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
2011
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2011 and ending 12-31-2011
BCheck if applicable:
CName of organization
NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN
 
Doing Business As
NATIONWIDE CHILDREN'S HOSPITAL
 
Number and street (or P.O. box if mail is not delivered to street address)
700 CHILDRENS DRIVE
 
Room/suite
City or town, state or country, and ZIP + 4
COLUMBUS, OH43205
D Employer identification number

01-0782751
E Telephone number

G Gross receipts $ 1,364,379,839
F Name and address of principal officer:
STEVE ALLEN MD
700 CHILDRENS DRIVE
COLUMBUS,OH43205
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.nationwidechildrens.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 MediumBullet4235
K Form of organization:
 
L Year of formation:  
M State of legal domicile: OH
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: NATIONWIDE CHILDREN'S HOSPITAL'S MISSION IS BASED ON THE PREMISE THAT NO CHILD SHOULD BE REFUSED NECESSARY CARE FOR LACK OF ABILITY TO PAY. ITS PRIMARY ACTIVITIES ARE PATIENT CARE, RESEARCH, AND EDUCATION.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a)..... 3 117
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 74
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ... 5 10,047
6 Total number of volunteers (estimate if necessary) .... 6 1,670
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 2,302,008
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 253,652
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 131,363,337 140,223,772
9 Program service revenue (Part VIII, line 2g) ......... 829,088,915 917,850,589
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 46,580,926 29,264,056
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 8,040,719 7,902,507
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,015,073,897 1,095,240,924
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 33,826,781 45,352,110
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) 445,802,470 480,320,774
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 27,300
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet1,871,356    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 412,820,477 413,893,967
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 892,449,728 939,594,151
19 Revenue less expenses. Subtract line 18 from line 12....... 122,624,169 155,646,773
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,781,647,447 1,911,730,173
21 Total liabilities (Part X, line 26)............. 635,181,009 678,094,230
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,146,466,438 1,233,635,943
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 use only
Print/type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name Right pointing arrowhead image

Firm's EIN Right pointing arrowhead image
Firm's address Right pointing arrowhead image



Phone no.
May the IRS discuss this return with the preparer shown above? See instructions .........bullet
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2011)
Form 990 (2011)
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: SEE SCHEDULE O
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 organization’s program service accomplishments for each of its three largest program services, as measured 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 $ 595,746,855 including grants of $ 3,803,435 ) (Revenue $ 912,243,344 )
PATIENT CARE (SEE SCHEDULE O)
4b (Code:   ) (Expenses $ 118,741,083 including grants of $ 39,982,196 ) (Revenue $ 0 )
RESEARCH (SEE SCHEDULE O)
4c (Code:   ) (Expenses $ 25,074,195 including grants of $ 639,902 ) (Revenue $ 782,743 )
EDUCATION (SEE SCHEDULE O)
4d Other program services (Describe in Schedule O.)
(Expenses $ 1,461,760 including grants of $ 926,577 ) (Revenue $ 0 )
4e Total program service expensesMediumBullet$ 741,023,893
Form 990 (2011)
Form 990 (2011)
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 IIIClick to see attachment........................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which 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 temporarily restricted endowments, permanent endowments, 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
 
No
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
 
No
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
Yes
 
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
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States or aggregate foreign investments valued at $100,000 or more? 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
 
No
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
Yes
 
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statement to this return? Note. All Form 990 filers that operated one or more hospitals must attach audited financial statements. Click to see list of attachments
20b
Yes
 
Form 990 (2011)
Form 990 (2011)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization 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
Yes
 
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 employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? 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
Yes
 
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...........................
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
 
No
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
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, 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
35b
Yes
 
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 (2011)
Form 990 (2011)
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
627
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
Yes
 
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
10,047
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: MediumBulletCJ
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 (2011)
Form 990 (2011)
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
If the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
1a
117
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
74
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
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? .................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ............
7b
Yes
 
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
Did the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? ....
10b
Yes
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done ....................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did 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 15a or 15b, 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,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take 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
KY , OH
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 made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
CHRISTINA MCMANUS
700 CHILDRENS DRIVE
COLUMBUS,OH43205
(614) 355-3119
Form 990 (2011)
Form 990 (2011)
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 (do not check more than one box, unless person is both an officer and a director/trustee) 		(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) ABIGAIL S WEXNER
CHAIR / DIRECTOR - NCH
 3.0 X   X       0 0 0
(2) ALEX FISCHER
VICE CHAIR / DIRECTOR - NCH
 3.0 X   X       0 0 0
(3) DAVID M ARONOWITZ
VICE CHAIR / DIRECTOR - NCH
 3.0 X   X       0 0 0
(4) HONORABLE ALGERNON L MARBLEY
SECRETARY / DIRECTOR - NCH
 3.0 X   X       0 0 0
(5) LAWRENCE A HILSHEIMER
TREASURER / DIRECTOR - NCH
 3.0 X   X       0 0 0
(6) THEODORE L ADAMS
DIRECTOR - NCH
 3.0 X           0 0 0
(7) GEORGE BARRETT
DIRECTOR - NCH
 3.0 X           0 0 0
(8) JOSEPH A CHLAPATY
DIRECTOR - NCH
 3.0 X           0 0 0
(9) BRIAN COLEY MD
DIRECTOR - NCH (THRU 7/29/11)
 47.0 X           368,389 0 59,289
(10) PAMELA T FARBER
DIRECTOR - NCH
 3.0 X           0 0 0
(11) MICHAEL J FIORILE
DIRECTOR - NCH
 3.0 X           0 0 0
(12) JOHN B GERLACH
DIRECTOR - NCH
 3.0 X           0 0 0
(13) W G JURGENSEN
DIRECTOR - NCH
 3.0 X           0 0 0
(14) C ROBERT KIDDER
DIRECTOR - NCH
 3.0 X           0 0 0
(15) CHARLIE LOCKWOOD MD
DIRECTOR - NCH
 3.0 X           0 0 0
(16) CATHERINE LUCEY MD
DIRECTOR - NCH
 3.0 X           0 0 0
(17) DONALD P MCCONNELL
DIRECTOR - NCH
 3.0 X           0 0 0
Form 990 (2011)
Form 990 (2011)
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 (do not check more than one box, unless person is both an officer and a director/trustee) 		(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) CRAIG O MORRISON
DIRECTOR - NCH
 3.0 X           0 0 0
(19) STEVE RASMUSSEN
DIRECTOR - NCH
 3.0 X           0 0 0
(20) DARRYL A ROBBINS DO
DIRECTOR - NCH
 3.0 X           0 0 0
(21) STEVEN TEICH MD
DIRECTOR - NCH
 47.0 X           561,603 0 54,215
(22) BARBARA TRUEMAN
DIRECTOR - NCH
 3.0 X           0 0 0
(23) SHAREN JESTER TURNEY
DIRECTOR - NCH
 3.0 X           0 0 0
(24) R BLANE WALTER
DIRECTOR - NCH
 3.0 X           0 0 0
(25) ANN I WOLFE
DIRECTOR - NCH
 3.0 X           0 0 0
(26) CHERYL W LUCKS
DIRECTOR - NCH
 3.0 X           0 0 0
(27) WEBB I VORYS
DIRECTOR - NCH
 3.0 X           0 0 0
(28) PHYLLIS HAMMOND-INNES MD
DIRECTOR - NCH
 47.0 X           0 0 0
(29) STEVE ALLEN MD
DIRECTOR / CEO - NCH
 47.0 X   X       1,191,511 0 54,215
(30) RICHARD MILLER
CHAIR/DIRECTOR - NCH HOMECARE
 50.0 X   X       0 0 0
(31) TIMOTHY C ROBINSON
TREAS/DIRECTOR - NCH HOMECARE
 47.0 X   X       0 0 0
(32) LINDA STOVEROCK RN
SEC/DIRECTOR - NCH HOMECARE
 50.0 X   X       0 0 0
(33) BRUCE MEYER MD
MEDICAL DIR - NCH HOMECARE
 30.0 X           0 0 0
(34) JANINE WINTERS
MEDICAL DIR - NCH HOMECARE
 3.0 X           0 173,700 19,588
(35) WILLIAM SHIELS II MD
PRESIDENT / DIRECTOR - CRI
 50.0 X   X       669,878 0 49,215
(36) DENNIS MINZLER
TREASURER / DIRECTOR - CRI
 50.0 X   X       122,165 0 22,623
(37) RHONDA COMER
SECRETARY / DIRECTOR - CRI
 47.0 X   X       0 0 0
(38) CHARLES DEROUSIE
DIRECTOR - CRI
 3.0 X           0 0 0
(39) ROBIN E OSBORN DO
DIRECTOR - CRI
 3.0 X           0 0 0
(40) DOUGLAS FELLOWS MD
DIRECTOR - CRI
 3.0 X           0 0 0
(41) PHYLLIS HAMMOND-INNES MD
PRESIDENT / DIRECTOR - PPAC
 47.0 X   X       445,196 0 50,215
(42) TIMOTHY C ROBINSON
TREASURER / DIRECTOR - PPAC
 47.0 X   X       0 0 0
(43) PAMELA EDSON
SECRETARY / DIRECTOR - PPAC
 50.0 X   X       0 0 0
(44) RICHARD MILLER
DIRECTOR - PPAC
 50.0 X           0 0 0
(45) STEVE ALLEN MD
DIRECTOR - PPAC
 47.0 X           0 0 0
(46) STEVE ALLEN MD
PRESIDENT / DIRECTOR - CSA
 47.0 X   X       0 0 0
(47) TIMOTHY C ROBINSON
TREASURER / DIRECTOR - CSA
 47.0 X   X       0 0 0
(48) PAMELA EDSON
SECRETARY / DIRECTOR - CSA
 50.0 X   X       0 0 0
(49) RICHARD MILLER
DIRECTOR - CSA
 50.0 X           0 0 0
(50) LARRY MOSS MD
DIRECTOR - CSA
 50.0 X           575,843 0 249,215
(51) CHERYL W LUCKS
CHAIR/DIRECTOR -NCH FNDTN
 3.0 X   X       0 0 0
(52) ANDREW W LIVINGSTON
SEC / DIRECTOR - NCH FNDTN
 3.0 X   X       0 0 0
(53) JENNIFER S BELFORD
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(54) JEFFREY R BRASHARES
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(55) THOMAS N BRIGDON
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(56) ANN S DESHE
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(57) ROBERT M EVERSOLE
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(58) RHONDA B FRAAS
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(59) MICHAEL GONSIOROWSKI
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(60) ALEXIS A JACOBS
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(61) CHAD A JESTER
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(62) R ANDREW JOHNSON
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(63) JONATHAN KASS
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(64) DAVID T KOLLAT
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(65) EDWARD J KOSNIK MD
DIRECTOR - NCH FOUNDATION
 50.0 X           156,569 0 28,183
(66) THOMAS D LENNOX
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(67) KATHERINE WOLFE LLOYD
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(68) BARBARA B MATTA
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(69) MAE L MCCORKLE
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(70) MARK E MCCULLERS
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(71) DOUGLAS S MORGAN
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(72) PHILLIP D NICK
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(73) TOM SHOUPE
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(74) RICK SCHOSTEK
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(75) ANGELA L PACE
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(76) ROBERT H SCHOTTENSTEIN
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(77) EDWARD SHEPHERD MD
DIRECTOR - NCH FOUNDATION
 3.0 X           0 223,622 32,608
(78) RACHEL LONGABERGER STUKEY
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(79) DENISE STUMP
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(80) JEFFREY T WILSON
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(81) SARAH W ZIEGLER
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(82) CYNTHIA RASMUSSEN
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(83) STEVE ALLEN MD
DIRECTOR - NCH FOUNDATION
 47.0 X           0 0 0
(84) WILLIAM H COTTON MD
DIRECTOR - NCH FOUNDATION
 3.0 X           0 210,963 58,473
(85) JON FITZGERALD
DIR/PRES -NCH FDN (TO 7/31/11)
 50.0 X   X       404,678 0 29,218
(86) TIMOTHY C ROBINSON
DIR / PRES / TREAS - NCH FDN
 47.0 X   X       0 0 0
(87) PAULA FERGUSON
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(88) HOPE HARRISON
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(89) BOB WHITE
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(90) ABIGAIL S WEXNER
DIRECTOR - NCH FOUNDATION
 3.0 X           0 0 0
(91) DONALD P MCCONNELL
CHAIR / DIRECTOR - RINCH
 3.0 X   X       0 0 0
(92) ROBERT L JORDAN
VICE CHAIR / DIRECTOR - RINCH
 3.0 X   X       0 0 0
(93) PHILLIP H BARRETT
SECRETARY / DIRECTOR - RINCH
 3.0 X   X       0 0 0
(94) TIMOTHY C ROBINSON
TREASURER / DIRECTOR - RINCH
 47.0 X   X       0 0 0
(95) DAVID E CHESEBROUGH
DIRECTOR - RINCH
 3.0 X           0 0 0
(96) GARY L FLYNN
DIRECTOR - RINCH
 3.0 X           0 0 0
(97) S THEODORE FORD
DIRECTOR - RINCH
 3.0 X           0 0 0
(98) KENT JOHNSON PHD
DIRECTOR - RINCH
 3.0 X           0 0 0
(99) BARBARA L KUNZ
DIRECTOR - RINCH
 3.0 X           0 0 0
(100) RICHARD S LANGDALE
DIRECTOR - RINCH
 3.0 X           0 0 0
(101) LEE L SZYKOWNY MD
DIRECTOR - RINCH
 3.0 X           0 0 0
(102) WEBB I VORYS
DIRECTOR - RINCH
 3.0 X           0 0 0
(103) CAROLINE C WHITACRE PHD
DIRECTOR - RINCH
 3.0 X           0 0 0
(104) STEVE ALLEN MD
DIRECTOR - RINCH
 47.0 X           0 0 0
(105) JOHN A BARNARD
DIRECTOR / PRESIDENT - RINCH
 26.0 X   X       270,179 245,498 68,959
(106) ABIGAIL S WEXNER
DIRECTOR - RINCH
 3.0 X           0 0 0
(107) ABIGAIL S WEXNER
CHAIR / DIRECTOR - CCFA
 3.0 X   X       0 0 0
(108) KATHERINE WOLFE LLOYD
VICE CHAIR / DIRECTOR - CCFA
 3.0 X   X       0 0 0
(109) JANET E JACKSON
SECRETARY / DIRECTOR - CCFA
 3.0 X   X       0 0 0
(110) STEVE ALLEN MD
DIRECTOR - CCFA
 47.0 X           0 0 0
(111) DAVID M ARONOWITZ
DIRECTOR - CCFA
 3.0 X           0 0 0
(112) PETER WC BARNHART
DIRECTOR - CCFA
 3.0 X           0 0 0
(113) JOHN T CLARK
DIRECTOR - CCFA
 50.0 X           0 0 0
(114) BROOKE F O'NEILL
DIRECTOR - CCFA
 3.0 X           0 0 0
(115) ELLEN J TRESSEL
DIRECTOR - CCFA
 3.0 X           0 0 0
(116) AUDREY G TUCKERMAN
DIRECTOR - CCFA
 3.0 X           0 0 0
(117) DOUGLAS L WILLIAMS
DIRECTOR - CCFA
 3.0 X           0 0 0
(118) TIMOTHY C ROBINSON
TREASURER / SR VP / CFO - NCH
 47.0     X       660,032 0 51,715
(119) RICHARD MILLER
COO - NCH
 50.0     X       643,648 0 57,215
(120) LINDA STOVEROCK RN
SR VP / CNO - NCH
 50.0     X       363,984 0 48,986
(121) WANDA STACKPOLE
VP/EXEC DIRECTOR -NCH HOMECARE
 50.0     X       156,959 0 20,599
(122) KAREN DAYS
PRESIDENT - CCFA
 50.0     X       223,902 0 37,744
(123) RHONDA COMER
SECRETARY - NCH FOUNDATION
 47.0     X       0 0 0
(124) RHONDA COMER
SECRETARY - RINCH
 47.0     X       0 0 0
(125) RHONDA COMER
SECRETARY/SR VP/LEGAL SVC -NCH
 47.0     X       363,600 0 49,385
(126) JOHN T CLARK
SR VP / AMBULATORY SVCS - NCH
 50.0       X     242,090 0 20,602
(127) PAMELA EDSON
VICE PRESIDENT - NCH
 50.0       X     185,611 0 30,208
(128) PATRICIA MCCLIMON
SR VP / PLAN & DEV'T - NCH
 50.0       X     298,015 0 43,688
(129) MICHAEL BRADY MD
PHYSICIAN IN CHIEF - NCH
 22.0       X     173,288 230,534 50,187
(130) RICHARD BRILLI MD
CHIEF MEDICAL OFFICER - NCH
 40.0       X     435,971 95,718 85,733
(131) BRUCE MEYER MD
ADMIN MEDICAL DIRECTOR - NCH
 30.0       X     179,713 0 27,729
(132) DENISE ZABAWSKI
VP / CIO - NCH
 50.0       X     293,850 0 29,495
(133) JOSE BALDERAMA
VP/ HR - NCH
 50.0       X     241,560 0 33,838
(134) KATHERINE MILEM
VICE PRESIDENT - RINCH
 50.0       X     166,377 0 34,889
(135) MARK GALANTOWICZ MD
CHIEF OF CT SURGERY - CSA
 50.0         X   1,869,641 0 49,637
(136) KEVIN KLINGELE MD
ORTHOPEDIC SURGEON - CSA
 50.0         X   1,126,158 0 49,637
(137) LISA MARTIN MD
RADIOLOGIST - CRI
 50.0         X   960,572 0 59,254
(138) COREY RAFFEL MD
NEUROSURGEON -CSA (TO 12/2/11)
 50.0         X   903,832 0 131,890
(139) JAMES MURAKAMI MD
RADIOLOGIST - CRI
 50.0         X   861,000 0 54,549
(140) J TERRANCE DAVIS MD
FORMER INTERIM CMO - NCH
 50.0           X 272,376 0 38,716
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 15,388,190 1,180,035 1,781,712
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet356
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. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
OHIOHEALTH
180 E BROAD ST 33 FL
COLUMBUS,OH43215 		MEDICAL SERVICES 21,317,229
OHIO STATE UNIVERSITY
410 WEST 10TH AVENUE
COLUMBUS,OH43210 		MEDICAL SERVICES 15,046,189
TURNER CONSTRUCTION COMPANY
623 MOOBERRY STREET
COLUMBUS,OH43205 		CONSTRUCTION MGMT 12,110,521
MT CARMEL HEALTH
6150 E BROAD ST
COLUMBUS,OH43213 		MEDICAL SERVICES 5,243,999
EPIC SYSTEMS CORPORATION
BOX 88314
MILWAUKEE,WI53288 		MEDICAL SERVICES 2,997,445
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet185
Form 990 (2011)
Form 990 (2011)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a 275,209
b Membership dues....1b 10,165
c Fundraising events....1c 1,134,623
d Related organizations...1d 44,717,657
e Government grants (contributions)1e 46,860,690
f All other contributions, gifts, grants, and
similar amounts not included above1f 		47,225,428
g Noncash contributions included in lines 1a-1f:$ 123,061
h Total. Add lines 1a-1f.......MediumBullet 140,223,772
Program Service Revenue Business Code
2a NET PATIENT SERVICE REVENUE 900,099 908,343,256 908,343,256    
b CAFETERIA 722,210 4,394,011     4,394,011
c REFERENCE LAB 621,500 1,568,404   1,568,404  
d PARKING 812,930 1,463,467     1,463,467
e PHYSICIAN SERVICES REVENUE 900,099 295,330 295,330    
f All other program service revenue . 1,786,121 1,094,441 691,680  
g Total. Add lines 2a–2f........MediumBullet 917,850,589
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 16,955,462     16,955,462
4 Income from investment of tax-exempt bond proceeds..MediumBullet 3,235,943     3,235,943
5 Royalties............MediumBullet 566,013     566,013
(i) Real (ii) Personal
6a Gross rents 816,964  
b Less: rental expenses 977,998  
c Rental income or (loss) -161,034  
d Net rental income or (loss).......MediumBullet -161,034     -161,034
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 276,542,539 220,051
b Less: cost or other basis and sales expenses 267,607,928 82,011
c Gain or (loss) 8,934,611 138,040
d Net gain or (loss)..........MediumBullet 9,072,651     9,072,651
8a Gross income from fundraising events (not including
$ 1,134,623
of contributions reported on line 1c). See Part IV, line 18 ...
a 201,462
b Less: direct expenses ...b 458,676
c Net income or (loss) from fundraising events..MediumBullet -257,214   -257,214
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 23,200
b Less: direct expenses ...b 12,302
c Net income or (loss) from gaming activities...MediumBullet 10,898     10,898
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 0      
Miscellaneous Revenue Business Code
11a BILLING SERVICES TO AFFILIATE 541,200 3,293,060 3,293,060    
b CHILD CARE CENTER 624,410 1,429,445     1,429,445
c GIFT SHOP 453,220 1,283,443     1,283,443
d All other revenue .... 1,737,896   41,924 1,695,972
e Total. Add lines 11a–11d ......MediumBullet 7,743,844
12 Total revenue. See Instructions....MediumBullet 1,095,240,924 913,026,087 2,302,008 39,689,057
Form 990 (2011)
Form 990 (2011)
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).
Check if Schedule O contains a response to any question in this Part IX. .........
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 United States. See Part IV, line 21 45,162,811 45,162,811
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 189,299 189,299
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 10,582,853 4,143,521 6,363,235 76,097
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 612,643 354,061 112,986 145,596
7 Other salaries and wages 372,938,456 299,290,926 72,742,387 905,143
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 18,955,161 14,935,140 4,020,021  
9 Other employee benefits ....... 51,368,230 41,038,791 10,076,519 252,920
10 Payroll taxes ........... 25,863,431 20,166,854 5,696,577  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 1,833,855 30,821 1,803,034  
c Accounting ........... 472,122   472,122  
d Lobbying ........... 397,480   397,480  
e Professional fundraising. See Part IV, line 17.. 27,300 27,300
f Investment management fees ...... 0      
g Other .......... 122,545,847 101,588,801 20,896,346 60,700
12 Advertising and promotion .... 3,497,110 176,341 3,025,674 295,095
13 Office expenses ....... 32,127,380 19,357,935 12,747,074 22,371
14 Information technology ...... 13,622,609 6,205,926 7,416,683  
15 Royalties .. 294,382 294,382    
16 Occupancy ........... 47,300,961 37,156,540 10,144,421  
17 Travel ............ 4,602,731 3,560,748 1,021,731 20,252
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 881,733 473,342 407,428 963
20 Interest ........... 19,039,202   19,039,202  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 46,911,689 42,296,998 4,614,691  
23 Insurance .............. 8,221,177 7,203,248 1,017,929  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a Medical Supplies 52,618,105 52,618,105    
b Drugs 38,649,558 38,649,558    
c Hospital Franchise Fees 7,041,881   7,041,881  
d TEXTILES & PAPER GOODS 2,608,986 1,406,328 1,202,658  
e
f All other expenses 11,227,159 4,723,417 6,438,823 64,919
25 Total functional expenses. Add lines 1 through 24f 939,594,151 741,023,893 196,698,902 1,871,356
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2011)
Form 990 (2011)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 43,368,970 1 50,233,711
2 Savings and temporary cash investments ....... 3,558,956 2 329,971
3 Pledges and grants receivable, net ......... 44,853,430 3 46,546,905
4 Accounts receivable, net ......... 125,676,666 4 136,148,407
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L .......... 0 5 0
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 .......... 0 6 0
7 Notes and loans receivable, net ............. 0 7 0
8 Inventories for sale or use .............. 5,771,886 8 5,467,385
9 Prepaid expenses and deferred charges ............ 8,950,735 9 10,295,172
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,249,258,448
b Less: accumulated depreciation. ..... 10b 315,040,967 755,001,599 10c 934,217,481
11 Investments—publicly traded securities .......... 724,218,639 11 672,694,367
12 Investments—other securities. See Part IV, line 11 ...... 0 12 0
13 Investments—program-related. See Part IV, line 11 .. 0 13 0
14 Intangible assets ......... 9,751,795 14 9,210,883
15 Other assets. See Part IV, line 11 ........... 60,494,771 15 46,585,891
16 Total assets. Add lines 1 through 15 (must equal line 34)... 1,781,647,447 16 1,911,730,173
Liabilities 17 Accounts payable and accrued expenses . 89,827,468 17 109,064,425
18 Grants payable .......... 0 18 0
19 Deferred revenue .......... 6,966,912 19 12,443,301
20 Tax-exempt bond liabilities .......... 442,810,001 20 434,935,000
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D..... 95,576,628 25 121,651,504
26 Total liabilities. Add lines 17 through 25..... 635,181,009 26 678,094,230
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 ..... 969,057,493 27 1,059,672,103
28 Temporarily restricted net assets ..... 99,366,373 28 87,172,424
29 Permanently restricted net assets ..... 78,042,572 29 86,791,416
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 ..... 1,146,466,438 33 1,233,635,943
34 Total liabilities and net assets/fund balances ..... 1,781,647,447 34 1,911,730,173
Form 990 (2011)
Form 990 (2011)
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
1,095,240,924
2
Total expenses (must equal Part IX, column (A), line 25) ....
2
939,594,151
3
Revenue less expenses. Subtract line 2 from line 1 ...
3
155,646,773
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
1,146,466,438
5
Other changes in net assets or fund balances (explain in Schedule O) ...
5
-68,477,268
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
1,233,635,943
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 (2011)
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
2011
Open to Public
Inspection
Name of the organization
NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN
 
Employer identification number

01-0782751
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (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) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 307,260 301,337 361,829 339,988 256,353 1,566,767
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...... 39,983,492 44,497,898 52,913,009 55,615,411 57,301,115 250,310,925
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. 40,290,752 44,799,235 53,274,838 55,955,399 57,557,468 251,877,692
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.)           251,877,692
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
9 Amounts from line 6... 40,290,752 44,799,235 53,274,838 55,955,399 57,557,468 251,877,692
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 501,728 203,327 56,928 71,241 60,525 893,749
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. 33,188 20,185 26,638 21,194 16,847 118,052
c Add lines 10a and 10b. 534,916 223,512 83,566 92,435 77,372 1,011,801
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.). 40,825,668 45,022,747 53,358,404 56,047,834 57,634,840 252,889,493
14
Section C. Computation of Public Support Percentage
15
15
99.600 %
16
16
99.449 %
Section D. Computation of Investment Income Percentage
17
17
0.400 %
18
18
0.551 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
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
NATIONWIDE CHILDREN'S HOSPITAL (NCH) EIN 31-4379441 PUBLIC CHARITY STATUS: 509(a)(1) & 170(b)(1)(A)(iii) NATIONWIDE CHILDREN'S HOSPITAL HOMECARE (NCH HOMECARE) EIN 31-1296332 PUBLIC CHARITY STATUS: 509(a)(2) CHILDREN'S RADIOLOGICAL INSTITUTE (CRI) EIN 31-1439570 PUBLIC CHARITY STATUS: 509(a)(2) PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS (PPAC) EIN 31-1595013 PUBLIC CHARITY STATUS: 509(a)(2) CHILDREN'S SURGICAL ASSOCIATES (CSA) EIN 31-1654000 PUBLIC CHARITY STATUS: 509(a)(2) NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION (NCHF) EIN 31-1036370 PUBLIC CHARITY STATUS: 509(a)(1) & 170(b)(1)(A)(vi) RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL (RINCH) EIN 31-6056230 PUBLIC CHARITY STATUS: 509(a)(1) & 170(b)(1)(A)(iii) CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSP (CCFA) EIN 02-0627166 PUBLIC CHARITY STATUS: 509(a)(1) & 170(b)(1)(A)(vi) NOTE: THE SUPPORT TEST IN PART III IS FOR THOSE SUBORDINATES THAT ARE 509(a)(2) STATUS. THE 2011 PUBLIC SUPPORT PERCENTAGE FOR THE 509(a)(1) SUBORDINATES THAT WOULD COMPLETE PART II IS 42.6%.
 
 
 
Schedule A (Form 990 or 990-EZ) 2011

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
2011
Name of organization
NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN
 
Employer identification number

01-0782751
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 on line H of its
Form 990-EZ or on Part I, 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) (2011)

Page 2
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN
  		Employer identification number

01-0782751
Part I
Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total 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)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




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

     
 
   

$  




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

     
 
   

$  




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

     
 
   

$  




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

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN
  		Employer identification number

01-0782751
Part II
Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
     
(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) (2011)

Page 4
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN
  		Employer identification number

01-0782751
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total 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 $  
Use duplicate copies of Part III if additional space is needed
(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) (2011)

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
2011
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, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN
 
Employer identification number

01-0782751
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 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 function 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) 2011

Schedule C (Form 990 or 990-EZ) 2011
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 expenses, and share of excess lobbying expenditures).
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) ...... 3,371 3,371
b Total lobbying expenditures to influence a legislative body (direct lobbying) ....... 899,933 899,933
c Total lobbying expenditures (add lines 1a and 1b) ................... 903,304 903,304
d Other exempt purpose expenditures ........................ 741,991,945 742,016,945
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 742,895,249 742,920,249
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		 1,000,000 1,000,000
  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) ................. 250,000 250,000
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) 2008 (b) 2009 (c) 2010 (d) 2011 (e) Total
             
2a Lobbying non-taxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		        6,000,000
             
c Total lobbying expenditures 690,146 741,124 865,322 899,933 3,196,525
             
d Grassroots nontaxable amount 250,000 250,000 250,000 250,000 1,000,000
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		         1,500,000
             
f Grassroots lobbying expenditures 2,313 4,018 4,259 3,371 13,961
Schedule C (Form 990 or 990-EZ) 2011


Schedule C (Form 990 or 990-EZ) 2011
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)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(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? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? ..........................
 
 
 
j
Total. Add lines 1c through 1i ...............................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
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 carry over 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) and if either (a) BOTH Part III-A, lines 1 and 2 are answered “No” OR (b) Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible 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, Part II-A; line 5; and Part ll-B, line 1.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
AFFILIATED ORGANIZATIONS SCHEDULE C, PART II-A NATIONWIDE CHILDREN'S HOSPITAL ADDRESS FOR PARENT AND ALL AFFILIATES IS: 700 CHILDREN'S DRIVE, COLUMBUS, OHIO 43205 ALL ENTITIES LISTED BELOW HAVE A LOBBYING ELECTION FOR THE CURRENT YEAR. 1. NATIONWIDE CHILDREN'S HOSPITAL EIN #31-4379441 GRASSROOTS EXPENDITURES: 3,371 DIRECT LOBBYING EXPENDITURES: 899,933 TOTAL LOBBYING EXPENDITURES: 903,304 OTHER EXEMPT EXPENDITURES: 598,351,263 TOTAL EXEMPT PURPOSE EXPENDITURES: 599,254,567 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE 2. NATIONWIDE CHILDREN'S HOSPITAL HOMECARE EIN# 31-1296332 GRASSROOTS EXPENDITURES: NONE DIRECT LOBBYING EXPENDITURES: NONE TOTAL LOBBYING EXPENDITURES: NONE OTHER EXEMPT EXPENDITURES: 16,963,131 TOTAL EXEMPT PURPOSE EXPENDITURES: 16,963,131 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE 3. CHILDREN'S RADIOLOGICAL INSTITUTE EIN# 31-1439570 GRASSROOTS EXPENDITURES: NONE DIRECT LOBBYING EXPENDITURES: NONE TOTAL LOBBYING EXPENDITURES: NONE OTHER EXEMPT EXPENDITURES: 10,341,133 TOTAL EXEMPT PURPOSE EXPENDITURES: 10,341,133 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE 4. PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS EIN # 31-1595013 GRASSROOTS EXPENDITURES: NONE DIRECT LOBBYING EXPENDITURES: NONE TOTAL LOBBYING EXPENDITURES: NONE OTHER EXEMPT EXPENDITURES: 4,091,557 TOTAL EXEMPT PURPOSE EXPENDITURES: 4,091,557 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE 5. CHILDREN'S SURGICAL ASSOCIATES EIN # 31-1654000 GRASSROOTS EXPENDITURES: NONE DIRECT LOBBYING EXPENDITURES: NONE TOTAL LOBBYING EXPENDITURES: NONE OTHER EXEMPT EXPENDITURES: 23,997,358 TOTAL EXEMPT PURPOSE EXPENDITURES: 23,997,358 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE 6. NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION EIN # 31-1036370 GRASSROOTS EXPENDITURES: NONE DIRECT LOBBYING EXPENDITURES: NONE TOTAL LOBBYING EXPENDITURES: NONE OTHER EXEMPT EXPENDITURES: 8,953,434 TOTAL EXEMPT PURPOSE EXPENDITURES: 8,953,434 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE 7. RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL EIN # 31-6056230 GRASSROOTS EXPENDITURES: NONE DIRECT LOBBYING EXPENDITURES: NONE TOTAL LOBBYING EXPENDITURES: NONE OTHER EXEMPT EXPENDITURES: 78,758,887 TOTAL EXEMPT PURPOSE EXPENDITURES: 78,758,887 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE 8. CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL EIN # 02-0627166 GRASSROOTS EXPENDITURES: NONE DIRECT LOBBYING EXPENDITURES: NONE TOTAL LOBBYING EXPENDITURES: NONE OTHER EXEMPT EXPENDITURES: 535,182 TOTAL EXEMPT PURPOSE EXPENDITURES: 535,182 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE TOTALS - AFFILIATES: GRASSROOTS EXPENDITURES: 3,371 DIRECT LOBBYING EXPENDITURES: 899,933 TOTAL LOBBYING EXPENDITURES: 903,304 OTHER EXEMPT EXPENDITURES: 741,991,945 TOTAL EXEMPT PURPOSE EXPENDITURES: 742,895,249 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE 9. NATIONWIDE CHILDREN'S HOSPITAL, INC. (PARENT) EIN# 31-1036372 GRASSROOTS EXPENDITURES: NONE DIRECT LOBBYING EXPENDITURES: NONE TOTAL LOBBYING EXPENDITURES: NONE OTHER EXEMPT EXPENDITURES: 25,000 TOTAL EXEMPT PURPOSE EXPENDITURES: 25,000 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE TOTALS FOR PARENT AND AFFILIATES: GRASSROOTS EXPENDITURES: 3,371 DIRECT LOBBYING EXPENDITURES: 899,933 TOTAL LOBBYING EXPENDITURES: 903,304 OTHER EXEMPT EXPENDITURES: 742,016,945 TOTAL EXEMPT PURPOSE EXPENDITURES: 742,920,249 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE
Schedule C (Form 990 or 990EZ) 2011

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, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN
 
Employer identification number

01-0782751
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 can 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 through 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, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax 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 (ASC 958), 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 (ASC 958), 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 (ASC 958), 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) 2011

Schedule D (Form 990) 2011
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 .... 106,171,828 98,558,101 87,058,620 78,211,065
b Contributions ........ 11,033,608 2,799,237 5,063,435 12,935,961
c Net investment earnings, gains, and losses ... 401,301 6,936,217 7,811,745 -2,366,604
d Grants or scholarships .....        
e Other expenditures for facilities
and programs ........ 		2,514,126 2,121,727 1,375,699 1,721,802
f Administrative expenses ....        
g End of year balance ...... 115,092,611 106,171,828 98,558,101 87,058,620
2
Provide the estimated percentage of the year end balance (line 1g) held as:
a
Board designated or quasi-endowment SchDMd Bullet28.000 %
b
Permanent endowment SchDMd Bullet72.000 %
c
Temporarily restricted endowment SchDMd Bullet0 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
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)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   26,915,402 26,915,402
b Buildings ................ 2,773,600 515,768,934 171,614,555 346,927,979
c Leasehold improvements ............   2,018,089 505,018 1,513,071
d Equipment ................   243,240,712 142,921,394 100,319,318
e Other .................   458,541,711 0 458,541,711
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 934,217,481
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
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) must 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) must 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








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Book value
Federal Income Taxes 0
PAYABLE TO AFFILIATE 2,152
MARKET VALUE OF INTEREST RATE SWAP 39,974,988
ACCRUED RETIREMENT BENEFITS 45,194,842
OTHER DONOR RELATED LIABILITIES 1,658,240
ACCRUED PROFESSIONAL LIABILITY 30,553,281
PAYABLE TO THIRD PARTY PAYORS 4,268,001



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 121,651,504
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) 2011

Schedule D (Form 990) 2011
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  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
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  
9 Total adjustments (net). Add lines 4 through 8 ......................... 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
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  
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  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
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  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
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  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
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  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
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
INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS SCHEDULE D, PART V AVAILABLE ENDOWMENT FUNDS ARE USED TO SUPPORT THE NCH MISSION OF PROVIDING THE HIGHEST QUALITY PATIENT CARE, ADVOCACY FOR CHILDREN AND FAMILIES, PEDIATRIC RESEARCH, AND EDUCATION OF PATIENTS, FAMILIES, AND FUTURE HEALTHCARE PROVIDERS.
ASC 740 (FORMERLY FIN 48) FOOTNOTE FROM AUDITED FINANCIAL STATEMENTS SCHEDULE D, PART X, LINE 2 NATIONWIDE CHILDREN'S HOSPITAL RECORDS ANY ACCRUALS FOR UNCERTAIN TAX POSITIONS UNDER ASC 740, INCOME TAXES. NATIONWIDE CHILDREN'S HAD NO ACCRUAL FOR UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2011 AND 2010.
Schedule D (Form 990) 2011

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
2011
Open to Public Inspection
Name of the organization
NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN
 
Employer identification number

01-0782751
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 its grants
and other 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 its grants and other
assistance 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 and the Caribbean     Program Services Self Insurance 1,672,287
Central America and the Caribbean     Program Services Recruiting 400
East Asia and the Pacific     Program Services Research Collaboration 404,642
East Asia and the Pacific     Program Services Healthcare Services 1,186
Europe (Including Iceland and Greenland)     Program Services Healthcare Services 12,263
Europe (Including Iceland and Greenland)     Program Services Research Collaboration 118,999
Europe (Including Iceland and Greenland)     Program Services Recruiting 1,511
Europe (Including Iceland and Greenland)     Program Services Honorariums 520
North America     Program Services Healthcare Services 12,048
North America     Program Services Recruiting 440
North America     Program Services Research Collaboration 233,189
North America     Program Services Honorariums 3,850
South Asia     Program Services Recruiting 492
Central America and the Caribbean     Investments   130,000
           
           
           
3a Sub-total .....     2,591,827
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     2,591,827
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2011
Schedule F (Form 990) 2011
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)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
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
 
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2011
Schedule F (Form 990) 2011Page 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) 2011
Schedule F (Form 990) 2011
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) 2011
Schedule F (Form 990) 2011
Page 5
Part V
Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2011
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 arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN
 
Employer identification number

01-0782751
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
A G DICKSON SOMERVILLE MA 02145
8 CHARLES E RYAN RD STE 2
 
SOMERVILLE, MA02145 		PHONE CALLING   No 62,711 27,300 35,411
Total .................right arrow 62,711 27,300 35,411
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
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2011
Schedule G (Form 990 or 990-EZ) 2011
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

LUNCH
(event type) 		(b) Event #2

CONCERT
(event type) 		(c) Other Events

8
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 368,300 214,664 753,121 1,336,085
2 Less: Charitable
contributions . . . 		349,700 183,874 601,049 1,134,623
3 Gross income (line 1
minus line 2) . . . 		18,600 30,790 152,072 201,462
VerticalDirectExpenses 4 Cash prizes . . .        
5 Non-cash prizes . .     560 560
6 Rent/facility costs . . 14,176 19,939 60,298 94,413
7 Food and beverages . . 23,313 22,883 68,634 114,830
8 Entertainment . . . 15,000 80,250 36,571 131,821
9 Other direct expenses . 36,134 4,227 76,691 117,052
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 458,676
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow -257,214
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 . . . .     23,200 23,200
VerticalDirectExpenses 2 Cash prizes . . . .     9,505 9,505
3 Non-cash prizes . . .     2,797 2,797
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
100.000 %
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow 12,302
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow 10,898
9
Enter the state(s) in which the organization operates gaming activities: OH
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) 2011
Schedule G (Form 990 or 990-EZ) 2011
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
0 %
b
An outside facility ........................
13b
100.000 %
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
KEVIN WELCH
Address right arrow
700 CHILDRENS DRIVE
COLUMBUS,OH43205
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
NA
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, PART III, LINE 8 NET GAMING INCOME SUMMARY THE NET PROCEEDS EARNED FROM GAMING ACTIVITIES ARE USED TO FURTHER NATIONWIDE CHILDREN'S HOSPITAL'S EXEMPT ACTIVITIES.
Schedule G (Form 990 or 990-EZ) 2011
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
2011
Open to Public Inspection
Name of the organization
NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN
 
Employer identification number

01-0782751
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the
following was the family income limit for eligibility for discounted care: ............
3b
Yes
 
c
If the organization did 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 used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?......
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care?...............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year?...........
6a
 
No
b
If "Yes," did the organization make it available to the public? ...............
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance
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 Financial Assistance at cost
(from Worksheet 1) .. 		    8,404,821 1,404,153 7,000,668 0.830 %
b Medicaid (from Worksheet 3, column a) .....     361,131,855 338,844,482 22,287,373 2.640 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .     1,747,865 1,747,865 0 0 %
dTotal Financial Assistance and
Means-Tested Government Programs ..... 		    371,284,541 341,996,500 29,288,041 3.470 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		    3,410,827 1,167,248 2,243,579 0.290 %
f Health professions education
(from Worksheet 5) .. 		    30,382,499 2,798,850 27,583,649 3.540 %
g Subsidized health services
(from Worksheet 6) .. 		    3,253,740 2,778,478 475,262 0.060 %
h Research (from Worksheet 7)     36,762,594 0 36,762,594 4.710 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) ....     416,770 0 416,770 0.050 %
jTotal Other Benefits ...     74,226,430 6,744,576 67,481,854 8.650 %
kTotal. Add lines 7d and 7j. ..     445,510,971 348,741,076 96,769,895 12.120 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(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     1,829,230   1,829,230 0.260 %
2 Economic development            
3 Community support     434,894 163,656 271,238 0.040 %
4 Environmental improvements     176,881   176,881 0.030 %
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development     214,230   214,230 0.030 %
9 Other     11,491   11,491  
10 Total     2,666,726 163,656 2,503,070 0.360 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense........
2
28,439,393
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy .....
3
0
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
4,180,346
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
6,721,424
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-2,541,078
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
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures
(see instructions)
(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 %
1NONE
  		       
