OHIO CHILDRENS HOSPITAL ASSN: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: OHIO CHILDRENS HOSPITAL ASSN (EIN 31-1196888)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-15
IRS object ID: 201323199349302387
Schema version: 2012v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule D
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-15T09:45:19-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LEPPERT COMPANY CPAS LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	428 BEECHER RD STE D	AddressLine1
City	GAHANNA	City
State	OH	State
ZIP Code	43230	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	311196888	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	OHIO CHILDREN'S HOSPITAL	BusinessNameLine1
Business Name Line2	ASSOCIATION	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	OHIO	NameControl
Phone	6142282844	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	155 E BROAD ST 23RD FLOOR	AddressLine1
City	COLUMBUS	City
State	OH	State
ZIP Code	43215	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	NICHOLAS LASHUTKA	Name
Title	PRESIDENT	Title
Phone	6142282844	Phone
Date Signed	2013-11-12	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	MATTHEW R LEPPERT	Name
Phone	6145325098	Phone
Date Prepared	2013-11-15	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	NICHOLAS LASHUTKA	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	155 E BROAD ST 23RD FLOOR	AddressLine1
City	COLUMBUS	City
State	OH	State
ZIP Code	43215	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1038747	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	WWW.OHIOCHILDRENSHOSPITALS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1986	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	PROMOTION OF THE COMMON BUSINESS INTERESTS OF CHILDREN'S HOSPITALS LOCATED WITHIN OHIO.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	969847	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1032462	ProgramServiceRevenueCY
Investment Income Prior Year	695	InvestmentIncomePriorYear
Investment Income Current Year	6285	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	970542	TotalRevenuePriorYear
Total Revenue Current Year	1038747	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Current Year	0	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	921314	OtherExpensePriorYear
Other Expenses Current Year	951117	OtherExpensesCurrentYear
Total Expenses Prior Year	921314	TotalExpensesPriorYear
Total Expenses Current Year	951117	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	49228	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	87630	RevenuesLessExpensesCY
Total Assets BOY	941254	TotalAssetsBOY
Total Assets EOY	834443	TotalAssetsEOY
Total Liabilities BOY	612446	TotalLiabilitiesBOY
Total Liabilities EOY	418005	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	328808	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	416438	NetAssetsOrFundBalancesEOY
Mission Description	PROMOTION OF THE COMMON BUSINESS INTERESTS OF CHILDREN'S HOSPITALS LOCATED WITHIN OHIO.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	631257	Expense
Description	THE ORGANIZATION MONITORED LEGISLATIVE AND REGULATORY DEVELOPMENTS, COORDINATED COMMUNICATION, AND PROVIDED A DATABASE OF COMPARATIVE INFORMATION FOR ITS MEMBERS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	57129	Expense
Description	PURSUED PATIENT SAFETY INITIATIVES AMONG OHIO'S CHILDRENS HOSPITALS.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	688386	TotalProgramServiceExpense
Described In501 C3	false	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	1	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	0	NumberOfEmployees
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	false	ConflictOfInterestPolicy
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	NICHOLAS LASHUTKA	NamePerson
Telephone Number	6142282844	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	155 E BROAD	AddressLine1
City	COLUMBUS	City
State	OH	State
ZIP Code	43215	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
STEVE ALLEN MD
BOARD CHAIR	5.00	1.00	X	0	0	0
MICHAEL FISHER
SECRETARY/TR	5.00	1.00	X	0	0	0
SHAWN LYDEN
BOARD MEMBER	5.00		X	0	0	0
WILLIAM CONSIDINE
BOARD MEMBER	5.00	1.00	X	0	0	0
UMA KOTAGAL
BOARD MEMBER	5.00		X	0	0	0
HEIDI GARTLAND
BOARD MEMBER	5.00		X	0	0	0
LORI FERGUSON
BOARD MEMBER	5.00		X	0	0	0
DEBBIE FELDMAN
BOARD MEMBER	5.00	1.00	X	0	0	0
NICHOLAS LASHUTKA
PRESIDENT	40.00	5.00	X	0	0	0	X
DAVID MILLER
BOARD MEMBER			X	0	0	0
PATTI DEPOMPEI
BOARD MEMBER	5.00	1.00	X	0	0	0
TIM ROBINSON
BOARD MEMBER	5.00		X	0	0	0
KEVIN WEBB
BOARD MEMBER	5.00	1.00	X	0	0	0

Field	Value	IRS element (for citing)
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEMBER DUES	999606	999606
REIMBURSABLES	32856	32856

Field	Value	IRS element (for citing)
Total Program Service Revenue	1032462	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	6285	TotalRevenueColumn
Related Or Exempt Function Income	4954	RelatedOrExemptFunctionIncome
Exclusion	$1,331	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1038747	TotalRevenueColumn
Related Or Exempt Function Income	1037416	RelatedOrExemptFunctionIncome
Exclusion	$1,331	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	512027	Total
Program Services	349814	ProgramServices
Management And General	162213	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	24618	Total
Program Services	23899	ProgramServices
Management And General	719	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	6701	Total
Management And General	6701	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	60000	Total
Program Services	60000	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	193214	Total
Program Services	187839	ProgramServices
Management And General	5375	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	24734	Total
Program Services	10741	ProgramServices
Management And General	13993	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	3775	Total
Management And General	3775	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	18796	Total
Program Services	9398	ProgramServices
Management And General	9398	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	22281	Total
Program Services	17310	ProgramServices
Management And General	4971	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	27463	Total
Program Services	17187	ProgramServices
Management And General	10276	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	648	Total
Program Services	648	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2097	Total
Management And General	2097	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
REIMBURSABLE EXPENSES	33548	33548
PARKING	7789	2520	5269
DUES	7655	5945	1710
SUBSCRIPTIONS	3528		3528

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2243	Total
Program Services	1043	ProgramServices
Management And General	1200	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	951117	Total
Program Services	688386	ProgramServices
Management And General	262731	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	906828	BOY
EOY	764247	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
EOY	12500	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1262	BOY
EOY	1524	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	32887	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	30254	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1579	BOY
EOY	2633	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	31585	BOY
EOY	53539	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	941254	BOY
EOY	834443	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	112643	BOY
EOY	248672	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	499803	BOY
EOY	169333	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	612446	BOY
EOY	418005	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	328808	BOY
EOY	416438	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	328808	BOY
EOY	416438	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	941254	BOY
EOY	834443	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	87630	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	true	AccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
FS Audited	false	FSAudited
Audit Committee	false	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	32887	OtherCostOrOtherBasis
Depreciation	30254	Depreciation
Book Value	2633	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2633	TotalOfBookValueLandBuildings

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ADDITIONAL INFORMATION	FORM 990	THE ORGANIZATION DOES NOT HAVE EMPLOYEES IN ITS OWN EIN. INSTEAD, THE ORGANIZATION CONTRACTS WITH THE OHIO HOSPITAL ASSOCIATION (OHA) TO BE THE DIRECT EMPLOYER FOR PAYROLL ADMINISTRATION PURPOSES. ALL COMPENSATION IS DIRECTLY REIMBURSED TO OHA AND IS REPORTED ON PAGE 10, LINE 11A AS MANAGEMENT FEES.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE PRESIDENT AND HIS ASSISTANT REVIEW THE CPA PREPARED FORM 990 BEFORE APPROVING IT.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE PRESIDENT'S CONTRACT AND COMPENSATION ARE DETERMINED BY THE BOARD AFTER OBTAINING SALARY SURVEY DATA AND EVALUATING PERFORMANCE.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	NO DOCUMENTS AVAILABLE TO THE PUBLIC EXCEPT AS REQUIRED BY LAW.
OTHER FEES FOR SERVICES	FORM 990, PART IX, LINE 11G	MEDICAID ADVOCACY CONSULTANT 149,695 0 0 OTHER ADVISORY & PLANNING SVC 38,144 0 0 MISCELLANEOUS 0 5,375 0

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	OHIO CHILDREN'S HOSPITAL ASSN FNDTN	BusinessNameLine1
Business Name Line2	ASSOCIATION FOUNDATION	BusinessNameLine2

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	155 E BROAD ST 23RD FLOOR	AddressLine1
City	COLUMBUS	City
State	OH	State
ZIP Code	43215	ZIPCode

Field	Value	IRS element (for citing)
EIN	272298829	EIN
Primary Activities	CHARITY	PrimaryActivities
Legal Domicile State	OH	LegalDomicileState
Exempt Code Section	C3	ExemptCodeSection
Public Charity Status	9	PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	31-1196888	BusinessNameLine1

Field	Value	IRS element (for citing)
Controlled Org	false	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg