2011-11-14T14:22:03-06:00 2010-12-31 ERNST & YOUNG US LLP 1100 HUNTINGTON CTR 41 S HIGH ST COLUMBUS OH 43215 990 2010-01-01 010782751 NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN NATI 6147225958 700 CHILDRENS DRIVE COLUMBUS OH 43205 TIMOTHY C ROBINSON 2011-11-07 6142245678 2010 2016-03-07 17:11:31Z NATIONWIDE CHILDREN'S HOSPITAL STEVE ALLEN MD 700 CHILDRENS DRIVE COLUMBUS OH 43205 1310219179 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. 110 73 8890 1351 2424410 -141197 113083503 131363337 773526014 829088915 25189041 46580926 6912909 8040719 918711467 1015073897 33594024 33826781 0 0 417782726 445802470 0 0 2348197 371742735 412820477 823119485 892449728 95591982 122624169 1572725197 1781647447 591196566 635181009 981528631 1146466438 X SEE SCHEDULE O false false 581328595 4539351 823726371 PATIENT CARE (SEE SCHEDULE O) 102604585 27481566 0 RESEARCH (SEE SCHEDULE O) 24061919 741364 662087 EDUCATION (SEE SCHEDULE O) 1677174 1064500 0 709672273 true true false true false false false false true true false false false true true false true false false true true false false true true true false 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 578 0 true 8890 true true true false false false false true true false false false false X 110 73 true false false false true true true true true false true true false true true true true false true true false KY OH X CHRISTINA SCHNEIDER 6143553119 700 CHILDRENS DRIVE COLUMBUS OH 43205 X ABIGAIL S WEXNER 3.0 X X 0 0 0 DAVID M ARONOWITZ 3.0 X X 0 0 0 HONORABLE ALGERNON L MARBLEY 3.0 X X 0 0 0 LAWRENCE A HILSHEIMER 3.0 X X 0 0 0 THEODORE L ADAMS 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 MARTHA S INGRAM 3.0 X 0 0 0 W G JURGENSEN 3.0 X 0 0 0 C ROBERT KIDDER 3.0 X 0 0 0 DONALD P MCCONNELL 3.0 X 0 0 0 CRAIG O MORRISON 3.0 X 0 0 0 JAMES A RUTHERFORD 3.0 X 0 0 0 BARBARA TRUEMAN 3.0 X 0 0 0 R BLANE WALTER 3.0 X 0 0 0 ANN I WOLFE 3.0 X 0 0 0 BRIAN COLEY MD 47.0 X 976646 0 68443 CATHERINE LUCEY MD 3.0 X 0 0 0 CHERYL W LUCKS 3.0 X 0 0 0 DARRYL A ROBBINS DO 3.0 X 0 0 0 WILEY W SOUBA MD 3.0 X 0 0 0 STEVEN TEICH MD 47.0 X 487586 0 60368 WEBB I VORYS 3.0 X 0 0 0 STEVE ALLEN MD 47.0 X X 1006335 0 174372 RICHARD MILLER 50.0 X X 0 0 0 BRUCE MEYER MD 30.0 X 0 0 0 TIMOTHY ROBINSON 47.0 X 0 0 0 LINDA STOVEROCK RN 50.0 X 0 0 0 WILLIAM SHIELS II MD 50.0 X X 609895 0 121981 PAMELA EDSON 50.0 X X 0 0 0 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 STEVE ALLEN MD 47.0 X X 0 0 0 TIMOTHY ROBINSON 47.0 X X 0 0 0 PAMELA EDSON 50.0 X X 0 0 0 PHYLLIS HAMMOND-INNES MD 50.0 X 444960 0 75603 RICHARD MILLER 50.0 X 0 0 0 STEVE ALLEN MD 47.0 X X 0 0 0 RICHARD MILLER 50.0 X 0 0 0 TIMOTHY ROBINSON 47.0 X X 0 0 0 PAMELA EDSON 50.0 X X 0 0 0 CHERYL W LUCKS 3.0 X X 0 0 0 ANDREW W LIVINGSTON 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 THOMAS N BRIGDON 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 JONATHAN KASS 3.0 X 0 0 0 DAVID T KOLLAT 3.0 X 0 0 0 EDWARD J KOSNIK MD 50.0 X 510851 0 39942 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 TOM SHOUPE 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 X 0 0 0 RACHEL 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 X 0 0 0 WILLIAM H COTTON MD 3.0 X 0 198057 54706 JON FITZGERALD 50.0 X X 862802 0 44937 HOPE HARRISON 3.0 X 0 0 0 GORDON GOUGH 3.0 X 0 0 0 BOB WHITE 3.0 X 0 0 0 LINDA K KENNEDY 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 PHILLIP H BARRETT 3.0 X X 0 0 0 DAVID E CHESEBROUGH 3.0 X 0 0 0 GARY L FLYNN 3.0 X 0 0 0 S THEODORE FORD 3.0 X 0 0 0 BARBARA L KUNZ 3.0 X 0 0 0 RICHARD S LANGDALE 3.0 X 0 0 0 LEE L SZYKOWNY MD 3.0 X 0 0 0 CAROLINE C WHITACRE PHD 3.0 X 0 0 0 STEVE ALLEN MD 47.0 X 0 0 0 JOHN A BARNARD 28.0 X X 294318 240933 55553 WEBB I VORYS 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 X 0 0 0 DAVID ARONOWITZ 3.0 X 0 0 0 PETER WC 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 RHONDA COMER 50.0 X X 0 0 0 TIMOTHY ROBINSON 47.0 X 580152 0 151231 RICHARD MILLER 50.0 X 564485 0 97193 LINDA STOVEROCK 50.0 X 344335 0 63579 WANDA STACKPOLE 50.0 X 150321 0 18912 YVETTE MCGEE BROWN 50.0 X 354485 0 15368 KAREN S DAYS 50.0 X 223289 0 26533 JOHN T CLARK 50.0 X 222430 0 19226 RHONDA COMER 50.0 X 350998 0 63271 PAMELA EDSON 50.0 X 159877 0 25045 PATRICIA MCCLIMON 50.0 X 305941 0 44918 MICHAEL BRADY MD 24.0 X 207218 227818 35935 RICHARD BRILLI MD 40.0 X 379818 97331 98731 BRUCE MEYER MD 30.0 X 177986 0 28064 DENISE ZABAWSKI 50.0 X 279396 0 27021 JOSE BALDERAMA 50.0 X 234325 0 32552 DANIEL MANN 50.0 X 232753 0 36421 KATHERINE MILEM 50.0 X 158961 0 33451 MARK GALANTOWICZ MD 50.0 X 1482819 0 48189 KEVIN KLINGELE MD 50.0 X 1025732 0 65369 ALLAN BEEBE MD 50.0 X 862027 0 65848 JAN KLAMAR MD 50.0 X 796899 0 65848 RICHARD KIRSCHNER MD 50.0 X 758649 0 44529 J TERRANCE DAVIS MD 50.0 X 254591 0 37048 15300880 764139 1840187 387 true true false OHIO STATE UNIVERSITY 410 WEST 10TH AVENUE COLUMBUS OH 43210 MEDICAL SERVICES 16631991 GRANTRIVERSIDE METHODIST HOSPITAL 1087 DENNISON AVENUE COLUMBUS OH 43201 MEDICAL SERVICES 12433732 TURNER CONSTRUCTION COMPANY 623 MOOBERRY STREET COLUMBUS OH 43205 CONSTRUCTION MGMT 9892227 OHIOHEALTH 180 E BROAD ST 33 FLOOR COLUMBUS OH 43215 MEDICAL SERVICES 4472172 FKP ARCHITECTS INC 8 GREENWAY PLAZA HOUSTON TX 77046 ARCHITECT SERVICES 4301204 176 639984 12260 1098891 32668329 46041066 50902807 1117018 131363337 NET PATIENT SERVICE REVENUE 900099 819384524 819384524 CAFETERIA 722210 4370153 4370153 REFERENCE LAB 621500 1682807 1682807 PARKING 812930 1431937 1431937 PHYSICIAN SERVICES REVENUE 900099 273117 273117 1946377 1228957 717420 829088915 24872940 24872940 14259586 14259586 482720 482720 875983 846778 29205 29205 29205 300891035 197728 293475142 165221 7415893 32507 7448400 7448400 272874 1098891 623966 -351092 -351092 44077 34175 9902 9902 0 BILLING SERVICES TO AFFILIATE 541200 3501860 3501860 CHILD CARE CENTER 624410 1414353 1414353 GIFT SHOP 453220 1247392 1247392 1706379 24183 1682196 7869984 1015073897 824388458 2424410 56897692 33620306 33620306 191475 191475 15000 15000 0 11482732 4971188 6350356 161188 1561916 1272180 135112 154624 350637791 280077921 69325541 1234329 17713324 13948690 3764634 40656024 32511973 7778872 365179 23750683 18498194 5252489 0 1538202 1538202 441921 441921 333828 333828 0 0 120224337 98672988 21522798 28551 5360811 451122 4593647 316042 119177826 108917344 10231468 29014 12602233 6716174 5886059 62970 62970 40518102 33498280 7019822 3469540 2672565 763971 33004 0 615811 295696 312854 7261 18523486 18523486 0 44339519 40382354 3957165 5755693 4548270 1207423 PROVISION FOR DOUBTFUL ACCT 25197994 25197994 HOSPITAL FRANCHISE FEE 7401456 7401456 LEASE TERMINATION COSTS 230000 230000 MISCELLANEOUS EXPENSES 7026748 2919589 4088154 19005 892449728 709672273 180429258 2348197 6257104 43368970 32684620 3558956 43624101 44853430 126023447 125676666 4735091 5771886 8347359 8950735 1188633815 433632216 600319328 755001599 695275594 724218639 10087579 9751795 45370974 60494771 1572725197 1781647447 66161880 89827468 7895955 6966912 451020000 442810001 66118731 95576628 591196566 635181009 X 820490077 969057493 88079982 99366373 72958572 78042572 981528631 1146466438 1572725197 1781647447 X 122624169 42313638 X false true true X true true X 233942 307260 301337 361829 339988 1544356 36781225 39983492 44497898 52913009 55615411 229791035 37015167 40290752 44799235 53274838 55955399 231335391 231335391 283417 501728 203327 56928 71241 1116641 64350 33188 20185 26638 21194 165555 347767 534916 223512 83566 92435 1282196 37362934 40825668 45022747 53358404 56047834 232617587 0.99449 