2013-05-10T08:16:33-05:00 2012-06-30 861065772 DELOITTE TAX LLP 250 EAST FIFTH STREET SUITE 1900 CINCINNATI OH 45202 990 2011-07-01 310537130 THE CHILDREN'S HOSPITAL CHIL 5136368778 3333 BURNET AVENUE CINCINNATI OH 452293039 SCOTT J HAMLIN 5136368778 2013-05-09 1 JAMES SOWAR P00529407 5137847100 2011 2016-02-24 21:20:13Z ROBERT DH ANNING 3333 BURNET AVENUE CINCINNATI OH 452293039 229231738 0 X N/A X 1883 OH SUPPORT ORGANIZATIONS DEDICATED TO TREATMENT & RESEARCH OF DISEASES OR DISORDERS AFFECTING CHILDREN. 17 15 0 15 0 0 997211 513160 0 0 92203909 106686440 0 0 93201120 107199600 73923727 72924258 0 0 0 0 0 0 0 1207972 1399398 75131699 74323656 18069421 32875944 1369382773 1414290623 8629125 14828027 1360753648 1399462596 X TO PROVIDE FINANCIAL SUPPORT TO TAX-EXEMPT ORGANIZATIONS LOCATED IN HAMILTON COUNTY, OHIO THAT ARE DEDICATED TO THE TREATMENT AND RESEARCH OF DISEASES OR DISORDERS AFFECTING CHILDREN. 0 0 72924258 72924258 THE CHILDREN'S HOSPITAL ("TCH") IS AN IRC SEC. 501(C)(3) TAX-EXEMPT ORGANIZATION WHOSE SOLE PURPOSE IS TO PROVIDE CHARITABLE FINANCIAL SUPPORT TO CHARITABLE ORGANIZATIONS IN HAMILTON COUNTY, OHIO THAT PARTICIPATE IN THE TREATMENT AND/OR RESEARCH OF DISEASES OR DISORDERS AFFECTING CHILDREN.SUCH CHARITABLE FINANCIAL SUPPORT IS PROVIDED PRIMARILY THROUGH EXPENDABLE INCOME GENERATED BY INVESTMENTS OF ENDOWMENT AND OTHER FUNDS RECEIVED BY TCH. IT IS THE POLICY OF TCH TO INVEST GIFTS AND BEQUESTS RECEIVED AND TO REINVEST FUNDS OBTAINED FROM THE SALES OF INVESTMENTS IN ORDER TO ENHANCE FUTURE EXPENDABLE INCOME.DURING THE TAX YEAR JULY 1, 2011 TO JUNE 30, 2012, IN FULFILLMENT OF THIS CHARITABLE MISSION, TCH PROVIDED FINANCIAL SUPPORT AMOUNTING TO $72,924,258 TO CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER ("CCHMC") TO SUPPORT ITS CHARITABLE EFFORTS IN PEDIATRIC PATIENT CARE AND RELATED RESEARCH.BECAUSE OF THE DIRECT FINANCIAL SUPPORT OF TCH, CCHMC HAS BEEN SUCCESSFUL IN REMAINING A LOWER COST OPTION IN THE COMMUNITY FOR SPECIALIZED PEDIATRIC HEALTH CARE WHILE MAINTAINING A NATIONAL REPUTATION AS A LEADER IN CLINICAL PEDIATRIC RESEARCH AND BASIC SCIENCE RESEARCH. 72924258 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 17 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MICHAEL L BAUER 5136368778 3333 BURNET AVENUE CINCINNATI OH 452293039 SHARRY ADDISON 1.00 X 0 0 0 LYNWOOD L BATTLE JR 1.00 X 0 0 0 KATHARINE DEWITT 1.00 X 0 0 0 NANCY KREIGER EDDY PHD 1.00 X 0 0 0 MICHAEL HIRSCHFELD 1.00 X 0 0 0 JOYCE KEESHIN 1.00 X 0 0 0 M DENISE KUPRIONIS 1.00 X 0 0 0 PEGGY MATHILE 1.00 X 0 0 0 JANE PORTMAN 1.00 X 0 0 0 JOHN STEINMAN 1.00 X 0 0 0 FELICIA WILLIAMS 1.00 X 0 0 0 ROBERT DH ANNING 1.00 X X 0 0 0 MICHAEL S CAMBRON 1.00 X X 0 0 0 LEE A CARTER 1.00 X X 0 0 0 THOMAS G CODY 1.00 X X 0 0 0 SCOTT J HAMLIN 1.00 X X 0 821244 167463 VICKI DAVIES 1.00 X X 0 203830 12207 0 1025074 179670 0 0 1 0 FIFTH THIRD BANK 38 FOUNTAIN SQUARE PLAZA CINCINNATI OH 45263 INVESTMENT MANAGEMENT 658320 PNC BANK 201 EAST FIFTH STREET CINCINNATI OH 45202 INVESTMENT MANAGEMENT 394818 BAHL AND GAYNOR 213 EAST THIRD STREET CINCINNATI OH 45202 INVESTMENT MANAGEMENT 196260 3 513160 513160 41950842 41950842 186767736 122032138 64735598 64735598 64735598 107199600 0 0 106686440 72924258 72924258 1249398 1249398 150000 150000 74323656 72924258 1399398 0 7809743 9787307 1359841846 1403180240 1731184 1323076 1369382773 1414290623 8629125 14828027 8629125 14828027 X 496417442 485380812 864336206 914081784 1360753648 1399462596 1369382773 1414290623 X 32875944 5833004 X 0 1 1 X 0 X X X 0 0 0 CHMC 310833936 3 0 1 1 72924258 1 72924258 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 864336206 550905 49258605 63932 914081784 676710473 1770858 185909223 54348 864336206 620565247 1805112 54390381 50267 676710473 819417841 1674366 -200483525 43435 620565247 1.00000 1 0 0 107199600 74323656 32875944 615988 5217016 5833004 38708948 107815588 615988 615988 107199600 0 107199600 74323656 0 74323656 0 74323656 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE CHILDREN'S HOSPITAL ("TCH") PERMANENTLY RESTRICTED ENDOWMENT FUNDS ARE RESTRICTED BY DONORS TO BE MAINTAINED BY THE CHILDREN'S HOSPITAL IN PERPETUITY. TCH'S INTENDED USE OF ENDOWMENT FUNDS IS TO PROVIDE FINANCIAL SUPPORT TO TAX-EXEMPT ORGANIZATIONS LOCATED IN HAMILTON COUNTY, OHIO THAT ARE DEDICATED TO THE TREATMENT AND RESEARCH OF DISEASES OR DISORDERS AFFECTING CHILDREN. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE CORPORATION HAS RECEIVED A DETERMINATION FROM THE INTERNAL REVENUE SERVICE THAT IT IS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CORPORATION FOLLOWS ACCOUNTING STANDARDS CODIFICATION 740 "INCOME TAXES" (ASC 740) RELATED TO THE ACCOUNTING FOR INCOME TAXES. THE FOLLOWING ARE THE TAX YEARS THAT REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTION: FEDERAL 2009 TO 2012 STATE 2009 TO 2012 PART XI, LINE 8 - OTHER ADJUSTMENTS: TRANSFERS FROM CHILDREN'S HOSPITAL MEDICAL CENTER 5,186,489. ACCRUED INCOME ON CHF INSURANCE POLICIES 30,527. TOTAL TO SCHEDULE D, PART XI, LINE 8: 5,217,016. 1 CHILDREN'S HOSPITAL MEDICAL CENTER 3333 BURNET AVENUE CINCINNATI OH 45229 310833936 501(C)(3) 72924258 PATIENT CARE, RESEARCH, FUNDRAISING 1 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: SCHEDULE I, PART I, LINE 2: CCHMC SENIOR MANAGEMENT SUBMITS A PROPOSAL FOR FUNDING TO THE TCH BOARD OF TRUSTEES. THE TCH BOARD REVIEWS THE PROPOSAL AND THEN MAKES A DETERMINATION AS TO WHAT RESEARCH, PATIENT CARE, AND FUNDRAISING PROJECTS WILL BE SUPPORTED WITH TCH FUNDING. UPON TCH BOARD APPROVAL, FUNDS ARE DISTRIBUTED TO CCHMC. CCHMC SENIOR MANAGEMENT PROVIDES PERIODIC UPDATES TO THE TCH BOARD OF TRUSTEES THROUGHOUT THE YEAR INDICATING HOW DONATED FUNDS ARE UTILIZED IN FURTHERANCE OF CCHMC'S CHARITABLE PURPOSES. 0 1 0 0 0 0 0 0 0 SCOTT J HAMLIN 0 586671 0 176007 0 58566 0 142602 0 24861 0 988707 0 19319 VICKI DAVIES 0 171919 0 30856 0 1055 0 0 0 12207 0 216037 0 0 PART I, LINE 4B CERTAIN OFFICERS AND KEY EMPLOYEES OF CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER ("CCHMC"), A RELATED ORGANIZATION TO TCH, HAVE ARRANGEMENTS WHICH PROVIDE FOR SUPPLEMENTAL RETIREMENT BENEFITS AS DESCRIBED IN IRC SEC. 457(F). DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THESE ARRANGEMENTS ARE NON-VESTED AND THERE IS NO GUARANTEE THAT THESE OFFICERS AND FACULTY MEMBERS WILL EVER RECEIVE THESE BENEFITS. THE FOLLOWING IS A LISTING OF OFFICERS THAT RECEIVED A DEFERRAL, SUBJECT TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, UNDER CCHMC'S IRC SEC. 457(F) PLAN DURING THE YEAR (THESE AMOUNTS ARE INCLUDED IN THE TOTALS FOR SCHEDULE J, PART II, COLUMN C, DEFERRED COMPENSATION): 1. SCOTT HAMLIN - $118,102 THE FOLLOWING IS A LISTING OF OFFICERS THAT RECEIVED A PAYMENT UNDER CCHMC'S IRC SEC. 457(F) PLAN DURING THE YEAR (THESE AMOUNTS ARE INCLUDED IN THE TOTALS FOR SCHEDULE J, PART II, COLUMN B(III) AND COLUMN F): 1. SCOTT HAMLIN - $19,319 SUPPLEMENTAL INFORMATION PART III THE CHILDREN'S HOSPITAL RELIED ON CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER ("CCHMC"), A RELATED ORGANZIATION, TO ESTABLISH THE COMPENSATION OF INDIVIDUALS LISTED ON FORM 990, PART VII. CCHMC USED ONE OR MORE OF THE METHODS DESCRIBED BELOW TO ESTABLISH AN APPROPRIATE LEVEL OF COMPENSATION: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT FORM 990 OF OTHER ORGANIZATIONS COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE EXPLANATION OF BENEFITS: ALL COMPENSATION AND BENEFITS REPORTED ON FORM 990, PART VII AND SCHEDULE J, PART II ARE PROVIDED BY CCHMC, A RELATED ENTITY TO TCH. THE EMPLOYEE BENEFIT PLAN CONTRIBUTION AMOUNTS LISTED ON SCHEDULE J, PART II MAY INCLUDE ONE OR MORE OF THE FOLLOWING BENEFITS: 1. ELECTIVE EMPLOYEE DEFERRALS UNDER IRC SEC. 403(B) 2. DISCRETIONARY EMPLOYER CONTRIBUTIONS UNDER IRC SEC. 403(B) 3. ELECTIVE EMPLOYEE DEFERRALS UNDER IRC SEC. 457(B) 4. ELECTIVE EMPLOYEE DEFERRALS UNDER IRC SEC. 457(F) IN ADDITION TO THE RETIREMENT PLAN CONTRIBUTIONS DISCLOSED ON FORM 990, PART VII AND SCHEDULE J, PART II, THE FOLLOWING NON-TAXABLE EMPLOYEE WELFARE BENEFITS WERE MADE AVAILABLE TO THE EMPLOYED, COMPENSATED OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990, PART VII AND SCHEDULE J, PART II: 1. HEALTH AND DENTAL INSURANCE BENEFITS 2. GROUP LIFE INSURANCE (PORTIONS OF WHICH ARE TAXED) 3. UNEMPLOYMENT BENEFITS 4. DISABILITY BENEFITS THE OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990, PART VII AND SCHEDULE J, PART II ARE ALSO ELIGIBLE FOR ANY OTHER AVAILABLE EMPLOYEE BENEFITS. FORM 990, PART VI, SECTION B, LINE 11 THE CHILDREN'S HOSPITAL ("TCH") FORM 990 IS PREPARED BY SENIOR MANAGEMENT FROM CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER ("CCHMC"), A RELATED ORGANIZATION. EXTERNAL TAX CONSULTANTS THEN REVIEW THE FORM 990 FOR COMPLETENESS AND ACCURACY. THE FORM 990 IS THEN MADE AVAILABLE TO ALL TCH BOARD MEMBERS IN ADVANCE OF FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL OF TCH'S BOARD MEMBERS RECEIVE AN ANNUAL QUESTIONNAIRE REQUESTING INFORMATION REGARDING FAMILY AND BUSINESS RELATIONSHIPS THAT COULD POTENTIALLY RESULT IN A CONFLICT OF INTEREST UNDER TCH'S CONFLICT OF INTEREST POLICY. ONCE THE QUESTIONNAIRES HAVE BEEN COMPLETED BY ALL OF TCH'S BOARD MEMBERS, THE QUESTIONNAIRES ARE REVIEWED AND IF TCH DETERMINES THAT A CONFLICT OF INTEREST EXISTS, TCH FOLLOWS THE PROVISIONS SET FORTH IN TCH'S CONFLICT OF INTEREST POLICY TO RESOLVE THE CONFLICT AND DETERMINES THE APPROPRIATE REPORTING TO BOARD COMMITTEES AND, IF REQUIRED, FORM 990 DISCLOSURE. FORM 990, PART VI, SECTION B, LINE 15 TCH DOES NOT HAVE ANY EMPLOYEES. HOWEVER, TCH DOES HAVE A BOARD MEMBER THAT IS EMPLOYED BY CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER ("CCHMC"), A RELATED ORGANIZATION. CCHMC HAS A COMPENSATION COMMITTEE THAT ANNUALLY REVIEWS THE RECOMMENDATIONS OF CCHMC MANAGEMENT REGARDING EMPLOYEE PERFORMANCE EVALUATION AND COMPENSATION ADJUSTMENTS FOR DISQUALIFIED PERSONS TO ENSURE THAT CCHMC HAS COMPLIED WITH THE PROVISIONS OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER IRC SEC. 4958. FORM 990, PART VI, SECTION C, LINE 19 TCH'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MAINTAINED ON FILE BY CCHMC SENIOR MANAGEMENT AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST EITHER IN-PERSON, BY TELEPHONE, OR BY WRITTEN REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 615,988. TRANSFERS FROM CHILDREN'S HOSPITAL MEDICAL CENTER 5,186,489. ACCRUED INCOME ON CHF INSURANCE POLICIES 30,527. TOTAL TO FORM 990, PART XI, LINE 5: 5,833,004. NUMBER OF HOURS WORKED FORM 990, PART VII SCOTT HAMLIN AND VICKI DAVIES ARE EMPLOYED BY CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER ("CCHMC"), A RELATED ORGANIZATION. SCOTT AND VICKI DEVOTE AN AVERAGE OF 40 HOURS/WEEK FOR THEIR DUTIES TO CCHMC AND AFFILIATED ENTITIES. TRANSACTIONS WITH RELATED ORGANIZATIONS FORM 990, SCHEDULE R DURING THE TIME PERIOD COVERED BY THIS RETURN, THE CHILDREN'S HOSPITAL RECEIVED CERTAIN ACCOUNTING AND ADMINISTRATIVE SERVICES FROM CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER AT NO COST. THE VALUE OF THESE SERVICES IS AN UNSPECIFIED AMOUNT. CHILDREN'S HOSPITAL MEDICAL CENTER 3333 BURNET AVENUE CINCINNATI OH 45229 310833936 PEDIATRIC HEALTH CARE OH 501(C)(3) 3 TCH 1 THE CHILDREN'S HOSPITAL FOUNDATION 3333 BURNET AVENUE CINCINNATI OH 45229 311327089 FUNDRAISING TO SUPPORT CHMC OH 501(C)(3) 7 TCH 1 CHMC COMMUNITY HEALTH SERVICES NETWORK 3333 BURNET AVENUE CINCINNATI OH 45229 311459815 PEDIATRIC HEALTH CARE OH 501(C)(3) 9 CHMC 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 CHILDREN'S HOSPITAL MEDICAL CENTER B 72924258 FAIR MARKET VALUE CHILDREN'S HOSPITAL MEDICAL CENTER R 5186489 FAIR MARKET VALUE THE CHILDREN'S HOSPITAL FOUNDATION R 30527 ACCOUNTS RECEIVABLE