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PEDIATRIC ACADEMIC ASSOCIATION INC DEPARTMENT OF PEDIATRICS B-132: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PEDIATRIC ACADEMIC ASSOCIATION INC DEPARTMENT OF PEDIATRICS B-132 (EIN 31-1024403)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201123199349305817
Schema version
2010v3.4
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)
Timestamp2011-11-15T13:38:00-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1300 SPRUCE STREET SUITE 250AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

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 Signed2011-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameANNETTE L HOELZER CPAName
Phone6144883126Phone
Date Prepared2011-11-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 S 18TH ST 7TH FLAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43205ZIPCode
FieldValueIRS element (for citing)
Gross Receipts71330293GrossReceipts
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 OSU COLLEGE OF MEDICINE.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees448TotalNbrEmployees
Total Nbr Volunteers2TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year69669518ProgramServiceRevenuePriorYear
Program Service Revenue CY71290698ProgramServiceRevenueCY
Investment Income Prior Year15395InvestmentIncomePriorYear
Investment Income Current Year6368InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year33227OtherRevenueCurrentYear
Total Revenue Prior Year69684913TotalRevenuePriorYear
Total Revenue Current Year71330293TotalRevenueCurrentYear
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 Year57377857SalariesEtcPriorYear
Salaries Etc Current Year57780049SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year12386862OtherExpensePriorYear
Other Expenses Current Year13795407OtherExpensesCurrentYear
Total Expenses Prior Year69764719TotalExpensesPriorYear
Total Expenses Current Year71575456TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-79806RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-245163RevenuesLessExpensesCY
Total Assets BOY18133751TotalAssetsBOY
Total Assets EOY15718090TotalAssetsEOY
Total Liabilities BOY16331937TotalLiabilitiesBOY
Total Liabilities EOY14161439TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1801814NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1556651NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVIDE MEDICAL CARE TO AFFILIATED HOSPITAL PATIENTS, RESEARCH TO THE HOSPITAL'S RESEARCH INSTITUTE & MEDICAL INSTRUCTION TO STUDENTS OF OSU COLLEGE OF MEDICINE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense57599120Expense
Revenue63350036Revenue
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)
Expense5235626Expense
Revenue5758371Revenue
DescriptionPROVIDE ADMINISTRATIVE MEDICAL OVERSIGHT THROUGHOUT NATIONWIDE CHILDREN'S HOSPITAL'S MEDICAL DEPARTMENTS BY SUPERVISION AND REVIEWING STANDARD OF CARE.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2906286Expense
Revenue2182291Revenue
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

Activity Other ActivityOther

FieldValueIRS element (for citing)
DescriptionENGAGE IN MEDICAL RESEARCH WITH THE RESEARCH INSTITUTE OF NATIONWIDE CHILDREN'S HOSPITAL.Description
FieldValueIRS element (for citing)
Total Program Service Expense65741032TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Stmt1IndependentAuditFinancialStmt
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 With109613NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees448NumberOfEmployees
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 Members6NbrVotingGoverningBodyMembers
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 Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
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 (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
TIMOTHY FELTES MD
PRESIDENT50.00XX4307110199846
STEVE WELTY MD
SECRETARY50.00XX15996807247
MICHAEL T BRADY MD
CHAIRMAN50.00XX22781820721854446
STEVE ALLEN MD
BOARD MEMBER1.00X01006335174372
TIM ROBINSON
TREASURY1.00XX0580152151231
DOUGLAS RUND MD
BOARD MEMBER1.00X000
CHRISTOPHER ELLISON MD
BOARD MEMBER1.00X000
MITCHEL WHEELER
CHIEF ADMIN. OFFICER50.00X173239049580
LESLIE K MIHALOV MD
CHIEF OF EMERGENCY MEDICINE50.00309792046496X
CARL BACKES MD
CLINICAL ASSISTANT PROFESSOR50.00344494027422X
JOHN CHEATHAM MD
PROFESSOR50.005734990196507X
CARLO DILORENZO MD
PROFESSOR50.00309041024500X
JONATHAN WISPE MD
PROFESSOR50.00303374049422X
JOHN KOVALCHIN MD
ASSOCIATE PROFESSOR50.00298335041000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3130271TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1793705TotalReportableCompFrmRltdOrgs
Total Other Compensation1022069TotalOtherCompensation
Number Individuals GT100 K225NumberIndividualsGT100K
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 SERVICES3298818
OSU INTERNAL MEDICINE LLC
700 ACKERMAN ROAD SUITE 630COLUMBUSOH43202MEDICAL SERVICES769359
CHILDREN'S ANESTHESIA ASSOC INC
700 CHILDRENS DRIVECOLUMBUSOH43205MEDICAL SERVICES448020
PREMIER HEALTHCARE SERVICES INC
332 CONGRESS PARK DRIVEDAYTONOH45459MEDICAL SERVICES163800
OSU EMERGENCY MEDICINE LLC
169 MEANS HALL 1654 UPHAM DRIVECOLUMBUSOH43210MEDICAL SERVICES125280
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT CARE9000996335003663350036
HOSPITAL ADMIN.90009957583715758371
TEACHING90009921822912182291
FieldValueIRS element (for citing)
Total Program Service Revenue71290698TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6368TotalRevenueColumn
Exclusion$6,368ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
BENEFIT ADJUSTMENT9000992424124241
MISCELLANEOUS90009989868986
FieldValueIRS element (for citing)
Total Other Revenue33227TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column71330293TotalRevenueColumn
Related Or Exempt Function Income71323925RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$6,368ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1648380Total
Program Services1425562ProgramServices
Management And General222818ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total49471177Total
Program Services49211154ProgramServices
Management And General260023ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4001789Total
Program Services3979844ProgramServices
Management And General21945ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1634331Total
Program Services1546476ProgramServices
Management And General87855ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1024372Total
Program Services990579ProgramServices
Management And General33793ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total56221Total
Management And General56221ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total192812Total
Management And General192812ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total161284Total
Program Services19071ProgramServices
Management And General142213ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total25747Total
Management And General25747ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5668Total
Management And General5668ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total109579Total
Program Services56653ProgramServices
Management And General52926ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total43975Total
Management And General43975ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total91600Total
Management And General91600ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total146211Total
Management And General146211ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total324624Total
Program Services307736ProgramServices
Management And General16888ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PURCHASED SERVICES998492564047283580197
TRF DEANS TAX10285991028599
PRACTICE PROGRAM EXP.675823675823
PROF. DEVELOPMENT485243485243
RECRUITMENT261297261297

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total201799Total
Program Services94807ProgramServices
Management And General106992ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total71575456Total
Program Services65741032ProgramServices
Management And General5834424ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2228871BOY
EOY2144523EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY14209215BOY
EOY11055233EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY14060BOY
EOY639223EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis407213LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec351437LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY111812BOY
EOY55776EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1451122BOY
EOY1822335EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY118671BOY
EOY1000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18133751BOY
EOY15718090EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY13190231BOY
EOY11281273EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3141706BOY
EOY2880166EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY16331937BOY
EOY14161439EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1770707BOY
EOY1537623EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY31107BOY
EOY19028EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1801814BOY
EOY1556651EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18133751BOY
EOY15718090EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-245163ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4360508CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4420379CurrentTaxYearMinus3Years
Total8780887Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years58367134CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years60126847CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years67528615CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year69669518CurrentTaxYearMinus1Year
Current Tax Year71290698CurrentTaxYear
Total326982812Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years62727642CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years64547226CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years67528615CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year69669518CurrentTaxYearMinus1Year
Current Tax Year71290698CurrentTaxYear
Total335763699Total

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 Total509335763699PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years74669CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years119823CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45925CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15395CurrentTaxYearMinus1Year
Current Tax Year6368CurrentTaxYear
Total262180Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years74669CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years119823CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45925CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15395CurrentTaxYearMinus1Year
Current Tax Year6368CurrentTaxYear
Total262180Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years427495CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57316CurrentTaxYearMinus3Years
Current Tax Year33227CurrentTaxYear
Total518038Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years63229806CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years64724365CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years67574540CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year69684913CurrentTaxYearMinus1Year
Current Tax Year71330293CurrentTaxYear
Total336543917Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99770PublicSupportPercentage509
Prior Year Support Percentage0.99600PriorYearSupportPercentage
Investment Income Percentage0.00080InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00100PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis407213OtherCostOrOtherBasis
Depreciation351437Depreciation
Book Value55776BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings55776TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
Description457(F) INVESTMENTSDescription
Book Value1822335BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities1822335TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DEFERRED COMPENSATION$1,822,335
NOTES PAYABLE TO RELATED PARTY$1,057,831
FieldValueIRS element (for citing)
Total Of Amounts2880166TotalOfAmounts
Total Revenue71330293TotalRevenue
Total Expenses71575456TotalExpenses
Excess Or Deficit For Year-245163ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-245163ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt78612825TotRevenueEtcAuditedFinclStmt
Other Revenues7282532OtherRevenues
Revenue Not Rptd F9907282532RevenueNotRptdF990
Revenue Subtotal71330293RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99071330293TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt78857988TotExpensesEtcAuditedFinclStmt
Other Expenses Included7282532OtherExpensesIncluded
Expenses Not Rptd F9907282532ExpensesNotRptdF990
Expenses Subtotal71575456ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99071575456TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:EFFECTIVE JANUARY 1, 2009, THE ASSOCIATION ADOPTED THE ACCOUNTING GUIDANCE FOR UNCERTAINTY IN INCOME TAXES. THE ASSOCIATION'S INCOME TAX FILINGS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES. THE ASSOCIATION'S OPEN AUDIT PERIODS ARE 2007 THROUGH 2009. IN EVALUATING THE ASSOCIATION'S ACTIVITIES, THE ASSOCIATION BELIEVES ITS POSITION OF TAX-EXEMPT STATUS IS CURRENT BASED ON CURRENT FACTS AND CIRCUMSTANCES. THEY FURTHER HAVE ASSESSED THAT THERE ARE NO ACTIVITIES UNRELATED TO THE PURPOSE OF THE ASSOCIATION AND THEREFORE NO TAX IS TO BE RECOGNIZED. IT IS THE POLICY OF THE ASSOCIATION TO INCLUDE IN OPERATING EXPENSES PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES. THERE ARE NO PENALTIES OR INTEREST FROM TAXING AUTHORITIES INCLUDED IN OPERATING EXPENSES FOR THE YEAR ENDED DECEMBER 31, 2010 AND 2009.
PART XII, LINE 2D - OTHER ADJUSTMENTS:REIMBURSEMENTS REPORTED AS REVENUE ON FINANCIAL STATEMENTS 7,282,532.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:REIMBURSEMENTS REPORTED AS REVENUE ON FINANCIAL STATEMENTS 7,282,532.

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 Org1CompBasedOnRevenueOfFilingOrg
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 (12 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
TIMOTHY FELTES MD
427843000286801766610231850630557000
STEVE WELTY MD
158185000178307247000167215000
MICHAEL T BRADY MD
2250101125190946992808022501104522118530827150421797800
STEVE ALLEN MD
069964303066920001587640156080118070700
TIM ROBINSON
042195001417020165000133623017608073138300
MITCHEL WHEELER
16865800045810176180319620222819000
LESLIE K MIHALOV MD
30512901417032460245000219960356288000
CARL BACKES MD
3389260005568024500029220371916000
JOHN CHEATHAM MD
567931000556801691210273860770006000
CARLO DILORENZO MD
26829503750003246024500000333541000
JONATHAN WISPE MD
244778054270043260245000249220352796000
JOHN KOVALCHIN MD
245525049996028140245000165000339335000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 4BPART I, LINE 4B: AMOUNTS PAID DURING THE YEAR: JOHN CHEATHAM, M.D. $144,621 TIMOTHY FELTES, M.D. $152,161 THE TERMS AND CONDITIONS OF THE ARRANGEMENTS: 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 UNEMPLOYMENT TERMINATION, AS DETERMINED IN THE AGREEMENT. THE AGREEMENTS HAVE VARYING EXPIRATION DATES.
PART I, LINE 5THE ASSOCIATION HAS AN INCENTIVE PROGRAM THAT PAYS THE PHYSICIAN .5% ON THE GROSS CHARGES GENERATED BY THE PHYSICIAN AS AN INCENTIVE PAYMENT.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
OFFICERS AND MEMBERS OF THE ASSOCIATION ARE REQUIRED ANNUALLY TO COMPLETE A CONFLICT OF INTEREST FORM AS A FACULTY STAFF OF THE OHIO STATE UNIVERSITY AND AS A MEDICAL STAFF OF NATIONWIDE CHILDREN'S HOSPITAL RESEARCH INSTITUTE. THESE FORMS ARE REVIEWED BY THE CHAIRMAN OF THE ASSOCIATION AND ANY ISSUE MUST BE RESOLVED BEFORE THEIR WORK CAN CONTINUE. THIS ALSO APPLIES TO ANY NEW CONTRACTS OR COMMITMENTS TO BE AGREED UPON.FORM 990, PART VI, SECTION B, LINE 12C
THE DEAN OF THE MEDICAL COLLEGE AT THE OHIO STATE UNIVERSITY 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 B, LINE 15
THE ASSOCIATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.FORM 990, PART VI, SECTION C, LINE 19
CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC.:DOUGLAS RUND, M.D. - 4510 CRAMBLETT HALL, 456 W. 10TH AVENUE COLUMBUS, OH 43210 CHRISTOPHER ELLISON, M.D. - 395 W. 12TH AVENUE COLUMBUS, OH 43210FORM 990, PART VI, LINE 9

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 Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg