2012-05-14T08:18:36-05:00 2011-06-30 DELOITTE TAX LLP 250 EAST FIFTH STREET SUITE 1900 CINCINNATI OH 45202 990 2010-07-01 310833936 CHILDREN'S HOSPITAL MEDICAL CENTER CHIL 5136368778 3333 BURNET AVENUE CINCINNATI OH 452293039 SCOTT J HAMLIN 5136368778 2012-05-14 1 JAMES SOWAR 5137847100 2010 2016-02-24 21:20:13Z MICHAEL A FISHER 3333 BURNET AVENUE CINCINNATI OH 452293039 1707403405 0 X WWW.CINCINNATICHILDRENS.ORG X 1883 OH PROVISION OF PEDIATRIC HEALTHCARE TO PATIENTS. 26 23 13637 620 53745867 -14792502 213838287 242596688 1240716898 1371019469 9689378 9995597 126153894 79380202 1590398457 1702991956 0 2110275 0 0 932128826 1032000932 8065 0 3798854 579938360 617561017 1512075251 1651672224 78323206 51319732 2189842873 2468439453 993595668 934585651 1196247205 1533853802 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 1431820488 2110275 1329459986 CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER ("CINCINNATI CHILDREN'S"), LOCATED IN CINCINNATI, OHIO, IS A PRIVATE, NOT-FOR-PROFIT IRC SEC. 501(C)(3) CORPORATION THAT OWNS AND OPERATES A COMPREHENSIVE MEDICAL CENTER THAT INCLUDES ONE OF THE NATION'S LARGEST PEDIATRIC TERTIARY CARE FACILITIES WITH COMPLETE PEDIATRIC RESEARCH OPERATIONS AND EXTENSIVE PEDIATRIC TEACHING PROGRAMS. SEE SCHEDULE O FOR A COMPLETE OVERVIEW OF CINCINNATI CHILDREN'S COMMUNITY BENEFITS AND PROGRAM SERVICE ACCOMPLISHMENTS. 1431820488 1 1 0 1 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 1 1 0 0 0 1 1 1 1 0 0 1 1092 0 13637 1 1 1 1 BD 0 0 0 1 1 0 0 0 0 X 26 23 1 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 X 0 0 0 ROBERT DH ANNING 4.00 X 0 0 0 CAROL ARMSTRONG 1.00 X 0 0 0 LYNWOOD BATTLE 1.00 X 0 0 0 MICHAEL S CAMBRON 4.00 X 0 0 0 WILLIE F CARDEN JR 4.00 X 0 0 0 LEE A CARTER 4.00 X 0 0 0 THOMAS G CODY 4.00 X X 0 0 0 KATHARINE DEWITT 1.00 X 0 0 0 NANCY KRIEGER EDDY PHD 4.00 X 0 0 0 VALLIE GEIER 1.00 X 0 0 0 LOUIS D GEORGE 1.00 X 0 0 0 MICHAEL HIRSCHFELD ESQ 4.00 X 0 0 0 JOYCE J KEESHIN 4.00 X 0 0 0 M DENISE KUPRIONIS 4.00 X 0 0 0 PEGGY MATHILE 4.00 X 0 0 0 MANUEL D MAYERSON 1.00 X 0 0 0 JANE PORTMAN 4.00 X 0 0 0 WILLIAM K SCHUBERT 1.00 X 0 0 0 JOHN STEINMAN 1.00 X 0 0 0 PAMELA TERP 1.00 X 0 0 0 FELICIA WILLIAMS 4.00 X 0 0 0 CRAIG YOUNG 1.00 X 0 0 0 RICHARD AZIZKHAN 40.00 X 1218743 0 223985 ARNOLD STRAUSS 40.00 X 804334 0 155340 MICHAEL FISHER 40.00 X X 865537 0 175899 SCOTT HAMLIN 40.00 X 750409 0 157058 BETH STAUTBERG 40.00 X 539478 0 89861 LANE DONNELLY 40.00 X 868579 0 153915 DEAN KURTH 40.00 X 850606 0 144546 CHARLES MEHLMAN 40.00 X 893206 0 46266 CHARLES MYER III 40.00 X 986707 0 24756 ERIC WALL 40.00 X 955752 0 56057 JAMES M ANDERSON 40.00 X 4210454 0 17727 THOMAS F BOAT 40.00 X 611949 0 34423 13555754 0 1279833 1273 1 1 0 TRIVERSITY GROUP LLC 5158 FISHWICK DRIVE CINCINNATI OH 45216 CONSTRUCTION SERVICES 31063167 ARAMARK CORPORATION 4890 DUFF DR B CINCINNATI OH 45246 ENVIRONMENTAL SERVICES 14639216 MEDICAL RECOVERY SYSTEMS INC 3372 CENTRAL PARKWAY CINCINNATI OH 45225 AR SERVICES 8221101 POMEROY IT SOLUTIONS 1020 PETERSBURG ROAD HEBRON KY 41048 IT CONSULTING 8096648 CBTS 4600 MONTGOMERY ROAD SUITE 400 CINCINNATI OH 45212 IT CONSULTING 4443578 95 1264846 77637002 151651996 12042844 316726 242596688 INPAT HOSP SERV (NET) 621990 620910088 620910088 OUTPAT HOSP SERV (NET) 621990 520360381 468121073 52239308 PHYSICIAN SERVICES 621990 229749000 229749000 1371019469 11266000 -431867 11697867 1480195 1480195 1480195 237945 1242250 2670458 3940861 -1270403 -1270403 -1270403 216958 1264846 470588 -253630 -253630 CAFETERIA RECEIPTS 722210 12547981 12547981 GME FUNDING 611710 9108000 9108000 SVCS TO AFFIL HOSP 621990 1571825 1571825 54925831 1700481 53225350 78153637 1702991956 1329459986 53745867 77189415 1592296 1592296 517979 517979 14835587 14835587 806624 806624 780225992 678207789 99088701 2929502 70226119 61307402 8918717 114189449 99687389 14502060 51717161 45149082 6568079 2140739 1868865 271874 822525 718064 104461 485198 423578 61620 2729945 2240764 346703 142478 158325879 138157391 20107387 61101 5932733 5179276 753457 6206341 5357916 788205 60220 14097070 12306742 1790328 16103740 14058565 2045175 110704675 96645181 14059494 20027990 17484435 2543555 PURCHASED SERVICES 164927982 143746674 20945854 235454 BAD DEBT EXPENSE 49531569 49531569 UTILITIES 17855674 15588003 2267671 DIETARY 6983317 6096436 886881 DUES AND SUBSCRIPTIONS 4829050 4215761 613289 35856590 30932707 4553784 370099 1651672224 1431820488 216052882 3798854 85270000 97451593 299722000 302791363 14448398 16721982 5023391 7089373 1582905360 731204328 846129467 851701032 174495933 227641903 764753684 965042207 2189842873 2468439453 195112939 208074815 485807890 450963745 3727626 30506794 308947213 245040297 993595668 934585651 X 388821037 526990274 129441168 135943000 677985000 870920528 1196247205 1533853802 2189842873 2468439453 X 51319732 286286865 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 1 151198 1 383598 0 0 534796 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: WHILE CHILDREN'S HOSPITAL MEDICAL CENTER DOES NOT SPEND A SUBSTANTIAL AMOUNT OF RESOURCES OR TIME PARTICIPATING IN LOBBYING ACTIVITIES, CHMC DOES PAY MEMBERSHIP DUES TO PROFESSIONAL ORGANIZATIONS WHO, AMONG THEIR MANY RESPONSIBILITIES, DO PERFORM CERTAIN LOBBYING ACTIVITIES ON BEHALF OF THEIR MEMBER ORGANIZATIONS. CHMC HAS WRITTEN THESE ORGANIZATIONS TO DETERMINE THE PORTION OF THEIR OPERATING BUDGETS WHICH ARE DEDICATED TO SUCH LOBBYING ACTIVITIES. USING THEIR RESPONSES, CHMC HAS DETERMINED THE PORTION OF CHMC'S MEMBERSHIP DUES WHICH ARE APPLICABLE TO THEIR LOBBYING ACTIVITIES. BELOW IS A COMPLETE LISTING OF THESE PROFESSIONAL ORGANIZATIONS: 1. AMERICAN HOSPITAL ASSOCIATION - $13,787 2. OHIO HOSPITAL ASSOCIATION - $6,571 3. NATIONAL ASSOC. OF CHILDREN'S HOSPITALS AND RELATED ORGS. - $91,660 4. ASSOCIATION OF OHIO CHILDREN'S HOSPITALS - $38,502 5. ASSOCIATION OF AMERICAN MEDICAL COLLEGES - $678 CHMC 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 2011, CHMC'S GOVERNMENT RELATIONS OFFICE INCURRED $383,598 IN EXPENSES RELATED TO VARIOUS LOBBYING ACTIVITIES. CERTAIN MEMBERS OF CHMC'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 CHMC CONSISTENT WITH ITS TRAVEL AND BUSINESS EXPENSE REIMBURSEMENT GUIDELINES. FURTHERMORE, THE VALUE OF THEIR TIME SPENT PERFORMING LOBBYING ACTIVITIES IS NOT QUANTIFIABLE. IN ADDITION, CHMC 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. 807426168 245776360 192475000 153914000 84900000 1006863528 734403257 235362911 58394000 143011000 77723000 807426168 935791845 174839253 -199115594 128282000 48829753 734403751 0.86500 0.13500 0 1 1 31525000 31525000 989868000 385684140 604183860 538178000 338632071 199545929 23334360 6888117 16446243 851701032 INVESTMENT IN SUBSIDIARY (RIVER CITY INSURANCE, LTD.) 120000 OTHER LONG-TERM ASSETS 74140919 INTEREST IN NET ASSETS OF SUPPORTING ORGANIZATIONS 886161621 ASSETS LIMITED TO USE - FUNDS IN TRUST 4619667 965042207 SELF INSURANCE RESERVES 30545183 MINIMUM PENSION LIABILITY ACCRUAL 201760230 OTHER LONG-TERM LIABILITIES 12734884 245040297 1702991956 1651672224 51319732 286286865 286286865 337606597 1934857000 243019331 243019331 1691837669 11154287 11154287 1702991956 1878849769 242752858 242752858 1636096911 15575313 15575313 1651672224 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: CHMC'S ENDOWMENT FUNDS ARE UTILIZED TO SUPPORT THE OPERATIONS OF VARIOUS DEPARTMENTS AT CHMC IN FURTHERANCE OF CHMC'S PRIMARY TAX-EXEMPT PURPOSES OF PATIENT CARE, EDUCATION, AND RESEARCH. SEE FORM 990, PART III AND SCHEDULE 0 FOR ADDITIONAL INFORMATION. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: CINCINNATI CHILDREN'S ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION TOPIC ("ASC") 740 "INCOME TAXES". IT IS THE POLICY OF CINCINNATI CHILDREN'S 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 2011 OR 2010. LISTED BELOW ARE THE TAX YEARS THAT REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTION: FEDERAL - 2008 TO 2011 STATE - 2008 TO 2011 PART XI, LINE 8 - OTHER ADJUSTMENTS: MINIMUM PENSION LIABILITY ADJUSTMENT 67,279,032. GAIN IN NET ASSETS OF SUPPORTING ORGANIZATIONS, NET 192,475,000. ELIMINATION OF CHSN INCOME 266,473. ADJUST BEGINNING NET ASSETS FOR CHC 26,266,360. PART XII, LINE 2D - OTHER ADJUSTMENTS: ELIMINATE INTERCOMPANY OPERATING/RESTRICTED REVENUE 240,084,000. CHSN REVENUE ELIMINATION 2,935,331. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS BELOW THE LINE PER FINANCIAL STATEMENTS TO REVENUE PER 990 11,154,287. PART XIII, LINE 2D - OTHER ADJUSTMENTS: ELIMINATE INTERCOMPANY OPERATING/RESTRICTED EXPENSE 240,084,000. CHSN EXPENSES ELIMINATION 2,668,858. PART XIII, LINE 4B - OTHER ADJUSTMENTS: RECLASS BELOW THE LINE PER FINANCIAL STATEMENTS TO EXPENSES PER 990 15,575,313. 1 CENTRAL AMERICA & THE CARIBBEAN 0 1 PROGRAM SERVICES OFFSHORE CAPTIVE MANAGEMENT 1058322 EAST ASIA & THE PACIFIC 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 30500 EUROPE 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 12145 MIDDLE EAST & NORTH AFRICA 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 43176 NORTH AMERICA 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 355207 RUSSIA 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 643 SOUTH AMERICA 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 12000 SOUTH ASIA 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 64308 0 1 0 0 0 1 1576301 0 1576301 EAST ASIA AND THE PACIFIC EDUCATION, TEACHING, & RESEARCH 30500 WIRE TRANSFER 0 CASH EUROPE EDUCATION, TEACHING, & RESEARCH 12145 WIRE TRANSFER 0 CASH MIDDLE EAST & NORTH AFRICA EDUCATION, TEACHING, & RESEARCH 43176 WIRE TRANSFER 0 CASH NORTH AMERICA EDUCATION, TEACHING, & RESEARCH 355207 WIRE TRANSFER 0 CASH SOUTH AMERICA EDUCATION, TEACHING, & RESEARCH 12000 WIRE TRANSFER 0 CASH SOUTH ASIA EDUCATION, TEACHING, & RESEARCH 64308 WIRE TRANSFER 0 CASH 0 10 1 0 1 0 0 0 PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.: SCHEDULE F, PART I, LINE 2: CHMC MONITORS THE USE OF GRANT FUNDS WITHIN AND OUTSIDE OF THE UNITED STATES IN ACCORDANCE WITH 45 CFR PART 74 APPENDEX E. CHMC 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 0 OH KY IN FL WALK FOR KIDS 709663 705028 4635 0 43069 0 127793 CELESTIAL BALL 422100 346688 75412 0 0 8500 162715 7 350041 213130 136911 0 14519 0 113992 1481804 1264846 216958 57588 8500 404500 470588 -253630 1 1 X 1 X 1 X 1 1 1 0 1 1 15921454 6000000 9921454 0.00620 590316492 330165000 260151492 0.16240 606237946 336165000 270072946 0.16860 3728583 1863826 1864757 0.00120 76327204 19822000 56505204 0.03530 40538000 37013000 3525000 0.00220 284823000 114506000 170317000 0.10630 472112 0 472112 0.00030 405888899 173204826 232684073 0.14530 1012126845 509369826 502757019 0.31390 290000 290000 0.00020 500776 500776 0.00030 790776 790776 0.00050 0 29664099 6526102 10105700 11680600 -1574900 X 1 1 4 1 CHMC - MAIN CAMPUS

