2018-05-09T04:15:22-05:00 2017-06-30 861065772 Deloitte Tax LLP 200 Renaissance Center Suite 3900 Detroit MI 49243 990 2016-07-01 310833936 Children's Hospital Medical Center CHIL 5138031106 3333 Burnet Avenue Cincinnati OH 452293039 MARK MUMFORD Senior VP & CFO 5136368778 2018-05-08 1 Alicia Janisch P00741382 3133963000 2016 2022-09-23 18:48:47Z Michael A Fisher 3333 Burnet Avenue Cincinnati OH 452293039 5222435278 0 X www.cincinnatichildrens.org X 1883 OH Provision of pediatric healthcare to patients 28 24 17771 780 40874869 2457622 254993626 265008163 1947623021 1929601261 15686058 26283154 80855490 105297540 2299158195 2326190118 4848180 5100964 0 0 1350748059 1390961208 37025 40000 5133153 758606832 803577493 2114240096 2199679665 184918099 126510453 4017211699 5201204074 1464552699 1338233074 2552659000 3862971000 X Cincinnati Children's Hospital Medical Center will be the leader in improving child health. Cincinnati Children's will provide child health and transform delivery of care through fully integrated, globally recognized research, education, and innovation. For patients and our community, the nation and the world, the care we provide will achieve the best medical and quality of life outcomes, patient and family experiences, and value, today and in the future. 0 0 1933376665 5100964 1963086228 Cincinnati Children's Hospital Medical Center ("Cincinnati Children's"), located in Cincinnati, Ohio, is a private, not-for-profit IRC SEC. 501(c)(3) corporation that owns and operates a comprehensive, academic medical center that includes one of the nation's largest pediatric tertiary care facilities with research operations and extensive pediatric teaching programs. See Schedule O for a complete overview of Cincinnati Children's Community Benefits and Program Service Accomplishments. 1933376665 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 1 1 1 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 1 0 0 1 984 0 1 17771 1 1 1 1 BD 0 0 0 1 1 0 0 0 0 X 28 24 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Laura C Nixon 5138031106 3333 Burnet Avenue Cincinnati OH 452293039 X Sharry Addison Trustee 1.00 1.00 X 0 0 0 Robert DH Anning Trustee 1.00 2.00 X 0 0 0 Carol Armstrong Trustee 1.00 0.00 X 0 0 0 Lynwood Battle Trustee 1.00 1.00 X 0 0 0 Mark Biegger Trustee 1.00 0.00 X 0 0 0 Maureen Bisognano Trustee 1.00 0.00 X 0 0 0 Michael S Cambron Trustee 1.00 1.00 X 0 0 0 Lee A Carter Trustee 1.00 2.00 X 0 0 0 Thomas G Cody Chairman 4.00 1.00 X X 0 0 0 Dave Dougherty Trustee 4.00 1.00 X 0 0 0 Nancy Krieger Eddy PhD Trustee 4.00 1.00 X 0 0 0 Kay Geiger Trustee 1.00 0.00 X 0 0 0 Louis D George Trustee 1.00 0.00 X 0 0 0 Beth Guttman Trustee 1.00 0.00 X 0 0 0 Deb Henretta through 1016 Trustee 1.00 0.00 X 0 0 0 Michael Hirschfeld Esq Trustee 4.00 1.00 X 0 0 0 Margaret Hostetter Chair, Pediatrics 50.00 0.00 X 880532 0 35913 Gary Huffman Trustee 1.00 1.00 X 0 0 0 Mark Jahnke Trustee 4.00 1.00 X 0 0 0 Joyce J Keeshin Trustee 4.00 1.00 X 0 0 0 M Denise Kuprionis Trustee (through 10/16) 1.00 0.00 X 0 0 0 David Osborn Trustee 1.00 1.00 X 0 0 0 Jane Portman Trustee 4.00 1.00 X 0 0 0 Liza Smitherman Trustee 1.00 0.00 X 0 0 0 John Steinman Trustee 4.00 1.00 X 0 0 0 Pamela Terp Trustee 1.00 1.00 X 0 0 0 Daniel von Allmen MD Surgeon-in-Chief 50.00 0.00 X 1242111 0 212750 Felicia Williams Trustee 4.00 1.00 X 0 0 0 Craig Young Trustee 4.00 1.00 X 0 0 0 Michael Fisher President & CEO 50.00 0.00 X X 1752026 0 227782 Mark Mumford SVP & CFO, Treasurer 50.00 1.00 X 823328 0 141094 Beth Stautberg Secretary, Sr VP & Counsel 50.00 0.00 X 765983 0 109125 Steve Davis MD COO 50.00 0.00 X 730701 0 129836 Brian Coley MD Radiologist-in-Chief 50.00 0.00 X 826082 0 143608 Jennifer Dauer SVP Strategy & Growth 50.00 0.00 X 752924 0 125064 Cheryl Hoying RN-PhD SVP Patient Services 50.00 0.00 X 767075 0 108724 John McAuliffe Anesthesiologist-in-Chief 50.00 0.00 X 514515 0 27016 David Morales MD Director, Cardiology 50.00 0.00 X 1706160 0 53890 Francesco Mangano DO Director, Neurosurgery 50.00 0.00 X 1081670 0 52531 Andrew Redington MD Institute Director - Cardiology 50.00 0.00 X 1268658 0 146222 James Tweddell MD Institute Director - Cardiothoracic 50.00 0.00 X 2184170 0 310030 Eric Wall MD Director, Sports Medicine & Orthopedic Fellowship 50.00 0.00 X 1101909 0 54079 Charles Dean Kurth MD Former Key Employee (Through 6/16) 50.00 0.00 X 752124 0 93379 Scott Hamlin Former COO (through 4/15) 50.00 1.00 X 530755 0 0 17680723 0 1971043 1997 1 1 1 Triversity Group LLC 5158 Fishwick Drive Cincinnati OH 45216 Construction Services 20577054 Crothall Healthcare 1500 Liberty Ridge Drive Suite 210 Wayne PA 19087 Housekeeping Services 15577208 Messer Construction 5158 Fishwick Drive Cincinnati OH 45216 Construction Services 14035533 ZGF Architects LLC 1223 SW Washington St Portland OR 97205 Construction Services 5692491 Huron Consulting Group 550 W Van Buren Street Chicago IL 60607 Consulting Services 4041207 151 1909592 65829161 171765735 25503675 2230389 265008163 Net Inpatient Rev. 621990 901610153 858159880 43450273 Net Outpatient Rev. 621990 696740225 696740225 Physician Services 621990 305452742 305452742 Capitation Revenue 621990 25798141 25798141 1929601261 23634000 -2622232 26256232 4009751 3782897 226854 226854 46828 180026 2894200000 2891550846 2649154 2649154 2649154 282669 1909592 911417 -628748 -628748 Industry Grants 611710 22827239 22827239 GME Funding 611710 10657728 10657728 Cafeteria Receipts 722210 9168452 9168452 63046015 63046015 105699434 2326190118 1919635955 40874869 100671131 2087975 2087975 27202 27202 2985787 2985787 9774658 9774658 1583998 181876 1402122 1082111476 943645738 134722879 3742859 66649069 58351260 8297809 160875721 140846694 20029027 69966286 61255483 8710803 573145 573145 727863 727863 409080 409080 40000 40000 646357 646357 1203174 1053379 77716 72079 44745452 39174643 5442880 127929 8691136 7609090 1082046 8166490 7149762 1016728 11065069 9687468 1279527 98074 27031510 23666087 3365423 127240134 111398737 15841397 8413394 7365926 1047468 Purchased Services 198969376 174197689 24031484 740203 Medical Supplies 116451973 116451973 Drugs 97857519 97857519 Utilities 20291177 17764925 2526252 131094644 110208372 20574263 312009 2199679665 1933376665 261169847 5133153 148912721 143003541 484306483 486517256 25065657 28455481 12706923 13398273 2277650493 1113418491 1174543595 1164232002 724580312 847809854 1447096008 2517787667 4017211699 5201204074 278096000 289577000 343888000 321831000 356530000 469219000 486038699 257606074 1464552699 1338233074 X 1036207000 1271934000 155558000 1105023000 1360894000 1486014000 2552659000 3862971000 4017211699 5201204074 X 126510453 -5095122 1188896669 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 1 7262 0 0 1 95950 1 305868 0 0 409080 0 Part II-B, Line 1: While Cincinnati Children's does not spend a substantial amount of resources or time participating in lobbying activities, Cincinnati Children's does pay membership dues to professional organizations who, among their many responsibilities, do 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 - $13,746 2. Cincinnati Business Committee - $2,250 3. Cincinnati Regional Business Committee - $3,000 4. Cincinnati USA Regional Chamber - $750 5. National Assoc. of Children's Hospitals - $29,580 6. National Assoc. of Children's Hospitals (GME Campaign) - $36,749 7. Ohio Hospital Association - $4,375 8. Ohio Business Roundtable - $5,500 In fiscal year 2017, Cincinnati Children's reimbursed Ohio Children's Hospital Association, a professional organization, for $7,262 of advertising expenses in a local paper that was also run in each major paper in Ohio. The advertisement was a lobbying effort on behalf of OCHA's member organizations about a government vote on the Affordable Care Act and the impact on Medicaid and children. 