0.99301 0.00551 0.00699 X NATIONWIDE CHILDREN'S HOSPITAL (NCH) PUBLIC CHARITY STATUS: 509(a)(1) & 170(b)(1)(A)(iii) NATIONWIDE CHILDREN'S HOSPITAL HOMECARE (NCH HOMECARE) PUBLIC CHARITY STATUS: 509(a)(2) CHILDREN'S RADIOLOGICAL INSTITUTE (CRI) PUBLIC CHARITY STATUS: 509(a)(2) PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS (PPAC) PUBLIC CHARITY STATUS: 509(a)(2) CHILDREN'S SURGICAL ASSOCIATES (CSA) PUBLIC CHARITY STATUS: 509(a)(2) NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION (NCHF) PUBLIC CHARITY STATUS: 509(a)(1) & 170(b)(1)(A)(vi) RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL (RINCH) PUBLIC CHARITY STATUS: 509(a)(1) & 170(b)(1)(A)(iii) CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSP (CCFA) 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 4259 4259 865322 865322 869581 869581 711150889 711175889 712020470 712045470 1000000 1000000 250000 250000 660879 690146 741124 865322 2957471 4436207 660879 690146 741124 865322 2957471 15552 2313 4018 4259 26142 39213 15552 2313 4018 4259 26142 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: 4,259 DIRECT LOBBYING EXPENDITURES: 865,322 TOTAL LOBBYING EXPENDITURES: 869,581 OTHER EXEMPT EXPENDITURES: 571,578,891 TOTAL EXEMPT PURPOSE EXPENDITURES: 572,448,472 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: 15,871,687 TOTAL EXEMPT PURPOSE EXPENDITURES: 15,871,687 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: 12,252,018 TOTAL EXEMPT PURPOSE EXPENDITURES: 12,252,018 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: 4,135,077 TOTAL EXEMPT PURPOSE EXPENDITURES: 4,135,077 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: 21,909,107 TOTAL EXEMPT PURPOSE EXPENDITURES: 21,909,107 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: 9,809,997 TOTAL EXEMPT PURPOSE EXPENDITURES: 9,809,997 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: 75,123,019 TOTAL EXEMPT PURPOSE EXPENDITURES: 75,123,019 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: 471,093 TOTAL EXEMPT PURPOSE EXPENDITURES: 471,093 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE TOTALS - AFFILIATES: GRASSROOTS EXPENDITURES: 4,259 DIRECT LOBBYING EXPENDITURES: 865,322 TOTAL LOBBYING EXPENDITURES: 869,581 OTHER EXEMPT EXPENDITURES: 711,150,889 TOTAL EXEMPT PURPOSE EXPENDITURES: 712,020,470 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: 4,259 DIRECT LOBBYING EXPENDITURES: 865,322 TOTAL LOBBYING EXPENDITURES: 869,581 OTHER EXEMPT EXPENDITURES: 711,175,889 TOTAL EXEMPT PURPOSE EXPENDITURES: 712,045,470 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE 98558101 2799237 6936217 2121727 106171828 87058620 5063435 7811745 1375699 98558101 78211065 12935961 -2366604 1721802 87058620 0.28000 0.72000 false false 29650579 29650579 2495400 495224975 194270739 303449636 315864439 236238574 79625865 345398422 3122903 342275519 755001599 0 PAYABLE TO AFFILIATE 6062379 MARKET VALUE OF INTEREST RATE SWAP 14364336 ACCRUED RETIREMENT BENEFITS 41077936 OTHER DONOR RELATED LIABILITIES 1623231 ACCRUED PROFESSIONAL LIABILITY 29055264 PAYABLE TO THIRD PARTY PAYORS 3393482 95576628 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. 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. 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EXPLANATION FOR FOREIGN INVESTMENT ACTIVITIES SCHEDULE F, PART I, LINE 3 (10) THE FOREIGN INVESTMENT REPORTED IS OUR INVESTMENT IN OUR CAPTIVE INSURANCE COMPANY. THE COMPANY IS OWNED BY NCH, INC. (EIN 31-1036372), BUT THE INVESTMENT IS RECORDED ON THE BOOKS OF NATIONWIDE CHILDREN'S HOSPITAL (EIN 31-4379441) AND ALL EXPENDITURES ARE FUNDED BY THE HOSPITAL. 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X X X X X X X NEONATAL INTENSIVE CARE UNIT NATIONWIDE CHILDREN'S HOSP (MAIN CAMPUS) 1 41 RESEARCH INSTITUTE AT NCH

RAYMOND STREET COLUMBUS OH 43205

RESEARCH FACILITY NCH NICU AT RIVERSIDE METHODIST HOSPITAL

3535 OLENTANGY RIVER ROAD COLUMBUS OH 43214

NEONATAL INTENSIVE CARE UNIT NCH NSCU AT GRANT MEDICAL CENTER

111 SOUTH GRANT COLUMBUS OH 43215

NEONATAL SPECIAL CARE UNIT WESTERVILLE CLOSE TO HOME CENTER

433 NORTH CLEVELAND AVENUE WESTERVILLE OH 43082

MEDICAL OFFICES WESTERVILLE CLOSE TO HOME CENTER

275 WEST SCHROCK ROAD WESTERVILLE OH 43081

MEDICAL OFFICES DUBLIN CLOSE TO HOME CTR ON HOSPITAL DR

7450 HOSPITAL DRIVE DUBLIN OH 43016

MEDICAL OFFICES NCH NICU AT MOUNT CARMEL ST ANN'S HOSP

500 SOUTH CLEVELAND AVENUE WESTERVILLE OH 43081

NEONATAL SPECIAL CARE UNIT NCH NSCU AT DOCTOR'S HOSPITAL

5100 WEST BROAD STREET COLUMBUS OH 43228

NEONATAL SPECIAL CARE UNIT DOWNTOWN URGENT CARE

OUTPATIENT CARE CENTER 555 S 18TH COLUMBUS OH 43205

MEDICAL OFFICES ORTHOPEDIC CENTER

479 PARSONS AVENUE COLUMBUS OH 43215

MEDICAL OFFICES CENTER FOR AUTISM SPECTRUM DISORDERS

187 WEST SCHROCK ROAD WESTERVILLE OH 43081

MEDICAL OFFICES NORTHLAND PRIMARY CARE CENTER

4560 MORSE CENTRE ROAD COLUMBUS OH 43229

MEDICAL OFFICES OCCUPATIONAL AND PHYSICAL THERAPY CENTER

6499 EAST BROAD STREET SUITE 140 COLUMBUS OH 43213

MEDICAL OFFICES DOWNTOWN PRIMARY CARE CENTER

OUTPATIENT BDLG 3RD FL 555 S 18T COLUMBUS OH 43205

MEDICAL OFFICES WHITEHALL PRIMARY CARE CENTER

561 SOUTH YEARLING ROAD WHITEHALL OH 43213

MEDICAL OFFICES WESTSIDE PRIMARY CARE CENTER

441 INDUSTRIAL MILE ROAD COLUMBUS OH 43228

MEDICAL OFFICES NCH NSCU AT DUBLIN METHODIST HOSPITAL

7500 HOSPITAL DRIVE DUBLIN OH 43016

NEONATAL SPECIAL CARE UNIT LINDEN PRIMARY CARE CENTER

1390 CLEVELAND AVENUE 2ND FL COLUMBUS OH 43211

MEDICAL OFFICES HILLTOP PRIMARY CARE CENTER

2857 WEST BROAD STREET COLUMBUS OH 43204

MEDICAL OFFICES CANAL WINCHESTER CLOSE TO HOME CENTER

7901 DILEY ROAD SUITE 150 CANAL WINCHESTER OH 43110

MEDICAL OFFICES DOWNTOWN CLOSE TO HOME CENTER

495 E MAIN STREET COLUMBUS OH 43215

MEDICAL OFFICES EASTLAND PRIMARY CARE CENTER

4434 CROSSROADS CENTER COLUMBUS OH 43232

MEDICAL OFFICES OLENTANGY PRIMARY CARE CENTER

1275 OLENTANGY RIVER ROAD COLUMBUS OH 43212

MEDICAL OFFICES HILLIARD CLOSE TO HOME CENTER

3955 BROWN PARK DRIVE HILLIARD OH 43206

MEDICAL OFFICES NEAR EAST PRIMARY CARE CENTER

1125 EAST MAIN STREET COLUMBUS OH 43205

MEDICAL OFFICES CENTER FOR CHILD AND FAMILY ADVOCACY

655 EAST LIVINGSTON AVENUE COLUMBUS OH 43205

ADVOCACY HOMECARE AND HOSPICE

255 EAST MAIN STREET COLUMBUS OH 43215

HOMECARE SPRINGFIELD CHILDLAB

2624 LEXINGTON AVENUE SPRINGFIELD OH 45505

LAB NEWARK CLOSE TO HOME CENTER

75 SOUTH TERRACE AVENUE NEWARK OH 43055

MEDICAL OFFICES EAST COLUMBUS CLOSE TO HOME CENTER

6435 EAST BROAD STREET COLUMBUS OH 43213

MEDICAL OFFICES GROVE CITY CHILDLAB

2047 STRINGTOWN ROAD GROVE CITY OH 43123

LAB UNITY CHILDLAB

3433 AGLER ROAD SUITE 1400 COLUMBUS OH 43219

LAB MARION CHILDLAB

1069 DELAWARE AVENUE MARION OH 43302

LAB ZANESVILLE CHILDLAB

1166 MILITARY ROAD SUITE B ZANESVILLE OH 43701

LAB IRONTON CHILDLAB

55 TOWNSHIP ROAD 508E SOUTH POINT OH 45680

LAB CANTON CHILDLAB

4846 HIGBEE AVENUE NW CANTON OH 44718

LAB DUBLIN CLOSE TO HOME CTR ON PERIMETER DR

5700 PERIMETER DRIVE SUITE A DUBLIN OH 43017

MEDICAL OFFICES DUBLIN CLOSE TO HOME CTR ON VENTURE DR

5675 VENTURE DRIVE DUBLIN OH 43017

MEDICAL OFFICES MANSFIELD CLOSE TO HOME CENTER

680 PARK AVENUE WEST SUITE G05 MANSFIELD OH 44906

MEDICAL OFFICES SOUTH HIGH PRIMARY CARE CENTER

1392 SOUTH HIGH STREET COLUMBUS OH 43207

MEDICAL OFFICES SPORTS MEDICINE AND ORTHOPEDIC CENTER

584 COUNTY LINE ROAD WEST WESTERVILLE OH 43082

MEDICAL OFFICES 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. 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 EXCLUDES BAD DEBT EXPENSE (AS SHOWN IN PART IX, LINE 24A) FOR GROUP ENTITIES THAT PROVIDE PATIENT CARE. THESE ENTITIES ARE NATIONWIDE CHILDREN'S HOSPITAL (NCH), NCH HOMECARE, CHILREN'S RADIOLOGICAL INSTITUTE, PEDIATRIC PATHOLOGY ASSOCIATES, & CHILDREN'S SURGICAL ASSOCIATES. THIS AMOUNT IS $25,197,994. FOR PURPOSES OF LINES 7E, F, G, H, & I, THE CALCULATION OF TOTAL EXPENSE EXCLUDES BAD DEBT EXPENSE AS IT RELATES ONLY TO NATIONWIDE CHILDREN'S HOSPITAL, AS ONLY THIS ENTITY INCURS COSTS TO THESE QUESTIONS. THIS AMOUNT IS $21,251,972. 