NATIONWIDE CHILDRENS HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NATIONWIDE CHILDRENS HOSPITAL (EIN 01-0782751)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201333189349302898
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-14T10:59:51-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11100 HUNTINGTON CTR 41 S HIGH STAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010782751EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURNBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% CHRISTINA MCMANUSInCareOfName
Name ControlNATINameControl
Phone6147225958Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 CHILDRENS DRIVEAddressLine1
Address Line2SuiteAddressLine2
CityCOLUMBUSCity
StateOHState
ZIP Code43205ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTIMOTHY C ROBINSONName
TitleCFOTitle
Date Signed2013-11-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone6142245678Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1NATIONWIDE CHILDREN'S HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTEVE ALLEN MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1700 CHILDRENS DRIVEAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43205ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1425858822GrossReceipts
Group Return For AffiliatestrueGroupReturnForAffiliates
All Affiliates IncludedtrueAllAffiliatesIncluded
Group Exemption Number4235GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.nationwidechildrens.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionNATIONWIDE CHILDREN'S HOSPITAL'S MISSION IS BASED ON THE PREMISE THAT NO CHILD SHOULD BE REFUSED NECESSARY CARE FOR LACK OF ABILITY TO PAY. ITS PRIMARY ACTIVITIES ARE PATIENT CARE, RESEARCH, AND EDUCATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body123NbrVotingMembersGoverningBody
Nbr Independent Voting Members78NbrIndependentVotingMembers
Total Nbr Employees10880TotalNbrEmployees
Total Nbr Volunteers1639TotalNbrVolunteers
Total Gross UBI2514551TotalGrossUBI
Net Unrelated Business Txbl Income321250NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year140223772ContributionsGrantsPriorYear
Contributions Grants Current Year141692668ContributionsGrantsCurrentYear
Program Service Revenue Prior Year917850589ProgramServiceRevenuePriorYear
Program Service Revenue CY1016547446ProgramServiceRevenueCY
Investment Income Prior Year29264056InvestmentIncomePriorYear
Investment Income Current Year25427204InvestmentIncomeCurrentYear
Other Revenue Prior Year7902507OtherRevenuePriorYear
Other Revenue Current Year7747232OtherRevenueCurrentYear
Total Revenue Prior Year1095240924TotalRevenuePriorYear
Total Revenue Current Year1191414550TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year45352110GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY41364928GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year480320774SalariesEtcPriorYear
Salaries Etc Current Year524353876SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year27300TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY25410TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2067977TotalFundrsngExpCurrentYear
Other Expense Prior Year413893967OtherExpensePriorYear
Other Expenses Current Year462986655OtherExpensesCurrentYear
Total Expenses Prior Year939594151TotalExpensesPriorYear
Total Expenses Current Year1028730869TotalExpensesCurrentYear
Revenues Less Expenses Prior Year155646773RevenuesLessExpensesPriorYear
Revenues Less Expenses CY162683681RevenuesLessExpensesCY
Total Assets BOY1911730173TotalAssetsBOY
Total Assets EOY2207161030TotalAssetsEOY
Total Liabilities BOY678094230TotalLiabilitiesBOY
Total Liabilities EOY742866065TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1233635943NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1464294965NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense654430649Expense
Grants4420751Grants
Revenue1018983510Revenue
DescriptionPATIENT CARE (SEE SCHEDULE O)Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense120309205Expense
Grants35104723Grants
Revenue0Revenue
DescriptionRESEARCH (SEE SCHEDULE O)Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense26536210Expense
Grants1050565Grants
Revenue842203Revenue
DescriptionEDUCATION (SEE SCHEDULE O)Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp2196573TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt788889TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense803472637TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingtrueGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096719NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees10880NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members123NbrVotingGoverningBodyMembers
Number Independent Voting Members78NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCHRISTINA MCMANUSNamePerson
Telephone Number6143553119TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1700 CHILDRENS DRIVEAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43205ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (147 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
ABIGAIL S WEXNER
CHAIR / DIRECTOR - NCH3.0XX000
ALEX FISCHER
CHAIR/VICE CHAIR/DIRECTOR -NCH3.0XX000
HONORABLE ALGENON L MARBLEY
DIRECTOR - NCH3.0X000
GEORGE BARRETT
DIRECTOR - NCH3.0X000
JOSEPH A CHLAPATY
DIRECTOR - NCH3.0X000
PAMELA T FARBER
DIRECTOR - NCH3.0X000
MICHAEL J FIORILE
DIRECTOR - NCH3.0X000
JOHN B GERLACH
DIRECTOR - NCH3.0X000
C ROBERT KIDDER
DIRECTOR - NCH3.0X000
CHARLIE LOCKWOOD MD
DIRECTOR - NCH3.0X000
JAMES MALZ
DIRECTOR - NCH3.0X000
DONALD P MCCONNELL
DIRECTOR - NCH3.0X000
STEVE RASMUSSEN
DIRECTOR - NCH3.0X000
DARRYL A ROBBINS DO
DIRECTOR - NCH3.0X000
STEVEN TEICH MD
DIRECTOR - NCH47.0X5440490547643.0
BARBARA TRUEMAN
DIRECTOR - NCH3.0X000
SHAREN JESTER TURNEY
DIRECTOR - NCH3.0X000
R BLANE WALTER
DIRECTOR - NCH3.0X000
ANN I WOLFE
DIRECTOR - NCH3.0X000
CHERYL W LUCKS
DIRECTOR - NCH3.0X000
WEBB I VORYS
DIRECTOR - NCH3.0X000
PHYLLIS HAMMOND-INNES MD
DIRECTOR - NCH47.0X0003.0
STEVE ALLEN MD
DIRECTOR / CEO - NCH47.0XX12506950547643.0
RICHARD MILLER
CHAIR/DIRECTOR - NCH HOMECARE50.0XX000
TIMOTHY C ROBINSON
TREAS/DIRECTOR - NCH HOMECARE47.0XX0003.0
LINDA STOVEROCK RN
SEC / DIRECTOR - NCH HOMECARE50.0XX000
BRUCE MEYER MD
MEDICAL DIR - NCH HOMECARE30.0X000
JANINE WINTERS MD
MEDICAL DIR - NCH HOMECARE3.0X01778851759847.0
WILLIAM SHIELS II MD
PRESIDENT / DIRECTOR - CRI50.0XX1684122049764
DENNIS MINZLER
SEC / TREAS / DIRECTOR - CRI50.0XX129343026028
CHARLES DEROUSIE
DIRECTOR - CRI3.0X000
ROBIN E OSBORN DO
DIRECTOR - CRI3.0X000
DOUGLAS FELLOWS MD
DIRECTOR - CRI3.0X000
PHYLLIS HAMMOND-INNES MD
PRESIDENT / DIRECTOR - PPAC47.0XX4786450517643.0
TIMOTHY C ROBINSON
TREASURER / DIRECTOR - PPAC47.0XX0003.0
PAMELA EDSON
SECRETARY / DIRECTOR - PPAC50.0XX000
RICHARD MILLER
DIRECTOR - PPAC50.0X000
STEVE ALLEN MD
DIRECTOR - PPAC47.0X0003.0
STEVE ALLEN MD
PRESIDENT / DIRECTOR - CSA47.0XX0003.0
TIMOTHY C ROBINSON
TREASURER / DIRECTOR - CSA47.0XX0003.0
PAMELA EDSON
SECRETARY / DIRECTOR - CSA50.0XX000
RICHARD MILLER
DIRECTOR - CSA50.0X000
LARRY MOSS MD
DIRECTOR - CSA50.0X800228050264
CHERYL W LUCKS
CHAIR / DIRECTOR - NCH FNDTN3.0XX000
ANDREW W LIVINGSTON
SEC / DIRECTOR - NCH FNDTN3.0XX000
THOMAS N BRIGDON
VICE CHAIR / DIR - NCH FNDTN3.0XX000
JENNIFER S BELFORD
DIRECTOR - NCH FOUNDATION3.0X000
JEFFREY R BRASHARES
DIRECTOR - NCH FOUNDATION3.0X000
ANN S DESHE
DIRECTOR - NCH FOUNDATION3.0X000
ROBERT M EVERSOLE
DIRECTOR - NCH FOUNDATION3.0X000
RHONDA B FRAAS
DIRECTOR - NCH FOUNDATION3.0X000
MICHAEL GONSIOROWSKI
DIRECTOR - NCH FOUNDATION3.0X000
ALEXIS A JACOBS
DIRECTOR - NCH FOUNDATION3.0X000
CHAD A JESTER
DIRECTOR - NCH FOUNDATION3.0X000
R ANDREW JOHNSON
DIRECTOR - NCH FOUNDATION3.0X000
DAVID T KOLLAT
DIRECTOR - NCH FOUNDATION3.0X000
EDWARD J KOSNIK MD
DIRECTOR - NCH FOUNDATION50.0X5116201735
THOMAS D LENNOX
DIRECTOR - NCH FOUNDATION3.0X000
KATHERINE WOLFE LLOYD
DIRECTOR - NCH FOUNDATION3.0X000
BARBARA B MATTA
DIRECTOR - NCH FOUNDATION3.0X000
MAE L MCCORKLE
DIRECTOR - NCH FOUNDATION3.0X000
MARK E MCCULLERS
DIRECTOR - NCH FOUNDATION3.0X000
DOUGLAS S MORGAN
DIRECTOR - NCH FOUNDATION3.0X000
PHILLIP D NICK
DIRECTOR - NCH FOUNDATION3.0X000
RICK SCHOSTEK
DIRECTOR - NCH FOUNDATION3.0X000
ANGELA L PACE
DIRECTOR - NCH FOUNDATION3.0X000
ROBERT H SCHOTTENSTEIN
DIRECTOR - NCH FOUNDATION3.0X000
EDWARD SHEPHERD MD
DIRECTOR - NCH FOUNDATION3.0X02136312890747.0
RACHEL L LONGABERGER STUKEY
DIRECTOR - NCH FOUNDATION3.0X000
DENISE STUMP
DIRECTOR - NCH FOUNDATION3.0X000
JEFFREY T WILSON
DIRECTOR - NCH FOUNDATION3.0X000
SARAH W ZIEGLER
DIRECTOR - NCH FOUNDATION3.0X000
CYNTHIA RASMUSSEN
DIRECTOR - NCH FOUNDATION3.0X000
STEVE ALLEN MD
DIRECTOR - NCH FOUNDATION47.0X0003.0
WILLIAM H COTTON MD
DIRECTOR - NCH FOUNDATION3.0X02105312068247.0
TIMOTHY C ROBINSON
DIR / PRES / TREAS - NCH FNDTN47.0XX0003.0
PAULA FERGUSON
DIRECTOR - NCH FOUNDATION3.0X000
LAUREN HOFFMAN
DIRECTOR - NCH FOUNDATION3.0X000
BOB WHITE
DIRECTOR - NCH FOUNDATION3.0X000
MARK WELLING
DIRECTOR - NCH FOUNDATION3.0X000
ALEX FISCHER
DIRECTOR - NCH FOUNDATION3.0X000
ABIGAIL S WEXNER
DIRECTOR - NCH FOUNDATION3.0X000
DONALD P MCCONNELL
CHAIR / DIRECTOR - RINCH3.0XX000
ROBERT L JORDAN
VICE CHAIR / DIRECTOR - RINCH3.0XX000
TIMOTHY C ROBINSON
TREASURER / DIRECTOR - RINCH47.0XX0003.0
PHILLIP H BARRETT
DIRECTOR - RINCH3.0X000
DAVID E CHESEBROUGH
DIRECTOR - RINCH3.0X000
S THEODORE FORD
DIRECTOR - RINCH3.0X000
KENT JOHNSON PHD
DIRECTOR - RINCH3.0X000
BARBARA L KUNZ
DIRECTOR - RINCH3.0X000
LEE L SZYKOWNY MD
DIRECTOR - RINCH3.0X000
WEBB I VORYS
DIRECTOR - RINCH3.0X000
THOMAS WALKER
DIRECTOR - RINCH3.0X000
CAROLINE C WHITACRE PHD
DIRECTOR - RINCH3.0X000
STEVE ALLEN MD
DIRECTOR - RINCH47.0X0003.0
JOHN A BARNARD MD
DIRECTOR / PRESIDENT - RINCH26.0XX2688432475134207424.0
ALEX FISCHER
DIRECTOR - RINCH3.0X000
ABIGAIL S WEXNER
DIRECTOR - RINCH3.0X000
ABIGAIL S WEXNER
CHAIR / DIRECTOR - CCFA3.0XX000
KATHERINE WOLFE LLOYD
VICE CHAIR / DIRECTOR - CCFA3.0XX000
JANET E JACKSON
SECRETARY / DIRECTOR - CCFA3.0XX000
STEVE ALLEN MD
DIRECTOR - CCFA47.0X0003.0
DAVID M ARONOWITZ
DIRECTOR - CCFA3.0X000
PETER W C BARNHART
DIRECTOR - CCFA3.0X000
JOHN T CLARK
DIRECTOR - CCFA50.0X000
BROOKE F O'NEILL
DIRECTOR - CCFA3.0X000
ELLEN J TRESSEL
DIRECTOR - CCFA3.0X000
AUDREY G TUCKERMAN
DIRECTOR - CCFA3.0X000
DOUGLAS L WILLIAMS
DIRECTOR - CCFA3.0X000
REV CHARLES BOOTH MD
DIRECTOR - CCFA3.0X000
MARILYN BROWN
DIRECTOR - CCFA3.0X000
KAREN DAYS
PRESIDENT / DIRECTOR - CCFA3.0XX257555042761
BISHOP CALLON HOLLOWAY
DIRECTOR - CCFA3.0X000
KIMBERLEY JACOBS
DIRECTOR - CCFA3.0X000
CHAD A JESTER
DIRECTOR - CCFA3.0X000
JEFFREY LYTTLE
DIRECTOR - CCFA3.0X000
BETTY MONTGOMERY
DIRECTOR - CCFA3.0X000
STANLEY PARTLOW
DIRECTOR - CCFA3.0X000
GREGORY PAXTON
DIRECTOR - CCFA3.0X000
JUDGE DANA PREISSE
DIRECTOR - CCFA3.0X000
ZACH SCOTT
DIRECTOR - CCFA3.0X000
OLIVIA THOMAS
DIRECTOR - CCFA3.0X01865431820647.0
SHAREN JESTER TURNEY
DIRECTOR - CCFA3.0X000
TIMOTHY C ROBINSON
TREASURER - CCFA47.0X0003.0
TIMOTHY C ROBINSON
TREASURER / SR VP / CFO - NCH47.0X7175290527643.0
RICHARD MILLER
COO - NCH50.0X653311056164
LINDA STOVEROCK RN
SR VP / CNO - NCH50.0X378107049535
WANDA STACKPOLE
VP / EXEC DIR - NCH HOMECARE50.0X167521020385
RHONDA COMER
SECRETARY - NCH FOUNDATION47.0X0003.0
RHONDA COMER
SECRETARY - CCFA47.0X0003.0
RHONDA COMER
SECRETARY - RINCH47.0X0003.0
RHONDA COMER
SEC / SR VP / LEGAL SVCS - NCH47.0X3640790519863.0
JOHN T CLARK
SR VP/AMBULATORY SVCS - NCH50.0193321032726X
PAMELA EDSON
VICE PRESIDENT - NCH50.0196671031038X
PATRICIA MCCLIMON
SR VP / PLAN & DEV'T - NCH50.0345611043846X
MICHAEL BRADY MD
PHYSICIAN IN CHIEF - NCH22.01699522320262528828.0X
RICHARD BRILLI M D
CHIEF MEDICAL OFFICER - NCH40.04606931000945290510.0X
BRUCE MEYER MD
ADMIN MEDICAL DIRECTOR - NCH30.0172468030596X
DENISE ZABAWSKI
VP / CIO - NCH50.0314920031842X
JOSE BALDERAMA
VP / HR - NCH50.0265667039644X
BRUCE STEVENSON
VICE PRESIDENT - RINCH50.0209143031591X
MARK GALANTOWICZ MD
CHIEF OF CT SURGERY - CSA50.01676836050473X
KEVIN KLINGELE MD
ORTHOPEDIC SURGEON - CSA50.01230065050473X
RICHARD KIRSCHNER MD
PLASTIC SURGEON - CSA50.0932072050473X
ALAN BEEBE MD
ORTHOPEDIC SURGEON - CSA50.0824457049764X
WALTER SAMORA MD
ORTHOPEDIC SURGEON - CSA50.0780065021060X
J TERRANCE DAVIS MD
FORMER INTERIM CMO - NCH50.0287259038750X
FieldValueIRS element (for citing)
Total Reportable Comp From Org15804389TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1368223TotalReportableCompFrmRltdOrgs
Total Other Compensation1270614TotalOtherCompensation
Number Individuals GT100 K386NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
OHIOHEALTH
180 E BROAD ST 33 FLCOLUMBUSOH43215MEDICAL SERVICES20930633
OHIO STATE UNIVERSITY
410 WEST 10TH AVENUECOLUMBUSOH43210MEDICAL SERVICES16666979
MT CARMEL HEALTH
6150 E BROAD STCOLUMBUSOH43213MEDICAL SERVICES5305090
TURNER CONSTRUCTION COMPANY
623 MOOBERRY STREETCOLUMBUSOH43205CONSTRUCTION MGMT4137354
CONRAD PHILLIPS VUTECH INC
1398 GOODALE STE 100COLUMBUSOH43212CONSTRUCTION MGMT3917906
FieldValueIRS element (for citing)
Number Of Contractors GT100 K210NumberOfContractorsGT100K
Federated Campaigns229292FederatedCampaigns
Membership Dues8450MembershipDues
Fundraising Events5670236FundraisingEvents
Related Organizations39693103RelatedOrganizations
Government Grants53069107GovernmentGrants
All Other Contributions43022480AllOtherContributions
Noncash Contributions1261362NoncashContributions
Total Contributions141692668TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE90009910061815611006181561
CAFETERIA7222104884447$4,884,447
REFERENCE LAB62150017608111760811
PARKING8129301516970$1,516,970
PHYSICIAN SERVICES REVENUE900099383031383031

