2014-05-13T16:05:12-05:00 2013-06-30 861065772 DELOITTE TAX LLP 250 EAST FIFTH STREET SUITE 1900 CINCINNATI OH 45202 990 2012-07-01 310833936 CHILDREN'S HOSPITAL MEDICAL CENTER CHIL 5136368778 3333 BURNET AVENUE CINCINNATI OH 452293039 MARK MUMFORD 5136368778 2014-05-12 1 JAMES SOWAR P00529407 5137847100 2012 2015-11-30 17:44:51Z MICHAEL A FISHER 3333 BURNET AVENUE CINCINNATI OH 452293039 1942716499 0 X WWW.CINCINNATICHILDRENS.ORG X 1883 OH PROVISION OF PEDIATRIC HEALTHCARE TO PATIENTS. 26 23 14837 724 48904515 0 228972104 227021993 1536030056 1592946995 9770080 7903528 103836218 109943504 1878608458 1937816020 783642 1244482 0 0 1070652468 1158516702 216439 312933 4101445 657728549 642076508 1729381098 1802150625 149227360 135665395 2632830836 3014071717 1156495836 1047966717 1476335000 1966105000 X CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER WILL BE THE LEADER IN IMPROVING CHILD HEALTH. CCHMC WILL IMPROVE CHILD HEALTH AND TRANSFORM DELIVERY OF CARE THROUGH FULLY INTEGRATED, GLOBALLY RECOGNIZED RESEARCH, EDUCATION, AND INNOVATION. FOR PATIENTS AND OUR COMMUNITY, THE NATION AND THE WORLD, THE CARE WE PROVIDE WILL ACHIEVE THE BEST MEDICAL AND QUALITY OF LIFE OUTCOMES, PATIENT AND FAMILY EXPERIENCES, AND VALUE, TODAY AND IN THE FUTURE. 0 0 1559794180 1244482 1552651580 CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER ("CCHMC" OR "CINCINNATI CHILDREN'S"), LOCATED IN CINCINNATI, OHIO, IS A PRIVATE, NOT-FOR-PROFIT IRC SEC. 501(C)(3) CORPORATION THAT OWNS AND OPERATES A PEDIATRIC ACADEMIC MEDICAL CENTER THAT INCLUDES PEDIATRIC TERTIARY CARE FACILITIES WITH RESEARCH OPERATIONS AND EXTENSIVE PEDIATRIC TEACHING PROGRAMS. SEE SCHEDULE O FOR A COMPLETE OVERVIEW OF CINCINNATI CHILDREN'S COMMUNITY BENEFITS AND PROGRAM SERVICE ACCOMPLISHMENTS. 1559794180 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 1 0 1 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 1 0 0 1 782 0 14837 1 1 1 1 BD 0 0 0 1 1 0 0 0 0 X 26 23 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X LAURA C NIXON 5138031106 3333 BURNET AVENUE CINCINNATI OH 452293039 SHARRY ADDISON 1.00 1.00 X 0 0 0 ROBERT DH ANNING 4.00 1.00 X 0 0 0 CAROL ARMSTRONG 1.00 0.00 X 0 0 0 LYNWOOD BATTLE 1.00 1.00 X 0 0 0 MICHAEL S CAMBRON 1.00 1.00 X 0 0 0 WILLIE F CARDEN JR 4.00 0.00 X 0 0 0 LEE A CARTER 4.00 2.00 X 0 0 0 THOMAS G CODY 4.00 1.00 X X 0 0 0 DAVE DOUGHERTY 1.00 0.00 X 0 0 0 NANCY KRIEGER EDDY PHD 4.00 1.00 X 0 0 0 VALLIE GEIER 1.00 1.00 X 0 0 0 LOUIS D GEORGE 1.00 0.00 X 0 0 0 BETH GUTTMAN 1.00 0.00 X 0 0 0 MICHAEL HIRSCHFELD ESQ 4.00 1.00 X 0 0 0 MARK JAHNKE 1.00 0.00 X 0 0 0 JOYCE J KEESHIN 4.00 1.00 X 0 0 0 M DENISE KUPRIONIS 4.00 1.00 X 0 0 0 PEGGY MATHILE 4.00 1.00 X 0 0 0 JANE PORTMAN 4.00 1.00 X 0 0 0 JOHN STEINMAN 1.00 1.00 X 0 0 0 PAMELA TERP 1.00 2.00 X 0 0 0 FELICIA WILLIAMS 4.00 1.00 X 0 0 0 CRAIG YOUNG 1.00 0.00 X 0 0 0 RICHARD AZIZKHAN 50.00 0.00 X 1631748 0 209146 ARNOLD STRAUSS 50.00 0.00 X 834783 0 60723 MICHAEL FISHER 49.00 1.00 X X 907237 0 195616 VICKI DAVIES 49.00 1.00 X 235232 0 14920 BETH STAUTBERG 50.00 0.00 X 645670 0 100434 SCOTT HAMLIN 49.00 1.00 X 948827 0 166062 CHARLES MYER III 50.00 0.00 X 1064155 0 25256 DAVID MORALES 50.00 0.00 X 1003231 0 36882 DEAN KURTH 50.00 0.00 X 996001 0 148481 JAY PAUL WILLGING 50.00 0.00 X 933809 0 25256 JEFFREY TOWBIN 50.00 0.00 X 871019 0 52287 10071712 0 1035063 1514 0 1 0 MESSER CONSTRUCTION 5158 FISHWICK DRIVE CINCINNATI OH 45216 CONSTRUCTION SERVICES 48542275 TRIVERSITY GROUP LLC 5158 FISHWICK DRIVE CINCINNATI OH 45216 CONSTRUCTION SERVICES 38813233 TURNER CONSTRUCTION COMPANY 250 W COURT STREET STE 300 CINCINNATI OH 45202 CONSTRUCTION SERVICES 20457583 ARAMARK CORPORATION 4890 DUFF DR B CINCINNATI OH 45246 ENVIRONMENTAL SERVICES 13712271 POMEROY IT SOLUTIONS 1020 PETERSBURG ROAD HEBRON KY 41048 IT EQUIPMENT & SERVICES 9530984 95 1348767 67655226 158018000 601735 227021993 INPAT HOSP SERV (NET) 621990 732089450 732089450 OUTPAT HOSP SERV (NET) 621990 597477545 547437016 50040529 PHYSICIAN SERVICES 621990 263380000 263380000 1592946995 11294000 -1365103 12659103 1097703 0 1097703 1097703 229089 868614 944435 4334907 -3390472 -3390472 -3390472 309673 1348767 565572 -255899 -255899 GME FUNDING 611710 8438020 8438020 CAFETERIA RECEIPTS 722210 7228999 7228999 SVCS TO OTHER HOSP 621990 1307094 1307094 92127587 92127587 109101700 1937816020 1552651580 48904515 109237932 530487 530487 713995 713995 11106775 11106775 201165 201165 876638942 762282218 111333144 3023580 93110829 81285754 11825075 119929371 104698341 15231030 57529620 50223358 7306262 1189888 1038772 151116 834781 728764 106017 446716 389983 56733 312933 312933 2257749 1745988 286734 225027 200814670 175201637 25503463 109570 6613616 5773687 839929 9766793 8525905 1240383 505 14050195 12186822 1784375 78998 14247432 12438008 1809424 110364186 96347934 14016252 7126160 6221138 905022 PURCHASED SERVICES 182904512 159557142 23228873 118497 UTILITIES 15508582 13538992 1969590 DIETARY 7555884 6596287 959597 DUES & SUBSCRIPTIONS 5338659 4660649 678010 63056685 54907154 7917196 232335 1802150625 1559794180 238255000 4101445 169667111 249189834 313685489 320969374 18125885 20564427 9142354 14569855 1758446669 849911284 840978301 908535385 258902537 259916188 1022329159 1240326654 2632830836 3014071717 247455120 270566145 