILDRENS DRIVE</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43205</ZIPCd>
        </USAddress>
        <RecipientEIN>020627166</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>2228655</CashGrantAmt>
        <PurposeOfGrantTxt>TO SUPPORT CHILD ADVOCACY PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHILDREN'S SURGICAL ASSOCIATES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>700 CHILDRENS DRIVE</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43205</ZIPCd>
        </USAddress>
        <RecipientEIN>311654000</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>372014</CashGrantAmt>
        <PurposeOfGrantTxt>TO SUPPORT SURGICAL RESEARCH INITIATIVES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHILDREN'S RADIOLOGICAL INSTITUTE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>700 CHILDRENS DRIVE</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43205</ZIPCd>
        </USAddress>
        <RecipientEIN>311439570</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>88974</CashGrantAmt>
        <PurposeOfGrantTxt>TO SUPPORT RADIOLOGY RESEARCH INITIATIVES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NCH CHILD ASSESSMENT CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>700 CHILDRENS DRIVE</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43205</ZIPCd>
        </USAddress>
        <RecipientEIN>314379441</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>648463</CashGrantAmt>
        <PurposeOfGrantTxt>TO SUPPORT CHILD ASSESSMENT PROGRAMS FOR CHILD &amp; FAMILY ADVOCACY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NCH BEHAVIORAL HEALTH PROGRAMS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>700 CHILDRENS DRIVE</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43205</ZIPCd>
        </USAddress>
        <RecipientEIN>314379441</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>308993</CashGrantAmt>
        <PurposeOfGrantTxt>TO SUPPORT AUTISM AND BEHAVIORAL HEALTH PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CENTER FOR CHILD &amp; FAMILY ADVOCACY AT NCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>700 CHILDRENS DRIVE</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43205</ZIPCd>
        </USAddress>
        <RecipientEIN>020627166</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>337653</CashGrantAmt>
        <PurposeOfGrantTxt>TO SUPPORT ADMINISTRATIVE OVERSIGHT OF THE CENTER FOR CHILD &amp; FAMILY ADVOCACY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIONWIDE CHILDREN'S HOSPITAL INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>700 CHILDRENS DRIVE</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43205</ZIPCd>
        </USAddress>
        <RecipientEIN>311036372</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>TO SUPPORT VARIOUS COMMUNITY BENEFIT PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PEDIATRIC ACADEMIC ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>555 SOUTH 18TH STREET</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43205</ZIPCd>
        </USAddress>
        <RecipientEIN>311024403</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>982815</CashGrantAmt>
        <PurposeOfGrantTxt>TO PROVIDE FUNDING FOR ENDOWED CHAIRS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PEDIATRIC ACADEMIC ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>555 SOUTH 18TH STREET</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43205</ZIPCd>
        </USAddress>
        <RecipientEIN>311024403</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>9965423</CashGrantAmt>
        <PurposeOfGrantTxt>TO SUPPORT PAA OPERATIONS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FAMOHIO INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2425 ROSCOE COURT</AddressLine1Txt>
          <CityNm>DUBLIN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43016</ZIPCd>
        </USAddress>
        <RecipientEIN>311353807</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6500</CashGrantAmt>
        <PurposeOfGrantTxt>TO SUPPORT BLEEDING DISORDER FAMILIES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CENTRAL OHIO CHAPTER OF NHF</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4400 N HIGH ST STE 216</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43214</ZIPCd>
        </USAddress>
        <RecipientEIN>135641857</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>34617</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT EDUCATION AND OUTREACH PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN HEART ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 4002907</AddressLine1Txt>
          <CityNm>DES MOINES</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>50340</ZIPCd>
        </USAddress>
        <RecipientEIN>135613797</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>TO SUPPORT HEART GALA &amp; WALK</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHARITABLE PHARMACY OF CENTRAL OH INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>200 E LIVINGSTON AVENUE</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <RecipientEIN>270147099</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>22000</CashGrantAmt>
        <PurposeOfGrantTxt>TO SUPPORT OPERATIONS OF CPOCO</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MAKE-A-WISH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2545 FRAMERS DR STE 300</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43235</ZIPCd>
        </USAddress>
        <RecipientEIN>341471131</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <PurposeOfGrantTxt>BIG WISH GALA</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HNHF REALTY COLLABORATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>575 CHARRING CROSS DR STE 200</AddressLine1Txt>
          <CityNm>WESTERVILLE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43081</ZIPCd>
        </USAddress>
        <RecipientEIN>202773085</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>898000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT HNHF OPERATIONS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY DEVELOPMENT FOR ALL PEOPLE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 06063 964 Parsons Ave</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43206</ZIPCd>
        </USAddress>
        <RecipientEIN>510476886</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>175900</CashGrantAmt>
        <PurposeOfGrantTxt>TO SUPPORT CAREER GATEWAY HOMES &amp; PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MARCH OF DIMES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>975 EASTWIND DR STE 150</AddressLine1Txt>
          <CityNm>WESTERVILLE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43081</ZIPCd>
        </USAddress>
        <RecipientEIN>131846366</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>21500</CashGrantAmt>
        <PurposeOfGrantTxt>TO SUPPORT PROGRAMS FOR HEALTHIER BABIES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FUTURE READY COLUMBUS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1234 E BROAD ST</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43205</ZIPCd>
        </USAddress>
        <RecipientEIN>453819208</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>200000</CashGrantAmt>
        <PurposeOfGrantTxt>Cradle through Career Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CITY YEAR COLUMBUS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>35 NORTH FOURTH STREET LL</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <RecipientEIN>222882549</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>55000</CashGrantAmt>
        <PurposeOfGrantTxt>Whole School Whole Child Programming Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BOYS &amp; GIRLS CLUB OF COLUMBUS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>115 SOUTH GIFT STREET</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <RecipientEIN>314387575</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>52500</CashGrantAmt>
        <PurposeOfGrantTxt>LIVINGSTON AVENUE ELEMENTARY LITERACY PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITED WAY OF CENTRAL OHIO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>360 S 3RD STREET</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <RecipientEIN>314393712</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>105000</CashGrantAmt>
        <PurposeOfGrantTxt>Various Community Benefit Programs</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PARSONS AVENUE REDEVELOPMENT CORP</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>545 E TOWN STREET</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43206</ZIPCd>
        </USAddress>
        <RecipientEIN>463644554</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>26500</CashGrantAmt>
        <PurposeOfGrantTxt>Support the redevelopment of Parsons Avenue SPONSOR</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PELOTONIA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>315 W NATIONWIDE BLVD</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <RecipientEIN>311145986</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>27500</CashGrantAmt>
        <PurposeOfGrantTxt>CONTRIBUTION PLEDGED TO RIDERS TO END CANCER</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PROGENY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6471 Lithopolis-Winchester Rd</AddressLine1Txt>
          <CityNm>Canal Winchester</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43110</ZIPCd>
        </USAddress>
        <RecipientEIN>311417786</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>19650</CashGrantAmt>
        <PurposeOfGrantTxt>COURTYARD WORK SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CYSTIC FIBROSIS FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Ste 225 740 Lakeview Plz Blvd</AddressLine1Txt>
          <CityNm>WORTHINGTON</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43085</ZIPCd>
        </USAddress>
        <RecipientEIN>310680391</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>8500</CashGrantAmt>
        <PurposeOfGrantTxt>WILD CRUSH &amp; NOSH EVENT SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COALITION FOR REDISTRICTING REFORM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>35 E GAY ST 403</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <RecipientEIN>823808301</RecipientEIN>
        <IRCSectionDesc>501(c)(4)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT ISSUE 1 CAMPAIGN CONGRESSIONAL REDISTRICTI</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OHIOHEALTH CORPORATION INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>180 EAST BROAD ST FLOOR 31</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <RecipientEIN>237446919</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>HOME IN OHIO SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RONALD MCDONALD HOUSE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>711 EAST LIVINGSTON AVE</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43205</ZIPCd>
        </USAddress>
        <RecipientEIN>310890152</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>7890</CashGrantAmt>
        <PurposeOfGrantTxt>SPECIAL EVENTS SPONSORSHIPS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MAYER BROWN LLP</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1999 K STREET NW</AddressLine1Txt>
          <CityNm>WASHINGTON DC</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>20006</ZIPCd>
        </USAddress>
        <RecipientEIN>361447220</RecipientEIN>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>IMMIGRATION POLICY SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DOWN SYNDROME ASSOC OF CENTRAL OH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>510 E NORTH BROADWAY 4TH FLR</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43214</ZIPCd>
        </USAddress>
        <RecipientEIN>311126185</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>5100</CashGrantAmt>
        <PurposeOfGrantTxt>DANCING WITH OUR STARS GALA</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CENTRAL OHIO HOSPITAL COUNCIL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>155 E BROAD STREET FLOOR 23</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <RecipientEIN>262795133</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>110000</CashGrantAmt>
        <PurposeOfGrantTxt>OHIO BETTER BIRTH OUTCOMES SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>I KNOW I CAN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1108 CITY PARK AVENUE SUITE 301</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43206</ZIPCd>
        </USAddress>
        <RecipientEIN>311229135</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>SUMMER MELT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>29</Total501c3OrgCnt>
      <TotalOtherOrgCnt>2</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>ASSISTANCE TO PATIENT FAMILIES (PAID BY NCH)</GrantTypeTxt>
        <RecipientCnt>122042</RecipientCnt>
        <CashGrantAmt>348622</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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 GRANTS PROVIDED ARE USED TO SUPPORT PROGRAM SERVICES AND RESEARCH, CONDUCTED WITHIN THE NCH, INC. AFFILIATED GROUP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>true</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVE ALLEN MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN KLINGELE MD</PersonNm>
        <TitleTxt>ORTHOPEDIC SURGEON - CSA</TitleTxt>
        <BaseCompensationFilingOrgAmt>791412</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>421925</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>18500</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>25205</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23850</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1280892</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARC LEVITT MD</PersonNm>
        <TitleTxt>COLORECTAL PELVIC SURGEON-CSA</TitleTxt>
        <BaseCompensationFilingOrgAmt>625479</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>554889</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>18500</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20989</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25132</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1244989</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICHARD KIRSCHNER MD</PersonNm>
        <TitleTxt>PLASTIC SURGEON - CSA</TitleTxt>
        <BaseCompensationFilingOrgAmt>746919</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>258948</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>18500</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>25205</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16821</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1066393</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MATTHEW BERAN MD</PersonNm>
        <TitleTxt>ORTHOPEDIC SURGEON - CSA</TitleTxt>
        <BaseCompensationFilingOrgAmt>382276</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>608385</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>25205</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23850</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1039716</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES DIGAN</PersonNm>
        <TitleTxt>FORMER PRES - NCH FOUNDATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>160387</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>987</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>161374</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELISABETH BALDOCK</PersonNm>
        <TitleTxt>FORMER VP/ HR - NCH</TitleTxt>
        <BaseCompensationFilingOrgAmt>141250</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>651</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>141901</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 1A - EXPLANATION FOR HEALTH OR SOCIAL CLUB DUES</FormAndLineReferenceDesc>
        <ExplanationTxt>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; AND STEPHEN TESTA. THESE WERE DETERMINED TO BE BUSINESS EXPENSES AND WERE NOT TREATED AS COMPENSATION TO THE EMPLOYEE. SCHEDULE J, PART I, LINE 4A - SEVERANCE PAYMENT THE FOLLOWING SEVERANCE PAYMENTS WERE PAID OUT IN 2018: - JAMES DIGAN - $160,387 - ELISABETH BALDOCK - $141,250</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: STEPHEN TESTA, AND PATRICIA MCCLIMON. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 6A COMPENSATION CONTINGENT ON NET EARNINGS</FormAndLineReferenceDesc>
        <ExplanationTxt>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 PROGAM ALSO INCLUDES PERFORMANCE MEASURES RELATED TO QUALITY OF CARE AND PATIENT SATISFACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COUNTY OF FRANKLIN OHIO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>316400067</BondIssuerEIN>
        <CUSIPNum>353187ED5</CUSIPNum>
        <BondIssuedDt>2017-11-16</BondIssuedDt>
        <IssuePriceAmt>147565600</IssuePriceAmt>
        <PurposeDesc>2017 A&amp;B BONDS (SCH K, PART VI)</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COUNTY OF FRANKLIN OHIO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>316400067</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2016-04-28</BondIssuedDt>
        <IssuePriceAmt>47670000</IssuePriceAmt>
        <PurposeDesc>2016 A&amp;B BONDS (SCH K, PART VI)</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COUNTY OF FRANKLIN OHIO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>316400067</BondIssuerEIN>
        <CUSIPNum>353187DN4</CUSIPNum>
        <BondIssuedDt>2016-11-15</BondIssuedDt>
        <IssuePriceAmt>143485390</IssuePriceAmt>
        <PurposeDesc>2016C BONDS (SCH K, PART VI)</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COUNTY OF FRANKLIN OHIO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>316400067</BondIssuerEIN>
        <CUSIPNum>353187BT3</CUSIPNum>
        <BondIssuedDt>2015-05-19</BondIssuedDt>
        <IssuePriceAmt>97434250</IssuePriceAmt>
        <PurposeDesc>2015 A&amp;B BONDS (SCH K, PART VI)</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>275000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>147898824</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>1350446</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>100380929</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>46167448</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2018</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>5500000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>47670000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>0</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>47670000</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>143737373</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>31902</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>1430009</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>142275462</UnspentAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>101702675</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>12999700</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>95902975</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>4500000</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2019</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>SEE SCHED K PART Vi</BusinessNameLine1Txt>
        </HedgeProviderName>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>SEE SCHED K PART VI</BusinessNameLine1Txt>
        </HedgeProviderName>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I, COLUMN (F) - DESCRIPTION OF PURPOSE OF BONDS</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I , LINE A REPORTS THE 2017 SERIES A&amp;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 B REPORTS THE 2016 SERIES A&amp;B HOSPITAL REVENUE REFUNDING BONDS. THESE BONDS WERE ISSUED FOR THE PURPOSE OF CURRENT REFUNDING THE 2008C AND 2008F BONDS. PART I , LINE C 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 D REPORTS THE 2015 SERIES A&amp;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 A (2) REPORTS THE 2014 SERIES A BONDS. THE 2014A BONDS WERE HOSPITAL REVENUE REFUNDING BONDS OF THE 2005C SERIES BONDS. PART I, LINE B (2) REPORTS THE 2014 SERIES B BONDS. THE 2014B BONDS WERE HOSPITAL REVENUE REFUNDING BONDS OF THE 2005C TERM BONDS. PART I, LINE C (2) REPORTS THE 2013 BONDS, SERIES A &amp; 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 D (2) 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 A (3) REPORTS 2009 HOSPITAL IMPROVEMENT REVENUE BOND. ITS PURPOSE IS TO FINANCE A PORTION OF THE COSTS OF ACQUIRING, CONSTRUCTING, AND EQUIPMENT A NEW PATIENT TOWER AND RESEARCH BUILDING. PART I, LINE B (3) REPORTS THE 2008A HOSPITAL IMPROVEMENT REVENUE BOND. ITS PURPOSE IS TO FINANCE A PORTION OF THE COSTS OF ACQUIRING, CONSTRUCTING, AND EQUIPMENT THE NEW PATIENT TOWER AND POWER PLANT. PART I, LINE C (3) REPORTS THE 2008 BONDS, SERIES B, C, D &amp; 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 &amp; IMPROVEMENT REVENUE BONDS, SERIES 2006.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART II, LINE 3 - TOTAL PROCEEDS OF ISSUE</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART II, LINE 5, COLUMNS C(1) - CAPITALIZED INTEREST</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COLUMN C AMOUNT REPRESENTS BOND PROCEEDS IN THE AMOUNT OF $31,902 THAT WERE USED TO PAY INTEREST ON THE BOND.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART II, LINE 11, COLUMNS A, B, A(2), B(2), C(2) &amp; C(3) -</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER SPENT PROCEEDS THE AMOUNT REPORTED REPRESENTS REFUNDINGS OF THE FOLLOWING OUTSTANDING REVENUE BONDS: 2002, 2003, 2005C, 2008C, 2008D, 2008E, 2008F, AND 2008G BONDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHED K, PART II, LINE 11, COLUMNS D, D(2) &amp; B(3) - OTHER SPENT PROCEEDS</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS AMOUNT REPRESENTS AN INTEREST RATE HEDGE TERMINATION PAYMENT OF $4,500,000 (COLUMN D(1)), $823,513 (COLUMN D(2)), AND $2,672,000 (COLUMN B(3)).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART IV, LINE 3, COLUMNS A, B, A(2), B(2), C(2) &amp; C(3)</FormAndLineReferenceDesc>
        <ExplanationTxt>HEDGE THE PROVIDERS AND TERMS OF INTEREST RATE HEDGES ARE AS FOLLOWS: COLUMN A(1): 2017 BONDS - PROVIDER IS JP MORGAN CHASE AND TERMINATION DATE IS NOVEMBER 1, 2033. COLUMN B(1): 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 A(2): 2014 BONDS - PROVIDER IS PNC BANK AND TERMINATION DATE IS MAY 1, 2025. COLUMN B(2): 2014B BONDS - PROVIDER IS DEUTSCHE BANK AG, NEW YORK BRANCH AND TERMINATION DATE IS MAY 1, 2035. COLUMN C(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 C(3): 2008B BONDS - PROVIDER IS MORGAN STANLEY AND TERMINATION DATE IS NOVEMBER 1, 2040.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART IV, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>TEMPORARY AVAILABLE PERIOD SPEND DOWN REQUIREMENTS HAVE BEEN MET WHERE APPLICABLE ON ALL OUTSTANDING BONDS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="IRS990ScheduleKN1">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COUNTY OF FRANKLIN OHIO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>316400067</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2014-06-04</BondIssuedDt>
        <IssuePriceAmt>17225000</IssuePriceAmt>
        <PurposeDesc>2014A BONDS (SEE SCH K, PART VI)</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COUNTY OF FRANKLIN OHIO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>316400067</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2014-11-20</BondIssuedDt>
        <IssuePriceAmt>45580000</IssuePriceAmt>
        <PurposeDesc>2014B BONDS (SCH K, PART VI)</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COUNTY OF FRANKLIN OHIO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>316400067</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2013-06-04</BondIssuedDt>
        <IssuePriceAmt>66985000</IssuePriceAmt>
        <PurposeDesc>2013 BONDS (SCH K, PART VI)</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COUNTY OF FRANKLIN OHIO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>316400067</BondIssuerEIN>
        <CUSIPNum>353187AR8</CUSIPNum>
        <BondIssuedDt>2012-05-15</BondIssuedDt>
        <IssuePriceAmt>83291333</IssuePriceAmt>
        <PurposeDesc>2012A BONDS (SCH K, PART VI)</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>4820000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>17225000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>50001</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>17174999</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2015</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>45580000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>50001</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>45529999</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2015</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>14030000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>66985000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>0</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>66985000</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2013</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <RetiredAmt>9295000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>88860000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>976231</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>87060672</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>823513</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2012</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>true</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>true</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.01100</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.01100</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>true</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>true</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.01100</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.01100</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>SEE SCHED K PART VI</BusinessNameLine1Txt>
        </HedgeProviderName>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>SEE SCHED K PART VI</BusinessNameLine1Txt>
        </HedgeProviderName>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>SEE SCHED K PART VI</BusinessNameLine1Txt>
        </HedgeProviderName>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
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        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COUNTY OF FRANKLIN OHIO</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>COUNTY OF FRANKLIN OHIO</BusinessNameLine1Txt>
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        <BondReferenceCd>A</BondReferenceCd>
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        <UnspentAmt>0</UnspentAmt>
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        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
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        <InReserveFundAmt>0</InReserveFundAmt>
