Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 07-01-2010 and ending 06-30-2011
BCheck if applicable:
CName of organization
CHILDREN'S HOSPITAL MEDICAL CENTER
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
3333 BURNET AVENUE
 
Room/suite
City or town, state or country, and ZIP + 4
CINCINNATI, OH452293039
D Employer identification number

31-0833936
E Telephone number

G Gross receipts $ 1,707,403,405
F Name and address of principal officer:
MICHAEL A FISHER
3333 BURNET AVENUE
CINCINNATI,OH452293039
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.CINCINNATICHILDRENS.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1883
M State of legal domicile: OH
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: PROVISION OF PEDIATRIC HEALTHCARE TO PATIENTS.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 26
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 23
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 13,637
6 Total number of volunteers (estimate if necessary) .... 6 620
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 53,745,867
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b -14,792,502
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 213,838,287 242,596,688
9 Program service revenue (Part VIII, line 2g) ......... 1,240,716,898 1,371,019,469
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 9,689,378 9,995,597
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 126,153,894 79,380,202
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,590,398,457 1,702,991,956
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 2,110,275
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 932,128,826 1,032,000,932
16a Professional fundraising fees (Part IX, column (A), line 11e).... 8,065 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet3,798,854    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 579,938,360 617,561,017
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,512,075,251 1,651,672,224
19 Revenue less expenses. Subtract line 18 from line 12...... 78,323,206 51,319,732
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 2,189,842,873 2,468,439,453
21 Total liabilities (Part X, line 26)............ 993,595,668 934,585,651
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 1,196,247,205 1,533,853,802
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: 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.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,431,820,488 including grants of $ 2,110,275 ) (Revenue $ 1,329,459,986 )
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.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 1,431,820,488
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
Yes
 
