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      <InvestmentIncomePYPct>0.03000</InvestmentIncomePYPct>
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      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NICHOLAS LASHUTKA</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>505572</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>126100</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>123703</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>26664</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>782039</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc3">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>VOLUNTEERS INCLUDE A NUMBER OF CLINICAL EXPERTS WHO WORK IN PARTNER HOSPITALS WORKING ON A VARIETY OF TASKS UNDER THE NETWORK'S SCOPE. VOLUNTEER GROUPS INCLUDE: THE CLINICAL OPERATIONS CORE GROUP, CLINICAL LEADERSHIP GROUP, THE LEARNING COMMITTEE, AND THE HOSPITAL ACQUIRED CONDITION SUBJECT MATTER EXPERTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>SOLUTIONS FOR PATIENT SAFETY (SPS) IS A UNIQUE LEARNING NETWORK CONSISTING OF 140+ CHILDREN'S HOSPITALS ACROSS NORTH AMERICA WORKING TOGETHER TO HELP EACH INDIVIDUAL HOSPITAL MAKE PROGRESS ON A JOURNEY TO ZERO HARM IN PARTICIPATING INSTITUTIONS. EMPLOYING HIGH-RELIABILITY CONCEPTS AND QUALITY IMPROVEMENT SCIENCE METHODS, THE NETWORK IS FOCUSED ON REDUCING HARM BY PREVENTING SERIOUS SAFETY EVENTS, READMISSIONS (WITHIN 7 DAYS FROM DISCHARGE), AND 15 HOSPITAL ACQUIRED CONDITIONS (HACS): AMBULATORY SAFETY, ADVERSE DRUG EVENTS, CATHETER-ASSOCIATED URINARY TRACT INFECTIONS, CENTRAL LINE-ASSOCIATED BLOOD STREAM INFECTIONS, EMPLOYEE AND STAFF SAFETY, CULTURE OF SAFETY, HOSPITAL ACQUIRED DELIRIUM, INJURIES FROM FALLS, NEPHROTOXIC ACUTE KIDNEY INJURY, PRESSURE INJURIES,PERIPHERAL INTRAVENOUS INFILTRATES/EXTRAVASATIONS,SAFETY DISPARITIES, SURGICAL SITE INFECTIONS, UNPLANNED EXTUBATIONS, AND VENOUS THROMBOEMBOLISM. IN 2024, THE SPS NETWORK EXPANDED THE PROACTIVE SAFETY FOCUS WHICH PROVIDES FIVE PROACTIVE SAFETY PLAYBOOKS TO NETWORK HOSPITALS TO INTRODUCE NEW TOOLS, INCLUDING LEARNING TEAMS, PROACTIVE SAFETY HUDDLES, PROACTIVE SAFETY SIMULATION, LANGUAGE FOR LEADERSHIP ROUNDS, AND WALK-THROUGH TALK- THROUGH. SPS PUBLISHED TWO NEW PUBLICATIONS RELATED TO SAFETY DISPARITIES IN PEDIATRICS AND LEVOFLOXACIN PROPHYLAXIS IN PEDIATRIC ONCOLOGY PATIENTS AND HSCT RECIPIENTS. THROUGH IMPLEMENTATION OF THE NETWORK'S BEST PRACTICES, CHILDREN ARE BEING PROTECTED FROM HARM AND COSTS ARE BEING REMOVED FROM THE HEALTH CARE SYSTEM. SINCE 2012, THIS NATIONAL EFFORT HAS LED TO AN ESTIMATED SAVINGS OF MORE THAN 668 MILLION AND SAVED 30,000 CHILDREN FROM SERIOUS HARM, WITH A CONSISTENT UPWARD TREND IN HARM PREVENTED EVERY MONTH. IN 2024, SPS HOSTED A SPRING IN PERSON LEARNING EVENT AND A WINTER VIRTUAL LEARNING EVENT ENGAGING OVER 1600 PARTICIPANTS. ADDITIONALLY, A CONVENTION WAS HELD FOR 30+ CEOS AND TOP PEDIATRIC LEADERS TO UTILIZE PEER TO PEER AND INDUSTRY LEARNINGS TO IDENTIFY BEST PRACTICES FOR ELIMINATING HARM WITH A FOCUS ON CULTURE OF SAFETY AND OPERATIONAL EXCELLENCE. SPS HOSTED TWO WEBINARS AND TWO BOARD TRAININGS TO SHARE BEST PRACTICES AND DISCUSS INDUSTRY TOPICS WITH PEERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>SECTION B, ITEM 12C: STEVE DAVIS, MD, VICE CHAIRMAN OF THE BOARD OF OCHSPS, IS ALSO CEO OF CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER (CINCINNATI CHILDREN'S). OCHSPS HAS A CONSULTING AGREEMENT WITH CINCINNATI CHILDREN'S TO PROVIDE SERVICES TO OCHSPS. THE CINCINNATI CHILDREN'S CONTRACT IS APPROVED BY THE BOARD OF DIRECTORS. STEVE DAVIS RECUSES HIMSELF FROM ANY DISCUSSION OR VOTE RELATED TO THE CINCINNATI CHILDREN'S CONSULTING AGREEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE SCHEDULE R AND FORM 990, PAGE 7 FOR INFORMATION ABOUT REIMBURSEMENT TO RELATED 501(C)(6) ORGANIZATION FOR MANAGEMENT SERVICES OF ITS PRESIDENT. ALSO SEE FORM 990, PAGE 8, SECTION B FOR A CONTRACTOR SERVING AS THE EXECUTIVE DIRECTOR AND MANAGMENT CONSULTANT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>OCHSPS IS COMPOSED OF 8 MEMBERS WITH EQUAL RIGHTS TO ELECT DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 8 MEMBERS OF OCHSPS HAVE THE SOLE RIGHT TO ELECT DIRECTORS OF THE CORPORATION AND FILL ANY VACANCIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ARTICLES OF INCORPORATION AND THE CODE OF REGULATIONS CAN BE AMENDED BY A VOTE OF THE MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AFTER HAVING BEEN REVIEWED BY STAFF MEMBERS, THE BOARD APPROVES A DRAFT OF THE FORM 990 PREPARED BY THE CPA FIRM PRIOR TO IT BEING FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD APPROVED AND SIGNED A CONFLICT OF INTEREST POLICY IN JUNE, 2016, WHICH REQUIRES ANNUAL COMPLETION OF A CONFLICT OF INTEREST FORM BY ALL OFFICERS, TRUSTEES AND KEY EMPLOYEES THAT COULD POTENTIALLY RESULT IN A CONFLICT OF INTEREST UNDER THE WRITTEN POLICY. ONCE QUESTIONNAIRES ARE COMPLETED, THEY ARE REVIEWED BY MANAGEMENT AND IF A RELATIONSHIP EXISTS THAT MAY PRESENT A CONFLICT OF INTEREST, OCHSPS 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, DISCLOSURE ON THE FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>PURSUANT TO AN EMPLOYEE LEASE AGREEMENT APPROVED BY BOARD. ALL SIGNIFICANT VENDOR CONTRACTS ARE PRESENTED TO AND DELIBERATED AT THE BOARD LEVEL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DOCUMENTS AVAILABLE TO THE PUBLIC EXCEPT AS REQUIRED BY LAW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CLINICAL STEERING TEAM FEES 669,404 0 0 CLINICAL PROJECT CONTRACTOR 3,604,354 0 0 COMMUNICATION CONSULTANT 75,000 10,566 0 STRATEGIC PLANNING CONSULTANT 45,000 0 0 TOTAL 4,393,758 10,566 0</ExplanationTxt>
      </SupplementalInformationDetail>
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        <MethodOfAmountDeterminationTxt>TIMESHEETS OF STAFF</MethodOfAmountDeterminationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE R</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ENTITIES ARE BROTHER-SISTER RELATED PARTIES DUE TO 6 HOSPITALS, WHICH ARE THE ENTIRE MEMBERSHIP OF THE OHIO CHILDREN'S HOSPITAL ASSOCIATION (OCHA), ARE ALSO 75% OF THE MEMBERSHIP OF OHIO CHILDREN'S HOSPITAL SOLUTIONS FOR PATIENT SAFETY (OCHSPS). HOWEVER, OCHA ITSELF DOES NOT HAVE THE POWER TO APPOINT ANY MEMBERS OF OCHSPS.</ExplanationTxt>
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</Return>