2017-05-12T13:59:28-05:00 2016-06-30 861065772 Deloitte Tax LLP 250 East Fifth Suite 1900 Cincinnati OH 45202 990 2015-07-01 310537130 The Children's Hospital Cincinnati Ohio CHIL 5138031106 3333 Burnet Avenue Cincinnati OH 452293039 Vicki Davies Assistant Treasurer 5138031106 2017-05-12 1 Alicia Janisch P00741382 5137847100 2015 2021-01-29 14:40:06Z Robert DH Anning 3333 Burnet Avenue Cincinnati OH 452293039 653329000 0 X N/A X 1883 OH Support organizations dedicated to treatment & research of diseases or disorders affecting children. 18 18 0 18 0 0 2361000 1144000 0 0 292674765 147494013 0 0 295035765 148638013 61627000 59351000 0 0 0 0 0 0 0 2272504 2353000 63899504 61704000 231136261 86934013 2077004000 2158385000 11636000 12240000 2065368000 2146145000 X To provide financial support to tax-exempt organizations located in Hamilton County, Ohio that are dedicated to the treatment and research of diseases or disorders affecting children. 0 0 59351000 59351000 The Children's Hospital, Cincinnati, Ohio ("TCH") is an IRC Sec. 501(c)(3) tax-exempt organization whose sole purpose is to provide charitable financial support to charitable organizations in Hamilton County, Ohio that participate in the treatment and/or research of diseases or disorders affecting children.Such charitable financial support is provided primarily through expendable income generated by investments of endowment and other funds received by TCH. During the tax year July 1, 2015 to June 30, 2016, in fulfillment of this charitable mission, TCH provided financial support amounting to $59,351,000 to Cincinnati Children's to support its charitable efforts in pediatric patient care and related research. 59351000 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X Michael L Bauer 5138031106 3333 Burnet Avenue Cincinnati OH 452293039 X Craig Young Trustee 1.00 1.00 X 0 0 0 Dave Dougherty Trustee 1.00 1.00 X 0 0 0 Felicia Williams Trustee 1.00 4.00 X 0 0 0 Jane Portman Trustee 1.00 4.00 X 0 0 0 John Steinman Trustee 1.00 1.00 X 0 0 0 Joyce Keeshin Trustee 1.00 4.00 X 0 0 0 Lee A Carter Chairman 1.00 5.00 X X 0 0 0 Lynwood L Battle Jr Trustee 1.00 1.00 X 0 0 0 M Denise Kuprionis Trustee 1.00 4.00 X 0 0 0 Mark Jahnke Trustee 1.00 1.00 X 0 0 0 Michael Hirschfeld Trustee 1.00 4.00 X 0 0 0 Michael S Cambron Treasurer 1.00 1.00 X X 0 0 0 Nancy Kreiger Eddy PhD Trustee 1.00 4.00 X 0 0 0 Robert DH Anning President 1.00 4.00 X X 0 0 0 Sharry Addison Trustee 1.00 1.00 X 0 0 0 Thomas G Cody Vice-President/Secretary 1.00 4.00 X X 0 0 0 Gary Hoffman Trustee 1.00 0.00 X 0 0 0 David Osbourne Trustee 1.00 0.00 X 0 0 0 Mark Mumford Assistant Treasurer 1.00 49.00 X 0 742180 137611 Scott J Hamlin Assistant Treasurer (Through 04/15) 1.00 49.00 X 0 1786337 73210 Vicki Davies Assistant Treasurer (Through 06/15) 1.00 49.00 X 0 156676 9393 0 2685193 220214 0 1 1 0 ClearArc 580 Walnut Street 6th PL Cincinnati OH 45263 Investment Management 905955 PNC Bank 201 East Fifth Street Cincinnati OH 45202 Investment Management 609828 Bahl & Gaynor 213 East Third Street Cincinnati OH 45202 Investment Management 310857 Fifth Third Bank 38 Fountain Square Plaza Cincinnati OH 45263 Investment Management 241611 4 1144000 1144000 62771000 62771000 589414000 504690987 84723013 84723013 84723013 148638013 0 0 147494013 59351000 59351000 2075000 2075000 278000 278000 61704000 59351000 2353000 0 12673000 24226000 2044320000 2117468000 20011000 16691000 2077004000 2158385000 11636000 12240000 11636000 12240000 X 753228000 776504000 18655000 18364000 1293485000 1351277000 2065368000 2146145000 2077004000 2158385000 X 86934013 -29767894 23610881 X 0 1 X 1 0 X X 1 Children's Hospital Medical Center 310833936 3 0 59351000 0 1 59351000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 Part IV, Section A, Line 1: TCH's purpose is to support and benefit, through payment of its revenue and other funds or in any other manner whatever, publicly supported exempt organizations, as described in 509(a)(1) or (2) of the Internal Revenue Code of 1954, or any successor provision or provisions of law, which participate in the treatment of, or research into, diseases or disorders affecting children and are located in Hamilton County, Ohio; TCH shall have no other purpose except as stated in this this Article, and shall not support or benefit any organization not described in this Article. In July 2016, TCH's purpose clause was amended to provide support solely to Children's Hospital Medical Center. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1312140000 996000 94849000 37010000 1334000 1369641000 1291298196 2329000 53211000 33363196 1335000 1312140000 1105367296 -9091158 226151596 30049462 1080076 1291298196 914081784 33816096 185547660 27168959 909285 1105367296 864336206 550905 49258605 63932 914081784 0.98700 0.01300 0 0 0 X 142481000 -29767894 23610881 -6157013 148638013 0 148638013 61704000 0 61704000 0 61704000 Part V, Line 4: TCH's temporary and permanently restricted endowment funds are restricted by donors to be maintained by TCH in perpetuity. TCH's intended use of endowment funds is to provide financial support to tax-exempt organizations located in Hamilton County, Ohio that are dedicated to the treatment and research of diseases or disorders affecting children. Part X, Line 2: TCH has received a determination from the Internal Revenue Service that it is recognized as exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. TCH follows Accounting Standards Codification 740 "Income Taxes" (ASC 740) related to the accounting for income taxes. The following are the tax years that remain subject to examination by major tax jurisdiction: Federal 2013 to 2016 State 2013 to 2016 Part XI, Line 2d - Other Adjustments: Transfer from Cincinnati Children's 23,250,000. Other Misc. 360,881. 1 Children's Hospital Medical Center 3333 Burnet Avenue Cincinnati OH 45229 310833936 501(C)(3) 59351000 Patient Care and Research 1 Part I, Line 2: Schedule I, Part I, Line 2: Cincinnati Children's senior management submits a proposal for funding to the TCH Board of Trustees. The TCH board reviews the proposal and then makes a determination as to what research and patient care projects will be supported with unrestricted TCH funds. Upon TCH board approval, funds are distributed to Cincinnati Children's. 0 1 0 0 0 0 0 0 0 Mark Mumford Assistant Treasurer 0 517191 0 155578 0 69411 0 109702 0 27909 0 879791 0 26721 Scott J Hamlin Assistant Treasurer (Through 04/15) 0 190498 0 212393 0 1383446 0 54814 0 18396 0 1859547 0 858976 Vicki Davies Assistant Treasurer (Through 06/15) 0 108096 0 46270 0 2310 0 0 0 9393 0 166069 0 0 Part I, Line 4b Certain officers and key employees of Cincinnati Children's, a related organization to TCH, 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 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. Scott Hamlin - $28,314 2. Mark Mumford - $83,202 The following is a listing of officers 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. Scott Hamlin - $858,976 2. Mark Mumford - $26,721 Form 990, Schedule J Scott Hamlin left Cincinnati Children's in April 2015. In connection with his departure, he received a continuation of salary, a payout of previously reported deferred compensation, and will receive two future payments (July 2016 and July 2017) contingent on meeting certain requirements. Form 990, Schedule J TCH relied on Cincinnati Children's, a related organization, to establish the compensation of individuals listed on Form 990, Part VII. Cincinnati Children's used one or more of the methods described below to establish an appropriate level of compensation: Compensation Committee Independent Compensation Consultant Form 990 of Other Organizations Compensation Survey or Study Approval by the Board or Compensation Committee Explanation of Benefits: All compensation and benefits reported on Form 990, Part VII and Schedule J, Part II are provided by Cincinnati Children's, a related entity to TCH. 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. Form 990, Part VI, Section B, line 11 TCH's Form 990 is prepared by senior management from Cincinnati Children's, a related organization. External tax consultants then review the Form 990 for completeness and accuracy. The Form 990 is then made available to all TCH Board Members in advance of filing. Form 990, Part VI, Section B, line 12c All of TCH's Board Members receive an annual questionnaire requesting information regarding family and business relationships that could potentially result in a conflict of interest under TCH's Conflict of Interest Policy. Once the questionnaires have been completed by all of TCH's Board Members, the questionnaires are reviewed and if TCH determines that a conflict of interest exists, TCH follows the provisions set forth in TCH's Conflict of Interest Policy to resolve the conflict and determines the appropriate reporting to board committees and, if required, Form 990 disclosure. Form 990, Part VI, Section B, line 15 TCH does not have any employees. However, TCH has two officers that are employed by Cincinnati Children's, a related organization. Cincinnati Children's has a compensation committee that annually reviews the recommendations of Cincinnati Children's management regarding employee performance evaluation and compensation adjustments for disqualified persons to ensure that Cincinnati Children's has complied with the provisions of the rebuttable presumption of reasonableness under IRC Sec. 4958. Form 990, Part VI, Section C, line 19 TCH's governing documents, Conflict of Interest Policy, and financial statements are maintained on file by Cincinnati Children's senior management and are available to the public upon request either in-person, by telephone, or by written request. Form 990, Part VII Scott Hamlin (through April 2015), Mark Mumford, and Vicki Davies (through June 2015) are employed by Cincinnati Children's, a related organization. Scott, Mark, and Vicki devote an average of 50 hours/week for their duties to Cincinnati Children's and affiliated entities. Form 990, Part XI, line 9: Transfers from Cincinnati Children's 23,250,000. Other Misc. 360,881. Children's Hospital Medical Center 3333 Burnet Avenue Cincinnati OH 45229 310833936 Pediatric Health Care OH 501(C)(3) 3 The Children's Hospital 1 CCHMC Community Health Services Network 3333 Burnet Avenue Cincinnati OH 45229 311459815 Pediatric Health Care OH 501(C)(3) 9 Children's Hospital Medical Center 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 Children's Hospital Medical Center B 59351000 Fair Market Value Children's Hospital Medical Center S 23250000 Fair Market Value Schedule R During the time period covered by this return, TCH received certain accounting and administrative services from Cincinnati Children's at no cost. The value of these services is an unspecified amount.