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part IClick to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II.......... Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III................... Click to see attachment
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I........................... Click to see attachment
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
1,092
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
13,637
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletBD
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
26
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
23
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
LAURA C NIXON
3333 BURNET AVENUE
CINCINNATI,OH452293039
(513) 803-1106
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) SHARRY ADDISON
TRUSTEE
 1.00 X           0 0 0
(2) ROBERT DH ANNING
TRUSTEE
 4.00 X           0 0 0
(3) CAROL ARMSTRONG
TRUSTEE
 1.00 X           0 0 0
(4) LYNWOOD BATTLE
TRUSTEE
 1.00 X           0 0 0
(5) MICHAEL S CAMBRON
TRUSTEE
 4.00 X           0 0 0
(6) WILLIE F CARDEN JR
TRUSTEE
 4.00 X           0 0 0
(7) LEE A CARTER
TRUSTEE
 4.00 X           0 0 0
(8) THOMAS G CODY
CHAIRMAN
 4.00 X   X       0 0 0
(9) KATHARINE DEWITT
TRUSTEE
 1.00 X           0 0 0
(10) NANCY KRIEGER EDDY PHD
TRUSTEE
 4.00 X           0 0 0
(11) VALLIE GEIER
TRUSTEE
 1.00 X           0 0 0
(12) LOUIS D GEORGE
TRUSTEE
 1.00 X           0 0 0
(13) MICHAEL HIRSCHFELD ESQ
TRUSTEE
 4.00 X           0 0 0
(14) JOYCE J KEESHIN
TRUSTEE
 4.00 X           0 0 0
(15) M DENISE KUPRIONIS
TRUSTEE
 4.00 X           0 0 0
(16) PEGGY MATHILE
TRUSTEE
 4.00 X           0 0 0
(17) MANUEL D MAYERSON
TRUSTEE
 1.00 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) JANE PORTMAN
TRUSTEE
 4.00 X           0 0 0
(19) WILLIAM K SCHUBERT
TRUSTEE
 1.00 X           0 0 0
(20) JOHN STEINMAN
TRUSTEE
 1.00 X           0 0 0
(21) PAMELA TERP
TRUSTEE
 1.00 X           0 0 0
(22) FELICIA WILLIAMS
TRUSTEE
 4.00 X           0 0 0
(23) CRAIG YOUNG
TRUSTEE
 1.00 X           0 0 0
(24) RICHARD AZIZKHAN
SURGEON-IN-CHIEF
 40.00 X           1,218,743 0 223,985
(25) ARNOLD STRAUSS
PROF/CHAIR, PEDIATRICS
 40.00 X           804,334 0 155,340
(26) MICHAEL FISHER
PRESIDENT & CEO
 40.00 X   X       865,537 0 175,899
(27) SCOTT HAMLIN
TREASURER, CHIEF FIN & ADMIN OFFICER
 40.00     X       750,409 0 157,058
(28) BETH STAUTBERG
SECRETARY, SR VP & COUNSEL
 40.00     X       539,478 0 89,861
(29) LANE DONNELLY
RADIOLOGIST-IN-CHIEF
 40.00         X   868,579 0 153,915
(30) DEAN KURTH
ANESTHESIOLOGIST-IN-CHIEF
 40.00         X   850,606 0 144,546
(31) CHARLES MEHLMAN
ORTHOPAEDIST
 40.00         X   893,206 0 46,266
(32) CHARLES MYER III
OTOLARYNGOLOGIST
 40.00         X   986,707 0 24,756
(33) ERIC WALL
ORTHOPAEDIST
 40.00         X   955,752 0 56,057
(34) JAMES M ANDERSON
RETIRED FORMER EXECUTIVE
 40.00           X 4,210,454 0 17,727
(35) THOMAS F BOAT
RETIRED FORMER EXECUTIVE
 40.00           X 611,949 0 34,423
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 13,555,754 0 1,279,833
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet1,273
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
TRIVERSITY GROUP LLC
5158 FISHWICK DRIVE
CINCINNATI,OH45216 		CONSTRUCTION SERVICES 31,063,167
ARAMARK CORPORATION
4890 DUFF DR B
CINCINNATI,OH45246 		ENVIRONMENTAL SERVICES 14,639,216
MEDICAL RECOVERY SYSTEMS INC
3372 CENTRAL PARKWAY
CINCINNATI,OH45225 		AR SERVICES 8,221,101
POMEROY IT SOLUTIONS
1020 PETERSBURG ROAD
HEBRON,KY41048 		IT CONSULTING 8,096,648
CBTS
4600 MONTGOMERY ROAD SUITE 400
CINCINNATI,OH45212 		IT CONSULTING 4,443,578
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet95
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 1,264,846
d Related organizations...1d 77,637,002
e Government grants (contributions)1e 151,651,996
f All other contributions, gifts, grants, and
similar amounts not included above1f 		12,042,844
g Noncash contributions included in lines 1a-1f:$ 316,726
h Total. Add lines 1a-1f.......MediumBullet 242,596,688
Program Service Revenue Business Code
2a INPAT HOSP SERV (NET) 621,990 620,910,088 620,910,088    
b OUTPAT HOSP SERV (NET) 621,990 520,360,381 468,121,073 52,239,308  
c PHYSICIAN SERVICES 621,990 229,749,000 229,749,000    
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 1,371,019,469
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 11,266,000   -431,867 11,697,867
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 1,480,195  
b Less: rental expenses    
c Rental income or (loss) 1,480,195  
d Net rental income or (loss).......MediumBullet 1,480,195   237,945 1,242,250
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   2,670,458
b Less: cost or other basis and sales expenses   3,940,861
c Gain or (loss)   -1,270,403
d Net gain or (loss)..........MediumBullet -1,270,403     -1,270,403
8a Gross income from fundraising events (not including
$ 1,264,846
of contributions reported on line 1c). See Part IV, line 18 ...
a 216,958
b Less: direct expenses ...b 470,588
c Net income or (loss) from fundraising events..MediumBullet -253,630   -253,630
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a CAFETERIA RECEIPTS 722,210 12,547,981     12,547,981
b GME FUNDING 611,710 9,108,000 9,108,000    
c SVCS TO AFFIL HOSP 621,990 1,571,825 1,571,825    
d All other revenue .... 54,925,831   1,700,481 53,225,350
e Total. Add lines 11a–11d ......MediumBullet 78,153,637
12 Total revenue. See Instructions....MediumBullet 1,702,991,956 1,329,459,986 53,745,867 77,189,415
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 1,592,296 1,592,296
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16 517,979 517,979
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 14,835,587   14,835,587  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 806,624 806,624    
7 Other salaries and wages 780,225,992 678,207,789 99,088,701 2,929,502
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 70,226,119 61,307,402 8,918,717  
9 Other employee benefits ....... 114,189,449 99,687,389 14,502,060  
10 Payroll taxes ........... 51,717,161 45,149,082 6,568,079  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 2,140,739 1,868,865 271,874  
c Accounting ........... 822,525 718,064 104,461  
d Lobbying ........... 485,198 423,578 61,620  
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ......        
g Other ..........        
12 Advertising and promotion .... 2,729,945 2,240,764 346,703 142,478
13 Office expenses ....... 158,325,879 138,157,391 20,107,387 61,101
14 Information technology ...... 5,932,733 5,179,276 753,457  
15 Royalties ..        
16 Occupancy ........... 6,206,341 5,357,916 788,205 60,220
17 Travel ............ 14,097,070 12,306,742 1,790,328  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 16,103,740 14,058,565 2,045,175  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 110,704,675 96,645,181 14,059,494  
23 Insurance .............. 20,027,990 17,484,435 2,543,555  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a PURCHASED SERVICES 164,927,982 143,746,674 20,945,854 235,454
b BAD DEBT EXPENSE 49,531,569 49,531,569    
c UTILITIES 17,855,674 15,588,003 2,267,671  
d DIETARY 6,983,317 6,096,436 886,881  
e DUES AND SUBSCRIPTIONS 4,829,050 4,215,761 613,289  
f All other expenses 35,856,590 30,932,707 4,553,784 370,099
25 Total functional expenses. Add lines 1 through 24f 1,651,672,224 1,431,820,488 216,052,882 3,798,854
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ..........   1  
2 Savings and temporary cash investments ....... 85,270,000 2 97,451,593
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 299,722,000 4 302,791,363
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 14,448,398 8 16,721,982
9 Prepaid expenses and deferred charges ............ 5,023,391 9 7,089,373
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,582,905,360
b Less: accumulated depreciation. ..... 10b 731,204,328 846,129,467 10c 851,701,032
11 Investments—publicly traded securities .......... 174,495,933 11 227,641,903
12 Investments—other securities. See Part IV, line 11 ......   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 764,753,684 15 965,042,207
16 Total assets. Add lines 1 through 15 (must equal line 34)... 2,189,842,873 16 2,468,439,453
Liabilities 17 Accounts payable and accrued expenses . 195,112,939 17 208,074,815
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities .......... 485,807,890 20 450,963,745
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 3,727,626 23 30,506,794
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 308,947,213 25 245,040,297
26 Total liabilities. Add lines 17 through 25..... 993,595,668 26 934,585,651
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 388,821,037 27 526,990,274
28 Temporarily restricted net assets ..... 129,441,168 28 135,943,000
29 Permanently restricted net assets ..... 677,985,000 29 870,920,528
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 1,196,247,205 33 1,533,853,802
34 Total liabilities and net assets/fund balances ..... 2,189,842,873 34 2,468,439,453
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
1,702,991,956
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
1,651,672,224
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
51,319,732
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
1,196,247,205
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
286,286,865
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
1,533,853,802
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
CHILDREN'S HOSPITAL MEDICAL CENTER
 
Employer identification number

31-0833936
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
CHILDREN'S HOSPITAL MEDICAL CENTER
 
Employer identification number

31-0833936
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
CHILDREN'S HOSPITAL MEDICAL CENTER
  		Employer identification number

31-0833936
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
CHILDREN'S HOSPITAL MEDICAL CENTER
  		Employer identification number

31-0833936
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
CHILDREN'S HOSPITAL MEDICAL CENTER
  		Employer identification number

31-0833936
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
CHILDREN'S HOSPITAL MEDICAL CENTER
 
Employer identification number

31-0833936
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
Yes
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
Yes
 
151,198
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
383,598
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
No
 
j
Total. lines 1c through 1i ...................................
534,796
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
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.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CHILDREN'S HOSPITAL MEDICAL CENTER
 
Employer identification number

31-0833936
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 807,426,168 734,403,257 935,791,845
b Contributions ........ 245,776,360 235,362,911 174,839,253
c Investment earnings or losses ... 192,475,000 58,394,000 -199,115,594
d Grants or scholarships ..... 153,914,000 143,011,000 128,282,000
e Other expenditures for facilities
and programs ........ 		84,900,000 77,723,000 48,829,753
f Administrative expenses ....      
g End of year balance ...... 1,006,863,528 807,426,168 734,403,751
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet86.500 %
c
Term endowment: SchDMd Bullet13.500 %
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   31,525,000 31,525,000
b Buildings ................   989,868,000 385,684,140 604,183,860
c Leasehold improvements ............        
d Equipment ................   538,178,000 338,632,071 199,545,929
e Other .................   23,334,360 6,888,117 16,446,243
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 851,701,032
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) INVESTMENT IN SUBSIDIARY (RIVER CITY INSURANCE, LTD.) 120,000
(2) OTHER LONG-TERM ASSETS 74,140,919
(3) INTEREST IN NET ASSETS OF SUPPORTING ORGANIZATIONS 886,161,621
(4) ASSETS LIMITED TO USE - FUNDS IN TRUST 4,619,667





Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 965,042,207
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
SELF INSURANCE RESERVES 30,545,183
MINIMUM PENSION LIABILITY ACCRUAL 201,760,230
OTHER LONG-TERM LIABILITIES 12,734,884






Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 245,040,297
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 1,702,991,956
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 1,651,672,224
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 51,319,732
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 286,286,865
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 286,286,865
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 337,606,597
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 1,934,857,000
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d 243,019,331
e Add lines 2a through 2d ..................... 2e 243,019,331
3 Subtract line 2e from line 1..................... 3 1,691,837,669
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b 11,154,287
c Add lines 4a and 4b....................... 4c 11,154,287
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 1,702,991,956
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 1,878,849,769
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d 242,752,858
e Add lines 2a through 2d...................... 2e 242,752,858
3 Subtract line 2e from line 1..................... 3 1,636,096,911
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b 15,575,313
c Add lines 4a and 4b....................... 4c 15,575,313
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 1,651,672,224
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
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.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CHILDREN'S HOSPITAL MEDICAL CENTER
 
