TY 2015 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Sharry Addison...................................................................... Trustee	1.00 ................. 1.00	X		0	0
(2) Robert DH Anning...................................................................... Trustee	4.00 ................. 2.00	X		0	0
(3) Carol Armstrong...................................................................... Trustee	1.00 ................. 0.00	X		0	0
(4) Lynwood Battle...................................................................... Trustee	1.00 ................. 1.00	X		0	0
(5) Mark Biegger...................................................................... Trustee	1.00 ................. 1.00	X		0	0
(6) Maureen Bisognano...................................................................... Trustee	1.00 ................. 0.00	X		0	0
(7) Michael S Cambron...................................................................... Trustee	1.00 ................. 1.00	X		0	0
(8) Lee A Carter...................................................................... Trustee	1.00 ................. 2.00	X		0	0
(9) Thomas G Cody...................................................................... Chairman	4.00 ................. 1.00	X	X	0	0
(10) Dave Dougherty...................................................................... Trustee	4.00 ................. 1.00	X		0	0
(11) Nancy Krieger Eddy PhD...................................................................... Trustee	4.00 ................. 1.00	X		0	0
(12) Kay Geiger...................................................................... Trustee	1.00 ................. 0.00	X		0	0
(13) Louis D George...................................................................... Trustee	1.00 ................. 0.00	X		0	0
(14) Beth Guttman...................................................................... Trustee	1.00 ................. 0.00	X		0	0
(15) Deb Henretta...................................................................... Trustee	1.00 ................. 0.00	X		0	0
(16) Michael Hirschfeld Esq...................................................................... Trustee	4.00 ................. 1.00	X		0	0
(17) Margaret Hostetter...................................................................... Chair, Pediatrics	50.00 ................. 0.00	X		1,119,203	83,020

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Gary Huffman........................................................................ Trustee	1.00 .......................0.00	X					0	0
(19) Mark Jahnke........................................................................ Trustee	4.00 .......................1.00	X					0	0
(20) Joyce J Keeshin........................................................................ Trustee	4.00 .......................1.00	X					0	0
(21) M Denise Kuprionis........................................................................ Trustee	1.00 .......................1.00	X					0	0
(22) David Osborn........................................................................ Trustee	1.00 .......................1.00	X					0	0
(23) Jane Portman........................................................................ Trustee	4.00 .......................1.00	X					0	0
(24) Liza Smitherman........................................................................ Trustee	1.00 .......................0.00	X					0	0
(25) John Steinman........................................................................ Trustee	4.00 .......................1.00	X					0	0
(26) Pamela Terp........................................................................ Trustee	1.00 .......................1.00	X					0	0
(27) Daniel von Allmen MD........................................................................ Surgeon-in-Chief	50.00 .......................0.00	X					916,104	127,756
(28) Felicia Williams........................................................................ Trustee	4.00 .......................1.00	X					0	0
(29) Craig Young........................................................................ Trustee	4.00 .......................1.00	X					0	0
(30) Michael Fisher........................................................................ President & CEO	50.00 .......................0.00	X	X				1,534,986	222,297
(31) Mark Mumford........................................................................ SVP & CFO, Treasurer	50.00 .......................1.00		X				742,180	137,611
(32) Beth Stautberg........................................................................ Secretary, Sr VP & Counsel	50.00 .......................0.00		X				729,598	107,605
(33) Brian Coley........................................................................ Radiologist-in-Chief	50.00 .......................0.00			X			889,875	144,025
(34) Jennifer Dauer........................................................................ SVP Strategy & Growth	50.00 .......................0.00			X			594,593	121,949
(35) Steve Davis........................................................................ COO (Start 9/15)	50.00 .......................0.00			X			207,092	59,799
(36) Cheryl Hoying RN-PhD........................................................................ SVP Patient Services	50.00 .......................0.00			X			632,233	102,649
(37) Dean Kurth through 616........................................................................ Anesthesiologist-in-Chief	50.00 .......................0.00			X			1,002,256	155,794
(38) David Morales........................................................................ Prof/Div Dir, Cardiology	50.00 .......................0.00				X		1,614,809	52,101
(39) Francesco Mangano........................................................................ Prof/Div Dir, Neurosurgery	50.00 .......................0.00				X		1,065,874	62,579
(40) Andrew Redington........................................................................ Institute Director - Cardiology	50.00 .......................0.00				X		2,336,164	134,387
(41) Frederick Ryckman........................................................................ Sr. VP Medical Operations	50.00 .......................0.00				X		1,238,563	90,119
(42) James Tweddell........................................................................ Institute Director - Cardiothoracic Surgery	50.00 .......................0.00				X		1,272,276	164,329
(43) Richard Azizkhan........................................................................ Former Surgeon-in-Chief	50.00 .......................0.00					X	3,084,594	116,505
(44) Scott Hamlin........................................................................ Former COO (through 4/15)	49.00 .......................1.00					X	1,786,337	73,210
(45) Vicki Davies........................................................................ Treasurer (through 6/15)	49.00 .......................1.00					X	156,676	9,393

(A) Name and business address	(B) Description of services	(C) Compensation
Messer Construction 5158 Fishwick Drive Cincinnati,OH45216	Construction Services	39,071,327
Triversity Group LLC 5050 Section Avenue Suite 330 Cincinnati,OH45212	Construction Services	26,777,909
Messer Linbeck 5158 Fishwick Drive Cincinnati,OH45216	Construction Services	17,216,520
Crothall Healthcare 1500 Liberty Ridge Drive Suite 201 Wayne,PA19087	Housekeeping Services	11,169,255
Aramark Corporation 4890 Duff Drive B Cincinnati,OH45246	Housekeeping Services	6,795,221
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 165

- 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.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

Children's Hospital Medical Center

Employer identification number

31-0833936

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

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 (Form 990 or 990-EZ))

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 in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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—2014. 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—2015. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. 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 VI 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) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. 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—2014. 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) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

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.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

Children's Hospital Medical Center

Employer identification number

31-0833936

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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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 totaling $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 its Form 990PF, Part I, line 2, 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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization Children's Hospital Medical Center

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization Children's Hospital Medical Center		Employer identification number 31-0833936

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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization Children's Hospital Medical Center			Employer identification number 31-0833936
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ 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) (2015)

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

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Children's Hospital Medical Center

Employer identification number

31-0833936

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

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.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................
d	Other exempt purpose expenditures .........................................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................	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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

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 on 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? ...........................................................................................................

Yes

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

Yes

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

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

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

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

Yes

84,157

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

Yes

277,997

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

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

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

362,154

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

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Part II-B, Line 1:	While Cincinnati Children's does not spend a substantial amount of resources or time participating in lobbying activities, Cincinnati Children's does pay membership dues to professional organizations who, among their many responsibilities, do perform certain lobbying activities on behalf of their member organizations. Cincinnati Children's has written these organizations to determine the portion of their operating budgets which are dedicated to such lobbying activities. Using their responses, Cincinnati Children's has determined the portion of Cincinnati Children's membership dues which are applicable to their lobbying activities. Below is a complete listing of these professional organizations: 1. American Hospital Association - $13,687 2. Cincinnati Business Committee - $2,250 3. Cincinnati Regional Business Committee - $3,000 4. Cincinnati USA Regional Chamber - $679 5. National Assoc. of Children's Hospitals - $21,652 6. National Assoc. of Children's Hospitals (GME Campaign) - $33,069 7. Ohio Hospital Association - $4,320 8. Ohio Business Roundtable - $5,500 Cincinnati Children's also maintains a government relations office which is focused on improving and expanding interactions with local, state, and federal government appointed and elected officials on behalf of child health, reimbursement, and grant/funding issues. During fiscal year 2016, Cincinnati Children's government relations office incurred $277,997 in expenses related to various lobbying activities. Certain members of Cincinnati Children's Board of Trustees, senior management, and faculty meet with and educate local, state, and federal government appointed and elected officials on behalf of child health, reimbursement, and grant/funding issues. Lobbying expenses incurred by these individuals may be reimbursed by Cincinnati Children's consistent with its travel and business expense reimbursement guidelines. Furthermore, the value of their time spent performing lobbying activities is not quantifiable. In addition, Cincinnati Children's does not participate in or intervene in (including the publishing or distributing of statements), any political campaign on behalf of (or in opposition to) any candidate for public office.

Return Reference

Explanation

Part II-B, Line 1:

While Cincinnati Children's does not spend a substantial amount of resources or time participating in lobbying activities, Cincinnati Children's does pay membership dues to professional organizations who, among their many responsibilities, do perform certain lobbying activities on behalf of their member organizations. Cincinnati Children's has written these organizations to determine the portion of their operating budgets which are dedicated to such lobbying activities. Using their responses, Cincinnati Children's has determined the portion of Cincinnati Children's membership dues which are applicable to their lobbying activities. Below is a complete listing of these professional organizations: 1. American Hospital Association - $13,687 2. Cincinnati Business Committee - $2,250 3. Cincinnati Regional Business Committee - $3,000 4. Cincinnati USA Regional Chamber - $679 5. National Assoc. of Children's Hospitals - $21,652 6. National Assoc. of Children's Hospitals (GME Campaign) - $33,069 7. Ohio Hospital Association - $4,320 8. Ohio Business Roundtable - $5,500 Cincinnati Children's also maintains a government relations office which is focused on improving and expanding interactions with local, state, and federal government appointed and elected officials on behalf of child health, reimbursement, and grant/funding issues. During fiscal year 2016, Cincinnati Children's government relations office incurred $277,997 in expenses related to various lobbying activities. Certain members of Cincinnati Children's Board of Trustees, senior management, and faculty meet with and educate local, state, and federal government appointed and elected officials on behalf of child health, reimbursement, and grant/funding issues. Lobbying expenses incurred by these individuals may be reimbursed by Cincinnati Children's consistent with its travel and business expense reimbursement guidelines. Furthermore, the value of their time spent performing lobbying activities is not quantifiable. In addition, Cincinnati Children's does not participate in or intervene in (including the publishing or distributing of statements), any political campaign on behalf of (or in opposition to) any candidate for public office.

Schedule C (Form 990 or 990EZ) 2015

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," on 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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Children's Hospital Medical Center

Employer identification number

31-0833936

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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" on 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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)

Revenue included on 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:

Revenue included on 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) 2015

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	1,459,225,000	1,434,037,000	1,255,391,000	1,078,820,528	1,006,863,528
b	Contributions ...	243,834,000	256,160,000	246,654,000	242,324,000	242,540,000
c	Net investment earnings, gains, and losses	57,716,000	21,051,000	187,039,000	174,323,000	51,572,000
d	Grants or scholarships ...	159,319,000	165,142,000	163,071,000	157,692,746	149,858,000
e	Other expenditures for facilities and programs ...	84,974,000	86,881,000	91,976,000	82,383,782	72,297,000
f	Administrative expenses ....
g	End of year balance ......	1,516,482,000	1,459,225,000	1,434,037,000	1,255,391,000	1,078,820,528

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

89.740 %

Temporarily restricted endowment SchDMd Bullet

10.260 %

The percentages on 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)

Yes

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

3a(ii)

Yes

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

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. 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 ...	37,884,683		37,884,683
b	Buildings	1,473,621,765	600,402,116	873,219,649
c	Leasehold improvements
d	Equipment ...	604,897,406	412,653,056	192,244,350
e	Other ...	81,793,013	10,598,100	71,194,913
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,174,543,595

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. 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
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) Investment in subsidiary (River City Insurance, LTD.)				120,000
(2) Other Long-Term Assets				58,574,988
(3) Interest in Net Assets of Supporting Organizations				1,377,454,831
(4) Assets Limited to Use - Funds in Trust				10,946,189
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				1,447,096,008

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Minimum Pension Liability Accrual	421,694,881
Self Insurance Reserves	38,235,267
Other Long-Term Liabilities	19,643,004
Capital Lease Obligations	6,465,547
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	486,038,699
2. Liability for uncertain tax positions. 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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	2,554,471,246
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	9,782,705
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	248,404,304
e	Add lines 2a through 2d .....................			2e	258,187,009
3	Subtract line 2e from line 1..................			3	2,296,284,237
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	2,873,958
c	Add lines 4a and 4b....................			4c	2,873,958
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	2,299,158,195

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	2,341,474,823
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	248,142,685
e	Add lines 2a through 2d....................			2e	248,142,685
3	Subtract line 2e from line 1...................			3	2,093,332,138
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	20,907,958
c	Add lines 4a and 4b.....................			4c	20,907,958
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	2,114,240,096

Part XIII

Supplemental Information

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.

Return Reference	Explanation
Part V, Line 4:	Cincinnati Children's endowment funds are utilized to support the operations of various departments at Cincinnati Children's in furtherance of Cincinnati Children's primary tax-exempt purposes of patient care, education, and research. See Form 990, Part III and Schedule O for additional information.
Part X, Line 2:	Cincinnati Children's accounts for income taxes in accordance with Accounting Standards Codification Topic ("ASC") 740 "Income Taxes". It is Cincinnati Children's policy to classify the expense related to interest and penalties, if any, to be paid on underpayments of income taxes within other expenses. There were no penalties or interest accrued in fiscal year 2016 or 2015. Listed below are the tax years that remain subject to examination by major tax jurisdiction: Federal - 2013 to 2016 State - 2013 to 2016
Part XI, Line 2d - Other Adjustments:	Eliminate intercompany operating/restricted revenue 244,323,292. CHSN revenue elimination 4,081,012.
Part XI, Line 4b - Other Adjustments:	Reclass below the line per financial statements to revenue per 990 5,216,000. Reclass rent expense to offset rental income per 990 -2,342,042.
Part XII, Line 2d - Other Adjustments:	Eliminate intercompany operating/restricted expense 244,323,292. CHSN expense elimination 3,819,393.
Part XII, Line 4b - Other Adjustments:	Reclass below the line per financial statements to expenses per 990 23,250,000. Reclass rent expenses to offset rental income per 990 -2,342,042.

Schedule D (Form 990) 2015

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. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
Children's Hospital Medical Center

Employer identification number

31-0833936

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

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

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

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance 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 & the Caribbean	0	1	Program Services	Offshore Captive Management	1,005,242
	Central America & the Caribbean	0	0	Program Services	Education, Teaching, & Research	22,414
	East Asia & the Pacific	0	0	Program Services	Education, Teaching, & Research	226,263
	Europe	0	0	Program Services	Education, Teaching, & Research	336,900
	Middle East & North Africa	0	0	Program ServicesProgram Services	Education, Teaching, & Research	81,825
	North America	0	0	Program Services	Education, Teaching, & Research	665,482
	South America	0	0	Program Services	Education, Teaching, & Research	300
	South Asia	0	0	Program Services	Education, Teaching, & Research	9,156
	Europe	0	0	Program Services	Patient Services	25,875
	East Asia & the Pacific	0	0	Program Services	Patient Services	12,387
	South America	0	0	Program Services	Patient Services	12,000
	Sub-Saharan Africa	0	0	Program Services	Patient Services	14,332
	Middle East & North Africa	0	0	Program Services	Patient Services	148,789
	North America	0	0	Program Services	Patient Services	973
	South Asia	0	0	Program Services	Patient Services	375
	Russia	0	0	Program Services	Patient Services	2,496

3a	Sub-total .....	0	1			2,347,582
b	Total from continuation sheets to Part I ...	0	0			217,227
c	Totals (add lines 3a and 3b)	0	1			2,564,809

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015

Schedule F (Form 990) 2015

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.

(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(i) Method of valuation (book, FMV, appraisal, other)
North America	Education, Teaching, & Research	620,937	Wire Transfer	Cash
East Asia & the Pacific	Education, Teaching, & Research	217,989	Wire Transfer	Cash
Central America & the Caribbean	Education, Teaching, & Research	22,414	Wire Transfer	Cash
Europe	Education, Teaching, & Research	222,695	Wire Transfer	Cash
Middle East & North Africa	Education, Teaching, & Research	79,035	Wire Transfer	Cash

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......	2
3	Enter total number of other organizations or entities .......................	19

Schedule F (Form 990) 2015

Schedule F (Form 990) 2015Page 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.

	(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)
Housing Assistance	Europe (Including Iceland & Greenland) - Albania, Andorra, Austria, Belgiu	1	0		24,000	Housing Assistance	FMV
Research Supplies	Europe (Including Iceland & Greenland) - Albania, Andorra, Austria, Belgiu	1	74,270	Wire Transfer	0
Research Supplies	North America - Canada and Mexico, but not the United States	2	19,876	Wire Transfer	0
Housing Assistance	East Asia and the Pacific	1	0		12,000	Housing Assistance	FMV
Housing Assistance	South America	1	0		12,000	Housing Assistance	FMV
Housing Assistance	Sub-Saharan Africa	1	0		12,000	Housing Assistance	FMV
Transportation Assistance	Middle East and North Africa	787	0		148,789	Transportation Assistance	FMV
Transportation Assistance	East Asia and the Pacific	1	0		387	Transportation Assistance	FMV
Transportation Assistance	Europe (Including Iceland & Greenland)	1	0		1,875	Transportation Assistance	FMV
Transportation Assistance	North America	2	0		973	Transportation Assistance	FMV
Transportation Assistance	South Asia	1	0		375	Transportation Assistance	FMV
Transportation Assistance	Sub-Saharan Africa	1	0		2,332	Transportation Assistance	FMV
Transportation Assistance	Russia and Neighboring States	1	0		2,496	Transportation Assistance	FMV

Schedule F (Form 990) 2015

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2015

Page 5

Part V

Supplemental Information
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).

ReturnReference	Explanation
Part I, Line 2:	Cincinnati Children's monitors the use of grant funds within and outside of the United States in accordance with 45 CFR Part 74 Appendix E. Cincinnati Children's follows federal guidelines for determining costs applicable to grants, contracts, and other arrangements and generally applies the same cost principles to non-federal contracts as well. All costs associated with sponsored projects must comply with both government and/or sponsor rules and regulations.

Schedule F (Form 990) 2015

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" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

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

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
Children's Hospital Medical Center

Employer identification number

31-0833936

Part I

Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

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

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?

YesNo

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
	Schultz & Williams 325 Chestnut Street Suite 700 Philadelphia, PA19106	Direct mail, program consultation & review		No	0	33,000	-33,000
	Blackband 2000 Daniel Island Drive Charleston, SC29492	Donor benchmarking analysis/analytics		No	0	4,025	-4,025








Total . . . . . . . . . . . . . . . . . . . .						37,025	-37,025

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

OH, KY, IN, FL

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

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2015

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on 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 Walk for Kids (event type)	(b) Event #2 Celestial Ball (event type)	(c) Other events 6 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	1,341,086	773,099	385,275	2,499,460
2	Less: Contributions . . . .	1,301,965	627,994	308,314	2,238,273
3	Gross income (line 1 minus line 2) . . . . . .	39,121	145,105	76,961	261,187

4	Cash prizes . . . . .	0	0	13,020	13,020
5	Noncash prizes . . . .	0	0	46,269	46,269
6	Rent/facility costs . . . .	71,900	54,672	63,004	189,576
7	Food and beverages . . .	824	182,287	10,203	193,314
8	Entertainment . . . .	4,615	1,500	300	6,415
9	Other direct expenses . . .	165,389	288,846	34,289	488,524
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				937,118
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				-675,931

Part III

Gaming. Complete if the organization answered "Yes" on 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))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .	165,389	288,846	34,289	488,524

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

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

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

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

Is the organization licensed to conduct 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) 2015

Page 3

Does the organization conduct 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 conducted in:

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

13a

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

13b

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

Name

Address

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. 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).

Return Reference	Explanation
Schedule G, Part I, Line 2b, Column (v)	Schultz & Williams also received payments totaling $365,790 for preparation, printing, and postage of mailings and mailing list.

Schedule G (Form 990 or 990-EZ) 2015

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Children's Hospital Medical Center

Employer identification number

31-0833936

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 criteria used 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? . . . . . .

Yes

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? . . . . . . . . .

Yes

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

Yes

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) . . .	14,882,168	4,950,000	9,932,168	0.470 %
b	Medicaid (from Worksheet 3, column a) . . . . .	723,147,244	507,971,000	215,176,244	10.180 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	738,029,412	512,921,000	225,108,412	10.650 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	2,348,951	152,471	2,196,480	0.100 %
f	Health professions education (from Worksheet 5) . . .	65,181,063	14,512,839	50,668,224	2.400 %
g	Subsidized health services (from Worksheet 6) . . . .	6,369,000	4,069,000	2,300,000	0.110 %
h	Research (from Worksheet 7) .	363,294,878	223,761,824	139,533,054	6.600 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1,963,213	0	1,963,213	0.090 %
j	Total. Other Benefits . .	439,157,105	242,496,134	196,660,971	9.300 %
k	Total. Add lines 7d and 7j .	1,177,186,517	755,417,134	421,769,383	19.950 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

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	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	610,572	610,572	0.030 %
2	Economic development	615,302	615,302	0.030 %
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	31,951	31,951	0 %
7	Community health improvement advocacy
8	Workforce development	116,650	116,650	0.010 %
9	Other
10	Total	1,374,475	1,374,475	0.070 %

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

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

6,148,788

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. ......

1,149,800

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).....

5,613,977

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

8,960,884

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

-3,346,907

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 %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

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?4 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)								Facility reporting group
1	CCHMC - Main Campus 3333 Burnet Avenue Cincinnati,OH45229 www.cincinnatichildrens.org 1186	X	X	X	X	X	X	A
2	CCHMC - Liberty Campus 7777 Yankee Road Liberty Township,OH45044 www.cincinnatichildrens.org 1492	X	X	X	X		X	A
3	CCHMC - College Hill Campus 5642 Hamilton Avenue Cincinnati,OH45224 www.cincinnatichildrens.org 1446	X		X	X			A
4	CCHMC - Lindner Center of Hope Campus 4015 Old Western Row Road Mason,OH45040 www.cincinnatichildrens.org 1500	X		X	X			A

Schedule H (Form 990) 2015

Page 4

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)

	Facility Reporting Group A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

Yes

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 significant 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 Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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

Yes

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

Hospital facility’s website (list url): See Part V, Section C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): http://www.cincinnatichildrens.org/about/community/health-needs-assessment/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	Facility Reporting Group A
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

http://www.cincinnatichildrens.org/patients/resources/financial-assistance/

The FAP application form was widely available on a website (list url):

http://www.cincinnatichildrens.org/patients/resources/financial-assistance/

A plain language summary of the FAP was widely available on a website (list url):
http://www.cincinnatichildrens.org/patients/resources/financial-assistance/

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

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 individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	Facility Reporting Group A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (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 individuals regarding the individuals’ bills

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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 Section C)

Other (describe in Section C)

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 Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual 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 Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Part V, Section B	Facility Reporting Group A
Facility Reporting Group A consists of:	- Facility 1: CCHMC - Main Campus, - Facility 2: CCHMC - Liberty Campus, - Facility 3: CCHMC - College Hill Campus, - Facility 4: CCHMC - Lindner Center of Hope Campus
Facility Reporting Group A Part V, Section B, line 5:	Cincinnati Children's received input from a broad range of individuals that are representative of medically underserved, low-income, and minority populations when completing its most recent Community Health Needs Assessment. Cincinnati Children's Community Health Needs Assessment was designed and completed by a team including representatives from key internal departments, public health, and the community. Cincinnati Children's completed a Community Health Needs Assessment by completing surveys, interviewing key informants, conducting focus groups, and reviewing secondary data across Cincinnati Children's eight-county primary service area.In order to understand the child health needs of Cincinnati Children's community, community members and key child health organizations were asked to participate in our community survey, key informant interviews and community focus groups. Through each data collection method, community input was solicited through community members or representatives of organizations, including organizations serving vulnerable populations. Community input was included in data sources as follows: - Community Surveys: 1,500 households within Cincinnati Children's primary service area were randomly surveyed during Spring/Summer 2014. Of those 1,500 households, 450 households included children under 18 in which the primary caregiver was asked additional questions. - Community Focus Groups: Focus groups were held during the Summer of 2015 in each of eight counties in the primary service area. Participants included individuals from the community, FQHCs, health departments, and other social service organizations who serve thousands of adults and children throughout respective counties. - Key Informant Interviews: Interviews were conducted during March-May 2015 with individuals representing over 24 organizations servicing community members in the primary service area. These organizations serve minority, low-income, and medically underserved populations. Please refer to the Community Health Needs Assessment for more detailed discussion on the questions and people/organizations involved.
Facility Reporting Group A Part V, Section B, line 6a:	CCHMC - Main CampusCCHMC - Liberty CampusCCHMC - College Hill CampusCCHMC - Lindner Center of Hope CampusFacility Reporting Group APart V, Section B, Line 7a, Hospital facility's website: http://www.cincinnatichildrens.org/about/community/health-needs-assessment/
Facility Reporting Group A Part V, Section B, line 11:	In completing its Community Health Needs Assessment (CHNA) and in conjunction with the Community Health pillar of the strategic plan, Cincinnati Children's identified the following priorities:- Child Mental Health- Childhood Obesity- Child Safety and Unintentional Injury- Childhood Asthma- Early Literary and School Readiness- Infant MortalityCincinnati Children's worked both internally and with external community partners in establishing plans to address the pediatric community health needs identified in the CHNA. Cincinnati Children's, through its CHNA, did not identify any needs that are not being addressed. The implemenatation strategy has been approved by Cincinnati Children's Board of Trustees and may be viewed by navigating to the following web address: http://www.cincinnatichildrens.org/about/community/health-needs-assessment
Facility Reporting Group A Part V, Section B, line 16i:	In addition to Cincinnati Children's Financial Assistance Policy being available on its website, available upon request, included with billing statements, and prominently displayed in emergency rooms and admissions offices, a plain language summary of Cincinnati Children's Financial Assistance Policy is available on its website, http://www.cincinnatichildrens.org/patients/resources/financial-assistance/
Facility Reporting Group A Part V, Section B, line 22d:	Effective April 1, 2014, the total amount charged to a patient/family in a year may not exceed 25% of the patient/family's gross income for the year.

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. 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?11
Name and address		Type of Facility (describe)
1	1 - CCHMC Anderson 7495 State Road Suite 355 Cincinnati,OH45255	Neighborhood Facility
2	2 - CCHMC Drake 151 West Galbraith Road Cincinnati,OH45216	Neighborhood Facility
3	3 - CCHMC Eastgate 796 Cincinnati-Batavia Pike Cincinnati,OH45245	Neighborhood Facility
4	4 - CCHMC Fairfield 3050 Mack Road Cincinnati,OH45014	Neighborhood Facility
5	5 - CCHMC Green Township 5899 Harrison Avenue Cincinnati,OH45248	Neighborhood Facility
6	6 - CCHMC Kenwood 7714-A Montgomery Road Cincinnati,OH45236	Neighborhood Facility
7	7 - CCHMC Mason 9560 Childrens Drive Mason,OH45040	Neighborhood Facility
8	8 - Children's Outpatient NKY 2765 Chapel Place Crestview Hills,KY41017	Neighborhood Facility
9	9 - CCHMC Oak 2800 Winslow Avenue Cincinnati,OH45206	Neighborhood Facility
10	10 - CCHMC North Burnet 3430 North Burnet Avenue Cincinnati,OH45229	Neighborhood Facility
11	11 - CCHMC Hopple Street 2750 Beekman Avenue Cincinnati,OH45225	Neighborhood Facility

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
Part I, Line 7:	Cincinnati Children's utilizes the cost to charge ratios from the most recently filed cost reports to calculate the amounts reported on Schedule H, Part I, Line 7.
Part III, Line 2:	The bad debt reported on LIne 2 is at cost, as calculated from the cost accounting system. It represents amounts charged to bad debt at cost related to amounts uncollectible from patients and families.
Part III, Line 3:	Cincinnati Children's utliizes economists from the University of Cincinnati to determine the estimated percentage of the bad debt expense reported on Line 2 attributable to patients eligible under our Financial Assistance Policy. This amount is not included in our community benefit calculation.
Part III, Line 4:	Uncollectible amounts from patients who do not meet the criteria under Cincinnati Children's charity care policy is considered bad debt and is included as an offset to net patient services revenue in the audited financial statements. The cost of bad debt is calculated using cost to charge ratios calculated from the most recently filed cost report.The description of bad debt can be found in the organization's Audited Financial Statements on footnote 1(d), Page 4.
Part III, Line 8:	Cincinnati Children's utilizes its cost accounting system to calculate the cost of providing care to Medicare patients.
Part III, Line 9b:	Cincinnati Children's has a policy that once it has been determined that a family qualifies for 100% assistance, all collections activities on that patient cease. Cincinnati Children's staff work with the family on obtaining financial assistance.
Part VI, Line 2:	In order to understand the child health needs of the Cincinnati Children's community, community members and key child health organizations were asked to participate in our community survey, key informant interviews and community focus groups. Through each data collection method, community input was solicited through community members or representatives of organziations, including organizations serving vulnerable populations. Child health priorities included child mental health, childhood obesity, child safety and unintentional injury, childhood asthma, early literacy and school readiness, and infant mortality.Cincinnati Children's 2020 strategic plan creates a bold vision to be the leader in improving child health. While the strategic plan provides a framework for Cincinnati Children's ongoing strategic emphasis, it does not define the totality of our efforts. Cincinnati Children's strives to deliver demonstrably superior outcomes and experience at the lowest possible cost, and to discover and apply better ways to improve the health of more children in the community and around the world. In developing its 2020 strategic plan, Cincinnati Children's was deliberate in its approach to its to identify community providers, governmental organizations, and area non-profits with whom it could partner to more effectively address community health needs. Recognizing that we are stronger working together and coordinating efforts to address systemic community health needs, Cincinnati Children's partners with many organizations including federally qualified health clinics, school based health clinics, county and city programs, offices and departments, The Health Foundation of Greater Cincinnati, The Greater Cincinnati United Way, Every Child Succeeds, and with the Police, Prosecutors and County Case Workers Co. located in Cincinnati Children's Mayerson Center for Safe and Healthy Children. Developing and more effectively utilizing these partnerships to address community health needs is an integral component of Cincinnati Children's 2020 strategic plan.
Part VI, Line 3:	Cincinnati Children's patient billing statements, website, and financial brochures contain information about its charity and financial assistance programs with directions on how to contact Cincinnati Children's to initiate an application or ask questions about the process. In addition, Cincinnati Children's brochures are available at each registration site. Cincinnati Children's customer service representatives are trained to work with the faimlies on answering assistance related questions as well. Cincinnati Children's also has a financial counseling department and a financial advocate program that reach out to indigent families and try to help with their specific needs. Cincinnati Children's goal is to provide financial assistance as efficiently and as compliant as possible while still keeping customer service as our number one priority.
Part VI, Line 4:	Cincinnati Children's serves patients from all 50 states and over 100 countries but its primary service area is an eight county region across the Greater Cincinnati geographic area. The eight counties include Butler, Clermont, Hamilton, and Warren counties in Ohio; Boone, Campbell, and Kenton counties in Kentucky; and Dearborn County in Indiana. Cincinnati Children's operates 19 healthcare facilities within the primary service area. For a full description of the demographics of the Cincinnati Children's community, please refer to the Community Health Needs Assessment found by navigating to the following web address: https://www.cincinnatichildrens.org/about/community/health-needs-assessmentPart VI, Line 5 - An important pillar of our strategic Plan 2020 relates to community health. Cincinnati Children's goal is to make the children of Greater Cincinnati the healthiest children in the nation. The community health pillar also aligns to our current community health needs assessment. Please refer to that document on Cincinnati Children's web site for further information.http://www.cincinnatichildrens.org/about/community/health-needs-assessment Part VI, Line 6 - Cincinnati Children's is not part of an affiliated health system.Part VI, Line 7 - Cincinnati Children's is not required to file a community benefit report in any state. However, Cincinnati Children's prepares a community benefit report that can be found on our website at the following link: https://www.cincinnatichildrens.org/about/community/community-benefit

Schedule H (Form 990) 2015

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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
Children's Hospital Medical Center