3333 BURNET AVE CINCINNATI OH 45229

X X X X X X 2 CHMC - LIBERTY CAMPUS

7777 YANKEE ROAD LIBERTY TOWNSHIP OH 45044

X X X X X 3 CHMC - COLLEGE HILL CAMPUS

5642 HAMILTON AVE CINCINNATI OH 45224

X X X 4 CHMC - LINDNER CENTER OF HOPE CAMPUS

4015 OLD WESTERN ROW ROAD MASON OH 45040

X X X CHILDREN'S HOSPITAL MEDICAL CENTER 1 11 CHMC ANDERSONURGENT CARE

7495 STATE ROAD SUITE 355 CINCINNATI OH 45255

NEIGHBORHOOD FACILITY CHMC DRAKE

151 WEST GALBRAITH ROAD CINCINNATI OH 45216

NEIGHBORHOOD FACILITY CHMC EASTGATE

796 CINCINNATI-BATAVIA PIKE CINCINNATI OH 45245

NEIGHBORHOOD FACILITY CHMC FAIRFIELD

3050 MACK ROAD CINCINNATI OH 45014

NEIGHBORHOOD FACILITY CHMC HARRISON

10450 NEW HAVEN ROAD CINCINNATI OH 45030

NEIGHBORHOOD FACILITY CHMC KENWOOD

7714-A MONTGOMERY ROAD CINCINNATI OH 45236

NEIGHBORHOOD FACILITY CHMC MASONURGENT CARE

9560 CHILDRENS DRIVE MASON OH 45040

NEIGHBORHOOD FACILITY CHILDREN'S OUTPATIENT NKY

2765 CHAPEL PLACE CRESTVIEW HILLS KY 41017

NEIGHBORHOOD FACILITY CHMC OAK

2800 WINSLOW AVE CINCINNATI OH 45206

NEIGHBORHOOD FACILITY CHMC NORTH BURNET

3430 BURNET AVE CINCINNATI OH 45229

NEIGHBORHOOD FACILITY CHMC 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 I, L7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM THE CALCULATION ON SCHEDULE H, PART I, LINE 7, COLUMN (F) IS $49,531,569. THIS AMOUNT IS ALSO REPORTED ON FORM 990, PART IX, LINE 24(B). PART II: THE PRIMARY FOCUS OF COMMUNITY BUILDING ACTIVITIES AT CINCINNATI CHILDREN'S IS TO IMPROVE THE HEALTH OF CHILDREN IN THE COMMUNITY AND IMPROVE ACCESS TO QUALITY HEALTHCARE SERVICES. THE SECONDARY FOCUS OF COMMUNITY BUILDING ACTIVITIES AT CINCINNATI CHILDREN'S 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. EXAMPLES INCLUDE HOUSING, EMPLOYMENT, PUBLIC SAFETY, ECONOMIC DEVELOPMENT AND EDUCATION.CINCINNATI CHILDREN'S HEALTH CENTERED COMMUNITY BENEFIT ACTIVITIES FOCUS ON ASTHMA, INFANT MORTALITY, INJURY, OBESITY, EARLY CHILDHOOD DEVELOPMENT, ACCESS TO CARE, AND HEALTH DISPARITIES. RESEARCH HAS PROVEN THAT ALL OF THESE HEALTH ISSUES ARE DRAMATICALLY IMPACTED BY POVERTY AND OTHER SOCIAL DYNAMICS.CINCINNATI CHILDREN'S SECONDARY LEVEL OF COMMUNITY BENEFIT ACTIVITIES FOCUSES ON REVITALIZING NEIGHBORHOODS, FILLING THE CARE ACCESS GAP THROUGH PARTNERSHIPS WITH LOCAL SCHOOLS, AND PROVIDING FINANCIAL SUPPORT FOR COMMUNITY PARTNERS WHO SHARE CINCINNATI CHILDREN'S VISION TO IMPROVE CHILD HEALTH AND THE QUALITY OF LIFE FOR CHILDREN AND FAMILY.ALL OF CINCINNATI CHILDREN'S COMMUNITY BUILDING ACTIVITIES MEET AT LEAST ONE OF THE FOLLOWING COMMUNITY BENEFIT OBJECTIVES:* IMPROVE HEALTH SERVICES* ENHANCE PUBLIC HEALTH* ADVANCE GENERALIZABLE KNOWLEDGE* RELIEVE A GOVERNMENT BURDEN 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 PERFORMED COMMUNITY ASSESSMENTS RELATED TO SPECIFIC DISEASES, CHILD DEVELOPMENT ISSUES, AND HEALTH DISPARITIES. CINCINNATI CHILDREN'S HAS ALSO CONDUCTED COMMUNITY-BASED GENERAL HEALTH ASSESSMENTS IN TARGETED NEIGHBORHOODS WITHIN ITS PRIMARY SERVICE AREA AND HAS PARTICIPATED IN BROADER COMMUNITY BASED RESEARCH AND HEALTH NEEDS ASSESSMENTS WITH SEVERAL OF CINCINNATI CHILDREN'S LOCAL COMMUNITY PARTNERS. THE CHILD POLICY RESEARCH CENTER AND INNOVATIONS PROGRAM AT CINCINNATI CHILDREN'S PERFORM RESEARCH AND CONDUCT ASSESSMENTS RELATED TO MAJOR CHILD HEALTH ISSUES IN THE COMMUNITY INCLUDING CHILDHOOD OBESITY, INFANT MORTALITY, AND THE OVERALL HEALTH OF MINORITY COMMUNITIES. THE RESULTS OF THE RESEARCH AND ASSESSMENTS ARE THEN USED TO GUIDE PUBLIC POLICY, DIRECT RESOURCES, AND IMPROVE THE QUALITY OF PATIENT CARE AND THE DELIVERY OF SERVICES. 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. 1 4C FOR CHILDREN 1924 DANA AVE CINCINNATI OH 45207 310823634 501(C)(3) 15000 COMMUNITY SUPPORT AMERICAN CANCER SOCIETY 2808 READING ROAD CINCINNATI OH 45206 310726080 501(C)(3) 10000 SPONSORSHIP AMERICAN HEART ASSOCIATION 5211 MADISON ROAD CINCINNATI OH 45227 135613797 501(C)(3) 59600 SPONSORSHIP BOOMER ESIASON FOUNDATION 483 10TH AVE STE 300 NEW YORK NY 10018 113142753 501(C)(3) 9000 SPONSORSHIP CINCINNATI MEDICAL ASSOCIATION PO BOX 37287 CINCINNATI OH 45237 320144460 501(C)(3) 5000 SPONSORSHIP CINCINNATI HAMILTON COUNTY COMMUNITY ACTION AGENCY 1740 LANGDON FARM RD CINCINNATI OH 45237 316053035 501(C)(3) 5000 COMMUNITY SUPPORT CLOSING THE HEALTH GAP 3120 BURNET AVE STE 201 CINCINNATI OH 45229 200902286 501(C)(3) 100000 COMMUNITY SUPPORT CROSSROAD HEALTH CENTER 5 EAST LIBERTY CINCINNATI OH 45202 311321054 501(C)(3) 25000 COMMUNITY SUPPORT GOOD SAMARITAN HOSPITAL FOUNDATION 375 DIXMYTH AVE CINCINNATI OH 45220 310537486 501(C)(3) 5000 SPONSORSHIP GREATER CINCINNATI NORTHERN KENTUCKY AFRICAN AMERICAN CHAMBER 2945 GILBERT AVE CINCINNATI OH 45206 311504758 501(C)(3) 7500 SPONSORSHIP HAMILTON COUNTY FAMILY AND CHILDREN FIRST COUNCIL 125 E COURT ST 350 CINCINNATI OH 45202 501(C)(3) 10000 COMMUNITY SUPPORT HANNAH JO SMITH FOUNDATION 1512 N BIG RUN RD ASHLAND KY 41102 611348262 501(C)(3) 5024 SPONSORSHIP HEALTH IMPROVEMENT COLLABORATIVE 2100 SHERMAN AVE STE 100 CINCINNATI OH 45212 311449807 501(C)(3) 45000 SPONSORSHIP HEALTH NETWORK FOUNDATION 33 RIVER ST CHAGRIN FALLS OH 44022 043804600 501(C)(3) 35000 SPONSORSHIP LIFE CENTER ORGAN DONOR NETWORK 615 ELSINORE PLACE STE 400 CINCINNATI OH 45202 311040508 501(C)(3) 11000 SPONSORSHIP MARCH OF DIMES BIRTH DEFECT FOUNDATION 10806 KENWOOD RD CINCINNATI OH 45242 131846366 501(C)(3) 5000 SPONSORSHIP RILEY CHILDREN'S FOUNDATION 30 S MERIDIAN ST STE 200 INDIANAPOLIS IN 46204 201219081 501(C)(3) 12978 SPONSORSHIP RONALD MCDONALD HOUSE 350 ERKENBRECHER AVE CINCINNATI OH 45229 310965333 501(C)(3) 57500 SPONSORSHIP THE ABERCRUMBIE GROUP 10301 GIVERNY BLVD CINCINNATI OH 45241 300520187 501(C)(3) 20000 SPONSORSHIP THE LINKS FOUNDATION INC PO BOX 9265 CINCINNATI OH 45209 521170830 501(C)(3) 5000 SPONSORSHIP UNITED WAY OF GREATER CINCINNATI 2400 READING ROAD CINCINNATI OH 45202 310537502 501(C)(3) 75000 SPONSORSHIP UNIVERSITY OF CINCINNATI FOUNDATION PO BOX 19970 CINCINNATI OH 45218 310896555 501(C)(3) 5500 SPONSORSHIP VISION 2015 50 E RIVERCENTER BLVD STE 465 COVINGTON KY 41011 311489316 501(C)(3) 50000 SPONSORSHIP THE CHILDREN'S HOSPITAL 3333 BURNET AVENUE CINCINNATI OH 45229 310537130 501(C)(3) 990837 SPONSORSHIP EVERY CHILD SUCCEEDS 3333 BURNET AVENUE CINCINNATI OH 45229 311628467 501(C)(3) 23357 SPONSORSHIP 25 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: CHMC 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 CHMC 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 CHMC ARE NOTIFIED OF CHMC'S SUPPORT INCLUDING THE STATED PURPOSE FOR THE GRANT AWARD AND CHMC ALSO REQUESTS YEAR-END ANNUAL REPORTS FROM SUPPORTED ORGANIZATIONS. 1 X X X X X X 0 1 0 0 0 0 0 0 0 RICHARD AZIZKHAN 758843 0 264233 0 195667 0 221441 0 2544 0 1442728 0 155857 0 ARNOLD STRAUSS 522158 0 166774 0 115402 0 124636 0 30704 0 959674 0 111572 0 MICHAEL FISHER 650134 0 176193 0 39210 0 144977 0 30922 0 1041436 0 0 0 SCOTT HAMLIN 529621 0 142148 0 78640 0 133737 0 23321 0 907467 0 39430 0 BETH STAUTBERG 381603 0 108196 0 49679 0 77604 0 12257 0 629339 0 32709 0 LANE DONNELLY 610351 0 210187 0 48041 0 122845 0 31070 0 1022494 0 14571 0 DEAN KURTH 554702 0 184921 0 110983 0 129135 0 15411 0 995152 0 68773 0 CHARLES MEHLMAN 688370 0 163293 0 41543 0 24500 0 21766 0 939472 0 0 0 CHARLES MYER III 787074 0 181598 0 18035 0 24500 0 256 0 1011463 0 0 0 ERIC WALL 770508 0 151534 0 33710 0 30000 0 26057 0 1011809 0 0 0 JAMES M ANDERSON 156433 0 363170 0 3690851 0 3794 0 13933 0 4228181 0 3643128 0 THOMAS F BOAT 207867 0 0 0 404082 0 24500 0 9923 0 646372 0 347402 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 - $196,941 2 ARNOLD STRAUSS - $100,136 3. MICHAEL FISHER - $120,477 4. SCOTT HAMLIN - $109,237 5. BETH STAUTBERG - $53,104 6. LANE DONNELLY - $98,345 7. DEAN KURTH - $104,635 8. ERIC WALL - $5,500 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 - $155,857 2. ARNOLD STRAUSS - $111,572 3. SCOTT HAMLIN - $39,430 4. BETH STAUTBERG - $32,709 5. LANE DONNELLY - $14,571 6. DEAN KURTH - $68,773 7. JAMES ANDERSON - $3,643,128 (*** SEE NOTE BELOW ***) 8. THOMAS BOAT - $347,402 *** NOTE: THE AMOUNT LISTED ABOVE FOR JAMES ANDERSON, CHMC'S FORMER PRESIDENT AND CEO, REPRESENTS THE PAYMENT OF DEFERRED COMPENSATION THAT WAS EARNED DURING MR. ANDERSON'S TENURE AS PRESIDENT AND CEO OF CHMC FROM NOVEMBER 1996 TO DECEMBER 2009 AND VESTED DURING CALENDAR YEAR 2010. ALTHOUGH THE COMPENSATION WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION ON PRIOR FORM 990'S FILED BY CHMC, IRS REQUIREMENTS MANDATE THAT THE COMPENSATION BE REPORTED AGAIN ON THE CURRENT FORM 990 AS "OTHER COMPENSATION" SINCE THE FUNDS WERE PAID BY CHMC IN CALENDAR YEAR 2010. 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. JAMES ANDERSON, CHMC'S FORMER PRESIDENT AND CEO, HAS AN OPTION AGREEMENT THAT BECAME FULLY VESTED DURING THE FISCAL YEAR ENDED JUNE 30, 2002. THE OPTION IS NOT EXERCISABLE UNTIL A FUTURE YEAR OR FUTURE EVENT. THEREFORE, THE OPTION HAS NO READILY ASCERTAINABLE FAIR MARKET VALUE PURSUANT TO IRC SEC. 83(E)(3). CHMC'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. CHMC 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 COMMITTEE (THE "COMMITTEE") MAY BE COMPRISED OF TRUSTEE AND NON TRUSTEE MEMBERS. THE COMMITTEE IS CHARGED WITH RESPONSIBILITY FOR REVIEW, APPROVAL, AND OVERSIGHT OF ALL OF THE ITEMS OF COMPENSATION THAT IMPACT SENIOR MANAGEMENT, MIDDLE MANAGEMENT, AND FACULTY. THE COMMITTEE ESTABLISHES CINCINNATI CHILDREN'S COMPENSATION PHILOSOPHY BY UTILIZING THE FOLLOWING FUNDAMENTAL CONCEPTS IN DETERMINING COMPENSATION STRATEGY AND OBJECTIVES: 1. CINCINNATI CHILDREN'S COMPENSATION IS LINKED TO 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 INTERNATIONAL MARKETS WHICH ENABLES IT TO ATTRACT AND RETAIN SENIOR MANAGEMENT, MIDDLE MANAGEMENT AND FACULTY WITH THE TALENT AND EXPERTISE NECESSARY FOR IT TO CARRY OUT ITS MISSION AND TO BE AN INTERNATIONAL 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; 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 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. HAMILTON COUNTY OHIO 316000063 407272M26 2004-06-30 98249356 RESEARCH BUILDING 0 0 0 COUNTY OF BUTLER OHIO 316000061 123550FJ9 2006-12-08 63541881 OUTPATIENT SATELLITE BLDG. 0 0 0 HAMILTON COUNTY OHIO 316000063 407272M34 2007-12-11 61230000 MEDICAL BUILDING & GARAGE 0 0 0 COUNTY OF BUTLER OHIO 316000061 123550FM2 2008-04-30 51950000 REPAY 2006L BONDS(12/8/06) 0 0 0 109390558 2249356 107141202 2007 0 0 1 1 65205028 1385093 63819935 2008 0 0 1 1 30615000 60636331 389866 60246465 2009 0 0 1 1 30000000 52351334 399995 51951339 1 0 1 1 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 SCHEDULE K, PART I, LINE D 4/30/08 BOND ISSUE THE 4/30/08 BOND ISSUE REPAID THE SERIES 2006L BOND ISSUE 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 II, LINE 5 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. THE $1,385,093 REPORTED ON SCHEDULE K, PART II, LINE 7, COLUMN B FOR THE 12/08/06 BOND ISSUE CONSISTS OF $921,385 OF CREDIT ENHANCEMENT COSTS AND $463,708 OF BOND ISSUANCE COSTS. THE BOND ISSUANCE COSTS FOR THE 12/17/09 AND 11/19/10 BOND ISSUES WERE PAID OUT OF CHMC GENERAL FUNDS. FORM 990, SCHEDULE K, PART III, LINE 3C BOND COUNSEL REVIEW WHILE CHMC DOES NOT ROUTINELY ENGAGE OUTSIDE BOND COUNSEL TO REVIEW MANAGEMENT OR SERVICE CONTRACTS OR RESEARCH AGREEMENTS RELATED TO BOND-FINANCED PROPERTY, CHMC REGULARLY CONSULTS WITH IN-HOUSE COUNSEL TO PERFORM AN INTERNAL ASSESSMENT OF MANAGEMENT AND SERVICE CONTRACTS AND RESEARCH AGREEMENTS RELATED TO BOND-FINANCED PROPERTY. COUNTY OF BUTLER OHIO 316000061 2009-12-17 30000000 REPAY 20080 BONDS(4/30/08) 0 0 0 HAMILTON COUNTY OHIO 316000063 2010-11-19 30000000 REPAY 2007N BONDS(12/11/07) 0 0 0 30000000 30000000 1 0 1 1 30000000 30000000 1 0 1 1 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 0 1 0 0 0 0 0 1 AARON AZIZKHAN FAMILY MEM TRUST 35433 COMP & BEN 0 GERALYN AZIZKHAN FAMILY MEM TRUST 117553 COMP & BEN 0 BARBARA BOAT FAMILY MEM TRUST 172276 COMP & BEN 0 ANNE BOAT FAMILY MEM TRUST 444413 COMP & BEN 0 EMILY HIRSCHFELD FAMILY MEM TRUST 36949 COMP & BEN 0 UNION CENTRAL LIFE INS CO DIRECTOR/OFFICER 262858 INS PREM 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 29 316726 MEAN ON DATE OF TRANSFER 1 0 1 0 FORM 990, PART VI, SECTION A, LINE 2 JAMES ANDERSON AND MICHAEL CAMBRON HAVE A BUSINESS RELATIONSHIP OUTSIDE OF CINCINNATI CHILDREN'S. 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 IT IS DETERMINED THAT A CONFLICT OF INTEREST EXISTS, 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 5: GAIN IN INTEREST OF NET ASSETS OF SUPPORTING ORGANIZATIONS 192,475,000. MINIMUM PENSION LIABILITY ADJUSTMENT 67,279,032. ELIMINATE CHSN NET INCOME 266,473. ADDITION OF CHC NET ASSETS 26,266,360. TOTAL TO FORM 990, PART XI, LINE 5: 286,286,865. TRANSACTIONS WITH RELATED ORGANIZATIONS FORM 990, SCHEDULE R CHMC PROVIDES VARIOUS RELATED ORGANIZATIONS WITH CERTAIN SHARED SERVICES AT NO CHARGE. 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. COMMUNITY BENEFIT IS DEFINED AS PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT, OR PROMOTE HEALTH AND HEALING, IN RESPONSE TO IDENTIFIED COMMUNITY NEEDS. TO TRULY PROVIDE COMMUNITY BENEFIT, THESE ACTIVITIES MUST MEET AT LEAST ONE OF THE FOLLOWING OBJECTIVES: * IMPROVE ACCESS TO HEALTH CARE * ENHANCE HEALTH OF THE COMMUNITY * ADVANCE MEDICAL OR HEALTH CARE KNOWLEDGE * RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS WE HAVE PURSUED COMMUNITY BENEFIT ACTIVITIES THAT HELP FURTHER THESE OBJECTIVES BECAUSE IT IS PART AND PARCEL OF WHO WE AIM TO BE. OUR VISION STATES IT BEST: "TO BE THE LEADER IN IMPROVING CHILD HEALTH." WITHIN OUR WALLS, THERE IS EVIDENCE OF OUR COMMITMENT TO COMMUNITY BENEFIT IN OUR OVERALL STRUCTURE, OUR TRAINING OF STAFF, AND OUR PARTICIPATION IN LOCAL, STATE, AND NATIONAL ADVOCACY EFFORTS. OUR PEDIATRIC RESIDENCY PROGRAM INSTILLS EXCEPTIONAL CLINICAL AND RESEARCH SKILLS AS WELL AS A STRONG SENSE OF ADVOCACY FOR THOSE LESS FORTUNATE. MANY OF THESE YOUNG DOCTORS STAY ON TO WORK IN THIS REGION AFTER COMPLETING THEIR STUDIES. 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. ACCORDING TO THE MOST RECENT 2010 COMPARATIVE DATA PUBLISHED BY THE GOLDMAN SACHS/CHILD HEALTH CORPORATION OF AMERICA CFO SURVEY, CINCINNATI CHILDREN'S COMPLEMENT OF 525 REGISTERED INPATIENT BEDS (OF WHICH 479 ARE STAFFED) RANKS AS THE SECOND LARGEST AMONG FREESTANDING PEDIATRIC HOSPITALS, WHILE ITS EMERGENCY ROOM, OPERATING ROOMS AND CLINICS RANKED AS AMONG THE NATION'S BUSIEST IN TERMS OF THE VOLUME OF PATIENTS SERVED. CINCINNATI CHILDREN'S ALSO OPERATES 36 RESIDENTIAL PSYCHIATRIC BEDS (OF WHICH 33 ARE CURRENTLY STAFFED) ON ITS COLLEGE HILL CAMPUS. ADDITIONALLY, ACCORDING TO THE MOST RECENT 2010 INFORMATION PUBLISHED BY THE NATIONAL INSTITUTES OF HEALTH ("NIH"), CINCINNATI CHILDREN'S RANKED SECOND IN THE NATION AMONG PEDIATRIC HEALTH CARE FACILITIES IN TERMS OF NIH GRANT AWARDS RECEIVED. THE GROWTH RATE OF ITS NIH RESEARCH FUNDING OVER THE LAST TEN YEARS HAS EXCEEDED THE GROWTH RATES OF ALL OTHER MAJOR PEDIATRIC HOSPITALS. CINCINNATI CHILDREN'S HAS EXTENSIVE EDUCATIONAL PROGRAMS AND ITS GRADUATE MEDICAL EDUCATION PROGRAM IS THE NATION'S FOURTH LARGEST PEDIATRIC PROGRAM. A MAJORITY OF THE PEDIATRIC HEALTHCARE PROFESSIONALS IN ITS SERVICE AREA WERE TRAINED BY CINCINNATI CHILDREN'S. 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. THE PURPOSE OF THIS DOCUMENT IS TO PROVIDE HIGHLIGHTS OF CINCINNATI CHILDREN'S ACTIVITIES IN EACH OF THE AREAS. * PATIENT CARE (NET OF TAX LEVY AND OHIO HCAP)(NOTE A): $270.1 MILLION * SUBSIDIZED HEALTH SERVICES: $3.5 MILLION * RESEARCH (NOTE B): $170.3 MILLION * MEDICAL EDUCATION: $56.5 MILLION * COMMUNITY OUTREACH: $3.1 MILLION * TOTAL VALUE OF COMMUNITY BENEFITS PROVIDED: $503.5 MILLION NOTE A: CHARITABLE PATIENT CARE ($270.1 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. NOTE B: RESEARCH ($170.3 MILLION) - IN ACCORDANCE WITH THE 2010 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 $.2 MILLION, AND THE TOTAL VALUE OF COMMUNITY BENEFITS PROVIDED WOULD BE REDUCED TO $333.5 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, 2011, CINCINNATI CHILDREN'S ADMITTED 17,844 PATIENTS WHO WERE ASSOCIATED WITH 123,729 PATIENT DAYS. IN ADDITION, CINCINNATI CHILDREN'S TREATED NEARLY 893,000 OUTPATIENT VISITS. CINCINNATI CHILDREN'S MAINTAINS ONE OF THE NATION'S BUSIEST EMERGENCY DEPARTMENTS. OVER THE PAST YEAR, CINCINNATI CHILDREN'S HANDLED NEARLY 122,000 EMERGENCY ROOM VISITS. LIKEWISE, CINCINNATI CHILDREN'S IS THE NATION'S LEADER IN TERMS OF PEDIATRIC SURGICAL PROCEDURES. DURING FISCAL 2011, CINCINNATI CHILDREN'S PERFORMED OVER 42,800 HOURS OF SURGERY. CINCINNATI CHILDREN'S WORKS TO MAINTAIN THE CONTROL OF HEALTHCARE COSTS WHILE PRESERVING THE QUALITY OF SERVICE AND THE AVAILABILITY FOR ALL PEDIATRIC/ADOLESCENT CITIZENS. CINCINNATI CHILDREN'S HOPES IT WILL SET AN EXAMPLE FOR OTHER ORGANIZATIONS IN THE COMMUNITY AND AROUND THE COUNTRY TO STRIVE TO WORK FOR THE COMMON HEALTHCARE CAUSE. CINCINNATI CHILDREN'S IS BRINGING TOGETHER AND ADDRESSING BOTH THE SOCIAL NEEDS OF THE COMMUNITY AND THE HEALTHCARE NEEDS. CINCINNATI CHILDREN'S RECOGNIZES THE NEED TO TEAM WITH THE VARIOUS SOCIAL WELFARE AGENCIES OF THE COMMUNITY. IT IS LEADING THE MOVEMENT IN COMBINING AND ADDRESSING THE COMMUNITY'S TOTAL SOCIAL WELL-BEING AND EMPHASIZING WELLNESS AND PREVENTION INSTEAD OF TREATING ILLNESSES. IN THIS MANNER, IT ENCOURAGES ALL COMMUNITY ORGANIZATIONS TO BIND TOGETHER TO BENEFIT THE RESIDENTS AND NOT BE HINDERED BY THE BOUNDARIES OF THE PAST. 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 AND THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS. IN 2006, CINCINNATI CHILDREN'S RECEIVED THE AMERICAN HOSPITAL ASSOCIATION - MCKESSON QUEST FOR QUALITY PRIZE FOR LEADERSHIP AND INNOVATION IN QUALITY, SAFETY AND COMMITMENT TO PATIENT CARE. THIS PRESTIGIOUS AWARD IS PRESENTED ANNUALLY TO AN ORGANIZATION THAT DEMONSTRATES COMMITMENT TO ACHIEVING THE INSTITUTE OF MEDICINE'S SIX QUALITY AIMS: SAFETY, PATIENT-CENTEREDNESS, EFFECTIVENESS, EFFICIENCY, TIMELINESS AND EQUITY. THE WINNER IS CHOSEN BY A MULTIDISCIPLINARY COMMITTEE OF HEALTH CARE AND PATIENT SAFETY EXPERTS. CINCINNATI CHILDREN'S IS THE FIRST PEDIATRIC HOSPITAL TO WIN THE MCKESSON QUEST FOR QUALITY PRIZE. IN 2011, CINCINNATI CHILDREN'S WAS AGAIN ONE OF ONLY EIGHT PEDIATRIC HOSPITALS IN THE UNITED STATES TO BE INCLUDED ON THE HONOR ROLL IN THE 2011 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 DIGESTIVE DISORDERS, OTHER SPECIALTIES AND THEIR RANK INCLUDE: * GASTROENTEROLOGY - 1 * CANCER - 5 * DIABETES AND ENDOCRINE DISORDERS - 6 * CARDIOLOGY AND HEART SURGERY - 9 * NEONATAL CARE - 3 * NEUROLOGY AND NEUROSURGERY - 8 * ORTHOPEDICS - 5 * PULMONARY - 2 * UROLOGY - 4 * NEPHROLOGY - 3 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, 2011, CINCINNATI CHILDREN'S ABSORBED APPROXIMATELY $300 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 $6 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 2011, THE LOSS ON PROVISION OF CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS TOTALED APPROXIMATELY $270.1 MILLION (AFTER TAKING INTO ACCOUNT FUNDS RECEIVED UNDER THE OHIO HOSPITAL CARE ASSURANCE PROGRAM AND THE HAMILTON COUNTY TAX LEVY WHICH TOTAL APPROXIMATELY $18.1 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, 2011, 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 525 REGISTERED INPATIENT BEDS, INCLUDING 57 INPATIENT BEDS AT ITS COLLEGE HILL CAMPUS AND 12 BEDS AT THE LIBERTY CAMPUS, OF WHICH 479 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 56-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 15-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 10 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, MASON, AND OAK FACILITIES AND LEASES THE OTHER EIGHT 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 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, 2011, THERE WERE MORE THAN 1,250 ACTIVE-SPONSORED RESEARCH PROJECTS. THE RESEARCH FOUNDATION OCCUPIES APPROXIMATELY 26% OF THE AVAILABLE SPACE OF CINCINNATI CHILDREN'S AND ACCOUNTS FOR ABOUT 30% 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 SECOND IN THE NATION AMONG ALL PEDIATRIC HEALTH CARE FACILITIES IN TERMS OF NIH GRANT AWARDS RECEIVED. THE RESEARCH FOUNDATION IS A NATIONAL LEADER IN ADVANCING FUNDAMENTAL SCIENCE AND MEDICINE. WITH EXPANDING RESEARCH PROGRAMS AND NEW FACILITIES, THE RESEARCH FOUNDATION IS BRINGING THE MOST ADVANCED TECHNIQUES AND RESOURCES TO THE FIGHT AGAINST CHILDHOOD DISEASE. THE DIVISION OF DEVELOPMENTAL BIOLOGY IS GROWING, AND IS NOW ONE OF THE COUNTRY'S LARGEST GROUPS WITH 24 FACULTY RESEARCHERS AND 11 FACULTY WITH ADJUNCT APPOINTMENTS. THE DIVISION FOSTERS COLLABORATIVE RESEARCH BETWEEN CLINICAL AND BASIC SCIENTISTS TO TRANSLATE NEW KNOWLEDGE IN TO NOVEL DIAGNOSTIC AND THERAPEUTIC APPROACHES FOR CARE OF CHILDREN. RESEARCH IN THE NEW DIVISION OF IMMUNOBIOLOGY FOCUSES ON IMPROVED TREATMENTS FOR ASTHMA, NEW TYPES OF IMMUNE-SUPPRESSANTS FOR ORGAN TRANSPLANTS, AND MORE. THE SECOND MAJOR EXPENSE AREA FOR CINCINNATI CHILDREN'S IS RESEARCH. IN FISCAL YEAR 2011, IT DEVOTED APPROXIMATELY 30 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. IN 1996, CINCINNATI CHILDREN'S SET UP THE OFFICE OF INTELLECTUAL PROPERTY AND VENTURE DEVELOPMENT TO ENSURE AND OVERSEE THE COMMERCIALIZATION OF THE INVENTIONS OF THE RESEARCHERS AT CINCINNATI CHILDREN'S. 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 440 PHYSICIAN RESIDENTS AND 179 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 2011, CINCINNATI CHILDREN'S PROVIDED NEARLY $76.3 MILLION IN MEDICAL EDUCATION COSTS. CINCINNATI CHILDREN'S RECEIVED APPROXIMATELY $9.1 MILLION IN FUNDING FROM THE FEDERAL CHGME PROGRAM IN FISCAL 2011 TO HELP OFFSET SUCH COSTS. ADDITIONALLY, CINCINNATI CHILDREN'S RECEIVED APPROXIMATELY $8.7 MILLION FROM STATE MEDICAID AND MEDICARE PROGRAMS AND GRANTS TO FURTHER ASSIST IN OFFSETTING MEDICAL EDUCATION COSTS IN FISCAL 2011. IN FISCAL 2011, CINCINNATI CHILDREN'S DEVOTED APPROXIMATELY 4 PERCENT OF ITS EXPENDITURES TO THE EDUCATION MISSION OF THE HOSPITAL. THIS MONEY IS USED TO PROVIDE GRADUATE MEDICAL EDUCATION FOR DOCTORS, NURSES, AND OTHER MEDICAL PROFESSIONALS. 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 85 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. IN ADDITION TO GRADUATE MEDICAL EDUCATION, CINCINNATI CHILDREN'S ALSO PROVIDES EXTENSIVE TRAINING AND EDUCATION IN THE HEALTH SCIENCES, INCLUDING NURSING, NUTRITION THERAPY, OCCUPATIONAL AND PHYSICAL THERAPY, RESPIRATORY THERAPY, RADIOLOGY TECHNOLOGY, GENETIC COUNSELING, SPEECH PATHOLOGY AND AUDIOLOGY, CHILD LIFE AND SOCIAL WORK. COMMUNITY OUTREACH CINCINNATI CHILDREN'S AND ITS STAFF PARTICIPATE IN MANY COMMUNITY OUTREACH PROGRAMS. THE FOLLOWING HIGHLIGHTS SOME OF THE PROGRAMS PARTICIPATED IN, BUT SHOULD NOT BE CONSIDERED AN ALL INCLUSIVE LISTING. PARTNER IN EDUCATION WITH ROCKDALE ELEMENTARY SCHOOL - CINCINNATI CHILDREN'S PROVIDES MENTORING AND OFFERS ON-SITE HEALTHCARE AND HEALTH EDUCATION PROGRAMS TO CHILDREN IN EVERY GRADE LEVEL AT ROCKDALE ELEMENTARY SCHOOL. THE CENTER PROVIDES ACUTE PRIMARY CARE SERVICES AND FOCUSES ON PREVENTION AND CLASSROOM HEALTH AS WELL AS PARENT AND TEACHER EDUCATION. CHILD ABUSE TEAM/MAYERSON CENTER - THE MAYERSON CENTER FOR SAFE AND HEALTHY CHILDREN AT CINCINNATI CHILDREN'S IS COMMITTED TO FIGHTING AND PREVENTING CHILD ABUSE AND NEGLECT. IT COMBINES THE MANY ACTIVITIES AT CINCINNATI CHILDREN'S THAT FOCUS ON CHILD ABUSE INTO ONE COORDINATED EFFORT. THE MAYERSON CENTER BRINGS TOGETHER COMMUNITY GROUPS TO COLLABORATE WITH ITS OWN CHILD ABUSE TEAM IN THE INVESTIGATION AND TREATMENT OF VICTIMS WITHIN THE "ADVOCACY CENTER," A 7,200-SQUARE-FOOT FACILITY. THE MAYERSON CENTER INVESTIGATES SIX TO SEVEN ALLEGED OR SUSPECTED ABUSE CASES OF OUTSIDE INDIVIDUALS EVERY DAY. THE MAYERSON CENTER STAFF EVALUATES, TREATS AND PREVENTS CHILD MALTREATMENT. THE STAFF CONSISTS OF CINCINNATI POLICE AND HAMILTON COUNTY SHERIFF OFFICERS, DEPARTMENT OF HUMAN SERVICES WORKERS AND A VICTIM ADVOCATE FROM THE HAMILTON COUNTY PROSECUTOR'S OFFICE, ALONG WITH CINCINNATI CHILDREN'S STAFF OF PHYSICIANS, NURSES AND SOCIAL WORKERS. IT COLLABORATES AND EXPEDITES THE DIAGNOSIS AND INVESTIGATION OF CHILD ABUSE ALLEGATIONS. MANDATED AGENCIES THROUGHOUT THE REGION ALSO CAN UTILIZE THE CENTER AND ITS RESOURCES. THE COMBINED EFFORTS WITHIN THE MAYERSON CENTER INCLUDE STATE-OF-THE-ART DIAGNOSTIC, TREATMENT, PREVENTION AND TRAINING PROGRAMS AND CUTTING-EDGE RESEARCH IN THE FIELD OF CHILD SEXUAL ABUSE, CHILD PHYSICAL ABUSE, CHILD NEGLECT AND PARENTING. COMMUNITY PARTNERS PROGRAM - THE AARON W. PERLMAN CENTER IS COMMITTED TO ADDRESSING THE ONGOING NEEDS OF CHILDREN WITH DISABILITIES DURING THEIR SCHOOL YEARS - A GREATLY NEGLECTED POPULATION. THE COMMUNITY PARTNERS PROGRAM OFFERS SUPPORT FOR CHILDREN WITH PHYSICAL DISABILITIES AS THEY ARE NEEDED THROUGHOUT THEIR SCHOOL YEARS. SERVICES INCLUDE: * HELPING THE FAMILY LOCATE AND ACCESS RESOURCES FOR NEEDED EQUIPMENT AND/OR SERVICES * HELPING THE PROVIDER UNDERSTAND THE CHILD'S/YOUTH'S PHYSICAL NEEDS AND HOW TO BEST INCLUDE HIM OR HER * PROVIDING THE CHILD/YOUTH WITH THERAPEUTIC SUPPORT TO ADDRESS ONGOING THERAPEUTIC NEEDS, I.E., SEATING, MOBILITY, COMMUNICATION AND ACCESS PROBLEMS NOT ADDRESSED BY SCHOOL THERAPISTS * COLLABORATING WITH SERVICE PROVIDERS AND SCHOOLS IN THE COMMUNITY TO ASSIST WITH MAJOR LIFE TRANSITIONS * LINKING CHILDREN AND FAMILIES BACK TO CINCINNATI CHILDREN'S FOR MEDICAL FOLLOW-UP AND MANAGEMENT THIS PROGRAM TARGETS SCHOOL-AGE CHILDREN, AGES 3 TO 21 YEARS, AND THEIR COMMUNITY PROVIDERS. OTHER SERVICES INCLUDE SCHOOL SUPPORT/CONSULTATION; EVALUATION OF CLASSROOM ACCESS AND EQUIPMENT/TECHNOLOGY NEEDS; PEER SUPPORT; SERVICE COORDINATION FOR PARENTS; EQUIPMENT ACQUISITION; TECHNICAL ASSISTANCE; AND OCCUPATIONAL, PHYSICAL AND SPEECH THERAPY SUPPORT. CAREER DEVELOPMENT PROGRAM - PROJECT SEARCH, AN INNOVATIVE PROGRAM AT CINCINNATI CHILDREN'S THAT OFFERS TRAINING AND JOB OPPORTUNITIES TO INDIVIDUALS WITH DISABILITIES, ALSO HAS DEVELOPED A VERY SUCCESSFUL CAREER DEVELOPMENT PROGRAM. OFFERED IN COLLABORATION WITH THE GREAT OAKS INSTITUTE OF TECHNOLOGY AND CAREER DEVELOPMENT, THE PROGRAM PREPARES ADULTS, MANY OF THEM WELFARE RECIPIENTS, FOR CAREERS AS HEALTH UNIT COORDINATORS, RECEPTIONISTS, CERTIFIED NURSE AIDES AND PATIENT CARE ASSISTANTS. PROJECT SEARCH WAS AWARDED THE 2004 NEW FREEDOM INITIATIVE AWARD FROM THE UNITED STATES DEPARTMENT OF LABOR. THIS AWARD RECOGNIZES BUSINESSES AND INDIVIDUALS THAT HAVE DEMONSTRATED EXEMPLARY AND INNOVATIVE EFFORTS IN FURTHERING THE EMPLOYMENT AND WORKPLACE ENVIRONMENT FOR PEOPLE WITH DISABILITIES. PROJECT SEARCH ORIGINATED AT CINCINNATI CHILDREN'S AND NOW HAS PROGRAM SITES THROUGHOUT THE UNITED STATES AND THE UNITED KINGDOM. COMPREHENSIVE SICKLE CELL CENTER - SICKLE CELL ANEMIA IS AN INHERITED DISORDER OF HEMOGLOBIN, THE PROTEIN THAT GIVES RED BLOOD CELLS THEIR RED COLOR AND CARRIES OXYGEN TO THE TISSUES. WITH SICKLE CELL ANEMIA, THE ABNORMAL HEMOGLOBIN MAKES THE USUALLY ROUND RED BLOOD CELLS RIGID AND DISTORTED INTO SICKLE, OR CRESCENT SHAPES. AT TIMES, THESE STIFF, CRESCENT-SHAPED RED BLOOD CELLS CAN PLUG UP SMALL BLOOD VESSELS AND DECREASE BLOOD FLOW TO VARIOUS PARTS OF THE BODY. THIS LEADS TO ANEMIA, UNPREDICTABLE PAIN EPISODES, AND SOMETIMES OTHER SERIOUS MEDICAL COMPLICATIONS. THE SICKLE CELL CENTER THROUGH MEDICAL TREATMENT, PSYCHOLOGICAL EVALUATION, SOCIAL SERVICES, EDUCATION, COUNSELING, RESEARCH AND WORKING COLLABORATIVELY WITH FAMILIES, IS DEDICATED TO PROLONGING AND IMPROVING THE LIVES OF PATIENTS. THE MULTIDISCIPLINARY TEAM PLAYS AN IMPORTANT ROLE BY HELPING PARENTS AND FAMILIES UNDERSTAND THEIR MEDICAL CONDITION AND BY GUIDING THEM TO HELPFUL COMMUNITY RESOURCES. THE CENTER PROVIDES A NUMBER OF SUPPORT SERVICES, INCLUDING A MONTHLY PARENT SUPPORT GROUP, ASSISTANCE WITH SCHOOL ISSUES, AND A SUMMER CAMP FOR PATIENTS AGES 7-12. FAMILY RESOURCE CENTER - THE FAMILY RESOURCE CENTER STAFF OFFERS THE MOST CURRENT INFORMATION IN RESPONSE TO QUESTIONS RELATED TO DIAGNOSES, MEDICAL CONDITIONS OR PROCEDURES. THE FAMILY RESOURCE CENTER WILL CONDUCT PERSONALIZED SEARCHES FOR THE FOLLOWING: * INFORMATION ABOUT CONDITIONS AND DIAGNOSES * INFORMATION ABOUT GROWTH AND DEVELOPMENT * INFORMATION ABOUT PARENTING ISSUES * INFORMATION ABOUT CHILDHOOD HEALTH, SAFETY AND WELL BEING * SUPPORT GROUPS OR PARENT-TO-PARENT NETWORKS * PROGRAMS AND WORKSHOPS * HELP IN WORKING WITH A CHILD'S SCHOOL * COMPUTER WORKSTATIONS * PARENT BUSINESS CENTER * SETTING UP FREE, PERSONALIZED WEB PAGES * RESOURCES FOR THE HISPANIC COMMUNITY * THINGS TO DO IN THE CINCINNATI AREA PARENT-INFANT NURTURING GROUP - AMONG THE EARLY INTERVENTION PROGRAMS AVAILABLE TO FAMILIES IS THE PARENT-INFANT NURTURING GROUP PROGRAM (PING). THE HAMILTON COUNTY BOARD OF MENTAL RETARDATION, OHIO'S HELP ME GROW AGENCY, AND DEVELOPMENTAL DISABILITIES SUPPORT THE PROGRAM. THE PARENT-INFANT NURTURING GROUP PROVIDES DEVELOPMENTAL INSTRUCTION AND CONSULTATIVE THERAPY TO CHILDREN AGES BIRTH TO THREE YEARS THAT RESIDE IN HAMILTON COUNTY AND ARE FOUND TO BE ELIGIBLE DUE TO A MEDICALLY DIAGNOSED DISABILITY OR A DOCUMENTED DELAY IN ANY AREA OF DEVELOPMENT. THE PARENT-INFANT NURTURING GROUP MEETS SEVERAL TIMES A WEEK IN A SPACE DESIGNED TO WELCOME CHILD, PARENT AND SIBLINGS. THE PROGRAM IS BASED ON A PROACTIVE, FAMILY-CENTERED, EMPOWERMENT MODEL, WHICH STRENGTHENS AND SUPPORTS THE INHERENT COMPETENCIES OF THE FAMILY. A FAMILY SERVICE PLAN IS DEVELOPED. THE PARENT-INFANT NURTURING GROUP PROFESSIONAL STAFF INCLUDES A SPECIAL EDUCATION EARLY INTERVENTION SPECIALIST, A PHYSICAL THERAPIST, A SPEECH THERAPIST AND A NUTRITIONIST. INTERNATIONAL ADOPTION CENTER - CINCINNATI CHILDREN'S PROVIDES SPECIFIC HELP FOR INTERNATIONALLY ADOPTED CHILDREN AND THEIR FAMILIES AND IS ONE OF ONLY ABOUT A DOZEN CENTERS IN THE UNITED STATES. THE STAFF IS KNOWLEDGEABLE ABOUT THE UNIQUE MEDICAL AND SOCIAL CONDITIONS OF CHILDREN FROM OTHER COUNTRIES, IS SKILLED IN MANAGING INFECTIOUS DISEASES AND UNDERSTANDS THE DEVELOPMENTAL AND PSYCHOLOGICAL IMPACT OF INSTITUTIONALIZATION AND SENSORY DEPRIVATION. THE INTERNATIONAL ADOPTION CENTER AT CINCINNATI CHILDREN'S IS A MEMBER OF THE JOINT COUNCIL ON INTERNATIONAL CHILDREN'S SERVICES, AN ORGANIZATION THAT ADVOCATES ON BEHALF OF CHILDREN IN NEED OF PERMANENT FAMILIES AND PROMOTES ETHICAL PRACTICES IN INTERCOUNTRY ADOPTION. STARSHINE HOSPICE SERVICES - AT CINCINNATI CHILDREN'S, THE CHAPLAIN'S ROLE IN STARSHINE HOSPICE IS TO HELP A PERSON DISCOVER HIS OR HER OWN SPIRITUAL RESOURCES, WHICH CHANGE FROM PERSON TO PERSON AND SITUATION TO SITUATION. ANY STARSHINE HOSPICE FAMILY REQUESTING SPIRITUAL SERVICES WILL RECEIVE SUPPORT FROM THE CHAPLAIN AND OTHER STAFF. THESE SERVICES MAY INCLUDE COUNSELING, FUNERAL PLANNING AND COLLABORATION WITH THE FAMILY'S FAITH COMMUNITY. STARSHINE HOSPICE ALSO PROVIDES THE FOLLOWING SPECIAL SERVICES: * PAIN/SYMPTOM MANAGEMENT * MASSAGE THERAPY * CHILD LIFE INTERVENTIONS WITH SIBLINGS * SCHOOL VISITS * BEREAVEMENT CARE * MEMORIALS * GRIEF CARE * PERINATAL HOSPICE FAMILY SUPPORT NETWORK - THE MISSION OF THE FAMILY SUPPORT NETWORK AT CINCINNATI CHILDREN'S IS TO SUPPORT THE QUALITY OF LIFE FOR CHILDREN AND FAMILIES EXPERIENCING CANCER, A BLOOD DISEASE OR IMMUNE DISORDER. THE FAMILY SUPPORT NETWORK CONSISTS OF SPECIALISTS WHO PROVIDE PHYSICAL, EMOTIONAL, SPIRITUAL, AND FINANCIAL SUPPORT. INJURY FREE COALITION FOR KIDS - INJURY FREE COALITION FOR KIDS AT CINCINNATI CHILDREN'S IS A MULTI-DISCIPLINARY GROUP COMPOSED OF HOSPITAL PERSONNEL, RESIDENTS AND COMMUNITY LEADERS. THE ORGANIZATION WAS FORMED IN 2000 TO PREVENT UNINTENTIONAL INJURIES AMONG CHILDREN LIVING IN AT-RISK NEIGHBORHOODS THROUGH A VARIETY OF COMMUNITY-BASED INTERVENTIONS. THE PROGRAM IS MODELED AFTER THE NATIONAL INJURY FREE COALITION FOR KIDS STARTED BY DR. BARBARA BARLOW AT NEW YORK'S HARLEM HOSPITAL IN 1984. CINCINNATI'S INJURY FREE COALITION FOR KIDS HAS COMBINED DR. BARLOW'S MODEL OF COMMUNITY PARTNERSHIPS AND INPUT FROM AVONDALE RESIDENTS TO PRODUCE THE FOLLOWING PLAN TO HELP REDUCE INJURIES TO AVONDALE YOUTH: * EDUCATING PARENTS AND CHILDREN ABOUT RISKY BEHAVIORS. * CHANGING THE PHYSICAL ENVIRONMENT OF THE COMMUNITIES TO CREATE SAFER PLACES FOR CHILDREN TO PLAY. * PROVIDING SAFE, STRUCTURED OUT-OF-SCHOOL ACTIVITIES THAT REVOLVE AROUND SPORTS, TECHNOLOGY AND CULTURAL LEARNING. RIDE WITH PRIDE, WEAR A HELMET - CINCINNATI CHILDREN'S AND BIGG'S SPONSOR THE "RIDE WITH PRIDE, WEAR A HELMET" PROGRAM THROUGHOUT THE CINCINNATI AND NORTHERN KENTUCKY AREA. THIS BICYCLE HELMET SAFETY CAMPAIGN IS DESIGNED TO DECREASE THE NUMBER OF BICYCLE-RELATED HEAD INJURIES AMONG CHILDREN BY INCREASING THE NUMBER OF CHILDREN WEARING HELMETS. SAFE KIDS COALITION - IN AN EFFORT TO FURTHER INJURY PREVENTION INITIATIVES, CINCINNATI CHILDREN'S HAS BECOME A MEMBER OF THE NATIONAL SAFE KIDS CAMPAIGN AND THE LEAD ORGANIZATION OF THE CINCINNATI SAFE KIDS COALITION. THE MISSION OF THE NATIONAL SAFE KIDS CAMPAIGN IS TO PREVENT UNINTENTIONAL INJURIES TO CHILDREN AGES 14 AND UNDER FROM: * MOTOR VEHICLE CRASHES * FIRES AND SCALD BURNS * PEDESTRIAN INJURIES * POISONING AND CHOKING * BIKE CRASHES * UNINTENTIONAL SHOOTINGS * FALLS AND DROWNINGS FOUNDING SPONSORS OF THE NATIONAL SAFE KIDS CAMPAIGN INCLUDE CHILDREN'S NATIONAL MEDICAL CENTER, IN WASHINGTON, D.C., AND JOHNSON & JOHNSON. THE STATE AND LOCAL COALITIONS CARRY OUT GRASSROOTS INITIATIVES IN SUPPORT OF THE NATIONAL SAFE KIDS CAMPAIGN. COALITION GOALS INCLUDE: * PUBLIC EDUCATION * COMMUNITY PROGRAMMING * SAFETY PRODUCT DISTRIBUTION * LEGISLATION INACTION * MEDIA OUTREACH * LOCAL INJURY DATA COLLECTION * LOCAL PROGRAM EVALUATION CHILD CAR SEAT SAFETY - DURING THE YEAR, TRAUMA SERVICES STAFF OFFERS FREE CAR SEAT SAFETY INSPECTIONS THROUGHOUT THE COMMUNITY. DURING THESE INSPECTIONS, STAFF MEMBERS OFFER GUIDANCE ON TOPICS, INCLUDING CHILD SAFETY SEATS AND THE LAW, CHOOSING THE RIGHT SAFETY SEAT, CORRECT SAFETY SEAT INSTALLATION AND RESTRAINING YOUR CHILD IN A SAFETY SEAT. SAFETY FAIR - THE CINCINNATI CHILDREN'S SAFETY FAIR IS A FREE PROGRAM PROVIDED TO ELEMENTARY SCHOOLS WITHIN THE GREATER CINCINNATI AREA. THE SAFETY FAIR IS DESIGNED TO EDUCATE YOUNG CHILDREN, KINDERGARTEN THROUGH THIRD GRADE, IN A FUN, YET EFFECTIVE ATMOSPHERE. THE SAFETY FAIR CONSISTS OF FIVE INTERACTIVE STATIONS WHICH INCLUDE BURN PREVENTION, PEDESTRIAN SAFETY, SEAT BELT SAFETY, HOME SAFETY AND BICYCLE/HELMET SAFETY. CHILD POLICY RESEARCH CENTER - THE CHILD POLICY RESEARCH CENTER (CPRC) WAS CREATED IN 1999 AND DEVELOPS, TRANSLATES, AND COMMUNICATES EVIDENCE TO MEASURABLY IMPROVE CHILD HEALTH AND WELL-BEING AND THE QUALITY OF HEALTHCARE FOR CHILDREN. OUR PARTNERS INCLUDE COMMUNITY, LOCAL, STATE, AND NATIONAL POLICY MAKERS, PROGRAM MANAGERS AND ADVOCATES. THE CENTER ADDRESSES THE MOST URGENT CHALLENGES FACING CHILDREN AND FAMILIES. THE CENTER'S MAIN THEMES INCLUDE POPULATION CHILD HEALTH, HEALTH INSURANCE AND ACCESS, HEALTH SYSTEM PERFORMANCE, AND QUALITY. INNOVATIONS - INNOVATIONS IN COMMUNITY RESEARCH AND PROGRAM EVALUATION COLLABORATES WITH COMMUNITY AGENCIES, STATE, LOCAL AND REGIONAL INITIATIVES, SCHOOL SYSTEMS AND OTHER COMMUNITY-BASED PROGRAMS TO PROVIDE PROGRAM EVALUATION SERVICES, PROGRAM CONSULTATION AND TECHNICAL ASSISTANCE, WEB-BASED DATA SYSTEMS, GRANT WRITING ASSISTANCE, STRATEGIC PLANNING AND CONTINUOUS QUALITY IMPROVEMENT SERVICES. INNOVATIONS COLLABORATIONS FOCUS ON THE FOLLOWING AREAS: * HEALTH DISPARITIES * SCHOOL-BASED MENTAL HEALTH * EARLY CHILDHOOD DEVELOPMENT * CHILDHOOD NUTRITION * COMMUNITY-BASED ASSESSMENT AND INTERVENTION IN ADDITION, INNOVATIONS TEAM MEMBERS ARE PROFICIENT IN QUALITATIVE AND QUANTITATIVE RESEARCH DESIGN AND METHODS, INCLUDING SURVEY DEVELOPMENT AND FOCUS GROUP CONDUCT, CULTURAL COMPETENCE TRAINING, DEVELOPMENT OF WEB-BASED DATA CAPTURE SYSTEMS, REAL-TIME DATA REPORTING VIA DASHBOARD PROGRAMMING, AND PROGRAM EVALUATION AND REFINEMENT, INCLUDING IMPLEMENTING RELATIONSHIP AND DEVELOPMENTALLY-BASED MODELS OF CARE. HEALTH CARE TRAINING PROGRAM - THE HEALTHCARE TRAINING PROGRAM AT CINCINNATI CHILDREN'S PROVIDES CUSTOMIZED SHORT-TERM TRAINING FOR ADULTS WITH SIGNIFICANT BARRIERS TO EMPLOYMENT SUCH AS ECONOMIC DISADVANTAGES OR DISABILITIES. THE TRAINING PROGRAM PREPARES STUDENTS FOR TWO HIGH-DEMAND POSITIONS: * HEALTH UNIT COORDINATOR * STATE TESTED NURSE ASSISTANT WILLIAM K. SCHUBERT MINORITY TUITION ASSISTANCE SCHOLARSHIP - THIS SCHOLARSHIP PROGRAM IS INTENDED TO ENCOURAGE MINORITY STUDENTS TO SEEK CAREERS IN HEALTH CARE AND TO ELIMINATE BARRIERS THAT PREVENT MINORITY STUDENTS FROM ATTENDING COLLEGE. AWARDS ARE GRANTED TO GRADUATING HIGH SCHOOL STUDENTS WHO HAVE BEEN ACCEPTED INTO COLLEGE. DRUG & POISON INFORMATION CENTER (DPIC) - DPIC IS A 24-HOUR EMERGENCY AND TECHNICAL INFORMATION TELEPHONE SERVICE FOR ANYONE WITH CONCERNS INVOLVING POISON OR DRUGS. DPIC'S SPECIALLY TRAINED STAFF OF PHARMACISTS, PHARMACOLOGISTS, NURSES AND DRUG/POISON INFORMATION ASSISTANTS ANSWER QUESTIONS ABOUT POISONINGS, DRUG ABUSE, PRODUCT CONTENTS, SUBSTANCE IDENTIFICATION, INTERACTIONS, AND ADVERSE REACTIONS. BLOOD DRIVES - CINCINNATI CHILDREN'S TEAMS WITH HOXWORTH FOR THE EMPLOYEE BLOOD DRIVE. PARTICIPATION IN A VARIETY OF FUNDRAISING AND VOLUNTEER OPPORTUNITIES - THE FOLLOWING IS A LISTING OF SOME OF THE FUNDRAISING/VOLUNTEER OPPORTUNITIES TO PROMOTE THE HEALTH OF CHILDREN OR RAISE MONEY TO FURTHER RESEARCH ON CHILDHOOD DISEASES: * UNITED WAY CAMPAIGN * CINCINNATI WALK FOR KIDS (BENEFITS CINCINNATI CHILDREN'S) * KICKS FOR KIDS (BENEFITING AARON W. PERLMAN CENTER) * WALK AMERICA (ANNUAL MARCH OF DIMES EVENT TO SUPPORT RESEARCH ON BIRTH DEFECTS AND PREMATURITY) * CINCY-CINCO - "DAY OF THE CHILDREN" (BENEFITS SU CASA HISPANIC MINISTRIES AND OTHER CHARITIES IN THE TRI-STATE AREA) * WALK TO CURE DIABETES (BENEFITS JUVENILE DIABETES RESEARCH FOUNDATION) * HEART MINI-MARATHON (BENEFITS THE AMERICAN HEART ASSOCIATION) * WALK THE WALK (BENEFITS THE DIVISION OF DEVELOPMENTAL DISORDERS) CHILD HEALTH ADMINISTRATIVE SERVICES LLC 3333 BURNET AVENUE CINCINNATI OH 45229 311550088 ADMINISTRATIVE SERVICES OH 1607106 0 N/A TSHCH LLC 3333 BURNET AVENUE CINCINNATI OH 45229 LAND HOLDING CO. 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