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PEDIATRIC ACADEMIC ASSOCIATION INC DEPARTMENT OF PEDIATRICS B-132: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PEDIATRIC ACADEMIC ASSOCIATION INC DEPARTMENT OF PEDIATRICS B-132 (EIN 31-1024403)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201203209349307485
Schema version
2011v1.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-15T15:35:43-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN341945695EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SS&G INCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1300 SPRUCE ST SUITE 250AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311024403EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PEDIATRIC ACADEMIC ASSOCIATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPEDINameControl
Phone6147224451Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 SOUTH 18TH STREET 7TH FLOORAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43205ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL T BRADYName
TitleCHAIRMANTitle
Phone6147224451Phone
Date Signed2012-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameANNETTE HOELZERName
PTINP00000633PTIN
Phone6144883126Phone
Date Prepared2012-11-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL T BRADYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1555 SOUTH 18TH STREET 7TH FLOORAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43205ZIPCode
FieldValueIRS element (for citing)
Gross Receipts84646877GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionPROVIDE MEDICAL CARE TO AFFILIATED HOSPITAL PATIENTS, RESEARCH TO THE HOSPITAL'S RESEARCH INSTITUTE & MEDICAL INSTRUCTION TO STUDENTS OF THE OHIO STATE UNIVERSITY COLLEGE OF MEDICINE.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees415TotalNbrEmployees
Total Nbr Volunteers2TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year71290698ProgramServiceRevenuePriorYear
Program Service Revenue CY84634500ProgramServiceRevenueCY
Investment Income Prior Year6368InvestmentIncomePriorYear
Investment Income Current Year5673InvestmentIncomeCurrentYear
Other Revenue Prior Year33227OtherRevenuePriorYear
Other Revenue Current Year6704OtherRevenueCurrentYear
Total Revenue Prior Year71330293TotalRevenuePriorYear
Total Revenue Current Year84646877TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year57780049SalariesEtcPriorYear
Salaries Etc Current Year74063391SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year13795407OtherExpensePriorYear
Other Expenses Current Year10680857OtherExpensesCurrentYear
Total Expenses Prior Year71575456TotalExpensesPriorYear
Total Expenses Current Year84744248TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-245163RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-97371RevenuesLessExpensesCY
Total Assets BOY15718090TotalAssetsBOY
Total Assets EOY12556999TotalAssetsEOY
Total Liabilities BOY14161439TotalLiabilitiesBOY
Total Liabilities EOY11097719TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1556651NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1459280NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO SERVE PATIENTS BY PROVIDING FOR ALL, THE MOST EFFECTIVE, EFFICIENT, AND COMPASSIONATE MEDICAL CARE POSSIBLE. TO SERVE THE MEMBERS OF THE GROUP BY PROVIDING AN OPPORTUNITY TO REALIZE THEIR POTENTIAL AS ACADEMICIANS AND RECEIVE ADEQUATE FINANCIAL COMPENSATION. TO SERVE THE DEPARTMENT BY PROVIDING A STRUCTURE TO FACILITATE EXCELLENCE IN TEACHING AND RESEARCH. TO SERVE THE ENTIRE ORGANIZATION BY MAINTAINING A BALANCE BETWEEN THE ECONOMIC PRESSURES OF FEE-FOR-SERVICE MEDICINE AND ACADEMIC PRODUCTIVITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense68140326Expense
Revenue70625843Revenue
DescriptionPROVIDE MEDICAL CARE AT NATIONWIDE CHILDREN'S HOSPITAL TO ALL OF THE SICK AND INJURED CHILDREN WHO MAY COME TO THE HOSPITAL FOR DIAGNOSIS, TREATMENT, AND CARE WITHOUT REGARD TO THE ABILITY TO PAY FOR SERVICES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense5958457Expense
Revenue5958457Revenue
DescriptionENGAGE IN MEDICAL RESEARCH WITH THE RESEARCH INSTITUTE OF NATIONWIDE CHILDREN'S HOSPITAL.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense5870507Expense
Revenue6084642Revenue
DescriptionPROVIDE ADMINISTRATIVE MEDICAL OVERSIGHT THROUGHOUT NATIONWIDE CHILDREN'S HOSPITAL'S MEDICAL DEPARTMENTS BY SUPERVISION AND REVIEWING STANDARD OF CARE.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense2719640Expense
Revenue1965558Revenue
DescriptionPROVIDE CLINICAL AND CLASSROOM INSTRUCTION TO STUDENTS ENROLLED IN THE OHIO STATE UNIVERSITY COLLEGE OF MEDICINE AND TO THE RESIDENTS AND FELLOWS EMPLOYED AT NATIONWIDE CHILDREN'S HOSPITAL.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp2719640TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev1965558TotalOfOtherProgramServiceRev
Total Program Service Expense82688930TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109612NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees415NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address1OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KARL PRIEDEMANBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6143557452TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1555 SOUTH 18TH STREET 7TH FLOORAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43205ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
CHRISTOPHER ELLISON MD
BOARD MEMBER1.00X000
DOUGLAS RUND MD
BOARD MEMBER1.00X000
STEVE ALLEN MD
BOARD MEMBER1.00X0119151154215
MICHAEL T BRADY MD
CHAIRMAN50.00X23053417328869338X
JEREMY T LARSON MD
PRESIDENT50.00X162257033402X
TIMOTHY FELTES MD
VICE-PRESIDENT50.00X501774049500X
E STEVE ROACH MD
SECRETARY50.00X225574022005X
TIM ROBINSON
TREASURER2.00X066003251715X
MITCHEL WHEELER
CHIEF ADMIN. OFFICER50.00181111080128X
BURK DEHORITY
ADMINISTRATIVE OFFICER50.00020893925313X
LEIF NELIN MD
ASSOCIATE PROFESSOR50.00333602033782X
LESLIE K MIHALOV MD
CHIEF OF EMERGENCY MEDICINE50.00329417046496X
OLIVIA W THOMAS MD
CHIEF AMBULATORY SERVICES50.00179710054882X
JOHN CHEATHAM MD
PROFESSOR50.00744044062866X
JONATHAN WISPE MD
PROFESSOR50.00389566078426X
CARL BACKES MD
CLINICAL ASSISTANT PROFESS50.00336681057594X
KELLY KELLEHER MD
PROFESSOR50.00316813035600X
CARLO DILORENZO MD
PROFESSOR50.00309342024500X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4240425TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2233770TotalReportableCompFrmRltdOrgs
Total Other Compensation779762TotalOtherCompensation
Number Individuals GT100 K247NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
NATIONWIDE CHILDREN'S HOSPITAL
700 CHILDRENS DRIVECOLUMBUSOH43205ACCT, IS, BILLING AND OTHER SERVICES4152157
OSU INTERNAL MEDICINE LLC
700 ACKERMAN ROAD SUITE 630COLUMBUSOH43202MEDICAL SERVICES861390
CHILDREN'S ANESTHESIA ASSOC INC
700 CHILDRENS DRIVECOLUMBUSOH43205MEDICAL SERVICES281749
PREMIER HEALTH CARE SERVICES INC
332 CONGRESS PARK DRIVEDAYTONOH45459MEDICAL SERVICES163470
OSU EMERGENCY MEDICINE LLC
169 MEANS HALL 1654 UPHAM DRIVECOLUMBUSOH43210MEDICAL SERVICES125280
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT CARE9000997062584370625843
HOSPITAL ADMIN.90009960846426084642
RESEARCH90009959584575958457
TEACHING90009919655581965558
FieldValueIRS element (for citing)
Total Program Service Revenue84634500TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5673TotalRevenueColumn
Exclusion$5,673ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column6704TotalRevenueColumn
Exclusion$6,704ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue6704TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column84646877TotalRevenueColumn
Related Or Exempt Function Income84634500RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$12,377ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2508675Total
Program Services2247436ProgramServices
Management And General261239ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total64044474Total
Program Services64044474ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4487035Total
Program Services4487035ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1893672Total
Program Services1893672ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1129535Total
Program Services1120287ProgramServices
Management And General9248ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total21732Total
Management And General21732ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total143691Total
Management And General143691ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8522463Total
Program Services8101548ProgramServices
Management And General420915ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total171710Total
Program Services14560ProgramServices
Management And General157150ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total16955Total
Management And General16955ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6532Total
Management And General6532ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total83908Total
Program Services82393ProgramServices
Management And General1515ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total31576Total
Management And General31576ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total39493Total
Management And General39493ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total29779Total
Management And General29779ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total-1280172Total
Program Services-1300000ProgramServices
Management And General19828ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
TRF DEANS TAX11954251195425
PRACTICE PROGRAM EXP.802100802100
PROF. DEVELOPMENT560380560380
RECRUITMENT265472265472

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total69813Total
Management And General69813ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total84744248Total
Program Services82688930ProgramServices
Management And General2055318ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2144523BOY
EOY3328016EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11055233BOY
EOY5540787EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY639223BOY
EOY1807728EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis211280LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec185283LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY55776BOY
EOY25997EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1822335BOY
EOY1854471EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1000BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15718090BOY
EOY12556999EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY11281273BOY
EOY9243248EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2880166BOY
EOY1854471EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY14161439BOY
EOY11097719EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1537623BOY
EOY1459280EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY19028BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1556651BOY
EOY1459280EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15718090BOY
EOY12556999EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-97371ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years64547226CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years72242069CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years75284143CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year78573230CurrentTaxYearMinus1Year
Current Tax Year84634500CurrentTaxYear
Total375281168Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years64547226CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years72242069CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years75284143CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year78573230CurrentTaxYearMinus1Year
Current Tax Year84634500CurrentTaxYear
Total375281168Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509375281168PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years119823CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45925CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15395CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6368CurrentTaxYearMinus1Year
Current Tax Year5673CurrentTaxYear
Total193184Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years119823CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45925CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15395CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6368CurrentTaxYearMinus1Year
Current Tax Year5673CurrentTaxYear
Total193184Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years57316CurrentTaxYearMinus4Years
Current Tax Year Minus1 Year33227CurrentTaxYearMinus1Year
Current Tax Year6704CurrentTaxYear
Total97247Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years64724365CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years72287994CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years75299538CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year78612825CurrentTaxYearMinus1Year
Current Tax Year84646877CurrentTaxYear
Total375571599Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99920PublicSupportPercentage509
Prior Year Support Percentage0.99770PriorYearSupportPercentage
Investment Income Percentage0.00050InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00080PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis211280OtherCostOrOtherBasis
Depreciation185283Depreciation
Book Value25997BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings25997TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
Description457(F) INVESTMENTSDescription
Book Value1854471BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities1854471TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED COMPENSATIONDescription
Amount$1,854,471Amount
FieldValueIRS element (for citing)
Total Of Amounts1854471TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationPEDIATRIC ACADEMIC ASSOCIATION RECORDS ANY ACCRUALS FOR UNCERTAIN TAX POSITIONS UNDER ASC 740, INCOME TAXES. PEDIATRIC ACADEMIC ASSOCIATION HAD NO ACCRUAL FOR UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2011 AND 2010.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
STEVE ALLEN MD
05948250596686000330750211400124572600
MICHAEL T BRADY MD
2250126379601094925522022501245002200033727503519812500
JEREMY T LARSON MD
15784602369020420161020173000195659000
TIMOTHY FELTES MD
4077530836610103600245000250000551274000
E STEVE ROACH MD
21547800010096022005000247579000
TIM ROBINSON
04315420211990016500033075018640071174700
MITCHEL WHEELER
17321600078950180340620940261239000
BURK DEHORITY
01759700329690001928006033023425200
LEIF NELIN MD
24875908164303200024500092820367384000
LESLIE K MIHALOV MD
298479000309380245000219960375913000
OLIVIA W THOMAS MD
17476700049430177560371260234592000
JOHN CHEATHAM MD
52441001493730702610245000383660806910000
JONATHAN WISPE MD
2712230963210220220245000539260467992000
CARL BACKES MD
312628021000030530245000330940394275000
KELLY KELLEHER MD
2375990599650192490245000111000352413000
CARLO DILORENZO MD
266376016000026966024500000333842000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationALTHOUGH NO AMOUNTS WERE PAID OUT DURING 2011 TO ANY OFFICER, DIRECTOR, KEY EMPLOYEE OR HIGHEST COMPENSATED EMPLOYEE, THE TERMS AND CONDITIONS OF THE ARRANGEMENTS ARE: THE ASSOCIATION CONTRIBUTES TO A NONQUALIFIED 457(F) PLAN ON BEHALF OF CERTAIN KEY EMPLOYEES. UNDER THE AGREEMENTS, CONTRIBUTIONS OF 10-25% OF THE EMPLOYEES' ANNUAL SALARY WILL BE TRANSFERRED TO THE PLAN. THE EMPLOYEES' RESPECTIVE VESTED BALANCE IS PAYABLE IN A LUMP SUM AMOUNT UPON THE EMPLOYEE'S RETIREMENT OR EMPLOYMENT TERMINATION, AS DETERMINED IN THE AGREEMENT. THE AGREEMENTS HAVE VARYING EXPIRATION DATES.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 WILL BE PROVIDED TO THE ASSOCIATION'S CORPORATE BOARD MEMBERS ELECTRONICALLY PRIOR TO FILING WITH THE IRS. THE FORM 990 WILL BE PRESENTED AND REVIEWED AT THE NEXT BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 15THE DEAN OF THE OHIO STATE UNIVERSITY COLLEGE OF MEDICINE REVIEWS THE CHAIRMAN'S COMPENSATION. THE CHAIRMAN, ASSISTED BY THE COMPENSATION COMMITTEE (AS ADVISORY ONLY NOT APPOINTED BY THE BOARD) REVIEWS EACH INDIVIDUAL'S COMPENSATION EACH YEAR IN RESPECT TO THE NATIONAL SURVEYS OF DATA FROM THE ADMINISTRATION OF THE AMERICAN ASSOCIATION OF PEDIATRICS (AAAP) AND THE AMERICAN ASSOCIATION OF MEDICAL COLLEGES (AAMC).
FORM 990, PART VI, SECTION C, LINE 19THE ASSOCIATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART VI, SECTION A, LINE 9:DOUGLAS RUND, M.D. - 4510 CRAMBLETT HALL, 456 W. 10TH AVENUE COLUMBUS, OH 43210 CHRISTOPHER ELLISON, M.D. - 395 W. 12TH AVENUE COLUMBUS, OH 43210CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC.:
FORM 990, PART VI, SECTION B, LINE 12 AND 13AS IT RELATES TO THE WRITTEN CONFLICT OF INTEREST POLICY AND THE WRITTEN WHISTLEBLOWER POLICY, IN PRIOR YEARS, THE ASSOCIATION HAS BEEN FOLLOWING THE SAME CONFLICT OF INTEREST AND WHISTLEBLOWER POLICIES AS NATIONWIDE CHILDREN'S HOSPITAL. THE ASSOCIATION'S CORPORATE BOARD HAS NOT FORMALLY ADOPTED EITHER OF THESE POLICIES, THIS YEAR AND IN PRIOR YEARS THE ASSOCIATION HAS REQUIRED THEIR OFFICERS AND MEMBERS TO COMPLETE AN ANNUAL CONFLICT OF INTEREST FORM TO DISCLOSE ANY AND ALL CONFLICTS OF INTEREST. THE ASSOCIATION'S CORPORATE BOARD WILL APPROVE AND ADOPT A WRITTEN CONFLICT OF INTEREST POLICY AND A WRITTEN WHISTLEBLOWER POLICY AT THEIR NEXT BOARD MEETING IN NOVEMBER 2012.GOVERNANCE POLICIES

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1NATIONWIDE CHILDREN'S HOSPITALBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1700 CHILDRENS DRIVEAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43205ZIPCode
FieldValueIRS element (for citing)
EIN314379441EIN
Primary ActivitiesENHANCING THE HEALTH OF CHILDRENPrimaryActivities
Legal Domicile StateOHLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status3PublicCharityStatus
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg