2018-11-08T14:13:15-06:00 2017-12-31 ERNST & YOUNG US LLP 312 WALNUT STREET SUITE 1900 CINCINNATI OH 45202 990 2017-01-01 010782751 Nationwide Children's Hospital Group Return % CHRISTINA MCMANUS NATI 6147225958 700 CHILDRENS DRIVE COLUMBUS OH 43205 Timothy C Robinson Treasurer/CFO 6147225958 2018-11-08 true JULIE L SPARKS P01268401 5136121400 2018-11-08 164.57.159.253 31499120183125000001 2018-11-08 P 770194AAF055F9EA87E64CA02E08FE540289067F 792E0AAC5A27EF8E692221D1D01611EA294E7B56 2017 2019-02-21 02:37:17Z NATIONWIDE CHILDREN'S HOSPITAL Steve Allen MD 700 Childrens Drive Columbus OH 43205 2850631833 true true 4235 X www.nationwidechildrens.org X OH NATIONWIDE CHILDREN'S HOSPITAL'S MISSION IS BASED ON THE PREMISE THAT NO CHILD SHOULD BE REFUSED NECESSARY CARE FOR LACK OF ABILITY TO PAY. 83 59 14707 1174 13112224 -2835844 244669298 243161947 1470743688 1606506385 44234807 111354316 29051551 32478093 1788699344 1993500741 91747897 98386583 0 0 759044042 817032688 0 0 5757790 693932204 710558275 1544724143 1625977546 243975201 367523195 3738660695 4436425403 937992969 1025159135 2800667726 3411266268 X SEE SCHEDULE O false false 1071986227 31958629 1612884018 PATIENT CARE (SEE SCHEDULE O) 191156253 62528272 0 RESEARCH (SEE SCHEDULE O) 35825409 1162621 1232912 EDUCATION (SEE SCHEDULE O) 4948224 2737061 0 1303916113 true true false true false false false false false true true false false false true true false true false true true false false false true true true true true true true true false false false false false false false true true false true false false false true true true true false false true 838 0 true 14707 true true true true CJ false false false true true false false false false X 83 59 true false true false true true true true true false true true false true true true true true true true true true AK AR CA FL GA HI IL KS KY MD MA MI MN MS NH NJ NM NY NC ND OH OK OR PA RI SC TN UT WV WI X CHRISTINA MCMANUS 6143553119 700 CHILDRENS DRIVE COLUMBUS OH 43205 X ALEX FISCHER CHAIR / DIRECTOR - NCH 3.0 0.0 X X 0 0 0 GEORGE BARRETT DIRECTOR - NCH 3.0 0.0 X 0 0 0 DAVID CAMPISI DIRECTOR - NCH 3.0 0.0 X 0 0 0 JOSEPH A CHLAPATY DIRECTOR - NCH 3.0 0.0 X 0 0 0 JOHN B GERLACH DIRECTOR - NCH 3.0 0.0 X 0 0 0 C ROBERT KIDDER DIRECTOR - NCH 3.0 0.0 X 0 0 0 MICHAEL J FIORILE DIRECTOR - NCH 3.0 0.0 X 0 0 0 HONORABLE ALGENON MARBLEY DIRECTOR - NCH (AS OF 8/2017) 3.0 0.0 X 0 0 0 SHAREN JESTER TURNEY DIRECTOR - NCH 3.0 0.0 X 0 0 0 CHRIS OLSEN DIRECTOR - NCH 3.0 0.0 X 0 0 0 JORDAN MILLER JR DIRECTOR - NCH 3.0 0.0 X 0 0 0 R BLANE WALTER DIRECTOR - NCH (TO 8/2017) 3.0 0.0 X 0 0 0 STEVE RASMUSSEN DIRECTOR - NCH 3.0 0.0 X 0 0 0 ABIGAIL S WEXNER DIRECTOR - NCH 3.0 0.0 X 0 0 0 DWIGHT SMITH DIRECTOR - NCH 3.0 0.0 X 0 0 0 BARBARA TRUEMAN DIRECTOR - NCH (TO 8/2017) 3.0 0.0 X 0 0 0 ANN I WOLFE DIRECTOR - NCH 3.0 0.0 X 0 0 0 DARRYL A ROBBINS DO DIRECTOR - NCH 3.0 0.0 X 0 0 0 ALLAN BEEBE MD DIRECTOR - NCH 47.0 3.0 X 857183 0 58745 THOMAS POMERING DO DIRECTOR - NCH 3.0 0.0 X 0 0 0 SHELDON RETCHIN MD DIRECTOR - NCH (TO 4/2017) 3.0 0.0 X 0 0 0 CRAIG KENT MD DIRECTOR - NCH 3.0 0.0 X 0 0 0 STEVE ALLEN MD DIRECTOR / CEO - NCH 47.0 3.0 X X 1801022 0 360744 RICHARD MILLER CHAIR/DIR-NCH HOMECARE 50.0 0.0 X X 0 0 0 TIMOTHY C ROBINSON TREAS/DIR-NCH HOMECARE 47.0 3.0 X X 0 0 0 LINDA STOVEROCK RN SEC/DIRECTOR - NCH HOMECARE 50.0 0.0 X X 0 0 0 CHRISTOPHER TIMAN MD MEDICAL DIR - NCH HOMECARE 3.0 0.0 X 0 0 0 LISA HUMPHREY MD INTERIM MED DIR-NCH HOMECARE 3.0 0.0 X 0 0 0 RICHARD MILLER PRESIDENT / DIRECTOR - CRI 50.0 0.0 X X 0 0 0 STEVE ALLEN MD DIRECTOR - CRI 47.0 3.0 X 0 0 0 RAJESH KRISHNAMURTHY MD DIRECTOR - CRI 50.0 0.0 X 577439 0 59744 TIMOTHY C ROBINSON TREASURER / DIRECTOR - CRI 47.0 3.0 X X 0 0 0 PHYLLIS HAMMOND-INNES MD PRES/DIR - PPAC (TO 8/2017) 3.0 0.0 X X 0 0 0 TIMOTHY C ROBINSON TREASURER / DIRECTOR - PPAC 47.0 3.0 X X 0 0 0 RICHARD BRILLI MD DIRECTOR - PPAC 43.0 0.0 X 0 0 0 JAMIE PHILLIPS DIRECTOR - PPAC 50.0 0.0 X X 518299 0 45164 RICHARD MILLER VICE PRESIDENT / DIR - PPAC 50.0 0.0 X X 0 0 0 STEVE ALLEN MD DIRECTOR - PPAC 47.0 3.0 X 0 0 0 KAMRAN BADIZADEGAN MD PRES/DIR-PPAC (AS OF 8/2017) 50.0 0.0 X X 414659 0 63004 RICHARD MILLER PRESIDENT / DIRECTOR - CSA 50.0 0.0 X X 0 0 0 TIMOTHY C ROBINSON TREASURER / DIRECTOR - CSA 47.0 3.0 X X 0 0 0 STEVE ALLEN MD DIRECTOR - CSA 47.0 3.0 X 0 0 0 R LAWRENCE MOSS MD DIRECTOR - CSA 47.0 3.0 X 1073393 0 62502 ANN I WOLFE CHAIR / DIR - NCH FDN 3.0 0.0 X X 0 0 0 THOMAS N BRIGDON DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 CHERYL W LUCKS DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 CHAD A JESTER DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 ANDREW W LIVINGSTON DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 EDWARD SHEPHERD MD DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 CYNTHIA RASMUSSEN DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 ALBERT COVELLI DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 RICHARD GERMAIN DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 WILLIAM EASDALE DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 PAMELA FARBER DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 TIMOTHY JOHNSON DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 JONATHAN RAMSDEN DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 BRYAN STEWART DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 MICHAEL RAYDEN DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 MICHAEL FITZPATRICK DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 MELISA MILLER DIRECTOR - NCH FDN 3.0 0.0 X 0 0 0 STEVE ALLEN MD DIRECTOR - NCH FDN 47.0 3.0 X 0 0 0 SHAREN JESTER TURNEY CHAIR / DIRECTOR - RINCH 3.0 0.0 X X 0 0 0 GEORGE BARRETT DIRECTOR - RINCH 3.0 0.0 X 0 0 0 KENT JOHNSON PHD DIRECTOR - RINCH 3.0 0.0 X 0 0 0 BEN MAIDEN PHD DIRECTOR - RINCH 3.0 0.0 X 0 0 0 CHRIS OLSEN DIRECTOR - RINCH 3.0 0.0 X 0 0 0 DWIGHT SMITH DIRECTOR - RINCH 3.0 0.0 X 0 0 0 THOMAS WALKER DIRECTOR - RINCH 3.0 0.0 X 0 0 0 CAROLINE C WHITACRE PHD DIRECTOR - RINCH 3.0 0.0 X 0 0 0 STEVE ALLEN MD DIRECTOR - RINCH 47.0 3.0 X 0 0 0 ABIGAIL S WEXNER CHAIR / DIRECTOR - CCFA 3.0 0.0 X X 0 0 0 STEVE ALLEN MD DIRECTOR - CCFA 47.0 3.0 X 0 0 0 DALLAS BALDWIN DIRECTOR - CCFA (AS OF 2/2017) 3.0 0.0 X 0 0 0 CARRIE BIRCH DIRECTOR - CCFA 3.0 0.0 X 0 0 0 JANET E JACKSON DIRECTOR - CCFA 3.0 0.0 X 0 0 0 KATHERINE WOLFE LLOYD DIRECTOR - CCFA 3.0 0.0 X 0 0 0 KEVIN O'CONNOR DIRECTOR - CCFA 3.0 0.0 X 0 0 0 AUDREY G TUCKERMAN DIRECTOR - CCFA 3.0 0.0 X 0 0 0 KAREN DAYS PRES / DIRECTOR - CCFA 50.0 0.0 X X 299907 0 47764 BISHOP CALLON HOLLOWAY DIRECTOR - CCFA 3.0 0.0 X 0 0 0 KIMBERLEY JACOBS DIRECTOR - CCFA 3.0 0.0 X 0 0 0 CHAD A JESTER DIRECTOR - CCFA 3.0 0.0 X 0 0 0 STANLEY PARTLOW DIRECTOR - CCFA 3.0 0.0 X 0 0 0 JUDGE DANA PREISSE DIRECTOR - CCFA 3.0 0.0 X 0 0 0 OLIVIA THOMAS MD DIRECTOR - CCFA 3.0 0.0 X 0 0 0 SHAREN JESTER TURNEY DIRECTOR - CCFA (TO 3/2017) 3.0 0.0 X 0 0 0 BRETT MEYER DIRECTOR - CCFA 3.0 0.0 X 0 0 0 MARILYN BROWN DIRECTOR - CCFA (AS OF 10/2017 3.0 0.0 X 0 0 0 JAMES DIGAN PRES - NCH FDN (TO 9/2017) 50.0 0.0 X 1016439 0 32193 STEPHEN TESTA PRES - NCH FDN (AS OF 9/2017) 50.0 0.0 X 353992 0 82356 TIMOTHY C ROBINSON TREASURER / SR VP / CFO - NCH 47.0 3.0 X 1022364 0 164554 TIMOTHY C ROBINSON TREASURER - CCFA 47.0 3.0 X 0 0 0 TIMOTHY C ROBINSON TREASURER - NCH FDN 47.0 3.0 X 0 0 0 TIMOTHY C ROBINSON TREASURER - RINCH 47.0 3.0 X 0 0 0 RICHARD MILLER COO - NCH 50.0 0.0 X 953812 0 166052 LINDA STOVEROCK RN SR VP / CNO - NCH 50.0 0.0 X 515695 0 52550 WANDA STACKPOLE VP/EXEC DIRECTOR - NCH HOMECR 50.0 0.0 X 205671 0 27439 JOHN A BARNARD MD PRESIDENT - RINCH 37.0 3.0 X 509387 0 51388 RHONDA COMER SECRETARY - CRI 47.0 3.0 X 0 0 0 RHONDA COMER SECRETARY - PPAC 47.0 3.0 X 0 0 0 RHONDA COMER SECRETARY - CSA 47.0 3.0 X 0 0 0 RHONDA COMER SECRETARY - NCH FDN 47.0 3.0 X 0 0 0 RHONDA COMER SECRETARY - CCFA 47.0 3.0 X 0 0 0 RHONDA COMER SECRETARY - RINCH 47.0 3.0 X 0 0 0 RHONDA COMER SEC/SR VP/LEGAL SVCS - NCH 47.0 3.0 X 660547 0 55672 LUKE BROWN ASST TREAS - NCH FDN 50.0 0.0 X 309557 0 46878 SARA EVANS ASST SECRETARY- NCH FDN 50.0 0.0 X 165717 0 32872 LORINA WISE ASST SECRETARY - RINCH 50.0 0.0 X 261690 0 32306 PATRICIA MCCLIMON SR VP / PLAN & DEV'T - NCH 50.0 0.0 X 627514 0 132195 RICHARD BRILLI MD CHIEF MEDICAL OFFICER - NCH 43.0 0.0 X 670583 0 163904 BRUCE MEYER MD ADMIN MEDICAL DIRECTOR - NCH 50.0 0.0 X 166930 0 32750 DENISE ZABAWSKI VP / CIO - NCH 50.0 0.0 X 418602 0 33771 ELISABETH BALDOCK VP/ HR - NCH 50.0 0.0 X 524645 0 38574 DENNIS MINZLER VICE PRESIDENT - NCH 50.0 0.0 X 251031 0 47061 BRUCE STEVENSON VICE PRESIDENT - RINCH 50.0 0.0 X 270433 0 40687 AMY ROSCOE VICE PRESIDENT - RINCH 50.0 0.0 X 237315 0 21723 LEE ANN WALLACE VP CLINICAL SERVICES - NCH 50.0 0.0 X 248408 0 28023 MARK GALANTOWICZ MD CHIEF OF CT SURGERY - CSA 50.0 0.0 X 1861488 0 62402 KEVIN KLINGELE MD ORTHOPEDIC SURGEON - CSA 50.0 0.0 X 1190830 0 58244 RICHARD KIRSCHNER MD PLASTIC SURGEON - CSA 50.0 0.0 X 1007626 0 57745 MATTHEW BERAN MD ORTHOPEDIC SURGEON - CSA 50.0 0.0 X 934708 0 42356 WALTER SAMORA MD ORTHOPEDIC SURGEON - CSA 50.0 0.0 X 869248 0 63244 20796134 0 2264606 814 false true false PEDIATRIC ACADEMIC ASSOCIATION 555 SOUTH 