2023-05-10T15:44:38-05:00 2022-06-30 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2021-07-01 310833936 CHILDREN'S HOSPITAL MEDICAL CENTER CHIL 5138031106 3333 BURNET AVENUE CINCINNATI OH 452293039 CAROLYN KARAGEORGES VP, CHIEF ACCOUNTING OFFICER 5138031106 2023-05-10 1 CAROLYN KARAGEORGES 999009999 SHAWNA M JANSONS P01222873 3174648600 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z STEPHEN DAVIS 3333 BURNET AVENUE CINCINNATI OH 452293039 4179871325 0 X WWW.CINCINNATICHILDRENS.ORG X 1883 OH PROVISION OF PEDIATRIC HEALTHCARE TO PATIENTS. 32 26 19987 400 46845426 9428973 414723376 392629936 2217297519 2354617010 40822922 36233381 131750898 157932225 2804594715 2941412552 6789659 6199940 0 0 1598073958 1709079639 33000 33000 7082080 922006865 1079662080 2526903482 2794974659 277691233 146437893 8563028123 8581156143 1697498245 1687631358 6865529878 6893524785 X CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER WILL BE THE LEADER IN IMPROVING CHILD HEALTH. CINCINNATI CHILDREN'S WILL PROVIDE CHILD HEALTH AND TRANSFORM DELIVERY OF CARE THROUGH FULLY INTEGRATED, GLOBALLY RECOGNIZED RESEARCH, EDUCATION, AND INNOVATION. FOR PATIENTS AND OUR COMMUNITY, THE NATION AND THE WORLD, THE CARE WE PROVIDE WILL ACHIEVE THE BEST MEDICAL AND QUALITY OF LIFE OUTCOMES, PATIENT AND FAMILY EXPERIENCES, AND VALUE, TODAY AND IN THE FUTURE. 0 0 2199365483 6199940 2407266793 CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER ("CINCINNATI CHILDREN'S"), LOCATED IN CINCINNATI, OHIO, IS A PRIVATE, NOT-FOR-PROFIT IRC SEC. 501(C)(3) CORPORATION THAT OWNS AND OPERATES A COMPREHENSIVE, ACADEMIC MEDICAL CENTER THAT INCLUDES ONE OF THE NATION'S LARGEST PEDIATRIC TERTIARY CARE FACILITIES WITH RESEARCH OPERATIONS AND EXTENSIVE PEDIATRIC TEACHING PROGRAMS. SEE SCHEDULE O FOR A COMPLETE OVERVIEW OF CINCINNATI CHILDREN'S COMMUNITY BENEFITS AND PROGRAM SERVICE ACCOMPLISHMENTS. 2199365483 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 1 1 1 1 1 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 1 0 0 1 1812 0 1 19987 1 1 1 1 BD 0 0 0 1 1 0 0 0 0 1 0 X 32 26 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL GA IL KY MD MA MI MN MS NH NJ NM NY NC OR PA SC TN VA WI X CAROLYN KARAGEORGES 5136361611 3333 BURNET AVENUE CINCINNATI OH 452293039 X MICHAEL FISHER PRESIDENT & CEO (THRU 11/21) 49.00 1.00 X X 2134467 0 64915 STEVE DAVIS MD PRESIDENT & CEO (EFF. 11/21) 49.00 1.00 X X 1536234 0 190573 DANIEL VON ALLMEN MD SURGEON-IN-CHIEF 50.00 0.00 X 1668378 0 56437 TINA CHENG CHAIR, PEDIATRICS 49.00 1.00 X 1012450 0 39881 ALICIA BOND-LEWIS TRUSTEE 1.00 0.00 X 0 0 0 MARK JAHNKE TRUSTEE, CHAIR 4.00 1.00 X X 0 0 0 ANDREW QUINN TRUSTEE 1.00 0.00 X 0 0 0 BETH GUTTMAN TRUSTEE 4.00 1.00 X 0 0 0 CHIQUITA WHITE TRUSTEE 1.00 0.00 X 0 0 0 CHRISTINE BROWNER TRUSTEE 1.00 1.00 X 0 0 0 CRAIG YOUNG TRUSTEE 1.00 1.00 X 0 0 0 DAVID CASSADY TRUSTEE 4.00 1.00 X 0 0 0 DAVID OSBORN TRUSTEE 1.00 1.00 X 0 0 0 FELICIA WILLIAMS TRUSTEE (THRU 5/22) 1.00 1.00 X 0 0 0 GARY HUFFMAN TRUSTEE 1.00 1.00 X 0 0 0 HILLARY WEIDNER TRUSTEE 1.00 0.00 X 0 0 0 JANE PORTMAN TRUSTEE 1.00 1.00 X 0 0 0 JIM VANCE TRUSTEE 4.00 1.00 X 0 0 0 JOEL STONE TRUSTEE (EFF. 10/21) 1.00 0.00 X 0 0 0 JOHN STEINMAN TRUSTEE (THRU 10/21) 1.00 1.00 X 0 0 0 JOYCE J KEESHIN TRUSTEE 1.00 1.00 X 0 0 0 KAY GEIGER TRUSTEE 1.00 0.00 X 0 0 0 LAURA TOMLIN TRUSTEE (EFF. 10/21) 1.00 0.00 X 0 0 0 LIZA SMITHERMAN TRUSTEE 4.00 1.00 X 0 0 0 LYNWOOD BATTLE TRUSTEE (THRU 8/21) 1.00 1.00 X 0 0 0 MARK BIEGGER TRUSTEE 4.00 1.00 X 0 0 0 MICHAEL HIRSCHFELD ESQ TRUSTEE 1.00 4.00 X 0 0 0 NANCY KRIEGER EDDY PHD TRUSTEE 4.00 1.00 X 0 0 0 PAMELA BRAILSFORD TRUSTEE (EFF. 10/21) 1.00 0.00 X 0 0 0 REBECCA WOOD TRUSTEE (EFF. 10/21) 1.00 0.00 X 0 0 0 SHARRY ADDISON TRUSTEE 1.00 1.00 X 0 0 0 STACEY BROWNING TRUSTEE (EFF. 10/21) 1.00 0.00 X 0 0 0 SUSAN SHELTON TRUSTEE 1.00 1.00 X 0 0 0 TIMOTHY SCHROEDER TRUSTEE 1.00 0.00 X 0 0 0 TOM FINN TRUSTEE 1.00 1.00 X 0 0 0 VADA HILL TRUSTEE 1.00 0.00 X 0 0 0 BETH STAUTBERG SEC., SR. VP & COL (THRU 1/22) 50.00 0.00 X 919558 0 129228 PAUL JENNY CFO & TREASURER 49.00 1.00 X 887433 0 63225 ROBERT CARPENTER INT. SECRETARY & CLO (EFF. 1/22) 50.00 0.00 X 482467 0 96078 BRIAN COLEY RADIOLOGIST-IN-CHIEF 50.00 0.00 X 1300198 0 52105 JOHN MCAULIFFE MD ANESTHESIOLOGIST-IN-CHIEF 50.00 0.00 X 882567 0 30598 NERISSA MORRIS SVP AND CHRO 50.00 0.00 X 848895 0 43978 BARBARA TOFANI SVP-PATIENT SERVICES 49.00 1.00 X 572210 0 47530 JAMES TWEDDELL MD INSTIT DIR, CARDIOTHOR SURG 50.00 0.00 X 2712040 0 56289 DAVID MORALES MD DIV. DIR, CARDIOLOGY 50.00 0.00 X 1934340 0 65375 DAVID WINLAW FACULTY PROFESSOR 50.00 0.00 X 1683154 0 65852 CARL BACKER FACULTY PROFESSOR 50.00 0.00 X 1620311 0 63160 ANDREW REDINGTON MD INSTIT DIR, CARDIOLOGY 50.00 0.00 X 1428472 0 56721 JANA BAZZOLI FRMR. INT. CFO & TREAS. (THRU 01/21) 49.00 1.00 X 500885 0 90327 MARK MUMFORD FORMER SVP & CFO, TREAS. (THRU 08/20) 0.00 0.00 X 259294 0 0 22383353 0 1212272 2491 1 1 1 MESSER CONSTRUCTION CO 5158 FISHWICK DRIVE CINCINNATI OH 45216 CONSTRUCTION SERVICES 95167969 CROTHALL HEALTHCARE 1500 LIBERTY RIDGE DRIVE SUITE 210 WAYNE PA 19087 HOUSEKEEPING SERVICES 21554533 TRIVERSITY CONSTRUCTION COMPANY LLC 5158 FISHWICK DRIVE CINCINNATI OH 45216 CONSTRUCTION SERVICES 16500689 ZGF ARCHITECTS LLC 1223 SW WASHINGTON STREET PORTLAND OR 97205 CONSTRUCTION SERVICES 7490053 SODEXO 9801 WASHINGTONIAN BOULEVARD GAITHERSBURG MD 20878 FOOD SERVICES 5296616 196 643788 118939081 240878481 32168586 797158 392629936 NET INPATIENT REVENUE 621990 1103521765 1056628244 46893521 NET OUTPATIENT REVENUE 621990 735681177 735681177 PHYSICIAN SERVICES 621990 340947502 340947502 CAPITATION REVENUE 621990 174466566 174466566 2354617010 39905046 -58995 39964041 2901187 2901187 4312502 6903213 -2590711 -2590711 10900 -2601611 1227728000 1231399665 -3671665 -3671665 -3671665 44962 643788 155895 -110933 -110933 INDUSTRY GRANTS 611710 30925837 30925837 GME FUNDING 611710 11762434 11762434 DPIC 624230 9961512 9961512 105082899 105082899 157732682 2941412552 2360373272 46845426 141563918 3476274 3476274 120710 120710 2602956 2602956 13059405 798361 12261044 1407825 471204 936621 1350516433 1147179364 199122101 4214968 53800353 40619266 13181087 201383704 135544526 64997620 841558 88911919 75667007 12970359 274553 2390163 2390163 711944 711944 484012 484012 33000 33000 2206303 2206303 6833110 3286406 3425884 120820 59878271 50696294 9110386 71591 38752374 19248230 19429096 75048 27781447 23785726 3955563 40158 5149201 4352032 783443 13726 30926151 30926151 150643132 120449061 29890613 303458 14525290 12315290 2210000 PURCHASED SERVICES 228978469 113491520 114801861 685088 DRUGS 157847673 157847673 MEDICAL SUPPLIES 152446695 152446695 UBI TAXES PAID 5144112 5144112 194963733 129338764 65216857 408112 2794974659 2199365483 588527096 7082080 274127616 292920305 645880757 652155820 32780583 34959284 41261405 45387916 2939667752 1508986207 1402294420 1430681545 1161362790 1089278369 191555534 169932043 4813765018 4865840861 8563028123 8581156143 426088030 484072094 432416000 414217696 695946000 696176456 143048215 93165112 1697498245 1687631358 X 2101438251 2217130088 4764091627 4676394697 6865529878 6893524785 8563028123 8581156143 X 146437893 -118071987 -370999 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 1 195905 1 288107 0 0 484012 0 PART II-B, LINE 1: WHILE CINCINNATI CHILDREN'S DOES NOT SPEND A SUBSTANTIAL AMOUNT OF RESOURCES OR TIME PARTICIPATING IN LOBBYING ACTIVITIES, CINCINNATI CHILDREN'S PAYS MEMBERSHIP DUES TO PROFESSIONAL ORGANIZATIONS WHO, AMONG THEIR MANY RESPONSIBILITIES, PERFORM CERTAIN LOBBYING ACTIVITIES ON BEHALF OF THEIR MEMBER ORGANIZATIONS. CINCINNATI CHILDREN'S HAS WRITTEN THESE ORGANIZATIONS TO DETERMINE THE PORTION OF THEIR OPERATING BUDGETS WHICH ARE DEDICATED TO SUCH LOBBYING ACTIVITIES. USING THEIR RESPONSES, CINCINNATI CHILDREN'S HAS DETERMINED THE PORTION OF CINCINNATI CHILDREN'S MEMBERSHIP DUES WHICH ARE APPLICABLE TO THEIR LOBBYING ACTIVITIES. BELOW IS A COMPLETE LISTING OF THESE PROFESSIONAL ORGANIZATIONS: 1. AMERICAN HOSPITAL ASSOCIATION - $18,349 2. NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (GME CAMPAIGN) - $57,300 3. CINCINNATI BUSINESS COMMITTEE - $3,375 4. CINCINNATI REGIONAL BUSINESS COMMITTEE - $2,550 5. CINCINNATI USA REGIONAL CHAMBER - $5,250 6. NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS - $30,187 7. OHIO CHILDREN'S HOSPITAL ASSOCIATION - $60,381 8. OHIO HOSPITAL ASSOCIATION - $7,673 9. OHIO BUSINESS ROUNDTABLE - $4,840 10. NATIONAL ASSOCIATION FOR PROTON THERAPY - $6,000 CINCINNATI CHILDREN'S ALSO MAINTAINS A GOVERNMENT RELATIONS OFFICE WHICH IS FOCUSED ON IMPROVING AND EXPANDING INTERACTIONS WITH LOCAL, STATE, AND FEDERAL GOVERNMENT APPOINTED AND ELECTED OFFICIALS ON BEHALF OF CHILD HEALTH, REIMBURSEMENT, AND GRANT/FUNDING ISSUES. DURING FISCAL YEAR 2022, CINCINNATI CHILDREN'S GOVERNMENT RELATIONS OFFICE INCURRED $288,107 IN EXPENSES RELATED TO VARIOUS LOBBYING ACTIVITIES. THE CINCINNATI CHILDREN'S GOVERNMENT MANAGEMENT OFFICE PROVIDES SUPPORT FOR SPECIFIC LEGISLATION AS PART OF THESE LOBBYING ACTIVITIES. CINCINNATI CHILDREN'S GOVERNMENT RELATIONS OFFICE SUPPORTED CITIZENS FOR CHILDREN'S SERVICES OF HAMILTON COUNTY IN THE AMOUNT OF $10,000. CERTAIN MEMBERS OF CINCINNATI CHILDREN'S BOARD OF TRUSTEES, SENIOR MANAGEMENT, AND FACULTY MEET WITH AND EDUCATE LOCAL, STATE, AND FEDERAL GOVERNMENT APPOINTED AND ELECTED OFFICIALS ON BEHALF OF CHILD HEALTH, REIMBURSEMENT, AND GRANT/FUNDING ISSUES. LOBBYING EXPENSES INCURRED BY THESE INDIVIDUALS MAY BE REIMBURSED BY CINCINNATI CHILDREN'S CONSISTENT WITH ITS TRAVEL AND BUSINESS EXPENSE REIMBURSEMENT GUIDELINES. FURTHERMORE, THE VALUE OF THEIR TIME SPENT PERFORMING LOBBYING ACTIVITIES IS NOT QUANTIFIABLE. IN ADDITION, CINCINNATI CHILDREN'S DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING PUBLISHING OR DISTRIBUTING OF STATEMENTS), ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. 4764091627 360216884 -82878852 218687879 146347083 4676394697 3616648000 342975000 1120619000 202492000 113658373 4764091627 3598639000 312366000 -1888000 186594000 105875000 3616648000 3000835000 287091000 589558000 180895000 97950000 3598639000 2591037000 286256000 389827000 180959000 85326000 3000835000 0.00000 0.48900 0.51100 0 1 1 42188592 42188592 2007074499 975429544 1031644955 765117621 512316546 252801075 125287040 21240117 104046923 1430681545 INTEREST IN ASSETS OF SUPPORTING ORGANIZATIONS 4462791228 PENSION BENEFIT ASSET 281042965 ASSETS LIMITED TO USE - FUNDS IN TRUST 32275088 OPERATING LEASE RIGHT OF USE ASSETS 17345139 OTHER LONG-TERM ASSETS 72386441 4865840861 FINANCE LEASE OBLIGATIONS 48543590 SELF-INSURANCE RESERVES 25273533 OPERATING LEASE OBLIGATIONS 14949405 OTHER LONG-TERM LIABILITIES 4398584 93165112 X 3189425369 -118071987 380036450 261964463 2927460906 13951646 13951646 2941412552 3102883345 383351217 383351217 2719532128 75442531 75442531 2794974659 PART V, LINE 4: CINCINNATI CHILDREN'S ENDOWMENT FUNDS ARE UTILIZED TO SUPPORT THE OPERATIONS OF VARIOUS DEPARTMENTS AT CINCINNATI CHILDREN'S IN FURTHERANCE OF CINCINNATI CHILDREN'S PRIMARY TAX-EXEMPT PURPOSES OF PATIENT CARE, EDUCATION, AND RESEARCH, SEE FORM 990, PART III AND SCHEDULE O FOR ADDITIONAL INFORMATION. PART X, LINE 2: CINCINNATI CHILDREN'S ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION TOPIC (ASC) 740 "INCOME TAXES". IT IS CINCINNATI CHILDREN'S POLICY TO CLASSIFY THE EXPENSE RELATED TO INTEREST AND PENALTIES, IF ANY, TO BE PAID ON UNDERPAYMENTS OF INCOME TAXES WITHIN OTHER EXPENSES. THERE WERE NO MATERIAL PENALTIES OR INTEREST RECOGNIZED IN FISCAL YEARS 2022 AND 2021. FISCAL YEARS 2019 THROUGH 2022 ARE SUBJECT TO EXAMINATION BY BOTH THE FEDERAL AND STATE TAX JURISDICTIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: ELIMINATE INTERCOMPANY OPERATING/RESTRICTED REVENUE 365,034,962. CHSN NET REVENUE ELIMINATION 15,001,488. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASS BELOW THE LINE PER FINANCIAL STATEMENTS TO REVENUE 20,854,859. RECLASS RENT EXPENSE TO OFFSET RENTAL INCOME -6,903,213. PART XII, LINE 2D - OTHER ADJUSTMENTS: ELIMINATE INTERCOMPANY OPERATING/RESTRICTED EXPENSES 365,034,962. CHSN EXPENSE ELIMINATION 18,316,255. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS BELOW THE LINE PER FINANCIAL STATEMENTS TO EXPENSE 82,345,744. RECLASS RENT EXPENSE TO OFFSET RENTAL INCOME -6,903,213. 