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 NATIONWIDE CHILDREN'S HOSP (MAIN CAMPUS)
700 CHILDRENS DRIVE
COLUMBUS,OH43205 		X X X X   X X X NEONATAL INTENSIVE CARE UNIT
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
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)
NATIONWIDE CHILDREN'S HOSP (MAIN CAMPUS)
Name of Hospital Facility:  
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 2011)
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 the community health 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 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 Participation in the development of a community-wide community benefit plan
d Participation in the execution of a 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 Needs Assessment
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 and 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 Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 9 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care?................. 10 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
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 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted 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 (FAP) that explained actions the hospital facility may take upon non-payment?....... 14 Yes  
15 Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
16 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 16   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
17 Indicate which efforts the hospital facility made before initiating any of the actions checked in line 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 patients were eligible for financial assistance under the hospital facility’s financial assistance policy
e Other (describe in Part VI)
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
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 Yes  
If “No,” indicate why:
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility’s policy was not in writing
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)
Individuals Eligible for Financial Assistance
19 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
b The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
c The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
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   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?............................... 21   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?21
Name and address Type of Facility (describe)
1 HOMECARE AND HOSPICE
255 EAST MAIN STREET
COLUMBUS,OH43215 		HOMECARE
2 CENTER FOR CHILD AND FAMILY ADVOCACY
655 EAST LIVINGSTON AVENUE
COLUMBUS,OH43205 		ADVOCACY
3 SPRINGFIELD CHILDLAB
2624 LEXINGTON AVENUE
SPRINGFIELD,OH45505 		LAB
4 NEWARK CLOSE TO HOME CENTER
75 SOUTH TERRACE AVENUE
NEWARK,OH43055 		MEDICAL OFFICES
5 ZANESVILLE OUTPATIENT CARDIOLOGY SVCS
716 ADAIR AVENUE
ZANESVILLE,OH43701 		CARDIOLOGY CLINIC
6 MARIETTA OUTPATIENT CARDIOLOGY SERVICES
400 MATTHEW STREET
MARIETTA,OH45750 		CARDIOLOGY CLINIC
7 MARION OUTPATIENT CARDIOLOGY SERVICES
1040 DELAWARE AVENUE
MARION,OH43302 		CARDIOLOGY CLINIC
8 MANSFIELD CLOSE TO HOME CENTER
680 PARK AVENUE WEST SUITE G05
MANSFIELD,OH44906 		MEDICAL OFFICES
9 ATHENS OUTPATIENT CARDIOLOGY SERVICES
75 HOSPITAL DR CASTROP CENTER STE
ATHENS,OH45701 		CARDIOLOGY CLINIC
10 CHILICOTHE OUTPATIENT CARDIOLOGY SVCS
4437 STATE ROUTE 156 PAVILION SUIT
CHILICOTHE,OH45601 		CARDIOLOGY CLINIC
11 ASHLAND OUTPATIENT CARDIOLOGY SERVICES
1101 ST CHRISTOPHER DRIVE SUITE 2
ASHLAND,KY41101 		CARDIOLOGY CLINIC
12 CLEVELAND CHILDLAB
1139 ROCKSIDE ROAD
PARMA,OH44134 		LAB
13 FINDLAY OUTPATIENT CARDIOLOGY SERVICES
1900 SOUTH MAIN STREET 2ND FLOOR
FINDLAY,OH45840 		CARDIOLOGY CLINIC
14 MARION CHILDLAB
1069 DELAWARE AVENUE
MARION,OH43302 		LAB
15 ZANESVILLE CHILDLAB
1166 MILITARY ROAD SUITE B
ZANESVILLE,OH43701 		LAB
16 IRONTON CHILDLAB & CLOSE TO HOME CENTER
55 TOWNSHIP ROAD 508E
SOUTH POINT,OH45680 		LAB & MEDICAL OFFICES
17 CANTON CHILDLAB
4846 HIGBEE AVENUE NW
CANTON,OH44718 		LAB
18 LIMA CHILDLAB
830 WEST HIGH STREET SUITE 375
LIMA,OH45801 		LAB
19 MASON CHILDLAB
5112 CEDAR VILLAGE DRIVE
MASON,OH45040 		LAB
20 WESTLAKE CHILDLAB
27500 DETROIT ROAD SUITE 102
WESTLAKE,OH44145 		LAB
21 WESTLAKE ANNEX CHILDLAB
3609 PARK AVENUE EAST
BEACHWOOD,OH44122 		LAB
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions 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, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any 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 6A   WHILE NATIONWIDE CHILDREN'S HOSPITAL DOES NOT PREPARE AN INDIVIDUAL COMMUNITY BENEFIT REPORT, THEY ARE AN INTEGRAL PART OF COLLABORATION WITH OTHER GOVERNMENTAL AND NON-FOR-PROFIT ORGANIZATIONS MAKING COMMUNITY HEALTH NEEDS ASSESSMENTS AND CREATING OR IMPROVING PROGRAMS BASED ON THESE ASSESSMENT RESULTS. SEE DISCUSSION OF THE FULL POTENTIAL REPORT IN SCHEDULE H, PART VI, LINE 2.
PART I, LINE 7G   NATIONWIDE CHILDREN'S HOSPITAL HAS NOT INCLUDED ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC.
PART I, LINE 7, COLUMN (f)   FOR PURPOSES OF LINES 7A, B, C, & D, THE CALCULATION OF TOTAL EXPENSE ONLY INCLUDES GROUP ENTITIES THAT PROVIDE PATIENT CARE. THESE ENTITIES ARE NATIONWIDE CHILDREN'S HOSPITAL (NCH), NCH HOMECARE, CHILDREN'S RADIOLOGICAL INSTITUTE, PEDIATRIC PATHOLOGY ASSOCIATES, AND CHILDREN'S SURGICAL ASSOCIATES. FOR PURPOSES OF LINES 7E, F, G, H, & I, THE CALCULATION OF TOTAL EXPENSE ONLY RELATES TO NATIONWIDE CHILDREN'S HOSPITAL, AS ONLY THIS ENTITY INCURS COSTS TO THESE QUESTIONS. PART I, LINE 7 THE COST TO CHARGE RATIO USED IN LINE 7 WAS DERIVED FROM WORKSHEET 2.
PART II   NATIONWIDE CHILDREN'S HOSPITAL (NCH) IMPACTS THE COMMUNITY IN MANY WAYS. IN 2008, THE CITY OF COLUMBUS, NATIONWIDE CHILDREN'S HOSPITAL, COMMUNITY DEVELOPMENT FOR ALL PEOPLE, COLUMBUS PUBLIC HEALTH, COLUMBUS CITY SCHOOLS AND A NUMBER OF OTHER LOCAL PARTNERS CAME TOGETHER TO FORM HEALTHY NEIGHBORHOODS, HEALTHY FAMILIES (HNHF) AIMING TO DEVELOP REVITALIZATION PROGRAMS THAT WERE RESPONSIVE TO THE NEEDS AND DESIRES OF THE COMMUNITY. THE GOAL OF HNHF IS TO CREATE THRIVING SUSTAINABLE NEIGHBORHOODS THAT NURTURE CHILDREN AND FAMILIES IN THE SOUTHSIDE OF COLUMBUS SURROUNDING NCH. PROGRAMS OFFERED INCLUDE AFFORDABLE HOUSING, HEALTH AND WELLNESS, EDUCATION, WORKFORCE AND ECONOMIC DEVELOPMENT, AND SAFE AND ACCESSIBLE NEIGHBORHOODS. TO ADDRESS THE AFFORDABLE HOUSING COMPONENT, NCH PARTNERED WITH COMMUNITY DEVELOPMENT FOR ALL PEOPLE AND INVESTED SEVERAL MILLION DOLLARS IN SEED MONEY TO ALLOW THE PURCHASE OF DILAPIDATED HOUSING STOCK FOR RENOVATION AND SALE, AS WELL PROVIDING GRANTS TO EXISTING HOMEOWNERS FOR REPAIR. IN 2011, HNHF SOLD 12 HOMES AND REPAIRED 14 HOMES. NCH ALSO IMPACTS THE COMMUNITY WITH THE FOLLOWING PROGRAMS: - PROGRAM PROJECT MENTOR, IN WHICH MEMBERS OF NCH FACULTY AND STAFF ATTEND WEEKLY MENTORING SESSIONS WITH STUDENTS IN VARIOUS COLUMBUS CITY SCHOOLS TO ASSIST THE STUDENTS WITH STUDYING WITH THE GOAL OF THE PROGRAM BEING TO INCREASE GRADUATION RATES. - REACH OUT AND READ PROGRAM, A PEDIATRIC PROGRAM DEDICATED TO INCREASING FAMILY LITERACY ACTIVITIES IN THE HOME PRIOR TO A CHILD'S ENTRANCE INTO THE SCHOOL SYSTEM. SPECIAL FOCUS IS GIVEN TO CHILDREN GROWING UP IN POVERTY. - LIVINGSTON PARK MAINTENANCE, A CITY OWNED PARK THAT NCH ASSISTS IN MAINTAINING. THE NCH ENGINEERING DEPARTMENT PROVIDES SNOW/ICE REMOVAL, LAWN CARE AND WASTE REMOVAL SERVICES FOR THE UPKEEP OF THE PARK. - HEALTH CHILD CARE INITIATIVE, A NCH PROGRAM TEACHING PARENTS ABOUT KEEPING KIDS HEALTHY. - COMMUNITY GARDEN, A GARDEN STARTED BY NCH STAFF AND MEMBERS OF THE COMMUNITY THAT PROVIDES FRESH FRUIT AND VEGETABLES TO THOSE IN NEED IN THE NEIGHBORHOOD. - NUTRITION SERVICES INITIATIVE - AN INTERNAL PROGRAM TO REPLACE OUR FOOD PACKAGING MATERIALS WITH THOSE THAT ARE THAT ARE MORE ENVIRONMENTALLY FRIENDLY. ALSO INSTALLED RECYCLING CONTAINERS THROUGHOUT THE CAMPUS TO ENCOURAGE RECYCLING. - VARIOUS WORKFORCE DEVELOPMENT PROGRAMS: 1) SUMMER EDUCATION AND RESEARCH IN CLINICAL HEALTHCARE (S.E.A.R.C.H) PROGRAM - A PROGRAM THAT RECRUITS MINORITY STUDENTS FROM COLLEGES AND UNIVERSITIES TO INTERN IN THE AREAS OF CARDIOLOGY, AMBULATORY, AND RESEARCH FOR A SIX WEEK PROGRAM. 2) JOB SHADOWING & INTERNSHIP PROGRAM - A PARTNERSHIP WITH NEIGHBORHOOD HIGH SCHOOLS TO PROVIDE CAREER DEVELOPMENT TRAINING TO SELECTED JUNIORS AND SENIORS INTERESTED IN PURSUING CAREERS IN ALLIED HEALTHCARE. 3) SUMMER SCIENTIST INTERNSHIP - A PROGRAM THAT EXPOSES HIGH SCHOOL AND UNDERGRADUATE STUDENTS TO THE SCIENTIFIC METHOD AND CAREERS IN MEDICAL RESEARCH. 4) MECHANISMS OF HUMAN HEALTH AND DISEASE - AN IN-DEPTH PROGRAM DESIGNED TO CHALLENGE THE SERIOUS SCIENCE STUDENT. STUDENTS INVESTIGATE CANCER AND OTHER DISEASE TOPICS WITH LECTURES FROM RESEARCH PROFESSIONALS. THE PROGRAM ALSO PROVIDES OPPORTUNITIES FOR SHADOWING AND CAREER EXPLORATION.
PART III, LINE 2   IN 2011, NATIONWIDE CHILDREN'S HOSPITAL BEGAN REPORTING BAD DEBT EXPENSE IN TOTAL. PRIOR TO 2011, BAD DEBT EXPENSE WAS REPORTED AT COST. PART III, LINE 4 THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS AS FOLLOWS: THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE INSURANCE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ASSESSES THE ADEQUACY OF ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE. THE RESULTS OF THIS REVIEW ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HOSPITAL FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE ACCOUNTS WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN TRANSACTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE HOSPITAL.
PART III, LINE 8   IT IS OUR POSITION THAT THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE, LIKE MEDICAID, THESE ARE COSTS THE HOSPITAL IS INCURRING TO TREAT THESE PATIENTS, AND THE REIMBURSEMENT IS NOT FULLY COVERING THESE COSTS. IN ADDITION, AS OUR MISSION IS TO CARE FOR EVERY CHILD FOR EVERY REASON REGARDLESS OF ABILITY TO PAY, MANY HEALTHCARE PROVIDERS WOULD CHOOSE NOT TO ACCEPT MEDICARE PATIENTS BECAUSE OF THIS UNREIMBURSED COST. BECAUSE NATIONWIDE CHILDREN'S DOES, WE ARE TRULY PROVIDING A BENEFIT TO THE COMMUNITY.
PART III, LINE 9B   NATIONWIDE CHILDREN'S HOSPITAL'S COLLECTION POLICY DOES CONTAIN PROVISIONS FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. THERE ARE NUMEROUS WAYS FOR PATIENTS AND FAMILIES TO GET INFORMATION ON AVAILABLE ASSISTANCE, BOTH CHARITY, AND OTHER GOVERNMENTAL POLICIES. (SEE DESCRIPTION PART VI, LINE 3.) NCH THEN PROVIDES A GRACE PERIOD, TO ALLOW FOR TIME FOR ASSISTANCE NEEDS TO BE IDENTIFIED, BEFORE FINALIZING THE BILL. IN ADDITION, SELF-PAY STATEMENTS ALSO INCLUDE INFORMATION TO HELP THE PATIENT/FAMILY UNDERSTAND FINANCIAL ASSISTANCE THAT IS AVAILABLE.
PART V, SECTION B, LINE 19d   FOR 2011, THE HOSPITAL DETERMINED THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS BY USING ITS AVERAGE COMMERCIAL INSURANCE RATES AND ADDING AN ADDITIONAL DISCOUNT OF APPROXIMATELY 5%. THIS MAXIMUM AMOUNT APPLIES TO INDIVIDUALS WITH INCOME LEVELS THAT FALL BETWEEN 301% AND 400% OF THE FEDERAL POVERTY LIMITS, AND APPLIES TO ALL PATIENTS OF THE HOSPITAL, REGARDLESS OF WHETHER THEY ARE PROVIDED EMERGENCY OR OTHER MEDICALLY NECESSARY SERVICES.
PART VI, LINE 2 - NEEDS ASSESSMENT   IN 2008, 2009 AND AGAIN IN 2010, NATIONWIDE CHILDREN'S HOSPITAL (NCH), IN COLLABORATION WITH 20 COMMUNITY PARTNERS, PUBLISHED THE FULL POTENTIAL REPORT, AS A WAY TO REPORT ON THE HEALTH STATUS OF FRANKLIN COUNTY CHILDREN AND AS A WAY TO GENERATE ACTION AROUND KEY HEALTH INDICATORS TO HELP CHILDREN REACH THEIR FULL POTENTIAL. THIS REPORT IDENTIFIED 10 CRITICAL INDICATORS CORRESPONDING TO THE MOST SIGNIFICANT PREVENTABLE HEALTH THREATS IMPACTING THE COMMUNITY'S CHILDREN. THE INDICATORS IDENTIFIED INCLUDE: 1) ASTHMA, 2) UNINTENTIONAL INJURIES, 3) ADOLESCENT SUICIDE, 4) ADOLESCENT HOMICIDE, 5) TEEN SMOKING, 6) TEEN PREGNANCY, 7) ACCESS TO HEALTH CARE, 8) INFANT MORTALITY/PRETERM BIRTH, 9) IMMUNIZATION, AND 10) OBESITY. THE 2010-2011 FULL POTENTIAL COLLABORATIVE CHILDREN'S HEALTH REPORT REVISITS ALL 10 OF THE PUBLIC HEALTH INDICATORS FROM THE INITIAL 2008 REPORT, EXAMINING CURRENT DATA, GAINING FRESH INSIGHTS FROM LOCAL EXPERTS, PROVIDING UPDATES ON SOME OF THE CHILDREN AND FAMILIES FIRST MET TWO YEARS AGO IN THE INITIAL REPORT, AND INTRODUCING NEW FACES TO SOME OF THESE VITAL ISSUES. NEW TO THE 2010 REPORT IS A PROGRESS REPORT CARD. THIS SNAPSHOT OF THE FINDINGS SUMMARIZES THE RESULTS AND ASSIGNS TWO "LIGHTS" TO EACH INDICATOR. ONE LIGHT SHOWS HOW THE COMMUNITY WAS DOING IN THE ORIGINAL 2008 REPORT AND THE OTHER LIGHT SHOWS WHETHER THERE'S BEEN ANY IMPROVEMENT SINCE THEN. THESE PROGRAMS AND SEVERAL OTHERS STEMMING FROM THIS ASSESSMENT HAVE BEEN THE BASIS OF PROGRAM DEVELOPMENT BY NCH IN ADDRESSING THE HEALTH CARE NEEDS OF THE COMMUNITY IN WHICH IT SERVES.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE   NATIONWIDE CHILDREN'S HOSPITAL INFORMS AND EDUCATES PATIENTS, AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE, ABOUT THEIR ELIGIBILITY FOR ASSISTANCE IN A VARIETY OF WAYS. SIGNAGE REGARDING SUCH ELIGIBILITY IS LOCATED THROUGHOUT THE HOSPITAL, INCLUDING MAJOR POINTS OF PATIENT ENTRY SUCH AS ADMISSIONS AREAS, CLINIC REGISTRATION DESKS, THE EMERGENCY DEPARTMENT AND URGENT CARE. ADDITIONALLY, FINANCIAL COUNSELORS VISIT PATIENTS WITHOUT INSURANCE DURING THEIR STAY. BILLING STATEMENTS CONTAIN PRINTED INFORMATION REGARDING VARIOUS TYPES OF ASSISTANCE THAT IS AVAILABLE, AUTOMATED TELEPHONE CALLS OFFERING FINANCIAL ASSISTANCE ARE ALSO MADE, AND THE POLICY IS MADE AVAILABLE ON OUR WEBSITE.
PART VI, LINE 4 - COMMUNITY INFORMATION   NATIONWIDE CHILDREN'S HOSPITAL IS LOCATED IN COLUMBUS, OHIO, WHICH IS GEOGRAPHICALLY CENTRAL IN THE STATE OF OHIO. WHILE THE MAJORITY OF PATIENTS SERVED RESIDE IN FRANKLIN COUNTY, NCH PROVIDES CARE TO PATIENTS REPRESENTING EACH OF OHIO'S 88 COUNTIES, IN ADDITION TO ALL 50 STATES AND 28 FOREIGN COUNTRIES. THE MEDIAN HOUSEHOLD INCOME IN COLUMBUS IS $49,087 AND 17% OF FAMILIES ARE BELOW THE POVERTY LEVEL. APPROXIMATELY 11.61% OF THE POPULATION OF CENTRAL OHIO IS UNINSURED.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH   AS DESCRIBED IN SCHEDULE H, PART VI, LINE 2, NATIONWIDE CHILDREN'S HOSPITAL (NCH) PUBLISHED A FULL POTENTIAL REPORT IN COLLABORATION WITH 20 COMMUNITY PARTNERS, AS A WAY TO REPORT ON THE HEALTH STATUS OF FRANKLIN COUNTY CHILDREN. ACTION IS BEING TAKEN AROUND ALL 10 OF THE PUBLIC HEALTH INDICATORS IDENTIFIED AS KEY BAROMETERS OF CHILDREN'S HEALTH. OF THE 10 INDICATORS EXAMINED, A MORE IN-DEPTH LOOK WAS TAKEN RELATED TO CERTAIN INDICATORS. ONE AREA, PEDIATRIC OBESITY, REMAINS A LOCAL EMERGENCY, WITH BMI SCREENINGS REVEALING THAT 47 PERCENT OF FIFTH GRADERS IN COLUMBUS CITY SCHOOLS ARE OVERWEIGHT OR OBESE. THE GOOD NEWS IS THAT THE COMMUNITY IS TAKING ACTION. IN 2010, WITH THE SUPPORT OF MANY FULL POTENTIAL PARTNERS, WITH NCH BEING A KEY PARTNER, THE HEALTHY CHOICES FOR HEALTHY CHILDREN ACT WAS PASSED IN THE STATE OF OHIO. THIS LANDMARK LEGISLATION WILL INCREASE FITNESS AND NUTRITION IN SCHOOLS THROUGHOUT THE STATE. NCH HAS ALSO TAKEN A LEADERSHIP POSITION ELIMINATING SUGAR-SWEETENED BEVERAGES FOR SALE OR PROVIDED WITH PATIENT MEALS ON ITS CAMPUS. OTHER WAYS NCH SPECIFICALLY ADDRESSES THIS INDICATOR IS THROUGH MEDICAL SERVICES, COMMUNITY PROGRAMS, POLICY INITIATIVES AND EMPLOYEE WELLNESS PROGRAMS. NCH'S CENTER FOR HEALTHY WEIGHT AND NUTRITION OFFERS FAMILIES A COMPREHENSIVE APPROACH TO WEIGHT MANAGEMENT. THE CENTER HAS PROGRAMS FOR BOTH THE PREVENTION AND TREATMENT OF OVERWEIGHT CHILDREN. IT PARTNERS WITH THE YMCA AND BOYS AND GIRLS CLUB TO PROVIDE AFFORDABLE COMMUNITY-BASED INTERVENTION PROGRAMS. IT ALSO WORKS WITH PHYSICIANS TO IMPLEMENT THE OUNCE OF PREVENTION PROGRAM TO PARENTS, PROVIDING A STEPWISE APPROACH TO ESTABLISHING HEALTHFUL FOOD AND ACTIVITY HABITS EARLY IN LIFE. IN ADDITION, THE CENTER PROVIDES MULTIDISCIPLINARY LIFESTYLE PROGRAMS FOR INTENSIVE WEIGHT MANAGEMENT. ANOTHER INDICATOR ADDRESSED RELATES TO PRETERM BIRTH. PRETERM BIRTH REMAINS THE NUMBER ONE CAUSE OF INFANT DEATHS IN OUR COMMUNITY, AND INFANT MORTALITY RATES ARE STILL HIGHER IN FRANKLIN COUNTY THAN OHIO OR THE U.S.; HOWEVER, THE COLLABORATIVE OHIO BETTER BIRTH OUTCOMES INITIATIVE (OBBO) IS TACKLING THE ISSUE THROUGH A SERIES OF PROVEN INTERVENTIONS WITH HIGH RISK PREGNANT WOMEN WHICH ARE ALREADY STARTING TO IMPROVE THE NUMBERS AROUND PREMATURITY. THROUGH ITS PROGRAMS, OBBO HAS ACHIEVED, TO DATE: * A 50 PERCENT REDUCTION IN PRETERM BIRTHS FOR WOMEN INVOLVED IN ITS NURSE FAMILY PARTNERSHIP INTERVENTION PROGRAM * A 45 PERCENT REDUCTION IN LATE PRETERM BIRTHS WITHOUT MEDICAL INDICATIONS THROUGH ITS CENTRAL OHIO SCHEDULED BIRTHS INITIATIVE * AN INCREASE OF AN AVERAGE THREE TO FOUR WEEKS GESTATION FOR BABIES BORN TO HIGH-RISK MOTHERS RECEIVING "17P" HORMONE TREATMENT * AN INCREASE IN PRENATAL CARE SLOTS FOR NEWLY PREGNANT LOW-INCOME WOMEN OF 20 PERCENT IN 2011, THROUGH THE COMBINED IMPACT OF ITS PROGRAMS, OBBO IS ON TRACK TO REDUCE 9,000 NEONATAL INTENSIVE CARE UNIT (NICU) DAYS IN FRANKLIN COUNTY BY THE END OF THE YEAR. IMMUNIZATION IS ALSO A PREVENTABLE HEALTH THREAT IMPACTING THE COMMUNITY'S CHILDREN. THERE'S STILL A WIDE DISPARITY IN IMMUNIZATION RATES BETWEEN THE URBAN AND SUBURBAN AREAS OF OUR COUNTY. TO HELP ADDRESS THIS NCH IS HOLDING SEASONAL FLU VACCINATION CLINICS AT EVERY SINGLE SCHOOL IN THE DISTRICT THIS YEAR. THESE ARE JUST A FEW WAYS IN WHICH NCH IS MAKING A DIFFERENCE IN THE COMMUNITY IT SERVES THROUGH THE COLLABORATION WITH COMMITTED PARTNERS COMING TOGETHER AROUND COMMUITY ISSUES.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM ROLES   NATIONWIDE CHILDREN'S HOSPITAL, INC. EXCLUSIVELY CONTROLS THE ACTIVITES OF ITS SUBSIDIARIES IN CENTRAL OHIO INCLUDING: 1) NATIONWIDE CHILDREN'S HOSPITAL (NCH) IS A 359 INPATIENT BED NOT-FOR-PROFIT TERTIARY CARE HOSPITAL PROVIDING, INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. IN ADDITION, THE HOSPITAL LEASES 92 NEONATAL INTENSIVE AND SPECIAL CARE NURSERY BEDS LOCATED AT FIVE OTHER AREA HOSPITALS. SUBSIDIARIES OF THE HOSPITAL INCLUDE THE FOLLOWING ENTITIES: A) CHILDREN'S RADIOLOGICAL INSTITUTE (CRI) IS A NOT-FOR-PROFIT PROFESSIONAL PRACTICE PLAN OWNED BY THE HOSPITAL, WHICH PROVIDES RADIOLOGICAL SERVICES AT THE HOSPITAL. B) NCH HOMECARE (HOMECARE SERVICES) IS A NOT-FOR-PROFIT HOME HEALTH COMPANY OWNED BY THE HOSPITAL AND PROVIDES INTERMITTENT AND PRIVATE-DUTY NURSING, SKILLED THERAPY, INFUSION THERAPY, DURABLE MEDICAL EQUIPMENT, HOSPICE, AND PALLIATIVE CARE SERVICES. C) PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS (PPAC) IS A NOT-FOR-PROFIT PROFESSIONAL PRACTICE PLAN OWNED BY THE HOSPITAL, WHICH PROVIDES PATHOLOGICAL SERVICES AT THE HOSPITAL. D) CHILDREN'S SURGICAL ASSOCIATES (CSA) IS A NOT-FOR-PROFIT PROFESSIONAL PRACTICE PLAN OWNED BY THE HOSPITAL, WHICH PROVIDES SURGICAL SERVICES AT THE HOSPITAL. E) PEDIATRIC ACADEMIC ASSOCIATES (PAA) IS A NOT-FOR-PROFIT PRACTICE OF WHICH THE HOSPITAL OWNS 51%. THE PAA IS A GROUP OF APPROXIMATELY 290 MEDICAL, PEDIATRIC SUB-SPECIALISTS, WHICH PROVIDES SUCH SERVICES AT THE HOSPITAL. F) CHILDREN'S ANESTHESIA ASSOCIATES, INC. (CAA) IS A FOR-PROFIT PROFESSIONAL PRACTICE PLAN WHICH THE HOSPITAL ACQUIRED A CONTROLLING INTEREST EFFECTIVE AUGUST 1, 2004. CAA PROVIDES ANESTHESIOLOGY SERVICES AT THE HOSPITAL. 2) NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION (FOUNDATION) IS A NOT-FOR-PROFIT CHARITABLE FOUNDATION. 3) THE RESEARCH INSTITUTE AT NCH (RESEARCH INSTITUTE) IS A NOT-FOR-PROFIT PEDIATRIC MEDICAL RESEARCH INSTITUTE. 4) THE CENTER FOR CHILD AND FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL (CCFA) IS A NOT-FOR-PROFIT ORGANIZATION WHICH PROVIDES ADVOCACY, EDUCATION, COUNSELING AND OTHER PROGRAMMATIC SERVICES TO CHILDREN AND FAMILIES SUFFERING FROM CHILD ABUSE AND NEGLECT.
Schedule H (Form 990) 2011
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
2011
Open to Public
Inspection
Name of the organization
NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN
 
Employer identification number
01-0782751
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) RESEARCH INSTITUTE AT NCH (PAID BY NCH)700 CHILDRENS DRIVE
COLUMBUS,OH43205 		31-6056230 501(c)(3) 37,213,196       TO SUPPORT VARIOUS RESEARCH INITIATIVES
(2) RESEARCH INSTITUTE AT NCH (PAID BY NCHF)700 CHILDRENS DRIVE
COLUMBUS,OH43205 		31-6056230 501(c)(3) 2,769,000       TO SUPPORT VARIOUS RESEARCH INITIATIVES
(3) NATIONWIDE CHILDREN'S HOSP (PAID BY NCHF)700 CHILDRENS DRIVE
COLUMBUS,OH43205 		31-4379441 501(c)(3) 3,430,148       TO AID IN PROVIDING INDIGENT CARE, TO SUPPORT & IMPROVE PATIENT CARE THROUGH PROGRAMS SUCH AS VOLUNTEER SERVICES, HEMATOLOGY / ONCOLOGY, OBESITY PREVENTION, & COMMUNITY EDUCATION.
(4) NCH HOMECARE (PAID BY NCHF)700 CHILDRENS DRIVE
COLUMBUS,OH43205 		31-1296332 501(c)(3) 64,447       TO SUPPORT HOSPICE & PALLIATIVE CARE PROGRAMS
(5) CTR FOR CHILD &FAMILY ADVOCACY (PD BY NCHF)700 CHILDRENS DRIVE
COLUMBUS,OH43205 		02-0627166 501(c)(3) 626,577       TO SUPPORT CHILD ADVOCACY PROGRAMS
(6) CHILDREN'S SURGICAL ASSOC (PAID BY NCHF)700 CHILDRENS DRIVE
COLUMBUS,OH43205 		31-1654000 501(c)(3) 180,726       TO SUPPORT SURGICAL RESEARCH INITIATIVES
(7) CHILDREN'S RADIOLOGICAL INST (PAID BY NCHF)700 CHILDRENS DRIVE
COLUMBUS,OH43205 		31-1439570 501(c)(3) 11,180       TO SUPPORT VISITING PROFESSOR COSTS
(8) NCH -BEHAVIORAL HLTH PROGRAMS (PD BY NCH)700 CHILDRENS DRIVE
COLUMBUS,OH43205 		31-4379441 501(c)(3) 308,987       TO SUPPORT AUTISM AND BEHAVIORAL HEALTH PROGRAMS
(9) CTR FOR CHILD & FAMILY ADVOCACY (PD BY NCH)700 CHILDRENS DRIVE
COLUMBUS,OH43205 		02-0627166 501(c)(3) 300,000       TO SUPPORT ADMINISTRATIVE OVERSIGHT OF THE CENTER FOR CHILD & FAMILY ADVOCACY
(10) NCH INC (PAID BY NCH)700 CHILDRENS DRIVE
COLUMBUS,OH43205 		31-1036372 501(c)(3) 25,000       TO SUPPORT VARIOUS COMMUNITY BENEFIT PROGRAMS
(11) NCH FOUNDATION (PAID BY NCH)700 CHILDRENS DRIVE
COLUMBUS,OH43205 		31-4379441 501(c)(3) 45,000       TO SUPPORT COMMUNITY EDUCATION PROGRAMS
(12) AMERICAN HEART ASSOCIATION (PAID BY NCH)5455 N HIGH STREET
COLUMBUS,OH43214 		13-5613797 501(c)(3) 18,025       TO SUPPORT CENTRAL OHIO HEART WALK, KIDS AT HEART BALL & COLUMBUS GO RED LUNCH
(13) MARCH OF DIMES (PAID BY NCH)975 EASTWIND DR
WESTERVILLE,OH43081 		13-1846366 501(c)(3) 10,525       TO SUPPORT PROGRAMS FOR HEALTHIER BABIES
(14) UNITED WAY OF CENTRAL OHIO (PAID BY NCH)360 S THIRD STREET
COLUMBUS,OH43215 		31-4393712 501(c)(3) 40,000       VARIOUS COMMUNITY BENEFIT PROGRAMS
(15) CLASSIC PROD ARNOLD SPORTS FEST (PD BY NCH)1215 WORTHINGTON WOOD
WORTHINGTON,OH43085 		31-1376352 501(c)(3) 10,000       ARNOLD SPORTS FESTIVAL SUPPORT
(16) PARTNERSHIP FOR OHIO'S FUTURE (PAID BY NCH)230 EAST TOWN STREET
COLUMBUS,OH43215 		20-5456371 501(c)(4) 100,000       SUPPORT TO ENCOURAGE ADOPTION OF PUBLIC POLICIES TO BENEFIT OHIO CITIZENS
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
15
3
Enter total number of other organizations listed in the line 1 table ......................... . Bullet Image
1
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2011

Schedule I (Form 990) 2011
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
(1) ASSISTANCE TO PATIENT FAMILIES (PAID BY NCH) 59159 189,299      













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
Form 990, Schedule I, Part I, Line 2 Description of Organization's Procedures for Monitoring the Use of Grants FOR THE MAJORITY OF GRANTS ISSUED, DOCUMENTATION OF THE SPECIFIC EXPENSES THAT THESE FUNDS WOULD BE COVERING IS SUBMITTED TO THE NCH ENTITY PROVIDING THE FUNDS. A SIGNIFICANT PORTION OF THE GRANTS PROVIDED ARE USED TO SUPPORT PROGRAM SERVICES AND RESEARCH, CONDUCTED WITHIN THE NCH, INC. AFFILIATED GROUP. ASSISTANCE TO PATIENT FAMILIES: FREQUENTLY, NCH'S CASE MANAGEMENT DEPARTMENT HAS A 'COMPASSION FUND'. THIS IS HELP THE HOSPITAL PROVIDES TO FAMILIES WHO HAVE A CHILD IN THE HOSPITAL, AND ARE UNDERGOING A STRONG NEED FOR MEALS, GAS MONEY, BUS FARE, SPECIAL FORMULA, AND SIMILAR HARDSHIPS. THIS ALSO INCLUDES OCCASSIONAL SUPPORT FOR FAMILIES WITH MORE EXTRAORDINARY NEEDS, SUCH AS UTILITY BILL ASSISTANCE, OR RENT IN A HOME WHERE A PATIENT WILL BE DISCHARGED TO, OR TO PROVIDE COSTLY MEDICATION.
Schedule I (Form 990) 2011


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
2011
Open to Public Inspection
Name of the organization
NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN
 
Employer identification number

01-0782751
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 or provision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
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. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
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
Yes
 
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
Yes
 
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 Regulations 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) 2011

Schedule J (Form 990) 2011
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.
(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 as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) BRIAN COLEY MD (i)
(ii)		 220,729
0 		137,500
0 		10,160
0 		49,160
0 		10,129
0 		427,678
0 		0
0
(2) STEVEN TEICH MD (i)
(ii)		 410,697
0 		134,406
0 		16,500
0 		33,075
0 		21,140
0 		615,818
0 		0
0
(3) STEVE ALLEN MD (i)
(ii)		 594,825
0 		596,686
0 		0
0 		33,075
0 		21,140
0 		1,245,726
0 		0
0
(4) JANINE WINTERS (i)
(ii)		 0
173,700 		0
0 		0
0 		0
17,157 		0
2,431 		0
193,288 		0
0
(5) WILLIAM SHIELS II MD (i)
(ii)		 470,389
0 		182,989
0 		16,500
0 		33,075
0 		16,140
0 		719,093
0 		0
0
(6) PHYLLIS HAMMOND-INNES MD (i)
(ii)		 373,863
0 		54,833
0 		16,500
0 		33,075
0 		17,140
0 		495,411
0 		0
0
(7) LARRY MOSS MD (i)
(ii)		 559,343
0 		0
0 		16,500
0 		233,075
0 		16,140
0 		825,058
0 		0
0
(8) EDWARD J KOSNIK MD (i)
(ii)		 147,661
0 		0
0 		8,908
0 		12,951
0 		15,232
0 		184,752
0 		0
0
(9) EDWARD SHEPHERD MD (i)
(ii)		 0
223,622 		0
0 		0
0 		0
22,862 		0
9,746 		0
256,230 		0
0
(10) WILLIAM H COTTON MD (i)
(ii)		 0
210,963 		0
0 		0
0 		0
20,946 		0
37,527 		0
269,436 		0
0
(11) JON FITZGERALD (i)
(ii)		 253,955
0 		150,723
0 		0
0 		19,160
0 		10,058
0 		433,896
0 		0
0
(12) JOHN A BARNARD (i)
(ii)		 108,624
245,498 		161,555
0 		0
0 		24,500
24,122 		17,464
2,873 		312,143
272,493 		0
0
(13) TIMOTHY C ROBINSON (i)
(ii)		 431,542
0 		211,990
0 		16,500
0 		33,075
0 		18,640
0 		711,747
0 		0
0
(14) RICHARD MILLER (i)
(ii)		 400,359
0 		226,789
0 		16,500
0 		33,075
0 		24,140
0 		700,863
0 		0
0
(15) LINDA STOVEROCK RN (i)
(ii)		 287,039
0 		76,945
0 		0
0 		33,075
0 		15,911
0 		412,970
0 		0
0
(16) WANDA STACKPOLE (i)
(ii)		 137,257
0 		19,702
0 		0
0 		12,704
0 		7,895
0 		177,558
0 		0
0
(17) KAREN DAYS (i)
(ii)		 202,652
0 		21,250
0 		0
0 		30,431
0 		7,313
0 		261,646
0 		0
0
(18) RHONDA COMER (i)
(ii)		 284,438
0 		79,162
0 		0
0 		33,075
0 		16,310
0 		412,985
0 		0
0
(19) JOHN T CLARK (i)
(ii)		 183,188
0 		42,402
0 		16,500
0 		3,675
0 		16,927
0 		262,692
0 		0
0
(20) PAMELA EDSON (i)
(ii)		 158,758
0 		26,853
0 		0
0 		13,727
0 		16,481
0 		215,819
0 		0
0
(21) PATRICIA MCCLIMON (i)
(ii)		 225,809
0 		55,706
0 		16,500
0 		22,835
0 		20,853
0 		341,703
0 		0
0
(22) MICHAEL BRADY MD (i)
(ii)		 63,796
230,534 		109,492
0 		0
0 		24,500
22,501 		337
2,849 		198,125
255,884 		0
0
(23) RICHARD BRILLI MD (i)
(ii)		 249,898
95,718 		169,573
0 		16,500
0 		33,075
9,634 		5,883
37,141 		474,929
142,493 		0
0
(24) BRUCE MEYER MD (i)
(ii)		 138,422
0 		29,226
0 		12,065
0 		12,051
0 		15,678
0 		207,442
0 		0
0
(25) DENISE ZABAWSKI (i)
(ii)		 254,057
0 		39,793
0 		0
0 		22,835
0 		6,660
0 		323,345
0 		0
0
(26) JOSE BALDERAMA (i)
(ii)		 200,537
0 		41,023
0 		0
0 		18,313
0 		15,525
0 		275,398
0 		0
0
(27) KATHERINE MILEM (i)
(ii)		 150,108
0 		16,269
0 		0
0 		14,700
0 		20,189
0 		201,266
0 		0
0
(28) MARK GALANTOWICZ MD (i)
(ii)		 1,135,753
0 		718,276
0 		15,612
0 		33,075
0 		16,562
0 		1,919,278
0 		0
0
(29) KEVIN KLINGELE MD (i)
(ii)		 734,993
0 		374,665
0 		16,500
0 		33,075
0 		16,562
0 		1,175,795
0 		0
0
(30) LISA MARTIN MD (i)
(ii)		 354,428
0 		118,750
0 		487,394
0 		52,835
0 		6,419
0 		1,019,826
0 		0
0
(31) COREY RAFFEL MD (i)
(ii)		 476,643
0 		75,683
0 		351,506
0 		115,328
0 		16,562
0 		1,035,722
0 		173,280
0
(32) JAMES MURAKAMI MD (i)
(ii)		 379,840
0 		126,250
0 		354,910
0 		52,835
0 		1,714
0 		915,549
0 		206,658
0
(33) J TERRANCE DAVIS MD (i)
(ii)		 240,136
0 		32,240
0 		0
0 		22,663
0 		16,053
0 		311,092
0 		0
0
Schedule J (Form 990) 2011