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1820626TotalRevenueColumn
Related Or Exempt Function Income1095364RelatedOrExemptFunctionIncome
Unrelated Business Revenue725262UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue1016547446TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column15858929TotalRevenueColumn
Unrelated Business Revenue477UnrelatedBusinessRevenue
Exclusion$15,858,452ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column4665360TotalRevenueColumn
Exclusion$4,665,360ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column564626TotalRevenueColumn
Exclusion$564,626ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real932127Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real995343Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-63216Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-63216TotalRevenueColumn
Exclusion-$63,216ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities236765652Securities
Other1500Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities231582437Securities
Other281800Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities5183215Securities
Other-280300Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4902915TotalRevenueColumn
Exclusion$4,902,915ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events628530GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events5670236CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses1564936FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-936406TotalRevenueColumn
Exclusion-$936,406ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming52020GrossIncomeGaming
Gaming Direct Expenses19756GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column32264TotalRevenueColumn
Exclusion$32,264ExclusionAmount

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
BILLING SERVICES TO AFFILIATE54120032782673278267
CHILD CARE CENTER6244101613003$1,613,003
GIFT SHOP4532201129741$1,129,741

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2128953TotalRevenueColumn
Unrelated Business Revenue28001UnrelatedBusinessRevenue
Exclusion$2,100,952ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue8149964TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1191414550TotalRevenueColumn
Related Or Exempt Function Income1010938223RelatedOrExemptFunctionIncome
Unrelated Business Revenue2514551UnrelatedBusinessRevenue
Exclusion$36,269,108ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total41120902Total
Program Services41120902ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total244026Total
Program Services244026ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total10941043Total
Program Services4256669ProgramServices
Management And General6684374ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total681663Total
Program Services400039ProgramServices
Management And General111255ManagementAndGeneral
Fundraising170369Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total410030323Total
Program Services328210549ProgramServices
Management And General80861469ManagementAndGeneral
Fundraising958305Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total20041400Total
Program Services15654856ProgramServices
Management And General4386544ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total54121463Total
Program Services43388060ProgramServices
Management And General10482170ManagementAndGeneral
Fundraising251233Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total28537984Total
Program Services22144467ProgramServices
Management And General6393517ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1909647Total
Program Services10459ProgramServices
Management And General1899188ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total418305Total
Management And General418305ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total322358Total
Management And General322358ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total25410Total
Fundraising25410Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total134777964Total
Program Services109991341ProgramServices
Management And General24663392ManagementAndGeneral
Fundraising123231Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total3562603Total
Program Services180691ProgramServices
Management And General3016642ManagementAndGeneral
Fundraising365270Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total30694861Total
Program Services17678833ProgramServices
Management And General12985246ManagementAndGeneral
Fundraising30782Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total14354581Total
Program Services6644068ProgramServices
Management And General7710513ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total461606Total
Program Services461606ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total49081606Total
Program Services39781825ProgramServices
Management And General9299781ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total5086144Total
Program Services4023014ProgramServices
Management And General1033583ManagementAndGeneral
Fundraising29547Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total986324Total
Program Services630259ProgramServices
Management And General354200ManagementAndGeneral
Fundraising1865Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total20865695Total
Management And General20865695ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total58990187Total
Program Services52406972ProgramServices
Management And General6583215ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2946821Total
Program Services1862223ProgramServices
Management And General1084598ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
Hospital Franchise Fees1450463614504636
Textiles & Paper Goods350656110419022464659
Medical Supplies6096223760962237
Drugs4464357944643579

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total14910940Total
Program Services6311303ProgramServices
Management And General8487672ManagementAndGeneral
Fundraising111965Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1028730869Total
Program Services803472637ProgramServices
Management And General223190255ManagementAndGeneral
Fundraising2067977Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY50233711BOY
EOY62160709EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY329971BOY
EOY2010664EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY46546905BOY
EOY39966194EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY136148407BOY
EOY166019875EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5467385BOY
EOY7059870EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY10295172BOY
EOY9339263EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1368553864LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec361511282LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY934217481BOY
EOY1007042582EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY672694367BOY
EOY852086584EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY9210883BOY
EOY9968003EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY46585891BOY
EOY51507286EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1911730173BOY
EOY2207161030EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY109064425BOY
EOY107659756EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY12443301BOY
EOY10279965EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY434935000BOY
EOY501795000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY121651504BOY
EOY123131344EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY678094230BOY
EOY742866065EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1059672103BOY
EOY1276737554EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY87172424BOY
EOY96959055EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY86791416BOY
EOY90598356EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1233635943BOY
EOY1464294965EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1911730173BOY
EOY2207161030EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses162683681ReconcilationRevenueExpenses
Reconciliation Unrealized Invest66016092ReconciliationUnrealizedInvest
Reconcilation Other Changes1959249ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years301337CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years361829CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years339988CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year256353CurrentTaxYearMinus1Year
Current Tax Year317197CurrentTaxYear
Total1576704Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years44497898CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years52913009CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years55615411CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year57301115CurrentTaxYearMinus1Year
Current Tax Year61796324CurrentTaxYear
Total272123757Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years44799235CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years53274838CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years55955399CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year57557468CurrentTaxYearMinus1Year
Current Tax Year62113521CurrentTaxYear
Total273700461Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509273700461PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years203327CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years56928CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years71241CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year60525CurrentTaxYearMinus1Year
Current Tax Year84249CurrentTaxYear
Total476270Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20185CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26638CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21194CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16847CurrentTaxYearMinus1Year
Current Tax Year14720CurrentTaxYear
Total99584Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years223512CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years83566CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years92435CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year77372CurrentTaxYearMinus1Year
Current Tax Year98969CurrentTaxYear
Total575854Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years45022747CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years53358404CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years56047834CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year57634840CurrentTaxYearMinus1Year
Current Tax Year62212490CurrentTaxYear
Total274276315Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99790PublicSupportPercentage509
Prior Year Support Percentage0.99600PriorYearSupportPercentage
Investment Income Percentage0.00210InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00400PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationNATIONWIDE 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) CHILDREN'S RADIOLOGICAL INSTITUTE (CRI) EIN 31-1439570 PUBLIC CHARITY STATUS: 509(a)(2) PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS (PPAC) EIN 31-1595013 PUBLIC CHARITY STATUS: 509(a)(2) CHILDREN'S SURGICAL ASSOCIATES (CSA) EIN 31-1654000 PUBLIC CHARITY STATUS: 509(a)(2) NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION (NCHF) EIN 31-1036370 PUBLIC CHARITY STATUS: 509(a)(1) & 170(b)(1)(A)(vi) RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL (RINCH) EIN 31-6056230 PUBLIC CHARITY STATUS: 509(a)(1) & 170(b)(1)(A)(iii) 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) NOTE: THE SUPPORT TEST IN PART III IS FOR THOSE SUBORDINATES THAT ARE 509(a)(2) STATUS. THE 2012 PUBLIC SUPPORT PERCENTAGE FOR THE 509(a)(1) SUBORDINATES THAT WOULD COMPLETE PART II IS 63.7%.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup

Total Grassroots Lobbying TotalGrassrootsLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals4127FilingOrganizationsTotals
Affiliated Group Totals4127AffiliatedGroupTotals

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals805272FilingOrganizationsTotals
Affiliated Group Totals805272AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals809399FilingOrganizationsTotals
Affiliated Group Totals809399AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals804731215FilingOrganizationsTotals
Affiliated Group Totals804756215AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals805540614FilingOrganizationsTotals
Affiliated Group Totals805565614AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals
Affiliated Group Totals1000000AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
Affiliated Group Totals250000AffiliatedGroupTotals
FieldValueIRS element (for citing)
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3741124CurrentYearMinus3
Current Year Minus2865322CurrentYearMinus2
Current Year Minus1899933CurrentYearMinus1
Current Year805272CurrentYear
Total3311651Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year Minus34018CurrentYearMinus3
Current Year Minus24259CurrentYearMinus2
Current Year Minus13371CurrentYearMinus1
Current Year4127CurrentYear
Total15775Total