432952986 416043000 34270438 74551113 441817292 286806459 1156495836 1047966717 X 397514472 710714000 156702000 170437000 922118528 1084954000 1476335000 1966105000 2632830836 3014071717 X 135665395 354104605 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 1 35800 0 0 1 128068 1 334506 0 0 498374 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: 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 - $14,085 2. CINCINNATI BUSINESS COMMITTEE - $2,250 3. CINCINNATI REGIONAL BUSINESS COMMITTEE - $3,750 4. CINCINNATI USA REGIONAL CHAMBER - $509 5. CHILDREN'S HOSPITAL ASSOCIATION - $61,437 6. ASSOCIATION OF OHIO CHILDREN'S HOSPITALS - $33,867 7. OHIO HOSPITAL ASSOCIATION - $7,170 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 2013, CCHMC'S GOVERNMENT RELATIONS OFFICE INCURRED $370,306 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. 1078820528 242324000 174323000 157692746 82383782 1255391000 1006863528 242540000 51572000 149858000 72297000 1078820528 807426168 245776360 192475000 153914000 84900000 1006863528 734403257 235362911 58394000 143011000 77723000 807426168 935791845 174839253 -199115594 128282000 48830247 734403257 0.86400 0.13600 1 1 1 47809000 47809000 1091017000 458642168 632374832 554281000 382796913 171484087 65339669 8472203 56867466 908535385 INVESTMENT IN SUBSIDIARY (RIVER CITY INSURANCE, LTD.) 120000 OTHER LONG-TERM ASSETS 65753021 INTEREST IN NET ASSETS OF SUPPORTING ORGANIZATIONS 1111650467 ASSETS LIMITED TO USE - FUNDS IN TRUST 62803166 1240326654 SELF INSURANCE RESERVES 24466834 MINIMUM PENSION LIABILITY ACCRUAL 246759800 OTHER LONG-TERM LIABILITIES 15579825 286806459 X 2194639751 264197760 264197760 1930441991 7374029 7374029 1937816020 2039564455 263930989 263930989 1775633466 26517160 26517160 1802150626 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: 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. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE MEDICAL CENTER ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION TOPIC ("ASC") 740 "INCOME TAXES". IT IS THE MEDICAL CENTER'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 2013 OR 2012. LISTED BELOW ARE THE TAX YEARS THAT REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTION: FEDERAL - 2010 TO 2013 STATE - 2010 TO 2013 PART XI, LINE 2D - OTHER ADJUSTMENTS: ELIMINATE INTERCOMPANY OPERATING/RESTRICTED REVENUE 240,077,000. CHSN REVENUE ELIMINATION 3,318,911. RECLASS BAD DEBT EXPENSE TO PATIENT SERVICE REVENUE 20,801,849. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASS BELOW THE LINE PER FINANCIAL STATEMENTS TO REVENUE PER 990 7,374,029. PART XII, LINE 2D - OTHER ADJUSTMENTS: ELIMINATE INTERCOMPANY OPERATING/RESTRICTED EXPENSE 240,077,000. CHSN EXPENSE ELIMINATION 3,052,140. RECLASS BAD DEBT EXPENSE TO PATIENT SERVICE REVENUE 20,801,849. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS BELOW THE LINE PER FINANCIAL STATEMENTS TO EXPENSES PER 990 26,517,160. 1 CENTRAL AMERICA & THE CARIBBEAN 0 1 PROGRAM SERVICES OFFSHORE CAPTIVE MANAGEMENT 1060329 EAST ASIA & THE PACIFIC 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 45687 EUROPE 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 149937 MIDDLE EAST & NORTH AFRICA 0 0 PROGRAM SERVICES EDUCATION, TEACHING, RESEARCH 293509 NORTH AMERICA 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 160780 SOUTH AMERICA 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 2400 SOUTH ASIA 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 42976 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 18706 0 1 0 0 0 1 1774324 0 1774324 EAST ASIA & THE PACIFIC EDUCATION, TEACHING, & RESEARCH 45687 WIRE TRANSFER CASH EUROPE EDUCATION, TEACHING, & RESEARCH 149937 WIRE TRANSFER CASH MIDDLE EAST & NORTH AFRICA EDUCATION, TEACHING, & RESEARCH 293509 WIRE TRANSFER CASH NORTH AMERICA EDUCATION, TEACHING, & RESEARCH 160780 WIRE TRANSFER CASH SOUTH AMERICA EDUCATION, TEACHING, & RESEARCH 2400 WIRE TRANSFER CASH SOUTH ASIA EDUCATION, TEACHING, & RESEARCH 42976 WIRE TRANSFER CASH SUB-SAHARAN AFRICA EDUCATION, TEACHING, & RESEARCH 18706 WIRE TRANSFER CASH 10 1 0 1 0 0 0 PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.: SCHEDULE F, PART I, LINE 2: CCHMC MONITORS THE USE OF GRANT FUNDS WITHIN AND OUTSIDE OF THE UNITED STATES IN ACCORDANCE WITH 45 CFR PART 74 APPENDEX 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. X X X X X X X 1 MARTS & LUNDY 1200 WALL ST LYNDHURST NJ 07071 CAMPAIGN PLANNING STUDY 0 0 98515 -98515 SCHULTZ & WILLIAMS 325 CHESTNUT PHILADEL PA 19106 DIRECT MAIL PROGRAM REVIEW 0 0 214418 -214418 312933 -312933 OH KY IN FL WALK FOR KIDS 677281 675297 1984 0 2141 39891 96184 CELESTIAL BALL 627405 453251 174154 0 0 13454 289128 6 353754 220219 133535 0 28663 63563 32548 1658440 1348767 309673 30804 116908 417860 565572 -255899 1 1 X 1 X 1 X 1 1 1 0 1 1 23526536 5200000 18326536 0.01020 621991541 373148000 248843541 0.13810 645518077 378348000 267170077 0.14830 280097 280097 0.00020 46991742 19622863 27368879 0.01520 2470000 2040000 430000 0.00020 326988823 77009937 249978886 0.13870 428266 428266 0.00020 377158928 98672800 278486128 0.15450 1022677005 477020800 545656205 0.30280 1431714 1431714 0.00080 820727 820727 0.00050 2252441 2252441 0.00130 0 15022924 2238254 8129607 11779999 -3650392 X 1 1 4 1 CCHMC - MAIN CAMPUS

3333 BURNET AVE CINCINNATI OH 45229

WWW.CINCINNATICHILDRENS.ORG X X X X X X A 2 CCHMC - LIBERTY CAMPUS

7777 YANKEE ROAD LIBERTY TOWNSHIP OH 45044

WWW.CINCINNATICHILDRENS.ORG X X X X X A 3 CCHMC - COLLEGE HILL CAMPUS

5642 HAMILTON AVE CINCINNATI OH 45224

WWW.CINCINNATICHILDRENS.ORG X X X A 4 CCHMC - LINDNER CENTER OF HOPE CAMPUS

4015 OLD WESTERN ROW ROAD MASON OH 45040

WWW.CINCINNATICHILDRENS.ORG X X X A FACILITY REPORTING GROUP A 1 X X X X X X X X X 12 1 1 1 X X X X X X X X 1 0 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X X X X X 1 0 1 X 0 0 11 CCHMC ANDERSONURGENT CARE

7495 STATE ROAD SUITE 355 CINCINNATI OH 45255

NEIGHBORHOOD FACILITY CCHMC DRAKE

151 WEST GALBRAITH ROAD CINCINNATI OH 45216

NEIGHBORHOOD FACILITY CCHMC EASTGATE

796 CINCINNATI-BATAVIA PIKE CINCINNATI OH 45245

NEIGHBORHOOD FACILITY CCHMC FAIRFIELD

3050 MACK ROAD CINCINNATI OH 45014

NEIGHBORHOOD FACILITY CCHMC GREEN TOWNSHIP

5899 HARRISON AVE CINCINNATI OH 45248

NEIGHBORHOOD FACILITY CCHMC KENWOOD

7714-A MONTGOMERY ROAD CINCINNATI OH 45236

NEIGHBORHOOD FACILITY CCHMC MASONURGENT CARE

9560 CHILDRENS DRIVE MASON OH 45040

NEIGHBORHOOD FACILITY CHILDREN'S OUTPATIENT NKY

2765 CHAPEL PLACE CRESTVIEW HILLS KY 41017

NEIGHBORHOOD FACILITY CCHMC OAK

2800 WINSLOW AVE CINCINNATI OH 45206

NEIGHBORHOOD FACILITY CCHMC NORTH BURNET

3430 BURNET AVE CINCINNATI OH 45229

NEIGHBORHOOD FACILITY CCHMC HOPPLE STREET

2750 BEEKMAN AVE CINCINNATI OH 45225

NEIGHBORHOOD FACILITY PART I, LINE 7: CINCINNATI CHILDREN'S UTILIZES THE COST TO CHARGE RATIOS FROM THE MOST RECENTLY FILED COST REPORTS TO CALCULATE THE AMOUNTS REPORTED ON SCHEDULE H, PART I, LINE 7. PART II: THE FOCUS OF COMMUNITY BUILDING ACTIVITIES AT CINCINNATI CHILDREN'S IS TO IMPROVE THE HEALTH OF CHILDREN IN THE COMMUNITY, IMPROVE ACCESS TO QUALITY HEALTHCARE SERVICES, AND SEEKS TO MEET UNMET SOCIAL NEEDS IN TARGETED AREAS OF THE COMMUNITY THAT OFTEN NEGATIVELY IMPACT THE QUALITY OF LIFE FOR CHILDREN AND CONTRIBUTE TO POOR HEALTH. PART III, LINE 4: UNCOLLECTIBLE AMOUNTS FROM PATIENTS WHO DO NOT MEET THE CRITERIA UNDER CINCINNATI CHILDREN'S CHARITY CARE POLICY IS CONSIDERED BAD DEBT AND IS INCLUDED AS OPERATING EXPENSES IN THE FINANCIAL STATEMENTS. THE COST OF BAD DEBT IS CALCULATED USING COST TO CHARGE RATIOS CALCULATED FROM THE MOST RECENTLY FILED COST REPORT. PART III, LINE 8: CINCINNATI CHILDREN'S UTILIZES ITS COST ACCOUNTING SYSTEM TO CALCULATE THE COST OF PROVIDING CARE TO MEDICARE PATIENTS. PART III, LINE 9B: CINCINNATI CHILDREN'S HAS A POLICY THAT ONCE IT HAS BEEN DETERMINED THAT A FAMILY QUALIFIES FOR 100% ASSISTANCE, ALL COLLECTIONS ACTIVITIES ON THAT PATIENT CEASE. CINCINNATI CHILDREN'S STAFF WORK WITH THE FAMILY ON OBTAINING FINANCIAL ASSISTANCE. PART VI, LINE 2: 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. 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. PART VI, LINE 3: CINCINNATI CHILDREN'S PATIENT BILLING STATEMENTS, WEBSITE, AND FINANCIAL BROCHURES CONTAIN INFORMATION ABOUT ITS CHARITY AND FINANCIAL ASSISTANCE PROGRAMS WITH DIRECTIONS ON HOW TO CONTACT CINCINNATI CHILDREN'S TO INITIATE AN APPLICATION OR ASK QUESTIONS ABOUT THE PROCESS. IN ADDITION, CINCINNATI CHILDREN'S BROCHURES ARE AVAILABLE AT EACH REGISTRATION POINT AND CINCINNATI CHILDREN'S CUSTOMER SERVICE CONTACT CENTER IS TRAINED TO WORK WITH THE FAMILIES ON ANSWERING ASSISTANCE RELATED QUESTIONS AS WELL. CINCINNATI CHILDREN'S ALSO HAS A FINANCIAL COUNSELING DEPARTMENT AND A FINANCIAL ADVOCATE PROGRAM THAT REACH OUT TO INDIGENT FAMILIES AND TRY TO HELP WITH THEIR SPECIFIC NEEDS. CINCINNATI CHILDREN'S GOAL IS TO PROVIDE FINANCIAL ASSISTANCE AS EFFICIENTLY AND AS COMPLIANT AS POSSIBLE WHILE STILL KEEPING CUSTOMER SERVICE AS OUR NUMBER ONE PRIORITY. PART VI, LINE 4: 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. PART V, LINE 8 FACILITY REPORTING GROUP A SEE BELOW FACILITY 1 -- CCHMC - MAIN CAMPUS PART V, SECTION B, LINE 3: 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. FACILITY 1 -- CCHMC - MAIN CAMPUS PART V, SECTION B, LINE 4: CCHMC - LIBERTY CAMPUSCCHMC - COLLEGE HILL CAMPUSCCHMC - LINDNER CENTER OF HOPE CAMPUS FACILITY 1 -- CCHMC - MAIN CAMPUS PART V, SECTION B, LINE 6I: CINCINNATI CHILDRENS HAS DEVELOPED AN IMPLEMENTATION STRATEGY THAT DISCUSSES CINCINNATI CHILDRENS APPROACH TO ADDRESSING THE PEDIATRIC COMMUNITY HEALTH NEEDS IDENTIFIED IN THIS ASSESSMENT. THE IMPLEMENTATION STRATEGY HAS BEEN APPROVED BY CINCINNATI CHILDRENS BOARD OF TRUSTEES AND MAY BE VIEWED BY NAVIGATING TO THE FOLLOWING WEB ADDRESS: HTTP://WWW.CINCINNATICHILDRENS.ORG/ABOUT/COMMUNITY/COMMUNITY-BENEFIT/ FACILITY 1 -- CCHMC - MAIN CAMPUS PART V, SECTION B, LINE 14G: 