1 CENTRAL AMERICA AND THE CARIBBEAN 0 1 PROGRAM SERVICES OFFSHORE CAPTIVE MANAGEMENT 1042078 CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 850 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 47173 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 442769 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 89084 NORTH AMERICA 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 869016 SOUTH AMERICA 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 20282 SOUTH ASIA 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 9077 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 1124706 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES PATIENT SERVICES 28775 SOUTH ASIA 0 0 PROGRAM SERVICES PATIENT SERVICES 8388 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES PATIENT SERVICES 44305 0 1 0 0 0 1 2520329 1206174 3726503 EAST ASIA AND THE PACIFIC EDUCATION, TRAINING, RESEARCH 34317 ELECTRONIC FUND/WIRE TRANSFER 0 EUROPE (INCLUDING ICELAND & GREENLAND) EDUCATION, TRAINING, RESEARCH 402251 ELECTRONIC FUND/WIRE TRANSFER 0 MIDDLE EAST AND NORTH AFRICA EDUCATION, TRAINING, RESEARCH 89084 ELECTRONIC FUND/WIRE TRANSFER 0 NORTH AMERICA EDUCATION, TRAINING, RESEARCH 833174 ELECTRONIC FUND/WIRE TRANSFER 0 SOUTH AMERICA EDUCATION, TRAINING, RESEARCH 20281 ELECTRONIC FUND/WIRE TRANSFER 0 SUB-SAHARAN AFRICA EDUCATION, TRAINING, RESEARCH 1081569 ELECTRONIC FUND/WIRE TRANSFER 0 16 17 EDUCATION, TEACHING, RESEARCH NORTH AMERICA 1 10000 ELECTRONIC FUND/WIRE TRANSFER 0 EDUCATION, TEACHING, RESEARCH SUB-SAHARAN AFRICA 1 31000 ELECTRONIC FUND/WIRE TRANSFER 0 1 0 1 0 0 1 PART I, LINE 2: CINCINNATI CHILDREN'S MONITORS THE USE OF GRANT FUNDS WITHIN AND OUTSIDE OF THE UNITED STATES IN ACCORDANCE WITH 45 CRF PART 74 APPENDIX E. CINCINNATI CHILDREN'S FOLLOWS FEDERAL GUIDELINES FOR DETERMINING COSTS APPLICABLE TO GRANTS, CONTRACTS, AND OTHER ARRANGEMENTS AND GENERALLY APPLIES THE SAME COST PRINCIPLES TO NON-FEDERAL CONTRACTS AS WELL. ALL COSTS ASSOCIATED WITH SPONSORED PROJECTS MUST COMPLY WITH CINCINNATI CHILDREN'S POLICIES AS WELL AS BOTH GOVERNMENT AND/OR SPONSOR RULES AND REGULATIONS. PART III ACCOUNTING METHOD: X X X X X X X 1 SCHULTZ & WILLIAMS 1617 JFK BOULEVARD SUITE 1700 PHILADELPHIA PA 19103 DIRECT MAIL PROGRAM; CONSULTING AND REVIEW 0 0 33000 -33000 33000 -33000 AK AL AR CA CO CT FL GA HI IL KS KY MA MD ME MI MN MO MS NC ND NH NJ NM NV NY OH OK OR PA RI SC TN UT VA WA WI WV CINCINNATI WALKS FOR KIDS 372950 368534 4416 0 0 13164 318 0 55165 KALEIDOSCOPE 192500 177380 15120 0 0 4100 0 55000 510 2 123300 97874 25426 1725 0 17396 8309 0 208 688750 643788 44962 1725 34660 8627 55000 55883 155895 -110933 PART I, LINE 2B, COLUMN (V): SCHULTZ & WILLIAMS ALSO RECEIVED PAYMENTS TOTALING $315,753 FOR PREPARATION, PRINTING, AND POSTAGE OF MAILINGS AND MAILING LIST. THESE PAYMENTS ARE DISTINGUISHED BY SEPARATE INVOICES. 1 1 X 1 X 1 X 201.000000000000 1 1 1 0 1 1 9749997 4230000 5519997 0.00200 997045375 744452592 252592783 0.09040 1006795372 748682592 258112780 0.09240 12178983 1627859 10551124 0.00380 95589984 17873417 77716567 0.02780 401447010 290630801 110816209 0.03960 4213559 4213559 0.00150 513429536 310132077 203297459 0.07270 1520224908 1058814669 461410239 0.16510 15000 15000 0.00000 1326 1326 0.00000 16326 16326 0.00000 0 8956209 2874943 8425530 15166263 -6740733 X 1 1 4 1 CCHMC - MAIN CAMPUS 3333 BURNET AVENUE CINCINNATI OH 45229 WWW.CINCINNATICHILDRENS.ORG 1186 X X X X X X A 2 CCHMC - LIBERTY CAMPUS 7777 YANKEE ROAD LIBERTY TOWNSHIP OH 45044 WWW.CINCINNATICHILDRENS.ORG 1492 X X X X X A 3 CCHMC - COLLEGE HILL CAMPUS 5642 HAMILTON AVENUE CINCINNATI OH 45224 WWW.CINCINNATICHILDRENS.ORG 1446 X X X MENTAL HEALTH FACILITY A 4 CCHMC - LINDNER CENTER OF HOPE CAMPUS 4075 OLD WESTERN ROW ROAD MASON OH 45040 WWW.CINCINNATICHILDRENS.ORG 1500 X X X MENTAL HEALTH FACILITY A FACILITY REPORTING GROUP A 0 0 1 X X X X X X X X X 21 1 1 0 1 X SEE PART V, PAGE 8 X X 1 21 1 HTTPS://WWW.CINCINNATICHILDRENS.ORG/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT 0 1 X 200.000000000000 201.000000000000 X X X X X 1 1 X X X X 1 X HTTP://WWW.CINCINNATICHILDRENS.ORG/PATIENTS/RESOURCES/FINANCIAL-ASSISTANCE/ X HTTP://WWW.CINCINNATICHILDRENS.ORG/PATIENTS/RESOURCES/FINANCIAL-ASSISTANCE/ X HTTP://WWW.CINCINNATICHILDRENS.ORG/PATIENTS/RESOURCES/FINANCIAL-ASSISTANCE/ X X X X X X X 1 X 0 X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: CCHMC - MAIN CAMPUS, - FACILITY 2: CCHMC - LIBERTY CAMPUS, - FACILITY 3: CCHMC - COLLEGE HILL CAMPUS, - FACILITY 4: CCHMC - LINDNER CENTER OF HOPE CAMPUS PART V, SECTION B, LINE 5: CINCINNATI CHILDREN'S RECEIVED INPUT FROM A BROAD RANGE OF INDIVIDUALS THAT ARE REPRESENTATIVE OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS WHEN COMPLETING ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. CINCINNATI CHILDREN'S UTILIZED FOUR PRIMARY DATA COLLECTION METHODS: AN ONLINE 2021 CHILD HEALTH SURVEY, A PHONE-BASED 2021 CHILD HEALTH SURVEY, KEY INFORMANT SURVEYS, AND PARENT DISCUSSION GROUPS. IN ORDER TO UNDERSTAND THE CHILD HEALTH NEEDS OF CINCINNATI CHILDREN'S COMMUNITY, CINCINNATI CHILDREN'S PATIENTS AND FAMILIES, COMMUNITY MEMBERS, AND KEY CHILD HEALTH ORGANIZATIONS, INCLUDING ORGANIZATIONS SERVING VULNERABLE POPULATIONS, WERE ASKED TO PARTICIPATE IN THE PRIMARY DATA COLLECTION. ADDITIONALLY, CINCINNATI CHILDREN'S COLLECTED SECONDARY DATA FROM LOCAL, STATE, AND NATIONAL SOURCES. THROUGH EACH DATA COLLECTION METHOD, COMMUNITY INPUT WAS SOLICITED THROUGH COMMUNITY MEMBERS OR REPRESENTATIVES OF ORGANIZATIONS, INCLUDING ORGANIZATIONS SERVING VULNERABLE POPULATIONS. PART V, SECTION B, LINE 6A: FACILITY REPORTING GROUP ACCHMC - MAIN CAMPUSCCHMC - LIBERTY CAMPUSCCHMC - COLLEGE HILL CAMPUSCCHMC - LINDNER CENTER OF HOPE CAMPUSFACILITY REPORTING GROUP APART V, SECTION B, LINE 7A, HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.CINCINNATICHILDRENS.ORG/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/ PART V, SECTION B, LINE 7D: ADDITIONALLY, THE REPORT AND FINDINGS WERE PRESENTED AT COMMUNITY MEETINGS, COMMUNICATED IN A PRESS RELEASE, SHARED WITH ORGANIZATIONS THAT HELPED US DISTRIBUTE OUR COMMUNITY SURVEY, AND PASSED ON TO ANY PRIMARY DATA COLLECTION PARTICIPANTS THAT SHARED THEIR EMAIL ADDRESS WITH CINCINNATI CHILDREN'S. A SUMMARY DOCUMENT WAS ALSO CREATED FOR THE REPORT THAT WAS TRANSLATED INTO SPANISH TO SHARE WITH OUR SPANISH SPEAKING PARTNERS THAT SUPPORTED DATA COLLECTION FOR THE REPORT. PART V, SECTION B, LINE 11: CINCINNATI CHILDREN'S WORKED BOTH INTERNALLY AND WITH EXTERNAL COMMUNITY PARTNERS IN ESTABLISHING PLANS TO ADDRESS THE PEDIATRIC COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA. THE IMPLEMENTATION STRATEGY HAS BEEN APPROVED BY CINCINNATI CHILDREN'S BOARD OF TRUSTEES AND MAY BE VIEWED BY NAVIGATING TO THE FOLLOWING WEB ADDRESS: (HTTP://WWW.CINCINNATICHILDRENS.ORG/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT). THE FOUR PRIORITIES ADDRESSED IN THE 2022 IMPLEMENTATION STRATEGIES ARE LISTED BELOW. CINCINNATI CHILDREN'S DID NOT IDENTIFY ANY SIGNIFICANT/PRIORITIZED NEEDS THAT ARE NOT BEING ADDRESSED.PRIORITY 1: CHILD AND YOUTH MENTAL HEALTH-EXPAND INTEGRATED BEHAVIORAL MEDICINE AND CLINICAL PSYCHOLOGY- CLINICAL PSYCHOLOGISTS TO ADDRESS BOTH BEHAVIORAL HEALTH PROMOTION AND TREATMENT, CO-LOCATING THEM IN CINCINNATI CHILDREN'S PRIMARY CARE AND COMMUNITY HEALTH SERVICES NETWORK-EXPANSION OF INTEGRATED BEHAVIORAL MEDICINE AND CLINICAL PSYCHOLOGY INTERVENTION SERVICES INTO COMMUNITY PRACTICES-IMPLEMENT HIGH-INTENSITY OUTPATIENT INTERVENTION TO MANAGE BEHAVIORAL AND MENTAL HEALTH CRISIS -EXPAND PROJECT ECHO PROGRAM OFFERINGS AND AUDIENCE TO INCREASE EDUCATIONAL OPPORTUNITIES AND REACH OF PROGRAM, INCLUDING THE IMPLEMENTATION OF ECHO SCREENING (DIVISION OF BEHAVIORAL MEDICINE AND CLINICAL PSYCHOLOGY)-IMPLEMENT ZERO SUICIDE PROGRAM AT CINCINNATI CHILDREN'S TO IMPROVE DETECTION OF SUICIDE RISK AMONG PATIENTS-DECREASE THE NUMBER OF ADOLESCENT MEDICINE PRIMARY CARE PATIENTS SEEN IN URGENT CARE AND IN THE EMERGENCY DEPARTMENT (ED) FOR BEHAVIORAL HEALTH CONCERNS-OPTIMIZE PSYCHIATRY SERVICE LINES TO CONNECT PATIENTS WITH THE APPROPRIATE LEVEL OF MENTAL HEALTH CARE-ENHANCE CRISIS SERVICES TO IMPROVE ACCESS FOR PATIENTS AND THE COMMUNITYPRIORITY 2: COVID-19 PANDEMIC HEALTH IMPACTS ON CHILDREN AND YOUTH-PROVIDE CHILD HEALTH RESOURCES, WEEKLY COMMUNICATIONS, AND EDUCATION TO COMMUNITY PROVIDERS-INCREASE THE PERCENT OF PRIMARY CARE PATIENTS THAT ARE VACCINATED AGAINST COVID-19-RECOVERY OF ROUTINE CHILDHOOD VACCINE RATES TO PRE-COVID LEVELS-RECOVERY OF ROUTINE WELL CHILD CARE VISITS TO PRE-COVID LEVELS TO ENSURE CLOSURE OF CARE GAPS-ADDRESS AND MITIGATE SOCIAL DETERMINANTS OF HEALTH IDENTIFIED IN PRIMARY CARE-INCREASE THE PERCENTAGE OF ADOLESCENT MEDICINE PRIMARY CARE PATIENTS THAT HAVE RECEIVED THE COVID-19 VACCINE, WHILE MEETING THEIR UNIQUE ADOLESCENT HEALTH NEEDS-INCREASE THE NUMBER OF ADOLESCENT PRIMARY CARE PATIENTS WHO RECEIVE ANNUAL PHYSICAL EXAM WITHIN 40 DAYS OF ANNUAL DUE DATE TO OPTIMIZE ADOLESCENT HEALTH POST-COVID PANDEMIC-SUPPORT RETURN TO HEALTHY COMMUNITIES POST-COVID-19-SUPPORT A HEALTHY RETURN TO LEARNING POST-COVID-19PRIORITY 3: CHILDREN AND YOUTH CHRONIC DISEASEASTHMA:-OPTIMIZE CARE MANAGEMENT WITHIN HEALTHVINE, INCLUDING ESTABLISHMENT OF CONNECTIONS WITH OUTSIDE GENERAL PEDIATRIC PROVIDERS, SUBSPECIALTY PROVIDERS, AND SCHOOL NURSES-IDENTIFY THE SOCIAL AND MEDICAL NEEDS OF PATIENTS USING A SOCIAL SCREENING TOOL AND LINK THEM TO EFFECTIVE INTERVENTIONS-COMPLETE DESIGN SESSION(S) WITH STAKEHOLDERS INSIDE AND OUTSIDE CINCINNATI CHILDREN'S IN SUPPORT OF POPULATION HEALTH QUALITY IMPROVEMENT (QI)DIABETES:-ENHANCE SCHOOL NURSE DIABETES EDUCATION PROGRAM-EXPANSION OF BEHAVIORAL AND PSYCHOSOCIAL SCREENING ASSESSMENT AND INTERVENTION INTO ADDITIONAL DIABETES CLINICS-SYSTEMATICALLY ADDRESS BARRIERS TO DIABETES EDUCATION AND CAREEPILEPSY:-WORK WITH A MULTIDISCIPLINARY TEAM TO ENCOURAGE EPILEPSY MEDICATION ADHERENCE AMONG PATIENTS-OPTIMIZE EPILEPSY MANAGEMENT FOR PATIENTS THROUGH CONSISTENT DOCUMENTATION OF SEIZURE TYPE AND FREQUENCYINFLAMMATORY BOWEL DISEASE:-OPTIMIZE TREATMENT THROUGH PROACTIVE THERAPEUTIC DRUG MONITORING FOR BIOLOGIC MEDICATIONS-ENGAGE PATIENTS IN REGULARLY SCHEDULED HEALTH MAINTENANCE VISITS TO IMPROVE DISEASE MANAGEMENT-CO-HOST ANNUAL INFLAMMATORY BOWEL DISEASE EDUCATION DAYSICKLE CELL:-INCREASE AWARENESS OF SICKLE CELL THROUGH COMMUNITY EDUCATION-INCREASE AWARENESS OF SICKLE CELL THROUGH PROVIDER EDUCATION-DEVELOP AND PILOT A SICKLE CELL DISEASE CO-MANAGEMENT STRATEGY BETWEEN HEMATOLOGY AND PRIMARY CAREPRIORITY 4: INFANT MORTALITY-SUPPORT FAMILIES THROUGH DIRECT SERVICE VIA COMMUNITY HEALTH WORKERS-AMPLIFY COMMUNITY VOICE INCLUDING ADDRESSING RACIAL INEQUITIES BY EMPOWERING BLACK WOMEN TO LEAD-TRANSFORM SYSTEMS INCLUDING MANAGING A PRENATAL CARE LEARNING COLLABORATIVE-LEAD A COLLECTIVE IMPACT COLLABORATIVE THAT ALIGNS THE HAMILTON COUNTY MATERNAL AND INFANT HEALTH COMMUNITYPLEASE REFER TO THE IMPLEMENTATION STRATEGY FOR MORE DETAILS REGARDING THE STRATEGIES BEING TAKEN TO ADDRESS THE PRIORITIZED NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. PART V, SECTION B, LINE 16J: IN ADDITION TO CINCINNATI CHILDREN'S FINANCIAL ASSISTANCE POLICY BEING AVAILABLE ON ITS WEBSITE, AVAILABLE UPON REQUEST, INCLUDED WITH BILLING STATEMENTS, AND PROMINENTLY DISPLAYED IN EMERGENCY ROOMS AND ADMISSIONS OFFICES, A PLAIN LANGUAGE SUMMARY OF CINCINNATI CHILDREN'S FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON ITS WEBSITE, HTTP://WWW.CINCINNATICHILDRENS.ORG/PATIENTS/RESOURCES/FINANCIAL-ASSISTANCE/ 14 1 - CCHMC ANDERSON 7495 STATE ROAD SUITE 355 CINCINNATI OH 45255 NEIGHBORHOOD FACILITY 2 - CCHMC EASTGATE 796 CINCINNATI-BATAVIA PIKE CINCINNATI OH 45245 NEIGHBORHOOD FACILITY 3 - CCHMC FAIRFIELD 3050 MACK ROAD CINCINNATI OH 45014 NEIGHBORHOOD FACILITY 4 - CCHMC GREEN TOWNSHIP 5899 HARRISON AVENUE CINCINNATI OH 45248 NEIGHBORHOOD FACILITY 5 - CCHMC KENWOOD 7714-A MONTGOMERY ROAD CINCINNATI OH 45236 NEIGHBORHOOD FACILITY 6 - CCHMC MASON 9560 CHILDRENS DRIVE MASON OH 45040 NEIGHBORHOOD FACILITY 7 - CHILDREN'S OUTPATIENT NKY 2765 CHAPEL PLACE CRESTVIEW HILLS KY 41017 NEIGHBORHOOD FACILITY 8 - CCHMC OAK 2800 WINSLOW AVENUE CINCINNATI OH 45206 NEIGHBORHOOD FACILITY 9 - CCHMC HOPPLE STREET 2750 BEEKMAN AVENUE CINCINNATI OH 45225 NEIGHBORHOOD FACILITY 10 - CCHMC BARDSTOWN 201 S FIFTH STREET SUITE 10 BARDSTOWN KY 40004 SPECIALTY OUTREACH CLINIC 11 - CCHMC DANVILLE 303 S FOURTH STREET SUITE 201 DANVILLE KY 40422 SPECIALTY OUTREACH CLINIC 12 - CCHMC ELIZABETHTOWN 1003 N DIXIE HIGHWAY ELIZABETHTOWN KY 42701 SPECIALTY OUTREACH CLINIC 13 - CCHMC LOUISVILLE 731 E BROADWAY LOUISVILLE KY 40202 SPECIALTY OUTREACH CLINIC 14 - CCHMC SHELBYVILLE 720 HOSPITAL DRIVE SHELBYBILLE KY 40065 SPECIALTY OUTREACH CLINIC PART I, LINE 6A: CINCINNATI CHILDREN'S PREPARED A COMMUNITY BENEFIT REPORT THAT CAN BE FOUND ON OUR WEBSITE AT THE FOLLOWING LINK: HTTPS://WWW.CINCINNATICHILDRENS.ORG/ABOUT/COMMUNITY/COMMUNITY-BENEFIT PART I, LINE 7: CINCINNATI CHILDREN'S UTILIZES THE COST TO CHARGE RATIOS FROM THE MOST RECENTLY FILED COST REPORTS TO CALCULATE THE AMOUNTS REPORTED ON SCHEDULE H, PART I, LINE 7. PART II, COMMUNITY BUILDING ACTIVITIES: CINCINNATI CHILDREN'S VISION IS TO BE THE LEADER IN IMPROVING CHILD HEALTH AND INCLUDES SUPPORTING A VARIETY OF COMMUNITY ACTIVITIES THAT BENEFIT CHILDREN'S PHYSICAL, EMOTIONAL, AND SOCIAL HEALTH. TO SUPPORT CHILDREN'S HEALTH AND THE SOCIAL HEALTH ISSUES CHILDREN ARE FACING, CINCINNATI CHILDREN'S INVESTS IN COMMUNITY PROGRAMS THAT BENEFIT ECONOMIC DEVELOPMENT AND PHYSICAL IMPROVEMENTS WITHIN ITS PRIMARY SERVICE AREA. AS ONE OF THE LARGEST EMPLOYERS IN THE REGION, CINCINNATI CHILDREN'S SUPPORTS EFFORTS TO PROMOTE A COMPETENT HEALTHCARE WORKFORCE AND INITIATIVES THAT DRIVE INNOVATION AND SUSTAINABILITY OF THE NEIGHBORHOODS IT SERVES. THESE INITIATIVES AND EFFORTS ARE FOCUSED ON IMPROVING CHILD HEALTH AND OUR GOAL OF CHANGING THE OUTCOME TOGETHER WITH PATIENTS, FAMILIES AND COMMUNITIES. MORE INFORMATION ABOUT CINCINNATI CHILDREN'S MISSION, VISION AND VALUES CAN BE FOUND AT:HTTPS://WWW.CINCINNATICHILDRENS.ORG/ABOUT PART III, LINE 2: THE BAD DEBT REPORTED ON LINE 2 IS AT COST, AS CALCULATED FROM THE COST ACCOUNTING SYSTEM. IT REPRESENTS AMOUNTS CHARGED TO BAD DEBT AT COST RELATED TO AMOUNTS UNCOLLECTIBLE FROM PATIENTS AND FAMILIES. PART III, LINE 3: CINCINNATI CHILDREN'S UTILIZES ECONOMISTS FROM THE UNIVERSITY OF CINCINNATI TO DETERMINE THE ESTIMATED PERCENTAGE OF THE BAD DEBT EXPENSE REPORTED ON LINE 2 ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. THIS AMOUNT IS NOT INCLUDED IN OUR COMMUNITY BENEFIT CALCULATION. PART III, LINE 4: THE COST OF BAD DEBT IS CALCULATED USING COST TO CHARGE RATIOS CALCULATED FROM THE MOST RECENTLY FILED COST REPORT. PART III, LINE 8: CINCINNATI CHILDREN'S UTILIZES ITS COST ACCOUNTING SYSTEM TO CALCULATE THE COST OF PROVIDING CARE TO MEDICARE PATIENTS. CINCINNATI CHILDREN'S FOLLOWS THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT; THEREFORE, CINCINNATI CHILDREN'S DOES NOT REPORT MEDICARE SHORTFALL AS COMMUNITY BENEFIT. PART III, LINE 9B: CINCINNATI CHILDREN'S HAS A POLICY THAT ONCE IT HAS BEEN DETERMINED THAT A FAMILY QUALIFIES FOR 100% ASSISTANCE, ALL COLLECTIONS ACTIVITIES ON THAT PATIENT CEASE. CINCINNATI CHILDREN'S STAFF WORK WITH THE FAMILY ON OBTAINING FINANCIAL ASSISTANCE. PART VI, LINE 2: IN ORDER TO UNDERSTAND THE CHILD HEALTH NEEDS OF THE CINCINNATI CHILDREN'S COMMUNITY, COMMUNITY MEMBERS AND KEY CHILD HEALTH ORGANIZATIONS WERE ASKED TO PARTICIPATE IN OUR COMMUNITY SURVEY, KEY INFORMANT INTERVIEWS AND COMMUNITY FOCUS GROUPS. THROUGH EACH DATA COLLECTION METHOD, COMMUNITY INPUT WAS SOLICITED THROUGH COMMUNITY MEMBERS OR REPRESENTATIVES OF ORGANIZATIONS, INCLUDING ORGANIZATIONS SERVING VULNERABLE POPULATIONS. CHILD HEALTH PRIORITIES INCLUDED CHILD AND YOUTH MENTAL HEALTH, COVID-19 PANDEMIC HEALTH IMPACTS ON CHILDREN AND YOUTH, CHILD AND YOUTH CHRONIC DISEASE, AND INFANT MORTALITY.IN FISCAL YEAR 2021, CINCINNATI CHILDREN'S LAUNCHED IT'S NEW STRATEGIC PLAN ENTITLED "PURSUING OUR POTENTIAL TOGETHER" ("POPT"). THIS PLAN IS FOCUSED ON FOUR PILLARS, ONE OF WHICH IS COMMUNITY. WITH AN ASPIRATION OF 2033, THE CHILDREN IN CINCINNATI CHILDREN'S COMMUNITY WILL BE THE HEALTHIEST KIDS IN THE NATION. CINCINNATI CHILDREN'S LONG-TERM PLAN CONTAINS ANNUAL PRIORITIES FOR EACH OF THE IDENTIFIED PILLARS. WHILE THE STRATEGIC PLAN PROVIDES A FRAMEWORK FOR CINCINNATI CHILDREN'S ONGOING STRATEGIC EMPHASIS, IT DOES NOT DEFINE THE TOTALITY OF OUR EFFORTS. CINCINNATI CHILDREN'S STRIVES TO DELIVER DEMONSTRABLY SUPERIOR OUTCOMES AND EXPERIENCE AT THE LOWEST POSSIBLE COST, AND TO DISCOVER AND APPLY BETTER WAYS TO IMPROVE THE HEALTH OF MORE CHILDREN IN THE COMMUNITY AND AROUND THE WORLD. RECOGNIZING THAT WE ARE STRONGER WORKING TOGETHER AND COORDINATING EFFORTS TO ADDRESS SYSTEMIC COMMUNITY HEALTH NEEDS, CINCINNATI CHILDREN'S PARTNERS WITH MANY ORGANIZATIONS INCLUDING FEDERALLY QUALIFIED HEALTH CLINICS, SCHOOL BASED HEALTH CLINICS, COUNTY AND CITY PROGRAMS, OFFICES AND DEPARTMENTS, THE HEALTH FOUNDATION OF GREATER CINCINNATI, THE GREATER CINCINNATI UNITED WAY, EVERY CHILD SUCCEEDS, AND WITH THE POLICE, PROSECUTORS AND COUNTY CASE WORKERS CO. LOCATED IN CINCINNATI CHILDREN'S MAYERSON CENTER FOR SAFE AND HEALTHY CHILDREN. PART VI, LINE 3: CINCINNATI CHILDREN'S PATIENT BILLING STATEMENTS, WEBSITE, AND FINANCIAL BROCHURES CONTAIN INFORMATION ABOUT ITS CHARITY AND FINANCIAL ASSISTANCE PROGRAMS WITH DIRECTIONS ON HOW TO CONTACT CINCINNATI CHILDREN'S TO INITIATE AN APPLICATION OR ASK QUESTIONS ABOUT THE PROCESS. IN ADDITION, CINCINNATI CHILDREN'S BROCHURES ARE AVAILABLE AT EACH REGISTRATION SITE. CINCINNATI CHILDREN'S CUSTOMER SERVICE REPRESENTATIVES ARE TRAINED TO WORK WITH THE FAMILIES ON ANSWERING ASSISTANCE RELATED QUESTIONS AS WELL. CINCINNATI CHILDREN'S ALSO HAS A FINANCIAL COUNSELING DEPARTMENT AND A FINANCIAL ADVOCATE PROGRAM THAT REACH OUT TO UNDERSERVED FAMILIES AND TRY TO HELP WITH THEIR SPECIFIC NEEDS. CINCINNATI CHILDREN'S GOAL IS TO PROVIDE FINANCIAL ASSISTANCE AS EFFICIENTLY AND AS COMPLIANT AS POSSIBLE WHILE STILL KEEPING CUSTOMER SERVICE AS OUR NUMBER ONE PRIORITY. PART VI, LINE 4: CINCINNATI CHILDREN'S SERVES PATIENTS FROM ALL 50 STATES AND OVER 100 COUNTRIES BUT ITS PRIMARY SERVICE AREA IS AN EIGHT COUNTY REGION ACROSS THE GREATER CINCINNATI GEOGRAPHIC AREA. THE EIGHT COUNTIES INCLUDE BUTLER, CLERMONT, HAMILTON, AND WARREN COUNTIES IN OHIO; BOONE, CAMPBELL, AND KENTON COUNTIES IN KENTUCKY; AND DEARBORN COUNTY IN INDIANA. CINCINNATI CHILDREN'S OPERATES 14 HEALTHCARE FACILITIES WITHIN THE PRIMARY SERVICE AREA. FOR A FULL DESCRIPTION OF THE DEMOGRAPHICS OF THE CINCINNATI CHILDREN'S COMMUNITY, PLEASE REFER TO THE COMMUNITY HEALTH NEEDS ASSESSMENT FOUND BY NAVIGATING TO THE FOLLOWING WEB ADDRESS: HTTP://WWW.CINCINNATICHILDRENS.ORG/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT PART VI, LINE 5 - AN IMPORTANT PILLAR OF OUR STRATEGIC PLAN 2020 RELATES TO COMMUNITY HEALTH. CINCINNATI CHILDREN'S GOAL IS TO MAKE THE CHILDREN OF GREATER CINCINNATI THE HEALTHIEST CHILDREN IN THE NATION. THE COMMUNITY HEALTH PILLAR ALSO ALIGNS TO OUR CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT. PLEASE REFER TO THAT DOCUMENT ON CINCINNATI CHILDREN'S WEB SITE FOR FURTHER INFORMATION. HTTP://WWW.CINCINNATICHILDRENS.ORG/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT IN FISCAL YEAR 2021, CINCINNATI CHILDREN'S LAUNCHED IT'S NEW STRATEGIC PLAN ENTITLED "PURSUING OUR POTENTIAL TOGETHER" ("POPT"). THIS PLAN IS FOCUSED ON FOUR PILLARS, ONE OF WHICH IS COMMUNITY. WITH AN ASPIRATION OF 2033, THE CHILDREN IN CINCINNATI CHILDREN'S COMMUNITY WILL BE THE HEALTHIEST KIDS IN THE NATION. CINCINNATI CHILDREN'S LONG-TERM PLAN CONTAINS ANNUAL PRIORITIES FOR EACH OF THE IDENTIFIED PILLARS. PART VI, LINE 6 - CINCINNATI CHILDREN'S IS NOT PART OF AN AFFILIATED HEALTH SYSTEM. PART VI, LINE 7 - CINCINNATI CHILDREN'S IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT IN ANY STATE. HOWEVER, CINCINNATI CHILDREN'S PREPARES A COMMUNITY BENEFIT REPORT THAT CAN BE FOUND ON OUR WEBSITE AT THE FOLLOWING LINK: HTTPS://WWW.CINCINNATICHILDRENS.ORG/ABOUT/COMMUNITY/COMMUNITY-BENEFIT COMMUNITY BENEFIT REPORT: IN ORDER TO UNDERSTAND THE CHILD HEALTH NEEDS OF CINCINNATI CHILDREN'S COMMUNITY, COMMUNITY MEMBERS AND KEY CHILD HEALTH ORGANIZATIONS WERE ASKED TO PARTICIPATE IN OUR COMMUNITY SURVEY, KEY INFORMANT INTERVIEWS AND COMMUNITY FOCUS GROUPS. THROUGH EACH DATA COLLECTION METHOD, COMMUNITY INPUT WAS SOLICITED THROUGH COMMUNITY MEMBERS OR REPRESENTATIVES OF ORGANIZATIONS, INCLUDING ORGANIZATIONS SERVING VULNERABLE POPULATIONS. PLEASE REFER TO THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR MORE DETAILED DISCUSSION ON THE QUESTIONS AND PEOPLE/ORGANIZATIONS INVOLVED. 1 AVONDALE COMPREHENSIVE DEVELOPMENT CORPORATION 3494 READING ROAD CINCINNATI OH 45229 452412695 501(C)(3) 848220 0 SPONSORSHIP THE COMMUNITY BUILDERS INC 185 DARTMOUTH STREET BOSTON MA 02116 042324773 501(C)(3) 615000 0 SPONSORSHIP THE HEALTH COLLABORATIVE 615 ELSMORE PLACE NO 500 CINCINNATI OH 45202 311449807 501(C)(3) 457510 0 SPONSORSHIP CHILDREN'S MIRACLE NETWORK 205 WEST 700 SOUTH SALT LAKE CITY UT 84101 870387205 501(C)(3) 170487 0 SPONSORSHIP UNITED WAY OF GREATER CINCINNATI 2400 READING RD CINCINNATI OH 45202 310537502 501(C)(3) 156000 0 SPONSORSHIP AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 106063 0 SPONSORSHIP URBAN LEAGUE OF GREATER SOUTHWESTERN OHIO INC 3458 READING ROAD CINCINNATI OH 45229 310565428 501(C)(3) 79228 0 SPONSORSHIP CINCINNATI REDS COMMUNITY FUND 100 NUXHALL WAY CINCINNATI OH 45202 311790195 501(C)(3) 75000 0 SPONSORSHIP LITTLE FOOTPRINTS LEARNING CENTER 3660 WASHINGTON AVE CINCINNATI OH 45229 822401241 501(C)(3) 75000 0 SPONSORSHIP CINCINNATI RECREATION COMMISSION FOUNDATION 805 CENTRAL AVE SUITE 800 CINCINNATI OH 45202 311574475 501(C)(3) 45000 0 SPONSORSHIP EASTER SEALS TRISTATE 2901 GILBERT AVE CINCINNATI OH 45206 310873433 501(C)(3) 40000 0 SPONSORSHIP RONALD MCDONALD HOUSE CHARITIES OF GREATER CINCINNATI 350 ERKENBRECHER AVE CINCINNATI OH 45229 310965333 501(C)(3) 37725 0 SPONSORSHIP MARCH OF DIMES INC 1550 CHRYSTAL DRIVE SUITE 1300 ARLINGTON VA 22202 131846366 501(C)(3) 26000 0 SPONSORSHIP RWB PROPERTIES & CONSTRUCTION 611 SHEPHERD DR SUITE 9 CINCINNATI OH 45215 262248335 25000 0 SPONSORSHIP THE CENTER FOR CLOSING THE HEALTH GAP IN GREATER CINCINNATI 3120 BURNET AVENUE SUITE 201 CINCINNATI OH 45229 200902286 501(C)(3) 25000 0 SPONSORSHIP AVONDALE COMMUNITY COUNCIL INC 3635 READING ROAD SUITE 100 CINCINNATI OH 45229 237089046 501(C)(3) 23500 0 SPONSORSHIP DEPAUL CRISTO REY HIGH SCHOOL 3440 CENTRAL PARKWAY CINCINNATI OH 45225 272417727 501(C)(3) 22500 0 SPONSORSHIP CINCINNATI ZOO & BOTANICAL GARDEN 3400 VINE STREET CINCINNATI OH 45220 310537171 501(C)(3) 22500 0 SPONSORSHIP FREESTORE FOODBANK INC 1141 CENTRAL PARKWAY CINCINNATI OH 45202 237122205 501(C)(3) 20000 0 SPONSORSHIP CANCER FREE KIDS 420 W LOVELAND AVE LOVELAND OH 45140 300087852 501(C)(3) 18750 0 SPONSORSHIP BLACK ART SPEAKS 1535 WOODBRIDGE CT CINCINNATI OH 45240 861560419 501(C)(3) 15000 0 SPONSORSHIP CALVARY KIDS LEARNING CENTER LLC 205 EHRMAN AVE CINCINNATI OH 45220 810849559 15000 0 SPONSORSHIP ROSEMARYS BABIES CO 4439 READING RD CINCINNATI OH 45229 813727709 501(C)(3) 15000 0 SPONSORSHIP WESLEY EDUCATION CENTER FOR CHILDREN AND FAMILIES 525 HALE AVE CINCINNATI OH 45229 310597419 501(C)(3) 15000 0 SPONSORSHIP ADULT CONGENITAL HEART ASSOCIATION 280 NORTH PROVIDENCE ROAD SUITE 6 MEDIA PA 19063 043447959 501(C)(3) 12750 0 SPONSORSHIP NATIONAL KIDNEY FOUNDATION 30 EAST 33RD STREET NEW YORK NY 10016 131673104 501(C)(3) 12325 0 SPONSORSHIP ARTSWAVE 20 EAST CENTRAL PKWAY 200 CINCINNATI OH 45202 310537138 501(C)(3) 11500 0 SPONSORSHIP LIFECENTER ORGAN DONOR NETWORK 615 ELSMORE PLACE NO 400 CINCINNATI OH 45202 311040508 501(C)(3) 11500 0 SPONSORSHIP CINCINNATI PUBLIC SCHOOLS 2651 BURNET AVENUE CINCINNATI OH 45219 316000758 GOVERNMENT ENTITY 11298 0 SPONSORSHIP PALOOZANOIRELLC 1300 MAIN STREET CINCINNATI OH 45202 851562850 11250 0 SPONSORSHIP LIFECENTER NORTHWEST 3650 131ST AVE SE SUITE 200 BELLEVUE WA 98006 943253342 501(C)(3) 11200 0 SPONSORSHIP JUVENILE DIABETES RESEARCH FOUNDATION 200 VESEY STREET 28TH FLOOR NEW YORK NY 10281 231907729 501(C)(3) 10875 0 SPONSORSHIP THE DRAGONFLY FOUNDATION 506 OAK STREET CINCINNATI OH 45219 273183929 501(C)(3) 10500 0 SPONSORSHIP OHIO PHYSICIANS HEALTH PROGRAM 130 E CHESTNUT ST SUITE 200 COLUMBUS OH 43215 341817218 501(C)(3) 10000 0 SPONSORSHIP CINCINNATI USA REGIONAL CHAMBER 3 E 4TH STREET CINCINNATI OH 45202 310239310 501(C)(6) 9375 0 SPONSORSHIP MAKE-A- WISH FOUNDATION OF OH KY & IN 2545 FARMERS DRIVE NO 300 COLUMBUS OH 43235 341471131 501(C)(3) 8750 0 SPONSORSHIP CARMEL UNITED PRESBYTERIAN CHURCH 3549 READING RD CINCINNATI OH 45229 310718280 501(C)(3) 8400 0 SPONSORSHIP JAZJORDAN INC 9910 COVENTRY CT MASON OH 45040 464687760 501(C)(3) 8000 0 SPONSORSHIP KOSAIR CHARITIES COMMITTEE PO BOX 37370 LOUISVILLE KY 40233 610514703 501(C)(3) 7580 0 SPONSORSHIP AMERICAN COLLEGE OF RADIOLOGY 1891 PRESTON WHITE DR RESTON VA 20191 362261602 501(C)(3) 7500 0 SPONSORSHIP JOY OUTDOOR EDUCATION CENTER FOUNDATION INC 10117 OLD 3C HWY PO BOX 157 CLARKSVILLE OH 45113 310672822 501(C)(3) 7500 0 SPONSORSHIP MOUNT ST JOSEPH UNIVERSITY 5701 DELHI RD CINCINNATI OH 45233 237179567 501(C)(3) 7500 0 SPONSORSHIP MORTAR 1329 VINE STREET CINCINNATI OH 45202 472431620 501(C)(3) 7500 0 SPONSORSHIP UNIVERSITY OF CINCINNATI FOUNDATION PO BOX 19970 CINCINNATI OH 45219 310896555 501(C)(3) 7500 0 SPONSORSHIP UNIVERSITY OF CINCINNATI 2600 CLIFTON AVE CINCINNATI OH 45220 316000989 GOVERNMENT ENTITY 7500 0 SPONSORSHIP GIVE BACK CINCINNATI 312 WALNUT ST SUITE 3600 CINCINNATI OH 45202 311774381 501(C)(3) 7200 0 SPONSORSHIP COLLEGE HILL COMM URBAN REDEVELOPMENT 6107 HAMILTON AVE CINCINNATI OH 45224 310873280 501(C)(3) 6500 0 SPONSORSHIP LIGHTHOUSE YOUTH SERVICES 401 E MCMILLAN ST CINCINNATI OH 45206 237046229 501(C)(3) 6500 0 SPONSORSHIP BUSINESS JOURNALS OF OHIO INC 120 E 4TH STREET SUITE 2 CINCINNATI OH 45202 134085084 6375 0 SPONSORSHIP EXCEL SPORTS MANAGEMENT 1700 BROADWAY 29TH FL NEW YORK NY 10019 452780471 5625 0 SPONSORSHIP UNITED NETWORK FOR ORGAN SHARING 700 N 4TH ST RICHMOND VA 23219 541327878 501(C)(3) 5625 0 SPONSORSHIP NEW LIFE FURNITURE BANK 11335 REED HARTMAN HWY UNIT 134 CINCINNATI OH 45241 262703774 501(C)(3) 5500 0 SPONSORSHIP THE ABERCRUMBIE GROUP 10301 GIVERNY BOULEVARD CINCINNATI OH 45241 300520187 5450 0 SPONSORSHIP 46 7 HOUSING FOR DOMESTIC PATIENT FAMILIES 215 36187 FMV HOUSING ASSISTANCE TRANSPORTATION FOR DOMESTIC PATIENT FAMILIES 574 74523 FMV TRANSPORTATION ASSISTANCE SCHOLARSHIP 1 10000 PART I, LINE 2: CINCINNATI CHILDREN'S PROVIDES GRANTS AND ALLOCATIONS FOR GENERAL SPONSORSHIP SUPPORT AND COMMUNITY ASSISTANCE ACTIVITIES. SPONSORSHIP AND ASSISTANCE PROPOSALS ARE EVALUATED ON SPECIFIC CRITERIA, INCLUDING TANGIBLE, MEASURABLE BENEFITS, LONG-TERM VALUE, ABILITY TO REACH TARGETED AUDIENCES, POSITIVE EXPOSURE, AND LONG-TERM SUSTAINABLE RELATIONSHIPS. ADDITIONAL FOCUS FOR SPONSORSHIP GRANTS AND COMMUNITY ASSISTANCE ACTIVITIES IS PROVIDED TO ORGANIZATIONS THAT ADDRESS MEDICAL AND HEALTH ISSUES, YOUTH AND FAMILY ISSUES, AND COMMUNITY DEVELOPMENT. SPONSORSHIP AND COMMUNITY ASSISTANCE REQUESTS MUST INCLUDE A MISSION STATEMENT, A LISTING OF BOARD MEMBERS NOTING CINCINNATI CHILDREN'S EMPLOYEE INVOLVEMENT, THE SPECIFIC EVENT OR PROJECT REQUESTED FOR SPONSORSHIP, INCLUDING MEASURABLE GOALS AND DEMOGRAPHICS SERVED, EXPECTED BENEFITS AND OUTCOMES, AND A LISTING OF OTHER ORGANIZATIONS SUPPORTING THE PROJECT. ORGANIZATIONS THAT RECEIVE SUPPORT FROM CINCINNATI CHILDREN'S ARE NOTIFIED OF CINCINNATI CHILDREN'S SUPPORT, INCLUDING THE STATED PURPOSE FOR THE GRANT AWARD. CINCINNATI CHILDREN'S ALSO REQUESTS YEAR-END ANNUAL REPORTS FROM SUPPORTED ORGANIZATIONS. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 JAMES TWEDDELL MD INSTIT DIR, CARDIOTHOR SURG 1884482 0 539448 0 288110 0 29000 0 27289 0 2768329 0 0 0 MICHAEL FISHER PRESIDENT & CEO (THRU 11/21) 1046711 0 871512 0 216244 0 29000 0 35915 0 2199382 0 0 0 DAVID MORALES MD DIV. DIR, CARDIOLOGY 1909740 0 0 0 24600 0 29000 0 36375 0 1999715 0 0 0 DAVID WINLAW FACULTY PROFESSOR 1488380 0 150000 0 44774 0 29000 0 36852 0 1749006 0 0 0 STEVE DAVIS MD PRESIDENT & CEO (EFF. 11/21) 801715 0 575558 0 158961 0 153588 0 36985 0 1726807 0 115102 0 DANIEL VON ALLMEN MD SURGEON-IN-CHIEF 1077694 0 371855 0 218829 0 29000 0 27437 0 1724815 0 0 0 CARL BACKER FACULTY PROFESSOR 1612091 0 0 0 8220 0 29000 0 34160 0 1683471 0 0 0 ANDREW REDINGTON MD INSTIT DIR, CARDIOLOGY 841594 0 447079 0 139799 0 29000 0 27721 0 1485193 0 0 0 BRIAN COLEY RADIOLOGIST-IN-CHIEF 671092 0 237808 0 391298 0 29000 0 23105 0 1352303 0 214454 0 TINA CHENG CHAIR, PEDIATRICS 733712 0 178201 0 100537 0 29000 0 10881 0 1052331 0 0 0 BETH STAUTBERG SEC., SR. VP & COL (THRU 1/22) 573523 0 211139 0 134896 0 117800 0 11428 0 1048786 0 82364 0 PAUL JENNY CFO & TREASURER 625082 0 208360 0 53991 0 60719 0 2506 0 950658 0 0 0 JOHN MCAULIFFE MD ANESTHESIOLOGIST-IN-CHIEF 499298 0 198670 0 184599 0 29000 0 1598 0 913165 0 0 0 NERISSA MORRIS SVP AND CHRO 475029 0 168016 0 205850 0 29000 0 14978 0 892873 0 116060 0 BARBARA TOFANI SVP-PATIENT SERVICES 380249 0 137824 0 54137 0 29000 0 18530 0 619740 0 0 0 JANA BAZZOLI FRMR. INT. CFO & TREAS. (THRU 01/21) 342425 0 99462 0 58998 0 60025 0 30302 0 591212 0 0 0 ROBERT CARPENTER INT. SECRETARY & CLO (EFF. 1/22) 362143 0 85779 0 34545 0 57475 0 38603 0 578545 0 0 0 MARK MUMFORD FORMER SVP & CFO, TREAS. (THRU 08/20 0 0 0 0 259294 0 0 0 0 0 259294 0 206271 0 PART I, LINE 1A CINCINNATI CHILDREN'S MAY OFFER A RELOCATION PACKAGE, WHICH INCLUDES TEMPORARY HOUSING, TO INDIVIDUALS WHO ARE REQUIRED TO RELOCATE. ONE TRUSTEE, ONE OFFICER, AND ONE HIGHEST COMPENSATED EMPLOYEE RECEIVED A HOUSING ALLOWANCE DURING THE YEAR, WHICH WAS TREATED AS TAXABLE COMPENSATION TO EACH INDIVIDUAL. PART I, LINE 4B CERTAIN OFFICERS AND KEY EMPLOYEES 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 KEY EMPLOYEES WILL EVER RECEIVE THESE BENEFITS. NO OFFICERS OR KEY EMPLOYEES RECEIVED A PAYMENT UNDER CINCINNATI CHILDREN'S IRC SEC. 457(F) PLAN DURING THE YEAR. FORM 990, PART VII, SECTION A, LINE 5 AND SCHEDULE J: JOHN MCAULIFFE, M.D. RECEIVED $68,125 OF OTHER REPORTABLE COMPENSATION FROM THE UNIVERSITY OF CINCINNATI FOR SERVICES PROVIDED TO THE DEPARTMENT OF ANESTHESIA. SCHEDULE J, EXPLANATION OF BENEFITS: 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. CINCINNATI CHILDREN'S OFFICERS, TRUSTEES, AND KEY EMPLOYEES LISTED ON FORM 990, PART VII AND SCHEDULE J MAY INCUR VARIOUS TRAVEL AND ENTERTAINMENT EXPENSES IN THE CONDUCT OF THEIR OFFICIAL DUTIES AS REPRESENTATIVES OF THE ORGANIZATION. CINCINNATI CHILDREN'S HAS A WRITTEN TRAVEL AND ENTERTAINMENT EXPENSE REIMBURSEMENT POLICY THAT COMPLIES WITH PUBLISHED IRS GUIDANCE. ALL OFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO SUBSTANTIATE EACH TRAVEL AND ENTERTAINMENT EXPENSE TO THE EXTENT STATED IN THE TRAVEL AND ENTERTAINMENT EXPENSE REIMBURSEMENT POLICY. BEYOND THE OFFICERS AND KEY EMPLOYEES LISTED ON SCHEDULE J, PART II, CINCINNATI CHILDREN'S IS GOVERNED BY A BOARD OF TRUSTEES WHO ARE NEITHER COMPENSATED FOR THEIR SERVICES PROVIDED NOR DO THEY RECEIVE ANY FRINGE BENEFITS (OTHER THAN FREE PARKING) FROM CINCINNATI CHILDREN'S. PLEASE SEE FORM 990, PART VII FOR A LISTING OF THESE TRUSTEES. A HAMILTON COUNTY OHIO 316000063 407272N25 2014-01-08 134694252 REPAY 1998 AND 2004 BONDS (8/27/98 AND 6/30/04) 0 0 0 B BUTLER COUNTY OHIO 316000061 123550GY5 2016-11-18 63956074 REPAY 2006K BONDS (12/8/06) 0 0 0 C HAMILTON COUNTY OHIO 316000063 407272V75 2018-02-22 107160000 REPAY 2002 AND 2016 BONDS (1/30/02 AND 6/29/16) 0 0 0 D HAMILTON COUNTY OHIO 316000063 407272W25 2019-10-22 200006601 CRITICAL CARE BUILDING 0 0 0 A 39510000 134694252 1635569 133058683 2014 1 1 1 1 B 63956074 698655 63257419 2016 1 0 1 1 C 20390000 107160000 107160000 2018 1 0 1 1 D 200916834 6601 200910233 2021 0 0 1 1 A 0 0 0 1 0 0.00000 0.01320 0.01320 0 0 1 B 0 0 0 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 1 0 1 0 0.00000 0.00720 0.00720 0 0 1 D 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 1 0 0 0 1 D 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 FORM 990, SCHEDULE K, PART II, LINE 3 DIFFERENCES BETWEEN THE ISSUE PRICE (PART I, COLUMN (E)) AND PART II, LINE 3 ARE DUE TO INVESTMENT EARNINGS. FORM 990, SCHEDULE K, PART IV, LINE 6 THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD RESTRICTED REFUNDING ESCROW FOR THE 1/8/2014 BONDS. MARGARET KETTLER FAMILY MEMBER OF TRUSTEE/OFFICER 133918 COMPENSATION & BENEFITS 0 DOUGLAS VON ALLMEN FAMILY MEMBER OF OFFICER 214963 COMPENSATION & BENEFITS 0 DENISE DAVIS FAMILY MEMBER OF OFFICER 25878 COMPENSATION & BENEFITS 0 PATRICIA FROESE FAMILY MEMBER OF TRUSTEE 182560 COMPENSATION & BENEFITS 0 TOM FINN ENTERPRISES ENTITY MORE THAN 35% OWNED BY OFFICER/BOARD MEMBER. 50000 GOODS OR SERVICES PROVIDED TO CHMC 0 CTI ENTITY MORE THAN 35% OWNED BY OFFICER/BOARD MEMBER. 4900000 JOINT VENTURE WITH CHMC 0 SCHEDULE L, PART IV: THE ITEMS REPORTED ON SCHEDULE L, PART IV ARE ARMS-LENGTH TRANSACTIONS AND AT FAIR MARKET VALUE. X 38 797158 COST OR SELLING PRICE 0 0 1 0 PART I, COLUMN (B): THE NUMBER REPORTED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART VI, SECTION A, LINE 6 ARTICLE I, SECTION 1.1. OF CINCINNATI CHILDREN'S CODE OF REGULATIONS PROVIDES THAT THE MEMBERSHIP OF CINCINNATI CHILDREN'S SHALL CONSIST OF THE PERSONS WHO ARE THE MEMBERS OF THE BOARD OF TRUSTEES OF THE CHILDREN'S HOSPITAL, CINCINNATI, OHIO (TCH). FORM 990, PART VI, SECTION A, LINE 7A ARTICLE I, SECTION 1.1. OF CINCINNATI CHILDREN'S CODE OF REGULATIONS PROVIDES THAT THE MEMBERSHIP OF CINCINNATI CHILDREN'S SHALL CONSIST OF THE PERSONS WHO ARE THE MEMBERS OF THE BOARD OF TRUSTEES OF TCH. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY SENIOR MANAGEMENT FROM CINCINNATI CHILDREN'S. EXTERNAL TAX CONSULTANTS REVIEW THE FORM 990 FOR COMPLETENESS AND ACCURACY. THE FORM 990 IS THEN PRESENTED TO THE AUDIT & COMPLIANCE COMMITTEE, WHICH IS A STANDING COMMITTEE OF THE CINCINNATI CHILDREN'S BOARD OF TRUSTEES, FOR REVIEW. FINALLY, THE FORM 990 IS MADE AVAILABLE TO ALL BOARD OF TRUSTEES MEMBERS IN ADVANCE OF FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL OF CINCINNATI CHILDREN'S OFFICERS, TRUSTEES, AND KEY EMPLOYEES RECEIVE AN ANNUAL QUESTIONNAIRE REQUESTING INFORMATION REGARDING FAMILY AND BUSINESS RELATIONSHIPS THAT COULD POTENTIALLY RESULT IN A CONFLICT OF INTEREST UNDER CINCINNATI CHILDREN'S WRITTEN CONFLICT OF INTEREST POLICY. ONCE THE QUESTIONNAIRES HAVE BEEN COMPLETED, THEY ARE REVIEWED BY CINCINNATI CHILDREN'S MANAGEMENT, AND IF A RELATIONSHIP EXISTS THAT MAY PRESENT A CONFLICT OF INTEREST, CINCINNATI CHILDREN'S FOLLOWS THE PROVISIONS SET FORTH IN ITS CONFLICT OF INTEREST POLICY TO DISCLOSE AND MANAGE THE CONFLICT AND DETERMINES THE APPROPRIATE REPORTING TO BOARD COMMITTEES AND, IF REQUIRED, FORM 990 DISCLOSURE. FORM 990, PART VI, SECTION B, LINE 15 CINCINNATI CHILDREN'S HAS A COMPENSATION COMMITTEE THAT ANNUALLY REVIEWS THE RECOMMENDATIONS OF MANAGEMENT REGARDING EMPLOYEE PERFORMANCE EVALUATION AND COMPENSATION ADJUSTMENTS FOR DISQUALIFIED PERSONS TO ENSURE THAT IT HAS COMPLIED WITH THE PROVISIONS OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER IRC SEC. 4958. FORM 990, PART VI, SECTION C, LINE 19 CINCINNATI CHILDREN'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MAINTAINED ON FILE BY SENIOR MANAGEMENT AND ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST EITHER IN-PERSON, BY TELEPHONE, OR BY WRITTEN REQUEST. FORM 990, PART VII, SECTION B: THE AMOUNTS REPORTED ON FORM 990, PART VII, SECTION B MAY INCLUDE PAYMENTS FOR SERVICES, PRODUCTS, EXPENSE REIMBURSEMENTS, AND OTHER TYPES OF PAYMENTS. ANY PAYMENT FOR NON-SERVICES IS NOT AVAILABLE FOR BREAKOUT SEPARATELY BASED ON THE INVOICES RECEIVED FROM THE CONTRACTORS. FORM 990, PART XI, LINE 9: MINIMUM PENSION ASSET ADJUSTMENT 82,507,853. LOSS IN NET ASSETS OF SUPPORTING ORGANIZATIONS, NET -82,878,852. TSHCH LLC 3333 BURNET AVENUE CINCINNATI OH 45229 LAND HOLDING CO. OH 0 8633913 CHILDREN'S HOSPITAL MEDICAL CENTER BURNET AVE LLC 3333 BURNET AVENUE CINCINNATI OH 45229 LAND HOLDING CO. OH 0 0 CHILDREN'S HOSPITAL MEDICAL CENTER BACE PROPERTIES LLC 425 WALNUT ST 1800 CINCINNATI OH 45202 LAND HOLDING CO. OH 628439 3437965 CHILDREN'S HOSPITAL MEDICAL CENTER AVONDALE RENTALS 425 WALNUT ST 1800 CINCINNATI OH 45202 LAND HOLDING CO. OH 59971 328080 CHILDREN'S HOSPITAL MEDICAL CENTER 6520 ACRO COURT LLC 6520 ACRO COURT CENTERVILLE OH 45459 LAND HOLDING CO. OH 0 2023166 CHILDREN'S HOSPITAL MEDICAL CENTER HEALTHVINE LLC 3333 BURNET AVENUE CINCINNATI OH 45229 881631853 SUPPORT CHMC OH 0 0 CHILDREN'S HOSPITAL MEDICAL CENTER DTPM2 425 WALNUT ST 1800 CINCINNATI OH 45202 LAND HOLDING CO. OH 0 0 CHILDREN'S HOSPITAL MEDICAL CENTER 2834 WINSLOW LLC 425 WALNUT ST 1800 CINCINNATI OH 45202 LAND HOLDING CO. OH 0 11930 CHILDREN'S HOSPITAL MEDICAL CENTER CHMC COMMUNITY HEALTH SERVICES NETWORK 3333 BURNET AVENUE CINCINNATI OH 45229 311459815 PEDIATRIC MEDICAL SERVICES OH 501(C)(3) 509(A)(2) CHILDREN'S HOSPITAL MEDICAL CENTER 1 CHILDREN'S HOSPITAL MEDICAL CENTER UNINSURED LOSS FUND #2 3333 BURNET AVENUE CINCINNATI OH 45229 316197894 MALPRACTICE AND LIABILITY TRUST FUND OH 501(C)(3) 509(A)(3) TYPE I CHILDREN'S HOSPITAL MEDICAL CENTER 1 THE CHILDREN'S HOSPITAL 3333 BURNET AVENUE CINCINNATI OH 45229 310537130 SUPPORT CHMC OH 501(C)(3) 509(A)(3) TYPE II N/A 0 CONVALESCENT HOSPITAL FUND FOR CHILDREN 3333 BURNET AVENUE CINCINNATI OH 45229 310536649 SUPPORT CHMC OH 501(C)(3) 509(A)(3) TYPE III N/A 0 RIVER CITY INSURANCE LIMITED 3333 BURNET AVENUE CINCINNATI OH 45229 HEALTHCARE LIABILITY INSURANCE FOR CHMC OH CHILDREN'S HOSPITAL MEDICAL CENTER C 2483605 1583897 1.00000 1 0 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 1 THE CHILDREN'S HOSPITAL B 6800000 FAIR MARKET VALUE THE CHILDREN'S HOSPITAL C 107051820 FAIR MARKET VALUE THE CHILDREN'S HOSPITAL R 82345744 FAIR MARKET VALUE CONVALESCENT HOSPITAL FUND FOR CHILDREN C 11887261 FAIR MARKET VALUE CHMC COMMUNITY HEALTH SERVICES NETWORK R 22192572 FAIR MARKET VALUE CHMC COMMUNITY HEALTH SERVICES NETWORK S 19876913 FAIR MARKET VALUE