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 2017, Cincinnati Children's government relations office incurred $305,868 in expenses related to various lobbying activities. 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. 1516482000 255914000 1070099000 171766000 79692000 2591037000 1459225000 243834000 57716000 159319000 84974000 1516482000 1434037000 256160000 21051000 165142000 86881000 1459225000 1255391000 246654000 187039000 163071000 91976000 1434037000 1078820528 242324000 174323000 157692746 82383782 1255391000 0.57350 0.42650 0 1 1 37934501 37934501 1491758520 654572370 837186150 670924382 447487861 223436521 77033090 11358260 65674830 1164232002 Investment in subsidiary (River City Insurance, LTD.) 120000 Other Long-Term Assets 58718543 Interest in Net Assets of Supporting Organizations 2447554055 Assets Limited to Use - Funds in Trust 11395069 2517787667 Minimum Pension Liability Accrual 193077523 Self Insurance Reserves 40132989 Other Long-Term Liabilities 20389897 Capital Lease Obligations 4005665 257606074 X 2576222476 -5095122 255819583 250724461 2325498015 692103 692103 2326190118 2390555430 255492868 255492868 2135062562 64617103 64617103 2199679665 Part V, Line 4: Cincinnati Children's endowment funds are utilized to support the operations of various departments at Cincinnati Children's in furtherance of Cincinnati Children's primary tax-exempt purposes of patient care, education, and research. See Form 990, Part III and Schedule O for additional information. Part X, Line 2: Cincinnati Children's accounts for income taxes in accordance with Accounting Standards Codification Topic ("ASC") 740 "Income Taxes". It is Cincinnati Children's policy to classify the expense related to interest and penalties, if any, to be paid on underpayments of income taxes within other expenses. There were no penalties or interest accrued in fiscal year 2017 or 2016. Listed below are the tax years that remain subject to examination by major tax jurisdiction: Federal - 2014 to 2017 State - 2014 to 2017 Part XI, Line 2d - Other Adjustments: Eliminate intercompany operating/restricted revenue 251,427,735. CHSN revenue elimination 4,391,848. Part XI, Line 4b - Other Adjustments: Reclass below the line per financial statements to revenue per 990 4,475,000. Reclass rent expense to offset rental income per 990 -3,782,897. Part XII, Line 2d - Other Adjustments: Eliminate intercompany operating/restricted expense 251,427,735. CHSN expense elimination 4,065,133. Part XII, Line 4b - Other Adjustments: Reclass below the line per financial statements to expenses per 990 68,400,000. Reclass rent expenses to offset rental income per 990 -3,782,897. 0 Central America & the Caribbean Program Services Offshore Captive Management 1071059 Central America & the Caribbean Program Services Education, Teaching, & Research 16106 East Asia & the Pacific Program Services Education, Teaching, & Research 373800 Europe Program Services Education, Teaching, & Research 252735 Middle East & North Africa Program Services Education, Teaching, & Research 107352 North America Program Services Education, Teaching, & Research 1054171 South America Program Services Education, Teaching, & Research 738 South Asia Program Services Education, Teaching, & Research 1500 Sub-Saharan Africa Program Services Education, Teaching, & Research 34206 Europe Program Services Patient Services 24495 East Asia & the Pacific Program Services Patient Services 9170 South America Program Services Patient Services 266 Sub-Saharan Africa Program Services Patient Services 289 Middle East & North Africa Program Services Patient Services 21386 North America Program Services Patient Services 356 South Asia Program Services Patient Services 366 Russia Program Services Patient Services 530 Central America & the Caribbean Program Services Patient Services 179 0 0 0 0 0 0 2877461 91243 2968704 North America Education, Training & Research 1007156 Wire Transfer Cash East Asia & the Pacific Education, Training & Research 346870 Wire Transfer Cash Central America & the Caribbean Education, Training & Research 13210 Wire Transfer Cash Europe Education, Training & Research 174682 Wire Transfer Cash Middle East & North Africa Education, Training & Research 102589 Wire Transfer Cash Sub-Saharan Africa Education, Training & Research 25036 Wire Transfer Cash 4 22 Housing Assistance Europe (Including Iceland & Greenland) - Albania, Andorra, Austria, Belgiu 1 24000 Housing Assistance FMV Research Supplies Europe (Including Iceland & Greenland) - Albania, Andorra, Austria, Belgiu 2 35091 Wire Transfer Research Supplies North America - Canada and Mexico, but not the United States 1 6000 Wire Transfer Housing Assistance East Asia and the Pacific - Australia, Brunei, Burma, Cambodia, 1 8946 Housing Assistance FMV Transportation Assistance Middle East and North Africa - Algeria, Bahrain, Djibouti, Egypt, 444 21386 Transportation Assistance FMV Transportation Assistance East Asia and the Pacific - Australia, Brunei, Burma, Cambodia, 1 224 Transportation Assistance FMV Transportation Assistance Europe (Including Iceland & Greenland) - Albania, Andorra, Austria, Belgiu 1 495 Transportation Assistance FMV Transportation Assistance North America - Canada and Mexico, but not the United States 1 356 Transportation Assistance FMV Transportation Assistance South Asia - Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, 1 366 Transportation Assistance FMV Transportation Assistance Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, 1 289 Transportation Assistance FMV Transportation Assistance Russia and Neighboring States - Armenia, Azerbijan, Belarus, 1 530 Transportation Assistance FMV Transportation Assistance Central America & The Caribbean 1 179 Transportation Assistance FMV Transportation Assistance South America 1 266 Transportation Assistance FMV Education, Teaching, & Research Europe (Including Iceland & Greenland) - Albania, Andorra, Austria, Belgiu 2 35091 Education, Teaching, & Research North America - Canada and Mexico, but not the United States 1 6000 1 0 1 0 0 0 Part I, Line 2: 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 both government and/or sponsor rules and regulations. X X X X X X X 1 Schultz & Williams 325 Chestnut Street Suite 700 Philadelphia PA 19106 Direct mail, program consultation & review 0 0 33000 -33000 Blackband 2000 Daniel Island Drive Charleston SC 29492 Donor benchmarking analysis/analytics 0 0 7000 -7000 40000 -40000 OH KY IN FL Walk for Kids 841746 759869 81877 0 512 62945 1880 4045 159111 Celestial Ball 1011127 871502 139625 0 0 29161 147620 1500 326549 7 339388 278221 61167 5767 40142 83341 16931 375 31538 2192261 1909592 282669 5767 40654 175447 166431 5920 517198 911417 -628748 Schedule G, Part I, Line 2b, Column (v) Schultz & Williams also received payments totaling $375,371 for preparation, printing, and postage of mailings and mailing list. 1 1 X 1 X 1 X 1 1 1 0 1 1 11410833 4700000 6710833 0.00310 710495968 496112000 214383968 0.09750 721906801 500812000 221094801 0.10060 7294079 1465419 5828660 0.00260 67860322 16513522 51346800 0.02330 11235000 6369000 4866000 0.00220 397458481 230454725 167003756 0.07590 1921200 20947 1900253 0.00090 485769082 254823613 230945469 0.10490 1207675883 755635613 452040270 0.20550 165138 165138 0.00010 98100 98100 0.00000 149654 149654 0.00010 326000 326000 0.00010 738892 738892 0.00030 0 9325405 1734525 6073959 11122600 -5048641 X 1 1 4 1 CCHMC - Main Campus 3333 Burnet Avenue Cincinnati OH 45229 www.cincinnatichildrens.org 1186 X X X X X X A 2 CCHMC - Liberty Campus 7777 Yankee Road Liberty Township OH 45044 www.cincinnatichildrens.org 1492 X X X X X A 3 CCHMC - College Hill Campus 5642 Hamilton Avenue Cincinnati OH 45224 www.cincinnatichildrens.org 1446 X X X A 4 CCHMC - Lindner Center of Hope Campus 4015 Old Western Row Road Mason OH 45040 www.cincinnatichildrens.org 1500 X X X A Facility Reporting Group A 0 0 1 X X X X X X X X X 15 1 1 0 1 X See Part V, Section C X 1 15 1 http://www.cincinnatichildrens.org/about/community/health-needs-assessment/ 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X http://www.cincinnatichildrens.org/patients/resources/financial-assistance/ X http://www.cincinnatichildrens.org/patients/resources/financial-assistance/ X http://www.cincinnatichildrens.org/patients/resources/financial-assistance/ X X X X X X X 1 X 0 X 1 X 0 0 Part V, Section B Facility Reporting Group A Facility Reporting Group A consists of: - Facility 1: CCHMC - Main Campus, - Facility 2: CCHMC - Liberty Campus, - Facility 3: CCHMC - College Hill Campus, - Facility 4: CCHMC - Lindner Center of Hope Campus Facility Reporting Group A Part V, Section B, line 5: Cincinnati Children's received input from a broad range of individuals that are representative of medically underserved, low-income, and minority populations when completing its most recent Community Health Needs Assessment. Cincinnati Children's 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. Community input was included in data sources as follows: - Community Surveys: 1,500 households within Cincinnati Children's primary service area were randomly surveyed during Spring/Summer 2014. Of those 1,500 households, 450 households included children under 18 in which the primary caregiver was asked additional questions. - Community Focus Groups: Focus groups were held during the Summer of 2015 in each of eight counties in the primary service area. Participants included individuals from the community, FQHCs, health departments, and other social service organizations who serve thousands of adults and children throughout respective counties. - Key Informant Interviews: Interviews were conducted during March-May 2015 with individuals representing over 24 organizations servicing community members in the primary service area. These organizations serve minority, low-income, and medically underserved populations. Please refer to the Community Health Needs Assessment for more detailed discussion on the questions and people/organizations involved. Facility Reporting Group A Part V, Section B, line 6a: CCHMC - 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/ Facility Reporting Group A Part V, Section B, line 11: In completing its Community Health Needs Assessment (CHNA) and in conjunction with the Community Health pillar of the strategic plan, Cincinnati Children's identified the following priorities:- Child Mental Health- Childhood Obesity- Child Safety and Unintentional Injury- Childhood Asthma- Early Literary and School Readiness- Infant MortalityCincinnati 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 Facility Reporting Group A Part V, Section B, line 16j: In addition to Cincinnati Children's Financial Assistance Policy being available on its website, available upon request, included with billing statements, and prominently displayed in emergency rooms and admissions offices, a plain language summary of Cincinnati Children's Financial Assistance Policy is available on its website, http://www.cincinnatichildrens.org/patients/resources/financial-assistance/ 11 1 - CCHMC Anderson 7495 State Road Suite 355 Cincinnati OH 45255 Neighborhood Facility 2 - CCHMC Drake 151 West Galbraith Road Cincinnati OH 45216 Neighborhood Facility 3 - CCHMC Eastgate 796 Cincinnati-Batavia Pike Cincinnati OH 45245 Neighborhood Facility 4 - CCHMC Fairfield 3050 Mack Road Cincinnati OH 45014 Neighborhood Facility 5 - CCHMC Green Township 5899 Harrison Avenue Cincinnati OH 45248 Neighborhood Facility 6 - CCHMC Kenwood 7714-A Montgomery Road Cincinnati OH 45236 Neighborhood Facility 7 - CCHMC Mason 9560 Childrens Drive Mason OH 45040 Neighborhood Facility 8 - Children's Outpatient NKY 2765 Chapel Place Crestview Hills KY 41017 Neighborhood Facility 9 - CCHMC Oak 2800 Winslow Avenue Cincinnati OH 45206 Neighborhood Facility 10 - CCHMC North Burnet 3430 North Burnet Avenue Cincinnati OH 45229 Neighborhood Facility 11 - CCHMC Hopple Street 2750 Beekman Avenue Cincinnati OH 45225 Neighborhood Facility Part I, Line 7: Cincinnati Children's utilizes the cost to charge ratios from the most recently filed cost reports to calculate the amounts reported on Schedule H, Part I, Line 7. Part III, Line 2: The bad debt reported on LIne 2 is at cost, as calculated from the cost accounting system. It represents amounts charged to bad debt at cost related to amounts uncollectible from patients and families. Part III, Line 3: Cincinnati Children's utliizes economists from the University of Cincinnati to determine the estimated percentage of the bad debt expense reported on Line 2 attributable to patients eligible under our Financial Assistance Policy. This amount is not included in our community benefit calculation. Part III, Line 4: Uncollectible amounts from patients who do not meet the criteria under Cincinnati Children's charity care policy is considered bad debt and is included as an offset to net patient services revenue in the audited financial statements. The cost of bad debt is calculated using cost to charge ratios calculated from the most recently filed cost report.The description of bad debt can be found in the organization's Audited Financial Statements on footnote 1(d), Page 4. Part III, Line 8: Cincinnati Children's utilizes its cost accounting system to calculate the cost of providing care to Medicare patients. Part III, Line 9b: Cincinnati Children's has a policy that once it has been determined that a family qualifies for 100% assistance, all collections activities on that patient cease. Cincinnati Children's staff work with the family on obtaining financial assistance. Part VI, Line 2: In order to understand the child health needs of the Cincinnati Children's community, community members and key child health organizations were asked to participate in our community survey, key informant interviews and community focus groups. Through each data collection method, community input was solicited through community members or representatives of organziations, 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 its 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. Part VI, Line 3: Cincinnati Children's patient billing statements, website, and financial brochures contain information about its charity and financial assistance programs with directions on how to contact Cincinnati Children's to initiate an application or ask questions about the process. In addition, Cincinnati Children's brochures are available at each registration site. Cincinnati Children's customer service representatives are trained to work with the families on answering assistance related questions as well. Cincinnati Children's also has a financial counseling department and a financial advocate program that reach out to indigent families and try to help with their specific needs. Cincinnati Children's goal is to provide financial assistance as efficiently and as compliant as possible while still keeping customer service as our number one priority. Part VI, Line 4: Cincinnati Children's serves patients from all 50 states and over 100 countries but its primary service area is an eight county region across the Greater Cincinnati geographic area. The eight counties include Butler, Clermont, Hamilton, and Warren counties in Ohio; Boone, Campbell, and Kenton counties in Kentucky; and Dearborn County in Indiana. Cincinnati Children's operates 19 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: https://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 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 1 Avondale Comprehensive Development Corporation 3494 Reading Road Cincinnati OH 45229 452412695 501(c)(3) 75000 Sponsorship Uptown Consortium 629 Oak Street Suite 206 Cincinnati OH 45206 200688727 501(c)(3) 291000 Sponsorship Cincinnati Reds Community Fund 100 Joe Nuxhall Way Cincinnati OH 45202 311790195 501(c)(3) 125000 Sponsorship Children's Miracle Network 205 West 700 South Salt Lake City UT 84101 870387205 501(c)(3) 125000 Sponsorship United Way of Greater Cincinnati 2400 Reading Road Cincinnati OH 45202 310537502 501(c)(3) 110000 Sponsorship American Heart Association 7272 Greenville Avenue Dallas TX 75231 135613797 501(c)(3) 98000 Sponsorship University of Cincinnati Foundation PO Box 19970 Cincinnati OH 45219 310896555 501(c)(3) 64000 Sponsorship National Association of Children's Hospitals & Related Institutions 600 13th Street NW No 500 Washington DC 20005 510120256 501(c)(3) 56600 Sponsorship American College of Obstetricians and Gynecologists 409 12th St SW Washington DC 20024 362217981 501(c)(3) 50000 Sponsorship Redi CincinnatiJobsOhio 3 East 4th Street Suite 301 Cincinnati OH 45202 452798687 501(c)(3) 50000 Sponsorship Global Genes 28 Argonaut Suite 150 Aliso Viejo CA 92656 263331487 501(c)(3) 40000 Sponsorship Urban League of Greater Cincinnati 3458 Reading Road Cincinnati OH 45229 310565428 501(c)(3) 40000 Sponsorship West Chester Chamber Alliance 8922 Beckett Road West Chester OH 45069 310901492 501(c)(6) 32600 Sponsorship Gabriel's Place 412 Sycamore Street Cincinnati OH 45202 455333845 501(c)(3) 30000 Sponsorship March of Dimes Birth Defect Foundation 10806 Kenwood Road Cincinnati OH 45242 131846366 501(c)(3) 25000 Sponsorship Closing the Health Gap 3120 Burnet Avenue Suite 201 Cincinnati OH 45229 200902286 501(c)(3) 25000 Sponsorship Central Community Health Board of Hamilton County 532 Maxwell Ave Cincinnati OH 45219 310792022 501(c)(3) 25000 Sponsorship Institute for Healthcare Improvement 20 University Road Cambridge MA 02138 383017223 501(c)(3) 24000 Sponsorship National Fragile X Foundation 2100 M Street NW Washington DC 20037 840960471 501(c)(3) 20000 Sponsorship Ronald McDonald House Charities of Greater Cincinnati 350 Erkenbrecher Avenue Cincinnati OH 45229 310965333 501(c)(3) 19750 Sponsorship LifeCenter Organ Donor Network 615 Elsmore Place No 400 Cincinnati OH 45202 311040508 501(c)(3) 16985 Sponsorship Give Back Cincinnati 312 Walnut Stret No 3600 Cincinnati OH 45202 311774381 501(c)(3) 15181 Sponsorship The LAM Foundation 4520 Cooper Road Cincinnati OH 45242 311438001 501(c)(3) 15000 Sponsorship Legal Aid Society of Greater Cincinnati 215 E 9th St 200 Cincinnati OH 45202 135562265 501(c)(3) 14750 Sponsorship Pediatric Cardiac Intensive Care Society 2209 Dickens Road Richmond VA 23230 030467764 501(c)(6) 13750 Sponsorship Cincinnati Zoo Foundation Inc 3400 Vine Street Cincinnati OH 45220 311680106 501(c)(3) 10800 Sponsorship Juvenile Diabetes Research Foundation 8041 Hosbrook Road Suite 422 Cincinnati OH 45236 231907729 501(c)(3) 10000 Sponsorship Kentucky Children's Hospital 300 W Vine Street Suite 60 Lexington KY 40507 616001218 501(c)(3) 10000 Sponsorship Boomer Esiason Foundation 483 10th Avenue Suite 300 New York NY 10018 113142753 501(c)(3) 10000 Sponsorship Pediatric Orthopaedic Society of North America 9400 W Higgins Road STE 500 Rosemont IL 60018 541323281 501(c)(3) 10000 Sponsorship Cincinnati Recreation Commission Foundation 805 Central Avenue Suite 800 Cincinnati OH 45202 311574475 501(c)(3) 10000 Sponsorship The GLAD House Inc 1994 Madison Road Cincinnati OH 45208 311399871 501(c)(3) 9000 Sponsorship Adult Congenital Heart Association 3300 Henry Avenue No 112 Philadelphia PA 19129 043447959 501(c)(3) 7500 Sponsorship Cancer Support Community 734 15th St NW Ste 300 Washington DC 20005 954163931 501(c)(3) 7500 Sponsorship YWCA of Greater Cincinnati 898 Walnut Street Cincinnati OH 45202 310537518 501(c)(3) 7100 Sponsorship Cincinnati-Hamilton County Community Action Agency 1740 Langdon Farm Road Cincinnati OH 45237 316053035 501(c)(3) 7000 Sponsorship Jaz Jordan Inc 11804 Conrey Road Suite 150 Cincinnati OH 45249 464687760 501(c)(3) 7000 Sponsorship Axis (Edge) Teen Center 7568 Wyandot Lane Liberty Township OH 45044 261438129 501(c)(3) 7000 Sponsorship Society for Maternal-Fetal Medicine 409 12th St SW Washington DC 20024 742052541 501(c)(3) 6900 Sponsorship Autism Speaks Inc 1 East 33rd Streeth 4th Floor New York NY 10016 202329938 501(c)(3) 6056 Sponsorship Public Allies 735 North Water Street Suite 550 Milwaukee WI 53202 521759564 501(c)(3) 6016 Sponsorship Children's Hospital Foundation 111 Michigan Avenue NW Washington DC 20010 521640402 501(c)(3) 6000 Sponsorship Ohio Valley Voices 6642 Branch Hill Guinea Pike Loveland OH 45140 311639795 501(c)(3) 5750 Sponsorship The Cure Starts Now 10280 Chester Road Cincinnati OH 45215 260269131 501(c)(3) 5300 Sponsorship Avondale Community Council 3635 Reading Road Cincinnati OH 45229 237089046 501(c)(3) 50000 Sponsorship The Community Builders 95 Berkeley St Ste 500 Boston MA 02116 042324773 501(c)(3) 17200 Sponsorship Board of Ed of City School District of Cincinnati 2651 Burnet Ave Cincinnati OH 45219 316000758 501(c)(3) 35000 Sponsorship Easter Seals TriState LLC 2901 Gilbert Avenue Cincinnati OH 45206 310873433 501(c)(3) 10000 Sponsorship CWFF Child Development Center 434 Forest Ave Cincinnati OH 45229 310901096 501(c)(3) 10000 Sponsorship 42 2 Housing for Domestic Patient Families 103 27202 FMV Housing Assistance Part I, Line 2: Cincinnati Children's provides grants and allocations to IRC Sec. 501(c)(3) organizations 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 and Cincinnati Children's also requests year-end annual reports from supported organizations. X X X X X 0 1 0 0 0 0 0 0 0 Margaret Hostetter Chair, Pediatrics 592002 0 173868 0 114662 0 26500 0 9413 0 916445 0 0 0 Daniel von Allmen MD Surgeon-in-Chief 934320 0 289001 0 18790 0 190278 0 22472 0 1454861 0 0 0 Michael Fisher President & CEO 963749 0 291372 0 496905 0 198605 0 29177 0 1979808 0 477615 0 Mark Mumford SVP & CFO, Treasurer 536311 0 178412 0 108605 0 112917 0 28177 0 964422 0 89915 0 Beth Stautberg Secretary, Sr VP & Counsel 474517 0 144296 0 147170 0 99570 0 9555 0 875108 0 128980 0 Steve Davis MD COO 558938 0 171073 0 690 0 102419 0 27417 0 860537 0 0 0 Brian Coley MD Radiologist-in-Chief 607537 0 95921 0 122624 0 125609 0 17999 0 969690 0 103834 0 Jennifer Dauer SVP Strategy & Growth 441845 0 253072 0 58007 0 94418 0 30646 0 877988 0 39817 0 Cheryl Hoying RN-PhD SVP Patient Services 420304 0 139799 0 206972 0 89051 0 19673 0 875799 0 186992 0 John McAuliffe Anesthesiologist-in-Chief 427966 0 44000 0 42549 0 26500 0 516 0 541531 0 0 0 David Morales MD Director, Cardiology 1422476 0 261706 0 21978 0 26500 0 27390 0 1760050 0 0 0 Francesco Mangano DO Director, Neurosurgery 878821 0 184224 0 18625 0 26500 0 26031 0 1134201 0 0 0 Andrew Redington MD Institute Director - Cardiology 756527 0 492841 0 19290 0 125210 0 21012 0 1414880 0 0 0 James Tweddell MD Institute Director - Cardiothoracic 1767524 0 415356 0 1290 0 283847 0 26183 0 2494200 0 0 0 Eric Wall MD Director, Sports Medicine & Orthoped 923320 0 152271 0 26318 0 26500 0 27579 0 1155988 0 0 0 Charles Dean Kurth MD Former Key Employee (Through 6/16) 337212 0 206947 0 207965 0 82785 0 10594 0 845503 0 118587 0 Scott Hamlin Former COO (through 4/15) 0 0 0 0 530755 0 0 0 0 0 530755 0 0 0 Part I, Line 4b Certain officers and key employees have arrangements which provide for supplemental retirement benefits as described in IRC Sec. 457(f). Due to the substantial risk of forfeiture provision, these arrangements are non-vested and there is no guarantee that these officers and key employees will ever receive these benefits. The following is a listing of officers and key employees that received a deferral, subject to the substantial risk of forfeiture provision, 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 C, Deferred Compensation): 1. Michael Fisher - $172,105 2. Beth Stautberg - $73,070 3. Dean Kurth - $56,285 4. Mark Mumford - $86,417 5. Stephen Davis - $75,919 6. Andrew Redington - $98,710 7. James Tweddell - $257,347 8. Daniel von Allmen - $163,778 9. Cheryl Hoying - $62,551 10. Jennifer Dauer - $67,918 11. Brian Coley - $99,109 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 - $128,980 2. Dean Kurth - $118,587 3. Michael Fisher - $477,615 4. Mark Mumford - $89,915 5. Cheryl Hoying - $186,992 6. Brian Coley - $103,834 7. Jennifer Dauer - $39,817 Schedule J, Part II Scott Hamlin left Cincinnati Children's in April 2015. In connection with his departure, he received a continuation of salary, a payout in July 2016 based on meeting certain requirements, and will receive a future payment in July 2017 contingent on meeting certain requirements. Explanation of Compensation Paid to John McAuliffe: John McAuliffe receives $35,211 of other reportable compensation from the University of Cincinnati for services provided to the Department of Pediatrics. 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 as 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. Compensation Committee Philosophy: The Leadership Development and Compensation Committee (the "Committee") is comprised of trustee members. The Committee is charged with responsibility for review, approval, and oversight of all of the items of compensation that impact Cincinnati Children's senior management and those individuals described in the Committee's charter. The Committee establishes Cincinnati Children's compensation philosophy for these employees by utilizing the following fundamental concepts in determining compensation strategy and objectives: 1. Cincinnati Children's is an equal opportunity employer. Compensation decisions at Cincinnati Children's are based upon an employee's performance and his or her achievement of Cincinnati Children's mission; 2. Cincinnati Children's total compensation must remain competitive within, and responsive to, the various regional, national, and global markets which enables it to attract and retain senior management, highly-compensated non-faculty employees and faculty members with the talent and expertise necessary for it to carry out its mission and to be a global leader in pediatric health care, research and education; specific detailed attention is given to relevant comparative compensation data from entities of comparable size, complexity, and global reputation, including other national health care organizations with annual net revenues similar to that of Cincinnati Children's; 3. Cincinnati Children's utilizes external, independent experts to assist in ensuring a complete understanding of all relevant markets; and 4. Cincinnati Children's compensation must not result in private inurement. In addition to their base salary, key members of senior and middle management are eligible for annual incentive compensation. Annual incentive compensation is calculated as a percentage of base salary and is based on achieving certain operational, quality, patient safety, financial and other performance targets that are established on both an organizational and individual level. These performance targets are reviewed and approved by the Compensation Committee on an annual basis. A County of Butler Ohio 316000061 000000000 2009-12-17 30000000 Repay 20080 Bonds (4/30/08) 0 0 0 B Hamilton County Ohio 316000063 000000000 2010-11-19 30000000 Repay 2007N Bonds (12/11/07) 0 0 0 C Hamilton County Ohio 316000063 000000000 2011-10-14 62135000 Repay 1998G Bonds (8/27/98) 0 0 0 D Hamilton County Ohio 316000063 407272N25 2014-01-08 134694252 Repay 1998 and 2004 Bonds (8/27/98 and 6/30/04) 0 0 0 A 24000000 30000000 30000000 2009 1 0 1 1 B 21000000 30000000 30000000 2010 1 0 1 1 C 23590000 62135000 62135000 2011 1 0 1 1 D 13735000 134694252 1635569 133058683 2014 1 1 1 1 A 0 1 0 1 0 0.00000 0.00070 0.00070 0 0 1 B 0 0 0 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 1 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 1 0 0.00000 0.01970 0.01970 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 D 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 Form 990, Schedule K, Part I The 4/30/08 bond issue repaid the series 2006L bond issued dated 12/8/06. A portion of the 4/30/08 bond issue was refinanced by the 12/17/09 bond issue. The remaining portion of the 4/30/08 bond issue was refinanced by the 06/29/16 2016W bond issue. Form 990, Schedule K, Part I The 6/29/16 2016U bond issue repaid the 2000 bond issue dated 7/26/2000. Form 990, Schedule K, Part I The 12/17/09 bond issue repaid a portion of the series 2008O bond issued dated 4/30/08, which repaid a portion of the 2006L bond issued dated 12/8/06. Form 990, Schedule K, Part I The 11/19/10 bond issue repaid a portion of the series 2007N bond issue dated 12/11/07. The 6/29/16 2016V bond issue repaid the remainder of the 2007N bond issue dated 12/11/07. Form 990, Schedule K, Part I The 10/14/11 bond issue repaid a portion of the series 1998G bond issue dated 8/27/98. Form 990, Schedule K, Part I The 1/08/2014 bond issue repaid the 1998 bond issue dated 8/27/1998 and the 2004 bond issue dated 6/30/2004. The 2004 bond issue repayment is considered part of an advance refunding issue. Form 990, Schedule K, Part I The 11/18/2016 bond issue repaid the Series 2006K bond issue dated 12/8/2006. Form 990, Schedule K, Part II, Line 3 Differences between the issue price (Part I, column (e)) and Part II, line 3 are due to investment earnings. Form 990, Schedule K, Part III, Line 3D While Cincinnati Children's does not routinely engage outside bond counsel to review management or service contracts and research agreements related