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        <BondReferenceCd>C</BondReferenceCd>
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        <TotalProceedsAmt>195350778</TotalProceedsAmt>
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        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
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        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
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          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
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        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
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        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>SEE SCHED K PART VI</BusinessNameLine1Txt>
        </HedgeProviderName>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Jung Sun Miller</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE SCHEDULE L, PART V</RelationshipDescriptionTxt>
        <TransactionAmt>40818</TransactionAmt>
        <TransactionDesc>Wages (Project Coordinator, NC</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>WBNS TV INC</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE SCHEDULE L, PART V</RelationshipDescriptionTxt>
        <TransactionAmt>238140</TransactionAmt>
        <TransactionDesc>Advertising</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS</FormAndLineReferenceDesc>
        <ExplanationTxt>NAME OF INTERESTED PERSON: JUNG SUN MILLER RELATIONSHIP: FAMILY MEMBER OF RICHARD MILLER (COO-NCH) AMOUNT: $40,818 DESCRIPTION: WAGES (PROJECT COORDINATOR, NCH - IS DEPT) SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: WBNS TV, INC. RELATIONSHIP: Michael J. Fiorile - Director - NCH (Chairman &amp; CEO of Dispatch Printing Company) AMOUNT: $238,140 DESCRIPTION: ADVERTISING SHARING OF ORGANIZATION'S REVENUES: NO</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArtGrp />
      <ArtHistoricalTreasuresGrp />
      <ArtFractionalInterestGrp />
      <BooksAndPublicationsGrp />
      <ClothingAndHouseholdGoodsGrp />
      <CarsAndOtherVehiclesGrp />
      <BoatsAndPlanesGrp />
      <IntellectualPropertyGrp />
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>23</ContributionCnt>
        <NoncashContributionsRptF990Amt>957380</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost/Selling Price</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <SecuritiesCloselyHeldStockGrp />
      <SecurPrtnrshpTrustIntrstsGrp />
      <SecuritiesMiscellaneousGrp />
      <QualifiedContribHistStructGrp />
      <QualifiedContribOtherGrp />
      <RealEstateResidentialGrp />
      <RealEstateCommercialGrp />
      <RealEstateOtherGrp />
      <CollectiblesGrp />
      <FoodInventoryGrp />
      <DrugsAndMedicalSuppliesGrp />
      <TaxidermyGrp />
      <HistoricalArtifactsGrp />
      <ScientificSpecimensGrp />
      <ArchaeologicalArtifactsGrp />
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, PART I, LINE 31 - GIFT ACCEPTANCE POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 6 - TOTAL NUMBER OF VOLUNTEERS: 1,037</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2018, NATIONWIDE CHILDRENS HOSPITAL RECEIVED 47,479 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 2018 SPENT A TOTAL OF 29,516 HOURS CREATING ITEMS FOR OUR PATIENTS AND VISITING THE HOSPITAL TO PROVIDE ACTIVITIES FOR BOTH PATIENTS AND FAMILIES. FORM 990, PART III, LINE 1 ORGANIZATIONS MISSION NATIONWIDE CHILDRENS 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A - PROGRAM SERVICE ACTIVITY #1</FormAndLineReferenceDesc>
        <ExplanationTxt>Patient care Nationwide Children's Hospital is one of the countrys 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 Childrens main campus is located near downtown Columbus, Ohio, and houses a 527-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 Childrens also brings expertise to other central Ohio hospitals by leasing and operating another 146 neonatal intensive and special care nursery beds. In 2018, Nationwide Childrens had more than 1.5 million visits from all 50 states and 45 countries. Nationwide Childrens discharged approximately 18,182 patients during 2018 for a total of 156,922 inpatient days. Patient care was provided by 1,448 medical staff, and the total hospital staff grew to 12,291 employees. Nationwide Childrens is nationally ranked in all 10 specialties by U.S. News and World Report and is on the honor roll list of Americas Best Childrens Hospitals. Specialized services that draw patients nationally and internationally include: Cardiology and Cardiothoracic Surgery (The Heart Center); Hematology, Oncology &amp; 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 Childrens mission is the commitment to provide high quality services to patients regardless of their ability to pay. In fact, Nationwide Childrens provides $194 million in charity care and community benefit services annually. In 2018, Nationwide Childrens accomplished this principal by providing approximately $17 million in Charity Care assistance and $75 million of unreimbursed Medicaid for a total of over $92 million in uncompensated care. Approximately 51 percent of Nationwide Childrens patient population is covered by Medicaid. Additionally, Nationwide Childrens subsidized losses on its Behavioral Health and Homecare Programs in 2018. 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 Childrens 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 16-bed inpatient psychiatric unit. In 2018, Nationwide Childrens continued the construction of a new behavioral health treatment and research center dedicated to children and adolescents. The Big Lots Behavioral Health Pavilion features will include 48 inpatient beds with capacity for more in the future, a 16-bed youth crisis stabilization unit, a 10-bed psychiatric crisis center, family resource center and teaching and conference space. The building is slated to open in 2020. Nationwide Childrens 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 7,017 home nursing visits in 2018. The depth and breadth of services offered at Nationwide Childrens 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 Childrens 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 Childrens 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 groups 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 Childrens 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 42,000 poison exposure calls in 2018. Experts in the center provide confidential, free emergency poisoning treatment advice 24/7. Patient safety is an organizational priority and cornerstone of Nationwide Childrens Hospitals 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 inter-disciplinary 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4B - PROGRAM SERVICE ACTIVITY #2</FormAndLineReferenceDesc>
        <ExplanationTxt>Research - The Abigail Wexner Research Institute (AWRI) at Nationwide Childrens Hospital occupies more than 500,000 square feet of dedicated research space on the Nationwide Children's campus. It is one of the largest pediatric research centers in the United States and is ranked among the top 10 for National Institutes of Health funding among free-standing children's hospitals. The faculty, staff and leadership at AWRI aggressively support the discovery of new knowledge and its translation into novel therapeutics and diagnostic tests to advance pediatric medicine. Recent results of Nationwide Childrens research have led to new therapies and changes to health policies. For example, Anup Patel, MD, neurologist at Nationwide Children's, and colleagues presented the findings of a multicenter, double-blind clinical trial using cannabis-derived cannabidiol (CBD) in patients with Lennox-Gastaut syndrome in a study published in the New England Journal of Medicine in May 2018. The clinical trial showed that CBD significantly reduces drop seizure frequency in this form of intractable epilepsy. The study helped to lead to the FDAs approval of Epidiolex for Lennox-Gastaut and Dravet syndromes in July 2018. In a study published in 2018 in The Journal of Pediatrics, researchers in the Center for Injury Research and Policy and the Sleep Disorders Center at Nationwide Childrens Hospital examined characteristics of four different smoke alarms to determine which ones worked best to wake children. They tested three alarms that used the mothers voice in addition to a high-pitch tone smoke alarm commonly used in homes. The researchers found that a sleeping child was about 3 times more likely to be awakened by one of the three voice alarms than by the tone alarm. In April 2018, the phase 1 clinical trial led by Jerry Mendell, MD, showing that gene therapy developed at Nationwide Childrens extends the survival of patients and supports achievement of milestones previously unseen in the natural course of spinal muscular atrophy type 1 (SMA1) was recognized as a recipient of the Distinguished Clinical Research Achievement Award. The study of a one-time intravenous infusion of the high dose of gene therapy for SMA1 was published in the New England Journal of Medicine. Many of the basic science and clinical research studies that led to this promising treatment were conducted at or led by Nationwide Childrens, including the fundamental discovery that the AAV9 viral vector crosses the blood-brain barrier. The experimental drug was produced in our Good Manufacturing Practices (GMP) facility in The Research Institute. This work ultimately led to the approval of Zolgensma, the first one-time, systemic delivery, gene replacement therapy for a neuromuscular disease to be approved by the U.S. Food and Drug Administration. A team of ear, nose, and throat (ENT) specialists has demonstrated that eating honey after swallowing a button battery has the potential to reduce serious injuries in small children. Based on findings in laboratory animals, the research suggests that this common household product may significantly reduce morbidity and mortality from highly caustic batteries. The teams work won the distinguished 2018 Broyles-Maloney Award from the American Broncho-Esophagological Association. As a result of the recent study, the National Capital Poison Center has released new guidelines for the management of lodged button batteries in children ages 1 and older. Clinical researchers at Nationwide Childrens Hospital have published one of the first health care studies to examine how behavior aligned with Safety II concepts impacts patient safety. Safety II is a novel approach to patient safety that focuses on why processes perform correctly in high-performing units, as opposed to its predecessor, Safety I, which focuses on why processes fail. Published in the journal Pediatrics, the study analyzed the Pediatric Intensive Care Unit (PICU) at Nationwide Childrens to identify factors in a hospital microsystem and its individuals that led to more reliable performance and increased ability to handle unusual or unexpected situations while delivering patient care. Approximately 1,875 Institutional Review Board (IRB) approved protocols were in progress during 2018, 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. In addition, more than 1,580 papers were published in 2018 by Nationwide Children's scientists in peer-reviewed medical and scientific journals.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4C - PROGRAM SERVICE ACTIVITY #3</FormAndLineReferenceDesc>
        <ExplanationTxt>Education - As an academic medical center, the Hospitals mission includes preparing the next generation of pediatric healthcare providers. In 2018, 600 Ohio State University (OSU) faculty trained 350 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. Recently, it also began training third year medical students from the new Ohio University Heritage College of Osteopathic Medicine (OUHCOM) in Dublin, Ohio. OUHCOM graduates are improving access to healthcare in Ohio: 97% come from Ohio, 58% stayed in Ohio to practice, and 10% are practicing in medically underserved areas. In 2018, the Hospital sponsored 36 accredited medical/dental residency and fellowship programs, 29 accredited by the Accreditation Council for Graduate Medical Education; 7 accredited by other organizations. The Hospital has 37 additional fellowships for which no national accreditation currently exists. These programs train pediatric specialists to meet 21st century healthcare needs in diverse pediatric programs such 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 Hospitals education investment. 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, but increased demand has led to acute national shortages. In 2018, the Hospital started two programs: (1) neonatal physician assistant program (recruited 2 of 3 graduates) and (2) pediatric child psychiatry nurse residency, the first such program in the country (recruited the one graduate). The Childrens Hospitals Graduate Medical Education Payment Program (CHGME) is a federal program that underwrites some of the expenses freestanding childrens hospitals incur to train physician and dental residents in accredited programs. The Hospital received $7.5 million in 2018 from CHGME. Overall in 2018, NCH spent approximately $37 million on professional and graduate medical education programs. In 2018, approximately 1,800 nursing students, 176 paramedic students, and over 800 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 affiliates with over 300 other universities, hospitals, and institutions. It also offers mentoring, shadowing, young scientist, STEMM (science, technology, engineering, mathematics and medicine), and minority recruitment programs for 150 school districts. A summer Underrepresented in Medicine Pediatric Externship was offered to four students, two of whom matched in the Hospitals pediatric residency program. The Hospital offers professional education programs to improve and sustain delivery of high quality pediatric care to all children. In 2018, it awarded continuing medical education credits to 25,500 physicians and 16,100 nurses/allied health professionals; offered 1,735 contact hours of continuing nursing education, awarding 42,800 nursing contact hours; and organized 44 local, regional, national and international conferences. Simulation sessions taught 5,300 multidisciplinary participants. The Hospital works closely with local healthcare providers, including 19 affiliate hospitals, to standardize pediatric care throughout Ohio. In 2018, 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 Hospitals 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 is key to health and wellbeing. In 2018, approximately 50,000 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. Families are not only learners, they also teach. In 2018, the Family as Family presenters offered approximately 125 sessions for 1,400 staff in addition to new hires at orientation. The Hospital is working to improving population health. One initiative, SPARK, is an evidence-based, no-cost kindergarten readiness program for families living near the Hospital. Monthly children receive a new book, lesson activities customized to their needs, and educational supplies, along with home or group-based learning. Data show: (1) 98% of SPARK graduates are kindergarten ready (compared to 33% pre-SPARK) and (2) 100% of SPARK children passed Ohios kindergarten readiness assessment. The Hospital continues to educate every hospital and medical staff member on quality tools. The Hospitals Quality Improvement Essentials course is nationally recognized for training the next generation of QI leaders. Since 2010 it has trained nearly 400 healthcare professionals from the Hospital as well as Childrens National Medical Center (Washington DC), Childrens Hospital Kings Daughters (Norfolk), Rainbow Babies and Children (Cleveland), and Oschner Medical Center (New Orleans). The Hospital was the first childrens hospital designated by the American Board of Medical Specialties as a Multi-specialty Portfolio Program Sponsor. Since 2012, over 350 physicians (and hundreds of other team members) have engaged in 120 different QI projects for credit at no charge to physicians. Finally, effective communication is essential to best care. Communicate with Me is a multi-tiered QI initiative to transform inter-provider communication and eliminate communication failures as a root cause of preventable harm. To date nearly 300 staff have been trained. Succession planning, career counseling, and leadership development are critical to an organization. In 2018, over 1,400 people attended 57 leadership academy workshops. The Journey to Leadership Excellence program is the Hospitals nine-month executive education program for high potential leaders. In 2018, 30 leaders graduated from this program. The Hospital also supports leaders through decentralized services including 190 team retreats reaching nearly 4,000 employees. In addition, the CEO and executive team did a talent review of 200 leaders in the Hospital to develop individual talent profiles and succession plans. The Hospital also has continuously operated a Medical Leadership Program since 2000, training over 350 physician leaders.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4D - OTHER PROGRAM SERVICE ACTIVITIES</FormAndLineReferenceDesc>
        <ExplanationTxt>Child Advocacy Nationwide Childrens Hospital is committed to serving our community. Through advocacy and volunteering efforts across the organization, employees engage 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 Healthcare Legislation: Nationwide Childrens actively promotes legislation that supports pediatric health care locally and nationally. Nationwide Childrens, in conjunction with the Childrens Hospital Association, advocates for protecting access to health care for children through Medicaid and the Childrens Health Insurance Program (CHIP). Additionally, through the Child Health Patient Safety Organization, Nationwide Childrens is working to improve hospital and national patient, family and employee safety efforts. Another legislative advocacy example involves four of our attending nephrologists being accepted into and completing the John E. Lewy Fund (JELF) for Children's Health and the American Society of Pediatric Nephrology Foundation Advocacy Scholar's Program. JELF scholars are broadly involved in health care and health equity advocacy at the local, state and national level. Research Advocacy Efforts: To help reduce the effects of traumatic brain injuries (TBIs) in youth sports, all 50 states and the District of Columbia enacted state youth TBI laws between 2009 and 2014. A 2018 study from the Center for Injury Research and Policy at Nationwide Childrens examined the effectiveness of these laws by looking at sports and recreation related mild TBI emergency department (ED) visits for children ages 5 to 18 for years before and after TBI legislation was enacted in each state. The study found that when youth TBI legislation is enacted, use of the ED for youth sports and recreation related mild TBI evaluations increased. These findings show the laws are working and should continue to be followed; more children are getting evaluated by a health care professional, which is one of the key tenets of youth TBI laws. Research advocacy also focused on reducing teenage suicide. Between 2017 and 2019, research on youth and adolescent suicide at Nationwide Childrens helped to influence changes to the first season of the Netflix series, 13 Reasons Why. Netflix deleted a graphic scene more than two years after the episode premiered in which a teenage girl kills herself. Nationwide Childrens researchers found that suicide rates spiked among boys aged 10 to 17 in the month after the release of the first season of the series. That month, April 2017, had the highest overall suicide rate for boys in that age group for the past five years according to the study. 