2013-11-14T10:59:51-06:00 2012-12-31 ERNST & YOUNG US LLP 1100 HUNTINGTON CTR 41 S HIGH ST COLUMBUS OH 43215 990 2012-01-01 010782751 NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN % CHRISTINA MCMANUS NATI 6147225958 700 CHILDRENS DRIVE Suite COLUMBUS OH 43205 TIMOTHY C ROBINSON 2013-11-13 6142245678 2012 2016-02-25 16:41:14Z NATIONWIDE CHILDREN'S HOSPITAL STEVE ALLEN MD 700 CHILDRENS DRIVE COLUMBUS OH 43205 1425858822 true true 4235 X www.nationwidechildrens.org X OH NATIONWIDE CHILDREN'S HOSPITAL'S MISSION IS BASED ON THE PREMISE THAT NO CHILD SHOULD BE REFUSED NECESSARY CARE FOR LACK OF ABILITY TO PAY. ITS PRIMARY ACTIVITIES ARE PATIENT CARE, RESEARCH, AND EDUCATION. 123 78 10880 1639 2514551 321250 140223772 141692668 917850589 1016547446 29264056 25427204 7902507 7747232 1095240924 1191414550 45352110 41364928 0 0 480320774 524353876 27300 25410 2067977 413893967 462986655 939594151 1028730869 155646773 162683681 1911730173 2207161030 678094230 742866065 1233635943 1464294965 X SEE SCHEDULE O false false 654430649 4420751 1018983510 PATIENT CARE (SEE SCHEDULE O) 120309205 35104723 0 RESEARCH (SEE SCHEDULE O) 26536210 1050565 842203 EDUCATION (SEE SCHEDULE O) 2196573 788889 0 803472637 true true false true false false false false false true true false false false true true false true false false true false false true true true true true true true true true false false false false false false false true true true true false false false false true true true false false true 719 0 true 10880 true true true true CJ false false false true true false false false false X 123 78 true false true false true true true true true false true true false true true true true true true true true true CA KY OH X CHRISTINA MCMANUS 6143553119 700 CHILDRENS DRIVE COLUMBUS OH 43205 X ABIGAIL S WEXNER 3.0 X X 0 0 0 ALEX FISCHER 3.0 X X 0 0 0 HONORABLE ALGENON L MARBLEY 3.0 X 0 0 0 GEORGE BARRETT 3.0 X 0 0 0 JOSEPH A CHLAPATY 3.0 X 0 0 0 PAMELA T FARBER 3.0 X 0 0 0 MICHAEL J FIORILE 3.0 X 0 0 0 JOHN B GERLACH 3.0 X 0 0 0 C ROBERT KIDDER 3.0 X 0 0 0 CHARLIE LOCKWOOD MD 3.0 X 0 0 0 JAMES MALZ 3.0 X 0 0 0 DONALD P MCCONNELL 3.0 X 0 0 0 STEVE RASMUSSEN 3.0 X 0 0 0 DARRYL A ROBBINS DO 3.0 X 0 0 0 STEVEN TEICH MD 47.0 3.0 X 544049 0 54764 BARBARA TRUEMAN 3.0 X 0 0 0 SHAREN JESTER TURNEY 3.0 X 0 0 0 R BLANE WALTER 3.0 X 0 0 0 ANN I WOLFE 3.0 X 0 0 0 CHERYL W LUCKS 3.0 X 0 0 0 WEBB I VORYS 3.0 X 0 0 0 PHYLLIS HAMMOND-INNES MD 47.0 3.0 X 0 0 0 STEVE ALLEN MD 47.0 3.0 X X 1250695 0 54764 RICHARD MILLER 50.0 X X 0 0 0 TIMOTHY C ROBINSON 47.0 3.0 X X 0 0 0 LINDA STOVEROCK RN 50.0 X X 0 0 0 BRUCE MEYER MD 30.0 X 0 0 0 JANINE WINTERS MD 3.0 47.0 X 0 177885 17598 WILLIAM SHIELS II MD 50.0 X X 1684122 0 49764 DENNIS MINZLER 50.0 X X 129343 0 26028 CHARLES DEROUSIE 3.0 X 0 0 0 ROBIN E OSBORN DO 3.0 X 0 0 0 DOUGLAS FELLOWS MD 3.0 X 0 0 0 PHYLLIS HAMMOND-INNES MD 47.0 3.0 X X 478645 0 51764 TIMOTHY C ROBINSON 47.0 3.0 X X 0 0 0 PAMELA EDSON 50.0 X X 0 0 0 RICHARD MILLER 50.0 X 0 0 0 STEVE ALLEN MD 47.0 3.0 X 0 0 0 STEVE ALLEN MD 47.0 3.0 X X 0 0 0 TIMOTHY C ROBINSON 47.0 3.0 X X 0 0 0 PAMELA EDSON 50.0 X X 0 0 0 RICHARD MILLER 50.0 X 0 0 0 LARRY MOSS MD 50.0 X 800228 0 50264 CHERYL W LUCKS 3.0 X X 0 0 0 ANDREW W LIVINGSTON 3.0 X X 0 0 0 THOMAS N BRIGDON 3.0 X X 0 0 0 JENNIFER S BELFORD 3.0 X 0 0 0 JEFFREY R BRASHARES 3.0 X 0 0 0 ANN S DESHE 3.0 X 0 0 0 ROBERT M EVERSOLE 3.0 X 0 0 0 RHONDA B FRAAS 3.0 X 0 0 0 MICHAEL GONSIOROWSKI 3.0 X 0 0 0 ALEXIS A JACOBS 3.0 X 0 0 0 CHAD A JESTER 3.0 X 0 0 0 R ANDREW JOHNSON 3.0 X 0 0 0 DAVID T KOLLAT 3.0 X 0 0 0 EDWARD J KOSNIK MD 50.0 X 51162 0 1735 THOMAS D LENNOX 3.0 X 0 0 0 KATHERINE WOLFE LLOYD 3.0 X 0 0 0 BARBARA B MATTA 3.0 X 0 0 0 MAE L MCCORKLE 3.0 X 0 0 0 MARK E MCCULLERS 3.0 X 0 0 0 DOUGLAS S MORGAN 3.0 X 0 0 0 PHILLIP D NICK 3.0 X 0 0 0 RICK SCHOSTEK 3.0 X 0 0 0 ANGELA L PACE 3.0 X 0 0 0 ROBERT H SCHOTTENSTEIN 3.0 X 0 0 0 EDWARD SHEPHERD MD 3.0 47.0 X 0 213631 28907 RACHEL L LONGABERGER STUKEY 3.0 X 0 0 0 DENISE STUMP 3.0 X 0 0 0 JEFFREY T WILSON 3.0 X 0 0 0 SARAH W ZIEGLER 3.0 X 0 0 0 CYNTHIA RASMUSSEN 3.0 X 0 0 0 STEVE ALLEN MD 47.0 3.0 X 0 0 0 WILLIAM H COTTON MD 3.0 47.0 X 0 210531 20682 TIMOTHY C ROBINSON 47.0 3.0 X X 0 0 0 PAULA FERGUSON 3.0 X 0 0 0 LAUREN HOFFMAN 3.0 X 0 0 0 BOB WHITE 3.0 X 0 0 0 MARK WELLING 3.0 X 0 0 0 ALEX FISCHER 3.0 X 0 0 0 ABIGAIL S WEXNER 3.0 X 0 0 0 DONALD P MCCONNELL 3.0 X X 0 0 0 ROBERT L JORDAN 3.0 X X 0 0 0 TIMOTHY C ROBINSON 47.0 3.0 X X 0 0 0 PHILLIP H BARRETT 3.0 X 0 0 0 DAVID E CHESEBROUGH 3.0 X 0 0 0 S THEODORE FORD 3.0 X 0 0 0 KENT JOHNSON PHD 3.0 X 0 0 0 BARBARA L KUNZ 3.0 X 0 0 0 LEE L SZYKOWNY MD 3.0 X 0 0 0 WEBB I VORYS 3.0 X 0 0 0 THOMAS WALKER 3.0 X 0 0 0 CAROLINE C WHITACRE PHD 3.0 X 0 0 0 STEVE ALLEN MD 47.0 3.0 X 0 0 0 JOHN A BARNARD MD 26.0 24.0 X X 268843 247513 42074 ALEX FISCHER 3.0 X 0 0 0 ABIGAIL S WEXNER 3.0 X 0 0 0 ABIGAIL S WEXNER 3.0 X X 0 0 0 KATHERINE WOLFE LLOYD 3.0 X X 0 0 0 JANET E JACKSON 3.0 X X 0 0 0 STEVE ALLEN MD 47.0 3.0 X 0 0 0 DAVID M ARONOWITZ 3.0 X 0 0 0 PETER W C BARNHART 3.0 X 0 0 0 JOHN T CLARK 50.0 X 0 0 0 BROOKE F O'NEILL 3.0 X 0 0 0 ELLEN J TRESSEL 3.0 X 0 0 0 AUDREY G TUCKERMAN 3.0 X 0 0 0 DOUGLAS L WILLIAMS 3.0 X 0 0 0 REV CHARLES BOOTH MD 3.0 X 0 0 0 MARILYN BROWN 3.0 X 0 0 0 KAREN DAYS 3.0 X X 257555 0 42761 BISHOP CALLON HOLLOWAY 3.0 X 0 0 0 KIMBERLEY JACOBS 3.0 X 0 0 0 CHAD A JESTER 3.0 X 0 0 0 JEFFREY LYTTLE 3.0 X 0 0 0 BETTY MONTGOMERY 3.0 X 0 0 0 STANLEY PARTLOW 3.0 X 0 0 0 GREGORY PAXTON 3.0 X 0 0 0 JUDGE DANA PREISSE 3.0 X 0 0 0 ZACH SCOTT 3.0 X 0 0 0 OLIVIA THOMAS 3.0 47.0 X 0 186543 18206 SHAREN JESTER TURNEY 3.0 X 0 0 0 TIMOTHY C ROBINSON 47.0 3.0 X 0 0 0 TIMOTHY C ROBINSON 47.0 3.0 X 717529 0 52764 RICHARD MILLER 50.0 X 653311 0 56164 LINDA STOVEROCK RN 50.0 X 378107 0 49535 WANDA STACKPOLE 50.0 X 167521 0 20385 RHONDA COMER 47.0 3.0 X 0 0 0 RHONDA COMER 47.0 3.0 X 0 0 0 RHONDA COMER 47.0 3.0 X 0 0 0 RHONDA COMER 47.0 3.0 X 364079 0 51986 JOHN T CLARK 50.0 X 193321 0 32726 PAMELA EDSON 50.0 X 196671 0 31038 PATRICIA MCCLIMON 50.0 X 345611 0 43846 MICHAEL BRADY MD 22.0 28.0 X 169952 232026 25288 RICHARD BRILLI M D 40.0 10.0 X 460693 100094 52905 BRUCE MEYER MD 30.0 X 172468 0 30596 DENISE ZABAWSKI 50.0 X 314920 0 31842 JOSE BALDERAMA 50.0 X 265667 0 39644 BRUCE STEVENSON 50.0 X 209143 0 31591 MARK GALANTOWICZ MD 50.0 X 1676836 0 50473 KEVIN KLINGELE MD 50.0 X 1230065 0 50473 RICHARD KIRSCHNER MD 50.0 X 932072 0 50473 ALAN BEEBE MD 50.0 X 824457 0 49764 WALTER SAMORA MD 50.0 X 780065 0 21060 J TERRANCE DAVIS MD 50.0 X 287259 0 38750 15804389 1368223 1270614 386 true true false OHIOHEALTH 180 E BROAD ST 33 FL COLUMBUS OH 43215 MEDICAL SERVICES 20930633 OHIO STATE UNIVERSITY 410 WEST 10TH AVENUE COLUMBUS OH 43210 MEDICAL SERVICES 16666979 MT CARMEL HEALTH 6150 E BROAD ST COLUMBUS OH 43213 MEDICAL SERVICES 5305090 TURNER CONSTRUCTION COMPANY 623 MOOBERRY STREET COLUMBUS OH 43205 CONSTRUCTION MGMT 4137354 CONRAD PHILLIPS VUTECH INC 1398 GOODALE STE 100 COLUMBUS OH 43212 CONSTRUCTION MGMT 3917906 210 229292 8450 5670236 39693103 53069107 43022480 1261362 141692668 NET PATIENT SERVICE REVENUE 900099 1006181561 1006181561 CAFETERIA 722210 4884447 4884447 REFERENCE LAB 621500 1760811 1760811 PARKING 812930 1516970 1516970 PHYSICIAN SERVICES REVENUE 900099 383031 383031 1820626 1095364 725262 1016547446 15858929 477 15858452 4665360 4665360 564626 564626 932127 995343 -63216 0 -63216 -63216 236765652 1500 231582437 281800 5183215 -280300 4902915 4902915 628530 5670236 1564936 -936406 -936406 52020 19756 32264 32264 0 BILLING SERVICES TO AFFILIATE 541200 3278267 3278267 CHILD CARE CENTER 624410 1613003 1613003 GIFT SHOP 453220 1129741 1129741 2128953 28001 2100952 8149964 1191414550 1010938223 2514551 36269108 41120902 41120902 244026 244026 0 0 10941043 4256669 6684374 681663 400039 111255 170369 410030323 328210549 80861469 958305 20041400 15654856 4386544 54121463 43388060 10482170 251233 28537984 22144467 6393517 0 1909647 10459 1899188 418305 418305 322358 322358 25410 25410 0 134777964 109991341 24663392 123231 3562603 180691 3016642 365270 30694861 17678833 12985246 30782 14354581 6644068 7710513 461606 461606 49081606 39781825 9299781 5086144 4023014 1033583 29547 0 986324 630259 354200 1865 20865695 20865695 0 58990187 52406972 6583215 2946821 1862223 1084598 Hospital Franchise Fees 14504636 14504636 Textiles & Paper Goods 3506561 2464659 1041902 Medical Supplies 60962237 60962237 Drugs 44643579 44643579 14910940 6311303 8487672 111965 1028730869 803472637 223190255 2067977 50233711 62160709 329971 2010664 46546905 39966194 136148407 166019875 0 0 0 0 0 0 5467385 7059870 10295172 9339263 1368553864 361511282 934217481 1007042582 672694367 852086584 0 0 0 0 9210883 9968003 46585891 51507286 1911730173 2207161030 109064425 107659756 0 0 12443301 10279965 434935000 501795000 0 0 0 0 0 0 0 0 121651504 123131344 678094230 742866065 X 1059672103 1276737554 87172424 96959055 86791416 90598356 1233635943 1464294965 1911730173 2207161030 X 162683681 66016092 1959249 X false true X true true true X 301337 361829 339988 256353 317197 1576704 44497898 52913009 55615411 57301115 61796324 272123757 0 0 0 44799235 53274838 55955399 57557468 62113521 273700461 0 0 0 273700461 203327 56928 71241 60525 84249 476270 20185 26638 21194 16847 14720 99584 223512 83566 92435 77372 98969 575854 0 0 45022747 53358404 56047834 57634840 62212490 274276315 0.99790 0.99600 0.00210 0.00400 X NATIONWIDE CHILDREN'S HOSPITAL (NCH) EIN 31-4379441 PUBLIC CHARITY STATUS: 509(a)(1) & 170(b)(1)(A)(iii) NATIONWIDE CHILDREN'S HOSPITAL HOMECARE (NCH HOMECARE) EIN 31-1296332 PUBLIC CHARITY STATUS: 509(a)(2) 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%. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 4127 4127 805272 805272 809399 809399 804731215 804756215 805540614 805565614 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 741124 865322 899933 805272 3311651 250000 250000 250000 250000 1000000 1500000 4018 4259 3371 4127 15775 AFFILIATED ORGANIZATIONS SCHEDULE C, PART II-A NATIONWIDE 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: NONE 108604577 3806940 8968440 2414829 118965128 102137494 8748844 232365 2514126 108604577 90136704 5084000 8863791 1947000 102137495 76915483 5063435 9533485 1375699 90136704 68068028 12935861 -2366604 1721802 76915483 0.27000 0.73000 0.00000 false false 29681966 29681966 2773600 985352383 196475224 791650759 2878986 706478 2172508 306032384 164329580 141702804 41834545 0 41834545 1007042582 0 PAYABLE TO AFFILIATE 565467 MARKET VALUE OF INTEREST RATE SWAP 37564648 ACCRUED RETIREMENT BENEFITS 40905818 OTHER DONOR RELATED LIABILITIES 1554212 ACCRUED PROFESSIONAL LIABILITY 31043816 PAYABLE TO THIRD PARTY PAYORS 3206052 BOND ISSUE PREMIUM 8291331 123131344 INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS SCHEDULE D, PART V AVAILABLE ENDOWMENT FUNDS ARE USED TO SUPPORT THE NCH MISSION OF PROVIDING THE HIGHEST QUALITY PATIENT CARE, ADVOCACY FOR CHILDREN AND FAMILIES, PEDIATRIC RESEARCH, AND EDUCATION OF PATIENTS, FAMILIES, AND FUTURE HEALTHCARE PROVIDERS. ASC 740 (FORMERLY FIN 48) FOOTNOTE FROM AUDITED FINANCIAL STATEMENTS SCHEDULE D, PART X, LINE 2 NATIONWIDE 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. Central America and the Caribbean 0 0 Program Services Self Insurance 1177164 Central America and the Caribbean 0 0 Program Services Recruiting 1351 Central America and the Caribbean 0 0 Investments 130000 East Asia and the Pacific 0 0 Program Services Research Collaboration 386584 Europe (including Iceland and Greenland) 0 0 Program Services Healthcare Services 2187 North America 0 0 Program Services Healthcare Services 19790 North America 0 0 Program Services Recruiting 688 North America 0 0 Program Services Research Collaboration 57192 0 0 0 0 1774956 1774956 true false true false false false X X X X X X true AG DICKSON SOMERVILLE MA 02145 8 CHARLES E RYAN RD STE 2 SOMERVILLE MA 02145 PHONE CALLING false 43416 25410 18006 43416 25410 18006 NY OH DINNER/GALA 3700650 3691275 9375 104230 373366 633597 HORSE SHOW/CONC 1157235 988089 169146 11 1440881 990872 450009 560 58395 108877 44681 241230 6298766 5670236 628530 560 58395 213107 418047 874827 1564936 -936406 52020 2665 17091 true 1.00000 52020 2665 17091 19756 32264 OH true false true false 0.00000 1.00000 KEVIN WELCH 700 CHILDRENS DRIVE COLUMBUS OH 43205 false NA false SCHEDULE G, PART I, LINE 2b, COLUMNS (iii) & (v) FUNDRAISER SERVICES LINE 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. true true X true X true X true true false false 9368906 2012043 7356864 0.00790 402143296 354486873 47656423 0.05100 2774474 2774474 0 414286676 359273390 55013287 0.05890 3654192 1175472 2478720 0.00290 31703475 2751907 28951568 0.03340 20627509 18269425 2358084 0.00270 32258420 0 32258420 0.03720 1334923 0 1334923 0.00150 89578519 22196804 67381715 0.07770 503865195 381470194 122395002 0.13660 1012725 1012725 0.00110 339113 141810 197303 0.00020 297982 297982 0.00030 231330 231330 0.00020 3002 3002 1884152 141810 1742342 0.00180 true 28195423 0 4628076 6857761 -2229685 X true true NONE 1 1 NATIONWIDE CHILDREN'S HOSPITAL

700 CHILDRENS DRIVE MAIN CAMPUS COLUMBUS OH 43205

www.nationwidechildrens.org X X X X X X X NEONATAL INTENSIVE CARE UNIT NATIONWIDE CHILDREN'S (MAIN CAMPUS) 1 true true 200. true 400. true X true true X X X X X true false X X X true X false false 21 HOMECARE AND HOSPICE

255 EAST MAIN STREET COLUMBUS OH 43215

HOMECARE CENTER FOR CHILD AND FAMILY ADVOCACY

655 EAST LIVINGSTON AVENUE COLUMBUS OH 43205

ADVOCACY SPRINGFIELD CHILDLAB

1644 NORTH LIMESTONE STREET SPRINGFIELD OH 45505

LAB ZANESVILLE OUTPATIENT CARDIOLOGY SVCS

716 ADAIR AVENUE ZANESVILLE OH 43701

CARDIOLOGY CLINIC MARION OUTPATIENT CARDIOLOGY SERVICES

1040 DELAWARE AVENUE MARION OH 43302

CARDIOLOGY CLINIC MANSFIELD CLOSE TO HOME CENTER

680 PARK AVENUE WEST SUITE G05 MANSFIELD OH 44906

MEDICAL OFFICES CLEVELAND CHILDLAB

1139 ROCKSIDE ROAD PARMA OH 44134

LAB MARIETTA OUTPATIENT CARIOLOGY SERVICES

400 MATTHEW STREET MARIETTA OH 45750

CARDIOLOGY CLINIC NEWARK CLOSE TO HOME CENTER

75 SOUTH TERRACE AVENUE NEWARK OH 43055

MEDICAL OFFICES CHILICOTHE OUTPATIENT CARDIOLOGY SVCS

4437 STATE ROUTE 156 PAVILION SUIT CHILICOTHE OH 45601

CARDIOLOGY CLINIC ASHLAND OUTPATIENT CARDIOLOGY SERVICES

1101 ST CHRISTOPHER DRIVE SUITE 2 ASHLAND KY 41101

CARDIOLOGY CLINIC ATHENS OUTPATIENT CARDIOLOGY SERVICES

75 HOSPITAL DR CASTROP CENTER STE ATHENS OH 45701

CARDIOLOGY CLINIC FINDLAY OUTPATIENT CARDIOLOGY SERVICES

1900 SOUTH MAIN STREET 2ND FLOOR FINDLAY OH 45840

CARDIOLOGY CLINIC ZANESVILLE CHILDLAB

1166 MILITARY ROAD SUITE B ZANESVILLE OH 43701

LAB LIMA CHILDLAB

830 WEST HIGH STREET SUITE 375 LIMA OH 45801

LAB MARION CHILDLAB

1069 DELAWARE AVENUE MARION OH 43302

LAB IRONTON CHILDLAB & CLOSE TO HOME CENTER

2301 SOUTH 7TH STREET IRONTON OH 45638

LAB & MEDICAL OFFICES CANTON CHILDLAB

4846 HIGBEE AVENUE NW CANTON OH 44718

LAB WESTLAKE CHILDLAB

27500 DETROIT ROAD SUITE 102 WESTLAKE OH 44145

LAB MASON CHILDLAB

5112 CEDAR VILLAGE DRIVE MASON OH 45040

LAB WARREN CHILDLAB

321 NILES CORTLAND ROAD NE WARREN OH 44484

LAB PART I, LINE 6A WHILE 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 7G NATIONWIDE 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 II NATIONWIDE CHILDREN'S HOSPITAL (NCH) IMPACTS THE COMMUNITY IN MANY WAYS. IN 2008, THE CITY OF COLUMBUS, NATIONWIDE CHILDRENS HOSPITAL, COMMUNITY DEVELOPMENT FOR ALL PEOPLE, COLUMBUS PUBLIC HEALTH, COLUMBUS CITY SCHOOLS AND A NUMBER OF OTHER LOCAL PARTNERS CAME TOGETHER TO FORM HEALTHY NEIGHBORHOODS, HEALTHY FAMILIES (HNHF) AIMING TO DEVELOP REVITALIZATION PROGRAMS THAT WERE RESPONSIVE TO THE NEEDS AND DESIRES OF THE COMMUNITY. THE GOAL OF HNHF IS TO CREATE THRIVING SUSTAINABLE NEIGHBORHOODS THAT NURTURE CHILDREN AND FAMILIES IN THE SOUTHSIDE OF COLUMBUS SURROUNDING NCH. PROGRAMS OFFERED INCLUDE AFFORDABLE HOUSING, HEALTH AND WELLNESS, EDUCATION, WORKFORCE AND ECONOMIC DEVELOPMENT, AND SAFE AND ACCESSIBLE NEIGHBORHOODS. TO ADDRESS THE AFFORDABLE HOUSING COMPONENT, NCH PARTNERED WITH COMMUNITY DEVELOPMENT FOR ALL PEOPLE AND INVESTED SEVERAL MILLION DOLLARS IN SEED MONEY TO ALLOW THE PURCHASE OF DILAPIDATED HOUSING STOCK FOR RENOVATION AND SALE, AS WELL PROVIDING GRANTS TO EXISTING HOMEOWNERS FOR REPAIR. IN THE PAST 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 4 THE 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 8 IT 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 9B NATIONWIDE CHILDREN'S HOSPITAL'S COLLECTION POLICY DOES CONTAIN PROVISIONS FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. THERE ARE NUMEROUS WAYS FOR PATIENTS AND FAMILIES TO GET INFORMATION ON AVAILABLE ASSISTANCE, BOTH CHARITY, AND OTHER GOVERNMENTAL POLICIES. (SEE DESCRIPTION PART VI, LINE 3.) NCH THEN PROVIDES A GRACE PERIOD, TO ALLOW FOR TIME FOR ASSISTANCE NEEDS TO BE IDENTIFIED, BEFORE FINALIZING THE BILL. IN ADDITION, SELF-PAY STATEMENTS ALSO INCLUDE INFORMATION TO HELP THE PATIENT/FAMILY UNDERSTAND FINANCIAL ASSISTANCE THAT IS AVAILABLE. PART V, SECTION B, LINE 18e THE 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 20d THE 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 ASSESSMENT IN 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 ASSISTANCE NATIONWIDE CHILDREN'S HOSPITAL INFORMS AND EDUCATES PATIENTS, AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE, ABOUT THEIR ELIGIBILITY FOR ASSISTANCE IN A VARIETY OF WAYS. SIGNAGE REGARDING SUCH ELIGIBILITY IS 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 INFORMATION NATIONWIDE CHILDREN'S HOSPITAL IS LOCATED IN COLUMBUS, OHIO, WHICH IS GEOGRAPHICALLY CENTRAL IN THE STATE OF OHIO. WHILE THE MAJORITY OF PATIENTS SERVED RESIDE IN FRANKLIN COUNTY, NCH PROVIDES CARE TO PATIENTS REPRESENTING EACH OF OHIO'S 88 COUNTIES, IN ADDITION TO 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 HEALTH AS 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 ROLES NATIONWIDE 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. true RESEARCH INSTITUTE AT NCH (PAID BY NCH) 700 CHILDRENS DRIVE COLUMBUS OH 43205 316056230 501(c)(3) 32326631 TO SUPPORT VARIOUS RESEARCH INITIATIVES RESEARCH INSTITUTE AT NCH (PAID BY NCHF) 700 CHILDRENS DRIVE COLUMBUS OH 43205 316056230 501(c)(3) 2778092 TO SUPPORT VARIOUS RESEARCH INITIATIVES NATIONWIDE CHILDREN'S HOSP (PAID BY NCHF) 700 CHILDRENS DRIVE COLUMBUS OH 43205 314379441 501(c)(3) 3406310 TO 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 DRIVE COLUMBUS OH 43205 311296332 501(c)(3) 68462 TO SUPPORT HOSPICE AND PALLIATIVE CARE PROGRAMS CTR FOR CHILD &FAMILY ADVOCACY (PD BY NCHF) 700 CHILDRENS DRIVE COLUMBUS OH 43205 020627166 501(c)(3) 488889 TO SUPPORT CHILD ADVOCACY PROGRAMS CHILDREN'S SURGICAL ASSOC (PAID BY NCHF) 700 CHILDRENS DRIVE COLUMBUS OH 43205 311654000 501(c)(3) 145353 TO SUPPORT SURGICAL RESEARCH INITIATIVES CHILDREN'S RADIOLOGICAL INST (PAID BY NCHF) 700 CHILDRENS DRIVE COLUMBUS OH 43205 311439570 501(c)(3) 103382 TO SUPPORT VISITING PROFESSOR COSTS NCH -BEHAVIORAL HLTH PROGRAMS (PD BY NCH) 700 CHILDRENS DRIVE COLUMBUS OH 43205 314379441 501(c)(3) 308987 TO SUPPORT AUTISM AND BEHAVIORAL HEALTH PROGRAMS CTR FOR CHILD & FAMILY ADVOCACY (PD BY NCH) 700 CHILDRENS DRIVE COLUMBUS OH 43205 020627166 501(c)(3) 300000 TO SUPPORT ADMINISTRATIVE OVERSIGHT OF THE CENTER FOR CHILD & FAMILY ADVOCACY NCH INC (PAID BY NCH) 700 CHILDRENS DRIVE COLUMBUS OH 43205 311036372 501(c)(3) 25000 TO SUPPORT VARIOUS COMMUNITY BENEFIT PROGRAMS NCH FOUNDATION (PAID BY CRI) 700 CHILDRENS DRIVE COLUMBUS OH 43205 314379441 501(c)(3) 50000 TO SUPPORT COMMUNITY EDUCATION PROGRAMS MARCH OF DIMES (PAID BY NCH) 975 EASTWIND DR STE 150 WESTERVILLE OH 43081 131846366 501(c)(3) 15000 TO SUPPORT PROGRAMS FOR HEALTHIER BABIES UNITED WAY OF CENTRAL OHIO (PD BY NCH) 360 S THIRD STREET COLUMBUS OH 43215 314393712 501(c)(3) 50000 VARIOUS COMMUNITY BENEFIT PROGRAMS RONALD MCDONALD HOUSE CHARITIES (PD BY NCH) 711 E LIVINGSTON AVE COLUMBUS OH 43205 310890152 501(c)(3) 754200 TO SUPPORT CAPITAL CAMPAIGN COMMUNITY DEV FOR ALL PEOPLE (PD BY NCH) POB 06063 964 PARSONS COLUMBUS OH 43206 510476886 501(c)(3) 47500 TO SUPPORT HEALTH FOODS COOPERATIVE FLYING HORSE FARMS (PAID BY NCH) 3 EASTON OVAL STE 330 COLUMBUS OH 43219 203498125 501(c)(3) 6500 TO SUPPORT MAGICAL CAMP FOR CHILDREN WITH SERIOUS ILLNESS PROGENY (PAID BY NCH) 6471 LITHOPOLIS WINCHESTER CANAL WINCHESTER OH 43110 311417786 501(c)(3) 25000 TO SUPPORT HOUSING/ONGOING CARE FOR CHILDREN AMERICAN HEART ASSOCIATION (PAID BY NCH) 5455 N HIGH STREET COLUMBUS OH 43214 135613797 501(c)(3) 13000 TO SUPPORT CENTRAL OHIO HEART WALK & COLUMBUS GO RED LUNCH COLUMBUS BICENTENNIAL 2012 (PAID BY NCH) 100 E BROAD ST STE 2250 COLUMBUS OH 43215 451730585 501(c)(3) 20000 TO SUPPORT THE COLUMBUS BICENTENNIAL FUND WEXNER CENTERSTAR BENEFIT (PAID BY NCH) 1871 N HIGH ST COLUMBUS OH 43210 316025986 501(c)(3) 10000 TO SUPPORT AN EVENING WITH CARRIE FISHER EVENT CHARIT PHARMACY OF CENTRAL OHIO(PD BY NCH) 200 E LIVINGSTON AVENUE COLUMBUS OH 43215 270147099 501(c)(3) 25000 TO SUPPORT OPERATIONS OF CPOCO COLUMBUS URBAN LEAGUE (PAID BY NCH) 788 MOUNT VERNON AVE COLUMBUS OH 43203 314379453 501(c)(3) 5750 TO SUPPORT EMPOWERMENT DAY CELEBRATION ASSN OF PHYS OF PAKISTANI-DESCENT(PD BY NCH) 6414 SOUTH CASS AVENUE WESTMONT IL 60559 360291079 501(c)(3) 100846 FAIR MARKET VALUE MEDICAL SUPPLIES TO PROVIDE MEDICAL SUPPLY BOXES MID-OHIO FOODBANK (PAID BY NCH) 3960 BROOKHAM DRIVE GROVE CITY OH 43123 310865343 501(c)(3) 32000 FAIR MARKET VALUE FOOD TO PROVIDE MEALS READY TO EAT 24 0 ASSISTANCE TO PATIENT FAMILIES (PAID BY NCH) 66563 244026 Form 990, Schedule I, Part I, Line 2 Description of Organization's Procedures for Monitoring the Use of Grants FOR THE MAJORITY OF GRANTS ISSUED, DOCUMENTATION OF THE SPECIFIC EXPENSES THAT THESE FUNDS WOULD BE COVERING IS SUBMITTED TO THE NCH ENTITY PROVIDING THE FUNDS. A SIGNIFICANT PORTION OF THE GRANTS PROVIDED ARE USED TO SUPPORT PROGRAM SERVICES AND RESEARCH, CONDUCTED WITHIN THE NCH, INC. AFFILIATED GROUP. 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. X true true X X X X false true false false false true false false false STEVEN TEICH MD 369254 0 157795 0 17000 0 33750 0 21014 0 598813 0 0 0 STEVE ALLEN MD 745047 0 505648 0 0 0 33750 0 21014 0 1305459 0 0 0 JANINE WINTERS MD 0 175884 0 0 0 2001 0 17598 0 0 0 195483 0 0 WILLIAM SHIELS II MD 482286 0 143366 0 1058470 0 33750 0 16014 0 1733886 0 1041470 0 DENNIS MINZLER 109591 0 19752 0 0 0 9854 0 16174 0 155371 0 0 0 PHYLLIS HAMMOND-INNES MD 384184 0 77461 0 17000 0 33750 0 18014 0 530409 0 0 0 LARRY MOSS MD 617586 0 165642 0 17000 0 33750 0 16514 0 850492 0 0 0 EDWARD SHEPHERD MD 0 196659 0 14200 0 2772 0 21907 0 7000 0 242538 0 0 WILLIAM H COTTON MD 0 208281 0 0 0 2250 0 20682 0 0 0 231213 0 0 JOHN A BARNARD MD 116030 245263 152813 0 0 2250 618 24382 17074 0 286535 271895 0 0 KAREN DAYS 226337 0 31218 0 0 0 33539 0 9222 0 300316 0 0 0 OLIVIA THOMAS 0 184444 0 0 0 2099 0 18206 0 0 0 204749 0 0 TIMOTHY C ROBINSON 483024 0 217505 0 17000 0 33750 0 19014 0 770293 0 0 0 RICHARD MILLER 452617 0 184184 0 16510 0 33750 0 22414 0 709475 0 0 0 LINDA STOVEROCK RN 305299 0 72808 0 0 0 33750 0 15785 0 427642 0 0 0 WANDA STACKPOLE 142735 0 24786 0 0 0 14054 0 6331 0 187906 0 0 0 RHONDA COMER 291013 0 73066 0 0 0 33750 0 18236 0 416065 0 0 0 JOHN T CLARK 148520 0 35645 0 9156 0 16456 0 16270 0 226047 0 0 0 PAMELA EDSON 168416 0 28255 0 0 0 14683 0 16355 0 227709 0 0 0 PATRICIA MCCLIMON 238058 0 90553 0 17000 0 23245 0 20601 0 389457 0 0 0 MICHAEL BRADY MD 67845 229776 102107 0 0 2250 2291 22709 288 0 172531 254735 0 0 RICHARD BRILLI M D 257543 98968 186150 0 17000 1126 24021 9729 19155 0 503869 109823 0 0 BRUCE MEYER MD 132370 0 23098 0 17000 0 15044 0 15552 0 203064 0 0 0 DENISE ZABAWSKI 267470 0 47450 0 0 0 23245 0 8597 0 346762 0 0 0 JOSE BALDERAMA 215973 0 49694 0 0 0 23245 0 16399 0 305311 0 0 0 BRUCE STEVENSON 180248 0 11895 0 17000 0 15824 0 15767 0 240734 0 0 0 MARK GALANTOWICZ MD 1117132 0 542704 0 17000 0 33750 0 16723 0 1727309 0 0 0 KEVIN KLINGELE MD 749371 0 463694 0 17000 0 33750 0 16723 0 1280538 0 0 0 RICHARD KIRSCHNER MD 663259 0 251813 0 17000 0 33750 0 16723 0 982545 0 0 0 ALAN BEEBE MD 573710 0 237667 0 13080 0 33750 0 16014 0 874221 0 0 0 WALTER SAMORA MD 444377 0 318688 0 17000 0 19346 0 1714 0 801125 0 0 0 J TERRANCE DAVIS MD 245373 0 41886 0 0 0 23245 0 15505 0 326009 0 0 0 EXPLANATION FOR HEALTH OR SOCIAL CLUB DUES SCHEDULE J, PART I, LINE 1A NATIONWIDE 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 PLAN SCHEDULE J, PART I, LINE 4B PAYOUT 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 ORG SCHEDULE J, PART I, LINE 6A A PORTION OF NATIONWIDE CHILDREN'S HOSPITAL'S MANAGEMENT'S COMPENSATION CONTAINS A VARIABLE PIECE THAT IS BASED ON THE HOSPITAL'S INCENTIVE PROGRAM. THIS VARIABLE COMPENSATION IS BASED IN PART ON THE FINANCIAL PERFORMANCE OF THE ORGANIZATION, RELATIVE TO BUDGETED FINANCIAL PERFORMANCE. THE INCENTIVE PROGAM ALSO INCLUDES PERFORMANCE MEASURES RELATED TO QUALITY OF CARE AND PATIENT SATISFACTION. A COUNTY OF FRANKLIN OHIO 316400067 353187AR8 2012-05-15 83291333 2012A BONDS (SEE SCH K, PART VI) false false false B COUNTY OF FRANKLIN OHIO 316400067 3531867H6 2009-12-17 100162742 2009 BONDS (SEE SCH K, PART VI) false false false C COUNTY OF FRANKLIN OHIO 316400067 3531865R6 2008-05-01 43921562 2008A BONDS (SEE SCH K, PART VI) false false false D COUNTY OF FRANKLIN OHIO 316400067 3531865S4 2008-05-07 176675000 2008B-E BONDS (SEE SCH K, PART VI) false false false A 0 0 88841651 0 0 0 976231 0 0 10025000 823513 77016907 2012 false false false true B 0 0 114454378 0 0 0 1235586 0 0 113218792 0 0 2012 false false true true C 0 0 46794180 0 0 0 379213 0 0 43742967 2672000 0 2012 false false true true D 0 0 195350778 0 0 0 865761 84500 0 63456878 130943639 0 2012 true false true true A false false false false 0.00000 0.00000 0.00000 false false 0.00000 false false B false false false false 0.00000 0.00000 0.00000 false false 0.00000 false false C false false false false 0.00000 0.00000 0.00000 false false 0.00000 false false D false false true true true true 0.00000 0.00000 0.00000 false false 0.00000 false false A false true false false false false 0 false 0 false false B false true false false false false 0 false 0 false false C false true false false false false 0 false 0 false false D false true false false true true LN 4B&4C-SEE PART VI false false false 0 false false A false B false C false D false DESCRIPTION OF PURPOSE OF BONDS SCHEDULE 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 ISSUE SCHEDULE K, PART II, LINE 3 ANY DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED ON PART I, COLUMN (E) AND THE TOTAL PROCEEDS OF THE BOND ISSUE REPORTED ON PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. CAPITALIZED INTEREST FROM PROCEEDS SCHEDULE K, PART II, LINE 5, COLUMN B (2) THIS AMOUNT REPRESENTS ACCRUED INTEREST PAYMENT OF $119,261.28. OTHER SPENT PROCEEDS SCHEDULE K, PART II, LINE 11, COLUMNS A & C THIS 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. A COUNTY OF FRANKLIN OHIO 316400067 3531866A2 2008-05-22 68160000 2008F&G BONDS (SEE SCH K, PART VI) false false false B COUNTY OF FRANKLIN OHIO 316400067 3531864X4 2005-05-15 64993727 2005C BONDS (SEE SCH K, PART VI) false false false A 0 0 68160000 0 0 0 324500 55500 0 0 67780000 0 2008 true false true true B 0 0 66266622 0 119261 0 550119 870459 0 64726783 0 0 2008 false false true true A false false true true false 0.00000 0.00000 0.00000 false false 0.00000 false false B false false true true true true 0.01100 0.00000 0.01100 false false 0.00000 false false A false true false false true true LN 4B&4C-SEE PART VI false false false 0 false false B false false false true false false 0 false 0 false false A false B false WRITTEN PROCEDURES SCHEDULE K, PART III, LINE 9 & PART IV, LINE 7 WRITTEN POST-ISSUANCE COMPLIANCE PROCEDURES ARE CURRENTLY IN THE PROCESS OF BEING DRAFTED. REBATE SCHEDULE K, PART IV, LINE 2C, COLUMN B (2) THE 5/15/2005 ISSUANCE MET SPEND DOWN REQUIREMENTS. THEREFORE, NO REBATE IS DUE. HEDGE SCHEDULE 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 PERIOD SCHEDULE K, PART IV, LINE 6 SPEND DOWN REQUIREMENTS HAVE BEEN MET WHERE APPLICABLE ON ALL OUTSTANDING BONDS. SEE SCHEDULE L PART V SEE SCHEDULE L, PART V 39478987 SEE SCHEDULE L, PART V false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV NAME 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: NO X 18 1261362 cost/selling price false false false GIFT ACCEPTANCE POLICY SCHEDULE M, PART I, LINE 31 WHILE NATIONWIDE CHILDREN'S HOSPITAL (NCH) AND NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION (NCHF) DO NOT HAVE A WRITTEN POLICY, ALL NON-STANDARD CONTRIBUTIONS ARE REVIEWED AND DISCUSSED WITH NCHF LEADERSHIP AND NCH ADMINISTRATION. SCHEDULE O TOTAL 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 SERVICES FORM 990, PART III, LINE 4D CHILD 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. DESCRIPTION OF RELATIONSHIPS FORM 990, PART VI, LINE 2 A 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. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 NATIONWIDE CHILDREN'S HOSPITAL, INC. (THE PARENT ORGANIZATION OF THE GROUP) IS THE SOLE MEMBER OF THE MAJORITY OF THE SUBORDINATE ORGANIZATIONS IN THE GROUP EXEMPTION. SOME OF THE SUBORDINATE ORGANIZATIONS ARE NON-PROFIT SUBSIDIARIES OF THE LARGEST SUBORDINATE ORGANIZATION, NATIONWIDE CHILDREN'S HOSPITAL. 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. DESCRIBE THE PROCESS USED BY MGMT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, LINE 11B THIS FORM 990 WAS REVIEWED PRIOR TO FILING BY NATIONWIDE CHILDREN'S HOSPITAL CHIEF EXECUTIVE OFFICER/BOARD DIRECTOR; CHIEF FINANCIAL OFFICER/BOARD TREASURER; SENIOR VICE PRESIDENT OF LEGAL SERVICES/BOARD SECRETARY; AND THE FINANCE COMMITTEE CHAIR. IN ADDITION, THIS RETURN WAS MADE AVAILABLE TO THE ENTIRE FINANCE COMMITTEE OF THE BOARD AND MADE AVAILABLE UPON REQUEST TO THE BOARD. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C NCH POLICY REQUIRES THAT STAFF MEMBERS, MANAGEMENT AND BOARD MEMBERS REPORT CONFLICTS OF INTEREST OR COMMITMENT AT THE TIME THE CONFLICT ARISES. MANAGEMENT AND BOARD MEMBERS ARE ALSO REQUIRED TO COMPLETE DISCLOSURE FORMS ANNUALLY, REGARDLESS OF THE EXISTENCE OF CONFLICT. ALL DISCLOSURES ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER. 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. DESCR OF PROCESS FOR DETERMINING COMPENSATION FOR TOP MGMT OFFICIAL FORM 990, PART VI, LINE 15A IN 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. AVAIL OF GOV DOCS, CONFLICT OF INT POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, LINE 19 NATIONWIDE CHILDREN'S HOSPITAL'S (NCH) FINANCIAL STATEMENTS ARE DISCLOSED ON THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBPAGE AND THE ARTICLES OF INCORPORATION ARE ON THE OHIO SECRETARY OF STATE'S WEBPAGE. CURRENTLY, NCH DOES NOT MAKE ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. AVERAGE HOURS PER WEEK FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B) FOR NATIONWIDE CHILDREN'S HOSPITAL EMPLOYEES THAT ARE MEMBERS OF VARIOUS BOARDS AND HOLD SEVERAL POSITIONS WITHIN THE ORGANIZATION, THE HOURS LISTED REPRESENT THE NUMBER OF HOURS THAT INDIVIDUAL DEVOTES TO ALL THE ENTITIES INCLUDED WITHIN THE NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN. THE GOVERNING BOARD OF NATIONWIDE CHILDREN'S HOSPITAL, INC. AND NATIONWIDE CHILDREN'S HOSPITAL IS A JOINT BOARD AND MEMBERS SERVE ON THESE BOARDS CONCURRENTLY. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 9 EFFECT 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 $1,959,249 PEDIATRIC ACADEMIC ASSOCIATION 700 CHILDRENS DRIVE COLUMBUS OH 43205 311024403 PHYSICIAN SVC OH 501(c)(3) 9 NCH true KINDER KEY 700 CHILDRENS DRIVE COLUMBUS OH 43205 237380687 FUNDRAISING OH 501(c)(3) 7 NCH true PLEASURE GUILD 700 CHILDRENS DRIVE COLUMBUS OH 43205 310935599 FUNDRAISING OH 501(c)(3) 11b NCH true TWIGS 700 CHILDRENS DRIVE COLUMBUS OH 43205 316015354 FUNDRAISING OH 501(c)(3) 11b NCH true CHILDREN'S ANESTHESIA ASSOCIATES 700 CHILDRENS DRIVE COLUMBUS OH 43205 310650338 PHYSICIAN SERVICE OH NCH C 12113857 8167316 1.00000 true COLLIER'S PROFESSIONAL LIABILITY INS CO 23 LIME TREE BAY AVE GRAND CAYMAN CJ KY1-1102 980457066 INS CONTRACTING CJ NCH C 0 1573800 1.00000 true KIDS 4 SURE 700 CHILDRENS DRIVE COLUMBUS OH 43205 311227555 INACTIVE OH NCH C 0 0 1.00000 true NORTHEAST CLOSE TO HOME CENTER CONDO ASN 433 NORTH CLEVELAND AVE WESTERVILLE OH 43082 205540381 CONDO ASSOCIATION OH NCH C 57026 4338 0.91000 true CHILDREN'S NW MED OFFICE BLDG CONDO ASSN 5675 VENTURA DRIVE DUBLIN OH 43017 205540559 CONDO ASSOCIATION OH NCH C 46578 2328 0.74400 true PEDIATRIC CLINICAL TRIALS INC 700 CHILDRENS DRIVE COLUMBUS OH 43205 311609283 INACTIVE OH NCH C 0 0 1.00000 true true true true false false false false false false false true true true false true true true true true NATIONWIDE CHILDREN'S HOSPITAL A 97812 ACTUAL AMOUNT NCH FOUNDATION B 50000 ACTUAL AMOUNT CHILDREN'S SURGICAL ASSOCIATES B 145353 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL B 175006 ACTUAL AMOUNT NCH HOMECARE B 68462 ACTUAL AMOUNT CHILDREN'S RADIOLOGICAL INSTITUTE B 103382 ACTUAL AMOUNT CENTER FOR CHILD & FAMILY ADVOCACY B 300000 ACTUAL AMOUNT CENTER FOR CHILD & FAMILY ADVOCACY B 488889 ACTUAL AMOUNT RESEARCH INSTITUTE AT NCH B 2778092 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL B 3231304 ACTUAL AMOUNT RESEARCH INSTITUTE AT NCH B 32326631 ACTUAL AMOUNT CHILDREN'S RADIOLOGICAL INSTITUTE C 50000 ACTUAL AMOUNT NCH FOUNDATION C 145353 ACTUAL AMOUNT NCH FOUNDATION C 175006 ACTUAL AMOUNT NCH FOUNDATION C 68462 ACTUAL AMOUNT NCH FOUNDATION C 103382 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL C 300000 ACTUAL AMOUNT NCH FOUNDATION C 488889 ACTUAL AMOUNT NCH FOUNDATION C 2778092 ACTUAL AMOUNT NCH FOUNDATION C 3231304 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL C 32326631 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL K 97812 ACTUAL AMOUNT RESEARCH INSTITUTE AT NCH L 229317 ACTUAL AMOUNT RESEARCH INSTITUTE AT NCH L 390771 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL L 191697 ACTUAL AMOUNT CHILDREN'S ANESTHESIA ASSOCIATES L 446446 ACTUAL AMOUNT CHILDREN'S SURGICAL ASSOCIATES L 312295 ACTUAL AMOUNT RESEARCH INSTITUTE AT NCH L 659890 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL L 3822576 ACTUAL AMOUNT PEDIATRIC ACADEMIC ASSOCIATES L 2894550 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL L 4759744 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL L 10769496 ACTUAL AMOUNT PEDIATRIC ACADEMIC ASSOCIATES M 35734813 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL M 229317 ACTUAL AMOUNT CHILDREN'S SURGICAL ASSOCIATES M 390771 ACTUAL AMOUNT NCH HOMECARE M 191697 ACTUAL AMOUNT PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS M 659890 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL M 312295 ACTUAL AMOUNT CHILDREN'S ANESTHESIA ASSOCIATES M 1325594 ACTUAL AMOUNT CHILDREN'S RADIOLOGICAL INSTITUTE M 3822576 ACTUAL AMOUNT PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS M 4759744 ACTUAL AMOUNT PEDIATRIC ACADEMIC ASSOCIATES M 6435240 ACTUAL AMOUNT CHILDREN'S SURGICAL ASSOCIATES M 10769496 ACTUAL AMOUNT CENTER FOR CHILD & FAMILY ADVOCACY O 901898 ACTUAL AMOUNT NCH FOUNDATION O 1624882 ACTUAL AMOUNT PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS O 3750369 ACTUAL AMOUNT NCH HOMECARE O 5839670 ACTUAL AMOUNT CHILDREN'S RADIOLOGICAL INSTITUTE O 10601437 ACTUAL AMOUNT CHILDREN'S ANESTHESIA ASSOCIATES O 18130888 ACTUAL AMOUNT CHILDREN'S SURGICAL ASSOCIATES O 20819988 ACTUAL AMOUNT RESEARCH INSTITUTE AT NCH O 40556859 ACTUAL AMOUNT CHILDREN'S NW MOB CONDO ASSOCIATION P 66605 ACTUAL AMOUNT NORTHEAST CLOSE TO HOME CTR CONDO ASSOCIATION P 56345 ACTUAL AMOUNT RESEARCH INSTITUTE AT NCH Q 592946 ACTUAL AMOUNT CENTER FOR CHILD & FAMILY ADVOCACY Q 1004143 ACTUAL AMOUNT PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS Q 616694 ACTUAL AMOUNT NCH FOUNDATION Q 3554467 ACTUAL AMOUNT CHILDREN'S SURGICAL ASSOCIATES Q 4299040 ACTUAL AMOUNT CHILDREN'S ANESTHESIA ASSOCIATES Q 392710 ACTUAL AMOUNT NCH HOMECARE Q 12841765 ACTUAL AMOUNT CHILDREN'S RADIOLOGICAL INSTITUTE Q 501351 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL R 119363165 ACTUAL AMOUNT RESEARCH INSTITUTE AT NCH R 40710224 ACTUAL AMOUNT NCH FOUNDATION R 1890213 ACTUAL AMOUNT CHILDREN'S RADIOLOGICAL INSTITUTE S 8000000 ACTUAL AMOUNT PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS S 2649630 ACTUAL AMOUNT CHILDREN'S SURGICAL ASSOCIATES S 14219209 ACTUAL AMOUNT NCH HOMECARE S 18472570 ACTUAL AMOUNT NCH FOUNDATION S 13600000 ACTUAL AMOUNT NATIONWIDE CHILDREN'S HOSPITAL S 40710224 ACTUAL AMOUNT RESEARCH INSTITUTE AT NCH S 62421756 ACTUAL AMOUNT CENTER FOR CHILD & FAMILY ADVOCACY S 1890213 ACTUAL AMOUNT