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, WWW.CINCINNATICHILDRENS.ORG. FACILITY 1 -- CCHMC - MAIN CAMPUS PART V, SECTION B, LINE 20D: BASED ON CCHMC'S FINANCIAL ASSISTANCE POLICY, 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. FACILITY 2 -- CCHMC - LIBERTY CAMPUS PART V, SECTION B, LINE 3: 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. FACILITY 2 -- CCHMC - LIBERTY CAMPUS PART V, SECTION B, LINE 4: CCHMC - MAIN CAMPUSCCHMC - COLLEGE HILL CAMPUSCCHMC - LINDNER CENTER OF HOPE CAMPUS FACILITY 2 -- CCHMC - LIBERTY CAMPUS PART V, SECTION B, LINE 6I: CINCINNATI CHILDRENS HAS DEVELOPED AN IMPLEMENTATION STRATEGY THAT DISCUSSES CINCINNATI CHILDRENS APPROACH TO ADDRESSING THE PEDIATRIC COMMUNITY HEALTH NEEDS IDENTIFIED IN THIS ASSESSMENT. THE IMPLEMENTATION STRATEGY HAS BEEN APPROVED BY CINCINNATI CHILDRENS BOARD OF TRUSTEES AND MAY BE VIEWED BY NAVIGATING TO THE FOLLOWING WEB ADDRESS: HTTP://WWW.CINCINNATICHILDRENS.ORG/ABOUT/COMMUNITY/COMMUNITY-BENEFIT/ FACILITY 2 -- CCHMC - LIBERTY CAMPUS PART V, SECTION B, LINE 14G: 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, WWW.CINCINNATICHILDRENS.ORG. FACILITY 2 -- CCHMC - LIBERTY CAMPUS PART V, SECTION B, LINE 20D: BASED ON CCHMC'S FINANCIAL ASSISTANCE POLICY, 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. FACILITY 3 -- CCHMC - COLLEGE HILL CAMPUS PART V, SECTION B, LINE 3: 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. FACILITY 3 -- CCHMC - COLLEGE HILL CAMPUS PART V, SECTION B, LINE 4: CCHMC - MAIN CAMPUSCCHMC - LIBERTY CAMPUSCCHMC - LINDNER CENTER OF HOPE CAMPUS FACILITY 3 -- CCHMC - COLLEGE HILL CAMPUS PART V, SECTION B, LINE 6I: CINCINNATI CHILDRENS HAS DEVELOPED AN IMPLEMENTATION STRATEGY THAT DISCUSSES CINCINNATI CHILDRENS APPROACH TO ADDRESSING THE PEDIATRIC COMMUNITY HEALTH NEEDS IDENTIFIED IN THIS ASSESSMENT. THE IMPLEMENTATION STRATEGY HAS BEEN APPROVED BY CINCINNATI CHILDRENS BOARD OF TRUSTEES AND MAY BE VIEWED BY NAVIGATING TO THE FOLLOWING WEB ADDRESS: HTTP://WWW.CINCINNATICHILDRENS.ORG/ABOUT/COMMUNITY/COMMUNITY-BENEFIT/ FACILITY 3 -- CCHMC - COLLEGE HILL CAMPUS PART V, SECTION B, LINE 14G: 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, WWW.CINCINNATICHILDRENS.ORG. FACILITY 3 -- CCHMC - COLLEGE HILL CAMPUS PART V, SECTION B, LINE 20D: BASED ON CCHMC'S FINANCIAL ASSISTANCE POLICY, 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. FACILITY 4 -- CCHMC - LINDNER CENTER OF HOPE CAMPUS PART V, SECTION B, LINE 3: 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. FACILITY 4 -- CCHMC - LINDNER CENTER OF HOPE CAMPUS PART V, SECTION B, LINE 4: CCHMC - MAIN CAMPUSCCHMC - LIBERTY CAMPUSCCHMC - COLLEGE HILL CAMPUS FACILITY 4 -- CCHMC - LINDNER CENTER OF HOPE CAMPUS PART V, SECTION B, LINE 6I: CINCINNATI CHILDRENS HAS DEVELOPED AN IMPLEMENTATION STRATEGY THAT DISCUSSES CINCINNATI CHILDRENS APPROACH TO ADDRESSING THE PEDIATRIC COMMUNITY HEALTH NEEDS IDENTIFIED IN THIS ASSESSMENT. THE IMPLEMENTATION STRATEGY HAS BEEN APPROVED BY CINCINNATI CHILDRENS BOARD OF TRUSTEES AND MAY BE VIEWED BY NAVIGATING TO THE FOLLOWING WEB ADDRESS: HTTP://WWW.CINCINNATICHILDRENS.ORG/ABOUT/COMMUNITY/COMMUNITY-BENEFIT/ FACILITY 4 -- CCHMC - LINDNER CENTER OF HOPE CAMPUS PART V, SECTION B, LINE 14G: 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, WWW.CINCINNATICHILDRENS.ORG. FACILITY 4 -- CCHMC - LINDNER CENTER OF HOPE CAMPUS PART V, SECTION B, LINE 20D: BASED ON CCHMC'S FINANCIAL ASSISTANCE POLICY, 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. 1 4C FOR CHILDREN 1924 DANA AVE CINCINNATI OH 45207 310823634 501(C)(3) 10000 COMMUNITY SUPPORT ADOPT A CLASS FOUNDATION 2153 W 8TH ST STE 200 CINCINNATI OH 45204 202551299 501(C)(3) 5000 SPONSORSHIP AMERICAN DIABETES ASSOCIATION 1701 N BEAUREGARD STREET ALEXANDRIA VA 22311 131623888 501(C)(3) 5000 SPONSORSHIP ARTHRITIS FOUNDATION 7124 MIAMI AVE CINCINNATI OH 45243 316043937 501(C)(3) 7644 SPONSORSHIP CINCINNATI MEDICAL ASSOCIATION PO BOX 37287 CINCINNATI OH 45237 320144460 501(C)(3) 5000 SPONSORSHIP CINCINNATI RECREATION COMMISSION FOUNDATION 805 CENTRAL AVE SUITE 800 CINCINNATI OH 45202 311574475 501(C)(3) 6500 SPONSORSHIP CLOSING THE HEALTH GAP 3120 BURNET AVE STE 201 CINCINNATI OH 45229 200902286 501(C)(3) 25000 COMMUNITY SUPPORT CROHN'S AND COLITIS FOUNDATION OF AMERICA 386 PARK AVE SOUTH 17TH FLOOR NEW YORK NY 10016 136193105 501(C)(3) 7500 SPONSORSHIP CROSSROAD HEALTH CENTER 5 EAST LIBERTY CINCINNATI OH 45202 311321054 501(C)(3) 20000 COMMUNITY SUPPORT DE CAVEL FAMILY SIDS FOUNDATION PO BOX 8841 CINCINNATI OH 45208 274667924 501(C)(3) 7500 SPONSORSHIP EVERY CHILD SUCCEEDS 3333 BURNET AVENUE CINCINNATI OH 45229 311628467 501(C)(3) 23315 SPONSORSHIP GREATER CINCINNATI NORTHERN KENTUCKY AFRICAN