TY 2012 Form 990

- TIN:

Form990

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)

The organization may have to use a copy of this return to satisfy state reporting requirements.

OMB No. 1545-0047

2012

Open to Public Inspection

A For the 2012 calendar year, or tax year beginning 01-01-2012 , 2012, and ending 12-31-2012

BCheck if applicable: Address change Name change Initial return Terminated Amended return Application pending

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
Suite

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 $ 1,425,858,822

F Name and address of principal officer:
STEVE ALLEN MD
700 CHILDRENS DRIVE
COLUMBUS,OH43205

Tax-exempt status: 501(c)(3) 501(c) ( ) LeftBullet

(insert no.) 4947(a)(1) or 527

Website:

www.nationwidechildrens.org

H(a)

Is this a group return for
affiliates? Yes No

H(b)

Are all affiliates included?

Yes No

If "No," attach a list. (see instructions)

H(c)

Group exemption number MediumBullet

4235

K Form of organization: Corporation Trust Association Other MediumBullet

L Year of formation:

M State of legal domicile: OH

Part I

Summary

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
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	123
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	78
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ......	5	10,880
6	Total number of volunteers (estimate if necessary) .............	6	1,639
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,514,551
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	321,250

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	140,223,772	141,692,668
9	Program service revenue (Part VIII, line 2g) .........	917,850,589	1,016,547,446
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	29,264,056	25,427,204
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	7,902,507	7,747,232
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	1,095,240,924	1,191,414,550
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	45,352,110	41,364,928
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)	480,320,774	524,353,876
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	27,300	25,410
b	Total fundraising expenses (Part IX, column (D), line 25) 2,067,977
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	413,893,967	462,986,655
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	939,594,151	1,028,730,869
19	Revenue less expenses. Subtract line 18 from line 12.......	155,646,773	162,683,681
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,911,730,173	2,207,161,030
21	Total liabilities (Part X, line 26).............	678,094,230	742,866,065
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,233,635,943	1,464,294,965

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

	Signature of officer	Date

	Type or print name and title

Paid Preparer Use Only

Print/Type preparer's name

Preparer's signature

Date

Check if
self-employed

PTIN

Firm's name MediumBullet

Firm's EIN MediumBullet

Firm's address MediumBullet

Phone no.

May the IRS discuss this return with the preparer shown above? (see instructions) ............YesNo

For Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 11282Y

Form 990 (2012)

Page 2

Part III

Statement of Program Service Accomplishments

Check if Schedule O contains a response to any question in this Part III ...............

Briefly describe the organization’s mission: SEE SCHEDULE O

Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ...................... Yes No

If “Yes,” describe these new services on Schedule O.

Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................ Yes No

If “Yes,” describe these changes on Schedule O.

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 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 $ 654,430,649 including grants of $ 4,420,751 ) (Revenue $ 1,018,983,510 )
	PATIENT CARE (SEE SCHEDULE O)

4b	(Code: ) (Expenses $ 120,309,205 including grants of $ 35,104,723 ) (Revenue $ 0 )
	RESEARCH (SEE SCHEDULE O)

4c	(Code: ) (Expenses $ 26,536,210 including grants of $ 1,050,565 ) (Revenue $ 842,203 )
	EDUCATION (SEE SCHEDULE O)

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 2,196,573 including grants of $ 788,889 ) (Revenue $ 0 )
4e	Total program service expenses803,472,637

Form 990 (2012)

Page 3

Part IV

Checklist of Required Schedules

Yes

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule A Click to see attachment

........................

Yes

Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment

...

Yes

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 I Click to see attachment

..........

Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part II Click to see attachment

........

Yes

Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III Click to see attachment

............................

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 I Click to see attachment

........................

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 II Click to see attachment

...

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

....................

Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; 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 IV Click to see attachment

..............

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 V Click to see attachment

......

Yes

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.

Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI. Click to see attachment

...................

11a

Yes

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

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

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

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

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 and XII Click to see attachment

.................

12a

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 and XII is optional Click to see attachment

12b

Yes

Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....

14a

Did the organization maintain an office, employees, or agents outside of the United States?.....

14a

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, Parts I and IV......... Click to see attachment

14b

Yes

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 United States? If “Yes,” complete Schedule F, Parts II and IV Click to see attachment

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 United States? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment

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 I (see instructions).... Click to see attachment

Yes

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

Yes

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

Yes

20a

Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H.... Click to see attachment

20a

Yes

If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments

20b

Yes

Form 990 (2012)

Page 4

Part IV

Checklist of Required Schedules (continued)

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

Yes

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

Yes

Did the organization answer “Yes” to Part VII, Section A, line 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

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 lines 24b through 24d and complete Schedule K. If “No,” go to line 25................ Click to see list of attachments

24a

Yes

Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...

24b

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

Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...

24d

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

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

Was a loan to or by a current or former officer, director, trustee, key employee, highest 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

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

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 current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .......................... Click to see attachment

28a

Yes

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

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 direct or indirect owner? If “Yes,” complete Schedule L, Part IV... Click to see attachment

28c

Yes

Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M.. Click to see attachment

Yes

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

Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................

Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................

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

Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment

Yes

35a

Did the organization have a controlled entity within the meaning of section 512(b)(13)?

35a

Yes

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

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

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 VI Click to see attachment

Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............

Yes

Form 990 (2012)

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

Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..

719

Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .

Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................

Yes

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 ..................

10,880

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)

Yes

Did the organization have unrelated business gross income of $1,000 or more during the year?...

Yes

If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....

Yes

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, securities account, or other financial account)?..........................

Yes

If "Yes," enter the name of the foreign country: MediumBullet

CJ
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.

Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..

Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............

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 as charitable contributions?...

If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................

Organizations that may receive deductible contributions under section 170(c).

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?....................

Yes

If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....

Yes

Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................

If “Yes,” indicate the number of Forms 8282 filed during the year ....

Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................

Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..

If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................

If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................

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?............

Sponsoring organizations maintaining donor advised funds.

Did the organization make any taxable distributions under section 4966?..........

Did the organization make a distribution to a donor, donor advisor, or related person?.......

Section 501(c)(7) organizations. Enter:

Initiation fees and capital contributions included on Part VIII, line 12 ...

10a

Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities

10b

Section 501(c)(12) organizations. Enter:

Gross income from members or shareholders .........

11a

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

If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................

12b

Section 501(c)(29) qualified nonprofit health insurance issuers.

Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.

13a

Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....

13b

Enter the amount of reserves on hand ............

13c

14a

Did the organization receive any payments for indoor tanning services during the tax year?.....

14a

If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..

14b

Form 990 (2012)

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

Enter the number of voting members of the governing body at the end of the tax year .....................

123

If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.

Enter the number of voting members included in line 1a, above, who are independent ...................

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? .................

Yes

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? .

Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................

Yes

Did the organization become aware during the year of a significant diversion of the organization’s assets? .

Did the organization have members or stockholders? ................

Yes

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? ....................

Yes

Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................

Yes

Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:

The governing body? .........................

Yes

Each committee with authority to act on behalf of the governing body? ............

Yes

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.......

Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)

Yes

10a

Did the organization have local chapters, branches, or affiliates? ............

10a

Yes

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

Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....

12a

Did the organization have a written conflict of interest policy? If “No,” go to line 13.......

12a

Yes

Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................

12b

Yes

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

Did the organization have a written whistleblower policy? ...............

Yes

Did the organization have a written document retention and destruction policy? .........

Yes

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?

The organization’s CEO, Executive Director, or top management official ...........

15a

Yes

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

Yes

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

Yes

Section C. Disclosure

List the States with which a copy of this Form 990 is required to be filed MediumBullet

CA , KY , OH

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.

Own website Another's website Upon request Other (explain in Schedule O)

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.

State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBullet

CHRISTINA MCMANUS700 CHILDRENS DRIVECOLUMBUSOH43205 (614) 355-3119

Form 990 (2012)

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. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

List all of the organization’s current key employees, if any. See instructions for definition of "key employee."

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.

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.

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 organization compensated any current officer, director, or trustee.

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(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
(A) Name and Title
(1) ABIGAIL S WEXNER........................................................................ CHAIR / DIRECTOR - NCH	3.0 .......................	X	X	0	0	0
(2) ALEX FISCHER........................................................................ CHAIR/VICE CHAIR/DIRECTOR -NCH	3.0 .......................	X	X	0	0	0
(3) HONORABLE ALGENON L MARBLEY........................................................................ DIRECTOR - NCH	3.0 .......................	X		0	0	0
(4) GEORGE BARRETT........................................................................ DIRECTOR - NCH	3.0 .......................	X		0	0	0
(5) JOSEPH A CHLAPATY........................................................................ DIRECTOR - NCH	3.0 .......................	X		0	0	0
(6) PAMELA T FARBER........................................................................ DIRECTOR - NCH	3.0 .......................	X		0	0	0
(7) MICHAEL J FIORILE........................................................................ DIRECTOR - NCH	3.0 .......................	X		0	0	0
(8) JOHN B GERLACH........................................................................ DIRECTOR - NCH	3.0 .......................	X		0	0	0
(9) C ROBERT KIDDER........................................................................ DIRECTOR - NCH	3.0 .......................	X		0	0	0
(10) CHARLIE LOCKWOOD MD........................................................................ DIRECTOR - NCH	3.0 .......................	X		0	0	0
(11) JAMES MALZ........................................................................ DIRECTOR - NCH	3.0 .......................	X		0	0	0
(12) DONALD P MCCONNELL........................................................................ DIRECTOR - NCH	3.0 .......................	X		0	0	0
(13) STEVE RASMUSSEN........................................................................ DIRECTOR - NCH	3.0 .......................	X		0	0	0
(14) DARRYL A ROBBINS DO........................................................................ DIRECTOR - NCH	3.0 .......................	X		0	0	0
(15) STEVEN TEICH MD........................................................................ DIRECTOR - NCH	47.0 .......................3.0	X		544,049	0	54,764
(16) BARBARA TRUEMAN........................................................................ DIRECTOR - NCH	3.0 .......................	X		0	0	0
(17) SHAREN JESTER TURNEY........................................................................ DIRECTOR - NCH	3.0 .......................	X		0	0	0

Form 990 (2012)

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 (list any hours for related organizations below dotted line)	(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
(A) Name and Title
(18) R BLANE WALTER........................................................................ DIRECTOR - NCH	3.0 .......................	X					0	0	0
(19) ANN I WOLFE........................................................................ DIRECTOR - NCH	3.0 .......................	X					0	0	0
(20) CHERYL W LUCKS........................................................................ DIRECTOR - NCH	3.0 .......................	X					0	0	0
(21) WEBB I VORYS........................................................................ DIRECTOR - NCH	3.0 .......................	X					0	0	0
(22) PHYLLIS HAMMOND-INNES MD........................................................................ DIRECTOR - NCH	47.0 .......................3.0	X					0	0	0
(23) STEVE ALLEN MD........................................................................ DIRECTOR / CEO - NCH	47.0 .......................3.0	X	X				1,250,695	0	54,764
(24) RICHARD MILLER........................................................................ CHAIR/DIRECTOR - NCH HOMECARE	50.0 .......................	X	X				0	0	0
(25) TIMOTHY C ROBINSON........................................................................ TREAS/DIRECTOR - NCH HOMECARE	47.0 .......................3.0	X	X				0	0	0
(26) LINDA STOVEROCK RN........................................................................ SEC / DIRECTOR - NCH HOMECARE	50.0 .......................	X	X				0	0	0
(27) BRUCE MEYER MD........................................................................ MEDICAL DIR - NCH HOMECARE	30.0 .......................	X					0	0	0
(28) JANINE WINTERS MD........................................................................ MEDICAL DIR - NCH HOMECARE	3.0 .......................47.0	X					0	177,885	17,598
(29) WILLIAM SHIELS II MD........................................................................ PRESIDENT / DIRECTOR - CRI	50.0 .......................	X	X				1,684,122	0	49,764
(30) DENNIS MINZLER........................................................................ SEC / TREAS / DIRECTOR - CRI	50.0 .......................	X	X				129,343	0	26,028
(31) CHARLES DEROUSIE........................................................................ DIRECTOR - CRI	3.0 .......................	X					0	0	0
(32) ROBIN E OSBORN DO........................................................................ DIRECTOR - CRI	3.0 .......................	X					0	0	0
(33) DOUGLAS FELLOWS MD........................................................................ DIRECTOR - CRI	3.0 .......................	X					0	0	0
(34) PHYLLIS HAMMOND-INNES MD........................................................................ PRESIDENT / DIRECTOR - PPAC	47.0 .......................3.0	X	X				478,645	0	51,764
(35) TIMOTHY C ROBINSON........................................................................ TREASURER / DIRECTOR - PPAC	47.0 .......................3.0	X	X				0	0	0
(36) PAMELA EDSON........................................................................ SECRETARY / DIRECTOR - PPAC	50.0 .......................	X	X				0	0	0
(37) RICHARD MILLER........................................................................ DIRECTOR - PPAC	50.0 .......................	X					0	0	0
(38) STEVE ALLEN MD........................................................................ DIRECTOR - PPAC	47.0 .......................3.0	X					0	0	0
(39) STEVE ALLEN MD........................................................................ PRESIDENT / DIRECTOR - CSA	47.0 .......................3.0	X	X				0	0	0
(40) TIMOTHY C ROBINSON........................................................................ TREASURER / DIRECTOR - CSA	47.0 .......................3.0	X	X				0	0	0
(41) PAMELA EDSON........................................................................ SECRETARY / DIRECTOR - CSA	50.0 .......................	X	X				0	0	0
(42) RICHARD MILLER........................................................................ DIRECTOR - CSA	50.0 .......................	X					0	0	0
(43) LARRY MOSS MD........................................................................ DIRECTOR - CSA	50.0 .......................	X					800,228	0	50,264
(44) CHERYL W LUCKS........................................................................ CHAIR / DIRECTOR - NCH FNDTN	3.0 .......................	X	X				0	0	0
(45) ANDREW W LIVINGSTON........................................................................ SEC / DIRECTOR - NCH FNDTN	3.0 .......................	X	X				0	0	0
(46) THOMAS N BRIGDON........................................................................ VICE CHAIR / DIR - NCH FNDTN	3.0 .......................	X	X				0	0	0
(47) JENNIFER S BELFORD........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(48) JEFFREY R BRASHARES........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(49) ANN S DESHE........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(50) ROBERT M EVERSOLE........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(51) RHONDA B FRAAS........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(52) MICHAEL GONSIOROWSKI........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(53) ALEXIS A JACOBS........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(54) CHAD A JESTER........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(55) R ANDREW JOHNSON........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(56) DAVID T KOLLAT........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(57) EDWARD J KOSNIK MD........................................................................ DIRECTOR - NCH FOUNDATION	50.0 .......................	X					51,162	0	1,735
(58) THOMAS D LENNOX........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(59) KATHERINE WOLFE LLOYD........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(60) BARBARA B MATTA........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(61) MAE L MCCORKLE........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(62) MARK E MCCULLERS........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(63) DOUGLAS S MORGAN........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(64) PHILLIP D NICK........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(65) RICK SCHOSTEK........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(66) ANGELA L PACE........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(67) ROBERT H SCHOTTENSTEIN........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(68) EDWARD SHEPHERD MD........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................47.0	X					0	213,631	28,907
(69) RACHEL L LONGABERGER STUKEY........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(70) DENISE STUMP........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(71) JEFFREY T WILSON........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(72) SARAH W ZIEGLER........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(73) CYNTHIA RASMUSSEN........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(74) STEVE ALLEN MD........................................................................ DIRECTOR - NCH FOUNDATION	47.0 .......................3.0	X					0	0	0
(75) WILLIAM H COTTON MD........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................47.0	X					0	210,531	20,682
(76) TIMOTHY C ROBINSON........................................................................ DIR / PRES / TREAS - NCH FNDTN	47.0 .......................3.0	X	X				0	0	0
(77) PAULA FERGUSON........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(78) LAUREN HOFFMAN........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(79) BOB WHITE........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(80) MARK WELLING........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(81) ALEX FISCHER........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(82) ABIGAIL S WEXNER........................................................................ DIRECTOR - NCH FOUNDATION	3.0 .......................	X					0	0	0
(83) DONALD P MCCONNELL........................................................................ CHAIR / DIRECTOR - RINCH	3.0 .......................	X	X				0	0	0
(84) ROBERT L JORDAN........................................................................ VICE CHAIR / DIRECTOR - RINCH	3.0 .......................	X	X				0	0	0
(85) TIMOTHY C ROBINSON........................................................................ TREASURER / DIRECTOR - RINCH	47.0 .......................3.0	X	X				0	0	0
(86) PHILLIP H BARRETT........................................................................ DIRECTOR - RINCH	3.0 .......................	X					0	0	0
(87) DAVID E CHESEBROUGH........................................................................ DIRECTOR - RINCH	3.0 .......................	X					0	0	0
(88) S THEODORE FORD........................................................................ DIRECTOR - RINCH	3.0 .......................	X					0	0	0
(89) KENT JOHNSON PHD........................................................................ DIRECTOR - RINCH	3.0 .......................	X					0	0	0
(90) BARBARA L KUNZ........................................................................ DIRECTOR - RINCH	3.0 .......................	X					0	0	0
(91) LEE L SZYKOWNY MD........................................................................ DIRECTOR - RINCH	3.0 .......................	X					0	0	0
(92) WEBB I VORYS........................................................................ DIRECTOR - RINCH	3.0 .......................	X					0	0	0
(93) THOMAS WALKER........................................................................ DIRECTOR - RINCH	3.0 .......................	X					0	0	0
(94) CAROLINE C WHITACRE PHD........................................................................ DIRECTOR - RINCH	3.0 .......................	X					0	0	0
(95) STEVE ALLEN MD........................................................................ DIRECTOR - RINCH	47.0 .......................3.0	X					0	0	0
(96) JOHN A BARNARD MD........................................................................ DIRECTOR / PRESIDENT - RINCH	26.0 .......................24.0	X	X				268,843	247,513	42,074
(97) ALEX FISCHER........................................................................ DIRECTOR - RINCH	3.0 .......................	X					0	0	0
(98) ABIGAIL S WEXNER........................................................................ DIRECTOR - RINCH	3.0 .......................	X					0	0	0
(99) ABIGAIL S WEXNER........................................................................ CHAIR / DIRECTOR - CCFA	3.0 .......................	X	X				0	0	0
(100) KATHERINE WOLFE LLOYD........................................................................ VICE CHAIR / DIRECTOR - CCFA	3.0 .......................	X	X				0	0	0
(101) JANET E JACKSON........................................................................ SECRETARY / DIRECTOR - CCFA	3.0 .......................	X	X				0	0	0
(102) STEVE ALLEN MD........................................................................ DIRECTOR - CCFA	47.0 .......................3.0	X					0	0	0
(103) DAVID M ARONOWITZ........................................................................ DIRECTOR - CCFA	3.0 .......................	X					0	0	0
(104) PETER W C BARNHART........................................................................ DIRECTOR - CCFA	3.0 .......................	X					0	0	0
(105) JOHN T CLARK........................................................................ DIRECTOR - CCFA	50.0 .......................	X					0	0	0
(106) BROOKE F O'NEILL........................................................................ DIRECTOR - CCFA	3.0 .......................	X					0	0	0
(107) ELLEN J TRESSEL........................................................................ DIRECTOR - CCFA	3.0 .......................	X					0	0	0
(108) AUDREY G TUCKERMAN........................................................................ DIRECTOR - CCFA	3.0 .......................	X					0	0	0
(109) DOUGLAS L WILLIAMS........................................................................ DIRECTOR - CCFA	3.0 .......................	X					0	0	0
(110) REV CHARLES BOOTH MD........................................................................ DIRECTOR - CCFA	3.0 .......................	X					0	0	0
(111) MARILYN BROWN........................................................................ DIRECTOR - CCFA	3.0 .......................	X					0	0	0
(112) KAREN DAYS........................................................................ PRESIDENT / DIRECTOR - CCFA	3.0 .......................	X	X				257,555	0	42,761
(113) BISHOP CALLON HOLLOWAY........................................................................ DIRECTOR - CCFA	3.0 .......................	X					0	0	0
(114) KIMBERLEY JACOBS........................................................................ DIRECTOR - CCFA	3.0 .......................	X					0	0	0
(115) CHAD A JESTER........................................................................ DIRECTOR - CCFA	3.0 .......................	X					0	0	0
(116) JEFFREY LYTTLE........................................................................ DIRECTOR - CCFA	3.0 .......................	X					0	0	0
(117) BETTY MONTGOMERY........................................................................ DIRECTOR - CCFA	3.0 .......................	X					0	0	0
(118) STANLEY PARTLOW........................................................................ DIRECTOR - CCFA	3.0 .......................	X					0	0	0
(119) GREGORY PAXTON........................................................................ DIRECTOR - CCFA	3.0 .......................	X					0	0	0
(120) JUDGE DANA PREISSE........................................................................ DIRECTOR - CCFA	3.0 .......................	X					0	0	0
(121) ZACH SCOTT........................................................................ DIRECTOR - CCFA	3.0 .......................	X					0	0	0
(122) OLIVIA THOMAS........................................................................ DIRECTOR - CCFA	3.0 .......................47.0	X					0	186,543	18,206
(123) SHAREN JESTER TURNEY........................................................................ DIRECTOR - CCFA	3.0 .......................	X					0	0	0
(124) TIMOTHY C ROBINSON........................................................................ TREASURER - CCFA	47.0 .......................3.0		X				0	0	0
(125) TIMOTHY C ROBINSON........................................................................ TREASURER / SR VP / CFO - NCH	47.0 .......................3.0		X				717,529	0	52,764
(126) RICHARD MILLER........................................................................ COO - NCH	50.0 .......................		X				653,311	0	56,164
(127) LINDA STOVEROCK RN........................................................................ SR VP / CNO - NCH	50.0 .......................		X				378,107	0	49,535
(128) WANDA STACKPOLE........................................................................ VP / EXEC DIR - NCH HOMECARE	50.0 .......................		X				167,521	0	20,385
(129) RHONDA COMER........................................................................ SECRETARY - NCH FOUNDATION	47.0 .......................3.0		X				0	0	0
(130) RHONDA COMER........................................................................ SECRETARY - CCFA	47.0 .......................3.0		X				0	0	0
(131) RHONDA COMER........................................................................ SECRETARY - RINCH	47.0 .......................3.0		X				0	0	0
(132) RHONDA COMER........................................................................ SEC / SR VP / LEGAL SVCS - NCH	47.0 .......................3.0		X				364,079	0	51,986
(133) JOHN T CLARK........................................................................ SR VP/AMBULATORY SVCS - NCH	50.0 .......................			X			193,321	0	32,726
(134) PAMELA EDSON........................................................................ VICE PRESIDENT - NCH	50.0 .......................			X			196,671	0	31,038
(135) PATRICIA MCCLIMON........................................................................ SR VP / PLAN & DEV'T - NCH	50.0 .......................			X			345,611	0	43,846
(136) MICHAEL BRADY MD........................................................................ PHYSICIAN IN CHIEF - NCH	22.0 .......................28.0			X			169,952	232,026	25,288
(137) RICHARD BRILLI M D........................................................................ CHIEF MEDICAL OFFICER - NCH	40.0 .......................10.0			X			460,693	100,094	52,905
(138) BRUCE MEYER MD........................................................................ ADMIN MEDICAL DIRECTOR - NCH	30.0 .......................			X			172,468	0	30,596
(139) DENISE ZABAWSKI........................................................................ VP / CIO - NCH	50.0 .......................			X			314,920	0	31,842
(140) JOSE BALDERAMA........................................................................ VP / HR - NCH	50.0 .......................			X			265,667	0	39,644
(141) BRUCE STEVENSON........................................................................ VICE PRESIDENT - RINCH	50.0 .......................			X			209,143	0	31,591
(142) MARK GALANTOWICZ MD........................................................................ CHIEF OF CT SURGERY - CSA	50.0 .......................				X		1,676,836	0	50,473
(143) KEVIN KLINGELE MD........................................................................ ORTHOPEDIC SURGEON - CSA	50.0 .......................				X		1,230,065	0	50,473
(144) RICHARD KIRSCHNER MD........................................................................ PLASTIC SURGEON - CSA	50.0 .......................				X		932,072	0	50,473
(145) ALAN BEEBE MD........................................................................ ORTHOPEDIC SURGEON - CSA	50.0 .......................				X		824,457	0	49,764
(146) WALTER SAMORA MD........................................................................ ORTHOPEDIC SURGEON - CSA	50.0 .......................				X		780,065	0	21,060
(147) J TERRANCE DAVIS MD........................................................................ FORMER INTERIM CMO - NCH	50.0 .......................					X	287,259	0	38,750

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	15,804,389	1,368,223	1,270,614

Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet

386

Yes

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 ..............

Yes

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...........................

Yes

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 ........

Section B. Independent Contractors

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 FLCOLUMBUSOH43215	MEDICAL SERVICES	20,930,633
OHIO STATE UNIVERSITY, 410 WEST 10TH AVENUECOLUMBUSOH43210	MEDICAL SERVICES	16,666,979
MT CARMEL HEALTH, 6150 E BROAD STCOLUMBUSOH43213	MEDICAL SERVICES	5,305,090
TURNER CONSTRUCTION COMPANY, 623 MOOBERRY STREETCOLUMBUSOH43205	CONSTRUCTION MGMT	4,137,354
CONRAD PHILLIPS VUTECH INC, 1398 GOODALE STE 100COLUMBUSOH43212	CONSTRUCTION MGMT	3,917,906
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 210

Form 990 (2012)

Page 9

Part VIII

Statement of Revenue

Check if Schedule O contains a response to any question in this Part VIII ..............

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a		229,292
b	Membership dues....1b		8,450
c	Fundraising events....1c		5,670,236
d	Related organizations...1d		39,693,103
e	Government grants (contributions)1e		53,069,107

f	All other contributions, gifts, grants, and similar amounts not included above1f		43,022,480

g	Noncash contributions included in lines 1a-1f:$		1,261,362
h	Total. Add lines 1a-1f.......			141,692,668
			Business Code
2a	NET PATIENT SERVICE REVENUE		900099	1,006,181,561	1,006,181,561
b	CAFETERIA		722210	4,884,447			4,884,447
c	REFERENCE LAB		621500	1,760,811		1,760,811
d	PARKING		812930	1,516,970			1,516,970
e	PHYSICIAN SERVICES REVENUE		900099	383,031	383,031
f	All other program service revenue .			1,820,626	1,095,364	725,262
g	Total. Add lines 2a–2f........			1,016,547,446
3	Investment income (including dividends, interest, and other similar amounts).......			15,858,929		477	15,858,452
4	Income from investment of tax-exempt bond proceeds..			4,665,360			4,665,360
5	Royalties...........			564,626			564,626
		(i) Real	(ii) Personal
6a	Gross rents	932,127
b	Less: rental expenses	995,343
c	Rental income or (loss)	-63,216	0
d	Net rental income or (loss).......			-63,216			-63,216
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	236,765,652	1,500
b	Less: cost or other basis and sales expenses	231,582,437	281,800
c	Gain or (loss)	5,183,215	-280,300
d	Net gain or (loss)..........			4,902,915			4,902,915
8a	Gross income from fundraising events (not including $ 5,670,236 of contributions reported on line 1c). See Part IV, line 18 ..
	a		628,530
b	Less: direct expenses ...b		1,564,936
c	Net income or (loss) from fundraising events..			-936,406			-936,406
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		52,020
b	Less: direct expenses ...b		19,756
c	Net income or (loss) from gaming activities...			32,264			32,264
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..			0
Miscellaneous Revenue			Business Code
11a	BILLING SERVICES TO AFFILIATE		541200	3,278,267	3,278,267
b	CHILD CARE CENTER		624410	1,613,003			1,613,003
c	GIFT SHOP		453220	1,129,741			1,129,741
d	All other revenue ....			2,128,953		28,001	2,100,952
e	Total. Add lines 11a–11d ......			8,149,964
12	Total revenue. See Instructions......			1,191,414,550	1,010,938,223	2,514,551	36,269,108

Form 990 (2012)

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).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	41,120,902	41,120,902
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	244,026	244,026
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 ....	10,941,043	4,256,669	6,684,374
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	681,663	400,039	111,255	170,369
7	Other salaries and wages	410,030,323	328,210,549	80,861,469	958,305
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	20,041,400	15,654,856	4,386,544
9	Other employee benefits .......	54,121,463	43,388,060	10,482,170	251,233
10	Payroll taxes ...........	28,537,984	22,144,467	6,393,517
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	1,909,647	10,459	1,899,188
c	Accounting ...........	418,305		418,305
d	Lobbying ...........	322,358		322,358
e	Professional fundraising services. See Part IV, line 17	25,410			25,410
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	134,777,964	109,991,341	24,663,392	123,231
12	Advertising and promotion ....	3,562,603	180,691	3,016,642	365,270
13	Office expenses .......	30,694,861	17,678,833	12,985,246	30,782
14	Information technology ......	14,354,581	6,644,068	7,710,513
15	Royalties ..	461,606	461,606
16	Occupancy ...........	49,081,606	39,781,825	9,299,781
17	Travel ............	5,086,144	4,023,014	1,033,583	29,547
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	986,324	630,259	354,200	1,865
20	Interest ...........	20,865,695		20,865,695
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	58,990,187	52,406,972	6,583,215
23	Insurance ..............	2,946,821	1,862,223	1,084,598
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Hospital Franchise Fees	14,504,636		14,504,636
b	Textiles & Paper Goods	3,506,561	2,464,659	1,041,902
c	Medical Supplies	60,962,237	60,962,237
d	Drugs	44,643,579	44,643,579
e	All other expenses	14,910,940	6,311,303	8,487,672	111,965
25	Total functional expenses. Add lines 1 through 24e	1,028,730,869	803,472,637	223,190,255	2,067,977
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 if following SOP 98-2 (ASC 958-720).

Form 990 (2012)

Page 11


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............			50,233,711	1	62,160,709
2	Savings and temporary cash investments .........			329,971	2	2,010,664
3	Pledges and grants receivable, net ...........			46,546,905	3	39,966,194
4	Accounts receivable, net .............			136,148,407	4	166,019,875
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			0	7	0
8	Inventories for sale or use ..............			5,467,385	8	7,059,870
9	Prepaid expenses and deferred charges ..........			10,295,172	9	9,339,263
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,368,553,864
b	Less: accumulated depreciation .....	10b	361,511,282	934,217,481	10c	1,007,042,582
11	Investments—publicly traded securities ..........			672,694,367	11	852,086,584
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 ...............			9,210,883	14	9,968,003
15	Other assets. See Part IV, line 11 ...........			46,585,891	15	51,507,286
16	Total assets. Add lines 1 through 15 (must equal line 34)......			1,911,730,173	16	2,207,161,030
17	Accounts payable and accrued expenses .........			109,064,425	17	107,659,756
18	Grants payable .................			0	18	0
19	Deferred revenue ................			12,443,301	19	10,279,965
20	Tax-exempt bond liabilities .............			434,935,000	20	501,795,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other 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....................			121,651,504	25	123,131,344
26	Total liabilities. Add lines 17 through 25.........			678,094,230	26	742,866,065
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			1,059,672,103	27	1,276,737,554
28	Temporarily restricted net assets ...........			87,172,424	28	96,959,055
29	Permanently restricted net assets ...........			86,791,416	29	90,598,356
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........			1,233,635,943	33	1,464,294,965
34	Total liabilities and net assets/fund balances ........			1,911,730,173	34	2,207,161,030

Form 990 (2012)

Page 12

Part XI

Reconcilliation of Net Assets

Check if Schedule O contains a response to any question in this Part XI ...............

Total revenue (must equal Part VIII, column (A), line 12) ............

1,191,414,550

Total expenses (must equal Part IX, column (A), line 25) ............

1,028,730,869

Revenue less expenses. Subtract line 2 from line 1 ..............

162,683,681

Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..

1,233,635,943

Net unrealized gains (losses) on investments ...............

66,016,092

Donated services and use of facilities .................

Investment expenses .....................

Prior period adjustments .....................

Other changes in net assets or fund balances (explain in Schedule O) ........

1,959,249

Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))

1,464,294,965

Part XII

Financial Statements and Reporting

Check if Schedule O contains a response to any question in this Part XII ..............

Yes

Accounting method used to prepare the Form 990: Cash Accrual Other
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.

Were the organization’s financial statements compiled or reviewed by an independent accountant?

If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

Were the organization’s financial statements audited by an independent accountant?

Yes

If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

If “Yes,” to line 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?

Yes

If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.

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?

Yes

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

Yes

Form 990 (2012)

Form 990, Special Condition Description:

Special Condition Description

Additional Data

Software ID:
Software Version:

- TIN:

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.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2012

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of 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)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(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 monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2012

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2012. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2011. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	301,337	361,829	339,988	256,353	317,197	1,576,704
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......	44,497,898	52,913,009	55,615,411	57,301,115	61,796,324	272,123,757
3	Gross receipts from activities that are not an unrelated trade or business under section 513..						0
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...						0
5	The value of services or facilities furnished by a governmental unit to the organization without charge..						0
6	Total. Add lines 1 through 5.	44,799,235	53,274,838	55,955,399	57,557,468	62,113,521	273,700,461
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...						0
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.						0
c	Add lines 7a and 7b..						0
8	Public support (Subtract line 7c from line 6.)						273,700,461

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
9	Amounts from line 6...	44,799,235	53,274,838	55,955,399	57,557,468	62,113,521	273,700,461
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	203,327	56,928	71,241	60,525	84,249	476,270
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.	20,185	26,638	21,194	16,847	14,720	99,584
c	Add lines 10a and 10b.	223,512	83,566	92,435	77,372	98,969	575,854
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.						0
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..						0
13	Total support. (Add lines 9, 10c, 11, and 12.)..	45,022,747	53,358,404	56,047,834	57,634,840	62,212,490	274,276,315

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)) .........

99.790 %

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

99.600 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

0.210 %

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

0.400 %

19a

33 1/3% support tests—2012. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 4

Part IV

Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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 2012 PUBLIC SUPPORT PERCENTAGE FOR THE 509(a)(1) SUBORDINATES THAT WOULD COMPLETE PART II IS 63.7%.

Schedule A (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2012

Name of the organization

NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN

Employer identification number

01-0782751

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... 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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 2

Name of organization NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN

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	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 3

Name of organization NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN

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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 4

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

(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

(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

(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

(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) (2012)

Additional Data

Software ID:
Software Version:

- TIN:

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

2012

Open to Public
Inspection

If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 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.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2012

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 SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

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) ......	4,127	4,127
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......	805,272	805,272
c	Total lobbying expenditures (add lines 1a and 1b) ...................	809,399	809,399
d	Other exempt purpose expenditures ........................	804,731,215	804,756,215
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............	805,540,614	805,565,614
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? ......................................		Yes No

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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) Total

2a	Lobbying nontaxable 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	741,124	865,322	899,933	805,272	3,311,651

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	4,018	4,259	3,371	4,127	15,775

Schedule C (Form 990 or 990-EZ) 2012

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

(b)

Amount

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:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

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

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

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."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; 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: 4,127 DIRECT LOBBYING EXPENDITURES: 805,272 TOTAL LOBBYING EXPENDITURES: 809,399 OTHER EXEMPT EXPENDITURES: 651,362,698 TOTAL EXEMPT PURPOSE EXPENDITURES: 652,172,097 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: 17,523,097 TOTAL EXEMPT PURPOSE EXPENDITURES: 17,523,097 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: 10,652,540 TOTAL EXEMPT PURPOSE EXPENDITURES: 10,652,540 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: 4,400,111 TOTAL EXEMPT PURPOSE EXPENDITURES: 4,400,111 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: 25,122,138 TOTAL EXEMPT PURPOSE EXPENDITURES: 25,122,138 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: 9,058,466 TOTAL EXEMPT PURPOSE EXPENDITURES: 9,058,466 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: 85,204,482 TOTAL EXEMPT PURPOSE EXPENDITURES: 85,204,482 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: 1,407,683 TOTAL EXEMPT PURPOSE EXPENDITURES: 1,407,683 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE TOTALS - AFFILIATES: GRASSROOTS EXPENDITURES: 4,127 DIRECT LOBBYING EXPENDITURES: 805,272 TOTAL LOBBYING EXPENDITURES: 809,399 OTHER EXEMPT EXPENDITURES: 804,731,215 TOTAL EXEMPT PURPOSE EXPENDITURES: 805,540,614 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: 4,127 DIRECT LOBBYING EXPENDITURES: 805,272 TOTAL LOBBYING EXPENDITURES: 809,399 OTHER EXEMPT EXPENDITURES: 804,756,215 TOTAL EXEMPT PURPOSE EXPENDITURES: 805,565,614 EXCESS GRASSROOTS EXPENDITURES: NONE EXCESS DIRECT LOBBYING EXPENDITURES: NONE

Schedule C (Form 990 or 990EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

2012

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 ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, 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.

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 XIII, the text of the footnote to its financial statements that describes these items.

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

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:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2012

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?........

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	108,604,577	102,137,494	90,136,704	76,915,483	68,068,028
b	Contributions ........	3,806,940	8,748,844	5,084,000	5,063,435	12,935,861
c	Net investment earnings, gains, and losses	8,968,440	232,365	8,863,791	9,533,485	-2,366,604
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	2,414,829	2,514,126	1,947,000	1,375,699	1,721,802
f	Administrative expenses ....
g	End of year balance ......	118,965,128	108,604,577	102,137,495	90,136,704	76,915,483

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

27.000 %

Permanent endowment SchDMd Bullet

73.000 %

Temporarily restricted endowment SchDMd Bullet

0 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII 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 .................		29,681,966		29,681,966
b	Buildings ................	2,773,600	985,352,383	196,475,224	791,650,759
c	Leasehold improvements ............		2,878,986	706,478	2,172,508
d	Equipment ................		306,032,384	164,329,580	141,702,804
e	Other .................		41,834,545	0	41,834,545
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......					1,007,042,582

Schedule D (Form 990) 2012

Page 3

Part VII

InvestmentsOther 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.)

Part VIII

InvestmentsProgram 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.)

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.)...........

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		565,467
MARKET VALUE OF INTEREST RATE SWAP		37,564,648
ACCRUED RETIREMENT BENEFITS		40,905,818
OTHER DONOR RELATED LIABILITIES		1,554,212
ACCRUED PROFESSIONAL LIABILITY		31,043,816
PAYABLE TO THIRD PARTY PAYORS		3,206,052
BOND ISSUE PREMIUM		8,291,331


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		123,131,344
2. Fin 48 (ASC 740) Footnote. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................

Schedule D (Form 990) 2012

Page 4

Part XI 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 XIII.) ............	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 XIII.) ...........	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 XII 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 XIII.) ............	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 XIII.) ............	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 XIII

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, line 2; Part XI, lines 2d and 4b; and Part XII, 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, 2012 AND 2011.

Schedule D (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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

2012

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.

For grantmakers. Does the organization maintain records to substantiate the amount of the grants or

assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used to award

the grants or assistance? ...................................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside
the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(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 and investments in region
	Central America and the Caribbean	0	0	Program Services	Self Insurance	1,177,164
	Central America and the Caribbean	0	0	Program Services	Recruiting	1,351
	Central America and the Caribbean	0	0	Investments		130,000
	East Asia and the Pacific	0	0	Program Services	Research Collaboration	386,584
	Europe (including Iceland and Greenland)	0	0	Program Services	Healthcare Services	2,187
	North America	0	0	Program Services	Healthcare Services	19,790
	North America	0	0	Program Services	Recruiting	688
	North America	0	0	Program Services	Research Collaboration	57,192









3a	Sub-total .....	0	0			1,774,956
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	0	0			1,774,956

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2012

Schedule F (Form 990) 2012

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. Part II can be duplicated 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)

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

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2012

Schedule F (Form 990) 2012Page 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.

Part III can be duplicated 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) 2012

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2012

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) 2012

Additional Data

Software ID:
Software Version:

- TIN:

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. Form 990-EZ filers are not required to complete this part. right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2012

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.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

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?

Yes

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.

(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
	AG DICKSON SOMERVILLE MA 02145 8 CHARLES E RYAN RD STE 2 SOMERVILLE, MA02145	PHONE CALLING		No	43,416	25,410	18,006









Total .................					43,416	25,410	18,006

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.

NY, OH

For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2012

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 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 DINNER/GALA (event type)	(b) Event #2 HORSE SHOW/CONC (event type)	(c) Other events 11 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	3,700,650	1,157,235	1,440,881	6,298,766
2	Less: Contributions . .	3,691,275	988,089	990,872	5,670,236
3	Gross income (line 1 minus line 2) . . .	9,375	169,146	450,009	628,530
4	Cash prizes . . .
5	Noncash prizes . .			560	560
6	Rent/facility costs . .			58,395	58,395
7	Food and beverages .	104,230		108,877	213,107
8	Entertainment . . .	373,366		44,681	418,047
9	Other direct expenses .	633,597		241,230	874,827
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........				1,564,936
11	Net income summary. Combine line 3, column (d), and line 10. ..........				-936,406

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.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (add col.(a) through col.(c))

Gross revenue . . . .

52,020

Cash prizes . . . .

2,665

Non-cash prizes . . .

17,091

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes
	No

	Yes
	No

	Yes100.000 %
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

19,756

Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow

32,264

Enter the state(s) in which the organization operates gaming activities: OH

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2012

Page 3

Does the organization operate gaming activities with nonmembers? .................

YesNo

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? ..........................

YesNo

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

0 %

An outside facility ........................

13b

100.000 %

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

KEVIN WELCH

Address

700 CHILDRENS DRIVE
COLUMBUS,OH43205

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

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

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

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

Supplemental Information. Complete this part to provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Identifier	Return Reference	Explanation
SCHEDULE G, PART I, LINE 2b, COLUMNS (iii) & (v)	FUNDRAISER SERVICES	LINE 2b, COLUMN (iii) - THE FUNDRAISER DID NOT RECEIVE OR HAVE ACCESS TO ANY FOUNDATION FUNDS. LINE 2b, COLUMN (v) - THE ENTIRE AMOUNT REPRESENTS PAYMENT FOR FUNDRAISING SERVICES PROVIDED AND NOT FOR ANY EXPENSES OR REIMBURSEMENTS.

Schedule G (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

2012

Open to Public Inspection

Name of the organization

NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN

Employer identification number

01-0782751

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining 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, as a factor in determining eligibility for free or discounted care.

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"? ..............

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

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? ..............

Did the organization prepare a community benefit report during the tax year? ..........

If "Yes," did the organization make it available to the public? ..............

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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) ..	9,368,906	2,012,043	7,356,864	0.790 %
b	Medicaid (from Worksheet 3, column a) ....	402,143,296	354,486,873	47,656,423	5.100 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	2,774,474	2,774,474	0
d	Total Financial Assistance and Means-Tested Government Programs .	414,286,676	359,273,390	55,013,287	5.890 %
Other Benefits		3,654,192	1,175,472	2,478,720	0.290 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	3,654,192	1,175,472	2,478,720	0.290 %
f	Health professions education (from Worksheet 5) ..	31,703,475	2,751,907	28,951,568	3.340 %
g	Subsidized health services (from Worksheet 6) ..	20,627,509	18,269,425	2,358,084	0.270 %
h	Research (from Worksheet 7)	32,258,420	0	32,258,420	3.720 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	1,334,923	0	1,334,923	0.150 %
j	Total. Other Benefits ..	89,578,519	22,196,804	67,381,715	7.770 %
k	Total. Add lines 7d and 7j .	503,865,195	381,470,194	122,395,002	13.660 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012

Schedule H (Form 990) 2012

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.

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	1,012,725		1,012,725	0.110 %
2	Economic development
3	Community support	339,113	141,810	197,303	0.020 %
4	Environmental improvements	297,982		297,982	0.030 %
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	231,330		231,330	0.020 %
9	Other	3,002		3,002
10	Total	1,884,152	141,810	1,742,342	0.180 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

28,195,423

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

4,628,076

Enter Medicare allowable costs of care relating to payments on line 5.....

6,857,761

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-2,229,685

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—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) 2012

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, and primary website address									Other (Describe)
1	NATIONWIDE CHILDREN'S HOSPITAL 700 CHILDRENS DRIVE MAIN CAMPUS COLUMBUS,OH43205 www.nationwidechildrens.org	X	X	X	X	X	X	X	NEONATAL INTENSIVE CARE UNIT

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	NATIONWIDE CHILDREN'S (MAIN CAMPUS)
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20

In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 ....................

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	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.
11	Used FPG to determine eligibility for providing discounted care?.................	11	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.
12	Explained the basis for calculating amounts charged to patients?.................	12	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)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	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 website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	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?.......	15	Yes
16	Check all of the following 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)
17	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?..........	17		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)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

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?..........

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

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 1644 NORTH LIMESTONE STREET SPRINGFIELD,OH45505	LAB
4	ZANESVILLE OUTPATIENT CARDIOLOGY SVCS 716 ADAIR AVENUE ZANESVILLE,OH43701	CARDIOLOGY CLINIC
5	MARION OUTPATIENT CARDIOLOGY SERVICES 1040 DELAWARE AVENUE MARION,OH43302	CARDIOLOGY CLINIC
6	MANSFIELD CLOSE TO HOME CENTER 680 PARK AVENUE WEST SUITE G05 MANSFIELD,OH44906	MEDICAL OFFICES
7	CLEVELAND CHILDLAB 1139 ROCKSIDE ROAD PARMA,OH44134	LAB
8	MARIETTA OUTPATIENT CARIOLOGY SERVICES 400 MATTHEW STREET MARIETTA,OH45750	CARDIOLOGY CLINIC
9	NEWARK CLOSE TO HOME CENTER 75 SOUTH TERRACE AVENUE NEWARK,OH43055	MEDICAL OFFICES
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	ATHENS OUTPATIENT CARDIOLOGY SERVICES 75 HOSPITAL DR CASTROP CENTER STE ATHENS,OH45701	CARDIOLOGY CLINIC
13	FINDLAY OUTPATIENT CARDIOLOGY SERVICES 1900 SOUTH MAIN STREET 2ND FLOOR FINDLAY,OH45840	CARDIOLOGY CLINIC
14	ZANESVILLE CHILDLAB 1166 MILITARY ROAD SUITE B ZANESVILLE,OH43701	LAB
15	LIMA CHILDLAB 830 WEST HIGH STREET SUITE 375 LIMA,OH45801	LAB
16	MARION CHILDLAB 1069 DELAWARE AVENUE MARION,OH43302	LAB
17	IRONTON CHILDLAB & CLOSE TO HOME CENTER 2301 SOUTH 7TH STREET IRONTON,OH45638	LAB & MEDICAL OFFICES
18	CANTON CHILDLAB 4846 HIGBEE AVENUE NW CANTON,OH44718	LAB
19	WESTLAKE CHILDLAB 27500 DETROIT ROAD SUITE 102 WESTLAKE,OH44145	LAB
20	MASON CHILDLAB 5112 CEDAR VILLAGE DRIVE MASON,OH45040	LAB
21	WARREN CHILDLAB 321 NILES CORTLAND ROAD NE WARREN,OH44484	LAB

Schedule H (Form 990) 2012

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; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
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.
8	Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.

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. IN 2013, NATIONWIDE CHILDREN'S HOSPITAL PREPARED A COMMUNITY BENEFIT REPORT.
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 CHILDRENS 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 THE PAST FOUR YEARS, HNHF SOLD 28 HOMES AND REPAIRED 92 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. IN 2012, NCH HAD 40 MENTORS PARTICIPATE. - REACH OUT AND READ PROGRAM, A PEDIATRIC PROGRAM DEDICATED TO INCREASING FAMILY LITERACY ACTIVITIES IN THE HOME PRIOR TO A CHILDS 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 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 4		THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGE 13 OF THE AUDITED FINANCIAL STATEMENTS.
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 18e		THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS IN THE FOLLOWING WAYS: SIGNAGE LOCATED THROUGHOUT THE HOSPITAL, LETTERS SENT TO PATIENTS AND/OR PARENTS, AUTOMATED TELEPHONE CALLS, AND THE POLICY IS AVAILABLE ON THE ORGANIZATION'S WEBSITE.
PART V, SECTION B, LINE 20d		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 RECENT YEARS, 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 CORRESPONDNG 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 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 REPORT AND THE OTHER LIGHT SHOWS WHETHER THERE'S BEEN ANY IMPROVEMENT SINCE THEN. IN 2012, NCH CONTINUES TO MONITOR THESE TEN INDICATORS WHILE MAKING EFFORTS TO HELP CHILDREN REACH THEIR FULL POTENTIAL BY ADDRESSING THESE PREVENTABLE THREATS THROUGH VARIOUS HOSPITAL PROGRAMS. THESE PROGRAMS AND SEVERAL OTHERS STEMMING FROM THIS ASSESSMENT HAVE BEEN THE BASIS OF PROGRAM DEVELOPMENT BY NCH IN FOCUSING ON 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 $50,045 AND 17.4% OF FAMILIES ARE BELOW THE POVERTY LEVEL. APPROXIMATELY 12% OF THE POPULATION OF 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 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 427 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 IN 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) 2012

Additional Data

Software ID:
Software Version:

- TIN:

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

2012

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

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? ....................................

Yes No

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. Part II can be duplicated if additional space is needed.

(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)	32,326,631				TO SUPPORT VARIOUS RESEARCH INITIATIVES
(2) RESEARCH INSTITUTE AT NCH (PAID BY NCHF) 700 CHILDRENS DRIVE COLUMBUS,OH43205	31-6056230	501(c)(3)	2,778,092				TO SUPPORT VARIOUS RESEARCH INITIATIVES
(3) NATIONWIDE CHILDREN'S HOSP (PAID BY NCHF) 700 CHILDRENS DRIVE COLUMBUS,OH43205	31-4379441	501(c)(3)	3,406,310				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)	68,462				TO SUPPORT HOSPICE AND PALLIATIVE CARE PROGRAMS
(5) CTR FOR CHILD &FAMILY ADVOCACY (PD BY NCHF) 700 CHILDRENS DRIVE COLUMBUS,OH43205	02-0627166	501(c)(3)	488,889				TO SUPPORT CHILD ADVOCACY PROGRAMS
(6) CHILDREN'S SURGICAL ASSOC (PAID BY NCHF) 700 CHILDRENS DRIVE COLUMBUS,OH43205	31-1654000	501(c)(3)	145,353				TO SUPPORT SURGICAL RESEARCH INITIATIVES
(7) CHILDREN'S RADIOLOGICAL INST (PAID BY NCHF) 700 CHILDRENS DRIVE COLUMBUS,OH43205	31-1439570	501(c)(3)	103,382				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 CRI) 700 CHILDRENS DRIVE COLUMBUS,OH43205	31-4379441	501(c)(3)	50,000				TO SUPPORT COMMUNITY EDUCATION PROGRAMS
(12) MARCH OF DIMES (PAID BY NCH) 975 EASTWIND DR STE 150 WESTERVILLE,OH43081	13-1846366	501(c)(3)	15,000				TO SUPPORT PROGRAMS FOR HEALTHIER BABIES
(13) UNITED WAY OF CENTRAL OHIO (PD BY NCH) 360 S THIRD STREET COLUMBUS,OH43215	31-4393712	501(c)(3)	50,000				VARIOUS COMMUNITY BENEFIT PROGRAMS
(14) RONALD MCDONALD HOUSE CHARITIES (PD BY NCH) 711 E LIVINGSTON AVE COLUMBUS,OH43205	31-0890152	501(c)(3)	754,200				TO SUPPORT CAPITAL CAMPAIGN
(15) COMMUNITY DEV FOR ALL PEOPLE (PD BY NCH) POB 06063 964 PARSONS COLUMBUS,OH43206	51-0476886	501(c)(3)	47,500				TO SUPPORT HEALTH FOODS COOPERATIVE
(16) FLYING HORSE FARMS (PAID BY NCH) 3 EASTON OVAL STE 330 COLUMBUS,OH43219	20-3498125	501(c)(3)	6,500				TO SUPPORT MAGICAL CAMP FOR CHILDREN WITH SERIOUS ILLNESS
(17) PROGENY (PAID BY NCH) 6471 LITHOPOLIS WINCHESTER CANAL WINCHESTER,OH43110	31-1417786	501(c)(3)	25,000				TO SUPPORT HOUSING/ONGOING CARE FOR CHILDREN
(18) AMERICAN HEART ASSOCIATION (PAID BY NCH) 5455 N HIGH STREET COLUMBUS,OH43214	13-5613797	501(c)(3)	13,000				TO SUPPORT CENTRAL OHIO HEART WALK & COLUMBUS GO RED LUNCH
(19) COLUMBUS BICENTENNIAL 2012 (PAID BY NCH) 100 E BROAD ST STE 2250 COLUMBUS,OH43215	45-1730585	501(c)(3)	20,000				TO SUPPORT THE COLUMBUS BICENTENNIAL FUND
(20) WEXNER CENTERSTAR BENEFIT (PAID BY NCH) 1871 N HIGH ST COLUMBUS,OH43210	31-6025986	501(c)(3)	10,000				TO SUPPORT AN EVENING WITH CARRIE FISHER EVENT
(21) CHARIT PHARMACY OF CENTRAL OHIO(PD BY NCH) 200 E LIVINGSTON AVENUE COLUMBUS,OH43215	27-0147099	501(c)(3)	25,000				TO SUPPORT OPERATIONS OF CPOCO
(22) COLUMBUS URBAN LEAGUE (PAID BY NCH) 788 MOUNT VERNON AVE COLUMBUS,OH43203	31-4379453	501(c)(3)	5,750				TO SUPPORT EMPOWERMENT DAY CELEBRATION
(23) ASSN OF PHYS OF PAKISTANI-DESCENT(PD BY NCH) 6414 SOUTH CASS AVENUE WESTMONT,IL60559	36-0291079	501(c)(3)		100,846	FAIR MARKET VALUE	MEDICAL SUPPLIES	TO PROVIDE MEDICAL SUPPLY BOXES
(24) MID-OHIO FOODBANK (PAID BY NCH) 3960 BROOKHAM DRIVE GROVE CITY,OH43123	31-0865343	501(c)(3)		32,000	FAIR MARKET VALUE	FOOD	TO PROVIDE MEALS READY TO EAT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2012

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.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant
(1) ASSISTANCE TO PATIENT FAMILIES (PAID BY NCH)	66563	244,026

Part IV

Supplemental Information.

Complete this part to provide the information required in Part I, line 2, Part III, column (b), 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 SOCIAL WORK 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 OCCASIONAL SUPPORT FOR FAMILIES WITH MORE EXTRAORDINARY NEEDS, SUCH AS UTILITY BILL ASSISTANCE, OR ASSISTANCE WITH TEMPORARY HOUSING WHERE A PATIENT WILL BE DISCHARGED TO, OR TO PROVIDE COSTLY MEDICATION.

Schedule I (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

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

2012

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

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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 of the expenses described above? If "No," complete Part III to explain....

Yes

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? .......

Yes

Indicate which, if any, of the following the filing organization used 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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

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:

The organization? ...........................

Yes

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

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 ............

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 .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2012

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 (E) amounts for that individual.

(A) Name and Title		(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
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable 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
(1)STEVEN TEICH MDDIRECTOR - NCH	(i) (ii)	369,254 0	157,795 0	17,000 0	33,750 0	21,014 0	598,813 0	0 0
(2)STEVE ALLEN MDDIRECTOR / CEO - NCH	(i) (ii)	745,047 0	505,648 0	0 0	33,750 0	21,014 0	1,305,459 0	0 0
(3)JANINE WINTERS MDMEDICAL DIR - NCH HOMECARE	(i) (ii)	0 175,884	0 0	0 2,001	0 17,598	0 0	0 195,483	0 0
(4)WILLIAM SHIELS II MDPRESIDENT / DIRECTOR - CRI	(i) (ii)	482,286 0	143,366 0	1,058,470 0	33,750 0	16,014 0	1,733,886 0	1,041,470 0
(5)DENNIS MINZLERSEC / TREAS / DIRECTOR - CRI	(i) (ii)	109,591 0	19,752 0	0 0	9,854 0	16,174 0	155,371 0	0 0
(6)PHYLLIS HAMMOND-INNES MDPRESIDENT / DIRECTOR - PPAC	(i) (ii)	384,184 0	77,461 0	17,000 0	33,750 0	18,014 0	530,409 0	0 0
(7)LARRY MOSS MDDIRECTOR - CSA	(i) (ii)	617,586 0	165,642 0	17,000 0	33,750 0	16,514 0	850,492 0	0 0
(8)EDWARD SHEPHERD MDDIRECTOR - NCH FOUNDATION	(i) (ii)	0 196,659	0 14,200	0 2,772	0 21,907	0 7,000	0 242,538	0 0
(9)WILLIAM H COTTON MDDIRECTOR - NCH FOUNDATION	(i) (ii)	0 208,281	0 0	0 2,250	0 20,682	0 0	0 231,213	0 0
(10)JOHN A BARNARD MDDIRECTOR / PRESIDENT - RINCH	(i) (ii)	116,030 245,263	152,813 0	0 2,250	618 24,382	17,074 0	286,535 271,895	0 0
(11)KAREN DAYSPRESIDENT / DIRECTOR - CCFA	(i) (ii)	226,337 0	31,218 0	0 0	33,539 0	9,222 0	300,316 0	0 0
(12)OLIVIA THOMASDIRECTOR - CCFA	(i) (ii)	0 184,444	0 0	0 2,099	0 18,206	0 0	0 204,749	0 0
(13)TIMOTHY C ROBINSONTREASURER / SR VP / CFO - NCH	(i) (ii)	483,024 0	217,505 0	17,000 0	33,750 0	19,014 0	770,293 0	0 0
(14)RICHARD MILLERCOO - NCH	(i) (ii)	452,617 0	184,184 0	16,510 0	33,750 0	22,414 0	709,475 0	0 0
(15)LINDA STOVEROCK RNSR VP / CNO - NCH	(i) (ii)	305,299 0	72,808 0	0 0	33,750 0	15,785 0	427,642 0	0 0
(16)WANDA STACKPOLEVP / EXEC DIR - NCH HOMECARE	(i) (ii)	142,735 0	24,786 0	0 0	14,054 0	6,331 0	187,906 0	0 0
(17)RHONDA COMERSEC / SR VP / LEGAL SVCS - NCH	(i) (ii)	291,013 0	73,066 0	0 0	33,750 0	18,236 0	416,065 0	0 0
(18)JOHN T CLARKSR VP/AMBULATORY SVCS - NCH	(i) (ii)	148,520 0	35,645 0	9,156 0	16,456 0	16,270 0	226,047 0	0 0
(19)PAMELA EDSONVICE PRESIDENT - NCH	(i) (ii)	168,416 0	28,255 0	0 0	14,683 0	16,355 0	227,709 0	0 0
(20)PATRICIA MCCLIMONSR VP / PLAN & DEV'T - NCH	(i) (ii)	238,058 0	90,553 0	17,000 0	23,245 0	20,601 0	389,457 0	0 0
(21)MICHAEL BRADY MDPHYSICIAN IN CHIEF - NCH	(i) (ii)	67,845 229,776	102,107 0	0 2,250	2,291 22,709	288 0	172,531 254,735	0 0
(22)RICHARD BRILLI M DCHIEF MEDICAL OFFICER - NCH	(i) (ii)	257,543 98,968	186,150 0	17,000 1,126	24,021 9,729	19,155 0	503,869 109,823	0 0
(23)BRUCE MEYER MDADMIN MEDICAL DIRECTOR - NCH	(i) (ii)	132,370 0	23,098 0	17,000 0	15,044 0	15,552 0	203,064 0	0 0
(24)DENISE ZABAWSKIVP / CIO - NCH	(i) (ii)	267,470 0	47,450 0	0 0	23,245 0	8,597 0	346,762 0	0 0
(25)JOSE BALDERAMAVP / HR - NCH	(i) (ii)	215,973 0	49,694 0	0 0	23,245 0	16,399 0	305,311 0	0 0
(26)BRUCE STEVENSONVICE PRESIDENT - RINCH	(i) (ii)	180,248 0	11,895 0	17,000 0	15,824 0	15,767 0	240,734 0	0 0
(27)MARK GALANTOWICZ MDCHIEF OF CT SURGERY - CSA	(i) (ii)	1,117,132 0	542,704 0	17,000 0	33,750 0	16,723 0	1,727,309 0	0 0
(28)KEVIN KLINGELE MDORTHOPEDIC SURGEON - CSA	(i) (ii)	749,371 0	463,694 0	17,000 0	33,750 0	16,723 0	1,280,538 0	0 0
(29)RICHARD KIRSCHNER MDPLASTIC SURGEON - CSA	(i) (ii)	663,259 0	251,813 0	17,000 0	33,750 0	16,723 0	982,545 0	0 0
(30)ALAN BEEBE MDORTHOPEDIC SURGEON - CSA	(i) (ii)	573,710 0	237,667 0	13,080 0	33,750 0	16,014 0	874,221 0	0 0
(31)WALTER SAMORA MDORTHOPEDIC SURGEON - CSA	(i) (ii)	444,377 0	318,688 0	17,000 0	19,346 0	1,714 0	801,125 0	0 0
(32)J TERRANCE DAVIS MDFORMER INTERIM CMO - NCH	(i) (ii)	245,373 0	41,886 0	0 0	23,245 0	15,505 0	326,009 0	0 0

Schedule J (Form 990) 2012

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
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 CHILDREN'S HOSPITAL PROVIDED HEALTH OR SOCIAL CLUB DUES FOR TIMOTHY ROBINSON, MICHAEL BRADY, M.D., AND JOHN T. CLARK. THESE WERE TREATED AS TAXABLE COMPENSATION TO THE EMPLOYEE. NATIONWIDE CHILDREN'S HOSPITAL ALSO PROVIDED HEALTH OR SOCIAL CLUB DUES FOR STEVE ALLEN, M.D. THESE WERE DETERMINED TO BE BUSINESS EXPENSES AND WERE NOT TREATED AS COMPENSATION TO THE EMPLOYEE.
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 EMPLOYEE: WILLIAM SHIELS, M.D. $1,041,470 ($1,041,470 PREVIOUSLY REPORTED ON A 990) EFFECTIVE FOR PLAN YEAR 2010, NCH CHOSE TO ELIMINATE FUTURE CONTRIBUTIONS TO THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. CURRENT BALANCES OF THIS PLAN ARE MAINTAINED IN THE ACCOUNTS. FOR CHILDREN'S RADIOLOGICAL INSTITUTE, INC., CONTRIBUTIONS ARE STILL BE BEING MAINTAINED, BUT THERE WAS A PLAN DESIGN CHANGE ALLOWING ANNUAL CONTRIBUTIONS TO BE VESTED AFTER 5 YEARS.
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) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

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

2012

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	COUNTY OF FRANKLIN OHIO	31-6400067	353187AR8	05-15-2012	83,291,333	2012A BONDS (SEE SCH K, PART VI)		X		X		X
B	COUNTY OF FRANKLIN OHIO	31-6400067	3531867H6	12-17-2009	100,162,742	2009 BONDS (SEE SCH K, PART VI)		X		X		X
C	COUNTY OF FRANKLIN OHIO	31-6400067	3531865R6	05-01-2008	43,921,562	2008A BONDS (SEE SCH K, PART VI)		X		X		X
D	COUNTY OF FRANKLIN OHIO	31-6400067	3531865S4	05-07-2008	176,675,000	2008B-E BONDS (SEE SCH K, PART VI)		X		X		X
	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	05-15-2005	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 . . . . . . . . . . . . . .	88,841,651		114,454,378		46,794,180		195,350,778
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 . . . . . . . . . . . .	976,231		1,235,586		379,213		865,761
8 Credit enhancement from proceeds . . . . . . . . . . .	0		0		0		84,500
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	10,025,000		113,218,792		43,742,967		63,456,878
11 Other spent proceeds . . . . . . . . . . . . . .	823,513		0		2,672,000		130,943,639
12 Other unspent proceeds . . . . . . . . . . . . . .	77,016,907		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2012		2012		2012		2012
	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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2012

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				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 . .	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 . . . . . . .	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
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.	0.00000%		0.00000%		0.00000%		0.00000%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X		X		X
9 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 the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .	X		X		X		X
b Exception to rebate? . . . . . . . .		X		X		X		X
c No rebate due? . . . . . . . . . .		X		X		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X		X		X	X
4a 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		0
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . . . .		X						X
e Was a hedge terminated? . . . . . . .		X						X

Schedule K (Form 990) 2012

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a 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? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .		X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 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?		X		X		X		X

Part VI

Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
DESCRIPTION OF PURPOSE OF BONDS	SCHEDULE K, PART I, COLUMN (F)	PART I, LINE A REPORTS THE 2012 HOSPITAL IMPROVEMENT REVENUE BOND, SERIES A. ITS PURPOSE IS TO FINANCE A PORTION OF THE COST OF ACQUIRING, CONSTRUCTING, EQUIPPING, INSTALLING AND IMPROVING CERTAIN HOSPITAL FACILITIES. PART I, LINE B REPORTS 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 C 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 D 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 A (2) 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 B (2) 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.
CAPITALIZED INTEREST FROM PROCEEDS	SCHEDULE K, PART II, LINE 5, COLUMN B (2)	THIS AMOUNT REPRESENTS ACCRUED INTEREST PAYMENT OF $119,261.28.
OTHER SPENT PROCEEDS	SCHEDULE K, PART II, LINE 11, COLUMNS A & C	THIS AMOUNT REPRESENTS AN INTEREST RATE HEDGE TERMINATION PAYMENT OF $823,513 (COLUMN A) AND $2,672,000 (COLUMN C). OTHER SPENT PROCEEDS SCHEDULE K, PART II, LINE 11, COLUMNS D & A (2) THE AMOUNT REPORTED REPRESENTS REFUNDINGS OF THE FOLLOWING OUTSTANDING REVENUE BONDS: 2002, 2003, 2005A&B AND 2006 BONDS.
WRITTEN PROCEDURES	SCHEDULE K, PART III, LINE 9 & PART IV, LINE 7	WRITTEN POST-ISSUANCE COMPLIANCE PROCEDURES ARE CURRENTLY IN THE PROCESS OF BEING DRAFTED.
REBATE	SCHEDULE K, PART IV, LINE 2C, COLUMN B (2)	THE 5/15/2005 ISSUANCE MET SPEND DOWN REQUIREMENTS. THEREFORE, NO REBATE IS DUE.
HEDGE	SCHEDULE K, PART IV, LINE 4, COLUMNS D & A (2)	THE PROVIDERS AND TERMS OF INTEREST RATE HEDGES ARE AS FOLLOWS: COLUMN D: 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 A (2): 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 6	SPEND DOWN REQUIREMENTS HAVE BEEN MET WHERE APPLICABLE ON ALL OUTSTANDING BONDS.

Schedule K (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

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

2012

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	COUNTY OF FRANKLIN OHIO	31-6400067	353187AR8	05-15-2012	83,291,333	2012A BONDS (SEE SCH K, PART VI)		X		X		X
B	COUNTY OF FRANKLIN OHIO	31-6400067	3531867H6	12-17-2009	100,162,742	2009 BONDS (SEE SCH K, PART VI)		X		X		X
C	COUNTY OF FRANKLIN OHIO	31-6400067	3531865R6	05-01-2008	43,921,562	2008A BONDS (SEE SCH K, PART VI)		X		X		X
D	COUNTY OF FRANKLIN OHIO	31-6400067	3531865S4	05-07-2008	176,675,000	2008B-E BONDS (SEE SCH K, PART VI)		X		X		X
	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	05-15-2005	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 . . . . . . . . . . . . . .	88,841,651		114,454,378		46,794,180		195,350,778
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 . . . . . . . . . . . .	976,231		1,235,586		379,213		865,761
8 Credit enhancement from proceeds . . . . . . . . . . .	0		0		0		84,500
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	10,025,000		113,218,792		43,742,967		63,456,878
11 Other spent proceeds . . . . . . . . . . . . . .	823,513		0		2,672,000		130,943,639
12 Other unspent proceeds . . . . . . . . . . . . . .	77,016,907		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2012		2012		2012		2012
	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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2012

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				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 . .	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 . . . . . . .	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
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.	0.00000%		0.00000%		0.00000%		0.00000%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X		X		X
9 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 the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .	X		X		X		X
b Exception to rebate? . . . . . . . .		X		X		X		X
c No rebate due? . . . . . . . . . .		X		X		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X		X		X	X
4a 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		0
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . . . .		X						X
e Was a hedge terminated? . . . . . . .		X						X

Schedule K (Form 990) 2012

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a 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? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .		X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 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?		X		X		X		X

Part VI

Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
DESCRIPTION OF PURPOSE OF BONDS	SCHEDULE K, PART I, COLUMN (F)	PART I, LINE A REPORTS THE 2012 HOSPITAL IMPROVEMENT REVENUE BOND, SERIES A. ITS PURPOSE IS TO FINANCE A PORTION OF THE COST OF ACQUIRING, CONSTRUCTING, EQUIPPING, INSTALLING AND IMPROVING CERTAIN HOSPITAL FACILITIES. PART I, LINE B REPORTS 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 C 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 D 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 A (2) 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 B (2) 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.
CAPITALIZED INTEREST FROM PROCEEDS	SCHEDULE K, PART II, LINE 5, COLUMN B (2)	THIS AMOUNT REPRESENTS ACCRUED INTEREST PAYMENT OF $119,261.28.
OTHER SPENT PROCEEDS	SCHEDULE K, PART II, LINE 11, COLUMNS A & C	THIS AMOUNT REPRESENTS AN INTEREST RATE HEDGE TERMINATION PAYMENT OF $823,513 (COLUMN A) AND $2,672,000 (COLUMN C). OTHER SPENT PROCEEDS SCHEDULE K, PART II, LINE 11, COLUMNS D & A (2) THE AMOUNT REPORTED REPRESENTS REFUNDINGS OF THE FOLLOWING OUTSTANDING REVENUE BONDS: 2002, 2003, 2005A&B AND 2006 BONDS.
WRITTEN PROCEDURES	SCHEDULE K, PART III, LINE 9 & PART IV, LINE 7	WRITTEN POST-ISSUANCE COMPLIANCE PROCEDURES ARE CURRENTLY IN THE PROCESS OF BEING DRAFTED.
REBATE	SCHEDULE K, PART IV, LINE 2C, COLUMN B (2)	THE 5/15/2005 ISSUANCE MET SPEND DOWN REQUIREMENTS. THEREFORE, NO REBATE IS DUE.
HEDGE	SCHEDULE K, PART IV, LINE 4, COLUMNS D & A (2)	THE PROVIDERS AND TERMS OF INTEREST RATE HEDGES ARE AS FOLLOWS: COLUMN D: 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 A (2): 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 6	SPEND DOWN REQUIREMENTS HAVE BEEN MET WHERE APPLICABLE ON ALL OUTSTANDING BONDS.

Schedule K (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

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 assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2012

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) SEE SCHEDULE L PART V	SEE SCHEDULE L, PART V	39,478,987	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: $1,575,288 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: $164,432 DESCRIPTION: LEASE OF FACILITY SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: MORGAN STANLEY RELATIONSHIP: FIRM OF ROBERT KIDDER, DIR NCH AMOUNT: $3,763,549 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: $291,030 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: $686,023 DESCRIPTION: FINANCIAL SERVICES SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: CARDINAL HEALTH RELATIONSHIP: GEORGE BARRETT, DIR OF NCH (CHAIRMAN & CEO OF CARDINAL HEALTH) AMOUNT: $32,406,606 DESCRIPTION: PHARMACEUTICAL SUPPLIER SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: THE COLUMBUS DISPATCH RELATIONSHIP: ANN WOLFE, DIR OF NCH (SPOUSE OF JOHN WOLFE, OWNER & PUBLISHER OF THE COLUMBUS DISPATCH) AND MICHAEL FIORILE, DIR OF NCH (PRES & COO OF THE COLUMBUS DISPATCH) AMOUNT: $ 188,293 DESCRIPTION: ADVERTISING SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: SCIENCE AND TECHNOLOGY CAMPUS CORPORATION RELATIONSHIP: CAROLINE WHITACRE, PH.D. - DIR RINCH (BOARD CHAIR OF SCITECH) AMOUNT: $100,320 DESCRIPTION: LEASE OF FACILITY 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: $37,887 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: $78,990 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: $158,443 DESCRIPTION: WAGES (VP OF ANNUAL GIVING, NCH FOUNDATION) SHARING OF ORGANIZATION'S REVENUES: NO NAME OF INTERESTED PERSON: KAITLYN DAY RELATIONSHIP: FAMILY MEMBER OF RHONDA COMER (OFFICER - NCH) AMOUNT: $ 28,126 DESCRIPTION: WAGES (ADMINISTRATIVE SUPPORT, PAA) SHARING OF ORGANIZATION'S REVENUES: NO

Schedule L (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.

OMB No. 1545-0047

2012

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	18	1,261,362	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 ( )
26 Other ( )
27 Other ( )
28 Other ( )

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 ...

Yes

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

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2012)

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) (2012)

Additional Data

Software ID:
Software Version:

- TIN:

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

2012

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		TOTAL NUMBER OF VOLUNTEERS: 1,639 FORM 990, PART I, LINE 6 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 AND PART TIME. IN 2012, NATIONWIDE CHILDREN'S HOSPITAL RECEIVED 50,007 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 2012 SPENT A TOTAL OF 30,294 HOURS CREATING ITEMS FOR OUR PATIENTS AND VISITING THE HOSPITAL TO PROVIDE ACTIVITIES FOR BOTH PATIENTS AND FAMILIES. 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. NCH RANKED 7TH OF ONLY 12 CHILDREN'S HOSPITALS ON U.S. NEWS & WORLD REPORTS 2012-2013 LIST OF "AMERICA'S BEST CHILDREN'S HOSPITALS" HONOR ROLL. IN 2012, OUR MEDICAL STAFF OF APPROXIMATELY 1,100 AND HOSPITAL STAFF OF APPROXIMATELY 8,600 DELIVERED STATE OF THE ART PEDIATRIC CARE BY DISCHARGING 18,401 PATIENTS, FOR A TOTAL OF 125,496 INPATIENT DAYS AND PROVIDING 1,019,715 OUTPATIENT VISITS. ANNUAL PATIENT VISITS EXCEEDED ONE MILLION IN 2012, AND NATIONWIDE CHILDREN'S CONSTRUCTED A NEW MAIN HOSPITAL BUILDING THAT EXPANDED AND IMPROVED ON EXISTING SERVICES. WITH THE NEW FACILITIES IT WILL PROVIDE UPDATED AND MUCH NEEDED SPACE FOR THE HOSPITAL'S SERVICES. THE NEW MAIN HOSPITAL IS THE LARGEST PEDIATRIC EXPANSION EFFORT IN U.S. HISTORY. THE EXPANSION CREATED ONE MILLION SQUARE FEET OF CLINICAL AND RESEARCH SPACE IN ADDITION TO THE EXISTING TWO MILLION SQUARE FEET, THE NEW MAIN HOSPITAL IS 750,000 SQUARE FEET AND A 12-STORY TOWER. 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 427 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 2012, THE FOLLOWING ARE A FEW WAYS THIS PRINICIPAL WAS ACCOMPLISHED: 1) NCH PROVIDED OVER $55 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 $47.7 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 52% 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 2012. 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 2012, 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 OPENED A THIRD RESEARCH BUILDING, 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 2012 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 2012, NATIONWIDE CHILDREN'S HOSPITAL AND FOUNDATION CONTRIBUTED OVER $35 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 2012. ADDITIONALLY, OVER 1,000 PATIENT EDUCATION MATERIALS WERE PREPARED AS TEACHING TOOLS FOR CHILDREN AND FAMILIES. IN 2012, NCH SPENT APPROXIMATELY $29 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. 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 FAMILY SAFETY & HEALING AT NCH IS DEDICATED TO REDUCING THE OCCURRENCE OF CHILD ABUSE AND FAMILY VIOLENCE 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 THE PAST FOUR YEARS, HNHF: SOLD 28 HOMES, REPAIRED 92 HOMES, AND TAUGHT 50 CHILDCARE PROVIDERS IN THE HNHF ZONE THROUGH THE HEALTHY CHILDCARE INITIATIVE. OTHER WAYS NEIGHBORHOOD IMPACT WAS PROVIDED INCLUDE: 1) PROJECT MENTOR - A WEEKLY MENTORING PROGRAM UNDER THE AUSPICES OF BIG BROTHER BIG SISTERS. MENTORS SPEND 1 HOUR WEEKLY WITH THEIR MENTEE IN DELIBERATE ACTIVITIES AND DISCUSSION. IN 2012, NCH HAD 40 MENTORS PARTICIPATE. 2) PENPAL PROGRAM - IN 2012, 100 PENPALS, WHO ARE EMPLOYEES FROM NCH, EXCHANGED LETTERS MONTHLY WITH LIVINGSTON AVENUE STUDENTS. THE TWO GROUPS MEET EACH OTHER AT THE END OF THE YEAR. THIS PROGRAM HELPS BUILD LITERACY SKILLS WITH THE STUDENTS. 3) HEALTH EDUCATION INITIATIVE - NCH MEDICAL RESIDENTS WENT TO LIVINGSTON ELEMENTARY AND TAUGHT HEALTH EDUCATION CURRICULUM TO STUDENTS ONGOING FOR THE YEAR. THERE WERE 90 KIDS FROM MULTIPLE RESIDENTS INVOLVED. IN ADDITION, DENTAL HYGIENISTS TAUGHT KIDS ABOUT BRUSHING AND MAINTAINING HEALTHY TEETH AND GAVE DENTAL CHECKS FOR KINDERGARTENERS (80 KIDS PARTICIPATED). FURTHERMORE, 60 HIGH SCHOOL STUDENTS SPENT TIME SHADOWING NCH PROFESSIONALS FOR CAREER INSIGHT AND NCH RESEARCHERS GAVE WEEKLY LECTURES TO 20 KIDS ON THEIR CAREER TRAJECTORY AND CURRENT RESEARCH EFFORTS. 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, DIRECTOR 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 SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS FORM 990, PART VI, LINE 4 DURING 2012, THE ASSETS AND LIABILITIES OF THE COALITION AGAINST FAMILY VIOLENCE ("COALITION") WERE MERGED INTO CENTER FOR CHILD AND FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL ("CCFA"). AS A RESULT OF THIS MERGER, CCFA'S BYLAWS WERE AMENDED TO CHANGE THE BOARD COMPOSITION. THE OLD BYLAWS REQUIRED A MEMBER OF THE COALITION TO SIT ON THE BOARD. THE AMENDED BYLAWS STATE THAT NATIONWIDE CHILDREN'S HOSPITAL, INC. SHALL BE THE SOLE MEMBER OF THE BOARD AND HAVE THE AUTHORITY TO ELECT ALL THE DIRECTORS OF THE CORPORATION.
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 2012, 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 2012, 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.
AVERAGE HOURS PER WEEK	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 GOVERNING BOARD OF NATIONWIDE CHILDREN'S HOSPITAL, INC. AND NATIONWIDE CHILDREN'S HOSPITAL IS A JOINT BOARD AND MEMBERS SERVE ON THESE BOARDS CONCURRENTLY.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES	FORM 990, PART XI, LINE 9	EFFECT OF ADOPTION OF SFAS NO. 158 ($3,083,432) NET CHANGE IN INTEREST RATE SWAP AGREEMENTS $1,510,341 TRANSFER FROM AFFILIATES $3,119,211 OTHER INCREASES $413,129 LINE 9 TOTAL $1,959,249

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

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" to Form 990, Part IV, line 33.)

(a) Name, address, and EIN (if applicable) 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" to 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 entity?
(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	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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2012

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to 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	(i) Section 512(b)(13) controlled entity?
(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		Yes	No
(1) CHILDREN'S ANESTHESIA ASSOCIATES 700 CHILDRENS DRIVE COLUMBUS,OH43205 31-0650338	PHYSICIAN SERVICE	OH	NCH	C	12,113,857	8,167,316	100.000 %	Yes
(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	1,573,800	100.000 %	Yes
(3) KIDS 4 SURE 700 CHILDRENS DRIVE COLUMBUS,OH43205 31-1227555	INACTIVE	OH	NCH	C	0	0	100.000 %	Yes
(4) NORTHEAST CLOSE TO HOME CENTER CONDO ASN 433 NORTH CLEVELAND AVE WESTERVILLE,OH43082 20-5540381	CONDO ASSOCIATION	OH	NCH	C	57,026	4,338	91.000 %	Yes
(5) CHILDREN'S NW MED OFFICE BLDG CONDO ASSN 5675 VENTURA DRIVE DUBLIN,OH43017 20-5540559	CONDO ASSOCIATION	OH	NCH	C	46,578	2,328	74.400 %	Yes
(6) PEDIATRIC CLINICAL TRIALS INC 700 CHILDRENS DRIVE COLUMBUS,OH43205 31-1609283	INACTIVE	OH	NCH	C	0	0	100.000 %	Yes

Schedule R (Form 990) 2012

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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-s)	(c) Amount involved	(d) Method of determining amount involved
(1) NATIONWIDE CHILDREN'S HOSPITAL	A	97,812	ACTUAL AMOUNT
(2) NCH FOUNDATION	B	50,000	ACTUAL AMOUNT
(3) CHILDREN'S SURGICAL ASSOCIATES	B	145,353	ACTUAL AMOUNT
(4) NATIONWIDE CHILDREN'S HOSPITAL	B	175,006	ACTUAL AMOUNT
(5) NCH HOMECARE	B	68,462	ACTUAL AMOUNT
(6) CHILDREN'S RADIOLOGICAL INSTITUTE	B	103,382	ACTUAL AMOUNT
(7) CENTER FOR CHILD & FAMILY ADVOCACY	B	300,000	ACTUAL AMOUNT
(8) CENTER FOR CHILD & FAMILY ADVOCACY	B	488,889	ACTUAL AMOUNT
(9) RESEARCH INSTITUTE AT NCH	B	2,778,092	ACTUAL AMOUNT
(10) NATIONWIDE CHILDREN'S HOSPITAL	B	3,231,304	ACTUAL AMOUNT
(11) RESEARCH INSTITUTE AT NCH	B	32,326,631	ACTUAL AMOUNT
(12) CHILDREN'S RADIOLOGICAL INSTITUTE	C	50,000	ACTUAL AMOUNT
(13) NCH FOUNDATION	C	145,353	ACTUAL AMOUNT
(14) NCH FOUNDATION	C	175,006	ACTUAL AMOUNT
(15) NCH FOUNDATION	C	68,462	ACTUAL AMOUNT
(16) NCH FOUNDATION	C	103,382	ACTUAL AMOUNT
(17) NATIONWIDE CHILDREN'S HOSPITAL	C	300,000	ACTUAL AMOUNT
(18) NCH FOUNDATION	C	488,889	ACTUAL AMOUNT
(19) NCH FOUNDATION	C	2,778,092	ACTUAL AMOUNT
(20) NCH FOUNDATION	C	3,231,304	ACTUAL AMOUNT
(21) NATIONWIDE CHILDREN'S HOSPITAL	C	32,326,631	ACTUAL AMOUNT
(22) NATIONWIDE CHILDREN'S HOSPITAL	K	97,812	ACTUAL AMOUNT
(23) RESEARCH INSTITUTE AT NCH	L	229,317	ACTUAL AMOUNT
(24) RESEARCH INSTITUTE AT NCH	L	390,771	ACTUAL AMOUNT
(25) NATIONWIDE CHILDREN'S HOSPITAL	L	191,697	ACTUAL AMOUNT
(26) CHILDREN'S ANESTHESIA ASSOCIATES	L	446,446	ACTUAL AMOUNT
(27) CHILDREN'S SURGICAL ASSOCIATES	L	312,295	ACTUAL AMOUNT
(28) RESEARCH INSTITUTE AT NCH	L	659,890	ACTUAL AMOUNT
(29) NATIONWIDE CHILDREN'S HOSPITAL	L	3,822,576	ACTUAL AMOUNT
(30) PEDIATRIC ACADEMIC ASSOCIATES	L	2,894,550	ACTUAL AMOUNT
(31) NATIONWIDE CHILDREN'S HOSPITAL	L	4,759,744	ACTUAL AMOUNT
(32) NATIONWIDE CHILDREN'S HOSPITAL	L	10,769,496	ACTUAL AMOUNT
(33) PEDIATRIC ACADEMIC ASSOCIATES	M	35,734,813	ACTUAL AMOUNT
(34) NATIONWIDE CHILDREN'S HOSPITAL	M	229,317	ACTUAL AMOUNT
(35) CHILDREN'S SURGICAL ASSOCIATES	M	390,771	ACTUAL AMOUNT
(36) NCH HOMECARE	M	191,697	ACTUAL AMOUNT
(37) PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS	M	659,890	ACTUAL AMOUNT
(38) NATIONWIDE CHILDREN'S HOSPITAL	M	312,295	ACTUAL AMOUNT
(39) CHILDREN'S ANESTHESIA ASSOCIATES	M	1,325,594	ACTUAL AMOUNT
(40) CHILDREN'S RADIOLOGICAL INSTITUTE	M	3,822,576	ACTUAL AMOUNT
(41) PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS	M	4,759,744	ACTUAL AMOUNT
(42) PEDIATRIC ACADEMIC ASSOCIATES	M	6,435,240	ACTUAL AMOUNT
(43) CHILDREN'S SURGICAL ASSOCIATES	M	10,769,496	ACTUAL AMOUNT
(44) CENTER FOR CHILD & FAMILY ADVOCACY	O	901,898	ACTUAL AMOUNT
(45) NCH FOUNDATION	O	1,624,882	ACTUAL AMOUNT
(46) PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS	O	3,750,369	ACTUAL AMOUNT
(47) NCH HOMECARE	O	5,839,670	ACTUAL AMOUNT
(48) CHILDREN'S RADIOLOGICAL INSTITUTE	O	10,601,437	ACTUAL AMOUNT
(49) CHILDREN'S ANESTHESIA ASSOCIATES	O	18,130,888	ACTUAL AMOUNT
(50) CHILDREN'S SURGICAL ASSOCIATES	O	20,819,988	ACTUAL AMOUNT
(51) RESEARCH INSTITUTE AT NCH	O	40,556,859	ACTUAL AMOUNT
(52) CHILDREN'S NW MOB CONDO ASSOCIATION	P	66,605	ACTUAL AMOUNT
(53) NORTHEAST CLOSE TO HOME CTR CONDO ASSOCIATION	P	56,345	ACTUAL AMOUNT
(54) RESEARCH INSTITUTE AT NCH	Q	592,946	ACTUAL AMOUNT
(55) CENTER FOR CHILD & FAMILY ADVOCACY	Q	1,004,143	ACTUAL AMOUNT
(56) PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS	Q	616,694	ACTUAL AMOUNT
(57) NCH FOUNDATION	Q	3,554,467	ACTUAL AMOUNT
(58) CHILDREN'S SURGICAL ASSOCIATES	Q	4,299,040	ACTUAL AMOUNT
(59) CHILDREN'S ANESTHESIA ASSOCIATES	Q	392,710	ACTUAL AMOUNT
(60) NCH HOMECARE	Q	12,841,765	ACTUAL AMOUNT
(61) CHILDREN'S RADIOLOGICAL INSTITUTE	Q	501,351	ACTUAL AMOUNT
(62) NATIONWIDE CHILDREN'S HOSPITAL	R	119,363,165	ACTUAL AMOUNT
(63) RESEARCH INSTITUTE AT NCH	R	40,710,224	ACTUAL AMOUNT
(64) NCH FOUNDATION	R	1,890,213	ACTUAL AMOUNT
(65) CHILDREN'S RADIOLOGICAL INSTITUTE	S	8,000,000	ACTUAL AMOUNT
(66) PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS	S	2,649,630	ACTUAL AMOUNT
(67) CHILDREN'S SURGICAL ASSOCIATES	S	14,219,209	ACTUAL AMOUNT
(68) NCH HOMECARE	S	18,472,570	ACTUAL AMOUNT
(69) NCH FOUNDATION	S	13,600,000	ACTUAL AMOUNT
(70) NATIONWIDE CHILDREN'S HOSPITAL	S	40,710,224	ACTUAL AMOUNT
(71) RESEARCH INSTITUTE AT NCH	S	62,421,756	ACTUAL AMOUNT
(72) CENTER FOR CHILD & FAMILY ADVOCACY	S	1,890,213	ACTUAL AMOUNT

Schedule R (Form 990) 2012

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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)	(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 VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2012

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:

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, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If “Yes,” the organizationmay be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................	Yes	No
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)..............................	Yes	No
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)	Yes	No
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)....................................	Yes	No
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)................................................	Yes	No