Employer identification number

31-0833936
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total
expenditures for region/investments
in region
CENTRAL AMERICA & THE CARIBBEAN 0 1 PROGRAM SERVICES OFFSHORE CAPTIVE MANAGEMENT 1,058,322
EAST ASIA & THE PACIFIC 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 30,500
EUROPE 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 12,145
MIDDLE EAST & NORTH AFRICA 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 43,176
NORTH AMERICA 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 355,207
RUSSIA 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 643
SOUTH AMERICA 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 12,000
SOUTH ASIA 0 0 PROGRAM SERVICES EDUCATION, TEACHING, & RESEARCH 64,308
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 0 1 1,576,301
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 1 1,576,301
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
EAST ASIA AND THE PACIFIC EDUCATION, TEACHING, & RESEARCH 30,500 WIRE TRANSFER 0   CASH
EUROPE EDUCATION, TEACHING, & RESEARCH 12,145 WIRE TRANSFER 0   CASH
MIDDLE EAST & NORTH AFRICA EDUCATION, TEACHING, & RESEARCH 43,176 WIRE TRANSFER 0   CASH
NORTH AMERICA EDUCATION, TEACHING, & RESEARCH 355,207 WIRE TRANSFER 0   CASH
SOUTH AMERICA EDUCATION, TEACHING, & RESEARCH 12,000 WIRE TRANSFER 0   CASH
SOUTH ASIA EDUCATION, TEACHING, & RESEARCH 64,308 WIRE TRANSFER 0   CASH
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
0
3
Enter total number of other organizations or entities ........................MediumBullet
10
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 5
Part V
Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.
Identifier ReturnReference Explanation
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.
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2010
Additional Data


Software ID:  
Software Version:  



SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CHILDREN'S HOSPITAL MEDICAL CENTER
 
Employer identification number

31-0833936
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
OH, KY, IN, FL
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

WALK FOR KIDS
(event type) 		(b) Event #2

CELESTIAL BALL
(event type) 		(c) Other Events

7
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 709,663 422,100 350,041 1,481,804
2 Less: Charitable
contributions . . . 		705,028 346,688 213,130 1,264,846
3 Gross income (line 1
minus line 2) . . . 		4,635 75,412 136,911 216,958
VerticalDirectExpenses 4 Cash prizes . . . 0 0 0  
5 Non-cash prizes . . 43,069 0 14,519 57,588
6 Rent/facility costs . . 0 8,500 0 8,500
7 Food and beverages . .        
8 Entertainment . . .        
9 Other direct expenses . 127,793 162,715 113,992 404,500
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 470,588
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow -253,630
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CHILDREN'S HOSPITAL MEDICAL CENTER
 
Employer identification number

31-0833936
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		    15,921,454 6,000,000 9,921,454 0.620 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		    590,316,492 330,165,000 260,151,492 16.240 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs ..... 		    606,237,946 336,165,000 270,072,946 16.860 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		    3,728,583 1,863,826 1,864,757 0.120 %
f Health professions education
(from Worksheet 5) .. 		    76,327,204 19,822,000 56,505,204 3.530 %
g Subsidized health services
(from Worksheet 6) .. 		    40,538,000 37,013,000 3,525,000 0.220 %
h Research (from Worksheet 7)     284,823,000 114,506,000 170,317,000 10.630 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		    472,112 0 472,112 0.030 %
jTotal Other Benefits ...     405,888,899 173,204,826 232,684,073 14.530 %
kTotal. Add lines 7d and 7j. ..     1,012,126,845 509,369,826 502,757,019 31.390 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     290,000   290,000 0.020 %
2 Economic development            
3 Community support     500,776   500,776 0.030 %
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total     790,776   790,776 0.050 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense (at cost).....
2
29,664,099
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
6,526,102
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
10,105,700
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
11,680,600
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-1,574,900
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?4
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 CHMC - MAIN CAMPUS
3333 BURNET AVE
CINCINNATI,OH45229 		X X X X   X X    
2 CHMC - LIBERTY CAMPUS
7777 YANKEE ROAD
LIBERTY TOWNSHIP,OH45044 		X X X X     X    
3 CHMC - COLLEGE HILL CAMPUS
5642 HAMILTON AVE
CINCINNATI,OH45224 		X   X X          
4 CHMC - LINDNER CENTER OF HOPE CAMPUS
4015 OLD WESTERN ROW ROAD
MASON,OH45040 		X   X X          
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:CHILDREN'S HOSPITAL MEDICAL CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?11
Name and address Type of Facility (Describe)
1 CHMC ANDERSONURGENT CARE
7495 STATE ROAD SUITE 355
CINCINNATI,OH45255 		NEIGHBORHOOD FACILITY
2 CHMC ANDERSONURGENT CARE
7495 STATE ROAD SUITE 355
CINCINNATI,OH45255 		NEIGHBORHOOD FACILITY
3 CHMC ANDERSONURGENT CARE
7495 STATE ROAD SUITE 355
CINCINNATI,OH45255 		NEIGHBORHOOD FACILITY
4 CHMC ANDERSONURGENT CARE
7495 STATE ROAD SUITE 355
CINCINNATI,OH45255 		NEIGHBORHOOD FACILITY
5 CHMC ANDERSONURGENT CARE
7495 STATE ROAD SUITE 355
CINCINNATI,OH45255 		NEIGHBORHOOD FACILITY
6 CHMC ANDERSONURGENT CARE
7495 STATE ROAD SUITE 355
CINCINNATI,OH45255 		NEIGHBORHOOD FACILITY
7 CHMC ANDERSONURGENT CARE
7495 STATE ROAD SUITE 355
CINCINNATI,OH45255 		NEIGHBORHOOD FACILITY
8 CHMC ANDERSONURGENT CARE
7495 STATE ROAD SUITE 355
CINCINNATI,OH45255 		NEIGHBORHOOD FACILITY
9 CHMC ANDERSONURGENT CARE
7495 STATE ROAD SUITE 355
CINCINNATI,OH45255 		NEIGHBORHOOD FACILITY
10 CHMC ANDERSONURGENT CARE
7495 STATE ROAD SUITE 355
CINCINNATI,OH45255 		NEIGHBORHOOD FACILITY
11 CHMC ANDERSONURGENT CARE
7495 STATE ROAD SUITE 355
CINCINNATI,OH45255 		NEIGHBORHOOD FACILITY
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    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.
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
CHILDREN'S HOSPITAL MEDICAL CENTER
 
Employer identification number
31-0833936
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) 4C FOR CHILDREN1924 DANA AVE
CINCINNATI,OH45207 		31-0823634 501(C)(3) 15,000       COMMUNITY SUPPORT
(2) AMERICAN CANCER SOCIETY2808 READING ROAD
CINCINNATI,OH45206 		31-0726080 501(C)(3) 10,000       SPONSORSHIP
(3) AMERICAN HEART ASSOCIATION5211 MADISON ROAD
CINCINNATI,OH45227 		13-5613797 501(C)(3) 59,600       SPONSORSHIP
(4) BOOMER ESIASON FOUNDATION483 10TH AVE STE 300
NEW YORK,NY10018 		11-3142753 501(C)(3) 9,000       SPONSORSHIP
(5) CINCINNATI MEDICAL ASSOCIATIONPO BOX 37287
CINCINNATI,OH45237 		32-0144460 501(C)(3) 5,000       SPONSORSHIP
(6) CINCINNATI HAMILTON COUNTY COMMUNITY ACTION AGENCY1740 LANGDON FARM RD
CINCINNATI,OH45237 		31-6053035 501(C)(3) 5,000       COMMUNITY SUPPORT
(7) CLOSING THE HEALTH GAP3120 BURNET AVE STE 201
CINCINNATI,OH45229 		20-0902286 501(C)(3) 100,000       COMMUNITY SUPPORT
(8) CROSSROAD HEALTH CENTER5 EAST LIBERTY
CINCINNATI,OH45202 		31-1321054 501(C)(3) 25,000       COMMUNITY SUPPORT
(9) GOOD SAMARITAN HOSPITAL FOUNDATION375 DIXMYTH AVE
CINCINNATI,OH45220 		31-0537486 501(C)(3) 5,000       SPONSORSHIP
(10) GREATER CINCINNATI NORTHERN KENTUCKY AFRICAN AMERICAN CHAMBER2945 GILBERT AVE
CINCINNATI,OH45206 		31-1504758 501(C)(3) 7,500       SPONSORSHIP
(11) HAMILTON COUNTY FAMILY AND CHILDREN FIRST COUNCIL125 E COURT ST 350
CINCINNATI,OH45202 		501(C)(3) 10,000       COMMUNITY SUPPORT
(12) HANNAH JO SMITH FOUNDATION1512 N BIG RUN RD
ASHLAND,KY41102 		61-1348262 501(C)(3) 5,024       SPONSORSHIP
(13) HEALTH IMPROVEMENT COLLABORATIVE2100 SHERMAN AVE STE 100
CINCINNATI,OH45212 		31-1449807 501(C)(3) 45,000       SPONSORSHIP
(14) HEALTH NETWORK FOUNDATION33 RIVER ST
CHAGRIN FALLS,OH44022 		04-3804600 501(C)(3) 35,000       SPONSORSHIP
(15) LIFE CENTER ORGAN DONOR NETWORK615 ELSINORE PLACE STE 400
CINCINNATI,OH45202 		31-1040508 501(C)(3) 11,000       SPONSORSHIP
(16) MARCH OF DIMES BIRTH DEFECT FOUNDATION10806 KENWOOD RD
CINCINNATI,OH45242 		13-1846366 501(C)(3) 5,000       SPONSORSHIP
(17) RILEY CHILDREN'S FOUNDATION30 S MERIDIAN ST STE 200
INDIANAPOLIS,IN46204 		20-1219081 501(C)(3) 12,978       SPONSORSHIP
(18) RONALD MCDONALD HOUSE350 ERKENBRECHER AVE
CINCINNATI,OH45229 		31-0965333 501(C)(3) 57,500       SPONSORSHIP
(19) THE ABERCRUMBIE GROUP10301 GIVERNY BLVD
CINCINNATI,OH45241 		30-0520187 501(C)(3) 20,000       SPONSORSHIP
(20) THE LINKS FOUNDATION INCPO BOX 9265
CINCINNATI,OH45209 		52-1170830 501(C)(3) 5,000       SPONSORSHIP
(21) UNITED WAY OF GREATER CINCINNATI2400 READING ROAD
CINCINNATI,OH45202 		31-0537502 501(C)(3) 75,000       SPONSORSHIP
(22) UNIVERSITY OF CINCINNATI FOUNDATIONPO BOX 19970
CINCINNATI,OH45218 		31-0896555 501(C)(3) 5,500       SPONSORSHIP
(23) VISION 201550 E RIVERCENTER BLVD STE 465
COVINGTON,KY41011 		31-1489316 501(C)(3) 50,000       SPONSORSHIP
(24) THE CHILDREN'S HOSPITAL3333 BURNET AVENUE
CINCINNATI,OH45229 		31-0537130 501(C)(3) 990,837       SPONSORSHIP
(25) EVERY CHILD SUCCEEDS3333 BURNET AVENUE
CINCINNATI,OH45229 		31-1628467 501(C)(3) 23,357       SPONSORSHIP
2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
25
3
Enter total number of other organizations ................................ . Bullet Image
0
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
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.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CHILDREN'S HOSPITAL MEDICAL CENTER
 
Employer identification number

31-0833936
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) RICHARD AZIZKHAN (i)
(ii)		 758,843
0 		264,233
0 		195,667
0 		221,441
0 		2,544
0 		1,442,728
0 		155,857
0
(2) ARNOLD STRAUSS (i)
(ii)		 522,158
0 		166,774
0 		115,402
0 		124,636
0 		30,704
0 		959,674
0 		111,572
0
(3) MICHAEL FISHER (i)
(ii)		 650,134
0 		176,193
0 		39,210
0 		144,977
0 		30,922
0 		1,041,436
0 		0
0
(4) SCOTT HAMLIN (i)
(ii)		 529,621
0 		142,148
0 		78,640
0 		133,737
0 		23,321
0 		907,467
0 		39,430
0
(5) BETH STAUTBERG (i)
(ii)		 381,603
0 		108,196
0 		49,679
0 		77,604
0 		12,257
0 		629,339
0 		32,709
0
(6) LANE DONNELLY (i)
(ii)		 610,351
0 		210,187
0 		48,041
0 		122,845
0 		31,070
0 		1,022,494
0 		14,571
0
(7) DEAN KURTH (i)
(ii)		 554,702
0 		184,921
0 		110,983
0 		129,135
0 		15,411
0 		995,152
0 		68,773
0
(8) CHARLES MEHLMAN (i)
(ii)		 688,370
0 		163,293
0 		41,543
0 		24,500
0 		21,766
0 		939,472
0 		0
0
(9) CHARLES MYER III (i)
(ii)		 787,074
0 		181,598
0 		18,035
0 		24,500
0 		256
0 		1,011,463
0 		0
0
(10) ERIC WALL (i)
(ii)		 770,508
0 		151,534
0 		33,710
0 		30,000
0 		26,057
0 		1,011,809
0 		0
0
(11) JAMES M ANDERSON (i)
(ii)		 156,433
0 		363,170
0 		3,690,851
0 		3,794
0 		13,933
0 		4,228,181
0 		3,643,128
0
(12) THOMAS F BOAT (i)
(ii)		 207,867
0 		0
0 		404,082
0 		24,500
0 		9,923
0 		646,372
0 		347,402
0




Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  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.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
CHILDREN'S HOSPITAL MEDICAL CENTER
 
Employer identification number
31-0833936
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A HAMILTON COUNTY OHIO
  		31-6000063 407272M26 06-30-2004 98,249,356 RESEARCH BUILDING   X   X   X
B COUNTY OF BUTLER OHIO
  		31-6000061 123550FJ9 12-08-2006 63,541,881 OUTPATIENT SATELLITE BLDG.   X   X   X
C HAMILTON COUNTY OHIO
  		31-6000063 407272M34 12-11-2007 61,230,000 MEDICAL BUILDING & GARAGE   X   X   X
D COUNTY OF BUTLER OHIO
  		31-6000061 123550FM2 04-30-2008 51,950,000 REPAY 2006L BONDS(12/8/06)   X   X   X
COUNTY OF BUTLER OHIO
  		31-6000061   12-17-2009 30,000,000 REPAY 20080 BONDS(4/30/08)   X   X   X
HAMILTON COUNTY OHIO
  		31-6000063   11-19-2010 30,000,000 REPAY 2007N BONDS(12/11/07)   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 30,615,000   30,615,000 30,000,000
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 109,390,558 65,205,028 60,636,331 52,351,334
4 Gross proceeds in reserve funds . .        
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 2,249,356 1,385,093 389,866 399,995
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 107,141,202 63,819,935 60,246,465  
11 Other spent proceeds . . 51,951,339 30,000,000   51,951,339
12 Other unspent proceeds. . .        
13 Year of substantial completion . . . 2007 2008 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue?   X   X X X    
15 Were the bonds issued as part of an advance refunding issue?   X   X   X   X
16 Has the final allocation of proceeds been made? . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X   X   X   X
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use?   X   X   X   X
b Are there any research agreements that may result in private business use of bond-financed property? . . X   X   X   X  
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . .. . . . . . 0 % 0 % 0 % 0 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X   X
2 Is the bond issue a variable rate issue?   X   X X   X  
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X   X   X   X
b Name of provider .  
  		 
  		 
  		 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? .   X   X   X   X
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X   X
6 Did the bond issue qualify for an exception to rebate? . . .   X X   X   X  
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
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.
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
CHILDREN'S HOSPITAL MEDICAL CENTER
 
Employer identification number
31-0833936
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A HAMILTON COUNTY OHIO
  		31-6000063 407272M26 06-30-2004 98,249,356 RESEARCH BUILDING   X   X   X
B COUNTY OF BUTLER OHIO
  		31-6000061 123550FJ9 12-08-2006 63,541,881 OUTPATIENT SATELLITE BLDG.   X   X   X
C HAMILTON COUNTY OHIO
  		31-6000063 407272M34 12-11-2007 61,230,000 MEDICAL BUILDING & GARAGE   X   X   X
D COUNTY OF BUTLER OHIO
  		31-6000061 123550FM2 04-30-2008 51,950,000 REPAY 2006L BONDS(12/8/06)   X   X   X
COUNTY OF BUTLER OHIO
  		31-6000061   12-17-2009 30,000,000 REPAY 20080 BONDS(4/30/08)   X   X   X
HAMILTON COUNTY OHIO
  		31-6000063   11-19-2010 30,000,000 REPAY 2007N BONDS(12/11/07)   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 30,615,000   30,615,000 30,000,000
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 109,390,558 65,205,028 60,636,331 52,351,334
4 Gross proceeds in reserve funds . .        
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 2,249,356 1,385,093 389,866 399,995
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 107,141,202 63,819,935 60,246,465  
11 Other spent proceeds . . 51,951,339 30,000,000   51,951,339
12 Other unspent proceeds. . .        
13 Year of substantial completion . . . 2007 2008 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue?   X   X X X    
15 Were the bonds issued as part of an advance refunding issue?   X   X   X   X
16 Has the final allocation of proceeds been made? . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X   X   X   X
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use?   X   X   X   X
b Are there any research agreements that may result in private business use of bond-financed property? . . X   X   X   X  
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . .. . . . . . 0 % 0 % 0 % 0 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X   X
2 Is the bond issue a variable rate issue?   X   X X   X  
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X   X   X   X
b Name of provider .  
  		 
  		 
  		 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? .   X   X   X   X
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X   X
6 Did the bond issue qualify for an exception to rebate? . . .   X X   X   X  
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
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.
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CHILDREN'S HOSPITAL MEDICAL CENTER
 
Employer identification number

31-0833936
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) AARON AZIZKHAN FAMILY MEM TRUST 35,433 COMP & BEN   No
(2) GERALYN AZIZKHAN FAMILY MEM TRUST 117,553 COMP & BEN   No
(3) BARBARA BOAT FAMILY MEM TRUST 172,276 COMP & BEN   No
(4) ANNE BOAT FAMILY MEM TRUST 444,413 COMP & BEN   No
(5) EMILY HIRSCHFELD FAMILY MEM TRUST 36,949 COMP & BEN   No
(6) UNION CENTRAL LIFE INS CO
  		DIRECTOR/OFFICER 262,858 INS PREM   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
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.
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CHILDREN'S HOSPITAL MEDICAL CENTER
 
Employer identification number

31-0833936
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of Contributions or items contributed 		(c)
Contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 29 316,726 MEAN ON DATE OF TRANSFER
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( )
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
1
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash
contributions? ............................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2010
Schedule M (Form 990) 2010
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.
Identifier Return Reference Explanation
Schedule M (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
CHILDREN'S HOSPITAL MEDICAL CENTER
 
Employer identification number

31-0833936
Identifier Return Reference Explanation
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)
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CHILDREN'S HOSPITAL MEDICAL CENTER
 
Employer identification number

31-0833936
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) CHILD HEALTH ADMINISTRATIVE SERVICES LLC
3333 BURNET AVENUE
CINCINNATI,OH45229
31-1550088 		ADMINISTRATIVE SERVICES OH 1,607,106 0 N/A
(2) TSHCH LLC
3333 BURNET AVENUE
CINCINNATI,OH45229
 LAND HOLDING CO. OH 0 4,574,330 N/A
(3) BURNET AVE LLC
3333 BURNET AVENUE
CINCINNATI,OH45229
 LAND HOLDING CO. OH 0 993,900 N/A






Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) CHILDREN'S DENTAL CARE FOUNDATION

3333 BURNET AVE

CINCINNATI,OH45229
31-6008790 		SUPPORT PEDIATRIC DENTISTRY AT CHMC OH 501(C)(3) 509(A)(3) TYPE II N/A
 
No
(2) ADOLESCENT HEALTH CENTER OF GREATER CINCINNATI

3333 BURNET AVE

CINCINNATI,OH45229
23-7042940 		SUPPORT ADOLESCENT MEDICINE AT CHMC OH 501(C)(3) 509(A)(3) TYPE II N/A
 
No
(3) CHMC COMMUNITY HEALTH SERVICES NETWORK

3333 BURNET AVE

CINCINNATI,OH45229
31-1459815 		PEDIATRIC MEDICAL SERVICES OH 501(C)(3) 509(A)(2) N/A
 
No
(4) CHILDREN'S MEDICAL SERVICES INC

3333 BURNET AVE

CINCINNATI,OH45229
31-1564024 		PEDIATRIC MEDICAL SERVICES OH 501(C)(3) 509(A)(3) TYPE I N/A
 
No
(5) CHILDREN'S HOSPITAL MEDICAL CENTER UNINSURED LOSS FUND #2

PO BOX 1118 ML CN-OH-W10X

CINCINNATI,OH45201
31-6197894 		MALPRACTICE AND LIABILITY TRUST FUND OH 501(C)(3) 509(A)(3) TYPE III N/A
 
No
(6) THE CHILDREN'S HOSPITAL

3333 BURNET AVE

CINCINNATI,OH45229
31-0537130 		SUPPORT CHMC OH 501(C)(3) 509(A)(3) TYPE II N/A
 
No
(7) THE CHILDREN'S HOSPITAL FOUNDATION

3333 BURNET AVE

CINCINNATI,OH45229
31-1327089 		SUPPORT CHMC OH 501(C)(3) 509(A)(1) N/A
 
No
(8) CONVALESCENT HOSPITAL FOR CHILDREN

3333 BURNET AVE

CINCINNATI,OH45229
31-0936303 		PROVIDES PROGRAMMATIC OVERSIGHT OH 501(C)(3) 509(A)(1) N/A
 
No
(9) CONVALESCENT HOSPITAL FOR CHILDREN AND ORPHAN ASYLUM

3333 BURNET AVE

CINCINNATI,OH45229
31-0536649 		SUPPORT CHMC AND CHC OH 501(C)(3) 509(A)(3) TYPE II N/A
 
No
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) NORTHERN KENTUCKY CHILDREN'S MEDICAL SERVICES LLC

3333 BURNET AVE
CINCINNATI,OH45229
26-0084305 		MEDICAL SERVICES KY  
RELATED 664,702 163,242   No   Yes    
(2) NORTH FAIRMOUNT HEALTHCARE COMPANY LTD

222 PIEDMONT AVE STE 1200
CINCINNATI,OH45219
31-1484848 		MEDICAL SERVICES OH THE HEALTH ALLIANCE OF GREATER CINCINNATI
  		RELATED -38,112 446,980   No     No  










Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) RIVER CITY INSURANCE LIMITED
3333 BURNET AVE
CINCINNATI,OH45229
 HEALTHCARE LIABILITY INSURANCE FOR CHMC OH  
C 2,124,906 2,914,208 100.000 %












Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) ADOLESCENT HEALTH CENTER OF GREATER CINCINNATI

 C 35,287 CASH
(2) CHILDREN'S DENTAL CARE FOUNDATION

 C 7,305 CASH
(3) THE CHILDREN'S HOSPITAL

 C 73,923,727 CASH
(4) THE CHILDREN'S HOSPITAL

 Q 10,028,145 CASH
(5) THE CHILDREN'S HOSPITAL

 B 990,837 CASH
(6) CHMC COMMUNITY HEALTH SERVICES NETWORK

 Q 2,408,242 CASH
(7) CHMC COMMUNITY HEALTH SERVICES NETWORK

 R 1,623,500 CASH
(8) CONVALESCENT HOSPITAL FOR CHILDREN AND ORPHAN ASYLUM

 C 1,000,000 CASH
(9) THE CHILDREN'S HOSPITAL FOUNDATION

 C 991,985 CASH
(10) THE CHILDREN'S HOSPITAL FOUNDATION

 Q 6,250,000 CASH
(11) THE CHILDREN'S HOSPITAL FOUNDATION

 D 10,264,269 CASH
(12) CHILDREN'S MEDICAL SERVICES INC

 Q 6,137,593 CASH
(13) CHILDREN'S MEDICAL SERVICES INC

 C 812,444 CASH
(14) CONVALESCENT HOSPITAL FOR CHILDREN

 Q 80,956,048 CASH
(15) CONVALESCENT HOSPITAL FOR CHILDREN

 R 81,446,416 CASH
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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