to bond-financed property, Cincinnati Children's regularly consults with in-house counsel to perform an internal assessment of management and service contracts and research agreements related to bond-financed property. Form 990, Schedule K, Part IV, Line 6 This question is being answered without regard to a yield restricted refunding escrow. A Hamilton County Ohio 316000063 000000000 2016-06-29 46515000 Repay 2000 Bonds (7/26/00) 0 0 0 B Hamilton County Ohio 316000063 000000000 2016-06-29 30615000 Repay 2007M Bonds (12/11/07) 0 0 0 C Hamilton County Ohio 316000063 000000000 2016-06-29 19045000 Repay 2008O Bonds (4/30/08) 0 0 0 D Butler County Ohio 316000061 123550GY5 2016-11-18 63956074 Repay 2006K bonds (12/8/06) 0 0 0 A 565000 46515000 46515000 2016 1 0 1 1 B 30615000 30615000 2016 1 0 1 1 C 19045000 19045000 2016 1 0 1 1 D 63956074 698655 63257419 2016 1 0 1 1 A 0 0 0 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 1 0 1 0 0.00000 0.00070 0.00070 0 0 1 D 0 0 0 1 0 0.00000 0.00160 0.00160 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 1 0 1 0 0 0 1 C 0 0 1 0 1 0 0 0 1 D 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 Ann Chambers-Blackmore Family Member Trustee 93896 Compensation & Benefits 0 Margaret Kettler Family Member Trustee 113844 Compensation & Benefits 0 PNC Bank Trustee is Officer 1553705 Banking Relationship 0 Substantial Contributor Substantial Contributor 354889 Vendor 0 Substantial Contributor Substantial Contributor 788328 Vendor 0 Substantial Contributor Substantial Contributor 150222 Vendor 0 Substantial Contributor Substantial Contributor 2134583 Vendor 0 Substantial Contributor Substantial Contributor 393121 Vendor 0 Substantial Contributor Substantial Contributor 305564 Vendor 0 Substantial Contributor Substantial Contributor 112928 Vendor 0 Substantial Contributor Substantial Contributor 997741 Vendor 0 Substantial Contributor Substantial Contributor 12773162 Vendor 0 Substantial Contributor Substantial Contributor 122500 Vendor 0 Substantial Contributor Substantial Contributor 160652 Vendor 0 Substantial Contributor Substantial Contributor 273653 Vendor 0 Substantial Contributor Substantial Contributor 1298512 Vendor 0 Substantial Contributor Substantial Contributor 2687909 Vendor 0 Substantial Contributor Substantial Contributor 521163 Vendor 0 Substantial Contributor Substantial Contributor 101220 Vendor 0 Substantial Contributor Substantial Contributor 527771 Vendor 0 Substantial Contributor Substantial Contributor 254206 Vendor 0 Substantial Contributor Substantial Contributor 307922 Vendor 0 Substantial Contributor Substantial Contributor 532105 Vendor 0 Substantial Contributor Substantial Contributor 137924 Vendor 0 Substantial Contributor Substantial Contributor 437743 Vendor 0 Substantial Contributor Substantial Contributor 1531881 Vendor 0 Substantial Contributor Substantial Contributor 10924363 Vendor 0 Substantial Contributor Substantial Contributor 534472 Vendor 0 Substantial Contributor Substantial Contributor 5202424 Vendor 0 Substantial Contributor Substantial Contributor 1478685 Vendor 0 Substantial Contributor Substantial Contributor 123341 Vendor 0 Substantial Contributor Substantial Contributor 336654 Vendor 0 Substantial Contributor Substantial Contributor 770877 Vendor 0 Substantial Contributor Substantial Contributor 285448 Vendor 0 Substantial Contributor Substantial Contributor 126312 Vendor 0 Substantial Contributor Substantial Contributor 333819 Vendor 0 Substantial Contributor Substantial Contributor 148422 Vendor 0 Substantial Contributor Substantial Contributor 12661188 Vendor 0 Substantial Contributor Substantial Contributor 819659 Vendor 0 Substantial Contributor Substantial Contributor 221964 Vendor 0 Substantial Contributor Substantial Contributor 174638 Vendor 0 SCHEDULE L, PART IV The items reported on Schedule L, Part IV are arms-length transactions and at fair market value. X 36 2230389 Fair Market Value 0 1 0 Part I, Line 30b: The number reported in column b represents the number of items received. Form 990, Part VI, Section A, line 6 Article I, Section 1.1. of Cincinnati Children's Code of Regulations provides that the membership of Cincinnati Children's shall consist of the persons who are the members of the Board of Trustees of The Children's Hospital, Cincinnati, Ohio (TCH). Form 990, Part VI, Section A, line 7a Article I, Section 1.1. of Cincinnati Children's Code of Regulations provides that the membership of Cincinnati Children's shall consist of the persons who are the members of the Board of Trustees of TCH. Form 990, Part VI, Section B, line 11b The Form 990 is prepared by Senior Management from Cincinnati Children's. External tax consultants review the Form 990 for completeness and accuracy. The Form 990 is then presented to the Audit & Compliance committee, which is a standing committee of the Cincinnati Children's Board of Trustees, for review. Finally, the Form 990 is made available to all Board of Trustees members in advance of filing. Form 990, Part VI, Section B, line 12c All of Cincinnati Children's officers, trustees, and key employees receive an annual questionnaire requesting information regarding family and business relationships that could potentially result in a conflict of interest under Cincinnati Children's written conflict of interest policy. Once the questionnaires have been completed, they are reviewed by Cincinnati Children's management, and if a relationship exists that may present a conflict of interest, Cincinnati Children's follows the provisions set forth in its conflict of interest policy to disclose and manage the conflict and determines the appropriate reporting to board committees and, if required, Form 990 disclosure. Form 990, Part VI, Section B, line 15 Cincinnati Children's has a compensation committee that annually reviews the recommendations of management regarding employee performance evaluation and compensation adjustments for disqualified persons to ensure that it has complied with the provisions of the rebuttable presumption of reasonableness under IRC Sec. 4958. Form 990, Part VI, Section C, line 19 Cincinnati Children's governing documents, conflict of interest policy, and financial statements are maintained on file by senior management and are available to the general public upon request either in-person, by telephone, or by written request. From 990, Part VII The amounts reported on the Form 990, Part VII, Section B may include payments for services, products, expense reimbursements, and other types of payments. Any payment for non-services is not available for breakout separately based on the invoices received from the contractors. Form 990, Part XI, line 9: Minimum Pension Liability Adjustment 118,472,000. Gain in Net Assets of Supporting Organizations, Net 1,070,099,000. Elimination of CHSN Income 325,669. Form 990, Part III At Cincinnati Children's, our approach to community benefit is rooted in the belief that hospitals have a responsibility to improve the health and quality of life for children in the communities they serve. Part of this responsibility is serving as a medical safety net for children, regardless of their families' circumstance or ability to pay. Providing community benefit is one way in which we strive to meet that responsibility. Cincinnati Children's offers numerous programs and services to meet community health needs. In fiscal year 2017, Cincinnati Children's provided approximately $221.1 million in free care or discounted services to families in the community who are unable to pay. Cincinnati Children's has a long tradition of working with its community partners on matters related to the community's health and well-being and has conducted several community health surveys in the Greater Cincinnati/Northern Kentucky community since the year 2000. These surveys gather information about the community's health and well-being, and the data gathered in each continues to inform Cincinnati Children's community health agenda. Cincinnati Children's 2020 Strategic Plan continues the 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-profit organizations 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. Form 990, Part III Cincinnati Children's has performed an analysis and quantification of its estimated benefit to the Community. A summary of this analysis is detailed below and is also provided on Schedule H. * Patient Care (net of tax levy and Ohio HCAP)(Note A): $221.1 million * Subsidized Health Services: $4.9 million * Research: $167 million * Education : $51.3 million Note A: Charitable Patient Care ($221.1 million) - Free or discounted services for those unable to pay because they are poor or uninsured. The benefit amount includes the shortfall from Medicaid reimbursement based on the cost of providing care to Medicaid recipients (after accounting for support from Hamilton County Health and Hospitalization levy and the Hospital Care Assurance Program) and the loss from the cost of providing charity care. Cincinnati Children's provides patient care to infants, children and adolescents. It serves as a tertiary level referral center for pediatric illnesses. During the fiscal year ended June 30, 2017, Cincinnati Children's admitted 19,382 patients who were associated with 154,903 patient days. In addition, Cincinnati Children's treated over 1,137,000 outpatient visits. Cincinnati Children's maintains one of the nation's busiest Emergency Departments. Over the past year, Cincinnati Children's handled over 93,000 emergency room visits. During fiscal 2017, Cincinnati Children's performed over 45,000 hours of surgery. As with other not-for-profit organizations, Cincinnati Children's reinvests its net revenues to continuously improve its ability to provide quality healthcare, research, and education. These resources allow Cincinnati Children's to maintain a renowned staff of medical professionals and provide state-of-the-art medical facilities and equipment. Cincinnati Children's makes significant investments in information technology, continuously striving to improve its business and clinical practices. The advanced technology allows physicians to bring timely and relevant information to the patient's bedside, making patient care safer and more efficient. Cincinnati Children's is accredited by the Joint Commission on Accreditation of Healthcare Organizations and is a member of the American Hospital Association, the Ohio Hospital Association, the Greater Cincinnati Hospital Council, The Association of Ohio Children's Hospitals, the Council of Teaching Hospitals. Cincinnati Children's has also been designated as a magnet hospital. Form 990, Part III Cincinnati Children's participates in applicable government sponsored entitlement programs, serving thousands of patients covered by public programs such as Medicaid and Medicare. Medicaid and Medicare reimburse hospitals for healthcare services provided to eligible patients, but the payments do not cover the total cost of providing the service. For the year ended June 30, 2017, more than 47% of all Cincinnati Children's gross patient revenue was generated from patients whom were enrolled in various state Medicaid programs and Medicare. Cincinnati Children's defines indigent patient care as services rendered to patients whose families are unable to meet certain minimum income and/or net worth standards. As such, charges absorbed by Cincinnati Children's in rendering services to patients who are covered under governmental programs which are designed to aid low income families (primarily the Medicaid program) are considered in the calculation of indigent patient care. This policy applies to all inpatient, outpatient or emergency room services and to professional services performed by providers employed by Cincinnati Children's. In fiscal 2017, the loss on provision of charity care and means-tested government programs totaled approximately $221.1 million (after taking into account funds received under the Ohio Hospital Care Assurance program and the Hamilton County Health and Hospitalization Tax Levy which total approximately $38.4 million). Consistent with its charitable mission, Cincinnati Children's maintains a policy of accepting all patients within its primary service area regardless of ability to pay. The primary service area includes the eight counties in Southwestern Ohio, Northern Kentucky, and Southeastern Indiana that geographically surround Cincinnati. For the fiscal year ended June 30, 2017, Cincinnati Children's absorbed approximately $6.7 million of uncompensated charity care services as a result of this "open-door" charitable policy. In addition, due to a local property tax levy, Cincinnati Children's received $4.7 million of funding to help offset the cost of providing care to eligible Hamilton County Residents. Patient Care Cincinnati Children's currently owns and operates inpatient and outpatient facilities on its main campus, specially suited to the provision of state-of-the-art pediatric care. At June 30, 2017, Cincinnati Children's has 648 registered inpatient beds, including 84 inpatient beds at its College Hill campus, 42 beds at the Liberty Campus, and 16 beds at the Lindner campus, of which 595 are currently in service. It also has 30 registered residential psychiatric beds at its College Hill campus, of which 30 are currently in service. Its specialized facilities include a 59-bed neonatal intensive care unit for treatment of critically ill and premature newborns, a 35-bed pediatric intensive care unit for critically ill and injured children, and a 25-bed cardiac intensive care unit. In addition, Cincinnati Children's facilities include a 68-bed hematology/oncology/BMT unit for treatment of children with serious blood disorders, including bone marrow transplant services. Cincinnati Children's also operates a network of 11 outpatient care centers located throughout the primary service area. The services offered at these centers vary by location, but generally include diagnostic testing, pediatric specialty clinics, therapies and dental services. Several of the centers also offer urgent care services. In addition, the Liberty Campus also provides inpatient, observation, emergency room and surgical services. Form 990, Part III Research Children's Hospital Research Foundation (the "Research Foundation"), a division of Cincinnati Children's, conducts both basic science and clinically applied biomedical research in the areas of morphological pathology, molecular and cell biology, biological mechanisms of disease and the processes of normally functioning systems. During the year ended June 30, 2017, there were more than 1,082 active-sponsored research projects. The Research Foundation occupies approximately 45% of the available space of Cincinnati Children's Main Campus and accounts for