AMERICAN CHAMBER 2945 GILBERT AVE CINCINNATI OH 45206 311504758 501(C)(3) 5000 SPONSORSHIP HEALTH IMPROVEMENT COLLABORATIVE 2100 SHERMAN AVE STE 100 CINCINNATI OH 45212 311449807 501(C)(3) 43000 SPONSORSHIP INTERACT FOR CHANGE 3805 EDWARDS ROAD SUITE 500 CINCINNATI OH 45209 300065901 501(C)(3) 75000 SPONSORSHIP JOVANTE WOODS FOUNDATION INC PO BOX 62334 CINCINNATI OH 45262 273922392 501(C)(3) 6050 SPONSORSHIP JUVENILE DIABETES RESEARCH FOUNDATION 8041 HOSBROOK RD STE 422 CINCINNATI OH 45236 231907729 501(C)(3) 5000 SPONSORSHIP MARCH OF DIMES BIRTH DEFECT FOUNDATION 10806 KENWOOD RD CINCINNATI OH 45242 131846366 501(C)(3) 17457 SPONSORSHIP RONALD MCDONALD HOUSE 350 ERKENBRECHER AVE CINCINNATI OH 45229 310965333 501(C)(3) 68750 SPONSORSHIP THE ABERCRUMBIE GROUP 10301 GIVERNY BLVD CINCINNATI OH 45241 300520187 501(C)(3) 27500 SPONSORSHIP THE CURE STARTS NOW FOUNDATION 10280 CHESTER ROAD CINCINNATI OH 45215 210269131 501(C)(3) 5000 SPONSORSHIP UNITED WAY OF GREATER CINCINNATI 2400 READING ROAD CINCINNATI OH 45202 310537502 501(C)(3) 35501 SPONSORSHIP UNIVERSITY OF CINCINNATI FOUNDATION PO BOX 19970 CINCINNATI OH 45218 310896555 501(C)(3) 19770 SPONSORSHIP VISION 2015 50 E RIVERCENTER BLVD STE 465 COVINGTON KY 41011 311489316 501(C)(3) 100000 COMMUNITY SUPPORT 23 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: 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. 1 X X X X X 0 1 0 0 0 0 0 0 0 RICHARD AZIZKHAN 816696 0 305537 0 509515 0 206693 0 2453 0 1840894 0 468725 0 ARNOLD STRAUSS 552357 0 183018 0 99408 0 25000 0 35723 0 895506 0 0 0 MICHAEL FISHER 767047 0 100000 0 40190 0 168859 0 26757 0 1102853 0 0 0 VICKI DAVIES 189727 0 44695 0 810 0 0 0 14920 0 250152 0 0 0 BETH STAUTBERG 431549 0 137483 0 76638 0 89981 0 10453 0 746104 0 59188 0 SCOTT HAMLIN 615636 0 208567 0 124624 0 144809 0 21253 0 1114889 0 84434 0 CHARLES MYER III 831466 0 210655 0 22034 0 25000 0 256 0 1089411 0 0 0 DAVID MORALES 726210 0 250000 0 27021 0 25000 0 11882 0 1040113 0 0 0 DEAN KURTH 606289 0 216595 0 173117 0 133078 0 15403 0 1144482 0 126127 0 JAY PAUL WILLGING 706135 0 184384 0 43290 0 25000 0 256 0 959065 0 0 0 JEFFREY TOWBIN 687679 0 425 0 182915 0 25000 0 27287 0 923306 0 0 0 PART I, LINE 4B CERTAIN OFFICERS AND KEY EMPLOYEES HAVE ARRANGEMENTS WHICH PROVIDE FOR SUPPLEMENTAL RETIREMENT BENEFITS AS DESCRIBED IN IRC SEC. 457(F). DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THESE ARRANGEMENTS ARE NON-VESTED AND THERE IS NO GUARANTEE THAT THESE OFFICERS AND FACULTY MEMBERS 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 - $181,693 2. MICHAEL FISHER - $143,859 3. SCOTT HAMLIN - $119,809 4. BETH STAUTBERG - $64,981 5. DEAN KURTH - $108,078 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 - $468,725 2. SCOTT HAMLIN - $84,434 3. BETH STAUTBERG - $59,188 4. DEAN KURTH - $126,127 SUPPLEMENTAL INFORMATION PART III EXPLANATION OF BENEFITS: THE EMPLOYEE BENEFIT PLAN CONTRIBUTION AMOUNTS LISTED ON SCHEDULE J, PART II MAY INCLUDE ONE OR MORE OF THE FOLLOWING BENEFITS: 1. ELECTIVE EMPLOYEE DEFERRALS UNDER IRC SEC. 403(B) 2. DISCRETIONARY EMPLOYER CONTRIBUTIONS UNDER IRC SEC. 403(B) 3. ELECTIVE EMPLOYEE DEFERRALS UNDER IRC SEC. 457(B) 4. ELECTIVE EMPLOYEE DEFERRALS UNDER IRC SEC. 457(F) IN ADDITION TO THE RETIREMENT PLAN CONTRIBUTIONS DISCLOSED ON FORM 990, PART VII AND SCHEDULE J, PART II, THE FOLLOWING NON-TAXABLE EMPLOYEE WELFARE BENEFITS WERE MADE AVAILABLE TO THE EMPLOYED, COMPENSATED OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990, PART VII AND SCHEDULE J, PART II: 1. HEALTH AND DENTAL INSURANCE BENEFITS 2. GROUP LIFE INSURANCE (PORTIONS OF WHICH ARE TAXED) 3. UNEMPLOYMENT BENEFITS 4. DISABILITY BENEFITS THE OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990, PART VII AND SCHEDULE J, PART II ARE ALSO ELIGIBLE FOR ANY OTHER AVAILABLE EMPLOYEE BENEFITS. CCHMC'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 & 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. A HAMILTON COUNTY OHIO 316000063 407272M26 2004-06-30 98249356 RESEARCH BUILDING 0 0 0 B COUNTY OF BUTLER OHIO 316000061 123550FJ9 2006-12-08 63541881 OUTPATIENT SATELLITE BLDG. 0 0 0 C HAMILTON COUNTY OHIO 316000063 407272M34 2007-12-11 61230000 MEDICAL BUILDING & GARAGE 0 0 0 D COUNTY OF BUTLER OHIO 316000061 123550FM2 2008-04-30 51950000 REPAY 2006L BONDS(12/8/06) 0 0 0 A 109390558 2249356 107141202 2007 0 0 1 1 B 65205028 1385093 63819935 2008 0 0 1 1 C 30615000 60636331 389866 60246465 2009 0 0 1 1 D 30000000 52351334 399995 51951339 2008 1 0 1 1 A 0 0 0 1 0 0.00000 0.00140 0.00140 0 0 1 B 0 0 0 1 0 0.00000 0.00040 0.00040 0 0 1 C 0 1 0 1 0 0.00000 0.00030 0.00030 0 0 1 D 0 0 0 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 