2012-05-14T08:18:36-05:00 2011-06-30 DELOITTE TAX LLP 250 EAST FIFTH STREET SUITE 1900 CINCINNATI OH 45202 990 2010-07-01 310537130 THE CHILDREN'S HOSPITAL CHIL 5136368778 3333 BURNET AVENUE CINCINNATI OH 452293039 SCOTT J HAMLIN 5136368778 2012-05-14 1 ALICIA JANISCH 5137847100 2010 2016-02-24 21:20:13Z ROBERT DH ANNING 3333 BURNET AVENUE CINCINNATI OH 452293039 219498709 0 X N/A X 1883 OH TO SUPPORT CHILDREN'S HOSPITAL MEDICAL CENTER 18 17 0 18 0 0 1992153 997211 0 0 56409707 92203909 0 0 58401860 93201120 78544336 73923727 0 0 0 0 0 0 0 1101813 1207972 79646149 75131699 -21244289 18069421 1115874574 1369382773 89000 8629125 1115785574 1360753648 X TO PROVIDE FINANCIAL SUPPORT TO TAX-EXEMPT ORGANIZATIONS LOCATED IN HAMILTON COUNTY, OHIO THAT ARE DEDICATED TO THE TREATMENT AND RESEARCH OF DISEASES OR DISORDERS AFFECTING CHILDREN. 0 0 73923727 73923727 THE CHILDREN'S HOSPITAL (TCH) IS AN IRC SEC. 501(C)(3) TAX-EXEMPT ORGANIZATION WHOSE SOLE PURPOSE IS TO PROVIDE CHARITABLE FINANCIAL SUPPORT TO CHARITABLE ORGANIZATIONS IN HAMILTON COUNTY, OHIO THAT PARTICIPATE IN THE TREATMENT AND/OR RESEARCH OF DISEASES OR DISORDERS AFFECTING CHILDREN.SUCH CHARITABLE FINANCIAL SUPPORT IS PROVIDED PRIMARILY THROUGH EXPENDABLE INCOME GENERATED BY INVESTMENTS OF ENDOWMENT AND OTHER FUNDS RECEIVED BY TCH. IT IS THE POLICY OF TCH TO INVEST GIFTS AND BEQUESTS RECEIVED AND TO REINVEST FUNDS OBTAINED FROM THE SALES OF INVESTMENTS IN ORDER TO ENHANCE FUTURE EXPENDABLE INCOME.DURING THE TAX YEAR JULY 1, 2010 TO JUNE 30, 2011, IN FULFILLMENT OF THIS CHARITABLE MISSION, TCH PROVIDED FINANCIAL SUPPORT AMOUNTING TO $73,923,727 TO CHILDREN'S HOSPITAL MEDICAL CENTER (CHMC) TO SUPPORT ITS CHARITABLE EFFORTS IN PEDIATRIC PATIENT CARE AND RELATED RESEARCH.BECAUSE OF THE DIRECT FINANCIAL SUPPORT OF TCH, CHMC HAS BEEN SUCCESSFUL IN REMAINING A LOWER COST OPTION IN THE COMMUNITY FOR SPECIALIZED PEDIATRIC HEALTH CARE WHILE MAINTAINING A NATIONAL REPUTATION AS A LEADER IN CLINICAL PEDIATRIC RESEARCH AND BASIC SCIENCE RESEARCH. 73923727 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 18 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MICHAEL L BAUER 5136368778 3333 BURNET AVENUE CINCINNATI OH 452293039 MR ROBERT DH ANNING 1.00 X X 0 0 0 MR LEE A CARTER 1.00 X X 0 0 0 MR THOMAS G CODY 1.00 X X 0 0 0 MR MICHAEL S CAMBRON 1.00 X X 0 0 0 MR SCOTT J HAMLIN 1.00 X X 0 750409 157058 MRS SHARRY ADDISON 1.00 X 0 0 0 MR LYNWOOD L BATTLE JR 1.00 X 0 0 0 MRS KATHARINE C DEWITT 1.00 X 0 0 0 MRS BARBARA FITCH 1.00 X 0 0 0 MR MICHAEL HIRSCHFELD ESQ 1.00 X 0 0 0 MS M DENISE KUPRIONIS 1.00 X 0 0 0 MRS PEGGY MATHILE 1.00 X 0 0 0 MR MANUEL D MAYERSON 1.00 X 0 0 0 MRS MARDIE OFF 1.00 X 0 0 0 MR GEOFFREY PLACE 1.00 X 0 0 0 WILLIAM K SCHUBERT MD 1.00 X 0 0 0 JOHN STEINMAN 1.00 X 0 0 0 FELICIA WILLIAMS 1.00 X 0 0 0 0 750409 157058 0 0 1 0 FIFTH THIRD BANK 38 FOUNTAIN SQUARE PLAZA CINCINNATI OH 45263 INVESTMENT MANAGEMENT 594390 PNC BANK 201 EAST FIFTH STREET CINCINNATI OH 45202 INVESTMENT MANAGEMENT 356542 BAHL AND GAYNOR 213 EAST THIRD STREET CINCINNATI OH 45202 INVESTMENT MANAGEMENT 121769 3 990837 6374 997211 38612552 38612552 179888946 126297589 53591357 53591357 53591357 93201120 0 0 92203909 73923727 73923727 1072701 1072701 135271 135271 75131699 73923727 1207972 0 6413278 7809743 1105807568 1359841846 3653728 1731184 1115874574 1369382773 89000 8629125 89000 8629125 X 439075101 496417442 676710473 864336206 1115785574 1360753648 1115874574 1369382773 X 18069421 226898653 X 0 1 1 X 0 X X X 0 0 0 CHMC 310833936 3 1 1 1 73923727 1 73923727 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 676710473 1770858 185909223 54348 864336206 620565247 1805112 54390381 50267 676710473 819417841 1674366 -200483525 43435 620565247 1.00000 1 0 0 93201120 75131699 18069421 216767845 10130808 226898653 244968074 309968965 216767845 216767845 93201120 0 93201120 75131699 0 75131699 0 75131699 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE CHILDREN'S HOSPITAL'S PERMANENTLY RESTRICTED ENDOWMENT FUNDS ARE RESTRICTED BY DONORS TO BE MAINTAINED BY THE CHILDREN'S HOSPITAL IN PERPETUITY. TEMPORARILY RESTRICTED ENDOWMENT FUNDS CONSIST OF THE EXPENDABLE INVESTMENT INCOME EARNED ON PERMANENTLY RESTRICTED NET ASSETS. THE CHILDREN'S HOSPITAL'S INTENDED USE OF ENDOWMENT FUNDS IS TO PROVIDE FINANCIAL SUPPORT TO TAX-EXEMPT ORGANIZATIONS LOCATED IN HAMILTON COUNTY, OHIO THAT ARE DEDICATED TO THE TREATMENT AND RESEARCH OF DISEASES OR DISORDERS AFFECTING CHILDREN. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: ACCOUNTING STANDARDS CODIFICATION TOPIC (ASC 740), "INCOME TAXES" CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS. ASC 740 PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF AN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, AND ADDITIONAL DISCLOSURES. THE CORPORATION ADOPTED THE PROVISIONS OF ASC 740 IN FISCAL 2010. THE ADOPTION OF ASC 740 RELATING TO CERTAIN INCOME TAX PROVISIONS DID NOT HAVE A MATERIAL IMPACT ON THE FINANCIAL STATEMENTS. THE FOLLOWING ARE THE TAX YEARS THAT REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTION: FEDERAL 2008 TO 2011 STATE 2008 TO 2011 PART XI, LINE 8 - OTHER ADJUSTMENTS: TRANSFER FROM CHILDREN'S HOSPITAL MEDICAL CENTER 10,130,808. 1 CHILDREN'S HOSPITAL MEDICAL CENTER 3333 BURNET AVENUE CINCINNATI OH 45229 310833936 501(C)(3) 73923727 PATIENT CARE, RESEARCH, FUNDRAISING 1 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: SCHEDULE I, PART I, LINE 2: CHMC SENIOR MANAGEMENT SUBMITS A PROPOSAL FOR FUNDING TO THE TCH BOARD OF TRUSTEES. THE TCH BOARD REVIEWS THE PROPOSAL AND THEN MAKES A DETERMINATION AS TO WHAT RESEARCH, PATIENT CARE, AND FUNDRAISING PROJECTS WILL BE SUPPORTED WITH TCH FUNDING. UPON TCH BOARD APPROVAL, FUNDS ARE DISTRIBUTED TO CHMC. CHMC SENIOR MANAGEMENT PROVIDES PERIODIC UPDATES TO THE TCH BOARD OF TRUSTEES THROUGHOUT THE YEAR INDICATING HOW DONATED FUNDS ARE UTILIZED IN FURTHERANCE OF CHMC'S CHARITABLE PURPOSES. 0 1 0 0 0 0 0 0 0 MR SCOTT J HAMLIN 0 529621 0 142148 0 78640 0 133737 0 23321 0 907467 0 39430 PART I, LINE 4B CERTAIN OFFICERS AND KEY EMPLOYEES OF CHMC, A RELATED ORGANIZATION TO TCH, HAVE ARRANGEMENTS WHICH PROVIDE FOR SUPPLEMENTAL RETIREMENT BENEFITS AS DESCRIBED IN IRC SEC. 457(F). DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THESE ARRANGEMENTS ARE NON-VESTED AND THERE IS NO GUARANTEE THAT THESE OFFICERS AND FACULTY MEMBERS WILL EVER RECEIVE THESE BENEFITS. THE FOLLOWING IS A LISTING OF OFFICERS THAT RECEIVED A DEFERRAL, SUBJECT TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, UNDER CHMC'S IRC SEC. 457(F) PLAN DURING THE YEAR (THESE AMOUNTS ARE INCLUDED IN THE TOTALS FOR SCHEDULE J, PART II, COLUMN C, DEFERRED COMPENSATION): 1. SCOTT HAMLIN - $109,237 THE FOLLOWING IS A LISTING OF OFFICERS THAT RECEIVED A PAYMENT UNDER CHMC'S IRC SEC. 457(F) PLAN DURING THE YEAR (THESE AMOUNTS ARE INCLUDED IN THE TOTALS FOR SCHEDULE J, PART II, COLUMN B(III) AND COLUMN F): 1. SCOTT HAMLIN - $39,430 SUPPLEMENTAL INFORMATION PART III THE CHILDREN'S HOSPITAL RELIED ON CHILDREN'S HOSPITAL MEDICAL CENTER ("CHMC"), A RELATED ORGANZIATION, TO ESTABLISH THE COMPENSATION OF INDIVIDUALS LISTED ON FORM 990, PART VII. CHMC USED ONE OR MORE OF THE METHODS DESCRIBED BELOW TO ESTABLISH AN APPROPRIATE LEVEL OF COMPENSATION: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT FORM 990 OF OTHER ORGANIZATIONS WRITTEN EMPLOYMENT AGREEMENT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE EXPLANATION OF BENEFITS: ALL COMPENSATION AND BENEFITS REPORTED ON FORM 990, PART VII AND SCHEDULE J, PART II ARE PROVIDED BY CHMC, A RELATED ENTITY TO TCH. THE EMPLOYEE BENEFIT PLAN CONTRIBUTION AMOUNTS LISTED ON SCHEDULE J, PART II MAY INCLUDE ONE OR MORE OF THE FOLLOWING BENEFITS: 1. ELECTIVE EMPLOYEE DEFERRALS UNDER IRC SEC. 403(B) 2. DISCRETIONARY EMPLOYER CONTRIBUTIONS UNDER IRC SEC. 403(B) 3. ELECTIVE EMPLOYEE DEFERRALS UNDER IRC SEC. 457(B) 4. ELECTIVE EMPLOYEE DEFERRALS UNDER IRC SEC. 457(F) IN ADDITION TO THE RETIREMENT PLAN CONTRIBUTIONS DISCLOSED ON FORM 990, PART VII AND SCHEDULE J, PART II, THE FOLLOWING NON-TAXABLE EMPLOYEE WELFARE BENEFITS WERE MADE AVAILABLE TO THE EMPLOYED, COMPENSATED OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990, PART VII AND SCHEDULE J, PART II: 1. HEALTH AND DENTAL INSURANCE BENEFITS 2. GROUP LIFE INSURANCE (PORTIONS OF WHICH ARE TAXED) 3. UNEMPLOYMENT BENEFITS 4. DISABILITY BENEFITS THE OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990, PART VII AND SCHEDULE J, PART II ARE ALSO ELIGIBLE FOR ANY OTHER AVAILABLE EMPLOYEE BENEFITS. FORM 990, PART VI, SECTION B, LINE 11 THE CHILDREN'S HOSPITAL ("TCH") FORM 990 IS PREPARED BY SENIOR MANAGEMENT FROM CHILDREN'S HOSPITAL MEDICAL CENTER ("CHMC"), A RELATED ORGANIZATION. EXTERNAL TAX CONSULTANTS THEN REVIEW THE FORM 990 FOR COMPLETENESS AND ACCURACY. THE FORM 990 IS THEN MADE AVAILABLE TO ALL TCH BOARD MEMBERS IN ADVANCE OF FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL OF TCH'S BOARD MEMBERS RECEIVE AN ANNUAL QUESTIONNAIRE REQUESTING INFORMATION REGARDING FAMILY AND BUSINESS RELATIONSHIPS THAT COULD POTENTIALLY RESULT IN A CONFLICT OF INTEREST UNDER TCH'S CONFLICT OF INTEREST POLICY. ONCE THE QUESTIONNAIRES HAVE BEEN COMPLETED BY ALL OF TCH'S BOARD MEMBERS, THE QUESTIONNAIRES ARE REVIEWED AND IF TCH DETERMINES THAT A CONFLICT OF INTEREST EXISTS, TCH FOLLOWS THE PROVISIONS SET FORTH IN TCH'S CONFLICT OF INTEREST POLICY TO RESOLVE THE CONFLICT AND DETERMINES THE APPROPRIATE REPORTING TO BOARD COMMITTEES AND, IF REQUIRED, FORM 990 DISCLOSURE. FORM 990, PART VI, SECTION B, LINE 15 TCH DOES NOT HAVE ANY EMPLOYEES. HOWEVER, TCH DOES HAVE A BOARD MEMBER THAT IS EMPLOYED BY CHMC, A RELATED ORGANIZATION. CHMC HAS A COMPENSATION COMMITTEE THAT ANNUALLY REVIEWS THE RECOMMENDATIONS OF CHMC MANAGEMENT REGARDING EMPLOYEE PERFORMANCE EVALUATION AND COMPENSATION ADJUSTMENTS FOR DISQUALIFIED PERSONS TO ENSURE THAT CHMC HAS COMPLIED WITH THE PROVISIONS OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER IRC SEC. 4958. FORM 990, PART VI, SECTION C, LINE 19 TCH'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MAINTAINED ON FILE BY CHMC SENIOR MANAGEMENT AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST EITHER IN-PERSON, BY TELEPHONE, OR BY WRITTEN REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 216,767,845. TRANSFER FROM CHILDREN'S HOSPITAL MEDICAL CENTER 10,130,808. TOTAL TO FORM 990, PART XI, LINE 5: 226,898,653. NUMBER OF HOURS WORKED FORM 990, PART VII SCOTT HAMLIN IS EMPLOYED BY CHILDREN'S HOSPITAL MEDICAL CENTER, A RELATED ORGANIZATION. SCOTT DEVOTES AN AVERAGE OF 40 HOURS/WEEK FOR HIS DUTIES TO CHMC AND AFFILIATED ENTITIES. TRANSACTIONS WITH RELATED ORGANIZATIONS FORM 990, SCHEDULE R DURING THE TIME PERIOD COVERED BY THIS RETURN, THE CHILDREN'S HOSPITAL RECEIVED CERTAIN ACCOUNTING AND ADMINISTRATIVE SERVICES FROM CHILDREN'S HOSPITAL MEDICAL CENTER AT NO COST. THE VALUE OF THESE SERVICES IS AN UNSPECIFIED AMOUNT. CHILDREN'S HOSPITAL MEDICAL CENTER 3333 BURNET AVENUE CINCINNATI OH 45229 310833936 PEDIATRIC HEALTH CARE OH 501(C)(3) 3 N/A 0 THE CHILDREN'S HOSPITAL FOUNDATION 3333 BURNET AVENUE CINCINNATI OH 45229 311327089 FUNDRAISING TO SUPPORT CHMC OH 501(C)(3) 7 CHMC 0 CHMC COMMUNITY HEALTH SERVICES NETWORK 3333 BURNET AVENUE CINCINNATI OH 45229 311459815 PEDIATRIC HEALTH CARE OH 501(C)(3) 9 CHMC 0 CHILDREN'S MEDICAL SERVICES INC 3333 BURNET AVENUE CINCINNATI OH 45229 311454024 PEDIATRIC HEALTH CARE OH 501(C)(3) 11A CHMC 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 CHILDREN'S HOSPITAL MEDICAL CENTER B 73923727 CASH CHILDREN'S HOSPITAL MEDICAL CENTER C 990837 CASH CHILDREN'S HOSPITAL MEDICAL CENTER R 10028145 CASH THE CHILDREN'S HOSPITAL FOUNDATION R 102663 CASH