Schedule J (Form 990) 2011
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
EXPLANATION FOR HEALTH OR SOCIAL CLUB DUES SCHEDULE J, PART I, LINE 1A NATIONWIDE CHLDREN'S HOSPITAL PROVIDED HEALTH OR SOCIAL CLUB DUES FOR TIMOTHY ROBINSON AND JOHN T. CLARK. THESE WERE TREATED AS COMPENSATION TO THE EMPLOYEE. NCH ALSO PROVIDED HEALTH OR SOCIAL CLUB DUES TO STEVE ALLEN, M.D. THESE WERE DETERMINED TO BE BUSINESS EXPENSES AND WERE NOT TREATED AS COMPENSATION TO THE EMPLOYEE.
EXPLANATION FOR SEVERANCE PAYMENT SCHEDULE J, PART I, LINE 4A A SEVERANCE PAYOUT IN THE AMOUNT OF $351,506 WAS PAID TO COREY RAFFEL, M.D.
EXPLANATION FOR SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B PAYOUT OF SRP AMOUNT THAT HAD BEEN PREVIOUSLY FUNDED, OCCURRED FOR THE FOLLOWING EMPLOYEES: LISA MARTIN, M.D. $487,394 JAMES MURAKAMI, M.D. $338,410 ($206,658 PREVIOUSLY REPORTED ON A 990) CONTRIBUTIONS WERE MADE ON BEHALF OF THE FOLLOWING EMPLOYEES: LISA MARTIN, M.D. $30,000 COREY RAFFEL, M.D. $100,000 JAMES MURAKAMI, M.D. $30,000 LARRY MOSS, M.D. $200,000 BRIAN COLEY, M.D. $30,000
COMPENSATION CONTINGENT ON THE NET EARNINGS OF THE ORG OR ANY RELATED ORG SCHEDULE J, PART I, LINE 6A A PORTION OF NATIONWIDE CHILDREN'S HOSPITAL'S MANAGEMENT'S COMPENSATION CONTAINS A VARIABLE PIECE THAT IS BASED ON THE HOSPITAL'S INCENTIVE PROGRAM. THIS VARIABLE COMPENSATION IS BASED IN PART ON THE FINANCIAL PERFORMANCE OF THE ORGANIZATION, RELATIVE TO BUDGETED FINANCIAL PERFORMANCE. THE INCENTIVE PROGAM ALSO INCLUDES PERFORMANCE MEASURES RELATED TO QUALITY OF CARE AND PATIENT SATISFACTION.
Schedule J (Form 990) 2011

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 Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN
 
Employer identification number
01-0782751
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 COUNTY OF FRANKLIN OHIO
  		31-6400067 3531867H6 12-17-2009 100,162,742 2009 BONDS (SEE SCH K, PART VI)   X   X   X
B COUNTY OF FRANKLIN OHIO
  		31-6400067 3531865R6 05-01-2008 43,921,562 2008A BONDS (SEE SCH K, PART VI)   X   X   X
C COUNTY OF FRANKLIN OHIO
  		31-6400067 3531865S4 05-07-2008 176,675,000 2008B-E BONDS (SEE SCH K, PART VI)   X   X   X
D COUNTY OF FRANKLIN OHIO
  		31-6400067 3531866A2 05-22-2008 68,160,000 2008F&G BONDS (SEE SCH K, PART VI)   X   X   X
COUNTY OF FRANKLIN OHIO
  		31-6400067 3531864X4 12-15-2005 64,993,727 2005C BONDS (SEE SCH K, PART VI)   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . 114,454,378 46,794,180 195,350,778 68,160,000
4 Gross proceeds in reserve funds . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . 1,235,586 379,213 865,761 324,500
8 Credit enhancement from proceeds . . . . . . . . . . 0 0 84,500 55,500
9 Working capital expenditures from proceeds . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . 113,218,792 43,742,967 63,456,878 0
11 Other spent proceeds . . . . . . . . . . . 0 2,672,000 130,943,639 67,780,000
12 Other unspent proceeds . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . 2012 2012 2012 2008
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) 2011
Schedule K (Form 990) 2011
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 of bond-financed property? . . . . . . . . .   X   X X   X  
b If ‘Yes’ to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . X       X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . .   X   X X     X
d If ‘Yes’ to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? . X       X      
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 0.00000% 0.00000% 0.00000% 0.00000%
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 0.00000% 0.00000% 0.00000% 0.00000%
6 Total of lines 4 and 5 . . .. . . . . . . . . 0.00000% 0.00000% 0.00000% 0.00000%
7 Does the bond issue meet the private security or payment test? . . . X   X   X   X  
8 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
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 qualified hedge with respect to the bond issue?   X   X X   X  
b Name of provider . . . . . . . . 0
  		0
  		LN 3B&3C-SEE PART VI
  		 
 
c Term of hedge . . . . . . . .        
d Was the hedge superintegrated? . . . .   X       X   X
e Was a hedge terminated? . . . . .   X       X   X
4a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . .   X   X   X   X
b Name of provider . . . . . . 0
  		0
  		0
  		0
 
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            
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X            
Schedule K (Form 990) 2011

Schedule K (Form 990) 2011
Page 3
Part V
Procedures To Undertake Corrective Action
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? . . . . . . . . . . . . . .
Part VI
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
SEE SCHEDULE O 0  
SEE SCHEDULE O 0  
Schedule K (Form 990) 2011

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 Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN
 
Employer identification number
01-0782751
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 COUNTY OF FRANKLIN OHIO
  		31-6400067 3531867H6 12-17-2009 100,162,742 2009 BONDS (SEE SCH K, PART VI)   X   X   X
B COUNTY OF FRANKLIN OHIO
  		31-6400067 3531865R6 05-01-2008 43,921,562 2008A BONDS (SEE SCH K, PART VI)   X   X   X
C COUNTY OF FRANKLIN OHIO
  		31-6400067 3531865S4 05-07-2008 176,675,000 2008B-E BONDS (SEE SCH K, PART VI)   X   X   X
D COUNTY OF FRANKLIN OHIO
  		31-6400067 3531866A2 05-22-2008 68,160,000 2008F&G BONDS (SEE SCH K, PART VI)   X   X   X
COUNTY OF FRANKLIN OHIO
  		31-6400067 3531864X4 12-15-2005 64,993,727 2005C BONDS (SEE SCH K, PART VI)   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . 114,454,378 46,794,180 195,350,778 68,160,000
4 Gross proceeds in reserve funds . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . 1,235,586 379,213 865,761 324,500
8 Credit enhancement from proceeds . . . . . . . . . . 0 0 84,500 55,500
9 Working capital expenditures from proceeds . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . 113,218,792 43,742,967 63,456,878 0
11 Other spent proceeds . . . . . . . . . . . 0 2,672,000 130,943,639 67,780,000
12 Other unspent proceeds . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . 2012 2012 2012 2008
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) 2011
Schedule K (Form 990) 2011
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 of bond-financed property? . . . . . . . . .   X   X X   X  
b If ‘Yes’ to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . X       X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . .   X   X X     X
d If ‘Yes’ to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? . X       X      
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 0.00000% 0.00000% 0.00000% 0.00000%
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 0.00000% 0.00000% 0.00000% 0.00000%
6 Total of lines 4 and 5 . . .. . . . . . . . . 0.00000% 0.00000% 0.00000% 0.00000%
7 Does the bond issue meet the private security or payment test? . . . X   X   X   X  
8 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
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 qualified hedge with respect to the bond issue?   X   X X   X  
b Name of provider . . . . . . . . 0
  		0
  		LN 3B&3C-SEE PART VI
  		 
 
c Term of hedge . . . . . . . .        
d Was the hedge superintegrated? . . . .   X       X   X
e Was a hedge terminated? . . . . .   X       X   X
4a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . .   X   X   X   X
b Name of provider . . . . . . 0
  		0
  		0
  		0
 
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            
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X            
Schedule K (Form 990) 2011

Schedule K (Form 990) 2011
Page 3
Part V
Procedures To Undertake Corrective Action
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? . . . . . . . . . . . . . .
Part VI
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
SEE SCHEDULE O 0  
SEE SCHEDULE O 0  
Schedule K (Form 990) 2011

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
2011
Open to Public Inspection
Name of the organization
NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN
 
Employer identification number

01-0782751
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) 2011
Schedule L (Form 990 or 990-EZ) 2011
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) SEE SCHEDULE L PART V SEE SCHEDULE L, PART V 29,330,696 SEE SCHEDULE L, PART V   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
BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV NAME OF INTERESTED PERSON: VORYS SATER SEYMOUR & PEASE LLP RELATIONSHIP: LAW FIRM OF WEBB VORYS (DIR OF NCH & RINCH), CHARLES DEROUSIE (DIR OF CRI), AND HUSBAND OF LEE SZYKOWNY (DIR OF RINCH) AMOUNT: $963,930 DESCRIPTION: LEGAL SERVICES SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: ONLINE COMPUTER LIBRARY CENTER (OCLC) RELATIONSHIP: ROBERT JORDAN, DIR RINCH (PRES OF OCLC) AMOUNT: $179,687 DESCRIPTION: LEASE OF FACILITY SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: MORGAN STANLEY RELATIONSHIP: FIRM OF ROBERT KIDDER, DIR NCH AMOUNT: $1,933,576 DESCRIPTION: FINANCIAL SERVICES SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: HUNTINGTON NATIONAL BANK (HNB) RELATIONSHIP: ANDREW LIVINGSTON, SECRETARY/DIR NCHF (EXECUTIVE VICE PRESIDENT OF HNB) AND JOHN GERLACH, JR., DIR NCH (DIR OF HNB) AMOUNT: $257,195 DESCRIPTION: BANKING SERVICES SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: PNC BANK RELATIONSHIP: MICHAEL GONSIOROWSKI, DIR NCHF (PRESIDENT & CEO OF PNC BANK) AMOUNT: $406,170 DESCRIPTION: FINANCIAL SERVICES SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: CARDINAL HEALTH RELATIONSHIP: GEORGE BARRETT, DIR OF NCH (CEO OF CARDINAL HEALTH) AMOUNT: $ 25,332,862 DESCRIPTION: PHARMACEUTICAL SUPPLIER SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: SCOTT STOVEROCK RELATIONSHIP: FAMILY MEMBER OF LINDA STOVEROCK, R.N. (SR VP/CNO - NCH & SEC/DIRECTOR - NCH HOMECARE) AMOUNT: $37,010 DESCRIPTION: WAGES (R.N. CARE MANAGER, NCH - ED DEPT) SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: JUNG SUN MILLER RELATIONSHIP: FAMILY MEMBER OF RICHARD MILLER (COO - NCH, CHAIR/DIRECTOR - NCH HOMECARE, DIRECTOR - PPAC & CSA) AMOUNT: $73,015 DESCRIPTION: WAGES (PROJECT COORDINATOR, NCH - IS DEPT) SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: NIKI SHAFER RELATIONSHIP: FAMILY MEMBER OF EDWARD KOSNIK, M.D. (DIRECTOR - NCH FOUNDATION) AMOUNT: $147,251 DESCRIPTION: WAGES (VP OF ANNUAL GIVING, NCH FOUNDATION) SHARING OF ORGANIZATION'S REVENUES: NO
Schedule L (Form 990 or 990-EZ) 2011

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
2011
Open to Public Inspection
Name of the organization
NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN
 
Employer identification number

01-0782751
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of Contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash 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 12 123,061 COST/SELLING PRICE
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
 
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
 
No
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
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) 2011
Schedule M (Form 990) 2011
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33 and whether the organization is reporting in Part I, column (b) the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Identifier Return Reference Explanation
GIFT ACCEPTANCE POLICY SCHEDULE M, PART I, LINE 31 WHILE NATIONWIDE CHILDREN'S HOSPITAL (NCH) AND NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION (NCHF) DO NOT HAVE A WRITTEN POLICY, ALL NON-STANDARD CONTRIBUTIONS ARE REVIEWED AND DISCUSSED WITH NCHF LEADERSHIP AND NCH ADMINISTRATION.
Schedule M (Form 990) 2011
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
2011
Open to Public
Inspection
Name of the organization
NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN
 
Employer identification number

01-0782751
Identifier Return Reference Explanation
SCHEDULE O   VOLUNTEERS PLAY A MAJOR ROLE IN CARRYING OUT OUR MISSION. THE NUMBER REPORTED ON LINE 6 RELATES TO [A] VOLUNTEERS WITH SERVICE HOURS AT OUR MAIN CAMPUS, WHICH IS SPECIFICALLY TRACKED, PLUS [B] VOLUNTEERS AT OUR FACILITIES LOCATED THROUGHOUT THE COMMUNITY. THESE ARE ESTIMATED BASED ON KNOWN # OF HOURS AT ALL LOCATIONS. OUR VOLUNTEERS ARE A MIXTURE OF BOTH FULL & PART TIME. IN 2011, NATIONWIDE CHILDREN'S HOSPITAL RECEIVED 50,223 HOURS OF VOLUNTEER TIME. THIS CONSISTED OF AN ARRAY OF SERVICES INCLUDING HELP IN MANY PATIENT CARE AREAS, OUR INFORMATION DESK, THE RESEARCH INSTITUTE, AND VARIOUS FAMILY SUPPORT AREAS. NOT INCLUDED IN THIS NUMBER ARE MANY VOLUNTEERS IN THE COMMUNITY WHO IN 2011 SPENT AT LEAST 40,042 HOURS CREATING ITEMS (SUCH AS BLANKETS, TOYS, AND ACTIVITY BAGS) FOR OUR PATIENTS. ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 NATIONWIDE CHILDREN'S HOSPITAL (NCH) BELIEVES THAT NO CHILD SHOULD BE REFUSED NECESSARY CARE AND ATTENTION FOR LACK OF ABILITY TO PAY. UPON THIS FUNDAMENTAL BELIEF, NCH IS COMMITTED TO PROVIDING THE HIGHEST QUALITY PATIENT CARE, ADVOCACY FOR CHILDREN AND FAMILIES, PEDIATRIC RESEARCH, EDUCATION OF PATIENTS, FAMILIES AND FUTURE PROVIDERS, AND OUTSTANDING SERVICE TO ACCOMMODATE THE NEEDS OF PATIENTS AND FAMILIES. DESCRIPTION OF PROGRAM SERVICE ACTIVITY #1 FORM 990, PART III, LINE 4A PATIENT CARE - NATIONWIDE CHILDREN'S HOSPITAL (NCH) IS ONE OF THE COUNTRY'S LARGEST FREESTANDING PEDIATRIC HEALTHCARE NETWORKS. WE PROVIDE WELLNESS, PREVENTIVE, DIAGNOSTIC, TREATMENT AND REHABILITATIVE CARE FOR INFANTS, CHILDREN, ADOLESCENTS AND ADULT PATIENTS WITH CONGENITAL DISEASE. NCH RANKED IN ALL 10 SPECIALTIES OF U.S.NEWS & WORLD REPORT'S 2011 LIST OF "AMERICA'S BEST CHILDREN'S HOSPITALS," INCLUDING TOP 10 RANKINGS IN TWO OF THE SPECIALTIES. IN 2011, OUR MEDICAL STAFF OF APPROXIMATELY 1,100 AND HOSPITAL STAFF OF APPROXIMATELY 8,000 DELIVERED STATE OF THE ART PEDIATRIC CARE BY DISCHARGING 20,434 PATIENTS, FOR A TOTAL OF 120,780 INPATIENT DAYS AND PROVIDING 973,234 OUTPATIENT VISITS. ANNUAL PATIENT VISITS ARE PROJECTED TO EXCEED ONE MILLION BY 2012, AND NATIONWIDE CHILDREN'S IS CONSTRUCTING A NEW MAIN HOSPITAL BUILDING TO EXPAND AND IMPROVE ON EXISTING SERVICES. CURRENTLY, 25% OF BEDS ARE IN A BUILDING CONSTRUCTED IN 1961, THE OTHER BEDS ARE IN A BUILDING COMPLETED IN 1976. NEW FACILITIES OPENING IN 2012 WILL PROVIDE UPDATED AND MUCH NEEDED SPACE FOR THE HOSPITAL'S SERVICES. NCH'S MAJOR SPECIALIZED SERVICES INCLUDE: CARDIOLOGY AND CARDIOTHORACIC SURGERY (THE HEART CENTER); HEMATOLOGY / ONCOLOGY; GASTROENTEROLGY, HEPATOLOGY, AND NUTRITION; NEONATAL MEDICINE; PEDIATRIC INTENSIVE CARE; BURN/TRAUMA; INFECTIOUS DISEASES; NEUROSCIENCES; AND PEDIATRIC REHABILITATION. OTHER SERVICES INCLUDE: INPATIENT AND OUTPATIENT SURGERY; PULMONARY; NEPHROLOGY AND ENDOCRINOLOGY SERVICES; AS WELL AS GENERAL MEDICINE. NCH PROVIDES OUTPATIENT SERVICES THROUGH ITS OUTPATIENT CARE CENTER; EMERGENCY DEPARTMENT; OUTPATIENT CLINICS; PRIMARY CARE CENTERS (KNOWN AS CLOSE TO HOME PHYSICIAN CARE CENTERS); SUBURBAN, OUTPATIENT CENTERS (KNOWN AS CLOSE TO HOME HEALTH CARE CENTERS); NEIGHBORHOOD OUTPATIENT PSYCHIATRIC; AND MENTAL HEALTH CENTERS (KNOWN AS NCH BEHAVIORAL HEALTH SERVICES); TRAVELING CLINICS; AND SPECIAL PROGRAMS. NCH, A 359 BED INPATIENT FACILITY, ALSO BRINGS ITS EXPERTISE TO OTHER AREA HOSPITALS BY LEASING AND MANAGING ANOTHER 92 NEONATAL INTENSIVE AND SPECIAL CARE NURSERY BEDS. A FUNDAMENTAL PRINCIPAL UNDERLYING THE COMMITMENT OF NCH TO THE PATIENT POPULATION IT SERVES IS THE PROVISION OF SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN 2011, THE FOLLOWING ARE A FEW WAYS THIS PRINICIPAL WAS ACCOMPLISHED: 1) NCH PROVIDED OVER $29.2 MILLION IN UNCOMPENSATED CARE TO ITS PATIENTS; 2) NCH PROVIDED OVER $7 MILLION OF ASSISTANCE TO PATIENTS QUALIFYING UNDER THE CHARITY CARE PROGRAM; 3) APPROXIMATELY $22.2 MILLION OF THE TOTAL UNCOMPENSATED CARE PROVIDED RELATED TO UNREIMBURSED CARE AS A RESULT OF NCH'S PARTICIPATION IN MEDICAID PROGRAMS; AND 4) NCH SERVES A PATIENT POPULUATION OF OVER 53% OF PATIENTS COVERED BY MEDICAID OR THAT HAS NO INSURANCE COVERAGE AT ALL. NCH ALSO INCURRED LOSSES ON ITS BEHAVIORAL HEALTH AND HOMECARE PROGRAMS IN 2011. THE BEHAVIORAL HEALTH PROGRAMS ARE COMPRISED OF THE OUTPATIENT LOCATIONS AS WELL AS COMMUNITY-BASED MENTAL HEALTH SERVICES PROVIDED IN SCHOOLS, CHILD WELFARE, JUVENILE, COURT, COMMUNITY CENTERS AND PATIENT HOMES. NCH HOMECARE PROVIDES HOME HEALTHCARE SERVICES TO CHILDREN THROUGHOUT CENTRAL OHIO. INCLUDED IN SUCH SERVICES ARE INTERMITTENT NURSING, PRIVATE DUTY NURSING, INFUSION THERAPY, HOME MEDICAL EQUIPMENT, AND PEDIATRIC HOSPICE. IN 2011, NCH SUBSIDIZED BOTH THE BEHAVIORAL HEALTH AND HOMECARE PROGRAMS. DESCRIPTION OF PROGRAM SERVICE ACTIVITY #2 FORM 990, PART III, LINE 4B RESEARCH - THE RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL IS RECOGNIZED AS ONE OF THE NATION'S TEN LARGEST FREESTANDING PEDIATRIC RESEARCH CENTERS BASED ON NIH FUNDING, AND ALSO ONE OF THE FASTEST GROWING. TO HOUSE ITS GROWTH, THE RESEARCH INSTITUTE WILL OPEN A THIRD RESEARCH BUILDING IN 2012, ADDING 225,000 SQUARE FEET OF DEDICATED RESEARCH SPACE ON THE NATIONWIDE CHILDREN'S CAMPUS. THE RESEARCH INSTITUTE ENHANCES THE HEALTH OF CHILDREN BY ENGAGING IN HIGH QUALITY, CUTTING-EDGE RESEARCH ACCORDING TO THE HIGHEST SCIENTIFIC AND ETHICAL STANDARDS. RESEARCH STUDIES ARE DIRECTED BY PHYSICIANS AND SCIENTISTS, MANY OF WHOM ARE ALSO FACULTY MEMBERS OF THE OHIO STATE UNIVERSITY COLLEGE OF MEDICINE. CLOSE TO 1,000 IRB-PROTOCOLS WERE IN PROGRESS DURING 2011 IN SUCH AREAS AS BIO-BEHAVIORAL HEALTH, CARDIOVASCULAR MEDICINE, GASTROINTESTINAL BIOLOGY, CELL AND VASCULAR BIOLOGY, CHILDHOOD CANCER, DEVELOPMENTAL PHARMACOLOGY AND TOXICOLOGY, GENE THERAPY, INJURY RESEARCH AND POLICY, MICROBIAL PATHOGENESIS, MOLECULAR AND HUMAN GENETICS, VACCINES AND IMMUNITY, AND CLINICAL RESEARCH. IN 2011, NATIONWIDE CHILDREN'S HOSPITAL AND FOUNDATION CONTRIBUTED OVER $39 MILLION IN SUPPORT OF THE WORK OF THE RESEARCH INSTITUTE. DESCRIPTION OF PROGRAM SERVICE ACTIVITY #3 FORM 990, PART III, LINE 4C EDUCATION - AS AN ACADEMIC MEDICAL CENTER, NATIONWIDE CHILDREN'S HOSPITAL (NCH) SERVES AS THE DEPARTMENT OF PEDIATRICS FOR THE OHIO STATE UNIVERSITY COLLEGE OF MEDICINE AND PUBLIC HEALTH. NCH SPONSORS 29 ACCREDITED GRADUATE MEDICAL EDUCATION PROGRAMS WITH MORE THAN 250 RESIDENTS AND FELLOWS. NCH PROVIDES PROFESSIONAL TRAINING OPPORTUNITIES TO MORE THAN 3,200 STUDENTS IN MEDICINE, NURSING AND ALLIED HEALTH AREAS. IN ADDITION, NCH HOSTS A VARIETY OF PROFESSIONAL AND COMMUNITY EDUCATION PROGRAMS. APPROXIMATELY 50,000 CHILDREN, ADOLESCENTS AND ADULTS PARTICIPATED IN CONFERENCES, LECTURES, SPECIALTY CAMPS, HEALTH FAIRS, ADOPT-A SCHOOL, AND OTHER COMMUNITY EDUCATION EVENTS IN 2011. ADDITIONALLY, OVER 1,000 PATIENT EDUCATION MATERIALS WERE PREPARED AS TEACHING TOOLS FOR CHILDREN AND FAMILIES. IN 2011, NCH SPENT OVER $27 MILLION ON PROFESSIONAL MEDICAL EDUCATION AND TRAINING PROGRAMS.
DESCRIPTION OF OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D CHILD ADVOCACY - WITH A VISION TO CREATE OPTIMAL HEALTH FOR EVERY CHILD IN OUR COMMUNITY, NATIONWIDE CHILDREN'S HOSPITAL (NCH) IS ENGAGED IN A MULTITUDE OF EFFORTS TO IMPROVE THE HEALTH OF ALL CHILDREN, NOT JUST THOSE WHO ARE OUR PATIENTS. EFFORTS INCLUDE BUT ARE NOT LIMITED TO: PEDIATRIC HEALTHCARE LEGISLATION - NCH ACTIVELY PROMOTES LEGISLATION THAT SUPPORTS PEDIATRIC HEALTHCARE LOCALLY AND NATIONALLY. LEADING BY EXAMPLE IN HEALTHY CHANGES - IN JANUARY 2011, NCH ELIMINATED SUGAR-SWEETENED DRINKS FROM ITS CAMPUS, RAISING AWARENESS AROUND THE FACT THAT THE AMERICAN ACADEMY OF PEDIATRICS HAS IDENTIFIED SWEETENED DRINKS AS THE PRIMARY SOURCE OF ADDED SUGAR IN THE DAILY DIET OF CHILDREN. CHILD SAFETY EFFORTS - WHILE HEALTHCARE IS THE FOCUS OF NCH'S ADVOCACY EFFORTS, IT IS NOT THE LIMIT. NCH IS ALSO ACTIVE IN PROMOTING CHILD SAFETY LEGISLATION AND HAS RECEIVED LOCAL AND NATIONAL FUNDING FOR SEVERAL PROGRAMS AND INITIATIVES TO REDUCE CHILDREN'S RISK OF DEATH AND DISABILITY DUE TO INJURIES OR OTHER RISK FACTORS. THE CENTER FOR CHILD AND FAMILY ADVOCACY AT NCH IS DEDICATED TO REDUCING THE OCCURRENCE OF CHILD ABUSE THROUGH ITS PROGRAMMING AND COLLABORATION WITH KEY COMMUNITY AGENCIES. NEIGHBORHOOD REVITALIZATION - NCH IS A LEAD PARTNER IN EFFORTS TO IMPROVE THE NEIGHBORHOOD IMMEDIATELY SURROUNDING ITS MAIN CAMPUS. THROUGH THE HEALTHY NEIGHBORHOODS, HEALTHY FAMILIES (HNHF) INITIATIVE, NCH IS ACTING AS A CATALYST, COORDINATOR AND SEED FUNDER TO BRING TOGETHER COMMUNITY PARTNERS FOCUSED ON CREATING A HEALTHY ENVIRONMENT FOR CHILDREN TO REACH THEIR FULL POTENTIAL. IN 2011, HNHF: SOLD 12 HOMES AND REPAIRED 14 HOMES; HAD 184 CHILDREN PARTICIPATE IN ITS FITNESS AND NUTRITION AFTER-SCHOOL CLUB; IMPACTED 54 CHILDCARE FACILITIES THROUGH THE HEALTHY CHILDCARE INITIATIVE; AND SAW 57 NCH EMPLOYEES PARTICIPATE IN THE BIG BROTHERS BIG SISTERS PROJECT MENTOR PROGRAM. PREVENTING PREMATURITY - NCH IS A LEAD PARTNER IN THE OHIO BETTER BIRTH OUTCOMES (OBBO) INITIATIVE, A PARTNERSHIP OF ALL THE HEALTH SYSTEMS IN FRANKLIN COUNTY OHIO (WHERE NCH IS BASED) WHICH IS USING PROVEN INTERVENTIONS TO ADDRESS PREMATURE BIRTH RATES.
DESCRIPTION OF RELATIONSHIPS FORM 990, PART VI, LINE 2 A BUSINESS RELATIONSHIP EXISTS WITH ABIGAIL WEXNER, DIRECTOR OF NATIONWIDE CHILDREN'S HOSPITAL, NCH FOUNDATION, RESEARCH INSTITUTE AND THE CENTER FOR CHILD & FAMILY ADVOCACY, AND THE FOLLOWING BOARD MEMBERS: DOUGLAS WILLIAMS, DIRECTOR OF CHILD & FAMILY ADVOCACY; DAVID KOLLAT, DIRECTOR OF NCH FOUNDATION; AND SHAREN JESTER TURNEY AND THEODORE ADAMS, BOTH DIRECTORS OF NATIONWIDE CHILDREN'S HOSPITAL. A BUSINESS RELATIONSHIP EXISTS BETWEEN WEBB VORYS, DIRECTOR OF NATIONWIDE CHILDREN'S HOSPITAL AND THE RESEARCH INSTITUTE, AND LEE SZYKOWNY, DIRECTOR OF THE RESEARCH INSTITUTE. A BUSINESS RELATIONSHIP EXISTS BETWEEN MICHAEL FIORILE, AND ANN I. WOLFE, BOTH ARE DIRECTORS OF NATIONWIDE CHILDREN'S HOSPITAL. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 NATIONWIDE CHILDREN'S HOSPITAL, INC. (THE PARENT ORGANIZATION OF THE GROUP) IS THE SOLE MEMBER OF THE MAJORITY OF THE SUBORDINATE ORGANIZATIONS IN THE GROUP EXEMPTION. SOME OF THE SUBORDINATE ORGANIZATIONS ARE NON-PROFIT SUBSIDIARIES OF THE LARGEST SUBORDINATE ORGANIZATION, NATIONWIDE CHILDREN'S HOSPITAL. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, LINE 7A NATIONWIDE CHILDREN'S HOSPITAL, INC. IS THE PARENT CORPORATION WITH VOTING CONTROL OVER THE SUBORDINATE ORGANIZATIONS. CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, LINE 7B NATIONWIDE CHILDREN'S HOSPITAL, INC. WILL OVERSEE THE OPERATIONS OF AND WILL PERFORM CERTAIN SERVICES FOR ITS SUBORDINATE ORGANIZATIONS. NCH INC. WILL COORDINATE EXPANSION OF THE GROUP PROGRAMS AND ASSETS & WILL DETERMINE IF ADDITIONAL ENTITIES WILL BE NEEDED WITHIN THE GROUP.
DESCRIBE THE PROCESS USED BY MGMT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, LINE 11B THIS FORM 990 WAS REVIEWED PRIOR TO FILING BY NATIONWIDE CHILDREN'S HOSPITAL CHIEF EXECUTIVE OFFICER/BOARD DIRECTOR; CHIEF FINANCIAL OFFICER/BOARD TREASURER; SENIOR VICE PRESIDENT OF LEGAL SERVICES/BOARD SECRETARY; AND THE FINANCE COMMITTEE CHAIR. IN ADDITION, THIS RETURN WAS MADE AVAILABLE TO THE ENTIRE FINANCE COMMITTEE OF THE BOARD AND MADE AVAILABLE UPON REQUEST TO THE BOARD. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C NCH POLICY REQUIRES THAT STAFF MEMBERS, MANAGEMENT AND BOARD MEMBERS REPORT CONFLICTS OF INTEREST OR COMMITMENT AT THE TIME THE CONFLICT ARISES. MANAGEMENT AND BOARD MEMBERS ARE ALSO REQUIRED TO COMPLETE DISCLOSURE FORMS ANNUALLY, REGARDLESS OF THE EXISTENCE OF CONFLICT. ALL DISCLOSURES ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER. IF A CONFLICT EXISTS, A CONFLICT MANAGEMENT PLAN MAY BE PUT IN PLACE TO MITIGATE THE CONFLICT. STAFF, MANAGEMENT AND BOARD MEMBERS ARE PROHIBITED FROM VOTING ON ANY MATTERS WITH RESPECT TO WHICH THE INDIVIDUAL HAS DISCLOSED A POTENTIAL CONFLICT OF INTEREST.
DESCR OF PROCESS FOR DETERMINING COMPENSATION FOR TOP MGMT OFFICIAL FORM 990, PART VI, LINE 15A IN THE FIRST QUARTER OF 2011, NCH HELD ITS ANNUAL MEETING FOR THE PURPOSE OF COMPENSATION REVIEW. FOR THE CEO, THERE IS A MEETING OF THE MANAGEMENT DEVELOPMENT/COMPENSATION COMMITTEE WHERE THE MEMBERS REVIEW MARKET DATA PROVIDED BY OUTSIDE CONSULTANTS AND DECIDE ON A RECOMMENDED SALARY ADJUSTMENT THAT INCLUDES CONSIDERATION OF THE CEO'S PERFORMANCE. THEN, THIS RECOMMENDATION IS BROUGHT TO THE FULL BOARD AND THE BOARD TAKES INTO ACCOUNT THIS RECOMMENDATION, THE CEO'S PERFORMANCE, AND APPROVALS ARE MADE. CONTEMPORANEOUS MINUTES ARE KEPT AT ALL BOARD MEETINGS AND COMMITTEE MEETING ACTIVITIES AND DECISIONS ARE ALSO DOCUMENTED. DESCRIPTION OF PROCESS FOR DETERMINING COMPENSATION OF OTHER EMPLOYEES FORM 990, PART VI, LINE 15B IN THE FIRST QUARTER 2011, NCH HELD ITS ANNUAL MEETING FOR THE PURPOSE OF COMPENSATION REVIEW AND APPROVAL. FOR OFFICERS AND KEY EMPLOYEES OTHER THAN THE CEO, THERE IS A MEETING OF THE MANAGEMENT DEVELOPMENT/COMPENSATION COMMITTEE OF THE BOARD. AT THAT TIME, MARKET SURVEY DATA PROVIDED BY OUTSIDE CONSULTANTS AND/OR OUTSIDE SOURCES IS REVIEWED TO DETERMINE COMPENSATION OR COMPENSATION ADJUSTMENTS FOR THESE POSITIONS, THE CEO'S INPUT IS CONSIDERED AS IT RELATES TO INDIVIDUAL PERFORMANCE FOR THESE INDIVIDUALS, AND INCREMENTAL ADJUSTMENTS ARE RECOMMENDED, THE GROUP DELIBERATES, AND THE APPROVALS ARE MADE. CONTEMPORANEOUS MINUTES ARE KEPT AT ALL BOARD MEETINGS AND COMMITTEE MEETING ACTIVITIES AND DECISIONS ARE ALSO DOCUMENTED.
AVAIL OF GOV DOCS, CONFLICT OF INT POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, LINE 19 NATIONWIDE CHILDREN'S HOSPITAL'S (NCH) FINANCIAL STATEMENTS ARE DISCLOSED ON THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBPAGE AND THE ARTICLES OF INCORPORATION ARE ON THE OHIO SECRETARY OF STATE'S WEBPAGE. CURRENTLY, NCH DOES NOT MAKE ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
ESTIMATE OF HOURS DEVOTED TO RELATED ORANIZATIONS FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B) FOR NATIONWIDE CHILDREN'S HOSPITAL EMPLOYEES THAT ARE MEMBERS OF VARIOUS BOARDS AND HOLD SEVERAL POSITIONS WITHIN THE ORGANIZATION, THE HOURS LISTED REPRESENT THE NUMBER OF HOURS THAT INDIVIDUAL DEVOTES TO ALL THE ENTITIES INCLUDED WITHIN THE NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN. THE FOLLOWING IS THE ESTIMATED NUMBER OF HOURS DEVOTED TO RELATED ORGANIZATIONS BY EMPLOYEE: MICHAEL BRADY, M.D. - 28 HOURS; RICHARD BRILLI, M.D. - 10 HOURS; WILLIAM H. COTTON, M.D. - 47 HOURS; JOHN A. BARNARD - 24 HOURS; JANINE WINTERS - 47 HOURS; EDWARD SHEPHERD, M.D. - 47 HOURS; TIMOTHY ROBINSON - 3 HOURS; STEVE ALLEN, M.D. - 3 HOURS; BRIAN COLEY, M.D. - 3 HOURS; STEVEN TEICH, M.D. - 3 HOURS; PHYLLIS HAMMOND-INNES, M.D. - 3 HOURS; AND RHONDA COMER - 3 HOURS.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 5 NET UNREALIZED GAINS ON INVESTMENTS $(22,054,949) EFFECT OF ADOPTION OF SFAS NO. 158 $(12,694,144) NET CHANGE IN INTEREST RATE SWAP AGREEMENTS $(25,610,653) TRANSFERS TO AFFILIATES $(7,922,553) OTHER DECREASES $(194,969) LINE 5 TOTAL $(68,477,268)
DESCRIPTION OF PURPOSE OF BONDS SCHEDULE K, PART I, COLUMN (F) PART I, LINE A REPORTS THE 2009 HOSPITAL IMPROVEMENT REVENUE BOND. ITS PURPOSE IS TO FINANCE A PORTION OF THE COSTS OF ACQUIRING, CONSTRUCTING, AND EQUIPPING A NEW PATIENT TOWER AND RESEARCH BUILDING. PART I, LINE B REPORTS THE 2008A HOSPITAL IMPROVEMENT REVENUE BOND. ITS PURPOSE IS TO FINANCE A PORTION OF THE COSTS OF ACQUIRING, CONSTRUCTING, AND EQUIPPING THE NEW PATIENT TOWER AND POWER PLANT. PART I, LINE C REPORTS THE 2008 BONDS, SERIES B, C, D, & E. THE PURPOSE OF THE 2008B VARIABLE RATE DEMAND HOSPITAL IMPROVEMENT REVENUE BONDS IS TO FINANCE A PORTION OF THE COSTS OF ACQUIRING, CONSTRUCTING, AND EQUIPPING THE NEW PATIENT TOWER AND POWER PLANT. THE PURPOSE OF THE 2008C VARIABLE RATE DEMAND HOSPITAL REVENUE REFUNDING BONDS IS THE CURRENT REFUNDING OF ALL OF THE ISSUER'S OUTSTANDING VARIABLE RATE DEMAND HOSPITAL REVENUE REFUNDING BONDS, SERIES 2002. THE PURPOSE OF THE 2008D VARIABLE RATE DEMAND HOSPITAL REVENUE REFUNDING BONDS IS THE CURRENT REFUNDING OF ALL OF THE ISSUER'S OUTSTANDING VARIABLE RATE DEMAND HOSPITAL REVENUE REFUNDING BONDS, SERIES 2003. THE PURPOSE OF THE 2008E VARIABLE RATE DEMAND HOSPITAL REVENUE REFUNDING BONDS IS THE CURRENT REFUNDING OF ALL OF THE ISSUER'S OUTSTANDING HOSPITAL REFUNDING & IMPROVEMENT REVENUE BONDS, SERIES 2006. PART I, LINE D REPORTS THE 2008 BONDS, SERIES F & G. THE PURPOSE OF THE 2008F VARIABLE RATE DEMAND HOSPITAL REVENUE REFUNDING BONDS IS THE CURRENT REFUNDING OF ALL OF THE ISSUER'S OUTSTANDING VARIABLE RATE HOSPITAL REVENUE REFUNDING BONDS, SERIES 2005A. THE PURPOSE OF THE 2008G VARIABLE RATE DEMAND HOSPITAL REVENUE REFUNDING BONDS IS THE CURRENT REFUNDING OF ALL OF THE ISSUER'S OUTSTANDING VARIABLE RATE HOSPITAL REVENUE REFUNDING BONDS, SERIES 2005B. PART I, LINE E REPORTS THE 2005 BOND, SERIES C. ITS PURPOSE IS TO FINANCE A PORTION OF THE COSTS OF ACQUIRING, CONSTRUCTING, AND EQUIPPING HOSPITAL FACILITIES.
TOTAL PROCEEDS OF ISSUE SCHEDULE K, PART II, LINE 3 ANY DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED ON PART I, COLUMN (E) AND THE TOTAL PROCEEDS OF THE BOND ISSUE REPORTED ON PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. OTHER SPENT PROCEEDS SCHEDULE K, PART II, LINE 11, COLUMN B THIS AMOUNT REPRESENTS AN INTEREST RATE HEDGE TERMINATION PAYMENT OF $2,672,000. OTHER SPENT PROCEEDS SCHEDULE K, PART II, LINE 11, COLUMNS C & D THE AMOUNT REPORTED REPRESENTS REFUNDINGS OF THE FOLLOWING OUTSTANDING REVENUE BONDS: 2002, 2003, 2005A&B AND 2006 BONDS. OTHER SPENT PROCEEDS SCHEDULE K, PART II, LINE 11, COLUMN E THIS AMOUNT REPRESENTS ACCRUED INTEREST PAYMENT OF $119,261.28. PRIVATE USE SCHEDULE K, PART III, LINES 3A & 3B, COLUMNS A & B FINANCED PROPERTY RELATED TO THESE BORROWINGS WAS NOT PLACED INTO SERVICE AS OF DECEMBER 31, 2011. HEDGE SCHEDULE K, PART IV, LINE 3, COLUMNS C & D THE PROVIDERS AND TERMS OF INTEREST RATE HEDGES ARE AS FOLLOWS: COLUMN C: 2008B BONDS - PROVIDER IS MORGAN STANLEY AND TERMINATION DATE IS NOVEMBER 1, 2040. 2008C BONDS - THERE ARE TWO PROVIDERS OF INTEREST RATE HEDGES ON THESE BONDS. FIRST IS MORGAN STANLEY AND TERMINATION DATE IS NOVEMBER 1, 2013. SECOND IS MERRILL LYNCH AND TERMINATION DATE IS NOVEMBER 1, 2025. 2008D BONDS - PROVIDER IS JP MORGAN CHASE AND TERMINATION DATE IS NOVEMBER 1, 2033. 2008E BONDS - PROVIDER IS JP GOLDMAN SACHS AND TERMINATION DATE IS NOVEMBER 1, 2025. COLUMN D: 2008F BONDS - PROVIDER IS JP MORGAN CHASE AND TERMINATION DATE IS MAY 1, 2031. 2008G BONDS - PROVIDER IS MERRILL LYNCH AND TERMINATION DATE IS MAY 1, 2029. TEMPORARY AVAILABLE PERIOD SCHEDULE K, PART IV, LINE 5 SPEND DOWN REQUIREMENTS HAVE BEEN MET WHERE APPLICABLE ON ALL OUTSTANDING BONDS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2011

Additional Data


Software ID:  
Software Version:  
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
2011
Open to Public Inspection
Name of the organization
NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN
 
Employer identification number

01-0782751
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

















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) PEDIATRIC ACADEMIC ASSOCIATION

700 CHILDRENS DRIVE

COLUMBUS,OH43205
31-1024403 		PHYSICIAN SVC OH 501(c)(3) 9 NCH
 
Yes
 
(2) KINDER KEY

700 CHILDRENS DRIVE

COLUMBUS,OH43205
23-7380687 		FUNDRAISING OH 501(c)(3) 7 NCH
 
Yes
 
(3) PLEASURE GUILD

700 CHILDRENS DRIVE

COLUMBUS,OH43205
31-0935599 		FUNDRAISING OH 501(c)(3) 11b NCH
 
Yes
 
(4) TWIGS

700 CHILDRENS DRIVE

COLUMBUS,OH43205
31-6015354 		FUNDRAISING OH 501(c)(3) 11b NCH
 
Yes
 






For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
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) CHILDREN'S ORTHOPEDIC MED CTR

700 CHILDRENS DRIVE
COLUMBUS,OH43205
31-1665952 		REAL ESTATE OH NCH
  		Related 0 0   No 0   No 55.000 %












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) CHILDREN'S ANESTHESIA ASSOCIATES
700 CHILDRENS DRIVE
COLUMBUS,OH43205
31-0650338 		PHYSICIAN SERVICE OH NCH
  		C 10,914,355 7,602,192 100.000 %
(2) COLLIER'S PROFESSIONAL LIABILITY INS CO
23 LIME TREE BAY AVE
GRAND CAYMAN   KY1-1102
CJ
98-0457066 		INS CONTRACTING CJ NCH
  		C 0 1,993,096 100.000 %
(3) KIDS 4 SURE
700 CHILDRENS DRIVE
COLUMBUS,OH43205
31-1227555 		INACTIVE OH NCH
  		C 0 0 100.000 %
(4) NORTHEAST CLOSE TO HOME CENTER CONDO ASS
433 NORTH CLEVELAND AVE
WESTERVILLE,OH43082
20-5540381 		CONDO ASSOCIATION OH NCH
  		C 65,254 6,119 91.000 %
(5) CHILDREN'S NW MED OFFICE BLDG CONDO ASSN
5675 VENTURA DRIVE
DUBLIN,OH43017
20-5540559 		CONDO ASSOCIATION OH NCH
  		C 54,909 3,452 74.400 %
(6) PEDIATRIC CLINICAL TRIALS INC
700 CHILDRENS DRIVE
COLUMBUS,OH43205
31-1609283 		INACTIVE OH NCH
  		C 0 0 100.000 %


Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
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
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from related 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) NATIONWIDE CHILDREN'S HOSPITAL

 A 99,341 ACTUAL AMOUNT
(2) CHILDREN'S SURGICAL ASSOCIATES

 B 180,726 ACTUAL AMOUNT
(3) NATIONWIDE CHILDREN'S HOSPITAL

 B 175,007 ACTUAL AMOUNT
(4) NCH HOMECARE

 B 64,447 ACTUAL AMOUNT
(5) CENTER FOR CHILD & FAMILY ADVOCACY

 B 300,000 ACTUAL AMOUNT
(6) CENTER FOR CHILD & FAMILY ADVOCACY

 B 626,577 ACTUAL AMOUNT
(7) RESEARCH INSTITUE AT NCH

 B 2,769,000 ACTUAL AMOUNT
(8) NATIONWIDE CHILDREN'S HOSPITAL

 B 3,255,142 ACTUAL AMOUNT
(9) RESEARCH INSTITUE AT NCH

 B 37,213,196 ACTUAL AMOUNT
(10) NCH FOUNDATION

 C 180,726 ACTUAL AMOUNT
(11) NCH FOUNDATION

 C 175,007 ACTUAL AMOUNT
(12) NCH FOUNDATION

 C 64,447 ACTUAL AMOUNT
(13) NATIONWIDE CHILDREN'S HOSPITAL

 C 300,000 ACTUAL AMOUNT
(14) NCH FOUNDATION

 C 626,577 ACTUAL AMOUNT
(15) NCH FOUNDATION

 C 2,769,000 ACTUAL AMOUNT
(16) NCH FOUNDATION

 C 3,255,142 ACTUAL AMOUNT
(17) NATIONWIDE CHILDREN'S HOSPITAL

 C 37,213,196 ACTUAL AMOUNT
(18) CENTER FOR CHILD & FAMILY ADVOCACY

 J 99,341 ACTUAL AMOUNT
(19) RESEARCH INSTITUE AT NCH

 K 392,403 ACTUAL AMOUNT
(20) RESEARCH INSTITUE AT NCH

 K 380,580 ACTUAL AMOUNT
(21) NATIONWIDE CHILDREN'S HOSPITAL

 K 150,320 ACTUAL AMOUNT
(22) CHILDREN'S ANESTHESIA ASSOCIATES

 K 500,281 ACTUAL AMOUNT
(23) RESEARCH INSTITUE AT NCH

 K 723,372 ACTUAL AMOUNT
(24) NATIONWIDE CHILDREN'S HOSPITAL

 K 2,241,919 ACTUAL AMOUNT
(25) PEDIATRIC ACADEMIC ASSOCIATES

 K 3,003,613 ACTUAL AMOUNT
(26) NATIONWIDE CHILDREN'S HOSPITAL

 K 4,615,540 ACTUAL AMOUNT
(27) NATIONWIDE CHILDREN'S HOSPITAL

 K 10,589,185 ACTUAL AMOUNT
(28) PEDIATRIC ACADEMIC ASSOCIATES

 L 34,458,734 ACTUAL AMOUNT
(29) NATIONWIDE CHILDREN'S HOSPITAL

 L 392,403 ACTUAL AMOUNT
(30) PEDIATRIC ACADEMIC ASSOCIATES

 L 83,344 ACTUAL AMOUNT
(31) PEDIATRIC ACADEMIC ASSOCIATES

 L 110,907 ACTUAL AMOUNT
(32) CHILDREN'S SURGICAL ASSOCIATES

 L 380,580 ACTUAL AMOUNT
(33) NCH HOMECARE

 L 150,320 ACTUAL AMOUNT
(34) PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS

 L 723,372 ACTUAL AMOUNT
(35) CHILDREN'S ANESTHESIA ASSOCIATES

 L 1,285,852 ACTUAL AMOUNT
(36) CHILDREN'S RADIOLOGICAL INSTITUTE

 L 2,241,919 ACTUAL AMOUNT
(37) PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS

 L 4,615,540 ACTUAL AMOUNT
(38) PEDIATRIC ACADEMIC ASSOCIATES

 L 5,958,457 ACTUAL AMOUNT
(39) CHILDREN'S SURGICAL ASSOCIATES

 L 10,589,185 ACTUAL AMOUNT
(40) CENTER FOR CHILD & FAMILY ADVOCACY

 N 569,243 ACTUAL AMOUNT
(41) NCH FOUNDATION

 N 1,839,545 ACTUAL AMOUNT
(42) PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS

 N 5,904,573 ACTUAL AMOUNT
(43) NCH HOMECARE

 N 5,034,685 ACTUAL AMOUNT
(44) CHILDREN'S RADIOLOGICAL INSTITUTE

 N 10,326,747 ACTUAL AMOUNT
(45) CHILDREN'S ANESTHESIA ASSOCIATES

 N 13,846,824 ACTUAL AMOUNT
(46) CHILDREN'S SURGICAL ASSOCIATES

 N 19,873,165 ACTUAL AMOUNT
(47) RESEARCH INSTITUE AT NCH

 N 33,817,769 ACTUAL AMOUNT
(48) CHILDREN'S NW MOB CONDO ASSOCIATION

 O 133,605 ACTUAL AMOUNT
(49) NORTHEAST CLOSE TO HOME CTR CONDO ASSOC'N

 O 71,708 ACTUAL AMOUNT
(50) RESEARCH INSTITUE AT NCH

 P 998,367 ACTUAL AMOUNT
(51) CENTER FOR CHILD & FAMILY ADVOCACY

 P 304,119 ACTUAL AMOUNT
(52) PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS

 P 730,538 ACTUAL AMOUNT
(53) NCH FOUNDATION

 P 2,676,995 ACTUAL AMOUNT
(54) CHILDREN'S SURGICAL ASSOCIATES

 P 3,726,566 ACTUAL AMOUNT
(55) CHILDREN'S ANESTHESIA ASSOCIATES

 P 9,900,000 ACTUAL AMOUNT
(56) NCH HOMECARE

 P 11,826,122 ACTUAL AMOUNT
(57) CHILDREN'S RADIOLOGICAL INSTITUTE

 P 252,885 ACTUAL AMOUNT
(58) NATIONWIDE CHILDREN'S HOSPITAL

 Q 120,367,206 ACTUAL AMOUNT
(59) RESEARCH INSTITUE AT NCH

 Q 42,915,853 ACTUAL AMOUNT
(60) CHILDREN'S RADIOLOGICAL INSTITUTE

 R 883,965 ACTUAL AMOUNT
(61) PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS

 R 1,576,894 ACTUAL AMOUNT
(62) CHILDREN'S SURGICAL ASSOCIATES

 R 12,190,568 ACTUAL AMOUNT
(63) NCH HOMECARE

 R 18,092,669 ACTUAL AMOUNT
(64) NCH FOUNDATION

 R 22,600,000 ACTUAL AMOUNT
(65) NATIONWIDE CHILDREN'S HOSPITAL

 R 42,915,853 ACTUAL AMOUNT
(66) RESEARCH INSTITUE AT NCH

 R 65,023,111 ACTUAL AMOUNT
Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
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)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(e)
Are all
partners
section
501(c)(3)
organizations? 		(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 Yes No






























Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
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


Software ID:  
Software Version: