Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | 0 | |||
| 2 | Recoveries of prior-year distributions | 2 | 0 | |||
| 3 | Other gross income (see instructions) | 3 | 0 | |||
| 4 | Add lines 1 through 3 | 4 | 0 | |||
| 5 | Depreciation and depletion | 5 | 0 | |||
| 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 | 0 | |||
| 7 | Other expenses (see instructions) | 7 | 0 | |||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | 0 | |||
| 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 | 0 | |||
| b | Average monthly cash balances | 1b | 0 | |||
| c | Fair market value of other non-exempt-use assets | 1c | 0 | |||
| d | Total (add lines 1a, 1b, and 1c) | 1d | 0 | |||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): 0 |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | 0 | |||
| 3 | Subtract line 2 from line 1d | 3 | 0 | |||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | 0 | |||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | 0 | |||
| 6 | Multiply line 5 by .035 | 6 | 0 | |||
| 7 | Recoveries of prior-year distributions | 7 | 0 | |||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | 0 | |||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | 0 | |||
| 2 | Enter 85% of line 1 | 2 | 0 | |||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | 0 | |||
| 4 | Enter greater of line 2 or line 3 | 4 | 0 | |||
| 5 | Income tax imposed in prior year | 5 | 0 | |||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | 0 | |||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 0 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
0 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 0 | |
| 4 Amounts paid to acquire exempt-use assets | 0 | |
| 5 Qualified set-aside amounts (prior IRS approval required) | 0 | |
| 6 Other distributions (describe in Part VI). See instructions | 0 | |
| 7Total annual distributions. Add lines 1 through 6. | 0 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
0 | |
| 9 Distributable amount for 2018 from Section C, line 6 | 0 | |
| 10 Line 8 amount divided by Line 9 amount | 0 % | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
0 | |||
|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
0 | |||
| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013.......0 | ||||
| b From 2014.......0 | ||||
| c From 2015.......0 | ||||
| d From 2016.......0 | ||||
| e From 2017.......0 | ||||
| fTotal of lines 3a through e | 0 | |||
| g Applied to underdistributions of prior years | 0 | |||
| h Applied to 2018 distributable amount | 0 | |||
|
i
Carryover from 2013 not applied (see instructions) |
0 | |||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | 0 | |||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ 0 | ||||
| a Applied to underdistributions of prior years | 0 | |||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | 0 | |||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
0 | |||
|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
0 | |||
|
7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
0 | |||
| 8 Breakdown of line 7: | ||||
| a Excess from 2014......0 | ||||
| b Excess from 2015.....0 | ||||
| c Excess from 2016.....0 | ||||
| d Excess from 2017.....0 | ||||
| e Excess from 2018.....0 | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART IV EXPLANATION | REASON FOR PUBLIC CHARITY STATUS FOR GROUP RETURN SUBORDINATES NATIONWIDE CHILDREN'S HOSPITAL (NCH) EIN 31-4379441 PUBLIC CHARITY STATUS: 509(a)(1) & 170(b)(1)(A)(iii) NATIONWIDE CHILDREN'S HOSPITAL HOMECARE (NCH HOMECARE) EIN 31-1296332 PUBLIC CHARITY STATUS: 509(a)(2) 2018 PUBLIC SUPPORT PERCENTAGE: 100% 2017 PUBLIC SUPPORT PERCENTAGE: 100% 2018 INVESTMENT INCOME PERCENTAGE: 0% 2017 INVESTMENT INCOME PERCENTAGE: 0% CHILDREN'S RADIOLOGICAL INSTITUTE (CRI) EIN 31-1439570 PUBLIC CHARITY STATUS: 509(a)(2) 2018 PUBLIC SUPPORT PERCENTAGE: 99.44% 2017 PUBLIC SUPPORT PERCENTAGE: 99.46% 2018 INVESTMENT INCOME PERCENTAGE: 0.56% 2017 INVESTMENT INCOME PERCENTAGE: 0.54% PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS (PPAC) EIN 31-1595013 PUBLIC CHARITY STATUS: 509(a)(2) 2018 PUBLIC SUPPORT PERCENTAGE: 99.77% 2017 PUBLIC SUPPORT PERCENTAGE: 99.79% 2018 INVESTMENT INCOME PERCENTAGE: 0.23% 2017 INVESTMENT INCOME PERCENTAGE: 0.21% CHILDREN'S SURGICAL ASSOCIATES (CSA) EIN 31-1654000 PUBLIC CHARITY STATUS: 509(a)(2) 2018 PUBLIC SUPPORT PERCENTAGE: 100.00% 2017 PUBLIC SUPPORT PERCENTAGE: 99.99% 2018 INVESTMENT INCOME PERCENTAGE: 0.00% 2017 INVESTMENT INCOME PERCENTAGE: 0.01% NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION (NCHF) EIN 31-1036370 PUBLIC CHARITY STATUS: 509(a)(1) & 170(b)(1)(A)(vi) 2018 PUBLIC SUPPORT PERCENTAGE: 57.50% 2017 PUBLIC SUPPORT PERCENTAGE: 55.60% RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL (RINCH) EIN 31-6056230 PUBLIC CHARITY STATUS: 509(a)(1) & 170(b)(1)(A)(vi) 2018 PUBLIC SUPPORT PERCENTAGE: 64.50% 2017 PUBLIC SUPPORT PERCENTAGE: 64.50% CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSP (CCFA) EIN 02-0627166 PUBLIC CHARITY STATUS: 509(a)(1) & 170(b)(1)(A)(vi) 2018 PUBLIC SUPPORT PERCENTAGE: 86.50% 2017 PUBLIC SUPPORT PERCENTAGE: 87.10% |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, LINE 6 - TOTAL NUMBER OF VOLUNTEERS: 1,037 | VOLUNTEERS PLAY A MAJOR ROLE IN CARRYING OUT OUR MISSION. THE NUMBER REPORTED ON LINE 6 RELATES TO [A] VOLUNTEERS WITH SERVICE HOURS AT OUR MAIN CAMPUS, WHICH IS SPECIFICALLY TRACKED, PLUS [B] VOLUNTEERS AT OUR FACILITIES LOCATED THROUGHOUT THE COMMUNITY, THESE ARE ESTIMATED BASED ON KNOWN NUMBER OF HOURS AT ALL LOCATIONS. OUR VOLUNTEERS ARE A MIXTURE OF BOTH FULL AND PART TIME. IN 2018, NATIONWIDE CHILDRENS HOSPITAL RECEIVED 47,479 HOURS OF VOLUNTEER TIME. THIS CONSISTED OF AN ARRAY OF SERVICES INCLUDING HELP IN MANY PATIENT CARE AREAS, OUR INFORMATION DESK, THE RESEARCH INSTITUTE, AND VARIOUS FAMILY SUPPORT AREAS. NOT INCLUDED IN THIS NUMBER ARE MANY VOLUNTEERS IN THE COMMUNITY WHO IN 2018 SPENT A TOTAL OF 29,516 HOURS CREATING ITEMS FOR OUR PATIENTS AND VISITING THE HOSPITAL TO PROVIDE ACTIVITIES FOR BOTH PATIENTS AND FAMILIES. FORM 990, PART III, LINE 1 ORGANIZATIONS MISSION NATIONWIDE CHILDRENS HOSPITAL (NCH) BELIEVES THAT NO CHILD SHOULD BE REFUSED NECESSARY CARE AND ATTENTION FOR LACK OF ABILITY TO PAY. UPON THIS FUNDAMENTAL BELIEF, NCH IS COMMITTED TO PROVIDING THE HIGHEST QUALITY PATIENT CARE, ADVOCACY FOR CHILDREN AND FAMILIES, PEDIATRIC RESEARCH, EDUCATION OF PATIENTS, FAMILIES AND FUTURE PROVIDERS, AND OUTSTANDING SERVICE TO ACCOMMODATE THE NEEDS OF PATIENTS AND FAMILIES. |
| FORM 990, PART III, LINE 4A - PROGRAM SERVICE ACTIVITY #1 | Patient care Nationwide Children's Hospital is one of the countrys largest freestanding pediatric health care systems, providing wellness, preventive, diagnostic, treatment and rehabilitative care for infants, children, adolescents and adult patients with congenital disease. Nationwide Childrens main campus is located near downtown Columbus, Ohio, and houses a 527-bed inpatient facility, emergency department and outpatient clinics. Patient care services are also available in various locations throughout central Ohio via urgent care locations, outpatient clinics, primary care centers and mobile clinics. Nationwide Childrens also brings expertise to other central Ohio hospitals by leasing and operating another 146 neonatal intensive and special care nursery beds. In 2018, Nationwide Childrens had more than 1.5 million visits from all 50 states and 45 countries. Nationwide Childrens discharged approximately 18,182 patients during 2018 for a total of 156,922 inpatient days. Patient care was provided by 1,448 medical staff, and the total hospital staff grew to 12,291 employees. Nationwide Childrens is nationally ranked in all 10 specialties by U.S. News and World Report and is on the honor roll list of Americas Best Childrens Hospitals. Specialized services that draw patients nationally and internationally include: Cardiology and Cardiothoracic Surgery (The Heart Center); Hematology, Oncology & Blood and Marrow Transplant; Gastroenterology, Hepatology, and Nutrition; Neonatal Medicine; Pediatric Intensive Care; Burn/Trauma; Infectious Diseases; Neurosciences; Center for Colorectal and Pelvic Reconstruction; and Pediatric Rehabilitation. Other services include: inpatient and outpatient surgical services including Urology, Neurosurgery, Plastic Surgery, Orthopedics, Otolaryngology, Dentistry; Pulmonary Medicine; Nephrology and Endocrinology; as well as General Medicine. At the cornerstone of Nationwide Childrens mission is the commitment to provide high quality services to patients regardless of their ability to pay. In fact, Nationwide Childrens provides $194 million in charity care and community benefit services annually. In 2018, Nationwide Childrens accomplished this principal by providing approximately $17 million in Charity Care assistance and $75 million of unreimbursed Medicaid for a total of over $92 million in uncompensated care. Approximately 51 percent of Nationwide Childrens patient population is covered by Medicaid. Additionally, Nationwide Childrens subsidized losses on its Behavioral Health and Homecare Programs in 2018. Outpatient Behavioral Health services are provided in Close-to-Home centers, and as community-based mental health services provided in schools, child welfare, juvenile court, community centers and patient homes. Nationwide Childrens provides Behavioral Health services among 10 crisis stabilization beds in an attempt to avoid an inpatient admission. Inpatient Behavioral Health services are provided in a 16-bed inpatient psychiatric unit. In 2018, Nationwide Childrens continued the construction of a new behavioral health treatment and research center dedicated to children and adolescents. The Big Lots Behavioral Health Pavilion features will include 48 inpatient beds with capacity for more in the future, a 16-bed youth crisis stabilization unit, a 10-bed psychiatric crisis center, family resource center and teaching and conference space. The building is slated to open in 2020. Nationwide Childrens Hospital Homecare is the only pediatric hospital-based home health agency in central Ohio providing home health care to patients, birth through age 21. Contracted with all major payors, including Medicaid managed care plans, the Homecare team provides pediatric patients with skilled pediatric nursing support at home, as well as answering many other clinical needs such as occupational therapy, physical therapy and speech therapy. Homecare has an onsite pharmacy for compounded sterile and specialty medications, home medical equipment and supplies. Social workers and a chaplain round out the support available for patients. There were 7,017 home nursing visits in 2018. The depth and breadth of services offered at Nationwide Childrens spans the depth and breadth of child health. From looking for evidence-based ways to effectively address social determinants of health and health equity to providing daily care for patients with chronic or life-threatening conditions, the experts and specialists at Nationwide Childrens are supported by a programmatic infrastructure that enables them to meet the needs of various patient populations. Two programs of note include the Ohio Better Birth Outcomes (OBBO) collaborative and the Central Ohio Poison Control Center. Nationwide Childrens is a lead partner in the OBBO collaborative, which is a partnership of four hospital health systems in Franklin County, Ohio, as well as the Columbus Public Health Department and PrimaryOne Health. Through the partnership, OBBO is devoted to using evidence-based interventions to reduce infant mortality rates. The groups key initiatives include improving reproductive health, expanding access to prenatal care and enhancing clinical quality initiatives to reduce prematurity. The Central Ohio Poison Center at Nationwide Childrens provides Ohio residents with state-of-the-art poison prevention, assessment and treatment. Services are available to the public, medical professionals, industry and human services agencies. The poison center handled more than 42,000 poison exposure calls in 2018. Experts in the center provide confidential, free emergency poisoning treatment advice 24/7. Patient safety is an organizational priority and cornerstone of Nationwide Childrens Hospitals commitment to children. Our quality and safety efforts are organized into the nationally recognized Zero Hero program. Current initiatives include: 1. Leading national pediatric quality and safety efforts by training the next generation of QUALITY IMPROVEMENT (QI) leaders through our QI fellowship and disseminating QI knowledge and science through the Pediatric Quality and Safety Journal, established at Nationwide Children's Hospital. 2. Expanding a focus on communication in inter-disciplinary health teams. 3. Establishing the first health care focused Safety II program emphasizing what goes right and how to replicate it throughout the institution. 4. Developing a diagnostic error program to reduce missed or unidentified health issues. 5. Focusing our Quality, Safety and Service Strategic Plan on Simulation, Communication, Big Data Analytics, Antibiotic Stewardship and Clinical Pathways. |
| FORM 990, PART III, LINE 4B - PROGRAM SERVICE ACTIVITY #2 | Research - The Abigail Wexner Research Institute (AWRI) at Nationwide Childrens Hospital occupies more than 500,000 square feet of dedicated research space on the Nationwide Children's campus. It is one of the largest pediatric research centers in the United States and is ranked among the top 10 for National Institutes of Health funding among free-standing children's hospitals. The faculty, staff and leadership at AWRI aggressively support the discovery of new knowledge and its translation into novel therapeutics and diagnostic tests to advance pediatric medicine. Recent results of Nationwide Childrens research have led to new therapies and changes to health policies. For example, Anup Patel, MD, neurologist at Nationwide Children's, and colleagues presented the findings of a multicenter, double-blind clinical trial using cannabis-derived cannabidiol (CBD) in patients with Lennox-Gastaut syndrome in a study published in the New England Journal of Medicine in May 2018. The clinical trial showed that CBD significantly reduces drop seizure frequency in this form of intractable epilepsy. The study helped to lead to the FDAs approval of Epidiolex for Lennox-Gastaut and Dravet syndromes in July 2018. In a study published in 2018 in The Journal of Pediatrics, researchers in the Center for Injury Research and Policy and the Sleep Disorders Center at Nationwide Childrens Hospital examined characteristics of four different smoke alarms to determine which ones worked best to wake children. They tested three alarms that used the mothers voice in addition to a high-pitch tone smoke alarm commonly used in homes. The researchers found that a sleeping child was about 3 times more likely to be awakened by one of the three voice alarms than by the tone alarm. In April 2018, the phase 1 clinical trial led by Jerry Mendell, MD, showing that gene therapy developed at Nationwide Childrens extends the survival of patients and supports achievement of milestones previously unseen in the natural course of spinal muscular atrophy type 1 (SMA1) was recognized as a recipient of the Distinguished Clinical Research Achievement Award. The study of a one-time intravenous infusion of the high dose of gene therapy for SMA1 was published in the New England Journal of Medicine. Many of the basic science and clinical research studies that led to this promising treatment were conducted at or led by Nationwide Childrens, including the fundamental discovery that the AAV9 viral vector crosses the blood-brain barrier. The experimental drug was produced in our Good Manufacturing Practices (GMP) facility in The Research Institute. This work ultimately led to the approval of Zolgensma, the first one-time, systemic delivery, gene replacement therapy for a neuromuscular disease to be approved by the U.S. Food and Drug Administration. A team of ear, nose, and throat (ENT) specialists has demonstrated that eating honey after swallowing a button battery has the potential to reduce serious injuries in small children. Based on findings in laboratory animals, the research suggests that this common household product may significantly reduce morbidity and mortality from highly caustic batteries. The teams work won the distinguished 2018 Broyles-Maloney Award from the American Broncho-Esophagological Association. As a result of the recent study, the National Capital Poison Center has released new guidelines for the management of lodged button batteries in children ages 1 and older. Clinical researchers at Nationwide Childrens Hospital have published one of the first health care studies to examine how behavior aligned with Safety II concepts impacts patient safety. Safety II is a novel approach to patient safety that focuses on why processes perform correctly in high-performing units, as opposed to its predecessor, Safety I, which focuses on why processes fail. Published in the journal Pediatrics, the study analyzed the Pediatric Intensive Care Unit (PICU) at Nationwide Childrens to identify factors in a hospital microsystem and its individuals that led to more reliable performance and increased ability to handle unusual or unexpected situations while delivering patient care. Approximately 1,875 Institutional Review Board (IRB) approved protocols were in progress during 2018, ranging from small studies designed to collect information about a disease to those that investigate potential new treatments or procedures at the forefront of clinical innovation and discovery. In addition, more than 1,580 papers were published in 2018 by Nationwide Children's scientists in peer-reviewed medical and scientific journals. |
| FORM 990, PART III, LINE 4C - PROGRAM SERVICE ACTIVITY #3 | Education - As an academic medical center, the Hospitals mission includes preparing the next generation of pediatric healthcare providers. In 2018, 600 Ohio State University (OSU) faculty trained 350 medical students, 150 dental students, 300 Hospital-sponsored medical, surgical and dental residents, and nearly 600 physician and dental trainees from other institutions. The Hospital has been the primary pediatric teaching site of the OSU College of Medicine for more than 50 years. Recently, it also began training third year medical students from the new Ohio University Heritage College of Osteopathic Medicine (OUHCOM) in Dublin, Ohio. OUHCOM graduates are improving access to healthcare in Ohio: 97% come from Ohio, 58% stayed in Ohio to practice, and 10% are practicing in medically underserved areas. In 2018, the Hospital sponsored 36 accredited medical/dental residency and fellowship programs, 29 accredited by the Accreditation Council for Graduate Medical Education; 7 accredited by other organizations. The Hospital has 37 additional fellowships for which no national accreditation currently exists. These programs train pediatric specialists to meet 21st century healthcare needs in diverse pediatric programs such as neuromuscular genetics, epilepsy surgery, bone marrow transplant, colorectal surgery, advanced heart failure and cardiac transplant, and quality and safety leadership. Given the accelerating national shortage of pediatric subspecialists, recruitment is an important outcome for the Hospitals education investment. Education also helps fill national gaps in midlevel providers who are essential to safe, high quality, 24/7 team-based care. For over 30 years, the Hospital has educated neonatal nurse practitioners and advanced practice nurses, but increased demand has led to acute national shortages. In 2018, the Hospital started two programs: (1) neonatal physician assistant program (recruited 2 of 3 graduates) and (2) pediatric child psychiatry nurse residency, the first such program in the country (recruited the one graduate). The Childrens Hospitals Graduate Medical Education Payment Program (CHGME) is a federal program that underwrites some of the expenses freestanding childrens hospitals incur to train physician and dental residents in accredited programs. The Hospital received $7.5 million in 2018 from CHGME. Overall in 2018, NCH spent approximately $37 million on professional and graduate medical education programs. In 2018, approximately 1,800 nursing students, 176 paramedic students, and over 800 other students from allied health disciplines such as pharmacy, speech and language pathology, occupational therapy, psychology, child life, and social work received their pediatric education at the Hospital. In addition to OSU, the Hospital affiliates with over 300 other universities, hospitals, and institutions. It also offers mentoring, shadowing, young scientist, STEMM (science, technology, engineering, mathematics and medicine), and minority recruitment programs for 150 school districts. A summer Underrepresented in Medicine Pediatric Externship was offered to four students, two of whom matched in the Hospitals pediatric residency program. The Hospital offers professional education programs to improve and sustain delivery of high quality pediatric care to all children. In 2018, it awarded continuing medical education credits to 25,500 physicians and 16,100 nurses/allied health professionals; offered 1,735 contact hours of continuing nursing education, awarding 42,800 nursing contact hours; and organized 44 local, regional, national and international conferences. Simulation sessions taught 5,300 multidisciplinary participants. The Hospital works closely with local healthcare providers, including 19 affiliate hospitals, to standardize pediatric care throughout Ohio. In 2018, the Hospital provided 85 outreach education sessions for 1,200 participants. Another 1,500 health care providers received Pediatric Advanced Life Support training from the Hospital. Since 2012, the Hospitals PREP (Personal Responsibility Education Program) trained staff in over 50 agencies to educate very high risk adolescents in juvenile justice and foster care. Patient, family, and community education is key to health and wellbeing. In 2018, approximately 50,000 children and adults participated in Hospital-sponsored education, specialty camps, health fairs, and other education events. The Hospital distributed over 500,000 patient education teaching tools for children and families. The Family Health Information Center provided multimedia health education materials to more than 1,200 families. Families are not only learners, they also teach. In 2018, the Family as Family presenters offered approximately 125 sessions for 1,400 staff in addition to new hires at orientation. The Hospital is working to improving population health. One initiative, SPARK, is an evidence-based, no-cost kindergarten readiness program for families living near the Hospital. Monthly children receive a new book, lesson activities customized to their needs, and educational supplies, along with home or group-based learning. Data show: (1) 98% of SPARK graduates are kindergarten ready (compared to 33% pre-SPARK) and (2) 100% of SPARK children passed Ohios kindergarten readiness assessment. The Hospital continues to educate every hospital and medical staff member on quality tools. The Hospitals Quality Improvement Essentials course is nationally recognized for training the next generation of QI leaders. Since 2010 it has trained nearly 400 healthcare professionals from the Hospital as well as Childrens National Medical Center (Washington DC), Childrens Hospital Kings Daughters (Norfolk), Rainbow Babies and Children (Cleveland), and Oschner Medical Center (New Orleans). The Hospital was the first childrens hospital designated by the American Board of Medical Specialties as a Multi-specialty Portfolio Program Sponsor. Since 2012, over 350 physicians (and hundreds of other team members) have engaged in 120 different QI projects for credit at no charge to physicians. Finally, effective communication is essential to best care. Communicate with Me is a multi-tiered QI initiative to transform inter-provider communication and eliminate communication failures as a root cause of preventable harm. To date nearly 300 staff have been trained. Succession planning, career counseling, and leadership development are critical to an organization. In 2018, over 1,400 people attended 57 leadership academy workshops. The Journey to Leadership Excellence program is the Hospitals nine-month executive education program for high potential leaders. In 2018, 30 leaders graduated from this program. The Hospital also supports leaders through decentralized services including 190 team retreats reaching nearly 4,000 employees. In addition, the CEO and executive team did a talent review of 200 leaders in the Hospital to develop individual talent profiles and succession plans. The Hospital also has continuously operated a Medical Leadership Program since 2000, training over 350 physician leaders. |
| FORM 990, PART III, LINE 4D - OTHER PROGRAM SERVICE ACTIVITIES | Child Advocacy Nationwide Childrens Hospital is committed to serving our community. Through advocacy and volunteering efforts across the organization, employees engage in the community to improve health outcomes for all children, not just those who are patients here. Because of our commitment to health equity and best outcomes for every child, we are naturally inclined to advocate in diverse ways in support of children everywhere. Advocacy efforts to achieve this goal are multifaceted. From working with legislators to ensure health care coverage for children to working with community partners to advance community wellness, efforts include but are not limited to: Pediatric Healthcare Legislation: Nationwide Childrens actively promotes legislation that supports pediatric health care locally and nationally. Nationwide Childrens, in conjunction with the Childrens Hospital Association, advocates for protecting access to health care for children through Medicaid and the Childrens Health Insurance Program (CHIP). Additionally, through the Child Health Patient Safety Organization, Nationwide Childrens is working to improve hospital and national patient, family and employee safety efforts. Another legislative advocacy example involves four of our attending nephrologists being accepted into and completing the John E. Lewy Fund (JELF) for Children's Health and the American Society of Pediatric Nephrology Foundation Advocacy Scholar's Program. JELF scholars are broadly involved in health care and health equity advocacy at the local, state and national level. Research Advocacy Efforts: To help reduce the effects of traumatic brain injuries (TBIs) in youth sports, all 50 states and the District of Columbia enacted state youth TBI laws between 2009 and 2014. A 2018 study from the Center for Injury Research and Policy at Nationwide Childrens examined the effectiveness of these laws by looking at sports and recreation related mild TBI emergency department (ED) visits for children ages 5 to 18 for years before and after TBI legislation was enacted in each state. The study found that when youth TBI legislation is enacted, use of the ED for youth sports and recreation related mild TBI evaluations increased. These findings show the laws are working and should continue to be followed; more children are getting evaluated by a health care professional, which is one of the key tenets of youth TBI laws. Research advocacy also focused on reducing teenage suicide. Between 2017 and 2019, research on youth and adolescent suicide at Nationwide Childrens helped to influence changes to the first season of the Netflix series, 13 Reasons Why. Netflix deleted a graphic scene more than two years after the episode premiered in which a teenage girl kills herself. Nationwide Childrens researchers found that suicide rates spiked among boys aged 10 to 17 in the month after the release of the first season of the series. That month, April 2017, had the highest overall suicide rate for boys in that age group for the past five years according to the study. Child Safety: The work of The Center for Family Safety and Healing (TCFSH) is dedicated to reducing the occurrence of child abuse and all aspects of family violence including child abuse and neglect, teen dating abuse, domestic violence and elder abuse. The center has a one-stop, coordinated response to family violence for individuals and families through its collaboration with key community agencies. TCFSH offers a continuum of research-based prevention, assessment, intervention and treatment programs for individuals who have experienced family violence. In 2018, TCFSH had 1,670 visits to the Child Assessment Center and 526 Nationwide Childrens inpatient consults. The centers Training and Advocacy Department (TAD) provides educational and training opportunities regarding family violence to individuals and organizations in the community. The goal is to help community members recognize the warning signs of family violence, respond appropriately to someone who may be experiencing family violence, and make a referral to provide support. In 2018, TAD served 135 organizations throughout the community. Drug Safety: In response to the Opioid Crisis, divisions and providers across the organization have taken action to improve patient safety when it comes to opioid prescriptions or illicit use. In 2018, Homecare began an Opioid Monitoring and Use quality improvement project to increase the percentage of patients taking chronic opioids that are compliant with the applicable opioid safety bundle. Homecare engaged 86% (up from 14%) of home-based palliative care patients prescribed opioids into a formal Opioid Risk Assessment. The goal for 2019 is 100%. The Opioid Taskforce, an integrated team devoted to advocating for opioid safety in the organization and beyond, and Adolescent Medicine at Nationwide Children's have worked extensively in 2018 to promote opioid safety awareness and education. From the Opioid Safety Toolkit for providers and parents to social media campaigns and collaboration with community organizations, providers and employees are actively engaged in reducing opioid use and addiction. Adolescent Medicines Medication Assisted Treatment for Addiction (MATA) Program is the only program of its kind in the region, with integrated behavioral health supports in addition to using medication to treat addiction. By offering and advocating for MATA as a first-line treatment for addiction in adolescents and young adults, the providers are working to offer hope and a chance at recovery for those affected by the opioid crisis. From researchers to nurses, pediatricians, surgeons and pharmacists, everyone at Nationwide Childrens is committed to opioid safety. Patient and family education have increased across the board, and every family who receives an opioid prescription receives a lock box to help keep the medicine secured. Neighborhood Revitalization: Employees, faculty and staff at Nationwide Children's are all invested in the community surrounding the hospitals main campus. From volunteering to clean up local parks to spending time at the food bank or free store, employees are engaging in the community through the Healthy Neighborhoods Healthy Families (HNHF) program. HNHF at Nationwide Children's collaborates with community partners to focus on five key areas: Education, Affordable Housing, Workforce Development, Safe Neighborhoods, and Health and Wellness. Education One of the neighborhood challenges uncovered by the Health Care Needs Assessment, performed in collaboration with Franklin County, was access to preschool education for kindergarten readiness. The Healthy Neighborhoods Healthy Families (HNHF) program at Nationwide Children's worked with community partners to develop a kindergarten readiness program, called SPARK, where staff worked with caregivers and children to learn appropriate tools for working toward kindergarten readiness together. In 2018, kindergarten readiness scores improved from 32% to 96% of children who were prepared for kindergarten through the SPARK program. Further education focus resulted in more than 200 employees from across Nationwide Childrens, including research, clinical and hospital employees, participated as mentors through neighborhood schools and organizations in 2018. Mentors spend 1 hour weekly with their mentee in deliberate activities and discussion. In addition, sixty local high school students participated in the Upward Bound Math and Science program in 2018. This program encourages students to pursue secondary education. |
| FORM 990, PART III, LINE 4D - CONTINUED | Housing Projects Housing is a vital part of a healthy community. The blight experienced by the neighborhood surrounding the hospital was a concern for many residents. HNHF, working in tandem with community partners, has made an impact in this area. In 2018, 11 homes were completed for ownership and 14 homeowners were provided with grants for exterior improvements. Since 2008, more than 350 homes have been impacted through rehabilitations, home improvement grants and new builds. The HNHF Healthy Homes program also began rehabbing homes for rent, with 52 units in service and expectations to grow to more than 130. The hospitals continued financial commitment to HNHF has helped to support the construction of safe, decent, and affordable housing. Employment Opportunities More than 700 residents of the zip codes surrounding the hospital are employed by Nationwide Children's Hospital as a result of workforce development and strategic recruitment efforts by the hospital. In 2018, Nationwide Childrens proposal for South Side Career Homes was named a contract awardee in Phase 1 of Fannie Maes Sustainable Communities Innovation Challenge. The project includes affordable housing within one mile of the hospital and integrated health care workforce training that goes beyond entry-level jobs. Safe Neighborhoods During 2018, 50 leaders have now graduated from the South Side Neighborhood Leadership Academy, which supports residents in their continued growth as change agents in the community. Health and Wellness School-based Nationwide Childrens health clinics had more than 1,200 visits while school-based behavioral health had more than 300 visits during 2018. In addition, approximately 100 caregivers (teen and adults) attended Positive Parenting Program (Triple P) workshops. FORM 990, PART VI, LINE 2 DESCRIPTION OF RELATIONSHIPS A business relationship exists between THE FOLLOWING DIRECTORS OF NATIONWIDE CHILDREN'S HOSPITAL: C. Robert Kidder, Joseph a. Chlapaty, Abigail s. Wexner, and Alex Fischer. A business relationship exists between THE FOLLOWING DIRECTORS OF NATIONWIDE CHILDREN'S HOSPITAL: Ann I. Wolfe and Michael Fiorile. A BUSINESS RELATIONSHIP EXISTS BETWEEN THE FOLLOWING DIRECTORS OF NATIONWIDE CHILDREN'S HOSPITAL: DWIGHT SMITH AND TIMOTHY C. ROBINSON. A BUSINESS RELATIONSHIP EXISTS BETWEEN THE FOLLOWING DIRECTORS OF RINCH: DWIGHT SMITH, THOMAS WALKER, AND TIMOTHY C. ROBINSON. A BUSINESS RELATIONSHIP EXISTS BETWEEN THE FOLLOWING DIRECTORS/officers OF NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION: THOMAS N. BRIGDON, TIMOTHY C. ROBINSON, RHONDA COMER, LUKE BROWN, STEVE ALLEN, M.D., AND STEPHEN TESTA. FORM 990, PART VI, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS NATIONWIDE CHILDREN'S HOSPITAL, INC. (THE PARENT ORGANIZATION OF THE GROUP) IS THE SOLE MEMBER OF THE MAJORITY OF THE SUBORDINATE ORGANIZATIONS IN THE GROUP EXEMPTION. SOME OF THE SUBORDINATE ORGANIZATIONS ARE NON-PROFIT SUBSIDIARIES OF THE LARGEST SUBORDINATE ORGANIZATION, NATIONWIDE CHILDREN'S HOSPITAL. |
| FORM 990, PART VI, LINE 7A - CLASSES OF PERSONS AND THEIR RIGHTS | NATIONWIDE CHILDREN'S HOSPITAL, INC. IS THE PARENT CORPORATION WITH VOTING CONTROL OVER THE SUBORDINATE ORGANIZATIONS. FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS NATIONWIDE CHILDREN'S HOSPITAL, INC. WILL OVERSEE THE OPERATIONS OF AND WILL PERFORM CERTAIN SERVICES FOR ITS SUBORDINATE ORGANIZATIONS. NCH INC. WILL COORDINATE EXPANSION OF THE GROUP PROGRAMS AND ASSETS AND WILL DETERMINE IF ADDITIONAL ENTITIES WILL BE NEEDED WITHIN THE GROUP. FORM 990, PART VI, LINE 11B PROCESS USED TO REVIEW 990 THIS FORM 990 WAS REVIEWED PRIOR TO FILING BY NATIONWIDE CHILDRENS HOSPITAL CHIEF EXECUTIVE OFFICER/BOARD TREASURER; INTERIM CHIEF FINANCIAL OFFICER; DEPUTY GENERAL COUNSEL OF LEGAL SERVICES/ASSISTANT BOARD SECRETARY; AND THE FINANCE COMMITTEE CHAIR. IN ADDITION, THIS RETURN WAS MADE AVAILABLE TO THE ENTIRE FINANCE COMMITTEE OF THE BOARD AND MADE AVAILABLE UPON REQUEST TO THE BOARD. FORM 990, PART VI, LINE 12C PROCESS TO MONITOR FOR CONFLICTS OF INTEREST NCH POLICY REQUIRES THAT STAFF MEMBERS, MANAGEMENT AND BOARD MEMBERS REPORT CONFLICTS OF INTEREST OR COMMITMENT AT THE TIME THE CONFLICT ARISES. MANAGEMENT AND BOARD MEMBERS ARE ALSO REQUIRED TO COMPLETE DISCLOSURE FORMS ANNUALLY, REGARDLESS OF THE EXISTENCE OF CONFLICT. ALL DISCLOSURES ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER OR THE BOARD SECRETARY. IF A CONFLICT EXISTS, A CONFLICT MANAGEMENT PLAN MAY BE PUT IN PLACE TO MITIGATE THE CONFLICT. STAFF, MANAGEMENT AND BOARD MEMBERS ARE PROHIBITED FROM VOTING ON ANY MATTERS WITH RESPECT TO WHICH THE INDIVIDUAL HAS DISCLOSED A POTENTIAL CONFLICT OF INTEREST. FORM 990, PART VI, LINE 15A PROCESS FOR DETERMINING COMPENSATION OF CEO IN THE FIRST QUARTER OF 2018, NCH HELD ITS ANNUAL MEETING FOR THE PURPOSE OF COMPENSATION REVIEW. FOR THE CEO, THERE IS A MEETING OF THE MANAGEMENT DEVELOPMENT/COMPENSATION COMMITTEE WHERE THE MEMBERS REVIEW MARKET DATA PROVIDED BY OUTSIDE CONSULTANTS AND DECIDE ON A RECOMMENDED SALARY ADJUSTMENT THAT INCLUDES CONSIDERATION OF THE CEO'S PERFORMANCE. THEN, THIS RECOMMENDATION IS BROUGHT TO THE FULL BOARD AND THE BOARD TAKES INTO ACCOUNT THIS RECOMMENDATION, THE CEO'S PERFORMANCE, AND APPROVALS ARE MADE. CONTEMPORANEOUS MINUTES ARE KEPT AT ALL BOARD MEETINGS AND COMMITTEE MEETING ACTIVITIES AND DECISIONS ARE ALSO DOCUMENTED. FORM 990, PART VI, LINE 15B DETERMINING COMP OF OFFICERS & KEY EMPLOYEES IN THE FIRST QUARTER OF 2018, NCH HELD ITS ANNUAL MEETING FOR THE PURPOSE OF COMPENSATION REVIEW. FOR OFFICERS AND KEY EMPLOYEES OTHER THAN THE CEO, THERE IS A MEETING OF THE MANAGEMENT DEVELOPMENT/COMPENSATION COMMITTEE OF THE BOARD. AT THAT TIME, MARKET SURVEY DATA PROVIDED BY OUTSIDE CONSULTANTS AND/OR OUTSIDE SOURCES IS REVIEWED TO DETERMINE COMPENSATION OR COMPENSATION ADJUSTMENTS FOR THESE POSITIONS, THE CEO'S INPUT IS CONSIDERED AS IT RELATES TO INDIVIDUAL PERFORMANCE FOR THESE INDIVIDUALS, AND INCREMENTAL ADJUSTMENTS ARE RECOMMENDED, THE GROUP DELIBERATES, AND THE APPROVALS ARE MADE. CONTEMPORANEOUS MINUTES ARE KEPT AT ALL BOARD MEETINGS AND COMMITTEE MEETING ACTIVITIES AND DECISIONS ARE ALSO DOCUMENTED. |
| FORM 990, PART VI, LN 19 - AVAILABILITY OF GOV DOCS, COI POLICY & | NATIONWIDE CHILDREN'S HOSPITAL'S (NCH) FINANCIAL STATEMENTS ARE DISCLOSED ON THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBPAGE AND THE ARTICLES OF INCORPORATION ARE ON THE OHIO SECRETARY OF STATE'S WEBPAGE. CURRENTLY, NCH DOES NOT MAKE ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B) AVERAGE HOURS PER WEEK FOR NATIONWIDE CHILDREN'S HOSPITAL EMPLOYEES THAT ARE MEMBERS OF VARIOUS BOARDS AND HOLD SEVERAL POSITIONS WITHIN THE ORGANIZATION, THE HOURS LISTED REPRESENT THE NUMBER OF HOURS THAT INDIVIDUAL DEVOTES TO ALL THE ENTITIES INCLUDED WITHIN THE NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN. THE GOVERNING BOARD OF NATIONWIDE CHILDREN'S HOSPITAL, INC. AND NATIONWIDE CHILDREN'S HOSPITAL IS A JOINT BOARD AND MEMBERS SERVE ON THESE BOARDS CONCURRENTLY. |
| FORM 990, PART XI, LINE 9 | EFFECT OF ADOPTION OF SFAS NO. 158 - ($2,029,670) NET CHANGE IN INTEREST RATE SWAP AGREEMENTS - $6,337,001 TECHNOLOGY INVESTMENTS - $7,080,310 TECHNOLOGY INVESTMENT OBLIGATIONS - ($2,603,001) OTHER - ($179,991) TOTAL - $8,604,649 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:80526829 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:NICU LEASED SALARIES & MED SVC TOTAL FEES:48833128 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:RESEARCH SUBCONTRACT TOTAL FEES:8765803 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONSULTATION FEES TOTAL FEES:4265894 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:45806134 |
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