18TH STREET COLUMBUS OH 43205 MEDICAL SERVICES 67769651 OHIO STATE UNIVERSITY 410 WEST 10TH AVENUE COLUMBUS OH 43210 MEDICAL SERVICES 37655114 OHIOHEALTH 180 EAST BROAD STREET 33RD FLOOR COLUMBUS OH 43215 MEDICAL SERVICES 26612221 MT CARMEL HEALTH 6150 EAST BROAD STREET COLUMBUS OH 43212 MEDICAL SERVICES 8337733 NBBJ PO Box 101800 PASADENA CA 91189 architectural svcs. 5867788 256 295199 8350 4375211 81855792 53767411 102859984 2085219 243161947 NET PATIENT SERVICES REVENUE 900099 1593369341 1593369341 0 0 PHYSICIAN SERVICES REVENUE 900099 8530415 8530415 0 0 Reference Lab 621500 3264299 0 3264299 0 Poison Center 900099 856678 856678 0 0 Retail Pharmacy 446110 359478 0 359478 0 126174 77683 48491 0 1606506385 45104394 -747587 45851981 19556 19556 1466279 1466279 2919198 1649781 1269417 0 1269417 1269417 920819865 10000 853987432 612067 66832433 -602067 66230366 66230366 526289 4375211 855182 -328893 -328893 67846 26630 41216 41216 0 0 0 Cafeteria 722210 6696813 0 0 6696813 BILLING SERVICES TO AFFILIATE 541200 4507235 4507235 0 0 Other Research Revenue 900099 10177039 3251 10173788 0 8648987 3100059 13755 5535173 30030074 1993500741 1610444662 13112224 126781908 X 98041225 98041225 345358 345358 0 0 0 0 16912847 4002604 12167753 742490 112877 82354 30523 0 632447649 498793937 132046478 1607234 29545114 22275602 7269512 0 94666290 75052640 19102027 511623 43347911 32396249 10951662 0 0 0 0 0 4569207 20199 4549008 0 647617 0 647617 0 290805 0 290805 0 0 0 0 0 0 0 190372344 152211736 38006119 154489 6449798 765188 3362273 2322337 45189785 29275554 15885060 29171 19604966 8168230 11436736 0 992210 992210 0 0 78572495 64419824 14152671 0 6902863 4795973 1970902 135988 0 0 0 0 1673204 1119695 544035 9474 20065352 0 20065352 0 0 0 0 0 83899414 66708016 17191398 0 8009365 6275083 1734282 0 Drugs 103833752 103526244 307508 0 Medical Supplies 94351361 94351361 0 0 Hospital Franchise Fees 28878453 28878453 0 0 Textiles & Paper Goods 4116820 3235269 881551 0 12138464 8183109 3710371 244984 1625977546 1303916113 316303643 5757790 0 156111443 181852083 3069260 375279 55227153 52845759 235540461 235162859 0 0 0 0 0 0 9159134 9960532 15465933 15926691 1765236693 534144496 1157382907 1231092197 1955727002 2539166335 0 0 0 0 4850808 4882971 146126594 165160697 3738660695 4436425403 174053125 183847454 0 0 25803237 19807949 560190000 642020000 0 0 0 0 0 0 0 0 177946607 179483732 937992969 1025159135 X 2530738586 3099265577 153737489 188900833 116191651 123099858 2800667726 3411266268 3738660695 4436425403 X 367523195 244749462 0 0 0 -1674115 X false true X true true true X false false false false false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE A, PART IV EXPLANATION REASON FOR PUBLIC CHARITY STATUS FOR GROUP RETURN SUBORDINATES NATIONWIDE CHILDREN'S HOSPITAL (NCH) EIN 31-4379441 PUBLIC CHARITY STATUS: 509(a)(1) & 170(b)(1)(A)(iii) NATIONWIDE CHILDREN'S HOSPITAL HOMECARE (NCH HOMECARE) EIN 31-1296332 PUBLIC CHARITY STATUS: 509(a)(2) 2017 PUBLIC SUPPORT PERCENTAGE: 100% 2016 PUBLIC SUPPORT PERCENTAGE: 100% 2017 INVESTMENT INCOME PERCENTAGE: 0% 2016 INVESTMENT INCOME PERCENTAGE: 0% CHILDREN'S RADIOLOGICAL INSTITUTE (CRI) EIN 31-1439570 PUBLIC CHARITY STATUS: 509(a)(2) 2017 PUBLIC SUPPORT PERCENTAGE: 99.46% 2016 PUBLIC SUPPORT PERCENTAGE: 99.47% 2017 INVESTMENT INCOME PERCENTAGE: 0.54% 2016 INVESTMENT INCOME PERCENTAGE: 0.53% PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS (PPAC) EIN 31-1595013 PUBLIC CHARITY STATUS: 509(a)(2) 2017 PUBLIC SUPPORT PERCENTAGE: 99.79% 2016 PUBLIC SUPPORT PERCENTAGE: 99.79% 2017 INVESTMENT INCOME PERCENTAGE: 0.21% 2016 INVESTMENT INCOME PERCENTAGE: 0.21% CHILDREN'S SURGICAL ASSOCIATES (CSA) EIN 31-1654000 PUBLIC CHARITY STATUS: 509(a)(2) 2017 PUBLIC SUPPORT PERCENTAGE: 99.99% 2016 PUBLIC SUPPORT PERCENTAGE: 99.98% 2017 INVESTMENT INCOME PERCENTAGE: 0.01% 2016 INVESTMENT INCOME PERCENTAGE: 0.02% NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION (NCHF) EIN 31-1036370 PUBLIC CHARITY STATUS: 509(a)(1) & 170(b)(1)(A)(vi) 2017 PUBLIC SUPPORT PERCENTAGE: 55.60% 2016 PUBLIC SUPPORT PERCENTAGE: 59.50% RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL (RINCH) EIN 31-6056230 PUBLIC CHARITY STATUS: 509(a)(1) & 170(b)(1)(A)(vi) 2017 PUBLIC SUPPORT PERCENTAGE: 64.50% 2016 PUBLIC SUPPORT PERCENTAGE: 63.68% CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSP (CCFA) EIN 02-0627166 PUBLIC CHARITY STATUS: 509(a)(1) & 170(b)(1)(A)(vi) 2017 PUBLIC SUPPORT PERCENTAGE: 87.10% 2016 PUBLIC SUPPORT PERCENTAGE: 85.40% false true true 6376 true 4388 false true 154612 true 573307 false false 738683 false SCHEDULE C, PART II-B, LINE 1 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 $154,612. During 2017, 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 2017. 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. 160913523 6908367 18358133 5620207 180559816 146550272 9011343 9515476 4163568 160913523 147768473 3486666 -1260160 3444407 146550572 141883193 4501073 5128674 3744467 147768473 118965128 8593015 17299062 2974012 141883193 0.24690 0.75310 0.00000 false false 51544235 51544235 1281937770 339567133 942370637 15694373 5290213 10404160 338416949 189287150 149129799 77643366 0 77643366 1231092197 0 Market Value of Interest Rate Swap 29288282 Accrued Retirement Benefits 30272939 Other Donor Related Liabilities 2075179 Accrued Professional Liability 31914000 Bond Issuance Costs 19349793 Payable to Third Party Payors 3836649 HCAP Accrual 57394005 Deferred Compensation 2224627 Due to Affiliate 3128258 179483732 X SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS AVAILABLE ENDOWMENT FUNDS ARE USED TO SUPPORT THE NCH MISSION OF PROVIDING THE HIGHEST QUALITY PATIENT CARE, ADVOCACY FOR CHILDREN AND FAMILIES, PEDIATRIC RESEARCH, AND EDUCATION OF PATIENTS, FAMILIES AND FUTURE HEALTHCARE PROVIDERS. SCHEDULE D, PART X, LINE 2 FIN 48(ASC740) Footnote NATIONWIDE CHILDREN'S RECORDS ACCRUALS FOR UNCERTAIN TAX POSITIONS UNDER ASC 740, INCOME TAXES. NATIONWIDE CHILDREN'S HAD NO SIGNIFICANT UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2017 AND 2016. Central America and the Caribbean Program Services Self Insurance 1792653 East Asia and the Pacific Program Services Healthcare Services 913 South Asia Program Services Healthcare Services 437 Europe (Including Iceland and Greenland) Program Services Healthcare Services 18147 Europe (Including Iceland and Greenland) Program Services Research Collaboration 24349 Middle East and North Africa Program Services International Business 28015 North America Program Services Healthcare Services 61459 North America 1 Program Services Salary 45322 North America Program Services Research Collaboration 113980 Central America and the Caribbean Investments 130000 1 1 2215275 2215275 true false true false false false Horse Show/Conc 1989805 1650465 339340 197911 MARATHON 1094382 1091900 2482 3491 190062 9 1817313 1632846 184467 1140 69886 113914 79864 198914 4901500 4375211 526289 1140 69886 117405 79864 586887 855182 -328893 67846 9210 17420 true 1.00000 67846 9210 17420 26630 41216 OH true false true false 0.00000 1.00000 Kevin Welch 700 Childrens Drive Columbus OH 43205 false NA false true true X true X true X true true true false false 12021521 390058 11631463 0.00710 658433803 574869921 83563882 0.05140 1141547 1141547 0 0.00000 671596871 576401526 95195345 0.05850 6874327 3404676 3469651 0.00210 34882774 2929289 31953485 0.01970 35863374 23089894 12773480 0.00790 46510349 0 46510349 0.02860 2040264 0 2040264 0.00120 126171088 29423859 96747229 0.05950 797767959 605825385 191942574 0.11800 339255 174000 165255 0.00010 753755 140000 613755 0.00040 479410 479410 0.00030 214511 214511 0.00010 258174 258174 0.00020 2045105 314000 1731105 0.00110 true 38578022 0 4887853 7754020 -2866167 X true true NONE 1 1 NATIONWIDE CHILDREN'S HOSPITAL 700 CHILDRENS DRIVE MAIN CAMPUS COLUMBUS OH 43205 www.nationwidechildrens.org X X X X X X NEONATAL INTENSIVE CARE UNIT NATIONWIDE CHILDREN'S (MAIN CAMPUS) 1 false false true X X X X X X X X X 16 true true true true X SEE PART VI, LINE 2 X true 16 true SEE SECTION C false true X 200. 400. X true true X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X true X false X X X X true X true false PART V, SECTION B, LINE 3E The significant health needs of the community identified in the CHNA are presented as a prioritized description. PART V, SECTION B, LINE 5 - INPUT FROM COMMUNITY REPRESENTATIVES community input for this report was provided through a series of 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. PART V, SECTION B, LINE 6A CHNA HOSPITAL FACILITIES THE CHNA WAS CONDUCTED AS A COLLABORATION LED BY THE CENTRAL OHIO HOSPITAL COUNCIL, INCLUDING NATIONWIDE CHILDREN'S HOSPITAL, OHIOHEALTH, MOUNT CARMEL HEALTH SYSTEM, AND THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER. PART V, SECTION B, LINE 6B CHNA NON-HOSPITAL FACILITIES THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH CENTRAL OHIO AREA AGENCY ON AGING, CENTRAL OHIO TRAUMA SYSTEM, 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 PART V, SECTION B, LINE 11 ADDRESSING NEEDS IDENTIFIED IN THE CHNA 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 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. PART V, SECTION B, LINE 16A THE FAP IS WIDELY AVAILABLE ON THIS WEBSITE: HTTP://WWW.NATIONWIDECHILDRENS.ORG/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16B THE FAP APPLICATION FORM IS WIDELY AVAILABLE ON THIS WEBSITE: HTTP://WWW.NATIONWIDECHILDRENS.ORG/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16C A PLAIN LANGUAGE SUMMARY OF THE FAP IS WIDELY AVAILABLE ON THIS WEBSITE: HTTP://WWW.NATIONWIDECHILDRENS.ORG/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 23 AMOUNTS GENERALLY BILLED In 2017, our Internal Audit department conducted a review of our Hospitals compliance with 501(r). This was a retrospective review focusing on our compliance during calendar year 2016. Through Internal Audits review, it was discovered that the time period, as defined per our policy, for which we used to calculate the amounts generally billed (AGB) percentage was outside of 120 days from when it was applied. In our Financial Assistance Policy (FAP), our AGB percentage is the basis for the discounted care that we provide to patients with emergency and medically necessary needs whose income is between 301% and 400% of the Federal Poverty Level (FPL). Upon learning of this issue, we recalculated AGB using the time period allowed per the 501(r) regulations and determined we should have charged patients qualifying for our FAP within this income threshold 58.5% instead of 60%. In order to correct this issue, we issued refunds to patients for any amounts collected over AGB and revised our FAP to accurately reflect the basis for calculating AGB and the write-off percentage used for patients with income between 301% to 400% of the FPL. Going forward, we will continue to monitor 501(r) compliance by engaging our Internal Audit department to conduct a review on an annual basis. 22 HOMECARE AND HOSPICE 255 EAST MAIN STREET COLUMBUS OH 43215 HOMECARE SPRINGFIELD LABORATORY SERVICE CENTER 1644 NORTH LIMESTONE STREET SPRINGFIELD OH 45503 LAB CHILDREN'S COMMUNITY PRACTICES LLC DBA CHILLICOTHE PEDIATRICS 80 Star Chillicothe OH 45610 Physician Practice CHILDREN'S COMMUNITY PRACTICES LLC DBA RICHLAND PEDIATRICS 540 S TRI MANSFIELD OH 44906 Physician Practice CHILDREN'S COMMUNITY PRACTICES LLC DBA RICHLAND PEDIATRICS 110 West S Shelby OH 44875 Physician Practice ZANESVILLE OUTPATIENT SPECIALTY CLINICS 716 ADAIR AVENUE ZANESVILLE OH 43701 CARDIOLOGY CLINIC CLEVELAND CHILDLAB 1139 ROCKSIDE ROAD PARMA OH 44134 LAB MANSFIELD CLOSE TO HOME CENTER 536 S TRIMBLE ROAD MANSFIELD OH 44906 MEDICAL OFFICES CHILD LAB CARDIOLOGY MARIETTA OUTPATIENT CARDIOLOGY SERVICES 310 EAST 8TH STREET SUITE 120 MARIETTA OH 45750 CARDIOLOGY CLINIC MARION CLOSE TO HOME CENTER 1069 DELAWARE AVENUE MARION OH 43302 LAB & CARDIOLOGY CHILLICOTHE CLOSE TO HOME CENTER 4439 STATE ROUTE 159 CHILLICOTHE OH 45601 CARDIOLOGY CLINIC HEM & ONC CLINIC WASHINGTON COURT HOUSE CHILDLAB 616 WILLARD STREET WASHINGTON CH OH 43160 Lab ATHENS OUTPATIENT CARDIOLOGY SERVICES 75 HOSPITAL DR CASTROP CTR STE 33 ATHENS OH 45701 CARDIOLOGY CLINIC PORTSMOUTH CARDIOLOGY SERVICES 1711 27th Street Braulin Bldg Sui Portsmouth OH 45662 CARDIOLOGY CLINIC NEWARK CLOSE TO HOME CENTER 75 SOUTH TERRACE AVENUE NEWARK OH 43055 MEDICAL OFFICES CHILD LAB DAYTON OUTPATIENT CARDIOLOGY SERVICES 1 CHILDRENS PLAZA DAYTON OH 45404 CARDIOLOGY CLINIC FINDLAY OUTPATIENT CARDIOLOGY SERVICES 1900 SOUTH MAIN STREET 2ND FLOOR FINDLAY OH 45840 CARDIOLOGY CLINIC ZANESVILLE LABORATORY SERVICE CENTER 1166 MILITARY ROAD SUITE 2B ZANESVILLE OH 43701 LAB LIMA LABORATORY SERVICE CENTER 830 WEST HIGH STREET SUITE 375 LIMA OH 45801 LAB WARREN CHILDLAB 321 NILES CORTLAND ROAD NE WARREN OH 44484 LAB WOODMERE CHILDLAB 28420 CHAGRIN BLVD WOODMERE OH 44122 LAB CANTON CHILDLAB 4579 Everhard Rd NW Canton OH 44718 LAB SCHEDULE H, PART I, LINE 3C Criteria for Determining eligibility for free or discounted care 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. PART I, LINE 7 COSTING METHODOLOGY THE COST TO CHARGE RATIO USED IN LINE 7 WAS DERIVED FROM WORKSHEET 2. SCHEDULE H, PART II, LINE 10 COMMUNITY BUILDING ACTIVITIES NATIONWIDE CHILDREN'S HOSPITAL (NCH) IMPACTS THE COMMUNITY IN MANY WAYS. IN 2008, THE CITY OF COLUMBUS, NATIONWIDE 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 10 YEARS, HNHF IMPACTED 330 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 2017, NCH HAD 150 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. THIS PROGRAM SUPPORTED 33,900 WELL CHECKS BY SUPPLYING DEVELOPMENTALLY AND CULTURALLY APPROPRIATE NEW BOOKS TO EVERY VISIT. IN ADDITION, NCH DISTRIBUTED 100,000 BOOKS TO CHILDREN IN THE SURROUNDING COMMUNITY TO IMPROVE LITERACY AND PREPARE CHILDREN FOR KINDERGARTEN. - LIVINGSTON PARK MAINTENANCE, A CITY OWNED PARK THAT NCH ASSISTS IN MAINTAINING. THE NCH ENGINEERING DEPARTMENT PROVIDES SNOW/ICE REMOVAL, LAWN CARE AND WASTE REMOVAL SERVICES FOR THE UPKEEP OF THE PARK. - NUTRITION SERVICES INITIATIVE - AN INTERNAL PROGRAM TO REPLACE OUR FOOD PACKAGING MATERIALS WITH THOSE THAT ARE THAT ARE MORE ENVIRONMENTALLY FRIENDLY. ALSO INSTALLED RECYCLING CONTAINERS THROUGHOUT THE CAMPUS TO ENCOURAGE RECYCLING. - VARIOUS WORKFORCE DEVELOPMENT PROGRAMS: 1) 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 PROGRAMMING. - 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; RECRUIT FAMILIES TO PARTICIPATE IN THE FIRST BIRTHDAY CELEBRATION TO REDUCE INFANT MORTALITY; 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. -COMMUNITY CRIME PATROL, A SAFETY INITIATIVE IN THE HNHF SERVICE AREAS IN WHICH NCH FUNDS PATROL SERVICES IN THE SOUTHERN ORCHARDS/SOUTHERN GATEWAY LOCATION. SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE IN 2011, NATIONWIDE CHILDRENS HOSPITAL BEGAN REPORTING BAD DEBT EXPENSE IN TOTAL. PRIOR TO 2011, BAD DEBT EXPENSE WAS REPORTED AT COST. 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 THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGE 12 OF THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 - MEDICARE SHORTFALL IT IS OUR POSITION THAT THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE THESE ARE COSTS THE HOSPITAL IS INCURRING TO TREAT THESE PATIENTS, AND THE REIMBURSEMENT IS NOT FULLY COVERING THESE COSTS. IN ADDITION, AS OUR MISSION IS TO CARE FOR EVERY CHILD FOR EVERY REASON REGARDLESS OF ABILITY TO PAY, MANY HEALTHCARE PROVIDERS WOULD CHOOSE NOT TO ACCEPT MEDICARE PATIENTS BECAUSE OF THIS UNREIMBURSED COST. BECAUSE NATIONWIDE CHILDREN'S DOES, WE ARE TRULY PROVIDING A BENEFIT TO THE COMMUNITY. THE MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6. SCHEDULE H, PART III, LINE 9B NATIONWIDE CHILDREN'S HOSPITAL'S COLLECTION POLICY DOES CONTAIN PROVISIONS FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. THERE ARE NUMEROUS WAYS FOR PATIENTS AND FAMILIES TO GET INFORMATION ON AVAILABLE ASSISTANCE, BOTH CHARITY, AND OTHER GOVERNMENTAL POLICIES. (SEE DESCRIPTION PART VI, LINE 3.) NCH THEN PROVIDES A GRACE PERIOD, TO ALLOW FOR TIME FOR ASSISTANCE NEEDS TO BE IDENTIFIED, BEFORE FINALIZING THE BILL. IN ADDITION, SELF-PAY STATEMENTS ALSO INCLUDE INFORMATION TO HELP THE PATIENT/FAMILY UNDERSTAND FINANCIAL ASSISTANCE THAT IS AVAILABLE. SCHEDULE H, PART VI, LINE 2 - NEEDS ASSESSMENT NATIONWIDE CHILDREN'S HOSPITAL (NCH), ALONG WITH OTHER CENTRAL OHIO HOSPITALS AND COMMUNITY PARTNERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, PARTICIPATED IN THE FRANKLIN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE, WHICH WAS A COLLABORATIVE EFFORT COORDINATED BY CENTRAL OHIO HOSPITAL COUNCIL TO IDENTIFY THE COMMUNITY HEALTH NEEDS AND PRIORITIES OF FRANKLIN COUNTY. THE STEERING COMMITTEE PUBLISHED THE FRANKLIN COUNTY HEALTHMAP 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. SCHEDULE H, PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSIST. NATIONWIDE CHILDREN'S HOSPITAL INFORMS AND EDUCATES PATIENTS, AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE, ABOUT THEIR ELIGIBILITY FOR ASSISTANCE IN A VARIETY OF WAYS. SIGNAGE REGARDING SUCH ELIGIBILITY IS VISIBLY LOCATED THROUGHOUT THE HOSPITAL, INCLUDING MAJOR POINTS OF PATIENT ENTRY SUCH AS ADMISSIONS AREAS, CLINIC REGISTRATION DESKS, THE EMERGENCY DEPARTMENT AND URGENT CARE. ADDITIONALLY, FINANCIAL COUNSELORS VISIT PATIENTS WITHOUT INSURANCE DURING THEIR STAY. LETTERS AND FINANCIAL ASSISTANCE APPLICATIONS ARE MAILED TO PATIENTS. BILLING STATEMENTS CONTAIN PRINTED INFORMATION REGARDING VARIOUS TYPES OF ASSISTANCE THAT IS AVAILABLE, AUTOMATED TELEPHONE CALLS OFFERING FINANCIAL ASSISTANCE ARE ALSO MADE, AND THE APPLICATION IS MADE AVAILABLE ON OUR WEBSITE: HTTP://WWW.NATIONWIDECHILDRENS.ORG/FINANCIAL-ASSISTANCE SCHEDULE H, PART VI, LINE 4 - COMMUNITY INFORMATION NATIONWIDE CHILDREN'S HOSPITAL IS LOCATED IN COLUMBUS, OHIO, WHICH IS GEOGRAPHICALLY CENTRAL IN THE STATE OF OHIO. WHILE THE MAJORITY OF PATIENTS SERVED RESIDE IN FRANKLIN COUNTY, NCH PROVIDES CARE TO PATIENTS REPRESENTING EACH OF OHIO'S 88 COUNTIES, IN ADDITION TO 50 STATES AND 48 FOREIGN COUNTRIES. THE MEDIAN HOUSEHOLD INCOME IN FRANKLIN COUNTY IS $54,037 AND 16.6% OF FAMILIES ARE BELOW THE POVERTY LEVEL. APPROXIMATELY 7.9% OF THE POPULATION OF OHIO IS UNINSURED. SCHEDULE H, PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH BEYOND THE COMMUNITY HEALTH NEEDS ASSESSMENT AND RELATED IMPLEMENTATION STRATEGY, NATIONWIDE 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. SCHEDULE H, PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM ROLES NATIONWIDE CHILDREN'S HOSPITAL, INC. EXCLUSIVELY CONTROLS THE ACTIVITIES OF ITS SUBSIDIARIES IN CENTRAL OHIO INCLUDING: 1) NATIONWIDE CHILDREN'S HOSPITAL (NCH) IS A 479 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. SCHEDULE H, PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT N/A true RESEARCH INSTITUTE AT NCH (PAID BY NCH) 700 CHILDRENS DRIVE COLUMBUS OH 43205 316056230 501(c)(3) 46510349 TO SUPPORT VARIOUS RESEARCH INITIATIVES RESEARCH INSTITUTE AT NCH (PAID BY NCHF) 700 CHILDRENS DRIVE COLUMBUS OH 43205 316056230 501(c)(3) 15808732 TO SUPPORT VARIOUS RESEARCH INITIATIVES RESEARCH INSTITUTE AT NCH (PAID BY NCH) 700 CHILDRENS DRIVE COLUMBUS OH 43205 316056230 501(c)(3) 51345 TO FUND RESEARCH START-UP GRANTS RESEARCH INSTITUTE AT NCH (PAID BY CSA) 700 CHILDRENS DRIVE COLUMBUS OH 43205 316056230 501(c)(3) 147414 TO FUND RESEARCH START-UP GRANTS RESEARCH INSTITUTE AT NCH (PAID BY CCFA) 700 CHILDRENS DRIVE COLUMBUS OH 43205 316056230 501(c)(3) 61777 TO FUND RESEARCH START-UP GRANTS IMPROVE PATIENT CARE THROUGH PROGRAMS SUCH AS VOLUNTEER SERVICES, HEMATOLOGY / ONCOLOGY, OBESITY PREVENTION, & COMMUNITY EDUCATION. NATIONWIDE CHILDREN'S HOSPITAL (PD BY NCHF) 700 CHILDRENS DRIVE COLUMBUS OH 43205 314379441 501(c)(3) 14997498 TO AID IN PROVIDING INDIGENT CARE, TO SUPPORT & IM NCH HOMECARE (PAID BY NCHF) 700 CHILDRENS DRIVE COLUMBUS OH 43205 311296332 501(c)(3) 122104 TO SUPPORT HOSPICE AND PALLIATIVE CARE PROGRAMS CTR FOR CHILD & FAM ADADVOCACY (PD BY NCHF) 700 CHILDRENS DRIVE COLUMBUS OH 43205 020627166 501(c)(3) 2366530 TO SUPPORT CHILD ADVOCACY PROGRAMS CHILDREN'S SURGICAL ASSOC (PAID BY NCHF) 700 CHILDRENS DRIVE COLUMBUS OH 43205 311654000 501(c)(3) 421054 TO SUPPORT SURGICAL RESEARCH INITIATIVES NCH CHILD ASSESSMENT CENTER (PAID BY NCH) 700 CHILDRENS DRIVE COLUMBUS OH 43205 314379441 501(c)(3) 632888 TO SUPPORT CHILD ASSESSMENT PROGRAMS NCH BEHAVIORAL HEALTH PROGRAM (PAID BY NCH) 700 CHILDRENS DRIVE COLUMBUS OH 43205 314379441 501(c)(3) 308993 TO SUPPORT AUTISM AND BEHAVIORAL HEALTH PROGRAMS FOR CHILD & FAMILY ADVOCACY CTR FOR CHILD & FAM ADV AT NCH (PD BY NCH) 700 CHILDRENS DRIVE COLUMBUS OH 43205 020627166 501(c)(3) 370532 TO SUPPORT ADMINISTRATIVE OVERSIGHT OF THE CENTER NATIONWIDE CHILDREN'S HOSP INC (PD BY NCH) 700 CHILDRENS DRIVE COLUMBUS OH 43205 311036372 501(c)(3) 25000 TO SUPPORT VARIOUS COMMUNITY BENEFIT PROGRAMS PEDIATRIC ACADEMIC ASSOC (PAID BY NCH) 555 SOUTH 18TH STREET COLUMBUS OH 43205 311024403 501(c)(3) 1023300 TO PROVIDE FUNDING FOR ENDOWED CHAIRS PEDIATRIC ACADEMIC ASSOC (PAID BY NCH) 555 SOUTH 18TH STREET COLUMBUS OH 43205 311024403 501(c)(3) 13870757 TO SUPPORT PAA OPERATIONS FAMOHIO INC (PAID BY NCH) 2425 ROSCOE COURT DUBLIN OH 43016 311353807 501(c)(3) 6500 TO SUPPORT BLEEDING DISORDER FAMILIES CENTRAL OHIO CHAPTER OF NHF (PAID BY NCH) 4400 N HIGH ST STE 216 COLUMBUS OH 43214 135641857 501(c)(3) 34000 SUPPORT EDUCATION AND OUTREACH PROGRAMS AMERICAN HEART ASSOCIATION (PAID BY NCH) PO BOX 4002907 DES MOINES OH 50340 135613797 501(c)(3) 19000 TO SUPPORT HEART GALA & WALK CHAR PHARM OF CENTRAL OH INC (PD BY NCH) 200 E LIVINGSTON AVENUE COLUMBUS OH 43215 270147099 501(c)(3) 22000 TO SUPPORT OPERATIONS OF CPOCO MAKE-A-WISH (PAID BY NCH) 2545 FRAMERS DR STE 300 COLUMBUS OH 43235 341471131 501(c)(3) 6000 BIG WISH GALA HNHF REALTY COLLABORATION (PAID BY NCH) 575 CHARRING CROSS DR STE 200 WESTERVILLE OH 43081 202773085 501(c)(3) 250000 SUPPORT HNHF OPERATIONS COMMUNITY DEVEL FOR ALL PEOPLE (PD BY NCH) PO BOX 06063 964 PARSONS AVE COLUMBUS OH 43206 510476886 501(c)(3) 172800 TO SUPPORT CAREER GATEWAY HOMES & PROGRAMS MARCH OF DIMES (PAID BY NCH) 975 EASTWIND DR STE 150 WESTERVILLE OH 43081 131846366 501(c)(3) 21500 TO SUPPORT PROGRAMS FOR HEALTHIER BABIES FUTURE READY COLUMBUS (PAID BY NCH) 1234 E BROAD ST COLUMBUS OH 43205 453819208 501(c)(3) 208333 Cradle through Career Program Support BIKES FOR ALL PEOPLE (PAID BY NCH) 946 PARSONS AVENUE COLUMBUS OH 43206 510476886 501(c)(3) 15000 BIKE SHOP SUPPORT CITY YEAR COLUMBUS (PAID BY NCH) 35 NORTH FOURTH STREET LL COLUMBUS OH 43215 222882549 501(c)(3) 45000 Whole School Whole Child Programming Support BOYS & GIRLS CLUB OF COLUMBUS (PAID BY NCH) 115 SOUTH GIFT STREET COLUMBUS OH 43215 314387575 501(c)(3) 35000 LIVINGSTON AVENUE ELEMENTARY LITERACY PROGRAM UNITED WAY OF CENTRAL OHIO (PAID BY NCH) 360 S 3RD STREET COLUMBUS OH 43215 314393712 501(c)(3) 105000 Various Community Benefit Programs PARSONS AVE REDEVELOPMENT CORP (PD BY NCH) 545 E TOWN STREET COLUMBUS OH 43206 463644554 501(c)(3) 32000 Support the redevelopment of Parsons Avenue SPONSOR THE OHIO STATE UNIVERSITY (PAID BY NCH) 660 ACKERMAN RD 6TH FL COLUMBUS OH 43218 316025986 501(c)(3) 10000 Support of OSU Harding Behavioral Health STAR Prog YWCA (PAID BY NCH) 65 SOUTH FOURTH STREET COLUMBUS OH 43215 314379597 501(c)(3) 8000 WOMEN OF ACHIEVEMENT PLEDGE PELOTONIA (PAID BY NCH) 315 W NATIONWIDE BLVD COLUMBUS OH 43215 311145986 501(c)(3) 32550 CONTRIBUTION PLEDGED TO RIDERS TO END CANCER PROGENY (PAID BY NCH) 6471 Lithopils-Westchster Rd Canal Winchester OH 43110 311417786 501(c)(3) 266770 SUPPORT FACILITY EXPANSION CYSTIC FIBROSIS FOUNDATION (PAID BY NCH) 740 Lkvw Plz Blv 225 WORTHINGTON OH 43085 310680391 501(c)(3) 8500 WILD CRUSH & NOSH EVENT SUPPORT COMMUNITY CRIME PATROL INC (PAID BY NCH) 248 EAST ELEVENTH AVE COLUMBUS OH 43201 311308004 501(c)(3) 25000 SOUTHERN ORCHARDS/SOUTHERN GATEWAY AREA CRIME SUPP 35 0 ASSISTANCE TO PATIENT FAMILIES (PAID BY NCH) 124243 345358 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANTS FOR THE MAJORITY OF GRANTS ISSUED, DOCUMENTATION OF THE SPECIFIC EXPENSES THAT THESE FUNDS WOULD BE COVERING IS SUBMITTED TO THE NCH ENTITY PROVIDING THE FUNDS. A SIGNIFICANT PORTION OF THE GRANTS PROVIDED ARE USED TO SUPPORT PROGRAM SERVICES AND RESEARCH, CONDUCTED WITHIN THE NCH, INC. AFFILIATED GROUP. SCHEDULE I, PART III ASSISTANCE TO PATIENT FAMILIES NCH'S SOCIAL WORK DEPARTMENT HAS A 'COMPASSION FUND'. THIS IS HELP THE HOSPITAL PROVIDES TO FAMILIES WHO HAVE A CHILD IN THE HOSPITAL, AND ARE UNDERGOING A STRONG NEED FOR MEALS, GAS MONEY, BUS FARE, SPECIAL FORMULA, AND SIMILAR HARDSHIPS. THIS ALSO INCLUDES OCCASIONAL SUPPORT FOR FAMILIES WITH MORE EXTRAORDINARY NEEDS, SUCH AS UTILITY BILL ASSISTANCE, OR ASSISTANCE WITH TEMPORARY HOUSING WHERE A PATIENT WILL BE DISCHARGED TO, OR TO PROVIDE COSTLY MEDICATION. X true true X X X X true true false false false true false false false ALLAN BEEBE MD DIRECTOR - NCH 587217 0 251966 0 18000 0 36450 0 22295 0 915928 0 0 0 STEVE ALLEN MD DIRECTOR / CEO - NCH 1053734 0 747288 0 0 0 336450 0 24294 0 2161766 0 0 0 RAJESH KRISHNAMURTHY MD DIRECTOR - CRI 509439 0 50000 0 18000 0 36450 0 23294 0 637183 0 0 0 JAMIE PHILLIPS DIRECTOR - PPAC 518299 0 0 0 0 0 23617 0 21547 0 563463 0 0 0 KAMRAN BADIZADEGAN MD PRES/DIR-PPAC (AS OF 8/2017) 356659 0 40000 0 18000 0 36450 0 26554 0 477663 0 0 0 R LAWRENCE MOSS MD DIRECTOR - CSA 742661 0 312732 0 18000 0 36450 0 26052 0 1135895 0 0 0 JAMES DIGAN PRES - NCH FDN (TO 9/2017) 519412 0 479027 0 18000 0 20562 0 11631 0 1048632 0 0 0 STEPHEN TESTA PRES - NCH FDN (AS OF 9/2017) 291273 0 62719 0 0 0 60562 0 21794 0 436348 0 0 0 KAREN DAYS PRES / DIRECTOR - CCFA 268747 0 31160 0 0 0 36450 0 11314 0 347671 0 0 0 TIMOTHY C ROBINSON TREASURER / SR VP / CFO - NCH 668023 0 336341 0 18000 0 136450 0 28104 0 1186918 0 0 0 RICHARD MILLER COO - NCH 629255 0 306557 0 18000 0 136450 0 29602 0 1119864 0 0 0 LINDA STOVEROCK RN SR VP / CNO - NCH 398523 0 117172 0 0 0 36450 0 16100 0 568245 0 0 0 WANDA STACKPOLE VP/EXEC DIRECTOR - NCH HOMECR 180903 0 24768 0 0 0 17558 0 9881 0 233110 0 0 0 JOHN A BARNARD MD PRESIDENT - RINCH 284665 0 224722 0 0 0 32400 0 18988 0 560775 0 0 0 RHONDA COMER SEC/SR VP/LEGAL SVCS - NCH 508988 0 151559 0 0 0 36450 0 19222 0 716219 0 0 0 LUKE BROWN ASST TREAS - NCH FDN 270557 0 39000 0 0 0 24690 0 22188 0 356435 0 0 0 SARA EVANS ASST SECRETARY- NCH FDN 147035 0 18682 0 0 0 11354 0 21518 0 198589 0 0 0 LORINA WISE ASST SECRETARY - RINCH 232890 0 28800 0 0 0 23687 0 8619 0 293996 0 0 0 PATRICIA MCCLIMON SR VP / PLAN & DEV'T - NCH 464776 0 144738 0 18000 0 111450 0 20745 0 759709 0 0 0 RICHARD BRILLI MD CHIEF MEDICAL OFFICER - NCH 424717 0 245866 0 0 0 136450 0 27454 0 834487 0 0 0 BRUCE MEYER MD ADMIN MEDICAL DIRECTOR - NCH 121641 0 27289 0 18000 0 13515 0 19235 0 199680 0 0 0 DENISE ZABAWSKI VP / CIO - NCH 361723 0 56879 0 0 0 24690 0 9081 0 452373 0 0 0 ELISABETH BALDOCK VP/ HR - NCH 401895 0 104750 0 18000 0 20562 0 18012 0 563219 0 0 0 DENNIS MINZLER VICE PRESIDENT - NCH 219966 0 31065 0 0 0 23300 0 23761 0 298092 0 0 0 BRUCE STEVENSON VICE PRESIDENT - RINCH 218366 0 34067 0 18000 0 24439 0 16248 0 311120 0 0 0 AMY ROSCOE VICE PRESIDENT - RINCH 209939 0 27376 0 0 0 20698 0 1025 0 259038 0 0 0 LEE ANN WALLACE VP CLINICAL SERVICES - NCH 224311 0 24097 0 0 0 18442 0 9581 0 276431 0 0 0 MARK GALANTOWICZ MD CHIEF OF CT SURGERY - CSA 1239040 0 604448 0 18000 0 36450 0 25952 0 1923890 0 0 0 KEVIN KLINGELE MD ORTHOPEDIC SURGEON - CSA 792505 0 380325 0 18000 0 36450 0 21794 0 1249074 0 0 0 RICHARD KIRSCHNER MD PLASTIC SURGEON - CSA 730315 0 259311 0 18000 0 36450 0 21295 0 1065371 0 0 0 MATTHEW BERAN MD ORTHOPEDIC SURGEON - CSA 382465 0 552243 0 0 0 20562 0 21794 0 977064 0 0 0 WALTER SAMORA MD ORTHOPEDIC SURGEON - CSA 392925 0 458323 0 18000 0 36450 0 26794 0 932492 0 0 0 SCHEDULE J, PART I, LINE 1A - EXPLANATION FOR HEALTH OR SOCIAL CLUB DUES NATIONWIDE CHILDREN'S HOSPITAL PROVIDED HEALTH OR SOCIAL CLUB DUES FOR 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 JAMES DIGAN. 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 2017: - JAMES DIGAN - $98,877 - ELISABETH BALDOCK - $104,000 SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN 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. SCHEDULE J, PART I, LINE 6A COMPENSATION CONTINGENT ON NET EARNINGS A PORTION OF NATIONWIDE CHILDREN'S HOSPITAL'S MANAGEMENT'S COMPENSATION CONTAINS A VARIABLE PIECE THAT IS BASED ON THE HOSPITAL'S INCENTIVE PROGRAM. THIS VARIABLE COMPENSATION IS BASED IN PART ON THE FINANCIAL PERFORMANCE OF THE ORGANIZATION, RELATIVE TO BUDGETED FINANCIAL PERFORMANCE. THE INCENTIVE PROGAM ALSO INCLUDES PERFORMANCE MEASURES RELATED TO QUALITY OF CARE AND PATIENT SATISFACTION. A COUNTY OF FRANKLIN OHIO 316400067 353187ED5 2017-11-16 147565600 2017 A&B BONDS (SCH K, PART VI) false false false B COUNTY OF FRANKLIN OHIO 316400067 000000000 2016-04-28 47670000 2016 A&B BONDS (SCH K, PART VI) false false false C COUNTY OF FRANKLIN OHIO 316400067 353187DN4 2016-11-15 143485390 2016C BONDS (SCH K, PART VI) false false false D COUNTY OF FRANKLIN OHIO 316400067 353187BT3 2015-05-19 97434250 2015 A&B BONDS (SCH K, PART VI) false false false A 0 0 147581125 0 0 0 1350446 0 0 47348965 46167448 52714266 true false false true B 5500000 0 47670000 0 0 0 0 0 0 0 47670000 0 2016 true false true true C 0 0 143737373 0 31902 0 1430009 0 0 0 0 142275462 2019 false true true true D 0 0 101702675 0 0 0 1299700 0 0 95902975 4500000 0 2019 false false true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false true false false true true SCHEDULE K PART VI false false false 0 false true B false true false false true true SCHEDULE K PART VI false false false 0 false true C false false true false false false 0 false false false 0 false true D false true false false true false 0 false false false 0 false true A true B true C true D true SCHEDULE K, PART I, COLUMN (F) - DESCRIPTION OF PURPOSE OF BONDS PART I , LINE A REPORTS THE 2017 SERIES A&B HOSPITAL REVENUE REFUNDING AND IMPROVEMENT BONDS. THESE BONDS WERE ISSUED FOR THE PURPOSE OF FINANCING A PORTION OF THE COST OF ACQUIRING, CONSTRUCTING, EQUIPPING, INSTALLING AND IMPROVING CERTAIN HOSPITAL FACILITIES, AND FOR THE CURRENT REFUNDING OF A PORTION OF THE 2008D BONDS. PART I , LINE B REPORTS THE 2016 SERIES A&B HOSPITAL REVENUE REFUNDING BONDS. THESE BONDS WERE ISSUED FOR THE PURPOSE OF CURRENT REFUDING 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 REFUDING THE 2008A AND 2009 BONDS. PART I, LINE D REPORTS THE 2015 SERIES A&B HOSPITAL IMPROVEMENT REVENUE BONDS. THE PURPOSE OF THESE BONDS IS TO FINANCE A PORTION OF THE COST OF ACQUIRING, CONSTRUCTING, EQUIPPING, INSTALLING AND IMPROVING CERTAIN HOSPITAL FACILITIES. PART I, LINE 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 & 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 & E. THE PURPOSE OF THE 2008B VARIABLE RATE DEMAND HOSPITAL IMPROVEMENT REVENUE BONDS IS TO FINANCE A PORTION OF THE COSTS OF ACQUIRING, CONSTRUCTING, AND EQUIPMENT THE NEW PATIENT TOWER AND POWER PLANT. THE PURPOSE OF THE 2008C VARIABLE RATE DEMAND HOSPITAL REVENUE REFUNDING BONDS IS THE CURRENT REFUNDING OF ALL OF THE ISSUER'S OUTSTANDING VARIABLE RATE DEMAND HOSPITAL REVENUE REFUNDING BONDS, SERIES 2002. THE PURPOSE OF THE 2008D VARIABLE RATE DEMAND HOSPITAL REVENUE REFUNDING BONDS IS THE CURRENT REFUNDING OF ALL OF THE ISSUER'S OUTSTANDING VARIABLE RATE DEMAND HOSPITAL REVENUE REFUNDING BONDS, SERIES 2003. THE PURPOSE OF THE 2008E VARIABLE RATE DEMAND HOSPITAL REVENUE REFUNDING BONDS IS THE CURRENT REFUNDING OF ALL OF THE ISSUER'S OUTSTANDING HOSPITAL REFUNDING & IMPROVEMENT REVENUE BONDS, SERIES 2006. SCHEDULE K, PART II, LINE 3 - TOTAL PROCEEDS OF ISSUE ANY DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED ON PART I, COLUMN (E) AND THE TOTAL PROCEEDS OF THE BOND ISSUE REPORTED ON PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. SCHEDULE K, PART II, LINE 5, COLUMNS C(1) - CAPITALIZED INTEREST THE COLUMN C AMOUNT REPRESENTS BOND PROCEEDS IN THE AMOUNT OF $31,902 THAT WERE USED TO PAY INTEREST ON THE BOND. SCHEDULE K, PART II, LINE 11, COLUMNS A, B, A(2), B(2), C(2) & C(3) - OTHER SPENT PROCEEDS THE AMOUNT REPORTED REPRESENTS REFUNDINGS OF THE FOLLOWING OUTSTANDING REVENUE BONDS: 2002, 2003, 2005C, 2008C, 2008D, 2008E, 2008F, AND 2008G BONDS. SCHED K, PART II, LINE 11, COLUMNS D, D(2) & B(3) - OTHER SPENT PROCEEDS 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)). SCHEDULE K, PART IV, LINE 3, COLUMNS A, B, A(2), B(2), C(2) & C(3) 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 MERRILL LYNCH & COMPANY 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 MERRILL LYNCH & COMPANY AND TERMINATION DATE IS MAY 1, 2029. COLUMN C(3): 2008B BONDS - PROVIDER IS MORGAN STANLEY AND TERMINATION DATE IS NOVEMBER 1, 2040. SCHEDULE K, PART IV, LINE 6 TEMPORARY AVAILABLE PERIOD SPEND DOWN REQUIREMENTS HAVE BEEN MET WHERE APPLICABLE ON ALL OUTSTANDING BONDS. A COUNTY OF FRANKLIN OHIO 316400067 000000000 2014-06-04 17225000 2014A BONDS (SEE SCH K, PART VI) false false false B COUNTY OF FRANKLIN OHIO 316400067 000000000 2014-11-20 45580000 2014B BONDS (SCH K, PART VI) false false false C COUNTY OF FRANKLIN OHIO 316400067 000000000 2013-06-04 66985000 2013 BONDS (SCH K, PART VI) false false false D COUNTY OF FRANKLIN OHIO 316400067 353187ar8 2012-05-15 83291333 2012A BONDS (SCH K, PART VI) false false false A 3185000 0 17225000 0 0 0 50001 0 0 0 17174999 0 2015 false true true true B 0 0 45580000 0 0 0 50001 0 0 0 45529999 0 2015 false true true true C 11195000 0 66985000 0 0 0 0 0 0 0 66985000 0 2013 true false true true D 7715000 0 88860416 0 0 0 976231 0 0 87060672 823513 0 2012 false false true true A false false true true true true 0.01100 0.00000 0.01100 false false false true B false false true true true true 0.01100 0.00000 0.01100 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false true false false true true SCHEDULE K PART VI false false false 0 false true B false true false false false true SCHEDULE K PART VI false false false 0 false true C false true false false true true SCHEDULE K PART VI false false false 0 false true D false false true false false false 0 false 0 false true A true B true C true D true A COUNTY OF FRANKLIN OHIO 316400067 3531867H6 2009-12-17 100162742 2009 BONDS (SCH K, PART VI) false false false B COUNTY OF FRANKLIN OHIO 316400067 3531865R6 2008-05-01 43921562 2008A BONDS (SCH K, PART VI) false false false C COUNTY OF FRANKLIN OHIO 316400067 3531865S4 2008-05-07 176675000 2008B-E BONDS (SCH K, PART VI) false false false A 95745000 0 114454378 0 0 0 1235586 0 0 113218792 0 0 2012 false false true true B 44705000 0 46794180 0 0 0 379213 0 0 43742967 2672000 0 2012 false false true true C 132800000 0 195350778 0 0 0 865761 84500 0 63456878 130943639 0 2012 true false true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true A false false true false false false 0 false 0 false true B false false true false false false 0 false 0 false true C false false true false true true SCHEDULE K PART VI false false false 0 false true A true B true C true Jung Sun Miller SEE SCHEDULE L, PART V 30060 Wages (Project Coordinator, NC false Moira Beebe SEE SCHEDULE L, PART V 57708 Wages (Staff RN) false Scott Stoverock SEE SCHEDULE L, PART V 13230 Wages (Ambulatory RN) false WBNS TV INC SEE SCHEDULE L, PART V 103589 Advertising false SCHEDULE L, PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS NAME OF INTERESTED PERSON: JUNG SUN MILLER RELATIONSHIP: FAMILY MEMBER OF RICHARD MILLER (COO-NCH, CHAIR/DIRECTOR - NCH HOMECARE, PRESIDENT/DIRECTOR - CRI, DIRECTOR - PPAC, & PRESIDENT/DIRECTOR - CSA) AMOUNT: $30,060 DESCRIPTION: WAGES (PROJECT COORDINATOR, NCH - IS DEPT) SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: MOIRA BEEBE RELATIONSHIP: Family Member of Allan Beebe, M.D. (Director - NCH) AMOUNT: $57,708 DESCRIPTION: WAGES (STAFF RN) SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: SCOTT STOVEROCK RELATIONSHIP: FAMILY MEMBER OF LINDA STOVEROCK, RN (SR VP/CNO NCH & SEC/DIRECTOR - NCH HOMECARE) AMOUNT: $13,230 DESCRIPTION: WAGES (AMBULATORY RN) SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: WBNS TV, INC. RELATIONSHIP: Michael J. Fiorile - Director - NCH (Chairman & CEO of Dispatch Printing Company) AMOUNT: $103,589 DESCRIPTION: ADVERTISING SHARING OF ORGANIZATION'S REVENUES: NO X 24 2085219 Cost/Selling Price false false false SCHEDULE M, PART I, LINE 31 - GIFT ACCEPTANCE POLICY WHILE NATIONWIDE CHILDREN'S HOSPITAL (NCH) AND NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION (NCHF) DO NOT HAVE A WRITTEN POLICY, ALL NON-STANDARD CONTRIBUTIONS ARE REVIEWED AND DISCUSSED WITH NCHF LEADERSHIP AND NCH ADMINISTRATION. FORM 990, PART I, LINE 6 - TOTAL NUMBER OF VOLUNTEERS: 1,174 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 & part time. In 2017, Nationwide Childrens Hospital received 52,504 hours of volunteer time. This consisted of an array of services including help in many patient care areas, our Information Desk, the Research Institute, & various family support areas. Not included in this number are many volunteers in the community who in 2017 spent a total of 28,509 hours creating items for our patients and visiting the hospital to provide activities for both patients & families. FORM 990, PART III, LINE 1 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. FORM 990, PART III, LINE 4A - PROGRAM SERVICE ACTIVITY #1 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 479-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 2017, Nationwide Childrens had more than 1.4 million visits from all 50 states and 48 countries. Nationwide Childrens discharged approximately 18,128 patients during 2017 for a total of 161,454 inpatient days. Patient care was provided by approximately 1,350 medical staff, and the total hospital staff grew to 11,909 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 & 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 2017, Nationwide Childrens accomplished this principal by providing approximately $11.6 million in Charity Care assistance and $83.6 million of unreimbursed Medicaid for a total of almost $95.2 million in uncompensated care. Approximately 52 percent of Nationwide Childrens patient population is covered by Medicaid. Additionally, Nationwide Childrens subsidized losses on its Behavioral Health and Homecare Programs in 2017. 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. Additionally, Nationwide Childrens provides Behavioral Health services in 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 2017, Nationwide Childrens broke ground on 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. Homecare at Nationwide Childrens provides home health care services to children throughout central Ohio. Services offered include: intermittent nursing, private duty nursing, infusion therapy, home medical equipment and pediatric hospice. 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 move the needle on 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 the 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 collaboratives 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 service agencies. The poison center handled more than 40,000 poison exposure calls in 2017. Experts in the center provide confidential, free emergency poisoning treatment advice 24/7. FORM 990, PART III, LINE 4B - PROGRAM SERVICE ACTIVITY #2 RESEARCH - The Research Institute 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. In 2017, the results of a phase 1 clinical trial showed 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). 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. Also in 2017, the researchers at Nationwide Childrens and their collaborators published two papers shedding light on the factors that influence disease severity and immune response to respiratory syncytial virus (RSV) infection in infants and young children. RSV is the most common cause of bronchiolitis and pneumonia in children younger than 1 year of age in the United States, making it the most frequent reason for hospitalization in the age group. By better understanding the immune response to RSV, the team hopes to develop a vaccine to prevent the infection. The Division of Hematology, Oncology and Blood and Marrow Transplant at Nationwide Childrens, along with the Center for Childhood Cancer and Blood Diseases in The Research Institute, is dedicated to curing pediatric cancers. Basic science research was highlighted in a 2017 publication describing a new paradigm for treating transcription factor driven cancers including Ewing sarcoma. The first clinical study of oncolytic HSV-1 in children and young adults was conducted by physician-scientists at Nationwide Children's. Throughout the cancer program, Nationwide Childrens had 226 enrollments across 105 open clinical trials in 2017. In 2017, 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. The clinical trial showed that CBD significantly reduces drop seizure frequency in this form of intractable epilepsy. The study, later published in the New England Journal of Medicine (2018), helped to lead to the FDAs approval of Epidiolex for Lennox-Gastaut and Dravet syndromes in July 2018. Commitment to improving outcomes is one of the Nationwide Childrens core principles. As a result of robust quality improvement (QI) science, programs across the institution made significant gains toward improving care. For example, through a QI project, otolaryngology surgeons reduced the number of home-going opioid doses for patients after tonsillectomy and adenoidectomy from 45 doses to 20 doses and, in some cases, no doses of home-going opioids. In the Cardiothoracic Intensive Care Unit, a QI project dramatically increased survival of pediatric patients after cardiopulmonary arrest from the normal survival rate of 37 to 48 percent to more than 81 percent survival. For patients with epilepsy, a QI project with relatively simple interventions to improve caregiver confidence in handling seizures resulted in a 43 percent reduction in the rate of unplanned hospitalization and an associated health care cost savings of $2 million. Approximately 1,790 Institutional Review Board (IRB) approved protocols were in progress during 2017, 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. FORM 990, PART III, LINE 4C - PROGRAM SERVICE ACTIVITY #3 EDUCATION - As an academic medical center, an important part of the Hospitals mission is to prepare the next generation of pediatric healthcare providers. It annually educates over 1,300 physician and dental trainees from 65 different affiliated institutions. In 2017 600 OSU faculty provided pediatric training for: (a) 350 medical students, (b) 150 dental students, (c) 310 Hospital-sponsored medical, surgical and dental residents, (d) 600 physician and dental trainees from other institutions. The Hospital has been the primary pediatric teaching site of The Ohio State University (OSU) College of Medicine for more than 50 years. The Hospital currently sponsors 33 accredited medical/dental residency and fellowship programs, 28 accredited by the Accreditation Council for Graduate Medical Education (ACGME) and five accredited by other professional organizations. The Hospital has additional 31 fellowships for which no national accreditation currently exists. These programs train the next generation of super-specialists in emerging areas of pediatrics to meet the 21st century healthcare needs of a changing pediatric population, e.g., gastrointestinal motility, pediatric hemostasis-thrombosis, advanced non-invasive cardiac imaging, host defense infectious diseases, pediatric colorectal surgery, and quality and safety leadership. The Childrens Hospitals Graduate Medical Education Payment Program (the CHGME Program), helps to fund the training of pediatric, dental, and other residents in graduate medical education programs in free-standing childrens hospitals. Under the CHGME Program, the Hospital received $6.9 million in 2017. The Hospital educates learners from numerous nursing, physician assistant, and allied health care fields, e.g., pharmacy, speech and language pathology, occupational therapy, psychology, child life, and social work. In 2017, more than 1,800 students from 50 colleges and schools of nursing, 130 students from seven paramedic programs, and more than 700 other students from various allied health disciplines received their pediatric education at the Hospital. In addition to its affiliation with the OSU College of Medicine, the Hospital has affiliations with 300 other universities, hospitals and institution programs. The Hospital also has educational affiliations with 120 school districts for mentoring and shadowing programs as well as young scientists and minority recruitment programs. The Hospital offers a variety of professional education programs. In 2017, it awarded continuing medical education (CME) credits to approximately 24,000 physicians and 17,000 nurses and allied health professionals who attended one or more of its CME programs. Continuing nursing education opportunities included presenting nearly 38,000 contact hours to over 13,000 participants coordinated by 91 nurse planners. Over 40 local, regional, national and international conferences continued to expand the reputation and influence of the Hospital. The Hospitals Quality Improvement Essentials course is nationally recognized for its ability to train the next generation of QI leaders. Of note, the Hospital was the first childrens hospital to be designated by the American Board of Medical Specialties as a Multi-specialty Portfolio Program sponsor, thereby enabling it to review and approve quality improvement projects to fulfill physician Board recertification requirements. In its journey toward best outcomes for all children, the Hospital works closely with local healthcare providers, including its 17 affiliate hospitals, to standardize pediatric care. In 2017 the Hospital provided nearly 92 outreach education sessions for 1,300 participants. In addition, approximately 1,700 health care providers received Pediatric Advanced Life Support (PALS) training from the Hospital: 90 onsite sessions and 60 offsite sessions. Simulation to improve patient care supported both Outreach and onsite sessions with a total of nearly 850 sessions and 4,700 participants. Patient, family, and community education are critical components of high quality health care. In 2017, approximately 50,000 children, adolescents and adults participated in Hospital-sponsored conferences, lectures, specialty camps, health fairs, mentoring, partnerships, and other community education events. In addition, over 500,000 patient education materials were used as teaching tools for children and families. The Family Health Information Center also provided multimedia health education materials to more than 1,100 families. Families are not only learners, they also teach. In 2017, the Family as Faculty presenters offered 106 sessions for 4,906 staff and students. SPARK is an evidence-based kindergarten readiness program that works with families, schools, and the community. Each month children receive a new book, lesson activities customized to meet their individual needs, educational supplies, and they participate in home or group-based learning. The Hospital offers this program to families at no cost. Post-SPARK data show that 96% of SPARK graduates are kindergarten ready compared to 33% before they participate in SPARK. One way to assure the Hospital continues to provide the highest quality safest care is to offer quality improvement education sessions including Zero Hero training for every hospital and medical staff member, QI Overview (2 hours), Quality Tools School (5 hours), and, Quality Improvement Essentials (36 hours). All Hospital residents and fellows are required to meaningfully engage in a QI project. The Hospital is an American Board of Medical Specialties Maintenance of Certification (MOC) Multi-specialty Portfolio Program sponsor, which enables it to designate activities for Part 4 MOC. Since 2012 543 NCH-affiliated physicians have been engaged in 162 different QI projects which help fulfill their Part 4 recertification while improving care at NCH. Given a significant national shortage of pediatric subspecialists, an important outcome for the Hospitals investment in its education programs is recruitment. In 2017, 89% of graduating fellows were recruited for open faculty positions. The Hospital also utilizes education to overcome national gaps in midlevel providers who are so essential to safe, high quality team-based care. For over 30 years the Hospital has educated Neonatal Nurse Practitioners and Advanced Practice Nurses. Overall in 2017, NCH spent approximately $34.9 million on professional and graduate medical education programs. FORM 990, PART III, LINE 4D - OTHER PROGRAM SERVICE ACTIVITIES Child advocacy With a vision to create optimal health for every child in our community, Nationwide Childrens Hospital is engaged in a multitude of efforts to improve the health of all children, not just those who are patients here. The organizations leaders and mission are driven by the desire to provide best possible outcomes for kids everywhere. Advocacy efforts to achieve this goal are multifaceted. From working with legislators to ensure health care coverage for children to working with community partners to advance community wellness, efforts include but are not limited to: Pediatric health care legislation 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. Child safety efforts Nationwide Childrens actively promotes child safety legislation and has received local and national funding for several programs and initiatives to reduce childrens risk of death and disability due to injuries or other risk factors. Among those, The Center for Family Safety & Healing at Nationwide Childrens, through its programming, 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. In 2017, The Center for Family Safety and Healing had 1,498 visits to the Child Assessment Center and 533 Nationwide Childrens inpatient consults. They also led trainings and presentations to 164 organizations within the business, educations, health care, faith, non-profit and legal communities. Partners For Kids As the largest and one of the oldest accountable care organizations, Partners For Kids, is a role model for improving care for children on Medicaid. In 2017, Partners For Kids served 327,702 members in 34 counties. Approximately 2,675 members were enrolled in Care Coordination, which is an evidence-based effort to reduce emergency room visits and hospital admissions in medically complex patients. Neighborhood revitalization Nationwide Childrens is a lead partner in efforts to improve the neighborhood immediately surrounding its main campus. Since 2008, the Healthy Neighborhoods Healthy Families (HNHF) initiative has been instrumental in improving more than 330 homes through rehabilitation, home repair grants and new builds. Looking into the future, Nationwide Childrens is acting as a catalyst, coordinator and seed funder to bring together community partners focused on creating a healthy environment for children to reach their full potential. Nationwide Childrens partners with the NRP Group and Community Development for All People on The Residences at Career Gateway project. The Residences at Career Gateway includes 58 residential units (14 townhomes and 44 multi-family apartments) and a 2,400 square foot, on-site workforce and career-development training center. All units are rented to households at or below 60 percent of area median income. Residents of this workforce housing community and residents of Columbuss South Side will benefit from locally delivered and easily accessible workforce and professional development services. These services will focus on attaining and retaining employment and developing and advancing a career path, along with other applicable life skills. The project opened late summer 2017. Other neighborhood impact projects include: 1) Mentoring Programs In 2017, 150 employees from Nationwide Childrens participated as mentors through neighborhood schools and organizations. Mentors spend 1 hour weekly with their mentee in deliberate activities and discussion. 2) Reach Out and Read program at Nationwide Childrens supported 33,900 well checks by supplying developmentally and culturally appropriate new books to every visit. In addition, Close to Home waiting areas and primary care centers were supplied with 100,000 gently used books creating literacy enriched networks. FORM 990, PART VI, LINE 2 - DESCRIPTION OF RELATIONSHIPS A BUSINESS RELATIONSHIP EXISTS BETWEEN C. ROBERT KIDDER, JOSEPH A. CHLAPATY, ABIGAIL S. WEXNER, AND ALEX FISCHER. THEY ARE ALL DIRECTORS OF NATIONWIDE CHILDREN'S HOSPITAL. A BUSINESS RELATIONSHIP EXISTS BETWEEN ANN I. WOLFE AND MICHAEL FIORILE. BOTH ARE DIRECTORS OF NATIONWIDE CHILDREN'S HOSPITAL. A BUSINESS RELATIONSHIP EXISTS BETWEEN THE FOLLOWING DIRECTORS OF NATIONWIDE CHILDREN'S HOSPITAL: ALEX FISCHER, JORDAN MILLER, JR., STEVE ALLEN, M.D., MICHAEL FIORILE, STEVE RASMUSSEN, GEORGE BARRETT, DAVID CAMPISI, JOSEPH A. CHLAPATY, JOHN B. GERLACH, SHELDON RETCHIN, M.D., ABIGAIL S. WEXNER, AND C. ROBERT KIDDER. 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, AND STEPHEN TESTA. FORM 990, PART VI, LINE 4 - CHANGES TO GOVERNING DOCUMENTS The Board amended the Hospital's Code of Regulations to establish a Credentials Committee of the Hospital Board of Directors consisting of three Board members authorizing it to engage in the following activities on behalf of the Board: * To act upon and have final authority on expedited requests for new clinical privileges during the course of a current appointment/grant of clinical privileges period. * To act upon and have final authority for Medical Executive Committee credentialing actions in intervals between regular meetings of the Board. FORM 990, PART VI, LINE 6 - DESCRIPTION OF CLASSES OF MEMBERS NATIONWIDE CHILDREN'S HOSPITAL, INC. (THE PARENT ORGANIZATION OF THE GROUP) IS THE SOLE MEMBER OF THE MAJORITY OF THE SUBORDINATE ORGANIZATIONS IN THE GROUP EXEMPTION. SOME OF THE SUBORDINATE ORGANIZATIONS ARE NON-PROFIT SUBSIDIARIES OF THE LARGEST SUBORDINATE ORGANIZATION, NATIONWIDE CHILDREN'S HOSPITAL. FORM 990, PART VI, LINE 7A - CLASSES OF PERSONS AND THEIR RIGHTS NATIONWIDE CHILDREN'S HOSPITAL, INC. IS THE PARENT CORPORATION WITH VOTING CONTROL OVER THE SUBORDINATE ORGANIZATIONS. FORM 990, PART VI, LINE 7B - DECISIONS REQUIRING APPROVAL BY MEMBERS NATIONWIDE CHILDREN'S HOSPITAL, INC. WILL OVERSEE THE OPERATIONS OF AND WILL PERFORM CERTAIN SERVICES FOR ITS SUBORDINATE ORGANIZATIONS. NCH INC. WILL COORDINATE EXPANSION OF THE GROUP PROGRAMS AND ASSETS AND WILL DETERMINE IF ADDITIONAL ENTITIES WILL BE NEEDED WITHIN THE GROUP. FORM 990, PART VI, LINE 11B - PROCESS USED TO REVIEW FORM 990 THIS FORM 990 WAS REVIEWED PRIOR TO FILING BY NATIONWIDE CHILDRENS HOSPITAL CHIEF EXECUTIVE OFFICER/BOARD DIRECTOR; CHIEF FINANCIAL OFFICER/BOARD TREASURER; SENIOR VICE PRESIDENT OF LEGAL SERVICES/BOARD SECRETARY; AND THE FINANCE COMMITTEE CHAIR. IN ADDITION, THIS RETURN WAS MADE AVAILABLE TO THE ENTIRE FINANCE COMMITTEE OF THE BOARD AND MADE AVAILABLE UPON REQUEST TO THE BOARD. FORM 990, PART VI, LINE 12C - PROCESS TO MONITOR COI 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 COMP OF CEO IN THE FIRST QUARTER OF 2017, 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 OTHER OFFICERS IN THE FIRST QUARTER OF 2017, NCH HELD ITS ANNUAL MEETING FOR THE PURPOSE OF COMPENSATION REVIEW. FOR OFFICERS AND KEY EMPLOYEES OTHER THAN THE CEO, THERE IS A MEETING OF THE MANAGEMENT DEVELOPMENT/COMPENSATION COMMITTEE OF THE BOARD. AT THAT TIME, MARKET SURVEY DATA PROVIDED BY OUTSIDE CONSULTANTS AND/OR OUTSIDE SOURCES IS REVIEWED TO DETERMINE COMPENSATION OR COMPENSATION ADJUSTMENTS FOR THESE POSITIONS, THE CEO'S INPUT IS CONSIDERED AS IT RELATES TO INDIVIDUAL PERFORMANCE FOR THESE INDIVIDUALS, AND INCREMENTAL ADJUSTMENTS ARE RECOMMENDED, THE GROUP DELIBERATES, AND THE APPROVALS ARE MADE. CONTEMPORANEOUS MINUTES ARE KEPT AT ALL BOARD MEETINGS AND COMMITTEE MEETING ACTIVITIES AND DECISIONS ARE ALSO DOCUMENTED. FORM 990, PART VI, LN 19 - AVAILABILITY OF GOV DOCS, COI POLICY & FIN STMTS NATIONWIDE CHILDREN'S HOSPITAL'S (NCH) FINANCIAL STATEMENTS ARE DISCLOSED ON THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBPAGE AND THE ARTICLES OF INCORPORATION ARE ON THE OHIO SECRETARY OF STATE'S WEBPAGE. CURRENTLY, NCH DOES NOT MAKE ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B) - HRS PER WEEK FOR NATIONWIDE CHILDREN'S HOSPITAL EMPLOYEES THAT ARE MEMBERS OF VARIOUS BOARDS AND HOLD SEVERAL POSITIONS WITHIN THE ORGANIZATION, THE HOURS LISTED REPRESENT THE NUMBER OF HOURS THAT INDIVIDUAL DEVOTES TO ALL THE ENTITIES INCLUDED WITHIN THE NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN. THE GOVERNING BOARD OF NATIONWIDE CHILDREN'S HOSPITAL, INC. AND NATIONWIDE CHILDREN'S HOSPITAL IS A JOINT BOARD AND MEMBERS SERVE ON THESE BOARDS CONCURRENTLY. FORM 990, PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS $ 3,100,911 EFFECT OF ADOPTION OF SFAS NO. 158 $ 2,501,250 NET CHANGE IN INTEREST RATE SWAP AGREEMENTS $(6,247,868) TECHNOLOGY INVESTMENTS OBLIGATIONS $(1,028,408) OTHER CHANGES IN NET ASSETS $(1,674,115) PART XI, LINE 9 TOTAL FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:78920981 FORM 990 PART IX LINE 11G DESCRIPTION:NICU LEASED SALARIES & MED SVC TOTAL FEES:49358491 FORM 990 PART IX LINE 11G DESCRIPTION:RESEARCH SUBCONTRACT EXPENSE TOTAL FEES:8686724 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTATION FEES TOTAL FEES:2948190 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:50457958 PEDIATRIC ROTOR WING LLC 700 CHILDRENS DRIVE COLUMBUS OH 43205 462042425 AIR TRANSPORT OH 2606349 6391356 NCH CHILDREN'S PHYSICAL MED & REHAB PHYS LLC 700 CHILDRENS DRIVE COLUMBUS OH 43205 471425306 PHYSICIAN SVC OH 2495544 1872893 NCH CHILDREN'S PSYCHIATRISTS LLC 700 CHILDRENS DRIVE COLUMBUS OH 43205 462603371 PHYSICIAN SVC OH 3035397 39919 NCH CHILDREN'S COMMUNITY PRACTICES LLC 700 CHILDRENS DRIVE COLUMBUS OH 43205 472998916 PHYSICIAN SVC OH 2716471 950920 NCH KINDER KEY 700 CHILDRENS DRIVE COLUMBUS OH 43205 237380687 FUNDRAISING OH 501(C)(3) 7 NCH true PLEASURE GUILD 700 CHILDRENS DRIVE COLUMBUS OH 43205 310935599 FUNDRAISING OH 501(C)(3) 10 NCH true TWIGS 700 CHILDRENS DRIVE COLUMBUS OH 43205 316015354 FUNDRAISING OH 501(C)(3) 10 NCH true CHILDREN'S HOSP & PHYS HLTHCRE NETWORK 700 CHILDRENS DRIVE COLUMBUS OH 43205 311429047 HLTHCRE NETWK OH 501(C)(3) 12a NCH true CHILDREN'S ANESTHESIA ASSOCIATES 700 CHILDRENS DRIVE COLUMBUS OH 43205 310650338 PHYSICIAN SERVICE OH NCH C Corp 17375740 8075037 1.00000 true COLLIERS PROFESSIONAL LIABILITY INS CO 23 LIME TREE BAY AVENUE GRAND CAYMAN CJ KY1-1102 980457066 INS CONTRACTING CJ NCH C Corp 0 3754363 1.00000 true NORTHEAST CLOSE TO HOME CENTER CONDO ASN 433 NORTH CLEVELAND AVENUE WESTERVILLE OH 43082 205540381 CONDO ASSOCIATION OH NCH C Corp 47187 913 0.90750 true CHILDREN'S NW MED OFFICE BLDG CONDO ASSN 5675 VENTURE DRIVE DUBLIN OH 43017 205540559 CONDO ASSOCIATION OH NCH C Corp 40204 413 0.74400 true PEDIATRIC CLINICAL TRIALS INC 700 CHILDRENS DRIVE COLUMBUS OH 43205 311609283 INACTIVE OH NCH C Corp 0 0 1.00000 true PEDIATRIC ACADEMIC ASSOCIATION INC TRUST 555 SOUTH 18TH STREET COLUMBUS OH 43205 TRUST OH NCH Trust 0 0 0.51000 true NCH REALTY INC 700 CHILDRENS DRIVE COLUMBUS OH 43205 821052739 REALTY OH NCH C Corp 0 339385 1.00000 true false true true false false false false false false true false true true false true true true true true CHILDREN'S SURGICAL ASSOCIATES B 421054 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL B 384873 ACTUAL AMOUNT NCH HOMECARE B 122104 ACTUAL AMOUNT CENTER FOR CHILD & FAMILY ADVOCACY B 370532 ACTUAL AMOUNT CENTER FOR CHILD & FAMILY ADVOCACY B 2366530 ACTUAL AMOUNT RESEARCH INSTITUTE AT NCH B 15808732 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL B 14612625 ACTUAL AMOUNT RESEARCH INSTITUTE AT NCH B 46561694 ACTUAL AMOUNT RESEARCH INSTITUTE AT NCH B 147414 ACTUAL AMOUNT RESEARCH INSTITUTE AT NCH B 61777 ACTUAL AMOUNT NCH FOUNDATION C 421054 ACTUAL AMOUNT NCH FOUNDATION C 384873 ACTUAL AMOUNT NCH FOUNDATION C 122104 ACTUAL AMOUNT CHILDREN'S SURGICAL ASSOCIATES C 147414 ACTUAL AMOUNT CENTER FOR CHILD & FAMILY ADVOCACY C 61777 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL C 370532 ACTUAL AMOUNT NCH FOUNDATION C 2366530 ACTUAL AMOUNT NCH FOUNDATION C 15808732 ACTUAL AMOUNT NCH FOUNDATION C 14612625 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL C 46561694 ACTUAL AMOUNT Partners for Kids J 401316 ACTUAL AMOUNT RESEARCH INSTITUTE AT NCH L 526208 ACTUAL AMOUNT RESEARCH INSTITUTE AT NCH L 460823 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL L 242364 ACTUAL AMOUNT CHILDREN'S ANESTHESIA ASSOCIATES L 596798 ACTUAL AMOUNT CHILDREN'S ANESTHESIA ASSOCIATES L 325601 ACTUAL AMOUNT CHILDREN'S SURGICAL ASSOCIATES L 689705 ACTUAL AMOUNT RESEARCH INSTITUTE AT NCH L 362931 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL L 5607234 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL L 6255330 ACTUAL AMOUNT CENTER FOR CHILD & FAMILY ADVOCACY L 614945 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL L 13211390 ACTUAL AMOUNT Partners for Kids L 2273942 ACTUAL AMOUNT Partners for Kids L 342106731 ACTUAL AMOUNT Partners for Kids L 350058 ACTUAL AMOUNT Partners for Kids L 107902 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL M 526208 ACTUAL AMOUNT CHILDREN'S ANESTHESIA ASSOCIATES M 62712 ACTUAL AMOUNT CHILDREN'S SURGICAL ASSOCIATES M 460823 ACTUAL AMOUNT NCH HOMECARE M 242364 ACTUAL AMOUNT PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS M 362931 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL M 689705 ACTUAL AMOUNT CHILDREN'S ANESTHESIA ASSOCIATES M 1620153 ACTUAL AMOUNT CHILDREN'S RADIOLOGICAL INSTITUTE M 5607234 ACTUAL AMOUNT PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS M 6255330 ACTUAL AMOUNT NCH BEHAVIORAL HEALTH M 614945 ACTUAL AMOUNT CHILDREN'S SURGICAL ASSOCIATES M 13211390 ACTUAL AMOUNT CENTER FOR CHILD & FAMILY ADVOCACY O 1134091 ACTUAL AMOUNT NCH FOUNDATION O 3156794 ACTUAL AMOUNT PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS O 4843515 ACTUAL AMOUNT NCH HOMECARE O 7833740 ACTUAL AMOUNT CHILDREN'S RADIOLOGICAL INSTITUTE O 13275116 ACTUAL AMOUNT CHILDREN'S ANESTHESIA ASSOCIATES O 23724858 ACTUAL AMOUNT CHILDREN'S SURGICAL ASSOCIATES O 35306267 ACTUAL AMOUNT RESEARCH INSTITUTE AT NCH O 66328443 ACTUAL AMOUNT Partners for Kids O 6140142 ACTUAL AMOUNT CHILDREN'S NW MOB CONDO ASSOC'N P 54038 ACTUAL AMOUNT NORTHEAST CLOSE TO HOME CTR CONDO ASSOC'N P 51997 ACTUAL AMOUNT RESEARCH INSTITUTE AT NCH Q 574906 ACTUAL AMOUNT CENTER FOR CHILD & FAMILY ADVOCACY Q 880261 ACTUAL AMOUNT PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS Q 2010428 ACTUAL AMOUNT NCH FOUNDATION Q 6310356 ACTUAL AMOUNT CHILDREN'S SURGICAL ASSOCIATES Q 6125374 ACTUAL AMOUNT CHILDREN'S ANESTHESIA ASSOCIATES Q 608349 ACTUAL AMOUNT NCH HOMECARE Q 13103117 ACTUAL AMOUNT CHILDREN'S RADIOLOGICAL INSTITUTE Q 1242429 ACTUAL AMOUNT Partners for Kids Q 1360802 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL R 173877657 ACTUAL AMOUNT NCH FOUNDATION R 7308386 ACTUAL AMOUNT RESEARCH INSTITUTE AT NCH R 54622363 ACTUAL AMOUNT NCH FOUNDATION R 3445751 ACTUAL AMOUNT NCH REALTY INC R 340500 ACTUAL AMOUNT CHILDREN'S RADIOLOGICAL INSTITUTE S 12100000 ACTUAL AMOUNT PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS S 3241877 ACTUAL AMOUNT CHILDREN'S SURGICAL ASSOCIATES S 20346177 ACTUAL AMOUNT NCH HOMECARE S 21338064 ACTUAL AMOUNT NCH FOUNDATION S 30835964 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL S 54622363 ACTUAL AMOUNT RESEARCH INSTITUTE AT NCH S 86015575 ACTUAL AMOUNT Partners for Kids S 13054042 ACTUAL AMOUNT RESEARCH INSTITUTE AT NCH S 7308386 ACTUAL AMOUNT CENTER FOR CHILD & FAMILY ADVOCACY S 3445751 ACTUAL AMOUNT