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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Hirschfeld Esq</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Gary Huffman</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>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mark Jahnke</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Joyce J Keeshin</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>M Denise Kuprionis</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Peggy Mathile</PersonNm>
        <TitleTxt>Trustee (Through 07/14)</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jane Portman</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Liza Smitherman</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John Steinman</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Pamela Terp</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Felicia Williams</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Craig Young</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Richard Azizkhan</PersonNm>
        <TitleTxt>Surgeon-in-Chief</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Margaret Hostetter</PersonNm>
        <TitleTxt>Chair, Pediatrics</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>81600</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Fisher</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>214263</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Vicki Davies</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Beth Stautberg</PersonNm>
        <TitleTxt>Secretary, Sr VP &amp; Counsel</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>106521</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Mark Mumford</PersonNm>
        <TitleTxt>Chief Financial Officer</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>135096</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Scott Hamlin</PersonNm>
        <TitleTxt>Executive VP &amp; COO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dean Kurth</PersonNm>
        <TitleTxt>Anesthesiologist-in-Chief</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>153202</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Charles Mehlman</PersonNm>
        <TitleTxt>Professor - Orthopaedic</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Eric Wall</PersonNm>
        <TitleTxt>Professor - Orthopaedic</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Fred Ryckman</PersonNm>
        <TitleTxt>Sr. VP, Medical Operations</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>David Morales</PersonNm>
        <TitleTxt>Prof/Div Dir, Cardiology</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lane Donnelly</PersonNm>
        <TitleTxt>Former Highest Comp</TitleTxt>
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        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Messer Construction</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5158 Fishwick Drive</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Messer Linbeck</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5158 Fishwick Drive</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45216</ZIPCd>
          </USAddress>
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        <ServicesDesc>Construction Services</ServicesDesc>
        <CompensationAmt>31779132</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Triversity Group LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5158 Fishwick Drive</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45216</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Aramark Corporation</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4890 Duff Drive B</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45246</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Turner Construction</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>250 West Court Street Suite 300</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45202</ZIPCd>
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        <ServicesDesc>Construction Services</ServicesDesc>
        <CompensationAmt>11924993</CompensationAmt>
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      <FundraisingAmt>1731003</FundraisingAmt>
      <RelatedOrganizationsAmt>72647714</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>165093863</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>21819359</AllOtherContributionsAmt>
      <NoncashContributionsAmt>1322262</NoncashContributionsAmt>
      <TotalContributionsAmt>261291939</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Net Inpatient Rev.</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>881861453</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>881861453</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Net Outpatient Rev.</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>665269889</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>625067568</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>40202321</UnrelatedBusinessRevenueAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Physician Services</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>295871000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>295871000</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Capitation Revenue</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>41754927</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>41754927</RelatedOrExemptFuncIncomeAmt>
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        <TotalRevenueColumnAmt>14236611</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>-1174055</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>15410666</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>1906624</RealAmt>
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        <ExclusionAmt>-15463</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1339517000</SecuritiesAmt>
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      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>1293697</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1293697</TotalRevenueColumnAmt>
        <ExclusionAmt>1293697</ExclusionAmt>
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      <ContriRptFundraisingEventAmt>1731003</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>932154</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-559224</TotalRevenueColumnAmt>
        <ExclusionAmt>-559224</ExclusionAmt>
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        <Desc>Industry Grants</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>18674590</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18674590</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>GME Funding</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>9209410</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9209410</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Cafeteria Receipts</Desc>
        <BusinessCd>722210</BusinessCd>
        <TotalRevenueColumnAmt>8715400</TotalRevenueColumnAmt>
        <ExclusionAmt>8715400</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>29851985</TotalRevenueColumnAmt>
        <ExclusionAmt>29851985</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2227579157</TotalRevenueColumnAmt>
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        <ManagementAndGeneralAmt>805567</ManagementAndGeneralAmt>
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        <FundraisingAmt>96125</FundraisingAmt>
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        <ManagementAndGeneralAmt>1052463</ManagementAndGeneralAmt>
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        <FundraisingAmt>248632</FundraisingAmt>
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        <TotalAmt>190154482</TotalAmt>
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        <FundraisingAmt>641034</FundraisingAmt>
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        <TotalAmt>114401858</TotalAmt>
        <ProgramServicesAmt>114401858</ProgramServicesAmt>
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        <Desc>Drugs</Desc>
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        <ProgramServicesAmt>87344489</ProgramServicesAmt>
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        <TotalAmt>18987824</TotalAmt>
        <ProgramServicesAmt>16748273</ProgramServicesAmt>
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        <EOYAmt>1182737912</EOYAmt>
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        <EOYAmt>670344725</EOYAmt>
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        <BOYAmt>1397913011</BOYAmt>
        <EOYAmt>1396694335</EOYAmt>
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        <EOYAmt>3905798748</EOYAmt>
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        <EOYAmt>382664000</EOYAmt>
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        <EOYAmt>353410000</EOYAmt>
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        <BOYAmt>67300442</BOYAmt>
        <EOYAmt>359999000</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>290375748</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>1006446609</BOYAmt>
        <EOYAmt>1386448748</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>975039000</BOYAmt>
        <EOYAmt>1060125000</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>153309000</BOYAmt>
        <EOYAmt>158141000</EOYAmt>
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        <BOYAmt>1280728000</BOYAmt>
        <EOYAmt>1301084000</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>2409076000</BOYAmt>
        <EOYAmt>2519350000</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>3415522609</BOYAmt>
        <EOYAmt>3905798748</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>187614786</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-6399308</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-70941478</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>1</VolunteersInd>
      <PaidStaffOrManagementInd>1</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>1</GrantsOtherOrganizationsInd>
      <GrantsOtherOrganizationsAmt>146339</GrantsOtherOrganizationsAmt>
      <DirectContactLegislatorsInd>1</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>278400</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>0</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>424739</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II-B, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>While Cincinnati Children's Hospital Medical Center ("CCHMC") does not spend a substantial amount of resources or time participating in lobbying activities, CCHMC does pay membership dues to professional organizations who, among their many responsibilities, do perform certain lobbying activities on behalf of their member organizations. CCHMC has written these organizations to determine the portion of their operating budgets which are dedicated to such lobbying activities. Using their responses, CCHMC has determined the portion of CCHMC's membership dues which are applicable to their lobbying activities. Below is a complete listing of these professional organizations: 1. American Hospital Association - $13,865 2. Cincinnati Business Committee - $2,250 3. Cincinnati Regional Business Committee - $3,000 4. Cincinnati USA Regional Chamber - $679 5. National Assoc. of Children's Hospitals - $56,713 6. Association of Ohio Children's Hospitals - $60,000 7. Ohio Hospital Association - $4,832 8. Ohio Business Roundtable - $5,000 CCHMC 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 2015, CCHMC's government relations office incurred $278,400 in expenses related to various lobbying activities. Certain members of CCHMC'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 CCHMC consistent with its travel and business expense reimbursement guidelines. Furthermore, the value of their time spent performing lobbying activities is not quantifiable. In addition, CCHMC 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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        <ContributionsAmt>256160000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>21051000</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>165142000</GrantsOrScholarshipsAmt>
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        <EndYearBalanceAmt>1459225000</EndYearBalanceAmt>
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        <BeginningYearBalanceAmt>1255391000</BeginningYearBalanceAmt>
        <ContributionsAmt>246654000</ContributionsAmt>
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        <GrantsOrScholarshipsAmt>163071000</GrantsOrScholarshipsAmt>
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        <EndYearBalanceAmt>1434037000</EndYearBalanceAmt>
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        <BeginningYearBalanceAmt>1078820528</BeginningYearBalanceAmt>
        <ContributionsAmt>242324000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>174323000</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>157692746</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>82383782</OtherExpendituresAmt>
        <EndYearBalanceAmt>1255391000</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1006863528</BeginningYearBalanceAmt>
        <ContributionsAmt>242540000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>51572000</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>149858000</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>72297000</OtherExpendituresAmt>
        <EndYearBalanceAmt>1078820528</EndYearBalanceAmt>
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      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>807426168</BeginningYearBalanceAmt>
        <ContributionsAmt>245776360</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>192475000</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>153914000</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>84900000</OtherExpendituresAmt>
        <EndYearBalanceAmt>1006863528</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>0.89200</PrmnntEndowmentBalanceEOYPct>
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      <EndowmentsHeldRelatedOrgInd>1</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>1</RelatedOrgListSchRInd>
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        <OtherCostOrOtherBasisAmt>37763000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>37763000</BookValueAmt>
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        <DepreciationAmt>541351381</DepreciationAmt>
        <BookValueAmt>812604870</BookValueAmt>
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        <BookValueAmt>193566934</BookValueAmt>
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        <DepreciationAmt>8985672</DepreciationAmt>
        <BookValueAmt>138803108</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Investment in subsidiary (River City Insurance, LTD.)</Desc>
        <BookValueAmt>120000</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Other Long-Term Assets</Desc>
        <BookValueAmt>66999049</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Interest in Net Assets of Supporting Organizations</Desc>
        <BookValueAmt>1319739215</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Assets Limited to Use - Funds in Trust</Desc>
        <BookValueAmt>9836071</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>1396694335</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Minimum Pension Liability Accrual</Desc>
        <Amt>229251524</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Self Insurance Reserves</Desc>
        <Amt>42337878</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other Long-Term Liabilities</Desc>
        <Amt>14500522</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Capital Lease Obligations</Desc>
        <Amt>4285824</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>-6399308</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>256122420</OtherRevenueAmt>
      <RevenueNotReportedAmt>249723112</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2212907157</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>14672000</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>14672000</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2227579157</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2248868854</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>255797483</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>255797483</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>1993071371</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>46893000</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>46893000</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2039964371</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>CCHMC's Endowment funds are utilized to support the operations of various departments at CCHMC in furtherance of CCHMC'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 penalties or interest accrued in fiscal year 2015 or 2014. Listed below are the tax years that remain subject to examination by major tax jurisdiction: Federal - 2012 to 2015 State - 2012 to 2015</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Eliminate intercompany operating/restricted revenue 252,023,000. CHSN revenue elimination 4,099,420.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Reclass below the line per financial statements to revenue per 990 14,672,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Eliminate intercompany operating/restricted expense 252,023,000. CHSN expense elimination 3,774,483.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Reclass below the line per financial statements to expenses per 990 46,893,000.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <RegionTxt>Central America &amp; the Caribbean</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>1</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Offshore Captive Management</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>1066655</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Central America &amp; the Caribbean</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Education, Teaching, &amp; Research</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>139872</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>East Asia &amp; the Pacific</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Education, Teaching, &amp; Research</SpecificServicesProvidedTxt>
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      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Europe</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Education, Teaching, &amp; Research</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>236216</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Middle East &amp; North Africe</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program ServicesProgram Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Education, Teaching, &amp; Research</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>23386</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>North America</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Education, Teaching, &amp; Research</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>834189</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Education, Teaching, &amp; Research</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>52246</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Education, Teaching, &amp; Research</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>600</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Education, Teaching, &amp; Research</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>5204</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>0</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>1</SubtotalEmployeesCnt>
      <ContinutationTotalOfficeCnt>0</ContinutationTotalOfficeCnt>
      <ContinutationTotalEmployeeCnt>0</ContinutationTotalEmployeeCnt>
      <TotalOfficeCnt>0</TotalOfficeCnt>
      <TotalEmployeeCnt>1</TotalEmployeeCnt>
      <SubtotalSpentAmt>2518373</SubtotalSpentAmt>
      <ContinuationSpentAmt>5204</ContinuationSpentAmt>
      <TotalSpentAmt>2523577</TotalSpentAmt>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>North America</RegionTxt>
        <PurposeOfGrantTxt>Education, Teaching, &amp; Research</PurposeOfGrantTxt>
        <CashGrantAmt>800920</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire Transfer</MannerOfCashDisbursementTxt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia &amp; the Pacific</RegionTxt>
        <PurposeOfGrantTxt>Education, Teaching, &amp; Research</PurposeOfGrantTxt>
        <CashGrantAmt>153098</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire Transfer</MannerOfCashDisbursementTxt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Central America &amp; the Caribbean</RegionTxt>
        <PurposeOfGrantTxt>Education, Teaching, &amp; Research</PurposeOfGrantTxt>
        <CashGrantAmt>139872</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire Transfer</MannerOfCashDisbursementTxt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Europe</RegionTxt>
        <PurposeOfGrantTxt>Education, Teaching, &amp; Research</PurposeOfGrantTxt>
        <CashGrantAmt>102864</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire Transfer</MannerOfCashDisbursementTxt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>Education, Teaching, &amp; Research</PurposeOfGrantTxt>
        <CashGrantAmt>51646</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire Transfer</MannerOfCashDisbursementTxt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Middle East &amp; North Africa</RegionTxt>
        <PurposeOfGrantTxt>Education, Teaching, &amp; Research</PurposeOfGrantTxt>