Employer identification number
31-0833936

Part I

General Information on Grants and Assistance

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) 4C For Children 1924 Dana Avenue Cincinnati,OH45207	31-0823634	501(c)(3)	16,250	Community Support
(2) Adopt A Class Foundation 2153 W 8th Street Suite 200 Cincinnati,OH45204	20-2587299	501(c)(3)	7,000	Sponsorship
(3) Boomer Esiason Foundation 483 10th Avenue Suite 300 New York,NY10018	11-3142753	501(c)(3)	22,000	Sponsorship
(4) Closing the Health Gap 3120 Burnet Avenue Suite 201 Cincinnati,OH45229	20-0902286	501(c)(3)	25,000	Community Support
(5) Juvenile Diabetes Research Foundation 8041 Hosbrook Road Suite 422 Cincinnati,OH45236	23-1907729	501(c)(3)	14,250	Sponsorship
(6) March of Dimes Birth Defect Foundation 10806 Kenwood Road Cincinnati,OH45242	13-1846366	501(c)(3)	47,400	Sponsorship
(7) Ronald McDonald House Charities of Greater Cincinnati 350 Erkenbrecher Avenue Cincinnati,OH45229	31-0965333	501(c)(3)	24,500	Sponsorship
(8) Cincinnati Zoo Foundation Inc 3400 Vine Street Cincinnati,OH45220	31-1680106	501(c)(3)	15,000	Sponsorship
(9) West Chester Chamber Alliance 8922 Beckett Road West Chester,OH45069	31-0901492	501(c)(6)	12,445	Sponsorship
(10) Axis (Edge) Teen Center 7568 Wyandot Lane Liberty Township,OH45044	26-1438129	501(c)(3)	11,000	Sponsorship
(11) Avondale Comprehensive Development Corporation 3494 Reading Road Cincinnati,OH45229	45-2412695	501(c)(3)	13,500	Sponsorship
(12) Every Child Succeeds 3333 Burnet Avenue Cincinnati,OH45229	31-1628467	501(c)(3)	284,093	Sponsorship
(13) Girls on the Run of Greater Cincinnati 3330 Erie Avenue Cincinnati,OH45208	27-0119795	501(c)(3)	10,000	Sponsorship
(14) Urban League of Greater Cincinnati 3458 Reading Road Cincinnati,OH45229	31-0565428	501(c)(3)	9,250	Sponsorship
(15) Gabriel's Place 412 Sycamore Street Cincinnati,OH45202	45-5333845	501(c)(3)	8,000	Sponsorship
(16) Jaz Jordan Inc 11804 Conrey Road Suite 150 Cincinnati,OH45249	46-4687760	501(c)(3)	7,000	Sponsorship
(17) Public Allies 735 North Water Street Suite 550 Milwaukee,WI53202	52-1759564	501(c)(3)	6,016	Sponsorship
(18) Cincinnati Ballet Company Inc 1555 Central Parkway Cincinnati,OH45214	31-6050354	501(c)(3)	6,000	Sponsorship
(19) American Heart Association 7272 Greenville Avenue Dallas,TX75231	13-5613797	501(c)(3)	62,500	Sponsorship
(20) Cincinnati Reds Community Fund 100 Joe Nuxhall Way Cincinnati,OH45202	31-1790195	501(c)(3)	25,000	Physical Improvements and Housing
(21) LifeCenter Organ Donor Network 615 Elsinore Place No 400 Cincinnati,OH45202	31-1040508	501(c)(3)	18,850	Sponsorship
(22) Give Back Cincinnati 312 Walnut Stret No 3600 Cincinnati,OH45202	31-1774381	501(c)(3)	12,000	Sponsorship
(23) CincyTech 1311 Vine Street Cincinnati,OH45202			500,000	Economic Development
(24) Uptown Consortium 629 Oak Street Suite 206 Cincinnati,OH45206	20-0688727	501(c)(3)	291,000	Sponsorship
(25) Children's Miracle Network 205 West 700 South Salt Lake City,UT84101	87-0387205	501(c)(3)	125,000	Sponsorship
(26) Health Improvement Collaborative 2100 Sherman Avenue Suite 100 Cincinnati,OH45212	31-1449807	501(c)(3)	100,000	Sponsorship
(27) Skyward 2033 Walnut Street Loveland,OH45140	45-1856144	501(c)(3)	100,000	Sponsorship
(28) Cintrifuse 1311 Vine Street 2nd Floor Cincinnati,OH45202	45-5423994	501(c)(3)	90,000	Sponsorship
(29) United Way of Greater Cincinnati 2400 Reading Road Cincinnati,OH45202	31-0537502	501(c)(3)	75,000	Sponsorship
(30) Redi CincinnatiJobsOhio 3 East 4th Street Suite 301 Cincinnati,OH45202	45-2798687	501(c)(4)	50,000	Economic Development
(31) First Step Home 2203 Fulton Avenue Cincinnati,OH45206	31-1328492	501(c)(3)	25,000	Sponsorship
(32) CHOC Foundation 1201 W La Veta Avenue Orange,CA92868	95-6097416	501(c)(3)	10,000	Sponsorship
(33) Cincinnati Recreation Commission Foundation 805 Central Avenue Suite 800 Cincinnati,OH45202	31-1574475	501(c)(3)	10,000	Sponsorship
(34) Cincinnati Youth Collaborative 301 Oak Street Cincinnati,OH45219	31-1204406	501(c)(3)	6,500	Sponsorship

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) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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	(d) Amount of non-cash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of non-cash assistance

(1) Housing for Domestic Patient Families	32	48,475	FMV	Housing Assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

Part I, Line 2:

Cincinnati Children's provides grants and allocations to IRC Sec. 501(c)(3) organizations for general sponsorship support and community assistance activities. Sponsorship and assistance proposals are evaluated on specific criteria, including tangible, measurable benefits, long-term value, ability to reach targeted audiences, positive exposure, and long-term sustainable relationships. Additional focus for sponsorship grants and community assistance activities is provided to organizations that address medical and health issues, youth and family issues, and community development. Sponsorship and community assistance requests must include a mission statement, a listing of board members noting Cincinnati Children's employee involvement, the specific event or project requested for sponsorship, including measurable goals and demographics served, expected benefits and outcomes, and a listing of other organizations supporting the project. Organizations that receive support from Cincinnati Children's are notified of Cincinnati Children's support including the stated purpose for the grant award and Cincinnati Children's also requests year-end annual reports from supported organizations.

Schedule I (Form 990) 2015

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Children's Hospital Medical Center

Employer identification number

31-0833936

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 on 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 .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

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 on 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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

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

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

For persons listed on 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 on 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" on 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) 2015

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 on 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 in column(B) reported as deferred on 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)
1Margaret HostetterChair, Pediatrics	(i) (ii)	565,511 ------------- 0	459,817 ------------- 0	93,875 ------------- 0	71,202 ------------- 0	11,818 ------------- 0	1,202,223 ------------- 0	0 ------------- 0
2Daniel von Allmen MDSurgeon-in-Chief	(i) (ii)	809,921 ------------- 0	60,656 ------------- 0	45,527 ------------- 0	103,528 ------------- 0	24,228 ------------- 0	1,043,860 ------------- 0	0 ------------- 0
3Michael FisherPresident & CEO	(i) (ii)	948,909 ------------- 0	100,000 ------------- 0	486,077 ------------- 0	193,071 ------------- 0	29,226 ------------- 0	1,757,283 ------------- 0	442,787 ------------- 0
4Mark MumfordSVP & CFO, Treasurer	(i) (ii)	517,191 ------------- 0	155,578 ------------- 0	69,411 ------------- 0	109,702 ------------- 0	27,909 ------------- 0	879,791 ------------- 0	26,721 ------------- 0
5Beth StautbergSecretary, Sr VP & Counsel	(i) (ii)	462,278 ------------- 0	146,849 ------------- 0	120,471 ------------- 0	96,995 ------------- 0	10,610 ------------- 0	837,203 ------------- 0	83,607 ------------- 0
6Brian ColeyRadiologist-in-Chief	(i) (ii)	587,423 ------------- 0	155,627 ------------- 0	146,825 ------------- 0	122,294 ------------- 0	21,731 ------------- 0	1,033,900 ------------- 0	104,251 ------------- 0
7Jennifer DauerSVP Strategy & Growth	(i) (ii)	422,203 ------------- 0	129,700 ------------- 0	42,690 ------------- 0	92,191 ------------- 0	29,758 ------------- 0	716,542 ------------- 0	0 ------------- 0
8Steve DavisCOO (Start 9/15)	(i) (ii)	152,592 ------------- 0	0 ------------- 0	54,500 ------------- 0	51,665 ------------- 0	8,134 ------------- 0	266,891 ------------- 0	0 ------------- 0
9Cheryl Hoying RN-PhDSVP Patient Services	(i) (ii)	403,574 ------------- 0	120,588 ------------- 0	108,071 ------------- 0	86,878 ------------- 0	15,771 ------------- 0	734,882 ------------- 0	64,781 ------------- 0
10Dean Kurth through 616Anesthesiologist-in-Chief	(i) (ii)	667,181 ------------- 0	170,626 ------------- 0	164,449 ------------- 0	137,788 ------------- 0	18,006 ------------- 0	1,158,050 ------------- 0	117,631 ------------- 0
11David MoralesProf/Div Dir, Cardiology	(i) (ii)	1,424,831 ------------- 0	150,000 ------------- 0	39,978 ------------- 0	26,500 ------------- 0	25,601 ------------- 0	1,666,910 ------------- 0	0 ------------- 0
12Francesco ManganoProf/Div Dir, Neurosurgery	(i) (ii)	846,578 ------------- 0	184,943 ------------- 0	34,353 ------------- 0	26,500 ------------- 0	36,079 ------------- 0	1,128,453 ------------- 0	0 ------------- 0
13Andrew RedingtonInstitute Director - Cardiology	(i) (ii)	740,049 ------------- 0	514,170 ------------- 0	1,081,945 ------------- 0	112,512 ------------- 0	21,875 ------------- 0	2,470,551 ------------- 0	0 ------------- 0
14Frederick RyckmanSr. VP Medical Operations	(i) (ii)	570,176 ------------- 0	196,241 ------------- 0	472,146 ------------- 0	87,916 ------------- 0	2,203 ------------- 0	1,328,682 ------------- 0	410,166 ------------- 0
15James TweddellInstitute Director - Cardiothoracic	(i) (ii)	853,458 ------------- 0	400,000 ------------- 0	18,818 ------------- 0	153,251 ------------- 0	11,078 ------------- 0	1,436,605 ------------- 0	0 ------------- 0
16Richard AzizkhanFormer Surgeon-in-Chief	(i) (ii)	796,590 ------------- 0	278,611 ------------- 0	2,009,393 ------------- 0	114,320 ------------- 0	2,185 ------------- 0	3,201,099 ------------- 0	1,973,140 ------------- 0
17Scott HamlinFormer COO (through 4/15)	(i) (ii)	190,498 ------------- 0	212,393 ------------- 0	1,383,446 ------------- 0	54,814 ------------- 0	18,396 ------------- 0	1,859,547 ------------- 0	858,976 ------------- 0
18Vicki DaviesTreasurer (through 6/15)	(i) (ii)	108,096 ------------- 0	46,270 ------------- 0	2,310 ------------- 0	0 ------------- 0	9,393 ------------- 0	166,069 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

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.

Return Reference	Explanation
Part I, Line 4b	Certain officers and key employees have arrangements which provide for supplemental retirement benefits as described in IRC Sec. 457(f). Due to the substantial risk of forfeiture provision, these arrangements are non-vested and there is no guarantee that these officers and key employees will ever receive these benefits. The following is a listing of officers and key employees that received a deferral, subject to the substantial risk of forfeiture provision, under Cincinnati Children's IRC Sec. 457(f) plan during the year (these amounts are included in the totals for Schedule J, Part II, Column C, Deferred Compensation): 1. Richard Azizkhan - $87,820 2. Michael Fisher - $166,571 3. Scott Hamlin - $28,314 4. Beth Stautberg - $70,495 5. Dean Kurth - $111,288 6. Mark Mumford - $83,202 7. Stephen Davis - $30,646 8. Margaret Hostetter - $44,702 9. Fred Ryckman - $61,416 10. Andrew Redington - $86,012 11. James Tweddell - $126,751 12. Daniel von Allmen - $77,028 13. Cheryl Hoying - $60,378 14. Jennifer Dauer - $65,691 15. Brian Coley - $95,794 The following is a listing of officers and key employees that received a payment under Cincinnati Children's IRC Sec. 457(f) plan during the year (these amounts are included in the totals for Schedule J, Part II, Column B(iii) and column (F): 1. Richard Azizkhan - $1,973,474 2. Scott Hamlin - $858,976 3. Beth Stautberg - $83,607 4. Dean Kurth - $117,631 5. Fred Ryckman - $410,166 6. Michael Fisher - $442,787 7. Mark Mumford - $26,721 8. Margaret Hostetter - $44,702 9. Cheryl Hoying - $61,416 10. Brian Coley - $104,251
Schedule J, Part II	Scott Hamlin left Cincinnati Children's in April 2015. In connection with his departure, he received a continuation of salary, a payout of previously reported deferred compensation, and will receive two future payments (July 2016 and July 2017) contingent on meeting certain requirements
Schedule J, Explanation of Benefits	The employee benefit plan contribution amounts listed on Schedule J, Part II may include one or more of the following benefits: 1. Elective employee deferrals under IRC Sec. 403(b) 2. Discretionary employer contributions under IRC Sec. 403(b) 3. Elective employee deferrals under IRC Sec. 457(b) 4. Elective employee deferrals under IRC Sec. 457(f) In addition to the retirement plan contributions disclosed on Form 990, Part VII and Schedule J, Part II, the following non-taxable employee welfare benefits were made available to the employed, compensated officers and key employees listed on Form 990, Part VII and Schedule J, Part II: 1. Health and dental insurance benefits 2. Group life insurance (portions of which are taxed) 3. Unemployment benefits 4. Disability benefits The officers and key employees listed on Form 990, Part VII and Schedule J, Part II are also eligible for any other available employee benefits. Cincinnati Children's officers, trustees, and key employees listed on Form 990, Part VII and Schedule J may incur various travel and entertainment expenses in the conduct of their official duties as representatives of the organization. Cincinnati Children's has a written travel and entertainment expense reimbursement policy that complies with published IRS guidance. All officers, trustees, and key employees are required to substantiate each travel and entertainment expense to the extent as stated in the travel and entertainment expense reimbursement policy. Beyond the officers and key employees listed on Schedule J, Part II, Cincinnati Children's is governed by a board of trustees who are neither compensated for their services provided nor do they receive any fringe benefits (other than free parking) from Cincinnati Children's. Please see Form 990, Part VII for a listing of these trustees. Compensation Committee Philosophy: The Compensation & Management Development Committee (the "Committee") is comprised of trustee members. The Committee is charged with responsibility for review, approval, and oversight of all of the items of compensation that impact Cincinnati Children's senior management and those individuals described in the Committee's charter. The Committee establishes Cincinnati Children's compensation philosophy for these employees by utilizing the following fundamental concepts in determining compensation strategy and objectives: 1. Cincinnati Children's is an equal opportunity employer. Compensation decisions at Cincinnati children's are based upon an employee's performance and his or her achievement of Cincinnati Children's mission; 2. Cincinnati Children's total compensation must remain competitive within, and responsive to, the various regional, national, and global markets which enables it to attract and retain senior management, highly-compensated non-faculty employees and faculty members with the talent and expertise necessary for it to carry out its mission and to be a global leader in pediatric health care, research and education; specific detailed attention is given to relevant comparative compensation data from entities of comparable size, complexity, and global reputation, including other national health care organizations with annual net revenues similar to that of Cincinnati Children's; 3. Cincinnati Children's utilizes external, independent experts to assist in ensuring a complete understanding of all relevant markets; and 4. Cincinnati Children's compensation must not result in private inurement. In addition to their base salary, key members of senior and middle management are eligible for annual incentive compensation. Annual incentive compensation is calculated as a percentage of base salary and is based on achieving certain operational, quality, patient safety, financial and other performance targets that are established on both an organizational and individual level. These performance targets are reviewed and approved by the Compensation Committee on an annual basis.

Schedule J (Form 990) 2015

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

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
Children's Hospital Medical Center

Employer identification number
31-0833936

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(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 Butler Ohio	31-6000061	123550FJ9	12-08-2006	63,541,881	Outpatient Satellite Bldg.		X		X		X
B	Hamilton County Ohio	31-6000063	407272M34	12-11-2007	61,230,000	Medical Building & Garage	X			X		X
C	County of Butler Ohio	31-6000061	123550FM2	04-30-2008	51,950,000	Repay 2006L Bonds (12/8/06)	X			X		X
D	County of Butler Ohio	31-6000061	000000000	12-17-2009	30,000,000	Repay 20080 Bonds (4/30/08)		X		X		X
	Hamilton County Ohio	31-6000063	000000000	11-19-2010	30,000,000	Repay 2007N Bonds (12/11/07)		X		X		X
	Hamilton County Ohio	31-6000063	000000000	10-14-2011	62,135,000	Repay 1998G Bonds (8/27/98)		X		X		X
	Hamilton County Ohio	31-6000063	407272N25	01-08-2014	134,694,252	Repay 1998 and 2004 Bonds (8/27/98 and 6/30/04)		X		X		X
	Hamilton County Ohio	31-6000063	000000000	06-29-2016	46,515,000	Repay 2000 Bonds (7/26/00)		X		X		X
	Hamilton County Ohio	31-6000063	000000000	06-29-2016	30,615,000	Repay 2007M Bonds (12/11/07)		X		X		X
	Hamilton County Ohio	31-6000063	000000000	06-29-2016	19,045,000	Repay 2008O Bonds (4/30/08)		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	18,000,000		30,615,000		32,905,000		21,000,000
2 Amount of bonds legally defeased ..............			30,615,000		19,045,000
3 Total proceeds of issue ..................	65,205,028		61,230,000		51,950,000		30,000,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............	30,615,000						46,515,000
7 Issuance costs from proceeds ...............	463,708		389,866		399,995
8 Credit enhancement from proceeds .............	921,385
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	63,819,935		60,840,134
11 Other spent proceeds .............	30,000,000		62,135,000		51,550,005		30,000,000
12 Other unspent proceeds .............
13 Year of substantial completion .............	2008		2009		2008		2009
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X		X	X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X	X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2015

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?
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		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 ....
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 .........	0.200 %		0 %		0.070 %		0.070 %
6 Total of lines 4 and 5 .............	0.200 %		0 %		0.070 %		0.070 %
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. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		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 "Yes" to 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 ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2015

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 ..........
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
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. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Form 990, Schedule K, Part I	The 4/30/08 bond issue repaid the series 2006L bond issued dated 12/8/06. A portion of the 4/30/08 bond issue was refinanced by the 12/17/09 bond issue. The remaining portion of the 4/30/08 bond issue was refinanced by the 06/29/16 2016W bond issue.
Form 990, Schedule K, Part I	The 6/29/16 2016U bond issue repaid the 2000 bond issue dated 7/26/2000.
Form 990, Schedule K, Part I	The 12/17/09 bond issue repaid a portion of the series 2008O bond issued dated 4/30/08, which repaid a portion of the 2006L bond issued dated 12/8/06.
Form 990, Schedule K, Part I	The 11/19/10 bond issue repaid a portion of the series 2007N bond issue dated 12/11/07. The 6/29/16 2016V bond issue repaid the remainder of the 2007N bond issue dated 12/11/07.
Form 990, Schedule K, Part I	The 10/14/11 bond issue repaid a portion of the series 1998G bond issue dated 8/27/98.
Form 990, Schedule K, Part I	The 1/08/2014 bond issue repaid the 1998 bond issue dated 8/27/1998 and the 2004 bond issue dated 6/30/2004. The 2004 bond issue repayment is considered part of an advance refunding issue.
Form 990, Schedule K, Part I	The 6/29/16 bond issue repaid the 2000 bond issue dated 7/26/2000.
Form 990, Schedule K, Part II, Line 3	Differences between the issue price (Part I, column (e)) and Part II, line 3 are due to investment earnings.
Form 990, Schedule K, Part III, Line 3D	While Cincinnati Children's does not routinely engage outside bond counsel to review management or service contracts and research agreements related to bond-financed property, Cincinnati Children's regularly consults with in-house counsel to perform an internal assessment of management and service contracts and research agreements related to bond-financed property.
Form 990, Schedule K, Part IV, Line 6	This question is being answered without regard to a yield restricted refunding escrow.

Schedule K (Form 990) 2015

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

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
Children's Hospital Medical Center

Employer identification number
31-0833936

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(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 Butler Ohio	31-6000061	123550FJ9	12-08-2006	63,541,881	Outpatient Satellite Bldg.		X		X		X
B	Hamilton County Ohio	31-6000063	407272M34	12-11-2007	61,230,000	Medical Building & Garage	X			X		X
C	County of Butler Ohio	31-6000061	123550FM2	04-30-2008	51,950,000	Repay 2006L Bonds (12/8/06)	X			X		X
D	County of Butler Ohio	31-6000061	000000000	12-17-2009	30,000,000	Repay 20080 Bonds (4/30/08)		X		X		X
	Hamilton County Ohio	31-6000063	000000000	11-19-2010	30,000,000	Repay 2007N Bonds (12/11/07)		X		X		X
	Hamilton County Ohio	31-6000063	000000000	10-14-2011	62,135,000	Repay 1998G Bonds (8/27/98)		X		X		X
	Hamilton County Ohio	31-6000063	407272N25	01-08-2014	134,694,252	Repay 1998 and 2004 Bonds (8/27/98 and 6/30/04)		X		X		X
	Hamilton County Ohio	31-6000063	000000000	06-29-2016	46,515,000	Repay 2000 Bonds (7/26/00)		X		X		X
	Hamilton County Ohio	31-6000063	000000000	06-29-2016	30,615,000	Repay 2007M Bonds (12/11/07)		X		X		X
	Hamilton County Ohio	31-6000063	000000000	06-29-2016	19,045,000	Repay 2008O Bonds (4/30/08)		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	18,000,000		30,615,000		32,905,000		21,000,000
2 Amount of bonds legally defeased ..............			30,615,000		19,045,000
3 Total proceeds of issue ..................	65,205,028		61,230,000		51,950,000		30,000,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............	30,615,000						46,515,000
7 Issuance costs from proceeds ...............	463,708		389,866		399,995
8 Credit enhancement from proceeds .............	921,385
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	63,819,935		60,840,134
11 Other spent proceeds .............	30,000,000		62,135,000		51,550,005		30,000,000
12 Other unspent proceeds .............
13 Year of substantial completion .............	2008		2009		2008		2009
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X		X	X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X	X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2015

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?
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		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 ....
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 .........	0.200 %		0 %		0.070 %		0.070 %
6 Total of lines 4 and 5 .............	0.200 %		0 %		0.070 %		0.070 %
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. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		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 "Yes" to 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 ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2015

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 ..........
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
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. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Form 990, Schedule K, Part I	The 4/30/08 bond issue repaid the series 2006L bond issued dated 12/8/06. A portion of the 4/30/08 bond issue was refinanced by the 12/17/09 bond issue. The remaining portion of the 4/30/08 bond issue was refinanced by the 06/29/16 2016W bond issue.
Form 990, Schedule K, Part I	The 6/29/16 2016U bond issue repaid the 2000 bond issue dated 7/26/2000.
Form 990, Schedule K, Part I	The 12/17/09 bond issue repaid a portion of the series 2008O bond issued dated 4/30/08, which repaid a portion of the 2006L bond issued dated 12/8/06.
Form 990, Schedule K, Part I	The 11/19/10 bond issue repaid a portion of the series 2007N bond issue dated 12/11/07. The 6/29/16 2016V bond issue repaid the remainder of the 2007N bond issue dated 12/11/07.
Form 990, Schedule K, Part I	The 10/14/11 bond issue repaid a portion of the series 1998G bond issue dated 8/27/98.
Form 990, Schedule K, Part I	The 1/08/2014 bond issue repaid the 1998 bond issue dated 8/27/1998 and the 2004 bond issue dated 6/30/2004. The 2004 bond issue repayment is considered part of an advance refunding issue.
Form 990, Schedule K, Part I	The 6/29/16 bond issue repaid the 2000 bond issue dated 7/26/2000.
Form 990, Schedule K, Part II, Line 3	Differences between the issue price (Part I, column (e)) and Part II, line 3 are due to investment earnings.
Form 990, Schedule K, Part III, Line 3D	While Cincinnati Children's does not routinely engage outside bond counsel to review management or service contracts and research agreements related to bond-financed property, Cincinnati Children's regularly consults with in-house counsel to perform an internal assessment of management and service contracts and research agreements related to bond-financed property.
Form 990, Schedule K, Part IV, Line 6	This question is being answered without regard to a yield restricted refunding escrow.

Schedule K (Form 990) 2015

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

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
Children's Hospital Medical Center

Employer identification number
31-0833936

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(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 Butler Ohio	31-6000061	123550FJ9	12-08-2006	63,541,881	Outpatient Satellite Bldg.		X		X		X
B	Hamilton County Ohio	31-6000063	407272M34	12-11-2007	61,230,000	Medical Building & Garage	X			X		X
C	County of Butler Ohio	31-6000061	123550FM2	04-30-2008	51,950,000	Repay 2006L Bonds (12/8/06)	X			X		X
D	County of Butler Ohio	31-6000061	000000000	12-17-2009	30,000,000	Repay 20080 Bonds (4/30/08)		X		X		X
	Hamilton County Ohio	31-6000063	000000000	11-19-2010	30,000,000	Repay 2007N Bonds (12/11/07)		X		X		X
	Hamilton County Ohio	31-6000063	000000000	10-14-2011	62,135,000	Repay 1998G Bonds (8/27/98)		X		X		X
	Hamilton County Ohio	31-6000063	407272N25	01-08-2014	134,694,252	Repay 1998 and 2004 Bonds (8/27/98 and 6/30/04)		X		X		X
	Hamilton County Ohio	31-6000063	000000000	06-29-2016	46,515,000	Repay 2000 Bonds (7/26/00)		X		X		X
	Hamilton County Ohio	31-6000063	000000000	06-29-2016	30,615,000	Repay 2007M Bonds (12/11/07)		X		X		X
	Hamilton County Ohio	31-6000063	000000000	06-29-2016	19,045,000	Repay 2008O Bonds (4/30/08)		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	18,000,000		30,615,000		32,905,000		21,000,000
2 Amount of bonds legally defeased ..............			30,615,000		19,045,000
3 Total proceeds of issue ..................	65,205,028		61,230,000		51,950,000		30,000,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............	30,615,000						46,515,000
7 Issuance costs from proceeds ...............	463,708		389,866		399,995
8 Credit enhancement from proceeds .............	921,385
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	63,819,935		60,840,134
11 Other spent proceeds .............	30,000,000		62,135,000		51,550,005		30,000,000
12 Other unspent proceeds .............
13 Year of substantial completion .............	2008		2009		2008		2009
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X		X	X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X	X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2015

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?
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		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 ....
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 .........	0.200 %		0 %		0.070 %		0.070 %
6 Total of lines 4 and 5 .............	0.200 %		0 %		0.070 %		0.070 %
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. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		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 "Yes" to 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 ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2015

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 ..........
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
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. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Form 990, Schedule K, Part I	The 4/30/08 bond issue repaid the series 2006L bond issued dated 12/8/06. A portion of the 4/30/08 bond issue was refinanced by the 12/17/09 bond issue. The remaining portion of the 4/30/08 bond issue was refinanced by the 06/29/16 2016W bond issue.
Form 990, Schedule K, Part I	The 6/29/16 2016U bond issue repaid the 2000 bond issue dated 7/26/2000.
Form 990, Schedule K, Part I	The 12/17/09 bond issue repaid a portion of the series 2008O bond issued dated 4/30/08, which repaid a portion of the 2006L bond issued dated 12/8/06.
Form 990, Schedule K, Part I	The 11/19/10 bond issue repaid a portion of the series 2007N bond issue dated 12/11/07. The 6/29/16 2016V bond issue repaid the remainder of the 2007N bond issue dated 12/11/07.
Form 990, Schedule K, Part I	The 10/14/11 bond issue repaid a portion of the series 1998G bond issue dated 8/27/98.
Form 990, Schedule K, Part I	The 1/08/2014 bond issue repaid the 1998 bond issue dated 8/27/1998 and the 2004 bond issue dated 6/30/2004. The 2004 bond issue repayment is considered part of an advance refunding issue.
Form 990, Schedule K, Part I	The 6/29/16 bond issue repaid the 2000 bond issue dated 7/26/2000.
Form 990, Schedule K, Part II, Line 3	Differences between the issue price (Part I, column (e)) and Part II, line 3 are due to investment earnings.
Form 990, Schedule K, Part III, Line 3D	While Cincinnati Children's does not routinely engage outside bond counsel to review management or service contracts and research agreements related to bond-financed property, Cincinnati Children's regularly consults with in-house counsel to perform an internal assessment of management and service contracts and research agreements related to bond-financed property.
Form 990, Schedule K, Part IV, Line 6	This question is being answered without regard to a yield restricted refunding escrow.

Schedule K (Form 990) 2015

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

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Children's Hospital Medical Center

Employer identification number

31-0833936

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) 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 Benefiting 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) 2015

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) Aaron Azizkhan	Family Member Trustee	43,564	Compensation & Benefits		No
(2) Geralyn Azizkhan	Family Member Trustee	136,414	Compensation & Benefits		No
(3) Ann Chambers-Blackmore	Family Member Trustee	95,741	Compensation & Benefits		No
(4) Margaret Kettler	Family Member Trustee	116,099	Compensation & Benefits		No
(5) PNC Bank	Trustee is Officer	1,677,912	Banking Relationship		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
SCHEDULE L, PART IV	The items reported on Schedule L, Part IV are arms-length transactions and at fair market value.

Schedule L (Form 990 or 990-EZ) 2015

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.
Right pointing arrow large image

Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Children's Hospital Medical Center

Employer identification number

31-0833936

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) 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	22	1,170,258	Fair Market Value
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 through 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?

Yes

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) (2015)

Page 2

Part II

Supplemental Information. 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.

Return Reference	Explanation
Part I, Column (b):	The number reported in column b represents the number of items received.

Schedule M (Form 990) (2015)

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

Children's Hospital Medical Center

Employer identification number

31-0833936

Return Reference	Explanation
Form 990, Part VI, Section A, line 6	Article I, Section 1.1. of Cincinnati Children's Code of Regulations provides that the membership of Cincinnati Children's shall consist of the persons who are the members of the Board of Trustees of The Children's Hospital, Cincinnati, Ohio (TCH).
Form 990, Part VI, Section A, line 7a	Article I, Section 1.1. of Cincinnati Children's Code of Regulations provides that the membership of Cincinnati Children's shall consist of the persons who are the members of the Board of Trustees of TCH.
Form 990, Part VI, Section B, line 11	The Form 990 is prepared by Senior Management from Cincinnati Children's. External tax consultants review the Form 990 for completeness and accuracy. The Form 990 is then presented to the Audit & Compliance committee, which is a standing committee of the Cincinnati Children's Board of Trustees, for review. Finally, the Form 990 is made available to all Board of Trustees members in advance of filing.
Form 990, Part VI, Section B, line 12c	All of Cincinnati Children's officers, trustees, and key employees receive an annual questionnaire requesting information regarding family and business relationships that could potentially result in a conflict of interest under Cincinnati Children's written conflict of interest policy. Once the questionnaires have been completed, they are reviewed by Cincinnati Children's management, and if a relationship exists that may present a conflict of interest, Cincinnati Children's follows the provisions set forth in its conflict of interest policy to disclose and manage the conflict and determines the appropriate reporting to board committees and, if required, Form 990 disclosure.
Form 990, Part VI, Section B, line 15	Cincinnati Children's has a compensation committee that annually reviews the recommendations of management regarding employee performance evaluation and compensation adjustments for disqualified persons to ensure that it has complied with the provisions of the rebuttable presumption of reasonableness under IRC Sec. 4958.
Form 990, Part VI, Section C, line 19	Cincinnati Children's governing documents, conflict of interest policy, and financial statements are maintained on file by senior management and are available to the general public upon request either in-person, by telephone, or by written request.
From 990, Part VII	The amounts reported on the Form 990, Part VII, Section B may include payments for services, products, expense reimbursements, and other types of payments. Any payment for non-services is not available for breakout separately based on the invoices received from the contractors.
Form 990, Part XI, line 9:	Minimum Pension Liability Adjustment -219,370,392. Gain in Net Assets of Supporting Organizations, Net 57,716,000. Elimination of CHSN Income 262,588.
Form 990, Part III	At Cincinnati Children's, our approach to community benefit is rooted in the belief that hospitals have a responsibility to improve the health and quality of life for children in the communities they serve. Part of this responsibility is serving as a medical safety net for children, regardless of their families' circumstance or ability to pay. Providing community benefit is one way in which we strive to meet that responsibility. Cincinnati Children's offers numerous programs and services to meet community health needs. In fiscal year 2016, Cincinnati Children's provided approximately $225.1 million in free care or discounted services to families in the community who are unable to pay. Cincinnati Children's has a long tradition of working with its community partners on matters related to the community's health and well-being and has conducted several community health surveys in the Greater Cincinnati/Northern Kentucky community since the year 2000. These surveys gather information about the community's health and well-being, and the data gathered in each continues to inform Cincinnati Children's community health agenda. Cincinnati Children's 2020 Strategic Plan continues the bold vision to be the leader in improving child health. While the strategic plan provides a framework for Cincinnati Children's ongoing strategic emphasis, it does not define the totality of our efforts. Cincinnati Children's strives to deliver demonstrably superior outcomes and experience at the lowest possible cost, and to discover and apply better ways to improve the health of more children in the community and around the world. In developing its 2020 Strategic Plan, Cincinnati Children's was deliberate in its approach to identify community providers, governmental organizations, and area non-profit organizations with whom it could partner to more effectively address community health needs. Recognizing that we are stronger working together and coordinating efforts to address systemic community health needs, Cincinnati Children's partners with many organizations including federally qualified health clinics, school based health clinics, county and city programs, offices and departments, the Health Foundation of Greater Cincinnati, the Greater Cincinnati United Way, Every Child Succeeds, and with the police, prosecutors and county case workers co-located in Cincinnati Children's Mayerson Center for Safe and Healthy Children. Developing and more effectively utilizing these partnerships to address community health needs is an integral component of Cincinnati Children's 2020 Strategic Plan.
Form 990, Part III	Cincinnati Children's has performed an analysis and quantification of its estimated benefit to the Community. A summary of this analysis is detailed below and is also provided on Schedule H. * Patient Care (net of tax levy and Ohio HCAP)(Note A): $225.1 million * Subsidized Health Services: $2.3 million * Research: $139.5 million * Education : $50.7 million Note A: Charitable Patient Care ($225.1 million) - Free or discounted services for those unable to pay because they are poor or uninsured. The benefit amount includes the shortfall from Medicaid reimbursement based on the cost of providing care to Medicaid recipients (after accounting for support from Hamilton County Health and Hospitalization levy and the Hospital Care Assurance Program) and the loss from the cost of providing charity care. Cincinnati Children's provides patient care to infants, children and adolescents. It serves as a tertiary level referral center for pediatric illnesses. During the fiscal year ended June 30, 2016, Cincinnati Children's admitted 19,427 patients who were associated with 153,571 patient days. In addition, Cincinnati Children's treated over 1,300,000 outpatient visits. Cincinnati Children's maintains one of the nation's busiest Emergency Departments. Over the past year, Cincinnati Children's handled over 92,000 emergency room visits. During fiscal 2016, Cincinnati Children's performed over 45,000 hours of surgery. As with other not-for-profit organizations, Cincinnati Children's reinvests its net revenues to continuously improve its ability to provide quality healthcare, research, and education. These resources allow Cincinnati Children's to maintain a renowned staff of medical professionals and provide state-of-the-art medical facilities and equipment. Cincinnati Children's makes significant investments in information technology, continuously striving to improve its business and clinical practices. The advanced technology allows physicians to bring timely and relevant information to the patient's bedside, making patient care safer and more efficient. Cincinnati Children's is accredited by the Joint Commission on Accreditation of Healthcare Organizations and is a member of the American Hospital Association, the Ohio Hospital Association, the Greater Cincinnati Hospital Council, The Association of Ohio Children's Hospitals, the Council of Teaching Hospitals. Cincinnati Children's has also been designated as a magnet hospital.
Form 990, Part III	Cincinnati Children's participates in applicable government sponsored entitlement programs, serving thousands of patients covered by public programs such as Medicaid and Medicare. Medicaid and Medicare reimburse hospitals for healthcare services provided to eligible patients, but the payments do not cover the total cost of providing the service. For the year ended June 30, 2016, more than 45% of all Cincinnati Children's gross patient revenue was generated from patients whom were enrolled in various state Medicaid programs and Medicare. Cincinnati Children's defines indigent patient care as services rendered to patients whose families are unable to meet certain minimum income and/or net worth standards. As such, charges absorbed by Cincinnati Children's in rendering services to patients who are covered under governmental programs which are designed to aid low income families (primarily the Medicaid program) are considered in the calculation of indigent patient care. This policy applies to all inpatient, outpatient or emergency room services and to professional services performed by providers employed by Cincinnati Children's. In fiscal 2016, the loss on provision of charity care and means-tested government programs totaled approximately $225.1 million (after taking into account funds received under the Ohio Hospital Care Assurance program and the Hamilton County Health and Hospitalization Tax Levy which total approximately $31.5 million). Consistent with its charitable mission, Cincinnati Children's maintains a policy of accepting all patients within its primary service area regardless of ability to pay. The primary service area includes the eight counties in Southwestern Ohio, Northern Kentucky, and Southeastern Indiana that geographically surround Cincinnati. For the fiscal year ended June 30, 2016, Cincinnati Children's absorbed approximately $9.9 million of uncompensated charity care services as a result of this "open-door" charitable policy. In addition, due to a local property tax levy, Cincinnati Children's received approximately $5.0 million of funding to help offset the cost of providing care to eligible Hamilton County Residents. Patient Care Cincinnati Children's currently owns and operates inpatient and outpatient facilities on its main campus, specially suited to the provision of state-of-the-art pediatric care. At June 30, 2016, Cincinnati Children's has 643 registered inpatient beds, including 84 inpatient beds at its College Hill campus, 42 beds at the Liberty Campus, and 16 beds at the Lindner campus, of which 579 are currently in service. It also has 30 registered residential psychiatric beds at its College Hill campus, of which 30 are currently in service. Its specialized facilities include a 59-bed neonatal intensive care unit for treatment of critically ill and premature newborns, a 35-bed pediatric intensive care unit for critically ill and injured children, and a 25-bed cardiac intensive care unit. In addition, Cincinnati Children's facilities include a 68-bed hematology/oncology/BMT unit for treatment of children with serious blood disorders, including bone marrow transplant services. Cincinnati Children's also operates a network of 11 outpatient care centers located throughout the primary service area. The services offered at these centers vary by location, but generally include diagnostic testing, pediatric specialty clinics, therapies and dental services. Several of the centers also offer urgent care services. In addition, the Liberty Campus, which opened in August 2008, also provides inpatient, observation, emergency room and surgical services.
Form 990, Part III	Research Children's Hospital Research Foundation (the "Research Foundation"), a division of Cincinnati Children's, conducts both basic science and clinically applied biomedical research in the areas of morphological pathology, molecular and cell biology, biological mechanisms of disease and the processes of normally functioning systems. During the year ended June 30, 2016, there were more than 1,055 active-sponsored research projects. The Research Foundation occupies approximately 43% of the available space of Cincinnati Children's Main Campus and accounts for about 31% of the total annual operating budget. Additionally, according to the most recent information published by the National Institutes of Health ("NIH"), Cincinnati Children's ranked third in the nation among all pediatric health care facilities in terms of NIH grant awards received. The second major expense area for Cincinnati Children's is research. Spending in this area attracts talented pediatric researchers; generates government, foundation, and industry funding; and leads to related new business development. A key factor in Cincinnati Children's ability to attract significant external funding, particularly from the National Institutes of Health (NIH), is that it spends its own resources to create "Centers of Excellence," with top researchers in specific areas of child medicine that will be attractive to outside funders. Further, through its Trustee's Grant Program, it provides seed money to researchers, with the expectation that they will later apply for external funding.
Form 990, Part III	Medical Education Cincinnati Children's is adjacent to the University of Cincinnati College of Medicine and serves as its Department of Pediatrics. Cincinnati Children's offers education and training in clinical residency programs, clinical and research fellowships and allied health sciences. All pediatrics specialties and subspecialties are represented on the Medical Staff. Cincinnati Children's also provides graduate medical education in Developmental Biology and Genetic Counseling and annually trains approximately 540 physician residents and 220 fellows. Cincinnati Children's has provided training for the majority of pediatricians practicing within its service area. Cincinnati Children's also provides clinical training in allied health sciences in Nursing, Respiratory Therapy, Radiologic Technology, Speech Pathology and Audiology. Cincinnati Children's costs of providing such training include the salary and training costs of interns and residents and other providers. Cincinnati Children's received approximately $10.2 million in funding from the Federal CHGME program in fiscal 2016 to help offset such costs. Additionally, Cincinnati Children's received approximately $9.6 million from State Medicaid and Medicare programs and grants to further assist in offsetting medical education costs in fiscal 2016. In fiscal 2016, Cincinnati Children's devoted a portion of its expenditures to the education mission of the hospital. This money is used to provide graduate medical education for residents and fellows and extensive training and education for nurses and other medical professionals, including nursing, nutrition therapy, occupational and physical therapy, respiratory therapy, radiology technology, genetic counseling, speech pathology and audiology, child life and social work. The Research Foundation offers research-based education options for scientists, often in conjunction with the University of Cincinnati. Students in these programs work with faculty experts in first-rate facilities. The programs include the Molecular and Developmental Biology Graduate Program, the Immunobiology Graduate Training Program, postdoctoral fellowships, MD/PhD postgraduate training, the Mentored Medical Student Clinical Research Program, the Summer Program for Medical Students, and the Summer Undergraduate Research Fellowship (SURF).
Form 990, Part III	The Research Foundation also sponsors a number of exceptional internal grant mechanisms to support PhDs, MDs, and MD/PhDs during their fellowship and especially during the transition to junior faculty positions with a focus on research. An active grant program funds translational research projects and there is an emphasis on development of early phase human trials in pediatric diseases based on discovery science performed. The Research Foundation has an outstanding track record in facilitating successful funding of individual training awards (K awards) for both MDs and PhDs and converting these awards to initial R01s. Cincinnati Children's long history of pediatric teaching spans more than 90 years, beginning in 1926. Cincinnati Children's has been formally affiliated with the University of Cincinnati's College of Medicine and has served as the Department of Pediatrics for the College of Medicine since 1931, ensuring that teaching and related research would strengthen pediatric patient care. Cincinnati Children's and Cincinnati Children's employed staff of physicians and scientists hold academic appointments at the College of Medicine. Currently Cincinnati Children's has 30 ACGME accredited fellowship programs and two ACGME fellowship programs where the accreditation is through the University of Cincinnati. Cincinnati Children's faculty is responsible for teaching the University's medical students during their pediatric rotations in the third and fourth years of training.
Form 990, Part III	Community Outreach Cincinnati Children's and its staff participate in many community outreach programs. The following list includes some of the programs participated in, but should not be considered an all inclusive listing. * Partner in Education with Rockdale Elementary School * Child Abuse Team/Mayerson Center * Community Partners Program/Aaron W. Perlman Center * Career Development Program/Project Search * Comprehensive Sickle Cell Center * Family Resource Center * Parent-Infant Nurturing Group * International Adoption Center * Starshine Hospice Services * Family Support Network * Injury Free Coalition for Kids * Safe Kids Coalition * Child Car Seat Safety * Safety Fair * Child Policy Research Center * Innovations * Drug & Poison Information Center * Blood Drives * Participation in various Fundraising and Volunteer Opportunities

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Children's Hospital Medical Center

Employer identification number

31-0833936

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) End-of-year assets	(f) Direct controlling entity
(1) TSHCH LLC 3333 Burnet Avenue Cincinnati,OH45229	Land Holding Co.	OH	8,666,053	CHMC
(2) Burnet Ave LLC 3333 Burnet Avenue Cincinnati,OH45229	Land Holding Co.	OH	81,360	CHMC
(3) North Fairmount Healthcare Company LTD 222 Piedmont Avenue Suite 1200 Cincinnati,OH45219 31-1484848	Building Lease	OH	0	CHMC
(4) DTPM2 LLC 8044 Montgomery Road No 522 Cincinnati,OH45236	Land Holding Co.	OH	2,592,413	CHMC
(5) BACE Properties LLC 8044 Montgomery Road No 522 Cincinnati,OH45236	Land Holding Co.	OH	1,519,191	CHMC
(6) Avondale Rentals 8044 Montgomery Road No 522 Cincinnati,OH45236	Land Holding Co.	OH	2,538,240	CHMC

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled 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)Adolescent Health Center of Greater Cincinnati 3333 Burnet Avenue Cincinnati,OH45229 23-7042940	Support Adolescent Medicine at CHMC	OH	501(C)(3)	509(a)(3) Type III	N/A		No
(2)CHMC Community Health Services Network 3333 Burnet Avenue Cincinnati,OH45229 31-1459815	Pediatric Medical Services	OH	501(C)(3)	509(a)(2)	CHMC	Yes
(3)Children's Hospital Medical Center Uninsured Loss Fund #2 PO Box 1118 ML CN-OH-W10X Cincinnati,OH45201 31-6197894	Malpractice and Liability Trust Fund	OH	501(C)(3)	509(a)(3) Type III	CHMC	Yes
(4)The Children's Hospital 3333 Burnet Avenue Cincinnati,OH45229 31-0537130	Support CHMC	OH	501(C)(3)	509(a)(3) Type II	N/A		No
(5)Convalescent Hospital for Children and Orphan Asylum 3333 Burnet Avenue Cincinnati,OH45229 31-0536649	Support CHMC	OH	501(C)(3)	509(a)(3) Type III	N/A		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) Northern Kentucky Children's Medical Services LLC 3333 Burnet Avenue Cincinnati,OH45229 26-0084305	Medical Services	KY	CHMC	Related	449,346			No		Yes		50.000 %

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(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) River City Insurance Limited 3333 Burnet Avenue Cincinnati,OH45229	Healthcare Liability Insurance for CCHMC	OH	CHMC	C	1,951,870	1,077,403	100.000 %	Yes

Schedule R (Form 990) 2015

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on 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 .....................

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

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

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

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

Yes

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) The Children's Hospital	C	59,351,000	Fair Market Value
(2) The Children's Hospital	R	23,250,000	Fair Market Value
(3) CHMC Community Health Services Network	S	3,873,173	Fair Market Value
(4) CHMC Community Health Services Network	R	78,914	Fair Market Value
(5) Convalescent Hospital for Children and Orphan Asylum	C	2,271,567	Fair Market Value
(6) Adolescent Health Center of Greater Cincinnati	C	49,430	Fair Market Value

Schedule R (Form 990) 2015

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Provision of pediatric healthcare to patients
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	30
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	26
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	17,604
6	Total number of volunteers (estimate if necessary) .............	6	803
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	40,393,890
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	806,854

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	261,291,939	254,993,626
9	Program service revenue (Part VIII, line 2g) .........	1,884,757,269	1,947,623,021
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	15,530,308	15,686,058
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	65,999,641	80,855,490
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	2,227,579,157	2,299,158,195
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,027,513	4,848,180
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)	1,288,067,501	1,350,748,059
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	96,125	37,025
b	Total fundraising expenses (Part IX, column (D), line 25) 5,223,724
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	749,773,232	758,606,832
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,039,964,371	2,114,240,096
19	Revenue less expenses. Subtract line 18 from line 12.......	187,614,786	184,918,099
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,905,798,748	4,017,211,699
21	Total liabilities (Part X, line 26).............	1,386,448,748	1,464,552,699
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,519,350,000	2,552,659,000

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,876,344,483 including grants of $ 4,848,180 ) (Revenue $ 1,982,270,503 )
	Cincinnati Children's Hospital Medical Center ("Cincinnati Children's"), located in Cincinnati, Ohio, is a private, not-for-profit IRC SEC. 501(c)(3) corporation that owns and operates a comprehensive, academic medical center that includes one of the nation's largest pediatric tertiary care facilities with research operations and extensive pediatric teaching programs. See Schedule O for a complete overview of Cincinnati Children's Community Benefits and Program Service Accomplishments.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,876,344,483

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	20,923,413	0	1,965,128

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	2,238,273
d	Related organizations		1d	61,622,567
e	Government grants (contributions)		1e	159,349,292

f	All other contributions, gifts, grants, and similar amounts not included above		1f	31,783,494

g	Noncash contributions included in lines 1a-1f:$ 1,170,258
h Total.Add lines 1a-1f.......		254,993,626

			Business Code
2a	Net Inpatient Rev.	621990	905,215,513	862,063,362	43,152,151
b	Net Outpatient Rev.	621990	706,354,697	706,354,697
c	Physician Services	621990	299,515,890	299,515,890
d	Capitation Revenue	621990	36,536,921	36,536,921
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			1,947,623,021

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			15,026,000		-2,824,515	17,850,515
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		1,892,420
b	Less: rental expenses		2,342,042
c	Rental income or (loss)		-449,622
d	Net rental income or (loss)......			-449,622		66,254	-515,876
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		1,846,907,524
b	Less: cost or other basis and sales expenses		1,846,247,466
c	Gain or (loss)		660,058
d	Net gain or (loss).....			660,058			660,058
8a	Gross income from fundraising events (not including $ 2,238,273of contributions reported on line 1c). See Part IV, line 18 ....
	a		261,187
b	Less: direct expenses ...b		937,118
c	Net income or (loss) from fundraising events..			-675,931			-675,931
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
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..
Business Code			Miscellaneous Revenue
11a	Industry Grants		611710	24,438,169	24,438,169
b	GME Funding		611710	10,209,313	10,209,313
c	Cafeteria Receipts		722210	9,302,843			9,302,843
d	All other revenue ....			38,030,718			38,030,718
e	Total. Add lines 11a–11d ......			81,981,043
12	Total revenue. See Instructions......			2,299,158,195	1,939,118,352	40,393,890	64,652,327

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	2,234,895	2,234,895
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	48,475	48,475
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	2,564,810	2,564,810
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	14,857,327		14,857,327
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	5,452,464	255,404	5,197,060
7	Other salaries and wages	1,060,275,405	938,337,056	118,092,201	3,846,148
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	50,144,029	44,347,379	5,796,650
9	Other employee benefits .......	151,065,005	133,601,890	17,463,115
10	Payroll taxes ...........	68,953,829	60,982,766	7,971,063
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	664,854		664,854
c	Accounting ...........	769,919		769,919
d	Lobbying ...........	362,154	362,154
e	Professional fundraising services. See Part IV, line 17	37,025			37,025
f	Investment management fees ......	732,899		732,899
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)
12	Advertising and promotion ....	1,784,608	1,578,308	109,400	96,900
13	Office expenses .......	50,791,608	44,920,098	5,731,306	140,204
14	Information technology ......	6,981,966	6,174,851	807,115
15	Royalties ..
16	Occupancy ...........	7,612,123	6,732,162	879,961
17	Travel ............	12,259,654	10,842,438	1,287,155	130,061
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	24,883,137	22,006,646	2,876,491
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	124,438,610	110,053,507	14,385,103
23	Insurance ...	6,008,000	5,313,475	694,525
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	Purchased Services	200,114,073	176,980,886	22,419,751	713,436
b	Medical Supplies	115,020,961	115,020,961
c	Drugs	100,580,527	100,580,527
d	Utilities	18,537,115	16,394,225	2,142,890
e	All other expenses	87,064,624	77,011,570	9,793,104	259,950
25	Total functional expenses. Add lines 1 through 24e	2,114,240,096	1,876,344,483	232,671,889	5,223,724
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).

1	Cash–non-interest-bearing ........				1
2	Savings and temporary cash investments .........			125,267,171	2	148,912,721
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			491,619,070	4	484,306,483
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5
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
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			23,806,000	8	25,065,657
9	Prepaid expenses and deferred charges ......			15,329,535	9	12,706,923
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,198,196,867
b	Less: accumulated depreciation	10b	1,023,653,272	1,182,737,912	10c	1,174,543,595
11	Investments—publicly traded securities .			670,344,725	11	724,580,312
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			1,396,694,335	15	1,447,096,008
16	Total assets. Add lines 1 through 15 (must equal line 34)...			3,905,798,748	16	4,017,211,699

17	Accounts payable and accrued expenses .....	382,664,000	17	278,096,000
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	353,410,000	20	343,888,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
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..		22
23	Secured mortgages and notes payable to unrelated third parties ..	359,999,000	23	356,530,000
24	Unsecured notes and loans payable to unrelated third parties ..		24
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	290,375,748	25	486,038,699
26	Total liabilities. Add lines 17 through 25..	1,386,448,748	26	1,464,552,699

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	1,060,125,000	27	1,036,207,000
28	Temporarily restricted net assets ...........	158,141,000	28	155,558,000
29	Permanently restricted net assets	1,301,084,000	29	1,360,894,000
	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 ...........	2,519,350,000	33	2,552,659,000
34	Total liabilities and net assets/fund balances ........	3,905,798,748	34	4,017,211,699

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 organization may be required to separately 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, Information 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 separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No