1 0 0 0 1 D 0 0 1 0 1 0 0 0 1 A 1 B 1 C 1 D 1 FORM 990, SCHEDULE K, PART I 4/30/08 BOND ISSUE 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. FORM 990, SCHEDULE K, PART I 12/17/09 BOND ISSUE THE 12/17/09 BOND ISSUE REPAID A PORTION OF THE SERIES 2008O BOND ISSUED DATED 4/30/08, WHICH REPAID A PORTION OF THE 2006L BOND ISSUED DATED 12/8/06. FORM 990, SCHEDULE K, PART I 11/19/10 BOND ISSUE THE 11/19/10 BOND ISSUE REPAID A PORTION OF THE SERIES 2007N BOND ISSUE DATED 12/11/07. FORM 990, SCHEDULE K, PART I 10/14/11 BOND ISSUE THE 10/14/11 BOND ISSUE REPAID A PORTION OF THE SERIES 1998G BOND ISSUE DATED 8/1/98. FORM 990, SCHEDULE K, PART II, LINE 7 ISSUANCE COST FROM PROCEEDS THE $2,249,356 REPORTED ON SCHEDULE K, PART II, LINE 7, COLUMN A FOR THE 6/30/04 BOND ISSUE CONSISTS OF $1,492,911 OF CREDIT ENHANCEMENT COSTS AND $756,445 OF BOND ISSUANCE COSTS. FORM 990, SCHEDULE K, PART II, LINE 7 ISSUANCE COST FROM PROCEEDS THE $1,385,093 REPORTED ON SCHEDULE K, PART II, LINE 7, COLUMN B FOR THE 12/8/06 BOND ISSUE CONSISTS OF $921,385 OF CREDIT ENHANCEMENT COSTS AND $463,708 OF BOND ISSUANCE COSTS. FORM 990, SCHEDULE K, PART III, LINE 3C BOND COUNSEL REVIEW CCHMC DOES NOT ROUTINELY ENGAGE OUTSIDE BOND COUNSEL TO REVIEW RESEARCH AGREEMENTS RELATED TO BOND-FINANCED PROPERTY, BUT CONSULTS WITH THE LEGAL DEPARTMENT. A COUNTY OF BUTLER OHIO 316000061 2009-12-17 30000000 REPAY 20080 BONDS(4/30/08) 0 0 0 B HAMILTON COUNTY OHIO 316000063 2010-11-19 30000000 REPAY 2007N BONDS(12/11/07) 0 0 0 C HAMILTON COUNTY OHIO 316000063 2011-10-14 62135000 REPAY 1998G BONDS (8/1/98) 0 0 0 A 30000000 30000000 1 0 1 1 B 30000000 30000000 1 0 1 1 C 62135000 62135000 1 0 1 1 A 0 0 0 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 AARON AZIZKHAN FAMILY MEM TRUST 40216 COMP & BEN 0 GERALYN AZIZKHAN FAMILY MEM TRUST 117978 COMP & BEN 0 EMILY HIRSCHFELD FAMILY MEM TRUST 42971 COMP & BEN 0 SCHEDULE L, PART IV TRANSACTIONS INVOLVING INTERESTED PERSONS THE ITEMS REPORTED ON SCHEDULE L, PART IV ARE ARMS-LENGTH TRANSACTIONS AND AT FAIR MARKET VALUE. X 27 601735 MEAN ON DATE OF TRANSFER 2 0 1 0 FORM 990, PART VI, SECTION A, LINE 6 ARTICLE I, SECTION 1.1. OF CINCINNATI CHILDREN'S AMENDED AND RESTATED CODE OF REGULATIONS PROVIDES THAT THE MEMBERSHIP OF CINCINNATI CHILDREN'S SHALL CONSIST OF THE PERSONS WHO ARE FROM TIME TO TIME, AND AT ANY GIVEN TIME, THE MEMBERS OF THE BOARD OF TRUSTEES OF THE CHILDREN'S HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A ARTICLE I, SECTION 1.1. OF CINCINNATI CHILDREN'S AMENDED AND RESTATED CODE OF REGULATIONS PROVIDES THAT THE MEMBERSHIP OF CINCINNATI CHILDREN'S SHALL CONSIST OF THE PERSONS WHO ARE FROM TIME TO TIME, AND AT ANY GIVEN TIME, THE MEMBERS OF THE BOARD OF TRUSTEES OF THE CHILDREN'S HOSPITAL. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY SENIOR MANAGEMENT FROM CINCINNATI CHILDREN'S. EXTERNAL TAX CONSULTANTS REVIEW THE FORM 990 FOR COMPLETENESS AND ACCURACY. THE FORM 990 IS THEN PRESENTED TO THE AUDIT & COMPLIANCE COMMITTEE, WHICH IS A STANDING COMMITTEE OF THE CINCINNATI CHILDREN'S BOARD OF TRUSTEES, FOR REVIEW. FINALLY, THE FORM 990 IS MADE AVAILABLE TO ALL BOARD OF TRUSTEES MEMBERS IN ADVANCE OF FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL OF CINCINNATI CHILDREN'S OFFICERS, TRUSTEES, AND KEY EMPLOYEES RECEIVE AN ANNUAL QUESTIONNAIRE REQUESTING INFORMATION REGARDING FAMILY AND BUSINESS RELATIONSHIPS THAT COULD POTENTIALLY RESULT IN A CONFLICT OF INTEREST UNDER CINCINNATI CHILDREN'S WRITTEN CONFLICT OF INTEREST POLICY. ONCE THE QUESTIONNAIRES HAVE BEEN COMPLETED, THEY ARE REVIEWED BY CINCINNATI CHILDREN'S 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 RESOLVE THE CONFLICT AND DETERMINES THE APPROPRIATE REPORTING TO BOARD COMMITTEES AND, IF REQUIRED, FORM 990 DISCLOSURE. FORM 990, PART VI, SECTION B, LINE 15 CINCINNATI CHILDREN'S HAS A COMPENSATION COMMITTEE THAT ANNUALLY REVIEWS THE RECOMMENDATIONS OF MANAGEMENT REGARDING EMPLOYEE PERFORMANCE EVALUATION AND COMPENSATION ADJUSTMENTS FOR DISQUALIFIED PERSONS TO ENSURE THAT IT HAS COMPLIED WITH THE PROVISIONS OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER IRC SEC. 4958. FORM 990, PART VI, SECTION C, LINE 19 CINCINNATI CHILDREN'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MAINTAINED ON FILE BY SENIOR MANAGEMENT AND ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST EITHER IN-PERSON, BY TELEPHONE, OR BY WRITTEN REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: MINIMUM PENSION LIABILITY ADJUSTMENT 179,514,838. GAIN IN NET ASSETS OF SUPPORTING ORGANIZATIONS, NET 174,323,000. ELIMINATION OF CHSN INCOME 266,767. STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS AND COMMUNITY BENEFIT FORM 990, PART III AT CINCINNATI CHILDREN'S, OUR APPROACH TO COMMUNITY BENEFIT IS ROOTED IN THE BELIEF THAT HOSPITALS HAVE A RESPONSIBILITY TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR CHILDREN IN THE COMMUNITIES THEY SERVE. PART OF THIS RESPONSIBILITY IS SERVING AS A MEDICAL SAFETY NET FOR CHILDREN, REGARDLESS OF THEIR FAMILIES' CIRCUMSTANCE OR ABILITY TO PAY. PROVIDING COMMUNITY BENEFIT IS ONE WAY IN WHICH WE STRIVE TO MEET THAT RESPONSIBILITY. CINCINNATI CHILDREN'S OFFERS NUMEROUS PROGRAMS AND SERVICES TO MEET COMMUNITY HEALTH NEEDS. IN FISCAL YEAR 2013, CINCINNATI CHILDREN'S PROVIDED APPROXIMATELY $267.2 MILLION IN FREE CARE OR DISCOUNTED SERVICES TO FAMILIES IN THE COMMUNITY WHO ARE UNABLE TO PAY AND AN ADDITIONAL $3.4 MILLION IN SUBSIDIZED HEALTH AND COMMUNITY OUTREACH SERVICES. 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. CINCINNATI CHILDREN'S 2015 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 2015 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 2015 STRATEGIC PLAN. ALTHOUGH CINCINNATI CHILDREN'S BEGAN PUBLICLY REPORTING COMMUNITY BENEFIT IN 2004, WE HAVE A TRADITION OF PROVIDING COMMUNITY BENEFIT THAT DATES BACK TO THE HOSPITAL'S FOUNDING IN 1883. REPORTING THESE ACTIVITIES IS OUR WAY OF BEING ACCOUNTABLE TO THE GREATER CINCINNATI COMMUNITY AND OF DEMONSTRATING THE VALUE AND IMPACT OF OUR MANY COMMUNITY-BASED SERVICES AND PARTNERSHIPS. 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): $267.2 MILLION * SUBSIDIZED HEALTH SERVICES: $.4 MILLION * RESEARCH (NOTE B): $250.0 MILLION * MEDICAL EDUCATION: $27.3 MILLION * COMMUNITY OUTREACH: $3.0 MILLION * TOTAL VALUE OF COMMUNITY BENEFITS PROVIDED: $547.9 MILLION NOTE A: CHARITABLE PATIENT CARE ($267.2 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. NOTE B: RESEARCH ($250.0 MILLION) - IN ACCORDANCE WITH THE 2012 FORM 990, SCHEDULE H INSTRUCTIONS, GRANT REVENUE UTILIZED TO CONDUCT RESEARCH ACTIVITIES IS NOT REQUIRED TO BE REPORTED AS AN OFFSET TO RESEARCH EXPENDITURES WHEN CALCULATING OTHER COMMUNITY BENEFITS ON SCHEDULE H. IF RESEARCH FUNDING WAS REQUIRED TO BE COUNTED AS AN OFFSET TO RESEARCH EXPENDITURES, THE NET AMOUNT OF COMMUNITY BENEFIT RELATED TO RESEARCH WOULD BE REDUCED TO $153.9 MILLION, AND THE TOTAL VALUE OF COMMUNITY BENEFITS PROVIDED WOULD BE REDUCED TO $438.7 MILLION. 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, 2013, CINCINNATI CHILDREN'S ADMITTED 18,244 PATIENTS WHO WERE ASSOCIATED WITH 134,362 PATIENT DAYS. IN ADDITION, CINCINNATI CHILDREN'S TREATED NEARLY 975,000 OUTPATIENT VISITS. CINCINNATI CHILDREN'S MAINTAINS ONE OF THE NATION'S BUSIEST EMERGENCY DEPARTMENTS. OVER THE PAST YEAR, CINCINNATI CHILDREN'S HANDLED OVER 127,000 EMERGENCY ROOM VISITS. LIKEWISE, CINCINNATI CHILDREN'S IS THE NATION'S LEADER IN TERMS OF PEDIATRIC SURGICAL PROCEDURES. DURING FISCAL 2013, CINCINNATI CHILDREN'S PERFORMED OVER 45,600 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. 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 AND THE CHILDREN'S HOSPITAL ASSOCIATION. IN 2013, CINCINNATI CHILDREN'S WAS AGAIN ONE OF ONLY EIGHT PEDIATRIC HOSPITALS IN THE THE UNITED STATES TO BE INCLUDED ON THE HONOR ROLL IN THE 2013 U.S. NEWS & WORLD REPORT'S ANNUAL "AMERICA'S BEST HOSPITALS" SURVEY. THE HONOR ROLL FEATURES ONLY THOSE HOSPITALS RANKED IN ALL 10 SPECIALTIES SURVEYED. CINCINNATI CHILDREN'S HAS BEEN RANKED IN THE TOP TEN FOR ALL PEDIATRIC SUBSPECIALTIES - A DISTINCTION SHARED BY FEW OTHER HOSPITALS. CINCINNATI CHILDREN'S IS RANKED AS THE BEST CHILDREN'S HOSPITAL IN THE NATION FOR CANCER, OTHER SPECIALTIES AND THEIR RANK INCLUDE: * GASTROENTEROLOGY - 3 * CANCER - 1 * DIABETES AND ENDOCRINE DISORDERS - 6 * CARDIOLOGY AND HEART SURGERY - 5 * NEONATAL CARE - 4 * NEUROLOGY AND NEUROSURGERY - 4 * ORTHOPEDICS - 3 * PULMONARY - 2 * UROLOGY - 3 * NEPHROLOGY - 2 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, 2013, CINCINNATI CHILDREN'S ABSORBED APPROXIMATELY $18.3 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. UNDER CERTAIN CIRCUMSTANCES, CINCINNATI CHILDREN'S ACCEPTS PATIENTS FROM OUTSIDE THE PRIMARY SERVICE AREA WITHOUT REGARD TO THEIR ABILITY TO PAY. 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 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 2013, THE LOSS ON PROVISION OF CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS TOTALED APPROXIMATELY $267.2 MILLION (AFTER TAKING INTO ACCOUNT FUNDS RECEIVED UNDER THE OHIO HOSPITAL CARE ASSURANCE PROGRAM AND THE HAMILTON COUNTY TAX LEVY WHICH TOTAL APPROXIMATELY $19.3 MILLION). 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, 2013, MORE THAN 44% OF ALL CINCINNATI CHILDREN'S GROSS PATIENT REVENUE WAS GENERATED FROM PATIENTS WHOM WERE ENROLLED IN VARIOUS STATE MEDICAID PROGRAMS AND MEDICARE. 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. CINCINNATI CHILDREN'S HAS 562 REGISTERED INPATIENT BEDS, INCLUDING 57 INPATIENT BEDS AT ITS COLLEGE HILL CAMPUS, 12 BEDS AT THE LIBERTY CAMPUS, AND 16 BEDS AT THE LINDNER CAMPUS, OF WHICH 506 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 LARGE PEDIATRIC INTENSIVE CARE COMPLEX CONSISTING OF A 55-BED NEONATAL INTENSIVE CARE UNIT FOR TREATMENT OF CRITICALLY ILL AND PREMATURE NEWBORNS, A 50-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 48-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. CINCINNATI CHILDREN'S OPENED ITS FIRST OUTPATIENT FACILITY IN 1987 AND HAS OPENED AN ADDITIONAL 10 OUTPATIENT FACILITIES IN THE LAST 15 YEARS. CINCINNATI CHILDREN'S CONTINUES TO INVEST IN THESE FACILITIES AND EXPAND THE SERVICES OFFERED IN EACH LOCATION. CINCINNATI CHILDREN'S OWNS ITS OUTPATIENT NORTH BURNET, LIBERTY, MASON, GREEN TOWNSHIP, AND OAK FACILITIES AND LEASES THE OTHER SIX LOCATIONS. THE SERVICES OFFERED AT THESE CENTERS VARY BY LOCATION, BUT GENERALLY INCLUDE DIAGNOSTIC TESTING, PEDIATRIC SPECIALTY CLINICS, THERAPIES AND DENTAL SERVICES. THREE 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. 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, 2013, THERE WERE MORE THAN 865 ACTIVE-SPONSORED RESEARCH PROJECTS. THE RESEARCH FOUNDATION OCCUPIES APPROXIMATELY 37% OF THE AVAILABLE SPACE OF CINCINNATI CHILDREN'S MAIN CAMPUS AND ACCOUNTS FOR ABOUT 32% OF THE TOTAL ANNUAL OPERATING BUDGET. ADDITIONALLY, ACCORDING TO THE MOST RECENT INFORMATION PUBLISHED BY THE NATIONAL INSTITUTES OF HEALTH ("NIH"), CINCINNATI CHILDREN'S RANKED THIRD IN THE NATION AMONG ALL PEDIATRIC HEALTH CARE FACILITIES IN TERMS OF NIH GRANT AWARDS RECEIVED. THE SECOND MAJOR EXPENSE AREA FOR CINCINNATI CHILDREN'S IS RESEARCH. IN FISCAL YEAR 2013, CINCINNATI CHILDREN'S DEVOTED APPROXIMATELY 32 PERCENT OF ITS EXPENDITURES TO SUPPORTING ITS RESEARCH PROGRAMS. 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. 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 484 PHYSICIAN RESIDENTS AND 232 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 GRADUATE MEDICAL EDUCATION PROGRAM IS THE NATION'S FOURTH LARGEST PEDIATRIC PROGRAM. CINCINNATI CHILDREN'S COSTS OF PROVIDING SUCH TRAINING INCLUDE THE SALARY AND TRAINING COSTS OF INTERNS AND RESIDENTS. IN FISCAL 2013, CINCINNATI CHILDREN'S PROVIDED NEARLY $81 MILLION IN MEDICAL EDUCATION COSTS. CINCINNATI CHILDREN'S RECEIVED APPROXIMATELY $8.5 MILLION IN FUNDING FROM THE FEDERAL CHGME PROGRAM IN FISCAL 2013 TO HELP OFFSET SUCH COSTS. ADDITIONALLY, CINCINNATI CHILDREN'S RECEIVED APPROXIMATELY $9.4 MILLION FROM STATE MEDICAID AND MEDICARE PROGRAMS AND GRANTS TO FURTHER ASSIST IN OFFSETTING MEDICAL EDUCATION COSTS IN FISCAL 2013. IN FISCAL 2013, CINCINNATI CHILDREN'S DEVOTED APPROXIMATELY 5 PERCENT 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). 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 86 YEARS, BEGINNING IN 1926. IN THE YEARS SINCE, CINCINNATI CHILDREN'S HAS TRAINED MORE THAN 2,000 PHYSICIANS AND MANY NURSES AND OTHER HEALTH PROFESSIONALS. 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 IS THE FOURTH LARGEST PEDIATRIC TRAINING FACILITY IN THE UNITED STATES, HAVING 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. COMMUNITY OUTREACH CINCINNATI CHILDREN'S AND ITS STAFF PARTICIPATE IN MANY COMMUNITY OUTREACH PROGRAMS. THE FOLLOWING LIST INCLUDES SOME OF THE PROGRAMS PARTICIPATED IN, BUT SHOULD NOT BE CONSIDERED AN ALL INCLUSIVE LISTING. * PARTNER IN EDUCATION WITH ROCKDALE ELEMENTARY SCHOOL * CHILD ABUSE TEAM/MAYERSON CENTER * COMMUNITY PARTNERS PROGRAM/AARON W. PERLMAN CENTER * CAREER DEVELOPMENT PROGRAM/PROJECT SEARCH * COMPREHENSIVE SICKLE CELL CENTER * FAMILY RESOURCE CENTER * PARENT-INFANT NURTURING GROUP * INTERNATIONAL ADOPTION CENTER * STARSHINE HOSPICE SERVICES * FAMILY SUPPORT NETWORK * INJURY FREE COALITION FOR KIDS * SAFE KIDS COALITION * CHILD CAR SEAT SAFETY * SAFETY FAIR * CHILD POLICY RESEARCH CENTER * INNOVATIONS * DRUG & POISON INFORMATION CENTER * BLOOD DRIVES * PARTICIPATION IN VARIOUS FUNDRAISING AND VOLUNTEER OPPORTUNITIES TRANSACTIONS WITH RELATED ORGANIZATIONS FORM 990, SCHEDULE R CCHMC PROVIDES VARIOUS RELATED ORGANIZATIONS WITH CERTAIN SHARED SERVICES AT NO CHARGE. TSHCH LLC 3333 BURNET AVENUE CINCINNATI OH 45229 LAND HOLDING CO. OH 0 5375591 CCHMC BURNET AVE LLC 3333 BURNET AVENUE CINCINNATI OH 45229 LAND HOLDING CO. OH 0 2783964 CCHMC NORTH FAIRMOUNT HEALTHCARE COMPANY LTD 222 PIEDMONT AVE STE 1200 CINCINNATI OH 45219 311484848 LEASE HOLDING CO. 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