about 32% of the total annual operating budget. Additionally, according to the most recent information published by the National Institutes of Health ("NIH"), Cincinnati Children's ranked third in the nation among all pediatric health care facilities in terms of NIH grant awards received. The second major expense area for Cincinnati Children's is research. Spending in this area attracts talented pediatric researchers; generates government, foundation, and industry funding; and leads to related new business development. A key factor in Cincinnati Children's ability to attract significant external funding, particularly from the National Institutes of Health (NIH), is that it spends its own resources to create "Centers of Excellence," with top researchers in specific areas of child medicine that will be attractive to outside funders. Further, through its Trustee's Grant Program, it provides seed money to researchers, with the expectation that they will later apply for external funding. Form 990, Part III Medical Education Cincinnati Children's is adjacent to the University of Cincinnati College of Medicine and serves as its Department of Pediatrics. Cincinnati Children's offers education and training in clinical residency programs, clinical and research fellowships and allied health sciences. All pediatrics specialties and subspecialties are represented on the Medical Staff. Cincinnati Children's also provides graduate medical education in Developmental Biology and Genetic Counseling and annually trains approximately 540 physician residents and 260 fellows. Cincinnati Children's has provided training for the majority of pediatricians practicing within its service area. Cincinnati Children's also provides clinical training in allied health sciences in Nursing, Respiratory Therapy, Radiologic Technology, Speech Pathology and Audiology. Cincinnati Children's costs of providing such training include the salary and training costs of interns and residents and other providers. Cincinnati Children's received approximately $10.7 million in funding from the Federal CHGME program in fiscal 2017 to help offset such costs. Additionally, Cincinnati Children's received approximately $9.5 million from State Medicaid and Medicare programs and grants to further assist in offsetting medical education costs in fiscal 2017. In fiscal 2017, Cincinnati Children's devoted a portion of its expenditures to the education mission of the hospital. This money is used to provide graduate medical education for residents and fellows and extensive training and education for nurses and other medical professionals, including nursing, nutrition therapy, occupational and physical therapy, respiratory therapy, radiology technology, genetic counseling, speech pathology and audiology, child life and social work. The Research Foundation offers research-based education options for scientists, often in conjunction with the University of Cincinnati. Students in these programs work with faculty experts in first-rate facilities. The programs include the Molecular and Developmental Biology Graduate Program, the Immunobiology Graduate Training Program, postdoctoral fellowships, MD/PhD postgraduate training, the Mentored Medical Student Clinical Research Program, the Summer Program for Medical Students, and the Summer Undergraduate Research Fellowship (SURF). Form 990, Part III The Research Foundation also sponsors a number of exceptional internal grant mechanisms to support PhDs, MDs, and MD/PhDs during their fellowship and especially during the transition to junior faculty positions with a focus on research. An active grant program funds translational research projects and there is an emphasis on development of early phase human trials in pediatric diseases based on discovery science performed. The Research Foundation has an outstanding track record in facilitating successful funding of individual training awards (K awards) for both MDs and PhDs and converting these awards to initial R01s. Cincinnati Children's long history of pediatric teaching spans more than 90 years, beginning in 1926. Cincinnati Children's has been formally affiliated with the University of Cincinnati's College of Medicine and has served as the Department of Pediatrics for the College of Medicine since 1931, ensuring that teaching and related research would strengthen pediatric patient care. Cincinnati Children's and Cincinnati Children's employed staff of physicians and scientists hold academic appointments at the College of Medicine. Currently Cincinnati Children's has 33 ACGME accredited fellowship programs and three ACGME fellowship programs where the accreditation is through the University of Cincinnati. Cincinnati Children's faculty is responsible for teaching the University's medical students during their pediatric rotations in the third and fourth years of training. Form 990, Part III Community Outreach Cincinnati Children's and its staff participate in many community outreach programs. The following list includes some of the programs participated in, but should not be considered an all inclusive listing. * Partner in Education with Rockdale Elementary School * Child Abuse Team/Mayerson Center * Community Partners Program/Aaron W. Perlman Center * Career Development Program/Project Search * Comprehensive Sickle Cell Center * Family Resource Center * Parent-Infant Nurturing Group * International Adoption Center * Starshine Hospice Services * Family Support Network * Injury Free Coalition for Kids * Safe Kids Coalition * Child Car Seat Safety * Safety Fair * Child Policy Research Center * Innovations * Drug & Poison Information Center * Blood Drives * Participation in various Fundraising and Volunteer Opportunities TSHCH LLC 3333 Burnet Avenue Cincinnati OH 45229 Land Holding Co. OH 0 8666053 CHMC Burnet Ave LLC 3333 Burnet Avenue Cincinnati OH 45229 Land Holding Co. OH 0 81360 CHMC DTPM2 LLC 425 Walnut St 1800 Cincinnati OH 45202 Land Holding Co. OH 0 2377630 CHMC BACE Properties LLC 425 Walnut St 1800 Cincinnati OH 45202 Land Holding Co. OH 0 1375804 CHMC Avondale Rentals 8044 Montgomery Road No 522 Cincinnati OH 45236 Land Holding Co. OH 0 2112882 CHMC Adolescent Health Center of Greater Cincinnati 3333 Burnet Avenue Cincinnati OH 45229 237042940 Support Adolescent Medicine at CHMC OH 501(C)(3) 509(a)(3) Type III N/A 0 CHMC Community Health Services Network 3333 Burnet Avenue Cincinnati OH 45229 311459815 Pediatric Medical Services OH 501(C)(3) 509(a)(2) CHMC 1 Children's Hospital Medical Center Uninsured Loss Fund #2 PO Box 1118 ML CN-OH-W10X Cincinnati OH 45201 316197894 Malpractice and Liability Trust Fund OH 501(C)(3) 509(a)(3) Type III CHMC 1 The Children's Hospital 3333 Burnet Avenue Cincinnati OH 45229 310537130 Support CHMC OH 501(C)(3) 509(a)(3) Type II N/A 0 Convalescent Hospital for Children and Orphan Asylum 3333 Burnet Avenue Cincinnati OH 45229 310536649 Support CHMC OH 501(C)(3) 509(a)(3) Type III N/A 0 River City Insurance Limited 3333 Burnet Avenue Cincinnati OH 45229 Healthcare Liability Insurance for CCHMC OH CHMC C 2002130 1112803 1.00000 1 0 0 1 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 1 The Children's Hospital C 62546000 Fair Market Value The Children's Hospital R 68400000 Fair Market Value CHMC Community Health Services Network S 3722479 Fair Market Value Convalescent Hospital for Children and Orphan Asylum C 3283000 Fair Market Value