        <CashGrantAmt>15236</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire Transfer</MannerOfCashDisbursementTxt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>18</TotalOtherOrgCnt>
      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>Housing Assistance</TypeOfAssistanceTxt>
        <RegionTxt>Europe (Including Iceland &amp; Greenland)</RegionTxt>
        <RecipientCnt>1</RecipientCnt>
        <NonCashAssistanceAmt>24000</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>Housing Assistance</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </ForeignIndividualsGrantsGrp>
      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>Luggage Assistance</TypeOfAssistanceTxt>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>8150</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire Transfer</MannerOfCashDisbursementTxt>
      </ForeignIndividualsGrantsGrp>
      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>Research Supplies</TypeOfAssistanceTxt>
        <RegionTxt>Europe (Including Iceland &amp; Greenland)</RegionTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>69955</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire Transfer</MannerOfCashDisbursementTxt>
      </ForeignIndividualsGrantsGrp>
      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>Research Supplies</TypeOfAssistanceTxt>
        <RegionTxt>North America</RegionTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>15811</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire Transfer</MannerOfCashDisbursementTxt>
      </ForeignIndividualsGrantsGrp>
      <TransferToForeignCorpInd>1</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>1</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>CCHMC monitors the use of grant funds within and outside of the United States in accordance with 45 CFR Part 74 Appendix E. CCHMC 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleG documentId="RetDoc1041200001">
      <MailSolicitationsInd>X</MailSolicitationsInd>
      <EmailSolicitationsInd>X</EmailSolicitationsInd>
      <PhoneSolicitationsInd>X</PhoneSolicitationsInd>
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <SolicitationOfNonGovtGrantsInd>X</SolicitationOfNonGovtGrantsInd>
      <SolicitationOfGovtGrantsInd>X</SolicitationOfGovtGrantsInd>
      <SpecialFundraisingEventsInd>X</SpecialFundraisingEventsInd>
      <AgrmtProfFundraisingActyInd>1</AgrmtProfFundraisingActyInd>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>Marts &amp; Lundy</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>1200 Wall Street</AddressLine1Txt>
          <CityNm>Lyndhurst</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>07071</ZIPCd>
        </USAddress>
        <ActivityTxt>Campaign planning &amp; review</ActivityTxt>
        <FundraiserControlOfFundsInd>0</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>0</GrossReceiptsAmt>
        <RetainedByContractorAmt>55725</RetainedByContractorAmt>
        <NetToOrganizationAmt>-55725</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>Schultz &amp; Williams</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>325 Chestnut Street Suite 700</AddressLine1Txt>
          <CityNm>Philadelphia</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19106</ZIPCd>
        </USAddress>
        <ActivityTxt>Direct mail, program consultation &amp; review</ActivityTxt>
        <FundraiserControlOfFundsInd>0</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>0</GrossReceiptsAmt>
        <RetainedByContractorAmt>33000</RetainedByContractorAmt>
        <NetToOrganizationAmt>-33000</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>Blackband</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>2000 Daniel Island Drive</AddressLine1Txt>
          <CityNm>Charleston</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29492</ZIPCd>
        </USAddress>
        <ActivityTxt>Donor benchmarking analysis/analytics</ActivityTxt>
        <FundraiserControlOfFundsInd>0</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>0</GrossReceiptsAmt>
        <RetainedByContractorAmt>7400</RetainedByContractorAmt>
        <NetToOrganizationAmt>-7400</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <TotalRetainedByContractorsAmt>96125</TotalRetainedByContractorsAmt>
      <TotalNetToOrganizationAmt>-96125</TotalNetToOrganizationAmt>
      <LicensedStatesCd>OH</LicensedStatesCd>
      <LicensedStatesCd>KY</LicensedStatesCd>
      <LicensedStatesCd>IN</LicensedStatesCd>
      <LicensedStatesCd>FL</LicensedStatesCd>
      <FundraisingEventInformationGrp>
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        <CharitableContriEvent1Amt>769540</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>96858</GrossRevenueEvent1Amt>
        <CashPrizesEvent1Amt>0</CashPrizesEvent1Amt>
        <NonCashPrizesEvent1Amt>1199</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>64014</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>170</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>3325</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>160274</OtherDirectExpensesEvent1Amt>
        <Event2Nm>Celestial Ball</Event2Nm>
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        <CharitableContriEvent2Amt>691820</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>174977</GrossRevenueEvent2Amt>
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        <NonCashPrizesEvent2Amt>0</NonCashPrizesEvent2Amt>
        <RentFacilityCostsEvent2Amt>30916</RentFacilityCostsEvent2Amt>
        <FoodAndBeverageEvent2Amt>185200</FoodAndBeverageEvent2Amt>
        <EntertainmentEvent2Amt>1500</EntertainmentEvent2Amt>
        <OtherDirectExpensesEvent2Amt>308987</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>6</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>370738</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>269643</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>101095</GrossRevenueOtherEventsAmt>
        <CashPrizesOtherEventsAmt>20775</CashPrizesOtherEventsAmt>
        <NonCashPrizesOtherEventsAmt>55030</NonCashPrizesOtherEventsAmt>
        <RentFcltyCostsOtherEventsAmt>66532</RentFcltyCostsOtherEventsAmt>
        <FoodAndBeverageOtherEventsAmt>10112</FoodAndBeverageOtherEventsAmt>
        <EntertainmentOtherEventsAmt>505</EntertainmentOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>23615</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>2103933</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>1731003</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>372930</GrossRevenueTotalEventsAmt>
        <CashPrizesTotalEventsAmt>20775</CashPrizesTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>56229</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>161462</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>195482</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>5330</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>492876</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>932154</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-559224</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule G, Part I, Line 2b, Column (v)</FormAndLineReferenceDesc>
        <ExplanationTxt>Schultz &amp; Williams also received payments totaling $361,008 for preparation, printing, and postage of mailings and mailing list.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="RetDoc1041500001">
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      <WrittenPolicyInd>1</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <Percent400Ind>X</Percent400Ind>
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      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>1</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>0</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>1</AnnualCommunityBnftReportInd>
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        <TotalCommunityBenefitExpnsAmt>13217255</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>5200000</DirectOffsettingRevenueAmt>
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      </FinancialAssistanceAtCostTyp>
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      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
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      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
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      <TotalCommunityBenefitsGrp>
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      </TotalCommunityBenefitsGrp>
      <PhysicalImprvAndHousingGrp>
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      </PhysicalImprvAndHousingGrp>
      <EconomicDevelopmentGrp>
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      <LeadershipDevelopmentGrp>
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      </CoalitionBuildingGrp>
      <HealthImprovementAdvocacyGrp>
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      </HealthImprovementAdvocacyGrp>
      <OtherCommuntityBuildingActyGrp>
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      <TotalCommuntityBuildingActyGrp>
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      <CostingMethodologyUsedGrp>
        <CostAccountingSystemInd>X</CostAccountingSystemInd>
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      <HospitalFacilitiesGrp>
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        <BusinessName>
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        </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>
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        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <ChildrensHospitalInd>X</ChildrensHospitalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <ResearchFacilityInd>X</ResearchFacilityInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
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        <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>
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        <BusinessName>
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        <USAddress>
          <AddressLine1Txt>4015 Old Western Row Road</AddressLine1Txt>
          <CityNm>Mason</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45040</ZIPCd>
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        <WebsiteAddressTxt>www.cincinnatichildrens.org</WebsiteAddressTxt>
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        <HospitalFacilityName>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
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        <ImplementationStrategyAdptYr>12</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>http://www.cincinnatichildrens.org/about/community/health-needs-assessment/</StrategyWebsiteURLTxt>
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        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
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        <FPGFamilyIncmLmtDscntCarePct>400.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
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        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
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        <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>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
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        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedBeforeDischargeInd>X</FAPNotifiedBeforeDischargeInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <OtherMethodUsedInd>X</OtherMethodUsedInd>
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        <GrossChargesInd>0</GrossChargesInd>
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      <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>Facility Reporting Group A Part V, Section B, line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>CCHMC 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group A Part V, Section B, line 6a:</FormAndLineReferenceDesc>
        <ExplanationTxt>CCHMC - Main CampusCCHMC - Liberty CampusCCHMC - College Hill CampusCCHMC - Lindner Center of Hope Campus</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group A Part V, Section B, line 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>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:- Infant Mortality- Pediatric Obesity- Pediatric Safety and Unintentional Injury- Pediatric Asthma- Access to Care- Mental HealthCincinnati Children's working both internally and with external community partners is establishing plan 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>Facility Reporting Group A Part V, Section B, line 16a website:</FormAndLineReferenceDesc>
        <ExplanationTxt>http://www.cincinnatichildrens.org/patients/resources/financial-assistance/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group A Part V, Section B, line 16b website:</FormAndLineReferenceDesc>
        <ExplanationTxt>http://www.cincinnatichildrens.org/patients/resources/financial-assistance/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group A Part V, Section B, line 16i:</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to CCHMC's Financial Assistance Policy being available upon request, included with billing statements, and prominently displayed in emergency rooms and admissions offices, a plain language summary of CCHMC's Financial Assistance Policy is available on CCHMC's website, http://www.cincinnatichildrens.org/patients/resources/financial-assistance/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group A Part V, Section B, line 22d:</FormAndLineReferenceDesc>
        <ExplanationTxt>Effective April 1, 2014, the total amount charged to a patient/family in a year may not exceed 25% of the patient/family's gross income for the year.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>11</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>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>CCHMC Drake</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>151 West Galbraith Road</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45216</ZIPCd>
          </USAddress>
          <FacilityTxt>Neighborhood Facility</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>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>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>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>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>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>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>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>CCHMC North Burnet</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3430 North Burnet Avenue</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45229</ZIPCd>
          </USAddress>
          <FacilityTxt>Neighborhood Facility</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>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>
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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 III, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</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>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 three 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. In fact, in connection with the first child well being survey in 2000, Cincinnati Children's identified asthma and infant mortality as community health issues and stregthened efforts to address both of these issues.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-profit 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.</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 faimlies 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>In accordance with its mission and purpose, Cincinnati Children's maintains a policy of accepting all patients within its primary service area regardless of ability to pay. This primary service area has been defined to include the four counties in Ohio, three counties in Kentucky and one county in Indiana that geographically surround Cincinnati.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 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.</ExplanationTxt>
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        <CashGrantAmt>9242</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Juvenile Diabetes Research Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>8041 Hosbrook Road Suite 422</AddressLine1Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45236</ZIPCd>
        </USAddress>
        <RecipientEIN>231907729</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10500</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>March of Dimes Birth Defect Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>10806 Kenwood Road</AddressLine1Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45242</ZIPCd>
        </USAddress>
        <RecipientEIN>131846366</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>141887</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
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      <RecipientTable>
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        <USAddress>
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          <CityNm>Indianapolis</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46204</ZIPCd>
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        <RecipientEIN>350868147</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
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          <AddressLine1Txt>350 Erkenbrecher Avenue</AddressLine1Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45229</ZIPCd>
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        <RecipientEIN>350965333</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
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          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45241</ZIPCd>
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          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        <USAddress>
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          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45219</ZIPCd>
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        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>CCHMC 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 CCHMC 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 CCHMC are notified of CCHMC's support including the stated purpose for the grant award and CCHMC also requests year-end annual reports from supported organizations.</ExplanationTxt>
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        <CompReportPrior990FilingOrgAmt>1236059</CompReportPrior990FilingOrgAmt>
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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 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. Richard Azizkhan - $170,092 2. Michael Fisher - $159,013 3. Scott Hamlin - $113,506 4. Beth Stautberg - $69,447 5. Dean Kurth - $110,257 6. Mark Mumford - $81,686 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. Richard Azizkhan - $211,930 2. Scott Hamlin - $261,920 3. Beth Stautberg - $78,339 4. Dean Kurth - $134,820 5. Fred Ryckman - $481,011 6. Lane Donnelly - $1,236,059</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Explanation of Benefits</FormAndLineReferenceDesc>
        <ExplanationTxt>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. CCHMC 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 Compensation &amp; Management Development 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Schedule K, Part I</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Schedule K, Part I</FormAndLineReferenceDesc>
        <ExplanationTxt>The 11/19/10 bond issue repaid a portion of the series 2007N bond issue dated 12/11/07.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Schedule K, Part I</FormAndLineReferenceDesc>
        <ExplanationTxt>The 10/14/11 bond issue repaid a portion of the series 1998G bond issue dated 8/27/98.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Schedule K, Part I</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Schedule K, Part II, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Differences between the issue price (Part I, column (e)) and Part II, line 3 are due to investment earnings.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Schedule K, Part III, Line 3D</FormAndLineReferenceDesc>
        <ExplanationTxt>While CCHMC does not routinely engage outside bond counsel to review management or service contracts and research agreements related to bond-financed property, CCHMC regularly consults with in-house counsel to perform an internal assessment of management and service contracts and research agreements related to bond-financed property.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Schedule K, Part IV, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>This question is being answered without regard to a yield restricted refunding escrow.</ExplanationTxt>
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      <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.</ExplanationTxt>
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      <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 the Children's Hospital.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11</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>
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      <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 senior 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>
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      <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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>From 990, Part VII</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Minimum Pension Liability Adjustment -92,317,907. Gain in Net Assets of Supporting Organizations, Net 21,051,000. Elimination of CHSN Income 325,429.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2015, Cincinnati Children's provided approximately $216.1 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III</FormAndLineReferenceDesc>
        <ExplanationTxt>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): $216.1 million * Subsidized Health Services: $7.3 million * Research: $86.0 million * Education : $33.0 million * Community Outreach: $6.2 million * Total Value of Community Benefits Provided: $348.6 million Note A: Charitable Patient Care ($216.1 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, 2015, Cincinnati Children's admitted 19,427 patients who were associated with 150,184 patient days. In addition, Cincinnati Children's treated nearly 1,080,000 outpatient visits. Cincinnati Children's maintains one of the nation's busiest Emergency Departments. Over the past year, Cincinnati Children's handled over 100,000 emergency room visits. During fiscal 2015, Cincinnati Children's performed over 44,000 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III</FormAndLineReferenceDesc>
        <ExplanationTxt>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, 2015, more than 45% 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 2015, the loss on provision of charity care and means-tested government programs totaled approximately $216.1 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 $30.0 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, 2015, Cincinnati Children's absorbed approximately $13.2 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 $5.2 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, 2015, Cincinnati Children's has 593 registered inpatient beds, including 100 inpatient beds at its College Hill campus, 12 beds at the Liberty Campus, and 16 beds at the Lindner campus, of which 551 are currently in service. It also has 36 registered residential psychiatric beds at its College Hill campus, of which 33 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, which opened in August 2008, also provides inpatient, observation, emergency room and surgical services.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III</FormAndLineReferenceDesc>
        <ExplanationTxt>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, 2015, there were more than 953 active-sponsored research projects. The Research Foundation occupies approximately 35% of the available space of Cincinnati Children's Main Campus and accounts for about 31% 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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III</FormAndLineReferenceDesc>
        <ExplanationTxt>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 525 physician residents and 207 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 $9.2 million in funding from the Federal CHGME program in fiscal 2015 to help offset such costs. Additionally, Cincinnati Children's received approximately $9.3 million from State Medicaid and Medicare programs and grants to further assist in offsetting medical education costs in fiscal 2015. In fiscal 2015, 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).</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III</FormAndLineReferenceDesc>
        <ExplanationTxt>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 30 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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III</FormAndLineReferenceDesc>
        <ExplanationTxt>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 &amp; Poison Information Center * Blood Drives * Participation in various Fundraising and Volunteer Opportunities</ExplanationTxt>
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        <EIN>316197894</EIN>
        <PrimaryActivitiesTxt>Malpractice and Liability Trust Fund</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(a)(3) Type III</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>The Children's Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3333 Burnet Avenue</AddressLine1Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45229</ZIPCd>
        </USAddress>
        <EIN>310537130</EIN>
        <PrimaryActivitiesTxt>Support CHMC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(a)(3) Type II</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Convalescent Hospital for Children and Orphan Asylum</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3333 Burnet Avenue</AddressLine1Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45229</ZIPCd>
        </USAddress>
        <EIN>310536649</EIN>
        <PrimaryActivitiesTxt>Support CHMC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(a)(3) Type III</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Northern Kentucky Children's Medical Services LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3333 Burnet Avenue</AddressLine1Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45229</ZIPCd>
        </USAddress>
        <EIN>260084305</EIN>
        <PrimaryActivitiesTxt>Medical Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>-365746</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>3297</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>1</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>River City Insurance Limited</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3333 Burnet Avenue</AddressLine1Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45229</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>Healthcare Liability Insurance for CCHMC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>2077129</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>3122348</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>The Children's Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>61627000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair Market Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>The Children's Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>47893000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair Market Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CHMC Community Health Services Network</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>1334776</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair Market Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CHMC Community Health Services Network</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>46055</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair Market Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Convalescent Hospital for Children and Orphan Asylum</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>10922274</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair Market Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Adolescent Health Center of Greater Cincinnati</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>98440</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair Market Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Schedule R</FormAndLineReferenceDesc>
        <ExplanationTxt>Cincinnati Children's provides various related organizations with certain shared services at no charge.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>