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierAFFILIATED ORGANIZATIONSIdentifier
Return ReferenceSCHEDULE C, PART II-AReturnReference
ExplanationNATIONWIDE CHILDREN'S HOSPITAL ADDRESS FOR PARENT AND ALL AFFILIATES IS: 700 CHILDREN'S DRIVE, COLUMBUS, OHIO 43205 ALL ENTITIES LISTED BELOW HAVE A LOBBYING ELECTION FOR THE CURRENT YEAR. 1. NATIONWIDE CHILDREN'S HOSPITAL EIN #31-4379441 GRASSROOTS EXPENDITURES: 4,127 DIRECT LOBBYING EXPENDITURES: 805,272 TOTAL LOBBYING EXPENDITURES: 809,399 OTHER EXEMPT EXPENDITURES: 651,362,698 TOTAL EXEMPT PURPOSE EXPENDITURES: 652,172,097 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE 2. NATIONWIDE CHILDREN'S HOSPITAL HOMECARE EIN# 31-1296332 GRASSROOTS EXPENDITURES: NONE DIRECT LOBBYING EXPENDITURES: NONE TOTAL LOBBYING EXPENDITURES: NONE OTHER EXEMPT EXPENDITURES: 17,523,097 TOTAL EXEMPT PURPOSE EXPENDITURES: 17,523,097 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE 3. CHILDREN'S RADIOLOGICAL INSTITUTE EIN# 31-1439570 GRASSROOTS EXPENDITURES: NONE DIRECT LOBBYING EXPENDITURES: NONE TOTAL LOBBYING EXPENDITURES: NONE OTHER EXEMPT EXPENDITURES: 10,652,540 TOTAL EXEMPT PURPOSE EXPENDITURES: 10,652,540 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE 4. PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS EIN # 31-1595013 GRASSROOTS EXPENDITURES: NONE DIRECT LOBBYING EXPENDITURES: NONE TOTAL LOBBYING EXPENDITURES: NONE OTHER EXEMPT EXPENDITURES: 4,400,111 TOTAL EXEMPT PURPOSE EXPENDITURES: 4,400,111 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE 5. CHILDREN'S SURGICAL ASSOCIATES EIN # 31-1654000 GRASSROOTS EXPENDITURES: NONE DIRECT LOBBYING EXPENDITURES: NONE TOTAL LOBBYING EXPENDITURES: NONE OTHER EXEMPT EXPENDITURES: 25,122,138 TOTAL EXEMPT PURPOSE EXPENDITURES: 25,122,138 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE 6. NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION EIN # 31-1036370 GRASSROOTS EXPENDITURES: NONE DIRECT LOBBYING EXPENDITURES: NONE TOTAL LOBBYING EXPENDITURES: NONE OTHER EXEMPT EXPENDITURES: 9,058,466 TOTAL EXEMPT PURPOSE EXPENDITURES: 9,058,466 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE 7. RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL EIN # 31-6056230 GRASSROOTS EXPENDITURES: NONE DIRECT LOBBYING EXPENDITURES: NONE TOTAL LOBBYING EXPENDITURES: NONE OTHER EXEMPT EXPENDITURES: 85,204,482 TOTAL EXEMPT PURPOSE EXPENDITURES: 85,204,482 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE 8. CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL EIN # 02-0627166 GRASSROOTS EXPENDITURES: NONE DIRECT LOBBYING EXPENDITURES: NONE TOTAL LOBBYING EXPENDITURES: NONE OTHER EXEMPT EXPENDITURES: 1,407,683 TOTAL EXEMPT PURPOSE EXPENDITURES: 1,407,683 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE TOTALS - AFFILIATES: GRASSROOTS EXPENDITURES: 4,127 DIRECT LOBBYING EXPENDITURES: 805,272 TOTAL LOBBYING EXPENDITURES: 809,399 OTHER EXEMPT EXPENDITURES: 804,731,215 TOTAL EXEMPT PURPOSE EXPENDITURES: 805,540,614 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE 9. NATIONWIDE CHILDREN'S HOSPITAL, INC. (PARENT) EIN# 31-1036372 GRASSROOTS EXPENDITURES: NONE DIRECT LOBBYING EXPENDITURES: NONE TOTAL LOBBYING EXPENDITURES: NONE OTHER EXEMPT EXPENDITURES: 25,000 TOTAL EXEMPT PURPOSE EXPENDITURES: 25,000 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE TOTALS FOR PARENT AND AFFILIATES: GRASSROOTS EXPENDITURES: 4,127 DIRECT LOBBYING EXPENDITURES: 805,272 TOTAL LOBBYING EXPENDITURES: 809,399 OTHER EXEMPT EXPENDITURES: 804,756,215 TOTAL EXEMPT PURPOSE EXPENDITURES: 805,565,614 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONEExplanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance108604577BeginningOfYearBalance
Contributions3806940Contributions
Investment Earnings Or Losses8968440InvestmentEarningsOrLosses
Other Expenditures2414829OtherExpenditures
End Of Year Balance118965128EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance102137494BeginningOfYearBalance
Contributions8748844Contributions
Investment Earnings Or Losses232365InvestmentEarningsOrLosses
Other Expenditures2514126OtherExpenditures
End Of Year Balance108604577EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance90136704BeginningOfYearBalance
Contributions5084000Contributions
Investment Earnings Or Losses8863791InvestmentEarningsOrLosses
Other Expenditures1947000OtherExpenditures
End Of Year Balance102137495EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance76915483BeginningOfYearBalance
Contributions5063435Contributions
Investment Earnings Or Losses9533485InvestmentEarningsOrLosses
Other Expenditures1375699OtherExpenditures
End Of Year Balance90136704EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance68068028BeginningOfYearBalance
Contributions12935861Contributions
Investment Earnings Or Losses-2366604InvestmentEarningsOrLosses
Other Expenditures1721802OtherExpenditures
End Of Year Balance76915483EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.27000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.73000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis29681966OtherCostOrOtherBasis
Book Value29681966BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2773600InvestmentCostOrOtherBasis
Other Cost Or Other Basis985352383OtherCostOrOtherBasis
Depreciation196475224Depreciation
Book Value791650759BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2878986OtherCostOrOtherBasis
Depreciation706478Depreciation
Book Value2172508BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis306032384OtherCostOrOtherBasis
Depreciation164329580Depreciation
Book Value141702804BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis41834545OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value41834545BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1007042582TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
PAYABLE TO AFFILIATE$565,467
MARKET VALUE OF INTEREST RATE SWAP$37,564,648
ACCRUED RETIREMENT BENEFITS$40,905,818
OTHER DONOR RELATED LIABILITIES$1,554,212
ACCRUED PROFESSIONAL LIABILITY$31,043,816
PAYABLE TO THIRD PARTY PAYORS$3,206,052
BOND ISSUE PREMIUM$8,291,331
FieldValueIRS element (for citing)
Total Of Amounts123131344TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDSSCHEDULE D, PART VAVAILABLE 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.
ASC 740 (FORMERLY FIN 48) FOOTNOTE FROM AUDITED FINANCIAL STATEMENTSSCHEDULE D, PART X, LINE 2NATIONWIDE CHILDREN'S HOSPITAL RECORDS ANY ACCRUALS FOR UNCERTAIN TAX POSITIONS UNDER ASC 740, INCOME TAXES. NATIONWIDE CHILDREN'S HAD NO ACCRUAL FOR UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2012 AND 2011.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (8 entries)

RegionRegionNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployeesType Of Activities ConductedTypeOfActivitiesConductedSpecific Services ProvidedSpecificServicesProvidedTotal ExpendituresTotalExpenditures
Central America and the Caribbean00Program ServicesSelf Insurance1177164
Central America and the Caribbean00Program ServicesRecruiting1351
Central America and the Caribbean00Investments130000
East Asia and the Pacific00Program ServicesResearch Collaboration386584
Europe (including Iceland and Greenland)00Program ServicesHealthcare Services2187
North America00Program ServicesHealthcare Services19790
North America00Program ServicesRecruiting688
North America00Program ServicesResearch Collaboration57192
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent1774956SubtotalAmountSpent
Total Amount Spent1774956TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingtrueAgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

FieldValueIRS element (for citing)
Name Of IndividualAG DICKSON SOMERVILLE MA 02145NameOfIndividual

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18 CHARLES E RYAN RD STE 2AddressLine1
CitySOMERVILLECity
StateMAState
ZIP Code02145ZIPCode
FieldValueIRS element (for citing)
ActivityPHONE CALLINGActivity
Fundraiser Control Of FundsfalseFundraiserControlOfFunds
Gross Receipts43416GrossReceipts
Amount Retained By Contractor25410AmountRetainedByContractor
Net To Organization18006NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts43416TotalGrossReceipts
Total Retained By Contractors25410TotalRetainedByContractors
Total Net To Organization18006TotalNetToOrganization
Licensed StatesNYLicensedStates
Licensed StatesOHLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1DINNER/GALANameOfEvent1
Gross Receipts Event13700650GrossReceiptsEvent1
Charitable Contributions Event13691275CharitableContributionsEvent1
Gross Revenue Event19375GrossRevenueEvent1
Food And Beverage Event1104230FoodAndBeverageEvent1
Entertainment Event1373366EntertainmentEvent1
Other Direct Expenses Event1633597OtherDirectExpensesEvent1
Name Of Event2HORSE SHOW/CONCNameOfEvent2
Gross Receipts Event21157235GrossReceiptsEvent2
Charitable Contributions Event2988089CharitableContributionsEvent2
Gross Revenue Event2169146GrossRevenueEvent2
Total Number Of Other Events11TotalNumberOfOtherEvents
Gross Receipts Other Events1440881GrossReceiptsOtherEvents
Charitable Contrib Other Events990872CharitableContribOtherEvents
Gross Revenue Other Events450009GrossRevenueOtherEvents
Non Cash Prizes Other Events560NonCashPrizesOtherEvents
Rent Facility Costs Other Events58395RentFacilityCostsOtherEvents
Food And Beverage Other Events108877FoodAndBeverageOtherEvents
Entertainment Other Events44681EntertainmentOtherEvents
Other Direct Expenses Other Events241230OtherDirectExpensesOtherEvents
Gross Receipts Total6298766GrossReceiptsTotal
Charitable Contributions Total5670236CharitableContributionsTotal
Gross Revenue Total Events628530GrossRevenueTotalEvents
Non Cash Prizes Total Events560NonCashPrizesTotalEvents
Rent Facility Costs Total Events58395RentFacilityCostsTotalEvents
Food And Beverage Total Events213107FoodAndBeverageTotalEvents
Entertainment Total Events418047EntertainmentTotalEvents
Other Direct Expenses Total Events874827OtherDirectExpensesTotalEvents
Direct Expense Summary Events1564936DirectExpenseSummaryEvents
Net Income Summary-936406NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming52020GrossRevenueOtherGaming
Cash Prizes Other Gaming2665CashPrizesOtherGaming
Non Cash Prizes Other Gaming17091NonCashPrizesOtherGaming
Volunteer Labor Other GamingtrueVolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming1.00000VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming52020GrossRevenueTotalGaming
Cash Prizes Total Gaming2665CashPrizesTotalGaming
Non Cash Prizes Total Gaming17091NonCashPrizesTotalGaming
Direct Expense Summary Gaming19756DirectExpenseSummaryGaming
Net Gaming Income Summary32264NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedOHStatesWhereGamingConducted
LicensedtrueLicensed
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmemberstrueGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Own Facility0.00000PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper PersonKEVIN WELCHNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line1700 CHILDRENS DRIVEAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43205ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev
Gaming Manager Name PersonNAGamingManagerNamePerson
Charitable Distrib RequiredfalseCharitableDistribRequired

Form990 Schedule G Part IV Form990ScheduleGPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE G, PART I, LINE 2b, COLUMNS (iii) & (v)Identifier
Return ReferenceFUNDRAISER SERVICESReturnReference
ExplanationLINE 2b, COLUMN (iii) - THE FUNDRAISER DID NOT RECEIVE OR HAVE ACCESS TO ANY FOUNDATION FUNDS. LINE 2b, COLUMN (v) - THE ENTIRE AMOUNT REPRESENTS PAYMENT FOR FUNDRAISING SERVICES PROVIDED AND NOT FOR ANY EXPENSES OR REIMBURSEMENTS.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense9368906TotalCommunityBenefitExpense
Direct Offsetting Revenue2012043DirectOffsettingRevenue
Net Community Benefit Expense7356864NetCommunityBenefitExpense
Percent Of Total Expense0.00790PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense402143296TotalCommunityBenefitExpense
Direct Offsetting Revenue354486873DirectOffsettingRevenue
Net Community Benefit Expense47656423NetCommunityBenefitExpense
Percent Of Total Expense0.05100PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense2774474TotalCommunityBenefitExpense
Direct Offsetting Revenue2774474DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense414286676TotalCommunityBenefitExpense
Direct Offsetting Revenue359273390DirectOffsettingRevenue
Net Community Benefit Expense55013287NetCommunityBenefitExpense
Percent Of Total Expense0.05890PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3654192TotalCommunityBenefitExpense
Direct Offsetting Revenue1175472DirectOffsettingRevenue
Net Community Benefit Expense2478720NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense31703475TotalCommunityBenefitExpense
Direct Offsetting Revenue2751907DirectOffsettingRevenue
Net Community Benefit Expense28951568NetCommunityBenefitExpense
Percent Of Total Expense0.03340PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense20627509TotalCommunityBenefitExpense
Direct Offsetting Revenue18269425DirectOffsettingRevenue
Net Community Benefit Expense2358084NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense32258420TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense32258420NetCommunityBenefitExpense
Percent Of Total Expense0.03720PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1334923TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1334923NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense89578519TotalCommunityBenefitExpense
Direct Offsetting Revenue22196804DirectOffsettingRevenue
Net Community Benefit Expense67381715NetCommunityBenefitExpense
Percent Of Total Expense0.07770PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense503865195TotalCommunityBenefitExpense
Direct Offsetting Revenue381470194DirectOffsettingRevenue
Net Community Benefit Expense122395002NetCommunityBenefitExpense
Percent Of Total Expense0.13660PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense1012725TotalCommunityBuildingExpense
Net Community Building Expense1012725NetCommunityBuildingExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense339113TotalCommunityBuildingExpense
Direct Offsetting Revenue141810DirectOffsettingRevenue
Net Community Building Expense197303NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense297982TotalCommunityBuildingExpense
Net Community Building Expense297982NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense231330TotalCommunityBuildingExpense
Net Community Building Expense231330NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense3002TotalCommunityBuildingExpense
Net Community Building Expense3002NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense1884152TotalCommunityBuildingExpense
Direct Offsetting Revenue141810DirectOffsettingRevenue
Net Community Building Expense1742342NetCommunityBuildingExpense
Percent Of Total Expense0.00180PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$28,195,423BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare4628076AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare6857761CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-2229685MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1NONEBusinessNameLine1
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1NATIONWIDE CHILDREN'S HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1700 CHILDRENS DRIVE MAIN CAMPUSAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43205ZIPCode
FieldValueIRS element (for citing)
Website Addresswww.nationwidechildrens.orgWebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Childrens HospitalXChildrensHospital
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours
Er OtherXErOther
OtherNEONATAL INTENSIVE CARE UNITOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NATIONWIDE CHILDREN'S (MAIN CAMPUS)BusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities21NumberOfOtherFacilities

Other Facilities OtherFacilities (21 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
HOMECARE AND HOSPICE
255 EAST MAIN STREETCOLUMBUSOH43215HOMECARE
CENTER FOR CHILD AND FAMILY ADVOCACY
655 EAST LIVINGSTON AVENUECOLUMBUSOH43205ADVOCACY
SPRINGFIELD CHILDLAB
1644 NORTH LIMESTONE STREETSPRINGFIELDOH45505LAB
ZANESVILLE OUTPATIENT CARDIOLOGY SVCS
716 ADAIR AVENUEZANESVILLEOH43701CARDIOLOGY CLINIC
MARION OUTPATIENT CARDIOLOGY SERVICES
1040 DELAWARE AVENUEMARIONOH43302CARDIOLOGY CLINIC
MANSFIELD CLOSE TO HOME CENTER
680 PARK AVENUE WEST SUITE G05MANSFIELDOH44906MEDICAL OFFICES
CLEVELAND CHILDLAB
1139 ROCKSIDE ROADPARMAOH44134LAB
MARIETTA OUTPATIENT CARIOLOGY SERVICES
400 MATTHEW STREETMARIETTAOH45750CARDIOLOGY CLINIC
NEWARK CLOSE TO HOME CENTER
75 SOUTH TERRACE AVENUENEWARKOH43055MEDICAL OFFICES
CHILICOTHE OUTPATIENT CARDIOLOGY SVCS
4437 STATE ROUTE 156 PAVILION SUITCHILICOTHEOH45601CARDIOLOGY CLINIC
ASHLAND OUTPATIENT CARDIOLOGY SERVICES
1101 ST CHRISTOPHER DRIVE SUITE 2ASHLANDKY41101CARDIOLOGY CLINIC
ATHENS OUTPATIENT CARDIOLOGY SERVICES
75 HOSPITAL DR CASTROP CENTER STEATHENSOH45701CARDIOLOGY CLINIC
FINDLAY OUTPATIENT CARDIOLOGY SERVICES
1900 SOUTH MAIN STREET 2ND FLOORFINDLAYOH45840CARDIOLOGY CLINIC
ZANESVILLE CHILDLAB
1166 MILITARY ROAD SUITE BZANESVILLEOH43701LAB
LIMA CHILDLAB
830 WEST HIGH STREET SUITE 375LIMAOH45801LAB
MARION CHILDLAB
1069 DELAWARE AVENUEMARIONOH43302LAB
IRONTON CHILDLAB & CLOSE TO HOME CENTER
2301 SOUTH 7TH STREETIRONTONOH45638LAB & MEDICAL OFFICES
CANTON CHILDLAB
4846 HIGBEE AVENUE NWCANTONOH44718LAB
WESTLAKE CHILDLAB
27500 DETROIT ROAD SUITE 102WESTLAKEOH44145LAB
MASON CHILDLAB
5112 CEDAR VILLAGE DRIVEMASONOH45040LAB
WARREN CHILDLAB
321 NILES CORTLAND ROAD NEWARRENOH44484LAB

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifierExplanationExplanation
PART I, LINE 6AWHILE NATIONWIDE CHILDREN'S HOSPITAL DOES NOT PREPARE AN INDIVIDUAL COMMUNITY BENEFIT REPORT, THEY ARE AN INTEGRAL PART OF COLLABORATION WITH OTHER GOVERNMENTAL AND NON-FOR-PROFIT ORGANIZATIONS MAKING COMMUNITY HEALTH NEEDS ASSESSMENTS AND CREATING OR IMPROVING PROGRAMS BASED ON THESE ASSESSMENT RESULTS. SEE DISCUSSION OF THE FULL POTENTIAL REPORT IN SCHEDULE H, PART VI, LINE 2. IN 2013, NATIONWIDE CHILDREN'S HOSPITAL PREPARED A COMMUNITY BENEFIT REPORT.
PART I, LINE 7GNATIONWIDE CHILDREN'S HOSPITAL HAS NOT INCLUDED ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC.
PART I, LINE 7, COLUMN (f)FOR PURPOSES OF LINES 7A, B, C, & D, THE CALCULATION OF TOTAL EXPENSE ONLY INCLUDES GROUP ENTITIES THAT PROVIDE PATIENT CARE. THESE ENTITIES ARE NATIONWIDE CHILDREN'S HOSPITAL (NCH), NCH HOMECARE, CHILDREN'S RADIOLOGICAL INSTITUTE, PEDIATRIC PATHOLOGY ASSOCIATES, AND CHILDREN'S SURGICAL ASSOCIATES. FOR PURPOSES OF LINES 7E, F, G, H, & I, THE CALCULATION OF TOTAL EXPENSE ONLY RELATES TO NATIONWIDE CHILDREN'S HOSPITAL, AS ONLY THIS ENTITY INCURS COSTS TO THESE QUESTIONS. PART I, LINE 7 THE COST TO CHARGE RATIO USED IN LINE 7 WAS DERIVED FROM WORKSHEET 2.
PART IINATIONWIDE 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 FOUR YEARS, HNHF SOLD 28 HOMES AND REPAIRED 92 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 2012, NCH HAD 40 MENTORS PARTICIPATE. - REACH OUT AND READ PROGRAM, A PEDIATRIC PROGRAM DEDICATED TO INCREASING FAMILY LITERACY ACTIVITIES IN THE HOME PRIOR TO A CHILDS ENTRANCE INTO THE SCHOOL SYSTEM. SPECIAL FOCUS IS GIVEN TO CHILDREN GROWING UP IN POVERTY. - LIVINGSTON PARK MAINTENANCE, A CITY OWNED PARK THAT NCH ASSISTS IN MAINTAINING. THE NCH ENGINEERING DEPARTMENT PROVIDES SNOW/ICE REMOVAL, LAWN CARE AND WASTE REMOVAL SERVICES FOR THE UPKEEP OF THE PARK. - HEALTH CHILD CARE INITIATIVE, A NCH PROGRAM TEACHING PARENTS ABOUT KEEPING KIDS HEALTHY. - COMMUNITY GARDEN, A GARDEN STARTED BY NCH STAFF AND MEMBERS OF THE COMMUNITY THAT PROVIDES FRESH FRUIT AND VEGETABLES TO THOSE IN NEED IN THE NEIGHBORHOOD. - 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 INTERNSHIP - 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.
PART III, LINE 4THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGE 13 OF THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8IT IS OUR POSITION THAT THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE, LIKE MEDICAID, 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.
PART III, LINE 9BNATIONWIDE 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.
PART V, SECTION B, LINE 18eTHE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS IN THE FOLLOWING WAYS: SIGNAGE LOCATED THROUGHOUT THE HOSPITAL, LETTERS SENT TO PATIENTS AND/OR PARENTS, AUTOMATED TELEPHONE CALLS, AND THE POLICY IS AVAILABLE ON THE ORGANIZATION'S WEBSITE.
PART V, SECTION B, LINE 20dTHE HOSPITAL DETERMINED THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS BY USING ITS AVERAGE COMMERCIAL INSURANCE RATES AND ADDING AN ADDITIONAL DISCOUNT OF APPROXIMATELY 5%. THIS MAXIMUM AMOUNT APPLIES TO INDIVIDUALS WITH INCOME LEVELS THAT FALL BETWEEN 301% AND 400% OF THE FEDERAL POVERTY LIMITS, AND APPLIES TO ALL PATIENTS OF THE HOSPITAL, REGARDLESS OF WHETHER THEY ARE PROVIDED EMERGENCY OR OTHER MEDICALLY NECESSARY SERVICES.
PART VI, LINE 2 - NEEDS ASSESSMENTIN RECENT YEARS, NATIONWIDE CHILDREN'S HOSPITAL (NCH), IN COLLABORATION WITH 20 COMMUNITY PARTNERS, PUBLISHED THE FULL POTENTIAL REPORT, AS A WAY TO REPORT ON THE HEALTH STATUS OF FRANKLIN COUNTY CHILDREN AND AS A WAY TO GENERATE ACTION AROUND KEY HEALTH INDICATORS TO HELP CHILDREN REACH THEIR FULL POTENTIAL. THIS REPORT IDENTIFIED 10 CRITICAL INDICATORS CORRESPONDNG TO THE MOST SIGNIFICANT PREVENTABLE HEALTH THREATS IMPACTING THE COMMUNITY'S CHILDREN. THE INDICATORS IDENTIFIED INCLUDE: 1) ASTHMA, 2) UNINTENTIONAL INJURIES, 3) ADOLESCENT SUICIDE, 4) ADOLESCENT HOMICIDE, 5) TEEN SMOKING, 6) TEEN PREGNANCY, 7) ACCESS TO HEALTH CARE, 8) INFANT MORTALITY/PRETERM BIRTH, 9) IMMUNIZATION, AND 10) OBESITY. THE 2010-2011 FULL POTENTIAL COLLABORATIVE CHILDREN'S HEALTH REPORT REVISITS ALL 10 OF THE PUBLIC HEALTH INDICATORS FROM THE INITIAL REPORT, EXAMINING CURRENT DATA, GAINING FRESH INSIGHTS FROM LOCAL EXPERTS, PROVIDING UPDATES ON SOME OF THE CHILDREN AND FAMILIES FIRST MET TWO YEARS AGO IN THE INITIAL REPORT, AND INTRODUCING NEW FACES TO SOME OF THESE VITAL ISSUES. NEW TO THE 2010 REPORT IS A PROGRESS REPORT CARD. THIS SNAPSHOT OF THE FINDINGS SUMMARIZES THE RESULTS AND ASSIGNS TWO LIGHTS TO EACH INDICATOR. ONE LIGHT SHOWS HOW THE COMMUNITY WAS DOING IN THE ORIGINAL REPORT AND THE OTHER LIGHT SHOWS WHETHER THERE'S BEEN ANY IMPROVEMENT SINCE THEN. IN 2012, NCH CONTINUES TO MONITOR THESE TEN INDICATORS WHILE MAKING EFFORTS TO HELP CHILDREN REACH THEIR FULL POTENTIAL BY ADDRESSING THESE PREVENTABLE THREATS THROUGH VARIOUS HOSPITAL PROGRAMS. THESE PROGRAMS AND SEVERAL OTHERS STEMMING FROM THIS ASSESSMENT HAVE BEEN THE BASIS OF PROGRAM DEVELOPMENT BY NCH IN FOCUSING ON THE HEALTH CARE NEEDS OF THE COMMUNITY IN WHICH IT SERVES.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCENATIONWIDE 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 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. BILLING STATEMENTS CONTAIN PRINTED INFORMATION REGARDING VARIOUS TYPES OF ASSISTANCE THAT IS AVAILABLE, AUTOMATED TELEPHONE CALLS OFFERING FINANCIAL ASSISTANCE ARE ALSO MADE, AND THE POLICY IS MADE AVAILABLE ON OUR WEBSITE.
PART VI, LINE 4 - COMMUNITY INFORMATIONNATIONWIDE 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 ALL 50 STATES AND 28 FOREIGN COUNTRIES. THE MEDIAN HOUSEHOLD INCOME IN COLUMBUS IS $50,045 AND 17.4% OF FAMILIES ARE BELOW THE POVERTY LEVEL. APPROXIMATELY 12% OF THE POPULATION OF OHIO IS UNINSURED.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTHAS DESCRIBED IN SCHEDULE H, PART VI, LINE 2, NATIONWIDE CHILDREN'S HOSPITAL (NCH) PUBLISHED A FULL POTENTIAL REPORT IN COLLABORATION WITH 20 COMMUNITY PARTNERS, AS A WAY TO REPORT ON THE HEALTH STATUS OF FRANKLIN COUNTY CHILDREN. ACTION IS BEING TAKEN AROUND ALL 10 OF THE PUBLIC HEALTH INDICATORS IDENTIFIED AS KEY BAROMETERS OF CHILDREN'S HEALTH. OF THE 10 INDICATORS EXAMINED, A MORE IN-DEPTH LOOK WAS TAKEN RELATED TO CERTAIN INDICATORS. ONE AREA, PEDIATRIC OBESITY, REMAINS A LOCAL EMERGENCY, WITH BMI SCREENINGS REVEALING THAT 47 PERCENT OF FIFTH GRADERS IN COLUMBUS CITY SCHOOLS ARE OVERWEIGHT OR OBESE. THE GOOD NEWS IS THAT THE COMMUNITY IS TAKING ACTION. IN 2010, WITH THE SUPPORT OF MANY FULL POTENTIAL PARTNERS, WITH NCH BEING A KEY PARTNER, THE HEALTHY CHOICES FOR HEALTHY CHILDREN ACT WAS PASSED IN THE STATE OF OHIO. THIS LANDMARK LEGISLATION WILL INCREASE FITNESS AND NUTRITION IN SCHOOLS THROUGHOUT THE STATE. NCH HAS ALSO TAKEN A LEADERSHIP POSITION ELIMINATING SUGAR-SWEETENED BEVERAGES FOR SALE OR PROVIDED WITH PATIENT MEALS ON ITS CAMPUS. OTHER WAYS NCH SPECIFICALLY ADDRESSES THIS INDICATOR IS THROUGH MEDICAL SERVICES, COMMUNITY PROGRAMS, POLICY INITIATIVES AND EMPLOYEE WELLNESS PROGRAMS. NCH'S CENTER FOR HEALTHY WEIGHT AND NUTRITION OFFERS FAMILIES A COMPREHENSIVE APPROACH TO WEIGHT MANAGEMENT. THE CENTER HAS PROGRAMS FOR BOTH THE PREVENTION AND TREATMENT OF OVERWEIGHT CHILDREN. IT PARTNERS WITH THE YMCA AND BOYS AND GIRLS CLUB TO PROVIDE AFFORDABLE COMMUNITY-BASED INTERVENTION PROGRAMS. IT ALSO WORKS WITH PHYSICIANS TO IMPLEMENT THE OUNCE OF PREVENTION PROGRAM TO PARENTS, PROVIDING A STEPWISE APPROACH TO ESTABLISHING HEALTHFUL FOOD AND ACTIVITY HABITS EARLY IN LIFE. IN ADDITION, THE CENTER PROVIDES MULTIDISCIPLINARY LIFESTYLE PROGRAMS FOR INTENSIVE WEIGHT MANAGEMENT. ANOTHER INDICATOR ADDRESSED RELATES TO PRETERM BIRTH. PRETERM BIRTH REMAINS THE NUMBER ONE CAUSE OF INFANT DEATHS IN OUR COMMUNITY, AND INFANT MORTALITY RATES ARE STILL HIGHER IN FRANKLIN COUNTY THAN OHIO OR THE U.S.; HOWEVER, THE COLLABORATIVE OHIO BETTER BIRTH OUTCOMES INITIATIVE (OBBO) IS TACKLING THE ISSUE THROUGH A SERIES OF PROVEN INTERVENTIONS WITH HIGH RISK PREGNANT WOMEN WHICH ARE ALREADY STARTING TO IMPROVE THE NUMBERS AROUND PREMATURITY. THROUGH ITS PROGRAMS, OBBO HAS ACHIEVED, TO DATE: * A 50 PERCENT REDUCTION IN PRETERM BIRTHS FOR WOMEN INVOLVED IN ITS NURSE FAMILY PARTNERSHIP INTERVENTION PROGRAM * A 45 PERCENT REDUCTION IN LATE PRETERM BIRTHS WITHOUT MEDICAL INDICATIONS THROUGH ITS CENTRAL OHIO SCHEDULED BIRTHS INITIATIVE * AN INCREASE OF AN AVERAGE THREE TO FOUR WEEKS GESTATION FOR BABIES BORN TO HIGH-RISK MOTHERS RECEIVING "17P" HORMONE TREATMENT * AN INCREASE IN PRENATAL CARE SLOTS FOR NEWLY PREGNANT LOW-INCOME WOMEN OF 20 PERCENT IMMUNIZATION IS ALSO A PREVENTABLE HEALTH THREAT IMPACTING THE COMMUNITY'S CHILDREN. THERE'S STILL A WIDE DISPARITY IN IMMUNIZATION RATES BETWEEN THE URBAN AND SUBURBAN AREAS OF OUR COUNTY. TO HELP ADDRESS THIS NCH IS HOLDING SEASONAL FLU VACCINATION CLINICS AT EVERY SINGLE SCHOOL IN THE DISTRICT THIS YEAR. THESE ARE JUST A FEW WAYS IN WHICH NCH IS MAKING A DIFFERENCE IN THE COMMUNITY IT SERVES THROUGH THE COLLABORATION WITH COMMITTED PARTNERS COMING TOGETHER AROUND COMMUITY ISSUES.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM ROLESNATIONWIDE CHILDREN'S HOSPITAL, INC. EXCLUSIVELY CONTROLS THE ACTIVITES OF ITS SUBSIDIARIES IN CENTRAL OHIO INCLUDING: 1) NATIONWIDE CHILDREN'S HOSPITAL (NCH) IS A 427 INPATIENT BED NOT-FOR-PROFIT TERTIARY CARE HOSPITAL PROVIDING, INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. IN ADDITION, THE HOSPITAL LEASES 92 NEONATAL INTENSIVE AND SPECIAL CARE NURSERY BEDS LOCATED AT FIVE OTHER AREA 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) IS A NOT-FOR-PROFIT PRACTICE OF WHICH THE HOSPITAL OWNS 51%. THE PAA IS A GROUP OF APPROXIMATELY 290 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 WHICH THE HOSPITAL ACQUIRED A CONTROLLING INTEREST IN EFFECTIVE 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 I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (24 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
RESEARCH INSTITUTE AT NCH (PAID BY NCH)
700 CHILDRENS DRIVECOLUMBUSOH43205316056230501(c)(3)32326631TO SUPPORT VARIOUS RESEARCH INITIATIVES
RESEARCH INSTITUTE AT NCH (PAID BY NCHF)
700 CHILDRENS DRIVECOLUMBUSOH43205316056230501(c)(3)2778092TO SUPPORT VARIOUS RESEARCH INITIATIVES
NATIONWIDE CHILDREN'S HOSP (PAID BY NCHF)
700 CHILDRENS DRIVECOLUMBUSOH43205314379441501(c)(3)3406310TO AID IN PROVIDING INDIGENT CARE, TO SUPPORT & IMPROVE PATIENT CARE THROUGH PROGRAMS SUCH AS VOLUNTEER SERVICES, HEMATOLOGY / ONCOLOGY, OBESITY PREVENTION, & COMMUNITY EDUCATION
NCH HOMECARE (PAID BY NCHF)
700 CHILDRENS DRIVECOLUMBUSOH43205311296332501(c)(3)68462TO SUPPORT HOSPICE AND PALLIATIVE CARE PROGRAMS
CTR FOR CHILD &FAMILY ADVOCACY (PD BY NCHF)
700 CHILDRENS DRIVECOLUMBUSOH43205020627166501(c)(3)488889TO SUPPORT CHILD ADVOCACY PROGRAMS
CHILDREN'S SURGICAL ASSOC (PAID BY NCHF)
700 CHILDRENS DRIVECOLUMBUSOH43205311654000501(c)(3)145353TO SUPPORT SURGICAL RESEARCH INITIATIVES
CHILDREN'S RADIOLOGICAL INST (PAID BY NCHF)
700 CHILDRENS DRIVECOLUMBUSOH43205311439570501(c)(3)103382TO SUPPORT VISITING PROFESSOR COSTS
NCH -BEHAVIORAL HLTH PROGRAMS (PD BY NCH)
700 CHILDRENS DRIVECOLUMBUSOH43205314379441501(c)(3)308987TO SUPPORT AUTISM AND BEHAVIORAL HEALTH PROGRAMS
CTR FOR CHILD & FAMILY ADVOCACY (PD BY NCH)
700 CHILDRENS DRIVECOLUMBUSOH43205020627166501(c)(3)300000TO SUPPORT ADMINISTRATIVE OVERSIGHT OF THE CENTER FOR CHILD & FAMILY ADVOCACY
NCH INC (PAID BY NCH)
700 CHILDRENS DRIVECOLUMBUSOH43205311036372501(c)(3)25000TO SUPPORT VARIOUS COMMUNITY BENEFIT PROGRAMS
NCH FOUNDATION (PAID BY CRI)
700 CHILDRENS DRIVECOLUMBUSOH43205314379441501(c)(3)50000TO SUPPORT COMMUNITY EDUCATION PROGRAMS
MARCH OF DIMES (PAID BY NCH)
975 EASTWIND DR STE 150WESTERVILLEOH43081131846366501(c)(3)15000TO SUPPORT PROGRAMS FOR HEALTHIER BABIES
UNITED WAY OF CENTRAL OHIO (PD BY NCH)
360 S THIRD STREETCOLUMBUSOH43215314393712501(c)(3)50000VARIOUS COMMUNITY BENEFIT PROGRAMS
RONALD MCDONALD HOUSE CHARITIES (PD BY NCH)
711 E LIVINGSTON AVECOLUMBUSOH43205310890152501(c)(3)754200TO SUPPORT CAPITAL CAMPAIGN
COMMUNITY DEV FOR ALL PEOPLE (PD BY NCH)
POB 06063 964 PARSONSCOLUMBUSOH43206510476886501(c)(3)47500TO SUPPORT HEALTH FOODS COOPERATIVE
FLYING HORSE FARMS (PAID BY NCH)
3 EASTON OVAL STE 330COLUMBUSOH43219203498125501(c)(3)6500TO SUPPORT MAGICAL CAMP FOR CHILDREN WITH SERIOUS ILLNESS
PROGENY (PAID BY NCH)
6471 LITHOPOLIS WINCHESTERCANAL WINCHESTEROH43110311417786501(c)(3)25000TO SUPPORT HOUSING/ONGOING CARE FOR CHILDREN
AMERICAN HEART ASSOCIATION (PAID BY NCH)
5455 N HIGH STREETCOLUMBUSOH43214135613797501(c)(3)13000TO SUPPORT CENTRAL OHIO HEART WALK & COLUMBUS GO RED LUNCH
COLUMBUS BICENTENNIAL 2012 (PAID BY NCH)
100 E BROAD ST STE 2250COLUMBUSOH43215451730585501(c)(3)20000TO SUPPORT THE COLUMBUS BICENTENNIAL FUND
WEXNER CENTERSTAR BENEFIT (PAID BY NCH)
1871 N HIGH STCOLUMBUSOH43210316025986501(c)(3)10000TO SUPPORT AN EVENING WITH CARRIE FISHER EVENT
CHARIT PHARMACY OF CENTRAL OHIO(PD BY NCH)
200 E LIVINGSTON AVENUECOLUMBUSOH43215270147099501(c)(3)25000TO SUPPORT OPERATIONS OF CPOCO
COLUMBUS URBAN LEAGUE (PAID BY NCH)
788 MOUNT VERNON AVECOLUMBUSOH43203314379453501(c)(3)5750TO SUPPORT EMPOWERMENT DAY CELEBRATION
ASSN OF PHYS OF PAKISTANI-DESCENT(PD BY NCH)
6414 SOUTH CASS AVENUEWESTMONTIL60559360291079501(c)(3)TO PROVIDE MEDICAL SUPPLY BOXES100846FAIR MARKET VALUEMEDICAL SUPPLIES
MID-OHIO FOODBANK (PAID BY NCH)
3960 BROOKHAM DRIVEGROVE CITYOH43123310865343501(c)(3)TO PROVIDE MEALS READY TO EAT32000FAIR MARKET VALUEFOOD
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants24TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantASSISTANCE TO PATIENT FAMILIES (PAID BY NCH)TypeOfGrant
Number Of Recipients66563NumberOfRecipients
Amount Of Cash Grant244026AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule I, Part I, Line 2Identifier
Return ReferenceDescription of Organization's Procedures for Monitoring the Use of GrantsReturnReference
ExplanationFOR 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. ASSISTANCE TO PATIENT FAMILIES: FREQUENTLY, 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (32 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
STEVEN TEICH MD
DIRECTOR - NCH36925401577950170000337500210140598813000
STEVE ALLEN MD
DIRECTOR / CEO - NCH74504705056480003375002101401305459000
JANINE WINTERS MD
MEDICAL DIR - NCH HOMECARE0175884000200101759800019548300
WILLIAM SHIELS II MD
PRESIDENT / DIRECTOR - CRI48228601433660105847003375001601401733886010414700
DENNIS MINZLER
SEC / TREAS / DIRECTOR - CRI10959101975200098540161740155371000
PHYLLIS HAMMOND-INNES MD
PRESIDENT / DIRECTOR - PPAC3841840774610170000337500180140530409000
LARRY MOSS MD
DIRECTOR - CSA61758601656420170000337500165140850492000
EDWARD SHEPHERD MD
DIRECTOR - NCH FOUNDATION01966590142000277202190707000024253800
WILLIAM H COTTON MD
DIRECTOR - NCH FOUNDATION0208281000225002068200023121300
JOHN A BARNARD MD
DIRECTOR / PRESIDENT - RINCH1160302452631528130022506182438217074028653527189500
KAREN DAYS
PRESIDENT / DIRECTOR - CCFA22633703121800033539092220300316000
OLIVIA THOMAS
DIRECTOR - CCFA0184444000209901820600020474900
TIMOTHY C ROBINSON
TREASURER / SR VP / CFO - NCH48302402175050170000337500190140770293000
RICHARD MILLER
COO - NCH45261701841840165100337500224140709475000
LINDA STOVEROCK RN
SR VP / CNO - NCH305299072808000337500157850427642000
WANDA STACKPOLE
VP / EXEC DIR - NCH HOMECARE14273502478600014054063310187906000
RHONDA COMER
SEC / SR VP / LEGAL SVCS - NCH291013073066000337500182360416065000
JOHN T CLARK
SR VP/AMBULATORY SVCS - NCH148520035645091560164560162700226047000
PAMELA EDSON
VICE PRESIDENT - NCH168416028255000146830163550227709000
PATRICIA MCCLIMON
SR VP / PLAN & DEV'T - NCH2380580905530170000232450206010389457000
MICHAEL BRADY MD
PHYSICIAN IN CHIEF - NCH67845229776102107002250229122709288017253125473500
RICHARD BRILLI M D
CHIEF MEDICAL OFFICER - NCH25754398968186150017000112624021972919155050386910982300
BRUCE MEYER MD
ADMIN MEDICAL DIRECTOR - NCH1323700230980170000150440155520203064000
DENISE ZABAWSKI
VP / CIO - NCH26747004745000023245085970346762000
JOSE BALDERAMA
VP / HR - NCH215973049694000232450163990305311000
BRUCE STEVENSON
VICE PRESIDENT - RINCH1802480118950170000158240157670240734000
MARK GALANTOWICZ MD
CHIEF OF CT SURGERY - CSA1117132054270401700003375001672301727309000
KEVIN KLINGELE MD
ORTHOPEDIC SURGEON - CSA749371046369401700003375001672301280538000
RICHARD KIRSCHNER MD
PLASTIC SURGEON - CSA66325902518130170000337500167230982545000
ALAN BEEBE MD
ORTHOPEDIC SURGEON - CSA57371002376670130800337500160140874221000
WALTER SAMORA MD
ORTHOPEDIC SURGEON - CSA4443770318688017000019346017140801125000
J TERRANCE DAVIS MD
FORMER INTERIM CMO - NCH245373041886000232450155050326009000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EXPLANATION FOR HEALTH OR SOCIAL CLUB DUESSCHEDULE J, PART I, LINE 1ANATIONWIDE CHILDREN'S HOSPITAL PROVIDED HEALTH OR SOCIAL CLUB DUES FOR TIMOTHY ROBINSON, MICHAEL BRADY, M.D., AND JOHN T. CLARK. 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. THESE WERE DETERMINED TO BE BUSINESS EXPENSES AND WERE NOT TREATED AS COMPENSATION TO THE EMPLOYEE.
EXPLANATION FOR SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4BPAYOUT OF SRP AMOUNT THAT HAD BEEN PREVIOUSLY FUNDED, OCCURRED FOR THE FOLLOWING EMPLOYEE: WILLIAM SHIELS, M.D. $1,041,470 ($1,041,470 PREVIOUSLY REPORTED ON A 990) EFFECTIVE FOR PLAN YEAR 2010, NCH 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 BE BEING MAINTAINED, BUT THERE WAS A PLAN DESIGN CHANGE ALLOWING ANNUAL CONTRIBUTIONS TO BE VESTED AFTER 5 YEARS.
COMPENSATION CONTINGENT ON THE NET EARNINGS OF THE ORG OR ANY RELATED ORGSCHEDULE J, PART I, LINE 6AA 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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
COUNTY OF FRANKLIN OHIO
A316400067353187AR82012-05-15832913332012A BONDS (SEE SCH K, PART VI)falsefalsefalse
COUNTY OF FRANKLIN OHIO
B3164000673531867H62009-12-171001627422009 BONDS (SEE SCH K, PART VI)falsefalsefalse
COUNTY OF FRANKLIN OHIO
C3164000673531865R62008-05-01439215622008A BONDS (SEE SCH K, PART VI)falsefalsefalse
COUNTY OF FRANKLIN OHIO
D3164000673531865S42008-05-071766750002008B-E BONDS (SEE SCH K, PART VI)falsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A00888416510009762310010025000823513770169072012falsefalsefalsetrue
B00114454378000123558600113218792002012falsefalsetruetrue
C00467941800003792130043742967267200002012falsefalsetruetrue
D001953507780008657618450006345687813094363902012truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropPrcntge Bond Financed PropPrcntgeBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrsEngage Bond Counsel ContractsEngageBondCounselContractsEngage Bond Counsel ResearchEngageBondCounselResearch
Afalsefalsefalsefalse0.000000.000000.00000falsefalse0.00000falsefalse
Bfalsefalsefalsefalse0.000000.000000.00000falsefalse0.00000falsefalse
Cfalsefalsefalsefalse0.000000.000000.00000falsefalse0.00000falsefalse
Dfalsefalsetruetrue0.000000.000000.00000falsefalse0.00000falsefalsetruetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminated
0
Afalsetruefalsefalsefalsefalsefalse0falsefalse
0
Bfalsetruefalsefalsefalsefalsefalse0falsefalse
0
Cfalsetruefalsefalsefalsefalsefalse0falsefalse
LN 4B&4C-SEE PART VI
Dfalsetruefalsefalsetruetruefalse0falsefalsefalsefalse

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Afalse
Bfalse
Cfalse
Dfalse

Form990 Schedule K Part VI Form990ScheduleKPartVI (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF PURPOSE OF BONDSSCHEDULE K, PART I, COLUMN (F)PART I, LINE A REPORTS THE 2012 HOSPITAL IMPROVEMENT REVENUE BOND, SERIES A. ITS PURPOSE IS TO FINANCE A PORTION OF THE COST OF ACQUIRING, CONSTRUCTING, EQUIPPING, INSTALLING AND IMPROVING CERTAIN HOSPITAL FACILITIES. PART I, LINE B REPORTS 2009 HOSPITAL IMPROVEMENT REVENUE BOND. ITS PURPOSE IS TO FINANCE A PORTION OF THE COSTS OF ACQUIRING, CONSTRUCTING, AND EQUIPPING A NEW PATIENT TOWER AND RESEARCH BUILDING. PART I, LINE C REPORTS THE 2008A HOSPITAL IMPROVEMENT REVENUE BOND. ITS PURPOSE IS TO FINANCE A PORTION OF THE COSTS OF ACQUIRING, CONSTRUCTING, AND EQUIPPING THE NEW PATIENT TOWER AND POWER PLANT. PART I, LINE D 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 EQUIPPING 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. PART I, LINE A (2) REPORTS THE 2008 BONDS, SERIES F & G. THE PURPOSE OF THE 2008F VARIABLE RATE DEMAND HOSPITAL REVENUE REFUNDING BONDS IS THE CURRENT REFUNDING OF ALL OF THE ISSUER'S OUTSTANDING VARIABLE RATE HOSPITAL REVENUE REFUNDING BONDS, SERIES 2005A. THE PURPOSE OF THE 2008G VARIABLE RATE DEMAND HOSPITAL REVENUE REFUNDING BONDS IS THE CURRENT REFUNDING OF ALL OF THE ISSUER'S OUTSTANDING VARIABLE RATE HOSPITAL REVENUE REFUNDING BONDS, SERIES 2005B. PART I, LINE B (2) REPORTS THE 2005 BOND, SERIES C. ITS PURPOSE IS TO FINANCE A PORTION OF THE COSTS OF ACQUIRING, CONSTRUCTING, AND EQUIPPING HOSPITAL FACILITIES.
TOTAL PROCEEDS OF ISSUESCHEDULE K, PART II, LINE 3ANY 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.
CAPITALIZED INTEREST FROM PROCEEDSSCHEDULE K, PART II, LINE 5, COLUMN B (2)THIS AMOUNT REPRESENTS ACCRUED INTEREST PAYMENT OF $119,261.28.
OTHER SPENT PROCEEDSSCHEDULE K, PART II, LINE 11, COLUMNS A & CTHIS AMOUNT REPRESENTS AN INTEREST RATE HEDGE TERMINATION PAYMENT OF $823,513 (COLUMN A) AND $2,672,000 (COLUMN C). OTHER SPENT PROCEEDS SCHEDULE K, PART II, LINE 11, COLUMNS D & A (2) THE AMOUNT REPORTED REPRESENTS REFUNDINGS OF THE FOLLOWING OUTSTANDING REVENUE BONDS: 2002, 2003, 2005A&B AND 2006 BONDS.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
COUNTY OF FRANKLIN OHIO
A3164000673531866A22008-05-22681600002008F&G BONDS (SEE SCH K, PART VI)falsefalsefalse
COUNTY OF FRANKLIN OHIO
B3164000673531864X42005-05-15649937272005C BONDS (SEE SCH K, PART VI)falsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A006816000000032450055500006778000002008truefalsetruetrue
B006626662201192610550119870459064726783002008falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropPrcntge Bond Financed PropPrcntgeBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrsEngage Bond Counsel ResearchEngageBondCounselResearch
Afalsefalsetruetruefalse0.000000.000000.00000falsefalse0.00000falsefalse
Bfalsefalsetruetruetrue0.011000.000000.01100falsefalse0.00000falsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
LN 4B&4C-SEE PART VI
Afalsetruefalsefalsetruetruefalsefalsefalse0falsefalse
0
Bfalsefalsefalsetruefalsefalsefalse0falsefalse

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Afalse
Bfalse

Form990 Schedule K Part VI Form990ScheduleKPartVI (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
WRITTEN PROCEDURESSCHEDULE K, PART III, LINE 9 & PART IV, LINE 7WRITTEN POST-ISSUANCE COMPLIANCE PROCEDURES ARE CURRENTLY IN THE PROCESS OF BEING DRAFTED.
REBATESCHEDULE K, PART IV, LINE 2C, COLUMN B (2)THE 5/15/2005 ISSUANCE MET SPEND DOWN REQUIREMENTS. THEREFORE, NO REBATE IS DUE.
HEDGESCHEDULE K, PART IV, LINE 4, COLUMNS D & A (2)THE PROVIDERS AND TERMS OF INTEREST RATE HEDGES ARE AS FOLLOWS: COLUMN D: 2008B BONDS - PROVIDER IS MORGAN STANLEY AND TERMINATION DATE IS NOVEMBER 1, 2040. 2008C BONDS - THERE ARE TWO PROVIDERS OF INTEREST RATE HEDGES ON THESE BONDS. FIRST IS MORGAN STANLEY AND TERMINATION DATE IS NOVEMBER 1, 2013. SECOND IS MERRILL LYNCH AND TERMINATION DATE IS NOVEMBER 1, 2025. 2008D BONDS - PROVIDER IS JP MORGAN CHASE AND TERMINATION DATE IS NOVEMBER 1, 2033. 2008E BONDS - PROVIDER IS JP GOLDMAN SACHS AND TERMINATION DATE IS NOVEMBER 1, 2025. COLUMN A (2): 2008F BONDS - PROVIDER IS JP MORGAN CHASE AND TERMINATION DATE IS MAY 1, 2031. 2008G BONDS - PROVIDER IS MERRILL LYNCH AND TERMINATION DATE IS MAY 1, 2029.
TEMPORARY AVAILABLE PERIODSCHEDULE K, PART IV, LINE 6SPEND DOWN REQUIREMENTS HAVE BEEN MET WHERE APPLICABLE ON ALL OUTSTANDING BONDS.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonSEE SCHEDULE L PART VNamePerson
FieldValueIRS element (for citing)
RelationshipSEE SCHEDULE L, PART VRelationship
Amount Of Transaction39478987AmountOfTransaction
Description Of TransactionSEE SCHEDULE L, PART VDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IVReturnReference
ExplanationNAME OF INTERESTED PERSON: VORYS SATER SEYMOUR & PEASE LLP RELATIONSHIP: LAW FIRM OF WEBB VORYS (DIR OF NCH & RINCH), CHARLES DEROUSIE (DIR OF CRI), AND HUSBAND OF LEE SZYKOWNY (DIR OF RINCH) AMOUNT: $1,575,288 DESCRIPTION: LEGAL SERVICES SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: ONLINE COMPUTER LIBRARY CENTER (OCLC) RELATIONSHIP: ROBERT JORDAN, DIR RINCH (PRES OF OCLC) AMOUNT: $164,432 DESCRIPTION: LEASE OF FACILITY SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: MORGAN STANLEY RELATIONSHIP: FIRM OF ROBERT KIDDER, DIR NCH AMOUNT: $3,763,549 DESCRIPTION: FINANCIAL SERVICES SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: HUNTINGTON NATIONAL BANK (HNB) RELATIONSHIP: ANDREW LIVINGSTON, SECRETARY/DIR NCHF (EXECUTIVE VICE PRESIDENT OF HNB) AND JOHN GERLACH, JR., DIR NCH (DIR OF HNB) AMOUNT: $291,030 DESCRIPTION: BANKING SERVICES SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: PNC BANK RELATIONSHIP: MICHAEL GONSIOROWSKI, DIR NCHF (PRESIDENT & CEO OF PNC BANK) AMOUNT: $686,023 DESCRIPTION: FINANCIAL SERVICES SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: CARDINAL HEALTH RELATIONSHIP: GEORGE BARRETT, DIR OF NCH (CHAIRMAN & CEO OF CARDINAL HEALTH) AMOUNT: $32,406,606 DESCRIPTION: PHARMACEUTICAL SUPPLIER SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: THE COLUMBUS DISPATCH RELATIONSHIP: ANN WOLFE, DIR OF NCH (SPOUSE OF JOHN WOLFE, OWNER & PUBLISHER OF THE COLUMBUS DISPATCH) AND MICHAEL FIORILE, DIR OF NCH (PRES & COO OF THE COLUMBUS DISPATCH) AMOUNT: $ 188,293 DESCRIPTION: ADVERTISING SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: SCIENCE AND TECHNOLOGY CAMPUS CORPORATION RELATIONSHIP: CAROLINE WHITACRE, PH.D. - DIR RINCH (BOARD CHAIR OF SCITECH) AMOUNT: $100,320 DESCRIPTION: LEASE OF FACILITY SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: SCOTT STOVEROCK RELATIONSHIP: FAMILY MEMBER OF LINDA STOVEROCK, R.N. (SR VP/CNO - NCH & SEC/DIRECTOR - NCH HOMECARE) AMOUNT: $37,887 DESCRIPTION: WAGES (R.N. CARE MANAGER, NCH - ED DEPT) SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: JUNG SUN MILLER RELATIONSHIP: FAMILY MEMBER OF RICHARD MILLER (COO - NCH, CHAIR/DIRECTOR - NCH HOMECARE, DIRECTOR - PPAC & CSA) AMOUNT: $78,990 DESCRIPTION: WAGES (PROJECT COORDINATOR, NCH - IS DEPT) SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: NIKI SHAFER RELATIONSHIP: FAMILY MEMBER OF EDWARD KOSNIK, M.D. (DIRECTOR - NCH FOUNDATION) AMOUNT: $158,443 DESCRIPTION: WAGES (VP OF ANNUAL GIVING, NCH FOUNDATION) SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: KAITLYN DAY RELATIONSHIP: FAMILY MEMBER OF RHONDA COMER (OFFICER - NCH) AMOUNT: $ 28,126 DESCRIPTION: WAGES (ADMINISTRATIVE SUPPORT, PAA) SHARING OF ORGANIZATION'S REVENUES: NOExplanation

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions18NumberOfContributions
Noncash Contribs Rptd F9901261362NoncashContribsRptdF990
Method Of Determining Revenuescost/selling priceMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierGIFT ACCEPTANCE POLICYIdentifier
Return ReferenceSCHEDULE M, PART I, LINE 31ReturnReference
ExplanationWHILE 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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SCHEDULE OTOTAL NUMBER OF VOLUNTEERS: 1,639 FORM 990, PART I, LINE 6 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 # OF HOURS AT ALL LOCATIONS. OUR VOLUNTEERS ARE A MIXTURE OF BOTH FULL AND PART TIME. IN 2012, NATIONWIDE CHILDREN'S HOSPITAL RECEIVED 50,007 HOURS OF VOLUNTEER TIME. THIS CONSISTED OF AN ARRAY OF SERVICES INCLUDING HELP IN MANY PATIENT CARE AREAS, OUR INFORMATION DESK, THE RESEARCH INSTITUTE, AND VARIOUS FAMILY SUPPORT AREAS. NOT INCLUDED IN THIS NUMBER ARE MANY VOLUNTEERS IN THE COMMUNITY WHO IN 2012 SPENT A TOTAL OF 30,294 HOURS CREATING ITEMS FOR OUR PATIENTS AND VISITING THE HOSPITAL TO PROVIDE ACTIVITIES FOR BOTH PATIENTS AND FAMILIES. ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 NATIONWIDE CHILDREN'S HOSPITAL (NCH) BELIEVES THAT NO CHILD SHOULD BE REFUSED NECESSARY CARE AND ATTENTION FOR LACK OF ABILITY TO PAY. UPON THIS FUNDAMENTAL BELIEF, NCH IS COMMITTED TO PROVIDING THE HIGHEST QUALITY PATIENT CARE, ADVOCACY FOR CHILDREN AND FAMILIES, PEDIATRIC RESEARCH, EDUCATION OF PATIENTS, FAMILIES AND FUTURE PROVIDERS, AND OUTSTANDING SERVICE TO ACCOMMODATE THE NEEDS OF PATIENTS AND FAMILIES. DESCRIPTION OF PROGRAM SERVICE ACTIVITY #1 FORM 990, PART III, LINE 4A PATIENT CARE - NATIONWIDE CHILDREN'S HOSPITAL (NCH) IS ONE OF THE COUNTRY'S LARGEST FREESTANDING PEDIATRIC HEALTHCARE NETWORKS. WE PROVIDE WELLNESS, PREVENTIVE, DIAGNOSTIC, TREATMENT AND REHABILITATIVE CARE FOR INFANTS, CHILDREN, ADOLESCENTS AND ADULT PATIENTS WITH CONGENITAL DISEASE. NCH RANKED IN ALL 10 SPECIALTIES OF U.S.NEWS & WORLD REPORT'S 2011 LIST OF "AMERICA'S BEST CHILDREN'S HOSPITALS," INCLUDING TOP 10 RANKINGS IN TWO OF THE SPECIALTIES. NCH RANKED 7TH OF ONLY 12 CHILDREN'S HOSPITALS ON U.S. NEWS & WORLD REPORTS 2012-2013 LIST OF "AMERICA'S BEST CHILDREN'S HOSPITALS" HONOR ROLL. IN 2012, OUR MEDICAL STAFF OF APPROXIMATELY 1,100 AND HOSPITAL STAFF OF APPROXIMATELY 8,600 DELIVERED STATE OF THE ART PEDIATRIC CARE BY DISCHARGING 18,401 PATIENTS, FOR A TOTAL OF 125,496 INPATIENT DAYS AND PROVIDING 1,019,715 OUTPATIENT VISITS. ANNUAL PATIENT VISITS EXCEEDED ONE MILLION IN 2012, AND NATIONWIDE CHILDREN'S CONSTRUCTED A NEW MAIN HOSPITAL BUILDING THAT EXPANDED AND IMPROVED ON EXISTING SERVICES. WITH THE NEW FACILITIES IT WILL PROVIDE UPDATED AND MUCH NEEDED SPACE FOR THE HOSPITAL'S SERVICES. THE NEW MAIN HOSPITAL IS THE LARGEST PEDIATRIC EXPANSION EFFORT IN U.S. HISTORY. THE EXPANSION CREATED ONE MILLION SQUARE FEET OF CLINICAL AND RESEARCH SPACE IN ADDITION TO THE EXISTING TWO MILLION SQUARE FEET, THE NEW MAIN HOSPITAL IS 750,000 SQUARE FEET AND A 12-STORY TOWER. NCH'S MAJOR SPECIALIZED SERVICES INCLUDE: CARDIOLOGY AND CARDIOTHORACIC SURGERY (THE HEART CENTER); HEMATOLOGY / ONCOLOGY; GASTROENTEROLGY, HEPATOLOGY, AND NUTRITION; NEONATAL MEDICINE; PEDIATRIC INTENSIVE CARE; BURN/TRAUMA; INFECTIOUS DISEASES; NEUROSCIENCES; AND PEDIATRIC REHABILITATION. OTHER SERVICES INCLUDE: INPATIENT AND OUTPATIENT SURGERY; PULMONARY; NEPHROLOGY AND ENDOCRINOLOGY SERVICES; AS WELL AS GENERAL MEDICINE. NCH PROVIDES OUTPATIENT SERVICES THROUGH ITS OUTPATIENT CARE CENTER; EMERGENCY DEPARTMENT; OUTPATIENT CLINICS; PRIMARY CARE CENTERS (KNOWN AS CLOSE TO HOME PHYSICIAN CARE CENTERS); SUBURBAN, OUTPATIENT CENTERS (KNOWN AS CLOSE TO HOME HEALTH CARE CENTERS); NEIGHBORHOOD OUTPATIENT PSYCHIATRIC; AND MENTAL HEALTH CENTERS (KNOWN AS NCH BEHAVIORAL HEALTH SERVICES); TRAVELING CLINICS; AND SPECIAL PROGRAMS. NCH, A 427 BED INPATIENT FACILITY, ALSO BRINGS ITS EXPERTISE TO OTHER AREA HOSPITALS BY LEASING AND MANAGING ANOTHER 92 NEONATAL INTENSIVE AND SPECIAL CARE NURSERY BEDS. A FUNDAMENTAL PRINCIPAL UNDERLYING THE COMMITMENT OF NCH TO THE PATIENT POPULATION IT SERVES IS THE PROVISION OF SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN 2012, THE FOLLOWING ARE A FEW WAYS THIS PRINICIPAL WAS ACCOMPLISHED: 1) NCH PROVIDED OVER $55 MILLION IN UNCOMPENSATED CARE TO ITS PATIENTS; 2) NCH PROVIDED OVER $7 MILLION OF ASSISTANCE TO PATIENTS QUALIFYING UNDER THE CHARITY CARE PROGRAM; 3) APPROXIMATELY $47.7 MILLION OF THE TOTAL UNCOMPENSATED CARE PROVIDED RELATED TO UNREIMBURSED CARE AS A RESULT OF NCH'S PARTICIPATION IN MEDICAID PROGRAMS; AND 4) NCH SERVES A PATIENT POPULUATION OF OVER 52% OF PATIENTS COVERED BY MEDICAID OR THAT HAS NO INSURANCE COVERAGE AT ALL. NCH ALSO INCURRED LOSSES ON ITS BEHAVIORAL HEALTH AND HOMECARE PROGRAMS IN 2012. THE BEHAVIORAL HEALTH PROGRAMS ARE COMPRISED OF THE OUTPATIENT LOCATIONS AS WELL AS COMMUNITY-BASED MENTAL HEALTH SERVICES PROVIDED IN SCHOOLS, CHILD WELFARE, JUVENILE, COURT, COMMUNITY CENTERS AND PATIENT HOMES. NCH HOMECARE PROVIDES HOME HEALTHCARE SERVICES TO CHILDREN THROUGHOUT CENTRAL OHIO. INCLUDED IN SUCH SERVICES ARE INTERMITTENT NURSING, PRIVATE DUTY NURSING, INFUSION THERAPY, HOME MEDICAL EQUIPMENT, AND PEDIATRIC HOSPICE. IN 2012, NCH SUBSIDIZED BOTH THE BEHAVIORAL HEALTH AND HOMECARE PROGRAMS. DESCRIPTION OF PROGRAM SERVICE ACTIVITY #2 FORM 990, PART III, LINE 4B RESEARCH - THE RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL IS RECOGNIZED AS ONE OF THE NATION'S TEN LARGEST FREESTANDING PEDIATRIC RESEARCH CENTERS BASED ON NIH FUNDING, AND ALSO ONE OF THE FASTEST GROWING. TO HOUSE ITS GROWTH, THE RESEARCH INSTITUTE OPENED A THIRD RESEARCH BUILDING, ADDING 225,000 SQUARE FEET OF DEDICATED RESEARCH SPACE ON THE NATIONWIDE CHILDREN'S CAMPUS. THE RESEARCH INSTITUTE ENHANCES THE HEALTH OF CHILDREN BY ENGAGING IN HIGH QUALITY, CUTTING-EDGE RESEARCH ACCORDING TO THE HIGHEST SCIENTIFIC AND ETHICAL STANDARDS. RESEARCH STUDIES ARE DIRECTED BY PHYSICIANS AND SCIENTISTS, MANY OF WHOM ARE ALSO FACULTY MEMBERS OF THE OHIO STATE UNIVERSITY COLLEGE OF MEDICINE. CLOSE TO 1,000 IRB-PROTOCOLS WERE IN PROGRESS DURING 2012 IN SUCH AREAS AS BIO-BEHAVIORAL HEALTH, CARDIOVASCULAR MEDICINE, GASTROINTESTINAL BIOLOGY, CELL AND VASCULAR BIOLOGY, CHILDHOOD CANCER, DEVELOPMENTAL PHARMACOLOGY AND TOXICOLOGY, GENE THERAPY, INJURY RESEARCH AND POLICY, MICROBIAL PATHOGENESIS, MOLECULAR AND HUMAN GENETICS, VACCINES AND IMMUNITY, AND CLINICAL RESEARCH. IN 2012, NATIONWIDE CHILDREN'S HOSPITAL AND FOUNDATION CONTRIBUTED OVER $35 MILLION IN SUPPORT OF THE WORK OF THE RESEARCH INSTITUTE. DESCRIPTION OF PROGRAM SERVICE ACTIVITY #3 FORM 990, PART III, LINE 4C EDUCATION - AS AN ACADEMIC MEDICAL CENTER, NATIONWIDE CHILDREN'S HOSPITAL (NCH) SERVES AS THE DEPARTMENT OF PEDIATRICS FOR THE OHIO STATE UNIVERSITY COLLEGE OF MEDICINE AND PUBLIC HEALTH. NCH SPONSORS 29 ACCREDITED GRADUATE MEDICAL EDUCATION PROGRAMS WITH MORE THAN 250 RESIDENTS AND FELLOWS. NCH PROVIDES PROFESSIONAL TRAINING OPPORTUNITIES TO MORE THAN 3,200 STUDENTS IN MEDICINE, NURSING AND ALLIED HEALTH AREAS. IN ADDITION, NCH HOSTS A VARIETY OF PROFESSIONAL AND COMMUNITY EDUCATION PROGRAMS. APPROXIMATELY 50,000 CHILDREN, ADOLESCENTS AND ADULTS PARTICIPATED IN CONFERENCES, LECTURES, SPECIALTY CAMPS, HEALTH FAIRS, ADOPT-A SCHOOL, AND OTHER COMMUNITY EDUCATION EVENTS IN 2012. ADDITIONALLY, OVER 1,000 PATIENT EDUCATION MATERIALS WERE PREPARED AS TEACHING TOOLS FOR CHILDREN AND FAMILIES. IN 2012, NCH SPENT APPROXIMATELY $29 MILLION ON PROFESSIONAL MEDICAL EDUCATION AND TRAINING PROGRAMS.
DESCRIPTION OF OTHER PROGRAM SERVICESCHILD ADVOCACY - WITH A VISION TO CREATE OPTIMAL HEALTH FOR EVERY CHILD IN OUR COMMUNITY, NATIONWIDE CHILDREN'S HOSPITAL (NCH) IS ENGAGED IN A MULTITUDE OF EFFORTS TO IMPROVE THE HEALTH OF ALL CHILDREN, NOT JUST THOSE WHO ARE OUR PATIENTS. EFFORTS INCLUDE BUT ARE NOT LIMITED TO: PEDIATRIC HEALTHCARE LEGISLATION - NCH ACTIVELY PROMOTES LEGISLATION THAT SUPPORTS PEDIATRIC HEALTHCARE LOCALLY AND NATIONALLY. CHILD SAFETY EFFORTS - WHILE HEALTHCARE IS THE FOCUS OF NCH'S ADVOCACY EFFORTS, IT IS NOT THE LIMIT. NCH IS ALSO ACTIVE IN PROMOTING CHILD SAFETY LEGISLATION AND HAS RECEIVED LOCAL AND NATIONAL FUNDING FOR SEVERAL PROGRAMS AND INITIATIVES TO REDUCE CHILDREN'S RISK OF DEATH AND DISABILITY DUE TO INJURIES OR OTHER RISK FACTORS. THE CENTER FOR FAMILY SAFETY & HEALING AT NCH IS DEDICATED TO REDUCING THE OCCURRENCE OF CHILD ABUSE AND FAMILY VIOLENCE THROUGH ITS PROGRAMMING AND COLLABORATION WITH KEY COMMUNITY AGENCIES. NEIGHBORHOOD REVITALIZATION - NCH IS A LEAD PARTNER IN EFFORTS TO IMPROVE THE NEIGHBORHOOD IMMEDIATELY SURROUNDING ITS MAIN CAMPUS. THROUGH THE HEALTHY NEIGHBORHOODS, HEALTHY FAMILIES (HNHF) INITIATIVE, NCH 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. IN THE PAST FOUR YEARS, HNHF: SOLD 28 HOMES, REPAIRED 92 HOMES, AND TAUGHT 50 CHILDCARE PROVIDERS IN THE HNHF ZONE THROUGH THE HEALTHY CHILDCARE INITIATIVE. OTHER WAYS NEIGHBORHOOD IMPACT WAS PROVIDED INCLUDE: 1) PROJECT MENTOR - A WEEKLY MENTORING PROGRAM UNDER THE AUSPICES OF BIG BROTHER BIG SISTERS. MENTORS SPEND 1 HOUR WEEKLY WITH THEIR MENTEE IN DELIBERATE ACTIVITIES AND DISCUSSION. IN 2012, NCH HAD 40 MENTORS PARTICIPATE. 2) PENPAL PROGRAM - IN 2012, 100 PENPALS, WHO ARE EMPLOYEES FROM NCH, EXCHANGED LETTERS MONTHLY WITH LIVINGSTON AVENUE STUDENTS. THE TWO GROUPS MEET EACH OTHER AT THE END OF THE YEAR. THIS PROGRAM HELPS BUILD LITERACY SKILLS WITH THE STUDENTS. 3) HEALTH EDUCATION INITIATIVE - NCH MEDICAL RESIDENTS WENT TO LIVINGSTON ELEMENTARY AND TAUGHT HEALTH EDUCATION CURRICULUM TO STUDENTS ONGOING FOR THE YEAR. THERE WERE 90 KIDS FROM MULTIPLE RESIDENTS INVOLVED. IN ADDITION, DENTAL HYGIENISTS TAUGHT KIDS ABOUT BRUSHING AND MAINTAINING HEALTHY TEETH AND GAVE DENTAL CHECKS FOR KINDERGARTENERS (80 KIDS PARTICIPATED). FURTHERMORE, 60 HIGH SCHOOL STUDENTS SPENT TIME SHADOWING NCH PROFESSIONALS FOR CAREER INSIGHT AND NCH RESEARCHERS GAVE WEEKLY LECTURES TO 20 KIDS ON THEIR CAREER TRAJECTORY AND CURRENT RESEARCH EFFORTS. PREVENTING PREMATURITY - NCH IS A LEAD PARTNER IN THE OHIO BETTER BIRTH OUTCOMES (OBBO) INITIATIVE, A PARTNERSHIP OF ALL THE HEALTH SYSTEMS IN FRANKLIN COUNTY OHIO (WHERE NCH IS BASED) WHICH IS USING PROVEN INTERVENTIONS TO ADDRESS PREMATURE BIRTH RATES.FORM 990, PART III, LINE 4D
DESCRIPTION OF RELATIONSHIPSA BUSINESS RELATIONSHIP EXISTS WITH ABIGAIL WEXNER, DIRECTOR OF NATIONWIDE CHILDREN'S HOSPITAL, NCH FOUNDATION, RESEARCH INSTITUTE AND THE CENTER FOR CHILD & FAMILY ADVOCACY, AND THE FOLLOWING BOARD MEMBERS: DOUGLAS WILLIAMS, DIRECTOR OF CHILD & FAMILY ADVOCACY; DAVID KOLLAT, DIRECTOR OF NCH FOUNDATION; AND SHAREN JESTER TURNEY, DIRECTOR OF NATIONWIDE CHILDREN'S HOSPITAL. A BUSINESS RELATIONSHIP EXISTS BETWEEN WEBB VORYS, DIRECTOR OF NATIONWIDE CHILDREN'S HOSPITAL AND THE RESEARCH INSTITUTE, AND LEE SZYKOWNY, DIRECTOR OF THE RESEARCH INSTITUTE. A BUSINESS RELATIONSHIP EXISTS BETWEEN MICHAEL FIORILE, AND ANN I. WOLFE, BOTH ARE DIRECTORS OF NATIONWIDE CHILDREN'S HOSPITAL. DESCRIPTION OF SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS FORM 990, PART VI, LINE 4 DURING 2012, THE ASSETS AND LIABILITIES OF THE COALITION AGAINST FAMILY VIOLENCE ("COALITION") WERE MERGED INTO CENTER FOR CHILD AND FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL ("CCFA"). AS A RESULT OF THIS MERGER, CCFA'S BYLAWS WERE AMENDED TO CHANGE THE BOARD COMPOSITION. THE OLD BYLAWS REQUIRED A MEMBER OF THE COALITION TO SIT ON THE BOARD. THE AMENDED BYLAWS STATE THAT NATIONWIDE CHILDREN'S HOSPITAL, INC. SHALL BE THE SOLE MEMBER OF THE BOARD AND HAVE THE AUTHORITY TO ELECT ALL THE DIRECTORS OF THE CORPORATION.FORM 990, PART VI, LINE 2
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSNATIONWIDE 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. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, LINE 7A NATIONWIDE CHILDREN'S HOSPITAL, INC. IS THE PARENT CORPORATION WITH VOTING CONTROL OVER THE SUBORDINATE ORGANIZATIONS. CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, LINE 7B 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 & WILL DETERMINE IF ADDITIONAL ENTITIES WILL BE NEEDED WITHIN THE GROUP.FORM 990, PART VI, LINE 6
DESCRIBE THE PROCESS USED BY MGMT &/OR GOVERNING BODY TO REVIEW 990THIS FORM 990 WAS REVIEWED PRIOR TO FILING BY NATIONWIDE CHILDREN'S HOSPITAL CHIEF EXECUTIVE OFFICER/BOARD DIRECTOR; CHIEF FINANCIAL OFFICER/BOARD TREASURER; SENIOR VICE PRESIDENT OF LEGAL SERVICES/BOARD SECRETARY; AND THE FINANCE COMMITTEE CHAIR. IN ADDITION, THIS RETURN WAS MADE AVAILABLE TO THE ENTIRE FINANCE COMMITTEE OF THE BOARD AND MADE AVAILABLE UPON REQUEST TO THE BOARD.FORM 990, PART VI, LINE 11B
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTNCH 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. 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 12C
DESCR OF PROCESS FOR DETERMINING COMPENSATION FOR TOP MGMT OFFICIALIN THE FIRST QUARTER OF 2012, 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. DESCRIPTION OF PROCESS FOR DETERMINING COMPENSATION OF OTHER EMPLOYEES FORM 990, PART VI, LINE 15B IN THE FIRST QUARTER 2012, NCH HELD ITS ANNUAL MEETING FOR THE PURPOSE OF COMPENSATION REVIEW AND APPROVAL. FOR OFFICERS AND KEY EMPLOYEES OTHER THAN THE CEO, THERE IS A MEETING OF THE MANAGEMENT DEVELOPMENT/COMPENSATION COMMITTEE OF THE BOARD. AT THAT TIME, MARKET SURVEY DATA PROVIDED BY OUTSIDE CONSULTANTS AND/OR OUTSIDE SOURCES IS REVIEWED TO DETERMINE COMPENSATION OR COMPENSATION ADJUSTMENTS FOR THESE POSITIONS, THE CEO'S INPUT IS CONSIDERED AS IT RELATES TO INDIVIDUAL PERFORMANCE FOR THESE INDIVIDUALS, AND INCREMENTAL ADJUSTMENTS ARE RECOMMENDED, THE GROUP DELIBERATES, AND THE APPROVALS ARE MADE. CONTEMPORANEOUS MINUTES ARE KEPT AT ALL BOARD MEETINGS AND COMMITTEE MEETING ACTIVITIES AND DECISIONS ARE ALSO DOCUMENTED.FORM 990, PART VI, LINE 15A
AVAIL OF GOV DOCS, CONFLICT OF INT POLICY, & FIN STMTS TO GEN PUBLICNATIONWIDE 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 VI, LINE 19
AVERAGE HOURS PER WEEKFOR 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 VII, SECTION A, LINE 1A, COLUMN (B)
OTHER CHANGES IN NET ASSETS OR FUND BALANCESEFFECT OF ADOPTION OF SFAS NO. 158 ($3,083,432) NET CHANGE IN INTEREST RATE SWAP AGREEMENTS $1,510,341 TRANSFER FROM AFFILIATES $3,119,211 OTHER INCREASES $413,129 LINE 9 TOTAL $1,959,249FORM 990, PART XI, LINE 9

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
PEDIATRIC ACADEMIC ASSOCIATION
700 CHILDRENS DRIVECOLUMBUSOH43205311024403PHYSICIAN SVCOH501(c)(3)9NCHtrue
KINDER KEY
700 CHILDRENS DRIVECOLUMBUSOH43205237380687FUNDRAISINGOH501(c)(3)7NCHtrue
PLEASURE GUILD
700 CHILDRENS DRIVECOLUMBUSOH43205310935599FUNDRAISINGOH501(c)(3)11bNCHtrue
TWIGS
700 CHILDRENS DRIVECOLUMBUSOH43205316015354FUNDRAISINGOH501(c)(3)11bNCHtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
CHILDREN'S ANESTHESIA ASSOCIATES
700 CHILDRENS DRIVECOLUMBUSOH43205310650338PHYSICIAN SERVICEOHNCHC1211385781673161.00000true
COLLIER'S PROFESSIONAL LIABILITY INS CO
980457066INS CONTRACTINGNCHC015738001.00000true23 LIME TREE BAY AVEGRAND CAYMANCJKY1-1102CJ
KIDS 4 SURE
700 CHILDRENS DRIVECOLUMBUSOH43205311227555INACTIVEOHNCHC001.00000true
NORTHEAST CLOSE TO HOME CENTER CONDO ASN
433 NORTH CLEVELAND AVEWESTERVILLEOH43082205540381CONDO ASSOCIATIONOHNCHC5702643380.91000true
CHILDREN'S NW MED OFFICE BLDG CONDO ASSN
5675 VENTURA DRIVEDUBLINOH43017205540559CONDO ASSOCIATIONOHNCHC4657823280.74400true
PEDIATRIC CLINICAL TRIALS INC
700 CHILDRENS DRIVECOLUMBUSOH43205311609283INACTIVEOHNCHC001.00000true
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (72 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
NATIONWIDE CHILDREN'S HOSPITAL
A97812ACTUAL AMOUNT
NCH FOUNDATION
B50000ACTUAL AMOUNT
CHILDREN'S SURGICAL ASSOCIATES
B145353ACTUAL AMOUNT
NATIONWIDE CHILDREN'S HOSPITAL
B175006ACTUAL AMOUNT
NCH HOMECARE
B68462ACTUAL AMOUNT
CHILDREN'S RADIOLOGICAL INSTITUTE
B103382ACTUAL AMOUNT
CENTER FOR CHILD & FAMILY ADVOCACY
B300000ACTUAL AMOUNT
CENTER FOR CHILD & FAMILY ADVOCACY
B488889ACTUAL AMOUNT
RESEARCH INSTITUTE AT NCH
B2778092ACTUAL AMOUNT
NATIONWIDE CHILDREN'S HOSPITAL
B3231304ACTUAL AMOUNT
RESEARCH INSTITUTE AT NCH
B32326631ACTUAL AMOUNT
CHILDREN'S RADIOLOGICAL INSTITUTE
C50000ACTUAL AMOUNT
NCH FOUNDATION
C145353ACTUAL AMOUNT
NCH FOUNDATION
C175006ACTUAL AMOUNT
NCH FOUNDATION
C68462ACTUAL AMOUNT
NCH FOUNDATION
C103382ACTUAL AMOUNT
NATIONWIDE CHILDREN'S HOSPITAL
C300000ACTUAL AMOUNT
NCH FOUNDATION
C488889ACTUAL AMOUNT
NCH FOUNDATION
C2778092ACTUAL AMOUNT
NCH FOUNDATION
C3231304ACTUAL AMOUNT
NATIONWIDE CHILDREN'S HOSPITAL
C32326631ACTUAL AMOUNT
NATIONWIDE CHILDREN'S HOSPITAL
K97812ACTUAL AMOUNT
RESEARCH INSTITUTE AT NCH
L229317ACTUAL AMOUNT
RESEARCH INSTITUTE AT NCH
L390771ACTUAL AMOUNT
NATIONWIDE CHILDREN'S HOSPITAL
L191697ACTUAL AMOUNT
CHILDREN'S ANESTHESIA ASSOCIATES
L446446ACTUAL AMOUNT
CHILDREN'S SURGICAL ASSOCIATES
L312295ACTUAL AMOUNT
RESEARCH INSTITUTE AT NCH
L659890ACTUAL AMOUNT
NATIONWIDE CHILDREN'S HOSPITAL
L3822576ACTUAL AMOUNT
PEDIATRIC ACADEMIC ASSOCIATES
L2894550ACTUAL AMOUNT
NATIONWIDE CHILDREN'S HOSPITAL
L4759744ACTUAL AMOUNT
NATIONWIDE CHILDREN'S HOSPITAL
L10769496ACTUAL AMOUNT
PEDIATRIC ACADEMIC ASSOCIATES
M35734813ACTUAL AMOUNT
NATIONWIDE CHILDREN'S HOSPITAL
M229317ACTUAL AMOUNT
CHILDREN'S SURGICAL ASSOCIATES
M390771ACTUAL AMOUNT
NCH HOMECARE
M191697ACTUAL AMOUNT
PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS
M659890ACTUAL AMOUNT
NATIONWIDE CHILDREN'S HOSPITAL
M312295ACTUAL AMOUNT
CHILDREN'S ANESTHESIA ASSOCIATES
M1325594ACTUAL AMOUNT
CHILDREN'S RADIOLOGICAL INSTITUTE
M3822576ACTUAL AMOUNT
PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS
M4759744ACTUAL AMOUNT
PEDIATRIC ACADEMIC ASSOCIATES
M6435240ACTUAL AMOUNT
CHILDREN'S SURGICAL ASSOCIATES
M10769496ACTUAL AMOUNT
CENTER FOR CHILD & FAMILY ADVOCACY
O901898ACTUAL AMOUNT
NCH FOUNDATION
O1624882ACTUAL AMOUNT
PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS
O3750369ACTUAL AMOUNT
NCH HOMECARE
O5839670ACTUAL AMOUNT
CHILDREN'S RADIOLOGICAL INSTITUTE
O10601437ACTUAL AMOUNT
CHILDREN'S ANESTHESIA ASSOCIATES
O18130888ACTUAL AMOUNT
CHILDREN'S SURGICAL ASSOCIATES
O20819988ACTUAL AMOUNT
RESEARCH INSTITUTE AT NCH
O40556859ACTUAL AMOUNT
CHILDREN'S NW MOB CONDO ASSOCIATION
P66605ACTUAL AMOUNT
NORTHEAST CLOSE TO HOME CTR CONDO ASSOCIATION
P56345ACTUAL AMOUNT
RESEARCH INSTITUTE AT NCH
Q592946ACTUAL AMOUNT
CENTER FOR CHILD & FAMILY ADVOCACY
Q1004143ACTUAL AMOUNT
PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS
Q616694ACTUAL AMOUNT
NCH FOUNDATION
Q3554467ACTUAL AMOUNT
CHILDREN'S SURGICAL ASSOCIATES
Q4299040ACTUAL AMOUNT
CHILDREN'S ANESTHESIA ASSOCIATES
Q392710ACTUAL AMOUNT
NCH HOMECARE
Q12841765ACTUAL AMOUNT
CHILDREN'S RADIOLOGICAL INSTITUTE
Q501351ACTUAL AMOUNT
NATIONWIDE CHILDREN'S HOSPITAL
R119363165ACTUAL AMOUNT
RESEARCH INSTITUTE AT NCH
R40710224ACTUAL AMOUNT
NCH FOUNDATION
R1890213ACTUAL AMOUNT
CHILDREN'S RADIOLOGICAL INSTITUTE
S8000000ACTUAL AMOUNT
PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS
S2649630ACTUAL AMOUNT
CHILDREN'S SURGICAL ASSOCIATES
S14219209ACTUAL AMOUNT
NCH HOMECARE
S18472570ACTUAL AMOUNT
NCH FOUNDATION
S13600000ACTUAL AMOUNT
NATIONWIDE CHILDREN'S HOSPITAL
S40710224ACTUAL AMOUNT
RESEARCH INSTITUTE AT NCH
S62421756ACTUAL AMOUNT
CENTER FOR CHILD & FAMILY ADVOCACY
S1890213ACTUAL AMOUNT

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