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 CHILDREN'S 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 AS PROVIDING GRANTS TO EXISTING HOMEOWNERS FOR REPAIR. ANOTHER NEIGHBORHOOD PROGRAM IS NCH'S FITNESS AND NUTRITION (FAN) CLUB. FAN CLUB WAS ESTABLISHED AS PART OF THE HOSPITAL'S PEDIATRIC OBESITY INITIATIVE TO HELP 3RD, 4TH, AND 5TH GRADE STUDENTS EXPERIENCE FUN ACTIVITIES TO KEEP THEM FIT AND HEALTHY THROUGH PHYSICAL ACTIVITY AND EDUCATION. FAN CLUB HAS INCREASED AEROBIC ENDURANCE AND STRENGTH OF PARTICIPANTS, INCREASED NUTRITIONAL KNOWLEDGE AND MAINTAINED THEIR BMIS. NCH ALSO IMPACTS THE COMMUNITY WITH ITS 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. STILL ANOTHER IMPACT IS MADE BY NCH'S REACH OUT AND READ PROGRAM, A PEDIATRIC PROGRAM DEDICATED TO INCREASING FAMILY LITERACY ACTIVITIES IN THE HOME PRIOR TO A CHILD'S ENTRANCE INTO THE SCHOOL SYSTEM. SPECIAL FOCUS IS GIVEN TO CHILDREN GROWING UP IN POVERTY. PART III, LINE 4 THE COST TO CHARGE RATIO USED TO CALCULATE BAD DEBT AT COST WAS DERIVED FROM WORKSHEET 2. THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS AS FOLLOWS: THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE INSURANCE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ASSESSES THE ADEQUACY OF ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE. THE RESULTS OF THIS REVIEW ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HOSPITAL FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE ACCOUNTS WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN TRANSACTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE HOSPITAL. THE HOSPITAL RESPECTFULLY SUBMITS THAT SINCE WE ACCEPT ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, THAT BAD DEBTS AT COST, AS REPORTED HEREIN, REPRESENT AN UNREIMBURSED COST OF PROVIDING CARE TO THE PATIENTS WE SERVE. 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 VI, LINE 2 - NEEDS ASSESSMENT IN 2008, 2009 AND AGAIN IN 2010, 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 IN 2008 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 2008 REPORT AND THE OTHER LIGHT SHOWS WHETHER THERE'S BEEN ANY IMPROVEMENT SINCE THEN. THESE PROGRAMS AND SEVERAL OTHERS STEMMING FROM THIS ASSESSMENT HAVE BEEN THE BASIS OF PROGRAM DEVELOPMENT BY NCH IN ADDRESSING 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, AND AUTOMATED TELEPHONE CALLS OFFERING FINANCIAL ASSISTANCE ARE ALSO MADE. 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 SEVERAL FOREIGN COUNTRIES. THE MEDIAN HOUSEHOLD INCOME IN COLUMBUS IS $47,460 AND 18.4% OF FAMILIES ARE BELOW THE POVERTY LEVEL. APPROXIMATELY 11% OF THE POPULATION OF CENTRAL 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 IN 2011, THROUGH THE COMBINED IMPACT OF ITS PROGRAMS, OBBO IS ON TRACK TO REDUCE 9,000 NEONATAL INTENSIVE CARE UNIT (NICU) DAYS IN FRANKLIN COUNTY BY THE END OF THE YEAR. 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 352 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; THE OHIO STATE UNIVERSITY CLINCIAL PRACTICE PLAN HAS 49% OWNERSHIP INTEREST IN THE PAA. 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) CHILDREN'S ORTHOPEDIC MEDICAL CENTER, LLC (COMC) IS A LIMITED LIABILITY COMPANY INCORPORATED IN JUNE 1999 TO OPERATE A MEDICAL OFFICE BUILDING ADJACENT TO THE HOSPITAL'S MAIN CAMPUS. THE HOSPITAL OWNS AND CONTROLS A 55% OWNERSHIP INTEREST IN COMC. 5) 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) 25312013 TO SUPPORT VARIOUS RESEARCH INITIATIVES RESEARCH INSTITUTE AT NCH (PAID BY NCHF) 700 CHILDRENS DRIVE COLUMBUS OH 43205 316056230 501(c)(3) 2169546 TO SUPPORT VARIOUS RESEARCH INITIATIVES NATIONWIDE CHILDREN'S HOSP (PAID BY NCHF) 700 CHILDRENS DRIVE COLUMBUS OH 43205 314379441 501(c)(3) 4187766 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) 200000 TO SUPPORT HOSPICE & PALLIATIVE CARE PROGRAMS CTR FOR CHILD &FAMILY ADVOCACY (PD BY NCHF) 700 CHILDRENS DRIVE COLUMBUS OH 43205 020627166 501(c)(3) 764500 TO SUPPORT CHILD ADVOCACY PROGRAMS CHILDREN'S SURGICAL ASSOC (PAID BY NCHF) 700 CHILDRENS DRIVE COLUMBUS OH 43205 311654000 501(c)(3) 112498 TO SUPPORT SURGICAL RESEARCH INITIATIVES NCH FOUNDATION (PAID BY CRI) 700 CHILDRENS DRIVE COLUMBUS OH 43205 311036370 501(c)(3) 50000 TO SUPPORT RESIDENCY PROGRAMS NCH -BEHAVIORAL HLTH PROGRAMS (PD BY NCHF) 700 CHILDRENS DRIVE COLUMBUS OH 43205 314379441 501(c)(3) 308993 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 NHC INC (PAID BY NCH) 700 CHILDRENS DRIVE COLUMBUS OH 43205 311036372 501(c)(3) 25000 TO SUPPORT VARIOUS COMMUNITY BENEFIT PROGRAMS CHILDREN'S RADIOLOGICAL INST (PAID BY NCHF) 700 CHILDRENS DRIVE COLUMBUS OH 43205 311439570 501(c)(3) 27490 TO SUPPORT VISITING PROFESSOR COSTS NCH FOUNDATION (PAID BY NCH) 700 CHILDRENS DRIVE COLUMBUS OH 43205 314379441 501(c)(3) 59400 TO SUPPORT COMMUNITY EDUCATION PROGRAMS AMERICAN HEART ASSOCIATION (PAID BY NCH) 5455 N HIGH STREET COLUMBUS OH 43214 135613797 501(c)(3) 13000 TO SUPPORT CENTRAL OHIO START! WALK! CAMPAIGN & COLUMBUS GO RED FOR WOMEN MARCH OF DIMES (PAID BY NCH) 975 EASTWIND DR 150 WESTERVILLE OH 43081 131846366 501(c)(3) 10000 TO SUPPORT PROGRAMS FOR HEALTHIER BABIES UNITED FOR JOBS & OHIO'S FUTURE (PD BY NCH) 100 E BROAD ST 2330 COLUMBUS OH 43215 271836359 501(c)(3) 25000 STATEWIDE BALLOT INITIATIVE CAMPAIGN UNITED WAY OF CENTRAL OHIO (PAID BY NCH) 360 S THIRD STREET COLUMBUS OH 43215 314393712 501(c)(3) 40000 VARIOUS COMMUNITY BENEFIT PROGRAMS COLUMBUS 2020 (PAID BY NCH) 150 S FRONT ST 200 COLUMBUS OH 43215 271509190 501(c)(3) 23000 REGIONAL ECONOMIC DEVELOPMENT ACITIVITIES WEXNER CENTER (PAID BY NCH) 1871 N HIGH STREET COLUMBUS OH 43210 316025986 501(c)(3) 10000 TO SUPPORT OSU STRESS TRAUMA & RESILIENCE PROGRAM FRIENDS OF THE CONSERVATORY (PAID BY NCH) 1777 E BROAD STREET COLUMBUS OH 43203 311364884 501(c)(3) 10000 TO SUPPORT THE FRANKLIN PARK CONSERVATORY CAPITAL CAMPAIGN CLASSIC PRODUCTIONS (PAID BY NCH) 1215 WORTHINGTON WOOD WORTHINGTON OH 43085 311376352 501(c)(3) 10000 ARNOLD SPORTS FESTIVAL SUPPORT RONALD MCDONALD HOUSE CHARITIES (PD BY NCH) 711 EAST LIVINGSTON COLUMBUS OH 43205 310890152 501(c)(3) 21500 SUPPORT THE MCDONALD'S ALL AMERICAN BASKETBALL GAMES 18 0 ASSISTANCE TO PATIENT FAMILIES (PAID BY NCH) 51337 191475 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS SCHEDULE I, PART I, LINE 2 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 PROTION 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 CASE MANAGEMENT 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 OCCASSIONAL SUPPORT FOR FAMILIES WITH MORE EXTRAORDINARY NEEDS, SUCH AS UTILITY BILL ASSISTANCE, OR RENT IN A HOME WHERE A PATIENT WILL BE DISCHARGED TO, OR TO PROVIDE COSTLY MEDICATION. X true true X X X X true true false false false true false false false BRIAN COLEY MD 387971 0 126250 0 462425 0 52835 0 15608 0 1045089 0 311667 0 STEVEN TEICH MD 425601 0 45485 0 16500 0 40240 0 20128 0 547954 0 0 0 STEVE ALLEN MD 699643 0 306692 0 0 0 158764 0 15608 0 1180707 0 0 0 WILLIAM SHIELS II MD 472795 0 120600 0 16500 0 106373 0 15608 0 731876 0 0 0 PHYLLIS HAMMOND-INNES MD 363317 0 65143 0 16500 0 59245 0 16358 0 520563 0 0 0 EDWARD J KOSNIK MD 444351 0 50000 0 16500 0 22835 0 17107 0 550793 0 0 0 WILLIAM H COTTON MD 0 198057 0 0 0 0 0 19770 0 34936 0 252763 0 0 JON FITZGERALD 347304 0 80173 0 435325 0 29400 0 15537 0 907739 0 435325 0 JOHN A BARNARD 143437 240933 150881 0 0 0 15199 23753 13927 2674 323444 267360 0 0 TIMOTHY ROBINSON 421950 0 141702 0 16500 0 133623 0 17608 0 731383 0 0 0 RICHARD MILLER 391364 0 156621 0 16500 0 73586 0 23607 0 661678 0 0 0 LINDA STOVEROCK 281024 0 63311 0 0 0 48326 0 15253 0 407914 0 0 0 WANDA STACKPOLE 132567 0 17754 0 0 0 11902 0 7011 0 169234 0 0 0 YVETTE MCGEE BROWN 48389 0 75691 0 230405 0 200 0 15168 0 369853 0 99902 0 KAREN S DAYS 138289 0 85000 0 0 0 20503 0 6031 0 249823 0 0 0 JOHN T CLARK 178878 0 27052 0 16500 0 3393 0 15833 0 241656 0 0 0 RHONDA COMER 281701 0 69297 0 0 0 48464 0 14807 0 414269 0 0 0 PAMELA EDSON 152407 0 7470 0 0 0 10474 0 14571 0 184922 0 0 0 PATRICIA MCCLIMON 218325 0 71116 0 16500 0 22828 0 22090 0 350859 0 0 0 MICHAEL BRADY MD 112519 227818 94699 0 0 0 10452 22501 308 2674 217978 252993 0 0 RICHARD BRILLI MD 243850 97331 120738 0 15230 0 50208 9621 4042 34859 434068 141811 0 0 BRUCE MEYER MD 134450 0 27036 0 16500 0 15752 0 12312 0 206050 0 0 0 DENISE ZABAWSKI 243939 0 35457 0 0 0 22835 0 4186 0 306417 0 0 0 JOSE BALDERAMA 195447 0 38878 0 0 0 17687 0 14865 0 266877 0 0 0 DANIEL MANN 183404 0 32849 0 16500 0 21576 0 14845 0 269174 0 0 0 KATHERINE MILEM 143204 0 15757 0 0 0 13831 0 19620 0 192412 0 0 0 MARK GALANTOWICZ MD 1146213 0 0 0 336606 0 33060 0 15129 0 1531008 0 320106 0 KEVIN KLINGELE MD 726980 0 282252 0 16500 0 50240 0 15129 0 1091101 0 0 0 ALLAN BEEBE MD 570816 0 274711 0 16500 0 50240 0 15608 0 927875 0 0 0 JAN KLAMAR MD 503006 0 277393 0 16500 0 50240 0 15608 0 862747 0 0 0 RICHARD KIRSCHNER MD 608649 0 150000 0 0 0 29400 0 15129 0 803178 0 0 0 J TERRANCE DAVIS MD 229762 0 24829 0 0 0 22514 0 14534 0 291639 0 0 0 EXPLANATION FOR HEALTH OR SOCIAL CLUB DUES SCHEDULE J, PART I, LINE 1A NATIONWIDE CHLDREN'S HOSPITAL PROVIDED HEALTH OR SOCIAL CLUB DUES FOR TIMOTHY ROBINSON AND JOHN T. CLARK. THESE WERE TREATED AS COMPENSATION TO THE EMPLOYEE. NCH ALSO PROVIDED HEALTH OR SOCIAL CLUB DUES TO THE FOLLOWING OFFICERS, DIRECTORS, OR KEY EMPLOYEES: STEVE ALLEN, JON FITZGERALD, AND YVETTE MCGEE BROWN. THESE WERE DETERMINED TO BE BUSINESS EXPENSES AND WERE NOT TREATED AS COMPENSATION TO THE EMPLOYEE. EXPLANATION FOR SEVERANCE PAYMENTS SCHEDULE J, PART I, LINE 4A A SEVERANCE PAYOUT IN THE AMOUNT OF $130,503 WAS PAID TO YVETTE MCGEE BROWN. EXPLANATION FOR SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B PAYOUT OF SERP AMOUNT THAT HAD BEEN PREVIOUSLY FUNDED, OCCURRED FOR THE FOLLOWING EMPLOYEES: BRIAN COLEY, M.D. $ 445,925 ($311,667 PREVIOUSLY REPORTED ON A 990) JON FITZGERALD $435,325 MARK GALANTOWICZ, M.D. $320,106 YVETTE MCGEE BROWN $99,902 CONTRIBUTIONS WERE MADE ON BEHALF OF THE FOLLOWING EMPLOYEES: STEVE ALLEN, M.D. $129,364 RICHARD BRILLI, M.D. $26,754 BRIAN COLEY, M.D. $30,000 RHONDA COMER $15,389 PHYLLIS HAMMOND, M.D. $26,170 ALLAN BEEBE, M.D. $17,165 JAN KLAMAR, M.D. $17,165 KEVIN KLINGELE, M.D. $17,165 RICHARD MILLER $40,511 TIMOTHY ROBINSON $100,548 WILLIAM SHIELS, M.D. $73,298 LINDA STOVEROCK $15,251 STEVEN TEICH, M.D. $7,165 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. COUNTY OF FRANKLIN OHIO 316400067 3531867H6 2009-12-17 100162742 2009 BONDS (SEE SCH K, PART V) false false false COUNTY OF FRANKLIN OHIO 316400067 3531865R6 2008-05-01 43921562 2008A BONDS (SEE SCH K, PART V) false false false COUNTY OF FRANKLIN OHIO 316400067 3531865S4 2008-05-07 176675000 2008B-E BONDS (SEE SCH K, PART V) false false false COUNTY OF FRANKLIN OHIO 316400067 3531866A2 2008-05-22 68160000 2008F&G BONDS (SEE SCH K, PART V) false false false 114434378 1203679 58000000 55218792 2012 false false false true 46794180 379213 43742967 2672000 2012 false false true true 195350778 950261 63456878 130943639 2012 true false true true 68160000 380000 67780000 2008 true false true true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false false true true true 0.00000 0.00000 0.00000 true false false true false true 0.00000 0.00000 0.00000 true false false false false false false false false false false false true true LN 3B&3C -SEE PART V false false false false false true true LN 3B&3C -SEE PART V false false false false SEE SCHEDULE O SEE SCHEDULE L PART V SEE SCHEDULE L, PART V 28961726 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: $796,022 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: $162,710 DESCRIPTION: LEASE OF FACILITY SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: MORGAN STANLEY RELATIONSHIP: FIRM OF ROBERT KIDDER, DIR NCH AMOUNT: $1,940,565 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: $310,150 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: $159,776 DESCRIPTION: FINANCIAL SERVICES SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: CARDINAL HEALTH RELATIONSHIP: GEORGE BARRETT, DIR OF NCH (CEO OF CARDINAL HEALTH) AMOUNT: $ 25,344,629 DESCRIPTION: PHARMACEUTICAL SUPPLIER 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: $40,278 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: $67,800 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: $139,796 DESCRIPTION: WAGES (VP OF ANNUAL GIVING, NCH FOUNDATION) SHARING OF ORGANIZATION'S REVENUES: NO X 15 461618 COST/SELLING PRICE X 1 655400 APPRAISAL 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: 1,351 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 & PART TIME. IN 2010, NATIONWIDE CHILDREN'S HOSPITAL RECEIVED 48,167 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 2010 SPENT AT LEAST 41,441 HOURS CREATING ITEMS (SUCH AS BLANKETS, TOYS, AND ACTIVITY BAGS) FOR OUR PATIENTS. 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. IN 2010, OUR MEDICAL STAFF OF ALMOST 1,000 AND HOSPITAL STAFF OF APPROXIMATELY 7,500 DELIVERED STATE OF THE ART PEDIATRIC CARE BY DISCHARGING 19,020 PATIENTS, FOR A TOTAL OF 115,970 INPATIENT DAYS AND PROVIDING 930,766 OUTPATIENT VISITS. ANNUAL PATIENT VISITS ARE PROJECTED TO EXCEED ONE MILLION BY 2012, AND NATIONWIDE CHILDREN'S IS CONSTRUCTING A NEW MAIN HOSPITAL BUILDING TO EXPAND AND IMPROVE ON EXISTING SERVICES. CURRENTLY, 25% OF BEDS ARE IN A BUILDING CONSTRUCTED IN 1961, THE OTHER BEDS ARE IN A BUILDING COMPLETED IN 1976. NEW FACILITIES OPENING IN 2012 WILL PROVIDE UPDATED AND MUCH NEEDED SPACE FOR THE HOSPITAL'S SERVICES. 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 352 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 2010, THE FOLLOWING ARE A FEW WAYS THIS PRINICIPAL WAS ACCOMPLISHED: 1) NCH PROVIDED OVER $64.8 MILLION IN UNCOMPENSATED CARE TO ITS PATIENTS; 2) NCH PROVIDED OVER $8 MILLION OF ASSISTANCE TO PATIENTS QUALIFYING UNDER THE CHARITY CARE PROGRAM; 3) APPROXIMATELY $56.9 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 54% 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 2010. 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 2010, 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 NIH FUNDED FREESTANDING PEDIATRIC RESEARCH CENTERS, AND ALSO ONE OF THE FASTEST GROWING. TO HOUSE ITS GROWTH, THE RESEARCH INSTITUTE IS CONSTRUCTING A THIRD RESEARCH BUILDING, WHICH WILL OPEN IN 2012. 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 964 IRB-PROTOCOLS WERE IN PROGRESS DURING 2010 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 2010, NATIONWIDE CHILDREN'S HOSPITAL AND FOUNDATION CONTRIBUTED OVER $27 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 30 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 2010. ADDITIONALLY, OVER 1,000 PATIENT EDUCATION MATERIALS WERE PREPARED AS TEACHING TOOLS FOR CHILDREN AND FAMILIES. IN 2010, NCH SPENT OVER $17 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. FOR EXAMPLE, NCH WAS A KEY PARTNER IN ANTI-OBESITY LEGISLATION WHICH WAS SIGNED INTO OHIO LAW IN 2010. THE HEALTHY CHOICES FOR HEALTHY CHILDREN ACT INCREASES THE NUTRITIONAL VALUE OF FOOD IN SCHOOLS, RAISES PHYSICAL EDUCATION STANDARDS, AND ADDS BMI SCREENINGS AT SPECIFIC GRADE LEVELS. 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 CHILD AND FAMILY ADVOCACY AT NCH IS DEDICATED TO REDUCING THE OCCURRENCE OF CHILD ABUSE 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 2010, HNHF: RENOVATED OR REPAIRED 45 HOMES; HAD 98 CHILDREN PARTICIPATE IN ITS FITNESS AND NUTRITION AFTER-SCHOOL CLUB; SAW 126 NCH EMPLOYEES PARTICIPATE IN THE BIG BROTHERS BIG SISTERS PROJECT MENTOR PROGRAM; DISPENSED MORE THAN 11,000 PRESCRIPTIONS THROUGH ITS CHARITABLE PHARMACY; AND DISTRIBUTED 70,000 POUNDS OF FOOD TO 1,330 PEOPLE. 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 THEODORE ADAMS, 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 THE RESEARCH INSTITUTE. A BUSINESS RELATIONSHIP EXISTS BETWEEN MICHAEL FIORILE AND ANN I. WOLFE, BOTH ARE DIRECTORS OF NATIONWIDE CHILDREN'S HOSPITAL. 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/ASSISTANT-BOARD TREASURER; AND SENIOR VICE PRESIDENT OF LEGAL SERVICES. IN ADDITION, THIS RETURN WAS MADE AVAILABLE TO THE FINANCE COMMITTEE OF 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. EXPLANATION FOR WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY FORM 990, PART VI, LINE 14 NCH HAS A DOCUMENT RETENTION AND DESTRUCTION POLICY; HOWEVER, THIS POLICY WAS NOT APPROVED BY THE BOARD OR A COMMITTEE OF THE BOARD. CURRENTLY, THIS POLICY IS IN PROCESS OF BEING APPROVED. DESCR OF PROCESS FOR DETERMINING COMPENSATION FOR TOP MGMT OFFICIAL FORM 990, PART VI, LINE 15A IN FEBRUARY 2010, 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 FEBRUARY 2010, 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 CURRENTLY, NATIONWIDE CHILDREN'S HOSPITAL DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR ITS FINANCIAL STATEMENTS GENERALLY AVAILABLE TO THE PUBLIC. ESTIMATE OF HOURS DEVOTED TO RELATED ORANIZATIONS FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B) THE FOLLOWING IS THE ESTIMATED NUMBER OF HOURS DEVOTED TO RELATED ORGANIZATIONS BY EMPLOYEE: MICHAEL BRADY, M.D. - 26 HOURS; RICHARD BRILLI, M.D. - 10 HOURS; WILLIAM H. COTTON, M.D. - 50 HOURS; JOHN A. BARNARD - 22 HOURS; TIMOTHY ROBINSON - 3 HOURS; STEVE ALLEN, M.D. - 3 HOURS; BRIAN COLEY, M.D. - 3 HOURS; AND STEVEN TEICH, M.D. - 3 HOURS. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 5 NET UNREALIZED GAINS ON INVESTMENTS $52,436,635 EFFECT OF ADOPTION OF SFAS NO. 158 $(2,986,048) NET CHANGE IN INTEREST RATE SWAP AGREEMENTS $(9,400,054) OTHER INCREASES $2,263,105 LINE 5 TOTAL $42,313,638 FORM 8038 EIN CORRECTION SCHEDULE K, PART I, LINE A, COLUMN (b) FORM 8038 WAS FILED WITH AN INCORRECT EIN #. 31-5400067 WAS USED IN ERROR. THIS IS IN THE PROCESS OF BEING CORRECTED. DESCRIPTION OF PURPOSE OF BONDS SCHEDULE K, PART I, COLUMN (F) PART I, LINE A REPORTS THE 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 B 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 C 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 D 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 E REPORTS THE 2005 BOND, SERIES C. ITS PURPOSE IS TO FINANCE A PORTION OF THE COSTS OF ACQUIRING, CONSTRUCTING, AND EQUIPPING HOSPITAL FACILITIES. OTHER SPENT PROCEEDS SCHEDULE K, PART II, LINE 11, COLUMN B THIS AMOUNT REPRESENTS AN INTEREST RATE HEDGE TERMINATION PAYMENT OF $2,672,000. OTHER SPENT PROCEEDS SCHEDULE K, PART II, LINE 11, COLUMNS C & D THE AMOUNT REPORTED REPRESENTS REFUNDINGS OF THE FOLLOWING OUTSTANDING REVENUE BONDS: 2002, 2003, 2005A&B AND 2006 BONDS. OTHER SPENT PROCEEDS SCHEDULE K, PART II, LINE 11, COLUMN E THIS AMOUNT REPRESENTS ACCRUED INTEREST PAYMENT OF $119,261. PRIVATE USE SCHEDULE K, PART III, LINES 3A & 3B, COLUMNS A & B FINANCED PROPERTY RELATED TO THESE BORROWINGS WAS NOT PLACED INTO SERVICE AS OF DECEMBER 31, 2010, THUS THERE ARE NO THIRD-PARTY CONTRACTS IN EFFECT RELATED TO THE SPACE AND NO PRIVATE BUSINESS USE RESULTS. HEDGE SCHEDULE K, PART IV, LINE 3, COLUMNS C & D THE PROVIDERS AND TERMS OF INTEREST RATE HEDGES ARE AS FOLLOWS: COLUMN C: 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 D: 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 5 SPEND DOWN REQUIREMENTS HAVE BEEN MET WHERE APPLICABLE ON ALL OUTSTANDING BONDS. 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