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 2018, TCFSH had 1,670 visits to the Child Assessment Center and 526 Nationwide Childrens inpatient consults. The centers 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 2018, TAD served 135 organizations throughout the community. Drug Safety: In response to the Opioid Crisis, divisions and providers across the organization have taken action to improve patient safety when it comes to opioid prescriptions or illicit use. In 2018, Homecare began an Opioid Monitoring and Use quality improvement project to increase the percentage of patients taking chronic opioids that are compliant with the applicable opioid safety bundle. Homecare engaged 86% (up from 14%) of home-based palliative care patients prescribed opioids into a formal Opioid Risk Assessment. The goal for 2019 is 100%. The Opioid Taskforce, an integrated team devoted to advocating for opioid safety in the organization and beyond, and Adolescent Medicine at Nationwide Children's have worked extensively in 2018 to promote opioid safety awareness and education. From the Opioid Safety Toolkit for providers and parents to social media campaigns and collaboration with community organizations, providers and employees are actively engaged in reducing opioid use and addiction. Adolescent Medicines Medication Assisted Treatment for Addiction (MATA) Program is the only program of its kind in the region, with integrated behavioral health supports in addition to using medication to treat addiction. By offering and advocating for MATA as a first-line treatment for addiction in adolescents and young adults, the providers are working to offer hope and a chance at recovery for those affected by the opioid crisis. From researchers to nurses, pediatricians, surgeons and pharmacists, everyone at Nationwide Childrens is committed to opioid safety. Patient and family education have increased across the board, and every family who receives an opioid prescription receives a lock box to help keep the medicine secured. Neighborhood Revitalization: Employees, faculty and staff at Nationwide Children's are all invested in the community surrounding the hospitals main campus. From volunteering to clean up local parks to spending time at the food bank or free store, employees are engaging in the community through the Healthy Neighborhoods Healthy Families (HNHF) program. HNHF at Nationwide Children's collaborates with community partners to focus on five key areas: Education, Affordable Housing, Workforce Development, Safe Neighborhoods, 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 Healthy Neighborhoods Healthy Families (HNHF) program at Nationwide Children's worked with community partners to develop a kindergarten readiness program, called SPARK, where staff worked with caregivers and children to learn appropriate tools for working toward kindergarten readiness together. In 2018, kindergarten readiness scores improved from 32% to 96% of children who were prepared for kindergarten through the SPARK program. Further education focus resulted in more than 200 employees from across Nationwide Childrens, including research, clinical and hospital employees, participated as mentors through neighborhood schools and organizations in 2018. Mentors spend 1 hour weekly with their mentee in deliberate activities and discussion. In addition, sixty local high school students participated in the Upward Bound Math and Science program in 2018. This program encourages students to pursue secondary education.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4D - CONTINUED</FormAndLineReferenceDesc>
        <ExplanationTxt>Housing Projects Housing is a vital part of a healthy community. The blight 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 2018, 11 homes were completed for ownership and 14 homeowners were provided with grants for exterior improvements. Since 2008, more than 350 homes have been impacted through rehabilitations, home improvement grants and new builds. The HNHF Healthy Homes program also began rehabbing homes for rent, with 52 units in service and expectations to grow to more than 130. The hospitals continued financial commitment to HNHF has helped to support the construction of safe, decent, and affordable housing. Employment Opportunities More than 700 residents of the zip codes surrounding the hospital are employed by Nationwide Children's Hospital as a result of workforce development and strategic recruitment efforts by the hospital. In 2018, Nationwide Childrens proposal for South Side Career Homes was named a contract awardee in Phase 1 of Fannie Maes Sustainable Communities Innovation Challenge. The project includes affordable housing within one mile of the hospital and integrated health care workforce training that goes beyond entry-level jobs. Safe Neighborhoods During 2018, 50 leaders have now graduated from the South Side Neighborhood Leadership Academy, which supports residents in their continued growth as change agents in the community. Health and Wellness School-based Nationwide Childrens health clinics had more than 1,200 visits while school-based behavioral health had more than 300 visits during 2018. In addition, approximately 100 caregivers (teen and adults) attended Positive Parenting Program (Triple P) workshops. 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, Abigail s. Wexner, and Alex Fischer. A business relationship exists between THE FOLLOWING DIRECTORS OF NATIONWIDE CHILDREN'S HOSPITAL: Ann I. Wolfe and Michael Fiorile. A BUSINESS RELATIONSHIP EXISTS BETWEEN THE FOLLOWING DIRECTORS OF NATIONWIDE CHILDREN'S HOSPITAL: DWIGHT SMITH AND TIMOTHY C. ROBINSON. A BUSINESS RELATIONSHIP EXISTS BETWEEN THE FOLLOWING DIRECTORS OF RINCH: DWIGHT SMITH, 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, STEVE ALLEN, M.D., 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 7A - CLASSES OF PERSONS AND THEIR RIGHTS</FormAndLineReferenceDesc>
        <ExplanationTxt>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 CHILDRENS HOSPITAL CHIEF EXECUTIVE OFFICER/BOARD TREASURER; INTERIM CHIEF FINANCIAL OFFICER; DEPUTY GENERAL COUNSEL OF LEGAL SERVICES/ASSISTANT 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 2018, 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 &amp; KEY EMPLOYEES IN THE FIRST QUARTER OF 2018, 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LN 19 - AVAILABILITY OF GOV DOCS, COI POLICY &amp;</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>EFFECT OF ADOPTION OF SFAS NO. 158 - ($2,029,670) NET CHANGE IN INTEREST RATE SWAP AGREEMENTS - $6,337,001 TECHNOLOGY INVESTMENTS - $7,080,310 TECHNOLOGY INVESTMENT OBLIGATIONS - ($2,603,001) OTHER - ($179,991) TOTAL - $8,604,649</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:80526829</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:NICU LEASED SALARIES &amp; MED SVC TOTAL FEES:48833128</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:RESEARCH SUBCONTRACT TOTAL FEES:8765803</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONSULTATION FEES TOTAL FEES:4265894</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:45806134</ExplanationTxt>
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