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      <Form990PartVIISectionAGrp>
        <PersonNm>Jennifer Dauer</PersonNm>
        <TitleTxt>Former Key Employee</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>167243</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8361</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sharry Addison</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robert D H Anning</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Carol Armstrong</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lynwood Battle</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mark Biegger</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Maureen Bisognano</PersonNm>
        <TitleTxt>Trustee (through 01/20)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Alicia Bond-Lewis</PersonNm>
        <TitleTxt>Trustee (effective 10/19)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Christine Browner</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>David Cassady</PersonNm>
        <TitleTxt>Trustee (effective 10/19)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas G Cody</PersonNm>
        <TitleTxt>Trustee (through 10/19)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dave Dougherty</PersonNm>
        <TitleTxt>Trustee (through 01/20)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Nancy Krieger Eddy PhD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Tom Finn</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kay Geiger</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Beth Guttman</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Hirschfeld Esq</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Gary Huffman</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mark Jahnke</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Joyce J Keeshin</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>David Osborn</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jane Portman</PersonNm>
        <TitleTxt>Chair</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Liza Smitherman</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John Steinman</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Susan Shelton</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jim Vance</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Hillary Weidner</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Chiquita White</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Felicia Williams</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Craig Young</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>21507258</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1375143</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>2235</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>1</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Messer Construction Co</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5158 Fishwick Drive</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45216</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Construction Services</ServicesDesc>
        <CompensationAmt>138616633</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TriVersity Group LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5158 Fishwick Drive</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45216</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Construction Services</ServicesDesc>
        <CompensationAmt>22367120</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Crothall Healthcare</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1500 Liberty Ridge Drive Suite 210</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45216</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Housekeeping Services</ServicesDesc>
        <CompensationAmt>20759680</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>McKinsey &amp; Company Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 7247-7255</AddressLine1Txt>
            <CityNm>Philadelphia</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>191707255</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Management Consulting Services</ServicesDesc>
        <CompensationAmt>11299160</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ZGF Architects LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1223 SW Washington Street</AddressLine1Txt>
            <CityNm>Portland</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97205</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Construction Services</ServicesDesc>
        <CompensationAmt>6163875</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>189</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>1733024</FundraisingAmt>
      <RelatedOrganizationsAmt>92140697</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>228996986</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>43210345</AllOtherContributionsAmt>
      <NoncashContributionsAmt>2197957</NoncashContributionsAmt>
      <TotalContributionsAmt>366081052</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Net Inpatient Revenue</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>980873950</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>942982821</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>37891129</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Net Outpatient Revenue</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>739730552</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>739730552</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Physician Services</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>335555772</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>335555772</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>2056160274</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>30943978</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>-1226507</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>32170485</ExclusionAmt>
      </InvestmentIncomeGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>1696567</TotalRevenueColumnAmt>
        <ExclusionAmt>1696567</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>4317818</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>7252145</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-2934327</RealAmt>
      </RentalIncomeOrLossGrp>
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        <ManagementAndGeneralAmt>2412667</ManagementAndGeneralAmt>
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        <FundraisingAmt>61021</FundraisingAmt>
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        <ManagementAndGeneralAmt>24627214</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>11905778</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1974753</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Purchased Services</Desc>
        <TotalAmt>200287210</TotalAmt>
        <ProgramServicesAmt>103596774</ProgramServicesAmt>
        <ManagementAndGeneralAmt>96215196</ManagementAndGeneralAmt>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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      <HospitalInd>X</HospitalInd>
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        </ContributorBusinessName>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II-B, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 - $15,926 2. Cincinnati Business Committee - $3,375 3. Cincinnati Regional Business Committee - $2,250 4. Cincinnati USA Regional Chamber - $2,500 5. National Assoc. of Children's Hospitals - $39,548 6. Ohio Hospital Association - $7,907 7. Ohio Business Roundtable - $6,050 8. Ohio Children's Hospital Association - $53,404 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 2020, Cincinnati Children's government relations office incurred $293,208 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. Below is a complete listing of specific legislation supported by Cincinnati Children's government relations office: 1. Citizen's for Family Services and Treatment - $2,500 2. The Move Forward PAC - $20,000 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 the publishing or distributing of statements), any political campaign on behalf of (or in opposition to) any candidate for public office.</ExplanationTxt>
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        <GrantsOrScholarshipsAmt>186594000</GrantsOrScholarshipsAmt>
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        <EndYearBalanceAmt>3000835000</EndYearBalanceAmt>
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        <ContributionsAmt>255914000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>1070099000</InvestmentEarningsOrLossesAmt>
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        <BeginningYearBalanceAmt>1459225000</BeginningYearBalanceAmt>
        <ContributionsAmt>243834000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>57716000</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>159319000</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>84974000</OtherExpendituresAmt>
        <EndYearBalanceAmt>1516482000</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.00000</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.49000</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.51000</TermEndowmentBalanceEOYPct>
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      <EndowmentsHeldRelatedOrgInd>1</EndowmentsHeldRelatedOrgInd>
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        <OtherCostOrOtherBasisAmt>42141891</OtherCostOrOtherBasisAmt>
        <BookValueAmt>42141891</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>1599461411</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>820980631</DepreciationAmt>
        <BookValueAmt>778480780</BookValueAmt>
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        <DepreciationAmt>475867793</DepreciationAmt>
        <BookValueAmt>202176661</BookValueAmt>
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        <DepreciationAmt>17201318</DepreciationAmt>
        <BookValueAmt>288005479</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>1310804811</TotalBookValueLandBuildingsAmt>
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        <BookValueAmt>14802374</BookValueAmt>
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        <Desc>Other Long-Term Assets</Desc>
        <BookValueAmt>52330712</BookValueAmt>
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        <BookValueAmt>3425051465</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Assets Limited to Use - Funds in Trust</Desc>
        <BookValueAmt>100468740</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>3592653291</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued Pension Benefit Liability</Desc>
        <Amt>78931281</Amt>
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        <Desc>Self-Insurance Reserves</Desc>
        <Amt>20666307</Amt>
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        <Desc>Finance Lease Obligations</Desc>
        <Amt>52249850</Amt>
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        <Desc>Operating Lease Obligations</Desc>
        <Amt>12978460</Amt>
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        <Desc>Other Long-Term Liabilities</Desc>
        <Amt>51116590</Amt>
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      <TotalLiabilityAmt>215942488</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>2934152274</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>2493953</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>296491445</OtherRevenueAmt>
      <RevenueNotReportedAmt>298985398</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2635166876</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-2809145</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-2809145</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2632357731</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2673628274</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>297197939</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>297197939</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2376430335</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>101372855</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>101372855</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2477803190</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2020 and 2019. Fiscal years 2017 through 2020 are subject to examination by both the Federal and State tax jurisdictions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Eliminate intercompany operating/restricted revenue 292,469,000. CHSN net revenue elimination 4,022,445.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Reclass below the line per financial statements to revenue per 990 4,443,000. Reclass rent expense to offset rental income -7,252,145.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Eliminate intercompany operating/restricted expense 292,469,000. CHSN expense elimination 4,728,939.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Reclass below the line per financial statements to revenue per 990 108,625,000. Reclass rent expense to offset rental income per 990 -7,252,145.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <AccountActivitiesOutsideUSGrp>
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        <OfficesCnt>0</OfficesCnt>
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      <AccountActivitiesOutsideUSGrp>
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      <AccountActivitiesOutsideUSGrp>
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      <AccountActivitiesOutsideUSGrp>
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      <AccountActivitiesOutsideUSGrp>
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      <AccountActivitiesOutsideUSGrp>
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      <AccountActivitiesOutsideUSGrp>
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        <EmployeeCnt>0</EmployeeCnt>
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      <AccountActivitiesOutsideUSGrp>
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      <AccountActivitiesOutsideUSGrp>
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        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
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        <RegionTotalExpendituresAmt>196</RegionTotalExpendituresAmt>
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      <AccountActivitiesOutsideUSGrp>
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        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>1</EmployeeCnt>
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      <AccountActivitiesOutsideUSGrp>
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      <AccountActivitiesOutsideUSGrp>
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        <RegionTxt>East Asia and the Pacific - Australia, Brunei, Burma, Cambodia,</RegionTxt>
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      <GrantsToOrgOutsideUSGrp>
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        <PurposeOfGrantTxt>Education, Training &amp; Research</PurposeOfGrantTxt>
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      <GrantsToOrgOutsideUSGrp>
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      <GrantsToOrgOutsideUSGrp>
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        <PurposeOfGrantTxt>Education, Training &amp; Research</PurposeOfGrantTxt>
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        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
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      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia - Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal,</RegionTxt>
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        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
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      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso,</RegionTxt>
        <PurposeOfGrantTxt>Education, Training &amp; Research</PurposeOfGrantTxt>
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        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
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        <RegionTxt>Middle East and North Africa</RegionTxt>
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        <DescriptionOfNonCashAsstTxt>Transportation Assistance</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
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      <ForeignIndividualsGrantsGrp>
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      <ForeignIndividualsGrantsGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Cincinnati Children's monitors the use of grant funds within and outside of the United States in accordance with 45 CFR 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <NonCashPrizesTotalEventsAmt>13654</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>146970</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>125482</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>143917</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>289878</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>722301</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-322664</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2b, Column (v):</FormAndLineReferenceDesc>
        <ExplanationTxt>Schultz &amp; Williams also received payments totaling $308,071 for preparation, printing, and postage of mailings and mailing list.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <FinancialAssistancePolicyInd>1</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>1</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <DiscountedCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <DiscountedCareOtherPct>201.000000000000</DiscountedCareOtherPct>
      </DiscountedCareOthPercentageGrp>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>1</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>0</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>1</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>1</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>12735992</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>4230000</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>8505992</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00340</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>791807747</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>520066743</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>271741004</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.10970</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>804543739</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>524296743</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>280246996</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.11310</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>11811234</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>626803</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>11184431</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00450</TotalExpensePct>
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      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>82872015</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>19046592</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>63825423</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02580</TotalExpensePct>
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      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>29592814</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>18345463</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>11247351</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00450</TotalExpensePct>
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        <TotalCommunityBenefitExpnsAmt>392274555</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>257692136</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>134582419</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.05430</TotalExpensePct>
      </ResearchGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>4532016</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>4532016</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00180</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>521082634</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>295710994</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>225371640</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.09090</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>1325626373</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>820007737</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>505618636</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.20400</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <LeadershipDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>27700</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>27700</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </LeadershipDevelopmentGrp>
      <TotalCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>27700</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>27700</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>0</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>12533966</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>4244001</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>7617225</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>12947438</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-5330213</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostAccountingSystemInd>X</CostAccountingSystemInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>4</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>CCHMC - Main Campus</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>3333 Burnet Avenue</AddressLine1Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45229</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.cincinnatichildrens.org</WebsiteAddressTxt>
        <StateLicenseNum>1186</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <ChildrensHospitalInd>X</ChildrensHospitalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <ResearchFacilityInd>X</ResearchFacilityInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>2</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>CCHMC - Liberty Campus</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>7777 Yankee Road</AddressLine1Txt>
          <CityNm>Liberty Township</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45044</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www,cincinnatichildrens.org</WebsiteAddressTxt>
        <StateLicenseNum>1492</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <ChildrensHospitalInd>X</ChildrensHospitalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>3</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>CCHMC - College Hill Campus</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>5642 Hamilton Avenue</AddressLine1Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45224</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.cincinnatichildrens.org</WebsiteAddressTxt>
        <StateLicenseNum>1446</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <ChildrensHospitalInd>X</ChildrensHospitalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <OtherDesc>Mental Health Facility</OtherDesc>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>4</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>CCHMC - Lindner Center of Hope Campus</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>4015 Old Western Row Road</AddressLine1Txt>
          <CityNm>Mason</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45040</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.cincinnatichildrens.org</WebsiteAddressTxt>
        <StateLicenseNum>1500</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <ChildrensHospitalInd>X</ChildrensHospitalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <OtherDesc>Mental Health Facility</OtherDesc>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>Facility Reporting Group A</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>18</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>1</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>0</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>See Part V, Section C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>18</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>http://www.cincinnatichildrens.org/about/community/health-needs-assessment/</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>201.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>http://www.cincinnatichildrens.org/patients/resources/financial-assistance/</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>http://www.cincinnatichildrens.org/patients/resources/financial-assistance/</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>http://www.cincinnatichildrens.org/patients/resources/financial-assistance/</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <NoneMadeInd>X</NoneMadeInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Section B</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility Reporting Group A</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group A consists of:</FormAndLineReferenceDesc>
        <ExplanationTxt>- Facility 1: CCHMC - Main Campus, - Facility 2: CCHMC - Liberty Campus, - Facility 3: CCHMC - College Hill Campus, - Facility 4: CCHMC - Lindner Center of Hope Campus</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Section B, line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility Reporting Group ACincinnati 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 Community Health Needs Assessment was designed and completed by a team including representatives from key internal departments, public health, and the community. Cincinnati Children's completed a Community Health Needs Assessment by completing surveys, interviewing key informants, conducting focus groups, and reviewing secondary data across Cincinnati Children's eight-county primary service area.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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Section B, line 6a:</FormAndLineReferenceDesc>
        <ExplanationTxt>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/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Section B, line 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>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. Cincinnati Children's, through its CHNA, did not identify any needs that are not being addressed. The implemenatation 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</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Section B, line 16j:</FormAndLineReferenceDesc>
        <ExplanationTxt>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/</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>16</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - CCHMC Anderson</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7495 State Road Suite 355</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45255</ZIPCd>
          </USAddress>
          <FacilityTxt>Neighborhood Facility</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - CCHMC Eastgate</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>796 Cincinnati-Batavia Pike</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45245</ZIPCd>
          </USAddress>
          <FacilityTxt>Neighborhood Facility</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - CCHMC Fairfield</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3050 Mack Road</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45014</ZIPCd>
          </USAddress>
          <FacilityTxt>Neighborhood Facility</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - CCHMC Green Township</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5899 Harrison Avenue</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45248</ZIPCd>
          </USAddress>
          <FacilityTxt>Neighborhood Facility</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - CCHMC Kenwood</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7714-A Montgomery Road</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45236</ZIPCd>
          </USAddress>
          <FacilityTxt>Neighborhood Facility</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - CCHMC Mason</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9560 Childrens Drive</AddressLine1Txt>
            <CityNm>Mason</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45040</ZIPCd>
          </USAddress>
          <FacilityTxt>Neighborhood Facility</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - Children's Outpatient NKY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2765 Chapel Place</AddressLine1Txt>
            <CityNm>Crestview Hills</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41017</ZIPCd>
          </USAddress>
          <FacilityTxt>Neighborhood Facility</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - CCHMC Oak</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2800 Winslow Avenue</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45206</ZIPCd>
          </USAddress>
          <FacilityTxt>Neighborhood Facility</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - CCHMC Hopple Street</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2750 Beekman Avenue</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45225</ZIPCd>
          </USAddress>
          <FacilityTxt>Neighborhood Facility</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - Children's Health Care Batesville</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>124 State Road 46 West</AddressLine1Txt>
            <CityNm>Batesville</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>47006</ZIPCd>
          </USAddress>
          <FacilityTxt>Neighborhood Facility</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>11 - Children's Health Care Greensburg</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1809 N Lincoln Street</AddressLine1Txt>
            <CityNm>Greensburg</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>47240</ZIPCd>
          </USAddress>
          <FacilityTxt>Neighborhood Facility</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>12 - CCHMC Bardstown</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>201 S Fifth Street Suite 10</AddressLine1Txt>
            <CityNm>Bardstown</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40004</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Outreach Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>13 - CCHMC Danville</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>303 S Fourth Street Suite 201</AddressLine1Txt>
            <CityNm>Danville</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40422</ZIPCd>
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          <FacilityTxt>Specialty Outreach Clinic</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>14 - CCHMC Elizabethtown</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1003 N Dixie Highway</AddressLine1Txt>
            <CityNm>Elizabethtown</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>42701</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Outreach Clinic</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>15 - CCHMC Louisville</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>731 E Broadway</AddressLine1Txt>
            <CityNm>Louisville</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40202</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Outreach Clinic</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>16 - CCHMC Shelbyville</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>720 Hospital Drive</AddressLine1Txt>
            <CityNm>Shelbybille</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40065</ZIPCd>
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          <FacilityTxt>Specialty Outreach Clinic</FacilityTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II, Community Building Activities:</FormAndLineReferenceDesc>
        <ExplanationTxt>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/mission</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>Cincinnati Children's utiliizes 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>The cost of bad debt is calculated using cost to charge ratios calculated from the most recently filed cost report.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>Cincinnati Children's utilizes its cost accounting system to calculate the cost of providing care to Medicare patients.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 mental health, childhood obesity, child safety and unintentional injury, childhood asthma, early literacy and school readiness, and infant mortality.Cincinnati Children's 2020 strategic plan creates a bold vision to be the leader in improving child health. 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. In developing its 2020 strategic plan, Cincinnati Children's was deliberate in its approach to identify community providers, governmental organizations, and area non-profits with whom it could partner to more effectively address community health needs. 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. Developing and more effectively utilizing these partnerships to address community health needs is an integral component of Cincinnati Children's 2020 strategic plan. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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-assessmentPart 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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Community Benefit Report:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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          <BusinessNameLine1Txt>University of Cincinnati Foundation</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 19970</AddressLine1Txt>
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        <CashGrantAmt>60000</CashGrantAmt>
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          <AddressLine1Txt>3120 Burnet Avenue Suite 201</AddressLine1Txt>
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          <AddressLine1Txt>3 E 4th Street</AddressLine1Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45202</ZIPCd>
        </USAddress>
        <RecipientEIN>237089617</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10750</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Boys &amp; Girls Club of Greater Cincinnati</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>600 Dalton Avenue</AddressLine1Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45203</ZIPCd>
        </USAddress>
        <RecipientEIN>310536965</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Make-A-Wish Foundation of OH KY &amp; IN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2545 Farmers Drive No 300</AddressLine1Txt>
          <CityNm>Columbus</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43235</ZIPCd>
        </USAddress>
        <RecipientEIN>341471131</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Pull-Thru Network Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1705 Wintergreen Parkway</AddressLine1Txt>
          <CityNm>Normal</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>61761</ZIPCd>
        </USAddress>
        <RecipientEIN>202947255</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>9375</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Indiana University</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1001 E Third Street</AddressLine1Txt>
          <CityNm>Bloomington</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47405</ZIPCd>
        </USAddress>
        <RecipientEIN>356001673</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>8814</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Activities Beyond the Classroom</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>635 W 7th Street No 301</AddressLine1Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45203</ZIPCd>
        </USAddress>
        <RecipientEIN>352222723</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>8000</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Dragonfly Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>506 Oak Street</AddressLine1Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45219</ZIPCd>
        </USAddress>
        <RecipientEIN>273183929</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CancerFree KIDS Pediatric Cancer Research Alliance</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 575</AddressLine1Txt>
          <CityNm>Loveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45140</ZIPCd>
        </USAddress>
        <RecipientEIN>300087852</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Calvary Kids Learning Center LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>205 Ehrman Ave</AddressLine1Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45220</ZIPCd>
        </USAddress>
        <RecipientEIN>810849559</RecipientEIN>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Mortar Cincinnati</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1329 Vine Street</AddressLine1Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45202</ZIPCd>
        </USAddress>
        <RecipientEIN>472431620</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>National Kidney Foundation Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>30 E 33rd Street</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10016</ZIPCd>
        </USAddress>
        <RecipientEIN>131673104</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6750</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Cincinnati Institute of Fine Arts</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>20 East Central Pkwy 200</AddressLine1Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45202</ZIPCd>
        </USAddress>
        <RecipientEIN>310537138</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6500</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Give Back Cincinnati</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>312 Walnut Street No 3600</AddressLine1Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45202</ZIPCd>
        </USAddress>
        <RecipientEIN>311774381</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>5860</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>American Liver Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>39 Broadway Suite 2700</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10006</ZIPCd>
        </USAddress>
        <RecipientEIN>362883000</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>5500</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>United Network for Organ Sharing (UNOS)</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>700 N 4th Street</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23219</ZIPCd>
        </USAddress>
        <RecipientEIN>541327878</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>5250</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>38</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Housing for Domestic Patient Families</GrantTypeTxt>
        <RecipientCnt>199</RecipientCnt>
        <NonCashAssistanceAmt>61072</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Housing Assistance</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Transportation for Domestic Patient Families</GrantTypeTxt>
        <RecipientCnt>322</RecipientCnt>
        <NonCashAssistanceAmt>41730</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Transportation Assistance</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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        <PersonNm>Eric J Wall MD</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>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. The following is a listing of officers and key employees that received a payment under Cincinnati Children's IRC Sec. 457(f) plan during the year (these amounts are included in the totals for Schedule J, Part II, Column B(iii) and column (F): 1. Beth Stautberg - $74,347 2. Michael Fisher - $175,040 3. Mark Mumford - $87,867 4. Brian Coley - $163,040 5. Andrew Redington - $100,317 6. Stephen Davis - $90,546 7. Daniel von Allmen - $173,500 8. James Tweddell - $261,192 9. Barbara Tofani - $13,446</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Explanation of compensation paid to John McAuliffe:</FormAndLineReferenceDesc>
        <ExplanationTxt>John McAuliffe, M.D. received $69,150 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.</ExplanationTxt>
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        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule L, Part IV:</FormAndLineReferenceDesc>
        <ExplanationTxt>The items reported on Schedule L, Part IV are arms-length transactions and at fair market value.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>39</ContributionCnt>
        <NoncashContributionsRptF990Amt>2197957</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Column (b):</FormAndLineReferenceDesc>
        <ExplanationTxt>The number reported in column B represents the number of contributions received.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>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 &amp; 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section B:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Minimum Pension Asset Adjustment -80,752,000. Loss in Net Assets of Supporting Organizations, Net -1,888,000. Elimination of CHSN Income -706,494.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        </DisregardedEntityName>
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          <BusinessNameLine1Txt>Children's Hospital Medical Center</BusinessNameLine1Txt>
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        </USAddress>
        <PrimaryActivitiesTxt>Land Holding Co.</PrimaryActivitiesTxt>
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        <EndOfYearAssetsAmt>78860</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Children's Hospital Medical Center</BusinessNameLine1Txt>
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      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DTPM2</BusinessNameLine1Txt>
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          <AddressLine1Txt>425 Walnut St 1800</AddressLine1Txt>
          <CityNm>Cincinnati</CityNm>
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        </USAddress>
        <PrimaryActivitiesTxt>Land Holding Co.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <TotalIncomeAmt>174614</TotalIncomeAmt>
        <EndOfYearAssetsAmt>1502907</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Children's Hospital Medical Center</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BACE Properties LLC</BusinessNameLine1Txt>
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        </USAddress>
        <PrimaryActivitiesTxt>Land Holding Co.</PrimaryActivitiesTxt>
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        <EndOfYearAssetsAmt>1332101</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Children's Hospital Medical Center</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Avondale Rentals</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8044 Montgomery Road No 552</AddressLine1Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45236</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>Land Holding Co.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <TotalIncomeAmt>138385</TotalIncomeAmt>
        <EndOfYearAssetsAmt>1191086</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Children's Hospital Medical Center</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHMC Community Health Services Network</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3333 Burnet Avenue</AddressLine1Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45229</ZIPCd>
        </USAddress>
        <EIN>311459815</EIN>
        <PrimaryActivitiesTxt>Pediatric Medical Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(a)(2)</PublicCharityStatusTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Children's Hospital Medical Center Uninsured Loss Fund #2</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>Malpractice and Liability Trust Fund</PrimaryActivitiesTxt>
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      <IdRelatedTaxExemptOrgGrp>
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        </USAddress>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(a)(3) Type II</PublicCharityStatusTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
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      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
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      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
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        </OtherOrganizationName>
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      <TransactionsRelatedOrgGrp>
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        <MethodOfAmountDeterminationTxt>Fair Market Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Convalescent Hospital for Children and Orphan Asylum</BusinessNameLine1Txt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CHMC Community Health Services Network</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>Fair Market Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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        <MethodOfAmountDeterminationTxt>Fair Market Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>